Maine House Bill LD659

Maine 2023-2024 Regular Session

• Introduced: 2/16/23
• Refer: 2/16/23
• Engrossed: 6/15/23
• Enrolled: 6/16/23

Caption

An Act to Promote Seamless and Flexible Home and Community Supports Across the Lifespan for Individuals with Intellectual and Developmental Disabilities or Autism

Impact

This bill will significantly amend state laws regarding the provision of services for individuals with intellectual and developmental disabilities. It plans to shift the paradigm from the existing, static waiver programs to a more adaptable system that acknowledges the changing needs of individuals and their caretakers. By allowing individuals to start receiving support from the age of 14, LD659 seeks to enhance service availability and flexibility, making it easier for families to navigate care as their loved ones age.

Summary

LD659 aims to establish a comprehensive MaineCare home and community-based program targeted at individuals with intellectual and developmental disabilities, including autism. The bill mandates the Department of Health and Human Services (DHHS) to implement this 'lifespan program' in two phases, beginning with individuals qualifying under existing waivers to expand choices and support options available throughout their lifetime. Enrollment in this program will start no earlier than January 1, 2025, allowing for a smooth transition from children’s services to adult services over time.

Sentiment

The sentiment surrounding LD659 appears to be largely positive among advocates for individual rights and disability services. Supporters emphasize the importance of a tailored approach to meet the varied needs of individuals across their lifespans. They believe the program's design fosters greater independence and improved quality of life. However, some concern has also been raised regarding the additional workload on state agencies to effectively manage these transitions and maintain service quality amidst the expanded options and complexity introduced by the new program.

Contention

Despite the overall support, there are notable points of contention surrounding the full implementation of LD659. Some stakeholders express worries about the adequacy of funding and resources required to establish the lifespan program efficiently. Additionally, the transition phase from existing MaineCare components under Chapters 21 and 29 to this new framework could pose risks for current service users. Maintaining a high standard of care and avoiding disruptions during this transition process remain significant challenges.