130th MAINE LEGISLATURE
		LD 962		LR 1383(01)
	An Act To Appropriate Funds To Eliminate Waiting Lists for Home and Community-based Services for Adults with Intellectual Disabilities, Autism, Brain Injury and Other Related Conditions
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Millett of Cape Elizabeth
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Preliminary Fiscal Impact Statement
			FY 2021-22	FY 2022-23	Projections  FY 2023-24	Projections  FY 2024-25
Net Cost (Savings)
	General Fund		$16,614,647	$40,087,629	$63,553,560	$86,934,524
Appropriations/Allocations
	General Fund		$16,614,647	$40,087,629	$63,553,560	$86,934,524
	Federal Expenditures Fund		$34,730,856	$83,745,642	$132,767,479	$181,610,773
	Other Special Revenue Funds		$3,174,517	$7,656,189	$12,137,861	$16,602,711
Revenue
	Federal Expenditures Fund		$34,730,856	$83,745,642	$132,767,479	$181,610,773
	Other Special Revenue Funds		$3,174,517	$7,656,189	$12,137,861	$16,602,711
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of $16,614,647 in fiscal year 2021-22 and $40,087,629 in fiscal year 2022-23 to provide services to individuals with brain injury, other related conditions, developmental disabilities or autism spectrum disorder on the waiting list for community-based services provided under the MaineCare Benefits Manual, Chapters II and III, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder, Section 18, Home and Community-Based Services for Adults with Brain Injury and Section 20, Home and Community-Based Services for Adults with Other Related Conditions. Federal Expenditures Fund allocations are also included in this bill for the FMAP match and Other Special Revenue Funds allocations for the Service Provider Tax. A more current estimate would decrease the fiscal year 2021-22 General Fund appropriation by $5,455,309 to $11,159,338 and the fiscal year 2022-23 General Fund appropriation by $7,099,562 to $32,988,067. This change also accounts for the department requiring 8 additional positions to handle the influx of members to these waiver programs.
	It also should be noted that the federal American Recovery Plan Act (P.L. 117-2) allows for a potential temporary federal medical assistance percentage (FMAP) increase (above and beyond other FMAP increases) for states that "enhance, expand or strengthen home and community-based services". There is no federal guidance outlining the specific changes that will allow for a state to receive this enhanced FMAP or exactly how states will apply to get the enhanced FMAP. However, if this bill is enacted and the State is allowed to receive the enhanced FMAP for the members removed from the waiting list, the State could reduce the General Fund appropriation in fiscal year 2021-22 only by an additional $2,000,000.