Bill Summary – FastDemocracy

LAW WITHOUT
                                                                GOVERNOR'S               CHAPTER
                                                                SIGNATURE
                                                                                              467
                                                                JULY 15, 2021           PUBLIC LAW
                                 STATE OF MAINE
                                          _____
                          IN THE YEAR OF OUR LORD
                        TWO THOUSAND TWENTY-ONE
                                          _____
                                  H.P. 433 - L.D. 590
       An Act To Require MaineCare Coverage for Ostomy Equipment
Be it enacted by the People of the State of Maine as follows:
    Sec. 1. 22 MRSA §3174-FFF is enacted to read:
§3174-FFF. Ostomy equipment reimbursement
     Beginning January 1, 2022, the department shall reimburse under the MaineCare
program for ostomy equipment and supplies when that equipment or those supplies have
been prescribed or recommended by a health care practitioner authorized to prescribe or
recommend such equipment or supplies. The department shall adopt rules to implement
this section. Rules adopted pursuant to this section are routine technical rules as defined
by Title 5, chapter 375, subchapter 2-A. For purposes of this section, "health care
practitioner" has the same meaning as in Title 24, section 2502, subsection 1-A.
    Sec. 2. Ostomy equipment reimbursement rules. By January 1, 2022, the
Department of Health and Human Services shall amend its rules in Chapter 101: MaineCare
Benefits Manual, Chapter II, Section 60 to implement the Maine Revised Statutes, Title 22,
section 3174-FFF and this section. The department shall reimburse for ostomy equipment
and supplies at no less than 85% of the 2021 federal Medicare reimbursement rate for the
equipment and supplies as long as the rate is no lower than the rate reimbursed by the
department as of January 1, 2021.
    Sec. 3. Appropriations and allocations. The following appropriations and
allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Initiative: Provides funding to increase the MaineCare reimbursement rates for ostomy
equipment to 85% of the 2021 federal Medicare reimbursement rate.
GENERAL FUND                                                    2021-22          2022-23
 All Other                                                        $9,313          $18,625
                                                             __________       __________
GENERAL FUND TOTAL                                                $9,313          $18,625
                                   Page 1 - 130LR1760(03)
FEDERAL EXPENDITURES FUND                          2021-22      2022-23
 All Other                                         $19,495      $38,990
                                                __________   __________
FEDERAL EXPENDITURES FUND TOTAL                    $19,495      $38,990
                       Page 2 - 130LR1760(03)