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Anne Perry photograph

Representative Anne Perry [Democrat]
Calais ~ District 140

Towns in District: Baileyville, Baring, Calais, Charlotte, Pembroke, Perry, Robbinston, Passamaquoddy Indian and Passamaquoddy Pleasant Point

Would be term limited: 2024
Campaign funding in 2018 Election: Maine Clean Elections Act

House Committees:
♦ Ethics

Joint Committees:
♦ Health and Human Services

✉ Anne.Perry@legislature.maine.gov
☎ 1-800-423-2900

✉ 474 South Street
Calais, Maine 04619


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OrganizationScore
Maine People's Alliance, Will of the Voters73%
Maine People's Alliance, 201883%
Maine Conservation Voters, 20188 of 8
Maine Conservation Voters, 20177 of 7
AFL-CIO, 201789%
Planned Parenthood Maine Action Fund, 2017100%

The graphs below are frequency histograms that show counts of the number of legislators with various scores, color coded by party. The "X" marks this legislator's score in that distribution of scores.

See "Explanations, Legislative scorecards" for the votes included on scorecards and links to sources.

Maine Peoples Alliance Will of the Voters graph Maine Peoples Alliance 2018 graph Maine Conservation Voters 2018 graph Maine Conservation Voters 2017 graph AFL-CIO graph Planned Parenthood Maine Action Fund graph
LD 30 An Act To Improve Health Care Data Analysis Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 30
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to enact measures designed to improve the State's capacity to use data regarding health care costs and health care systems. The State's ability to better analyze and use data regarding health care utilization and health care quality will serve to inform the State's health care policy.

LD 80 An Act To Create the Department of Substance Use Disorder Services Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 7, 2019
LD 80
This bill establishes the Department of Substance Use Disorder Services as a separate cabinet-level department. It removes from the Department of Health and Human Services, and transfers to the Department of Substance Use Disorder Services, functions and services for individuals with substance use disorders, prevention programs and administrative assistance for the Substance Use Disorder Services Commission.

LD 177 Resolve, To Improve Access to Bariatric Care (Emergency) Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-439, tabled to Special Appropriations in the Senate June 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 177
This bill requires the Department of Health and Human Services to provide 16 new specialized bariatric care beds in one or more nursing facilities to serve individuals with a body mass index greater than 40.

Amendment H-472
This amendment replaces the resolve. It requires the Department of Health and Human Services to develop a plan to provide up to 16 new specialized bariatric care nursing facility beds by September 1, 2020. The amendment also adds an emergency preamble and emergency clause.

LD 177 fiscal note
LD 177 Amendment H-472 fiscal note
LD 227 An Act To Strengthen Maine's Public Health Infrastructure Status: Referred to Health and Human Services Committee, Work session held, April 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 227
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to enact measures designed to strengthen the State's public health infrastructure by:

  • 1. Identifying community-level geographic regions where essential public health services, including competent and qualified comprehensive community health coalitions, can be funded equitably;
  • 2. Ensuring that basic and essential public health services be delivered in each public health district and tribal health district;
  • 3. Identifying emerging nonclinical public health workers, including community health workers, community paramedics, recovery coaches and resiliency coaches, who can strengthen the efficiency and effectiveness of public health service delivery;
  • 4. Facilitating, when possible, the integration and collaboration of public and private public health professionals with public safety professionals and emergency preparedness professionals; and
  • 5. Enabling the operation of public health professionals, public safety professionals and emergency preparedness professionals as a cohesive and coordinated public health team to improve the visibility and understanding of public health among Maine children and adults.


LD 228 An Act To Expedite the Issuance of Alcohol and Drug Counseling Licenses Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-103, Enacted, Signed into law May 8, 2019
LD 228
This bill requires the Department of Professional and Financial Regulation, State Board of Alcohol and Drug Counselors to grant or deny a license to practice as an alcohol and drug counseling aide, certified alcohol and drug counselor, licensed alcohol and drug counselor or certified clinical supervisor within 30 days of receipt of the application for that license. This bill also clarifies the authority of the State Board of Alcohol and Drug Counselors to license certified clinical supervisors.

Amendment H-103
This amendment makes changes to the provision of the bill related to the minimum qualifications for certain licensed mental health professionals and licensed alcohol and drug counselors to also become licensed as certified clinical supervisors by:
  • 1. Removing the examination requirement;
  • 2. Reducing the number of minimum hours of training in clinical supervision;
  • 3. Clarifying that licensed pastoral counselors and licensed marriage and family therapists may be licensed as certified clinical supervisors; and
  • 4. Adding an eligibility requirement that recognizes licensed mental health professionals with experience in treating co-occurring mental health and substance use disorders and at least 3 years of experience supervising clinicians in treatment programs for individuals with co-occurring mental health and substance use disorders.


The amendment also removes the section of the bill requiring that the Department of Professional and Financial Regulation, State Board of Alcohol and Drug Counselors to grant or deny a license within 30 days of receipt of the application for that license.

LD 228 Chaptered Law
LD 228 Chaptered Law fiscal note
LD 231 An Act To Improve Public Health by Maximizing Federal Funding Opportunities Status: Referred to Health and Human Services Committee, Work session held, May 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 231
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to increase federal funding to improve the State's public health outcomes and workforce by designating the Maine Public Health Institute within the University of Southern Maine's Edmund S. Muskie School of Public Service as an agent of the Department of Health and Human Services for the purpose of applying for federal funds to support public health research and programming. To provide guidance to the Maine Public Health Institute in carrying out this duty, this bill would establish an advisory board composed of officials from the department, including the Director of the Maine Center for Disease Control and Prevention, and representatives of statewide public health organizations and care providers. The bill would require that the Maine Public Health Institute report every 2 years to the department and the joint standing committee of the Legislature having jurisdiction over health and human services matters.

LD 232 An Act To Change the Process by Which Designated Nonstate Mental Health Institutions Petition the District Court To Admit Certain Patients to a Progressive Treatment Program Status: Referred to Health and Human Services Committee, Work session held, May 6, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 232
This bill changes the process by which a petition to the District Court is made to admit a patient at a designated nonstate mental health institution to a progressive treatment program. Current law provides that the superintendent or chief administrative officer of a psychiatric hospital, including a designated nonstate mental health institution, directly petition the District Court. This bill provides that the superintendent or chief administrative officer of a designated nonstate mental health institution request the Commissioner of Health and Human Services to petition the District Court on the superintendent's or chief administrative officer's behalf.

