Approved: 04/24/23 LD 659 LR 151(01) FY 2023-24 FY 2024-25 Projections FY 2025-26 Projections FY 2026-27 Net Cost (Savings) General Fund $0 $1,541,815 $1,541,815 $1,541,815 Appropriations/Allocations General Fund $0 $1,541,815 $1,541,815 $1,541,815 Fiscal Detail and Notes Preliminary Fiscal Impact Statement The Department of Health and Human Services will require an annual General Fund appropriation of $1,541,815 beginning in fiscal year 2024-25 for a new MaineCare lifespan waiver, which will offer the services currently offered under the department's rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Sections 21 and 29 and also incorporate innovations such as self-directed services, employment options and transition services. There is funding in the currently proposed biennial budget for this new waiver program. If that initiative were part of the final budget passed by the legislature, this appropriation can be removed and the language can move forward. 131st MAINE LEGISLATURE An Act to Promote Seamless and Flexible Home and Community Supports Across the Lifespan for Individuals with Intellectual and Developmental Disabilities or Autism Preliminary Fiscal Impact Statement for Original Bill Sponsor: Rep. Crockett of Portland Committee: Health and Human Services Fiscal Note Required: Yes LR0151(01) - Fiscal Note - Page 1 of 1