Lawmakers hear proposal for MaineCare nonmedical transportation pilot to reduce isolation in rural areas

Representative Dan Chigori presented LD 263, a resolve to develop a pilot program enabling nonmedical transportation services for older adults and adults with disabilities who receive MaineCare home and community‑based services (Section 19 waiver). Chigori emphasized the acute transportation gaps in rural Maine, saying bluntly: "in Maine, either you drive or you rot."

Supporters, including Marj Kilkelly of the Maine Council on Aging and Rachel Dyer of the Maine Developmental Disabilities Council, told the committee that transportation is a social determinant of health and that rides to grocery stores, meal sites and community centers can prevent isolation and promote health. Kilkelly said the pilot should make use of the flexibility allowed under Medicaid waiver rules to fund nonmedical transportation that promotes well‑being.

The Moving Maine Network and local prevention councils argued the state already has community transportation resources and that additional MaineCare funding directed to nonmedical rides could be blended with existing community transport operations to expand capacity. Advocates urged a pilot that would use Medicaid matching funds (if allowable) and target county or population cohorts to limit cost while testing outcomes.

DHHS representatives said the department is studying similar projects in other states and asked for time to share findings before the committee's work session. Committee members asked for the department—s study results and for clarification on waiver mechanics and the scope of the pilot; sponsors said the bill is intended to be a waiver‑funded pilot to reduce the state share once federal match is applied.

Ending: No vote was taken at the hearing; members asked DHHS for comparative state models and cost estimates for the work session.