LD 659 An Act Regarding the Use of Interchangeable Biological Products Status: Referred to Health Coverage, Insurance and Financial Services Committee, Enacted, Signed into law April 11, 2019
LD 659
This bill provides for pharmacist substitution of interchangeable biological products for prescribed biological products in a manner similar to the current regulation of generic drug substitution. The bill defines "biological product" and "interchangeable biological product."

LD 659 Chaptered Law
LD 659 Chaptered Law fiscal note
LD 934 Resolve, To Review the Implementation of the Maine Background Check Center Act Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-348, Finally passed, Signed into law June 6, 2019
LD 934
This resolve directs the Commissioner of Health and Human Services to convene a study group to assess the effects of the implementation of the system of background checks established by the Maine Background Check Center Act. The commissioner is required to submit a report, including any recommended legislation, by December 15, 2019 to the Joint Standing Committee on Health and Human Services, which may submit legislation based on the report to the Second Regular Session of the 129th Legislature.

Amendment H-348
This amendment, which is the unanimous report of the committee, adds a directive to the study group to consider any barriers to implementing all required background checks under one background check system.

LD 934 Chaptered Law
LD 934 Chaptered Law fiscal note
LD 935 An Act To Increase the Viability of Assisted Living Facilities by Increasing the Rate of Reimbursement Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-198, tabled to Special Appropriations in the Senate May 14, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 935
Under current law, the MaineCare payment rates attributable to wages and salaries for personal care and related services for adult family care services, adult day services and homemaker services must be increased by a cost-of-living adjustment until the Department of Health and Human Services has completed a rate study conducted by a 3rd party, including participation of providers, for adult family care services, adult day services or homemaker services and the rates in the rate study have been implemented.

This bill requires that the rates determined by the department pursuant to the rate study also must be increased by a cost-of-living adjustment.

Amendment H-198
This amendment adds an appropriations and allocations section.

LD 935 fiscal note
LD 935 Amendment H-198 fiscal note

LD 1005 Resolve, To Establish a Pilot Project To Save Lives and Support People with Substance Use Disorder in Washington County (Emergency) Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-160, tabled to Special Appropriations in the Senate May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1005
This resolve establishes a pilot project in Washington County to provide treatment and recovery services for people with substance use disorder. The pilot project is established under the Department of Health and Human Services. The department is required to work with Healthy Acadia to develop the pilot project. The department is required to assist Healthy Acadia with seeking federal funding for the pilot project. The pilot project requires the establishment of a central coordinating telephone system available to anyone in Washington County at any time to assist individuals with accessing services related to substance use disorder treatment and recovery. Individuals receiving the phone calls must be qualified to provide counseling services to all callers in addition to providing referrals. The pilot project establishes a coordinating council made up of representatives of the community and organizations in the area involved in the health and welfare of Washington County residents. The council is responsible for providing a coordinated system of services for substance use disorder prevention, treatment and recovery and for developing and implementing a recovery resource fund to provide additional individualized services as part of a wraparound continuum of support and services. It requires the department to report on the pilot project to the joint standing committee of the Legislature having jurisdiction over health and human services matters no later than November 30, 2020.

Amendment H-160
This amendment changes the dates in the resolve for the central coordinating telephone system to be established and the evaluation report to be submitted to the joint standing committee of the Legislature having jurisdiction over health and human services matters.

LD 1005 fiscal note
LD 1005 Amendment H-160 fiscal note
LD 1030 An Act To Amend the Laws Governing the Substance Use Disorder Services Commission Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-295, Enacted, Signed into law June 20, 2019
LD 1030
This bill revises the membership and duties of the Substance Use Disorder Services Commission.

Amendment H-295
This amendment, which is the unanimous report of the committee, amends the bill to require the Substance Use Disorder Services Commission to make recommendations related to substance use disorder to the Department of Health and Human Services and the Governor based on the commission's activities.

The amendment also adds an appropriations and allocations section.

LD 1030 Chaptered Law
LD 1030 Chaptered Law fiscal note
LD 1033 An Act To Protect Children from Accidental Injury Due to Unsafe Storage of Firearms Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, May 28, 2019
LD 1033
This bill requires that firearms kept in a place where children reside or receive child care services or where persons prohibited from possessing firearms reside be secured in a locked container or with tamper-resistant devices that prevent them from being discharged. It excludes antique firearms from this requirement. A fine is provided for violation of the requirement, and a violation is evidence of wanton or reckless conduct in any criminal or civil case if injury or death was the result of the violation.

LD 1105 An Act To Allow Acupuncture Detoxification Specialists To Administer an Auricular Acupuncture Treatment for Substance Use and Co-occurring Disorders Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-337, Enacted, Became law without the Governor's signature June 11, 2019
LD 1105
This bill directs the Department of Professional and Financial Regulation, Board of Complementary Health Care Providers to license acupuncture detoxification specialists and establishes standards for the provision of auricular acupuncture detoxification. The bill directs the board to adopt rules to implement the requirements.

Amendment H-337
This amendment replaces the bill and directs the Department of Professional and Financial Regulation, Board of Complementary Health Care Providers to license acupuncture detoxification specialists. The amendment also establishes standards for the provision of auricular acupuncture detoxification.

LD 1105 Chaptered Law
LD 1105 Chaptered Law fiscal note
LD 1256 An Act To Provide a Health Care Preceptor Tax Credit Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment H-331, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1256
This bill establishes a refundable tax credit in the amount of $500 per student, up to a maximum of $1,500 per year, for a health care preceptor who provides, without compensation, instruction to and supervision of advanced practice registered nursing students in an approved course of study. A health care preceptor may be a licensed physician, physician's assistant or advanced practice registered nurse.

Amendment H-331
This amendment requires a health care preceptor to submit documentation of the activities necessary for the preceptor to qualify for an income tax credit and removes the provision making the credit refundable.

LD 1256 Amendment H-331 fiscal note
LD 1297 An Act To Reduce Youth Cancer Risk Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-293, Enacted, Signed into law June 13, 2019
LD 1297
This bill:
  • 1. Prohibits a tanning facility from allowing an individual who has not attained 18 years of age to use a tanning device;
  • 2. Requires that the owner of a tanning facility or the lessee of a tanning device post a conspicuous notice regarding the laws governing tanning and the health risks associated with tanning;
  • 3. Requires that each customer, prior to that customers first use in that calendar year of that tanning device, sign an acknowledgment that the customer understands the posted notice and agrees to use protective eyewear; and
  • 4. Authorizes municipalities to adopt more restrictive regulations than required in this bill.


