Maine 2023-2024 Regular Session

Maine House Bill LD1114

Introduced
3/9/23  
Refer
3/9/23  
Refer
3/9/23  

Caption

An Act to Eliminate the Annual Medical Eligibility Determinations of Need for Families of Children with Disabilities

Impact

The elimination of the annual determination requirement is expected to positively impact families by providing more stability and reducing the frequency of mandatory evaluations for children with disabilities. It aligns with broader goals of improving access to healthcare services and supporting families of children with disabilities by alleviating unnecessary constraints. The Department of Health and Human Services will need to amend its rules appropriately and possibly submit state plan amendments to federal authorities to implement these changes effectively.

Summary

LD1114, also known as the Act to Eliminate the Annual Medical Eligibility Determinations of Need for Families of Children with Disabilities, proposes to remove the requirement for children with disabilities to undergo annual medical or disability determinations to maintain their eligibility for MaineCare or the Katie Beckett option. Under this bill, once a child is determined eligible, they would not need further disability determinations unless specifically requested by a parent or guardian due to a suspected change in the child's medical situation. This change aims to streamline the process for families and reduce administrative burdens associated with annual determinations.

Sentiment

Overall, the sentiment around LD1114 appears supportive, particularly among advocates for families of children with disabilities and healthcare providers. Supporters argue that the bill will reduce stress and financial burdens on families, as repeated evaluations can be both time-consuming and costly. However, it is crucial that there are adequate provisions for parents to request a reevaluation should they feel significant changes occur in their child's condition, ensuring that their needs continue to be met.

Contention

While there is significant support, some concerns may arise regarding oversight and the potential for lapse in medical evaluations without annual checks. Critics might argue that annual evaluations serve as a safeguard against changes in a child’s medical needs that could affect their eligibility for support services. Debates may center on balancing the need for periodic assessments with the recognition that families should not have to endure unnecessary evaluations, especially when their circumstances have not changed.

Companion Bills

No companion bills found.

Previously Filed As

ME SB00776

An Act Requiring Fairness For Families In Medicaid Eligibility And Reimbursement Determinations.

ME SB00913

An Act Requiring Fairness For Families In Medicaid Eligibility And Reimbursement Determinations.

ME H340

Medicaid Children & Families Specialty Plan

ME LD1540

Resolve, Directing the Maine Developmental Disabilities Council to Examine the Unmet Needs of Children Who Need Skilled Medical Care

ME HF1434

Parental contribution fees eliminated for services for children with disabilities.

ME HB881

Revise medicaid buy-in program to include children with disabilities

ME SF1201

Parental contribution fees for services for children with disabilities elimination

ME HB05367

An Act Concerning Medicaid Coverage Of Rapid Whole Genome Sequencing For Critically Ill Infants And Studies Concerning The Elimination Or Reduction Of The Katie Beckett Waiver Program Waiting List And Medicaid Coverage Of Diapers.

ME LD874

An Act to Address the Shortage of Direct Care Workers for Children with Disabilities in Maine

ME LD279

An Act to Address the Shortage of Direct Care Workers for Children with Disabilities in Maine

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