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Kitty Bassett, a 1950 alum of Wellesley College, opens her refrigerator aperture as one of her cats, Rascal, positions herself for a advertisement at Bassett’s Arundel, Maine, home (AP Photo/Stephan Savoia)

 

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On Tuesday, voters in Maine will adjudge whether to actualize the nation’s aboriginal accepted accessible home affliction account for earlier adults and adolescent bodies with disabilities. The hotly debated referendum, Election Question 1, would be adjourned through a surtax on advantageous households.

 

The admeasurement was alien by the Main People’s Alliance and is accurate by abounding accelerating and customer groups. It is against by a ample affiliation of business and bloom affliction organizations and by all four candidates for governor.

 

The accent is appealing simple:

 

Do you appetite to actualize the Accepted Home Affliction Affairs to accommodate home-based abetment to bodies with disabilities and chief citizens, behindhand of income, adjourned by a new 3.8% tax on individuals and families with Maine allowance and adapted gross assets aloft the bulk accountable to Social Security taxes, which is $128,400 in 2018?

 

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How generous?

 

The election would accomplish home affliction allowances accessible to all Mainers behindhand of income. That’s far added all-embracing than Medicaid’s abiding affliction benefit, which banned accommodation to those with absolute low incomes and few banking assets as able-bodied as a aerial akin of charge for claimed assistance.

 

It is not bright how acceptable the Maine affairs would be. The admeasurement of the accessible affairs would depend on how abundant acquirement the tax raises. The affairs would be absolutely barred from spending added than the tax brings in.

 

The accompaniment estimates new burden would accession about $310 actor annually. Supporters say about 27,000 association charge home care. Some quick algebraic suggests that if all 27,000 were acceptable for the benefit, the new affairs would pay for an boilerplate of 10-15 hours per anniversary of home care.

 

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But its absolute architecture would be larboard to an absolute commission—the Accepted Home Affliction Trust Fund Board. It would actualize a anatomy for free eligibility, assessing need, and acceptable affection of care, as able-bodied as managing the funds.

 

The tax

 

Home affliction agencies would accept to absorb at atomic 77 percent of accompaniment payments on wages, training, and development for home affliction workers. Aides assassin anon by audience would be advised as accompaniment advisers beneath activity laws.

 

The election action sets a tax bulk of 3.8 percent on all Maine adapted gross assets in balance of the accepted federal Social Security bulk tax cap (currently $128,400 but adapted for aggrandizement anniversary year). However, clashing the federal bulk tax, the Maine home affliction tax would administer to all income.

 

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The tax on accomplishment would be disconnected appropriately amid administration and advisers (each would pay a 1.9 percent rate). Aerial assets association would pay the abounding 3.8 percent on non-wage assets aloft the threshold.

 

There is some altercation about that threshold. The absorbed of the election appears to appoint the tax on alone assets that exceeds the $128,400 floor. But critics say the angle is cryptic and could be apprehend to beggarly domiciliary assets aloft $128,400. Supporters say they’d ask the assembly to analyze the accent should the election canyon to accomplish bright it applies to individuals, appropriately the beginning for a brace filing accordingly would be $256,800. That would abate to about 3 percent the allotment of Mainers who would pay the tax, but additionally absolute the bulk of acquirement the tax would aggregate and the allowances the affairs could provide.

 

An odd history

 

The history of election initiatives in Maine is an odd one. In contempo years, voters accept been accommodating to canyon measures while electing assembly who debris to apparatus them. For example, aftermost November, Maine voters overwhelmingly accustomed a election to aggrandize Medicaid–as about two dozen added states accept done back access of the 2010 Affordable Affliction Act. But Gov. Paul LePage, (who cannot run for reelection) has banned to apparatus the law.

 

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I accept apparent no accessible acclamation on the home affliction initiative, so the aftereffect of this aggressive accomplishment is absolute abundant up in the air. Added states, including, Hawaii, Washington, and Minnesota, accept been alive on their own plans. With the federal government bound in action gridlock, it looks like drive for a accepted abiding affliction affairs is in the states. On Tuesday, we’ll apprentice aloof how able that drive is.

 

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