Amendment H-293
This amendment, which is the majority report of the committee, specifies that a violation of the section on tanning facilities is subject only to civil penalties. It requires the Department of Health and Human Services to adopt routine technical rules to implement the law and otherwise regulate tanning facilities and directs the department to amend its rules in 10-144 C.M.R. Chapter 223 to be consistent with the law.

LD 1297 Chaptered Law
LD 1297 Chaptered Law fiscal note
LD 1434 An Act To Allow Certified Registered Nurse Anesthetists To Bill for Their Services Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, April 30, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1434
This bill requires insurers, health maintenance organizations and nonprofit hospitals or medical service organizations to provide coverage for the services of certified registered nurse anesthetists provided to individuals.

LD 1577 An Act To Assist Nursing Homes in the Management of Facility Beds Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-350, tabled to Special Appropriations in the Senate May 30, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1577
This bill restores the ability of nursing facilities to voluntarily reduce the number of their licensed beds and then later increase the number of their licensed beds to the prior level after obtaining a certificate of need and meeting certain conditions.

The bill modifies the process to obtain certificate of need approval to reopen reserved beds. Applications that seek to reopen reserved beds must be approved if the projected incremental costs of reopening and operating the reopened beds are consistent with the facility's costs of operating its other beds. Applicants are not required to demonstrate that any increases in MaineCare costs are offset by other MaineCare savings. The costs of ongoing operation of both the restored beds and the complement of facility beds at the time the reserved beds are reopened must be recognized as allowable costs and incorporated into the facility's MaineCare payment rates.

The bill requires the Department of Health and Human Services to include in its calculation of reimbursement for services provided by a nursing facility the cost incurred by the facility for a medical director.

The bill requires the cost incurred by a nursing facility for the acquisition, use and maintenance of computer or cloud-based software systems to be included as a fixed cost.

The bill requires the Department of Health and Human Services to amend its rules governing adult family care services to provide reimbursement for up to 30 bed hold days per calendar year when a resident is absent from a facility.

The bill requires the Department of Health and Human Services to amend its rules governing principles of reimbursement for nursing facilities to include the cost of health insurance for employees attributable to MaineCare residents as a fixed cost. It also requires the department to amend these rules to include reimbursement for 50% of a nursing facility's charges for a maximum of 6 months for a newly admitted resident who is determined to be financially ineligible for MaineCare after the resident is admitted to the nursing facility and the charges remain unpaid after reasonable efforts are made by the nursing facility to collect the debt based on these charges.

Amendment H-350
This amendment removes from the bill the sections related to bed hold days, health insurance and bad debt and adds an appropriations and allocations section.

LD 1577 Amendment H-350 fiscal note
LD 3 An Act To Enhance and Increase the Availability of Mental Health Providers in Maine (Emergency) Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Dead, Joint rule 310.3, May 28, 2019
LD 3
This bill establishes and provides funding for the Maine Mental Health Providers Loan Repayment Program to be administered by the Finance Authority of Maine. Under the program, all social workers licensed by the State Board of Social Worker Licensure and all counselors licensed by the Board of Counseling Professionals Licensure may apply for student loan repayment assistance, as long as the applicants agree to practice for 5 years in one of a list of underserved practice areas in the State. The bill also repeals the currently unfunded Social Work Education Loan Repayment Program in the Maine Revised Statutes.

LD 6 An Act To Amend the Laws Governing the Home Accessibility Tax Credit Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 11, 2019
LD 6
This bill provides that the income tax credit for homestead modifications to improve accessibility for an individual with a disability or physical hardship is refundable if the individual is 65 years of age or older and the individual's Maine adjusted gross income is equal to or less than 138% of the federal poverty level.

LD 17 Resolve, Designating a Portion of Route 1 in Downeast Maine the Hannah and Rebecca Weston Trail Status: Referred to Transportation Committee, Finally passed, Signed into law March 7, 2019
LD 17
This resolve directs the Department of Transportation to designate Route 1 from its intersection with Route 1A in the Town of Jonesboro to the southern entrance to the Jeremiah O'Brien Memorial Bridges in the Town of Machias the Hannah and Rebecca Weston Trail.

LD 17 Chaptered Law
LD 17 Chaptered Law fiscal note
LD 18 An Act To Ensure Proper Prosecution of Crimes Involving Domestic Violence and Enhance Protection of Victims of Domestic Violence (Emergency) Status: Referred to Criminal Justice and Public Safety Committee, Amended by Committee amendment H-175, Enacted as an emergency measure, Signed into law June 20, 2019
LD 18
This bill creates the crimes of domestic violence aggravated assault, domestic violence elevated aggravated assault and domestic violence elevated aggravated assault on a pregnant person. The bill also makes violation of a protection from abuse order a Class C crime if the person has 2 or more prior convictions for violating a protection from abuse order.

Amendment H-175
This amendment amends the bill by changing the crime of domestic violence aggravated assault to create the Class A variant of aggravated assault that is consistent with the existing crime of Class A aggravated assault under the Maine Revised Statutes, Title 17-A section 208, subsection 1, paragraph A-1, when the defendant causes bodily injury to another that causes serious, permanent disfigurement or loss or substantial impairment of the function of any bodily member or organ. The amendment adds the newly created crimes of domestic violence aggravated assault, domestic violence elevated aggravated assault and domestic violence elevated aggravated assault on a pregnant person to the predicates that may be used to elevate existing domestic violence crimes. The amendment also adds reference to the newly created crimes of domestic violence aggravated assault, domestic violence elevated aggravated assault and domestic violence elevated aggravated assault on a pregnant person to the definition of "family or household members" under Title 19-A, chapter 101, which concerns protection from abuse. The amendment makes one nonsubstantive, grammatical correction to the provision of the bill on repeat violations under the protection from abuse law. The amendment adds the newly created crimes of domestic violence aggravated assault, domestic violence elevated aggravated assault and domestic violence elevated aggravated assault on a pregnant person to the mandatory arrest provisions of Title 19-A, section 4012, subsection 5 and repeals reference to a violation of Title 17-A, section 208 that has occurred between members of the same family or household as unnecessary following inclusion in the subsection of the newly created crimes.

LD 18 Chaptered Law
LD 18 Chaptered Law fiscal note
LD 45 An Act To Amend the Law Regarding Maine's Background Check Center Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 45
This bill grants the Department of Health and Human Services the authority to request state and national criminal history records, including fingerprint-based criminal history records, for direct access workers undergoing a background check under the Maine Background Check Center Act.

