Health and Human Services Cost Saving Ideas

Welcome to the “Cost Savings Ideas” website of Governor Paul LePage. Here, you are invited to share your ideas for promoting cost savings in the Department off Health and Human Services, Dirigo Health, Disability Rights Center, Foundation for Blood Research, Maine Children’s Trust, Inc. (Board), Maine Health Data Organization, Maine Hospice Council, Maine Veteran’s Home (Board of Trustees), and other related agencies.

You can review others’ ideas and see which are currently most popular. You may also comment on them as well as vote for your favorites.

Please keep in mind this is a public forum. For security reasons, please do not include any personal information. All submissions are to be civil and appropriate for a public forum; any submission containing profanity or personal attacks will not be posted. Thank you

Please share your government cost saving ideas in the area of health and human services here.

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  1. Remove money balance, from deceased recipients, of EBT cards.

    Recently my friend's parent passed away with money left on the EBT card. My friend called the welfare office and they told her use up the rest of the money on the card. The welfare office wouldn't remove the left over money. Out of frustration my friend used the money to buy food and donated it all to the local food bank. That was the only way she could try to do the right thing.

    6 votes
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      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
    • Stop cutting jobs and causing harm to families and the disabled

      Don't cut state jobs who help those with developmental disabilities. These workers actually bring revenue into the state and cutting these positions will only harm Maine's most vulnerable and not save any money! Focus on job creation and not job killing!

      6 votes
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        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
      • More health insurance options

        My health insurance just went up $586 a month!!! And a higher deductible. How is that justified? Poorer insurance higher premium less coverage. I'm sorry but you can stop everything you are doing and make these 2 insurance companies accountable. Get more options in this state so that they have to pay by the rules.

        1 vote
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          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
        • Foster care and Window regulations

          I think we should take a long serious look at the window regulations to become certified for foster care. My problem is with the so-called need for bigger windows. I was told it was for the window to be big enough for a firefighter to get thru with tanks on his back. And when I tried to point out that my windows slid out, I was told in normal open position. Well, with crime today my windows are of course shut and locked on the lower level. And what firefighter is going to stop and try to open the window…

          4 votes
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            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
          • Services Rendered

            Since DHHS opened to help those citizens who where working and needed a little extra help, why not default back to that practice? Having a job should be a requirement in order to "QUALIFY" for assistance.

            3 votes
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              0 comments  ·  Flag idea as inappropriate…  ·  Admin →
            • Maine Care recipients should be paying similar ER visit co-pay charges as regular insurance to reduce ER visits for simple coughs/colds.

              I pay a $200 co-pay with my insurance which makes me consider carefully the reasons I need to go to the ER; I go to my PCP for routine care and I stay home when I get a cold. Since Maine Care visits are free or very low cost, those recipients feel fine going to ER for routine care which costs Maine tax payers.

              2 votes
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              • Eliminate the DHHS OADS Case Management positions

                Eliminate the DHHS OADS Case Managers because their positions are duplicative as OADS developed the Community Case Management program in the private provider sector several years ago. There is no justification in keeping those state lines!!!

                1 vote
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                  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                • Overdose Crisis

                  There needs to be an increase in mental health care and addiction clinics to fix this problem. More people died recently, not from legal pain medication, but from heroin laced with fentanyl. Taking pain medication away from those in chronic pain will not fix the problem.

                  2 votes
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                    0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                  • Snap benefits. Do the same as wic. Only healthy foods. Common sense. Period.

                    Snap benefits should be on the same guidelines as Wic. Common sense. Period.

                    4 votes
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                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                    • Screen All Academically Failing DHHS Clients & their children (7+) for Functional Eye Vision Issues

                      By screening these Clients & their young children we can assist these parents with their learning issues & resolve those first to increase their earning potential. We FVYD have the screen to identify these functional vision issue. Then with a collaborative health promotions effort & within any of the training program of 12 weeks length that they attend we can also provide this 15 minute service to resolve them.

                      1 vote
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                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                      • ASPIRE/TANF should be handled through MDOL.

                        The TANF benefit should be handled similar to Unemployment except put in place the 5 year limit, nationwide. Remove the deprivation component. The cash benefit would be issued as long as job logs were submitted regularly. Some searches could be waived if they were in a short term certificate program or 2 year degree.

                        3 votes
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                          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                        • Welfare Commissaries

                          If all welfare participants were to receive credit(s) at a local Welfare Commissary, we could prevent the mis-use of funds,EBT cards, ect.. The only goods stocked in the Welfare Commissary would be items that were "allowed" as benefits. There would be no exchange of monies or vochers, only the name and credit(s) assigned to that family in need. It would also create the need for employees, thus creating jobs in Maine. (Win-Win)The idea needs to be developed, but I think it would be very cost effective in the end.

                          1 vote
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                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                          • Instead of paying TANF money directly to the client

                            Instead of paying TANF money directly to the individual, pay it directly to the landlord or light company. You would know the money is going to what it is intended for.

                            82 votes
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                              1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                            • Reform the Welfare System for Abuse/Fraud

                              Hello Governor--my wife and I was at Cumberland Farms in Winthrop and saw an individual that was receiving State assistance trying to buy scratch tickets. How can these items be covered under the State assistance program? Thankfully the clerk refused to sell these scratch tickets to this indivudual. The individual said that other stores allow you to buy scratch and lottery tickets with State assistance. I think we need to have a task force with undercover people that are pretending to be on State Assistance and go to stores and see if you can buy lottery, beer, etc. I bet…

                              2 votes
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                                started  ·  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                              • Defund Planned parenthood like NH!!!

                                Defund Planned Parenthood like NH

                                7 votes
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                                  1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                                • 15 votes
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                                  • Seasonal Workers

                                    Maine should do like Mass and if you are a seasonal worker you are only eligible for Unemployment benefits if you are laid off during your "usual" season.

                                    15 votes
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                                    • Provide taxi vouchers to MaineCare Patient so they do not use ambulances as taxicabs.

                                      I am a Patient Advocate for a hospital in Maine and one common issue with low income patients is their use of ambulances to come to the ED for non-life threatening care. The bigger issue here is the over utilization of Emergency Department Services when a patient could go to Express Care or their PCP’s office but because they do not have transportation, they use the ambulance as a taxi during evening and weekend hours when public transportation is not available.
                                      The solution is for the state to provide a taxi voucher for patients who need urgent care either for…

                                      15 votes
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                                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                      • Eliminate critical access status for merged hospitals (to reduce reimbursement)

                                        With big healthcare chains like Maine Health taking over contracting , billing , I.T. , for member hospitals, it doesn't make sense for the small hospital to retain critical access status and get reimbursed at a higher level costing the state and tax payer valuable resources better spent on patient care. (Example -Pen Bay/Waldo , Maine Med/Frankline County

                                        1 vote
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                                        • No COPD meds on Mainecare for current smokers.

                                          It infuriates me when I see regular smokers on Mainecare get expensive inhalers/meds for COPD/Asthma. Many insurances do not cover inhalers like Advair, etc. And typically, there is a huge deductible. Just Saying.

                                          7 votes
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