LD 47 An Act To Authorize a General Fund Bond Issue To Invest in Fire Stations Status: Referred to Appropriations and Financial Affairs Committee, Public hearing held, January 22, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 47
The funds provided by this bond issue, in the amount of $25,000,000, will be used for the rehabilitation or new construction of fire stations by municipalities.

LD 48 An Act To Authorize a General Fund Bond Issue To Invest in Housing for Persons Who Are Homeless Status: Referred to Appropriations and Financial Affairs Committee, Public hearing held, January 22, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 48
The funds provided by this bond issue, in the amount of $15,000,000, will be used for capital construction costs for housing for persons who are homeless.

LD 84 Resolve, Directing the Department of Health and Human Services To Allow Spouses To Provide Home and Community-based Services to Eligible MaineCare Members Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-135, tabled to Special Appropriations in the Senate May 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 84
This resolve requires the Department of Health and Human Services to submit a request to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to amend the current federal 1915(c) waiver so that eligible members receiving home and community-based services under the department's rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 19 will be able to receive services provided by spouses who are employed as personal support specialists to provide those services. It requires the department to amend its rules after the amended waiver approval has been received from the Federal Government. The resolve requires the department to provide an interim report regarding the progress in applying for, receiving and implementing the amended waiver and a final report with data on the number of individuals receiving services from spouses, any information about costs or savings and recommendations about the feasibility for similarly expanding other MaineCare programs or other potential waiver programs available under Medicaid.

Amendment H-135
This amendment adds an appropriations and allocations section to the resolve.

LD 84 fiscal note
LD 84 Amendment H-135 fiscal note
LD 115 An Act To Appropriate Funds for Home Visiting Services To Provide Child Development Education and Skills Development for New Parents Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-137, tabled to Special Appropriations in the Senate May 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 115
This bill appropriates funds for home visiting services to provide child development education and skills development for new parents.

Amendment H-137
This amendment, which is the unanimous report of the committee, directs the Board of the Maine Children's Trust Incorporated to use state funds it receives to maximize its receipt of federal funds. This amendment also adds an appropriation of funds to stabilize the workforce by bringing salaries of home visitors in line with comparable positions. It reduces the additional funding provided in the bill for home visiting services from $4,000,000 for fiscal year 2019-20 and $3,000,000 for fiscal year 2020-21 to $500,000 for each year and provides that the funding must be used to reduce any waiting lists for home visiting services. It directs these funds to go to the Maine Children's Trust.

LD 115 fiscal note
LD 115 Amendment H-137 fiscal note
LD 128 An Act To Reopen the Downeast Correctional Facility Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, June 10, 2019
LD 128
This bill requires the Department of Corrections to reopen the Downeast Correctional Facility. The facility must remain open and operational, and the bill permits the closure of the facility only if legislation approving the closure is enacted into law.

Funding is provided to restore all positions and for related All Other costs to reopen and operate the Downeast Correctional Facility beginning October 1, 2019.

LD 140 An Act To Facilitate the Employment of Persons with Substance Use Disorder Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, April 2, 2019
LD 140
This bill directs the Department of Labor to establish a process to certify employers as having met the criteria established by the department for working with employees with substance use disorders. The bill also directs the department to create a publicly accessible database of certified employers.

LD 147 An Act To Extend Internet Availability in Rural Maine (Emergency) Status: Referred to Energy, Utilities and Technology Committee, Amended by Committee amendment H-43, Enacted as an emergency measure, Signed into law April 23, 2019
LD 147
This bill provides one-time funding for 2 years for a program that provides mobile wireless hot spot devices to libraries in Washington County.

Amendment H-43
This amendment replaces the bill. The amendment adds language to the law governing the telecommunications education access fund to:
  • 1. Specify that the use of the fund for Internet access includes mobile Internet access through a portable wireless access point, or hotspot, that provides Internet access over a cellular network; and
  • 2. Add a guideline for allocation of money from the fund to provide, within existing resources, support for qualified libraries in rural areas of the State with greatest need, as determined in consultation with the State Librarian, the Commissioner of Education and the ConnectME Authority, to offer portable wireless access points, or hotspots, for mobile Internet access.


LD 147 Chaptered Law
LD 147 Chaptered Law fiscal note
LD 152 An Act To Prohibit the Possession and Use of Electronic Smoking Devices on School Grounds Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-32, Enacted, Signed into law April 30, 2019
LD 152
This bill includes in the prohibition against tobacco use in elementary or secondary schools the possession of an electronic smoking device, which is defined as a device used to deliver nicotine or any other substance intended for human consumption that may be used by a person to simulate smoking through inhalation of vapor or aerosol from the device, including, without limitation, a device manufactured, distributed, marketed or sold as an electronic cigarette, electronic cigar, electronic pipe, electronic hookah or so-called vape pen.

Amendment S-32
Current law prohibits in elementary or secondary schools and on school grounds the use of smokeless tobacco and the possession of a lighted cigarette, cigar, pipe or other object giving off or containing any substance giving off smoke. This committee amendment repeals and replaces existing law so that the following is included in the prohibition against tobacco use in elementary or secondary schools and on school grounds:
  • 1. The possession of a lighted or heated cigarette, cigar or pipe or a lighted or heated tobacco or plant product intended for human consumption through inhalation whether natural or synthetic in any manner or in any form;
  • 2. The use or possession of an electronic smoking device;
  • 3. The possession of any product that is made from or derived from tobacco, or that contains nicotine, that is intended for human consumption or is likely to be consumed, whether smoked, heated, chewed, absorbed, dissolved, inhaled or ingested by any other means, including, but not limited to, a cigarette, a cigar, a hookah, pipe tobacco, chewing tobacco, snuff or snus; and
  • 4. The possession of components or accessories used in the consumption of a tobacco product, such as filters, rolling papers, pipes and liquids.

The amendment also prohibits tobacco use on a school bus and at any school-sponsored event.

The amendment removes the exception that permitted tobacco use in classrooms as part of a bona fide demonstration during a class lesson.

LD 152 Chaptered Law
LD 152 Chaptered Law fiscal note
LD 179 An Act To Change the Name of Columbus Day to Indigenous Peoples Day Status: Referred to State and Local Government Committee, Enacted, Signed into law April 26, 2019
LD 179
This bill changes the Columbus Day holiday in the State to Indigenous Peoples Day.

LD 179 Chaptered Law
LD 179 Chaptered Law fiscal note
LD 202 An Act To Increase the Required Number of Qualifying Contributions Gubernatorial Candidates Must Obtain To Qualify as Maine Clean Election Act Candidates Status: Referred to Veterans and Legal Affairs Committee, Dead, Concurrence in Ought Not to Pass, March 26, 2019
LD 202
This bill increases from 3,200 to 6,000 the number of qualifying contributions verified registered voters must make to a gubernatorial candidate for that candidate to be certified as a Maine Clean Election Act candidate.

LD 249 An Act To Ensure Protection of Patients in Medical Reviews by Health Insurance Carriers Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-107, Enacted, Signed into law May 30, 2019
LD 249
This bill requires that a health insurance carrier's medical reviews, including utilization reviews and case management, be conducted by a health care practitioner who is board certified and in active medical practice in the same specialty as typically manages the medical condition, procedure or treatment under review.

Amendment S-107
This amendment replaces the bill. The amendment requires that appeals of a health insurance carrier's adverse health care treatment decision be conducted by a licensed health care practitioner who is board certified in the same or similar specialty as typically manages the medical condition, procedure or treatment under review and whose compensation does not directly or indirectly depend upon the quantity, type or cost of the medical condition, procedure or treatment the practitioner approves or denies on behalf of a carrier. The bill would have required that all medical reviews be conducted by a clinical peer who was board certified and in active medical practice in the same specialty.

The amendment also provides that any rules adopted by the Bureau of Insurance to conform to changes made in the bill are routine technical rules as defined in the Maine Administrative Procedures Act.

LD 249 Chaptered Law
LD 249 Chaptered Law fiscal note
LD 266 An Act To Eliminate the 2-year Limit on MaineCare Coverage for Approved Drugs for Opioid Use Disorder Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 4, 2019
LD 266
This bill repeals the 24-month limit on MaineCare coverage or reimbursement for buprenorphine and naloxone combination drugs, also known as Suboxone, for the treatment of addiction to opioids.

LD 267 An Act To Amend the Laws Governing the Practice of Pharmacy Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Non-concurrence, March 21, 2019
LD 267
This bill specifies that the practice of pharmacy is the provision of health care services.

LD 279 An Act To Raise Juror Pay to $50 per Day Status: Referred to Judiciary Committee, Enacted in the House as amended by Committee amendment S-24, tabled to Special Appropriations in the Senate April 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 279
This bill increases a juror's daily compensation rate from $15 to $50.

Amendment S-24
This amendment adds an appropriation and allocations section and incorporates a fiscal note.

LD 279 Amendment S-24 fiscal note
LD 284 An Act To Improve Care Provided to Forensic Patients Status: Referred to Health and Human Services Committee, Work session held, May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 284
This bill establishes a residential forensic step-down facility, which provides treatment of forensic patients who no longer require hospital level care but cannot be safely treated in a community setting, in Augusta in the Capitol Area. It authorizes the Commissioner of Health and Human Services to maintain and operate the 21-bed forensic step-down facility. It provides that the facility must be licensed and that the Department of Health and Human Services must adopt rules that apply specifically to the licensure of a forensic step-down facility and that include the admission and discharge standards of the facility, the staffing model, security, patients' access to treatment and patient rights protections. It requires that the department provisionally adopt rules to implement the licensure of the forensic step-down facility no later than January 11, 2020. It creates an advisory committee to participate in and guide the planning process for the facility and to report to the Joint Standing Committee on Health and Human Services. It authorizes the committee to report out a bill based on the advisory committee's report. It requires the department to report to the committee on the progress of creating the facility and developing rules. It provides that the transfer of a forensic patient into the forensic step-down facility must be approved by a court of appropriate jurisdiction. It includes the forensic step-down facility in the Maine Revised Statutes, Title 34-B, chapter 1 as a "state institution."

LD 303 An Act To Require Recovery Residences for Persons with Substance Use Disorder Be Equipped with Naloxone and To Exempt from Criminal Liability Persons Administering Naloxone Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-406, Enacted, Signed into law June 13, 2019
LD 303
This bill requires organizations that provide housing to persons with substance use disorder to store one unit of naloxone hydrochloride for every 3 residents. It also requires these organizations to provide training to full-time employees so that an employee may possess and administer naloxone hydrochloride to an individual who appears to be experiencing an opioid-related drug overdose. It directs the Department of Health and Human Services to adopt rules to implement these requirements.

Amendment H-406
This amendment, which is the unanimous report of the committee, strikes and replaces the bill and does the following.
  • 1. It makes the requirements of the bill apply only to recovery residences and not to other housing-based programs and expands the definition of "recovery residence."
  • 2. It changes the requirement for on-site storage of naloxone hydrochloride from at least one unit for every 3 residents of a housing-based program to at least 2 units for each floor of a recovery residence.
  • 3. It exempts from arrest or prosecution a person who in good faith administers naloxone hydrochloride to another person experiencing a drug-related overdose. The person may not be arrested or prosecuted for a violation of laws prohibiting the unlawful possession of scheduled drugs, acquiring drugs by deception, the illegal possession of hypodermic apparatuses or the use of drug paraphernalia or a violation of probation if the grounds for arrest or prosecution are obtained as a result of the person's administering naloxone hydrochloride.
  • 4. It removes the requirement that full-time employees of a housing-based program receive training and provides instead that residents of a recovery residence, employees of a recovery residence and all other persons involved in the administration of a recovery residence are required to successfully complete training in the administration of naloxone hydrochloride that meets the protocols and criteria established by the Department of Health and Human Services.


LD 303 Chaptered Law
LD 303 Chaptered Law fiscal note
LD 307 An Act To Limit the Number of Charter Schools in Maine Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-365, Enacted, Became law without the Governor's signature June 15, 2019
LD 307
Under current law, the number of public charter schools approved by the Maine Charter School Commission that may operate at any time is capped at 10 until July 1, 2022. This bill makes that cap permanent.

Amendment H-365
This amendment, which is the majority report of the committee, caps the total number of public charter schools in the state to 10 public charter schools, regardless of whether the public charter school is authorized by the commission or by local school boards or collaboratives of local school boards.

This amendment also directs the Maine Charter School Commission to develop a process for the revocation or nonrenewal of a public charter school's charter for public charter schools that are not meeting required performance framework provisions and report to the Joint Standing Committee on Education and Cultural Affairs, no later than January 1, 2020, on the recommended process and submit any suggested legislation to implement the process to revoke or not renew a public charter school's charter.

LD 307 Chaptered Law
LD 307 Chaptered Law fiscal note
LD 315 Resolve, To Promote Healthy Living in Maine Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-66, tabled to Special Appropriations in the Senate May 14, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 315
This bill appropriates funds for evidence-based programs to promote healthy living of the State's older adults.

Amendment H-197
This amendment replaces the bill with a resolve that directs the Department of Health and Human Services to establish a 2-year program designed to support and improve the health and well-being of the State's older adults and reduce health care treatment costs by preventing disease, injury and falls. It directs the department to contract for the implementation of this program with one or more community-based organizations that have a demonstrated ability to deliver evidence-based programs to serve older adults statewide, especially in rural, underserved and unserved areas of the State. The amendment describes the criteria that a community-based organization must meet in order to be awarded a contract. It also changes the appropriations and allocations section to indicate that it is one-time funding.

LD 315 fiscal note
LD 315 Amendment H-197 fiscal note
LD 324 An Act Regarding Forfeiture of Assets of Persons Convicted of Certain Criminal Restraint Offenses, Aggravated Sex Trafficking Offenses and Sex Trafficking Offenses Status: Referred to Criminal Justice and Public Safety Committee, Amended by Committee amendment H-106, Enacted, Signed into law May 8, 2019
LD 324
This bill provides for criminal forfeiture of property of a person convicted of certain criminal restraint offenses in violation of the Maine Revised Statutes, Title 17-A, section 302, subsection 1; aggravated sex trafficking offenses in violation of Title 17-A, section 852; and sex trafficking offenses in violation of Title 17-A, section 853.

Amendment H-106
This amendment strikes and replaces the bill and the title. The amendment adds aggravated sex trafficking and sex trafficking offenses and aggravated criminal forced labor and criminal forced labor offenses to the offenses subject to criminal forfeiture of assets pursuant to a court procedure specified in statute, after a criminal conviction, and with distribution of the forfeited property or proceeds of the forfeited property in accordance with statute and as ordered by the court. The amendment broadens one of the allowable uses of the property forfeited or the proceeds of the property. In current law, property or proceeds may be given to a law enforcement agency in this State that provides case management and other social services to persons with substance use disorders; in the amendment, property or proceeds may be given to a law enforcement agency that provides case management and other social services to persons affected by crimes that are subject to forfeiture of property.

LD 324 Chaptered Law
LD 324 Chaptered Law fiscal note
LD 325 An Act To Provide Emergency Funds for Clients of the Adult Protective Services System Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-140, tabled to Special Appropriations in the Senate May 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 325
This bill provides funding for emergency funds for Adult Protective Services caseworkers to access for needy clients.

Amendment H-140
This amendment incorporates a fiscal note.

LD 325 fiscal note
LD 325 Amendment H-140 fiscal note
LD 340 An Act To Establish a Temporary Terminal Condition Medical Allowance for Lobster and Crab Fishing License Holders Status: Referred to Marine Resources Committee, Amended by Committee amendment H-70, Enacted, Signed into law April 30, 2019
LD 340
This bill creates a temporary terminal condition medical allowance that allows an individual to fish under the authority of the license of a Class I, Class II or Class III lobster and crab fishing license holder when the individual is the child, spouse or domestic partner of the license holder and has completed the lobster apprentice program and the license holder has been diagnosed with a terminal condition and harvested a minimum of 1,000 pounds of lobsters within one year prior to the request for the temporary terminal condition medical allowance. The bill allows the license holder to continue to fish pursuant to the license despite having been issued an allowance but permits only one person, the license holder or the designated individual, to fish under the license at any one time. The temporary terminal condition medical allowance may not exceed one year in duration and may be renewed at the discretion of the Commissioner of Marine Resources.

Amendment H-70
This amendment replaces the bill and changes the title. It clarifies that a lobster and crab fishing license holder who has a substantial illness or medical condition and has been granted a temporary medical allowance may continue to fish under the license as long as the license holder does not fish concurrently with the individual authorized to fish under the authority of that license holder through the temporary medical allowance. It adds domestic partners to the list of individuals authorized to fish under this provision. It also clarifies that the license holder is liable for the activities of the individual fishing under the temporary medical allowance whether or not the license holder is present on the vessel.

LD 340 Chaptered Law
LD 340 Chaptered Law fiscal note
LD 373 An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autism Spectrum Disorder, Brain Injuries and Other Related Conditions Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-353, tabled to Special Appropriations in the Senate May 30, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 373
This bill directs the Department of Health and Human Services to extend MaineCare dental services to a person 21 years of age or older who receives support services for adults with intellectual disabilities or autism spectrum disorder. Dental services provided to such a person must be the same as those provided under the MaineCare program to an eligible person under 21 years of age.

Amendment H-353
This amendment expands the adult dental benefit proposed in the bill to include individuals receiving home-based or community-based services under the brain injury and other related conditions waivers under Medicaid. It requires the Department of Health and Human Services to seek any necessary amendments to the waivers from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. It also reallocates the provisions of the bill to the existing section in the Maine Revised Statutes governing adult dental services under the MaineCare program. The amendment also adds an appropriations and allocations section.

LD 373 Amendment H-353 fiscal note
LD 392 An Act To Fund Maine's School-based Health Centers Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-156, Enacted, Signed into law June 20, 2019
LD 392
This bill provides ongoing funding for school-based health centers from the Fund for a Healthy Maine within the Department of Health and Human Services.

Amendment H-156
This amendment, which is the majority report of the committee, incorporates a fiscal note.

LD 392 Chaptered Law
LD 392 Chaptered Law fiscal note
LD 399 An Act To Align Wages for Direct Care Workers for Persons with Intellectual Disabilities or Autism with the Minimum Wage Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-412, tabled to Special Appropriations in the Senate June 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 399
This bill specifies that the MaineCare reimbursement rate for direct care workers for adults with intellectual disabilities or autism must be at least 125% of the state minimum wage.

Amendment H-412
This amendment, which is the minority report of the committee, adds an appropriations and allocations section to the bill.

LD 399 fiscal note
LD 399 Amendment H-412 fiscal note
LD 427 An Act To Require the State To Fund Teacher Retirement Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-20, tabled to Special Appropriations in the Senate April 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 427
This bill changes the method for funding teacher retirement costs. It repeals those provisions of law enacted pursuant to Public Law 2013, chapter 368 that require school administrative units and private schools to pay a portion of the costs for teacher retirement.

Amendment H-20
This amendment, which is the majority report of the committee, adds an appropriations and allocations section.

LD 427 fiscal note
LD 427 Amendment H-20 fiscal note
LD 429 An Act To Improve the Ability of Mental Health Professionals To Assess the Risk of Suicide Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, March 12, 2019
LD 429
This bill adds a new requirement for the renewal of professional licenses for psychologists, social workers and licensed clinical professional counselors that each must show proof upon renewal that the licensee has completed a minimum of 6 hours of course work every 10 years in suicide prevention, evidence-based suicide risk assessment or the treatment and management of suicidal persons, including knowledge of community resources and cultural factors. These courses may be used to satisfy the licensee's other continuing education requirements. The bill also changes, from January 1, 2020 to January 1, 2022, the date that licensed clinical professional counselors must begin demonstrating successful completion of a minimum of 12 hours of course work in family or intimate partner violence.

Amendment H-139
This amendment, which is the minority report of the committee, amends the bill to require the Department of Health and Human Services to provide at least one week of training to any employee engaged in adult protective services instead of to only new employees. It clarifies that it is the ratio of supervisors to caseworkers, instead of the number of supervisors, that must be identical in adult protective services and child protective services. The amendment also provides that Adult Protective Services Caseworker positions, Adult Protective Services Caseworker Supervisor positions, Adult Protective Services Public Service Manager I positions and Adult Protective Services Public Service Manager II positions receive a $1 per wage-hour stipend for employees holding or obtaining a relevant master's degree. It provides that the $5 per wage-hour stipend payment and $1 per wage-hour stipend payment authorized for Adult Protective Services Caseworker positions, Adult Protective Services Caseworker Supervisor positions, Adult Protective Services Public Service Manager I positions and Adult Protective Services Public Service Manager II positions must be considered part of those employees' base pay for purposes of transfers, promotions, cost-of-living adjustments, merit increases and collectively bargained wage increases. The amendment also replaces the appropriations and allocations section.

LD 429 Amendment H-139 fiscal note
LD 433 RESOLUTION, Proposing an Amendment to the Constitution of Maine To Explicitly Prohibit Discrimination Based on the Sex of an Individual Status: Referred to Judiciary Committee, both chambers accepted Majority Committee report, Ought to Pass as amended by Committee amendment H-230 and engrossed, May 23, 2019, House tabled pending final passage, May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 433
This resolution proposes to amend the Constitution of Maine to prohibit the denial or abridgment by the State or any political subdivision of the State of equal rights based on the sex of an individual.

Amendment H-230
This amendment is the majority report of the committee. This amendment incorporates a fiscal note.

LD 433 Amendment H-230 fiscal note
LD 434 An Act To Price Carbon Pollution in Maine Status: Referred to Energy, Utilities and Technology Committee, Dead, Joint rule 310.3, May 2, 2019
LD 434
This bill requires an assessment on the carbon content of fuels sold by a distributor in the State. The bill defines "distributor" and requires a distributor to submit on a monthly basis the required assessment to the Public Utilities Commission. The commission is required to transfer any assessment it receives to the Carbon Content Assessment Fund, which the bill establishes. The bill requires the commission at the end of each fiscal year to transfer funds from the fund to transmission and distribution utilities in the State. The funds are to be used to reduce the rates of those utilities' customers in a manner that is equitable and that provides maximum benefit to the economy of the State. The bill gives the commission the authority to review the books and records of a distributor and to impose an administrative penalty if necessary. It requires the commission to adopt routine technical rules.

LD 448 An Act Repealing Tax Lien Foreclosure Requirements Status: Referred to Taxation Committee, Dead, Joint rule 310.3, March 21, 2019
LD 448
This bill removes the provisions enacted in Public Law 2017, chapter 478 that established a preforeclosure process that municipalities must use in order to foreclose on homestead property for nonpayment of property tax if the owner is 65 years of age or older and has income and liquid assets below specified limits.

LD 450 An Act To Increase Funding for the St. Croix International Waterway Commission Status: Referred to Environment and Natural Resources Committee, Enacted in the House as amended by Committee amendment S-14, tabled to Special Appropriations in the Senate April 11, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 450
This bill provides an additional $25,000 per fiscal year to the St. Croix International Waterway Commission but only if the Province of New Brunswick, Canada commits to match the funding.

Amendment S-19
This amendment incorporates a fiscal note.

LD 450 fiscal note
LD 450 Amendment S-19 fiscal note
LD 452 An Act To Change the Penalty When Land under the Maine Tree Growth Tax Law Is Transferred Status: Referred to Taxation Committee, Dead, Joint rule 310.3, May 2, 2019
LD 452
This bill provides that if land classified under the Maine Tree Growth Tax Law is to be transferred, the owner must notify the assessor of the intended transfer and the intended transferee of a potential withdrawal penalty. If land is transferred, a withdrawal penalty must be assessed against the transferor unless the intended transferee notifies the assessor of intent to maintain eligibility of the land for tree growth classification.

LD 459 An Act Regarding Presumptive Eligibility and Homelessness under the General Assistance Laws Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-215 and Senate amendment S-363, Enacted, Signed into law July 2, 2019
LD 459
This bill defines "homelessness" for the purposes of the laws governing general assistance and specifies that a person experiencing or facing homelessness who meets the conditions for receiving emergency assistance in current law is eligible for emergency general assistance.

Amendment S-215
This amendment, which is the majority report of the committee, changes the definition of "homelessness" in the bill to remove references to a need for permanent or safe housing. It adds a requirement for the Department of Health and Human Services to reimburse a municipality 100% of direct general assistance costs after a person has spent 90 consecutive nights homeless or in an emergency shelter for the homeless. It also establishes presumptive eligibility for general assistance for 30 days for persons who are provided shelter at emergency shelters for the homeless and specifies that no other municipality may be determined to be the municipality of responsibility during that 30-day period. It also requires the Department of Health and Human Services to establish a work group of stakeholders to examine the municipal general assistance program and report findings to the Joint Standing Committee on Health and Human Services no later than January 2, 2020.

Amendment S-363
This amendment removes the language requiring the Department of Health and Human Services to reimburse a municipality 100% of direct general assistance costs after a person has spent 90 consecutive nights homeless or living in an emergency shelter for the homeless.

LD 459 Chaptered Law
LD 459 Chaptered Law fiscal note
LD 502 An Act To Establish the Summer Success Pilot Program Fund Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-200, tabled to Special Appropriations in the Senate May 14, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 502
This bill establishes the Summer Success Program Fund, a dedicated fund to be directed and administered by the Commissioner of Education and held by the Treasurer of State, to encourage the facilitation of high-quality summer success programs in school administrative units throughout the State. The bill accomplishes the following.
  • 1. It provides that money paid into the fund may include General Fund appropriations, as well as grants, gifts and other money from any unit of federal, state or local government or from any person, firm, partnership or corporation for deposit to the fund, money received from a social impact bond and interest, dividends and other pecuniary gains. It requires that school administrative units ensure that grants provided from the fund for expanding access to summer success programs supplement and not supplant federal funding.
  • 2. It requires the commissioner to administer the fund within the Department of Education and to establish standards and approval for the allocation and use of fund money for summer success programs offered at elementary and secondary schools in the State. It also allows the commissioner to include the following in the standards:
    • A. Guidelines similar to the federal 21st Century Community Learning Centers program to close the achievement gap between high-performing and low-performing students;
    • B. Effective models of summer success programs that involve networking and partnerships with community-based organizations that provide a range of high-quality services to support student learning and development; and
    • C. Implementation of the formative and summative assessment methods to measure student achievement in order to monitor the progress of students participating in summer success programs.
  • 3. It provides that, beginning in fiscal year 2020-21, the department is required to provide grant funding, through a grant application process, to cover 90% of the costs of summer success programs in school administrative units with greater than 50% student participation in the federal free and reduced-price lunch program.
  • 4. It adds the fund to the enhancing student performance and opportunity provisions of the Essential Programs and Services Funding Act.
  • 5. It requires the commissioner to submit a report to the Joint Standing Committee on Education and Cultural Affairs by December 15, 2019 that outlines the proposed rules to implement the fund by the 2020-2021 school year.


Amendment H-200
This amendment strikes and replaces the title and the bill. The amendment establishes the Summer Success Pilot Program and corresponding fund to encourage the facilitation of high-quality summer success pilot programs in school administrative units throughout the State and does the following:
  • 1. It provides that the fund is established as a General Fund carrying account within the Department of Education to be directed and administered by the Commissioner of Education and held by the Treasurer of State and that only General Fund appropriations may be paid into the fund;
  • 2. It requires the Commissioner of Education to establish standards and approval for the allocation and use of fund money for summer success pilot programs offered at elementary and secondary schools in the State. It also allows the commissioner to include the following in the standards:
    • A. Guidelines similar to those of the federal 21st Century Community Learning Centers program to close the achievement gap between high-performing and low-performing students;
    • B. Effective models of summer success programs that involve networking and partnerships with community-based organizations that provide a range of high-quality services to support student learning and development; and
    • C. Implementation of the formative and summative assessment methods to measure student achievement in order to monitor the progress of students participating in summer success pilot programs;
  • 3. It provides that, beginning in fiscal year 2020-21, the department is required to provide grant funding from the fund, through a grant application process, to cover 90% of the costs of summer success pilot programs and that the department must prioritize distribution of funding to school administrative units with greater than 50% student participation in the federal free and reduced-price lunch program;
  • 4. It adds the fund to the enhancing student performance and opportunity provisions of the Essential Programs and Services Funding Act; and
  • 5. It requires the Commissioner of Education to annually report to the joint standing committee of the Legislature having jurisdiction over education and cultural affairs on the number of school administrative units administering summer success pilot programs, the nature of the summer success pilot programs receiving money from the fund, the amount of money distributed and the number of children participating in a summer success pilot program. The report must also include a recommendation on whether the pilot program should continue as a pilot program, be modified or become a permanent program.


LD 502 Amendment H-200 fiscal note
LD 511 An Act To Create an Alzheimer's Disease and Dementia Coordinator Position within the Department of Health and Human Services Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-159, tabled to Special Appropriations in the Senate May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 511
This bill establishes a position within the Department of Health and Human Services, office of aging and disability services for coordinating programs and services to Maine's population with Alzheimer's disease and other dementias across departments and branches of State Government. The coordinator is required to implement recommendations developed by the United States Department of Health and Human Services, Centers for Disease Control and Prevention and national organizations such as the Alzheimer's Association and plans developed by the Department of Health and Human Services relating to Alzheimer's disease and other dementias. The department is required to submit an annual report to the joint standing committee of the Legislature having jurisdiction over health and human services matters outlining the activities and progress of the coordinator and the department. The bill includes funding for the coordinator position.

Amendment H-159
This amendment replaces references to "Alzheimer's disease and other dementias" from the bill and uses the term "dementia" instead. It also clarifies that the coordinator oversees the implementation of any state or federal plans related to dementia and that programs and services are for both individuals with dementia and their families.

LD 511 fiscal note
LD 511 Amendment H-159 fiscal note
LD 577 An Act To Increase Access to Nutritious Foods in Schools by Implementing an After-school Food Program for At-risk Students (Emergency) Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-226, Enacted, Signed into law June 20, 2019
LD 577
This bill provides for the participation in the federal child and adult care food program to serve at-risk students who attend after-school programming by school administrative units that choose to operate the program and have at least one public school in which at least 50% of students qualified for a free or reduced-price lunch during the preceding school year.

Amendment H-226
This amendment, which is the majority report, strikes the emergency preamble and the emergency clause from the bill.

LD 577 Chaptered Law
LD 577 Chaptered Law fiscal note
LD 578 Resolve, To Create a Pilot Program To Assist the Transition to Recovery of Persons Suffering from Opioid Use Disorder Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
LD 578
This resolve directs the Commissioner of Health and Human Services to develop a pilot program designed to assist the transition to recovery of persons suffering from opioid use disorder. The resolve directs the commissioner, by December 2, 2020, to submit a written report to the joint standing committee of the Legislature having jurisdiction over health and human services matters summarizing the results of the pilot program, together with any recommendations for continuation of the program, and authorizes the joint standing committee to submit a bill relating to the subject matter of the report to the First Regular Session of the 130th Legislature.

LD 583 Resolve, Directing the Department of Health and Human Services To Study the State's Long-term Services and Supports System for Older Adults Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 583
This resolve directs the Department of Health and Human Services to perform a study to determine how to most efficiently manage and fund the various long-term care support programs for older adults operated by the department. It allows the department to accept outside funding to fund the costs of the study and directs the department to report by January 15, 2020 the results of the study to the Joint Standing Committee on Health and Human Services, which is authorized to report out a bill regarding the results of the study to the Second Regular Session of the 129th Legislature.

LD 605 An Act To Improve Antihunger Programs in Maine Schools Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, April 23, 2019
LD 605
This bill requires the Department of Education on an annual basis to provide information to public schools regarding Internet-based applications for free or reduced-price meals under the National School Lunch Program.

LD 608 An Act To Provide Funding for a Correctional Facility in Downeast Maine Status: Referred to Criminal Justice and Public Safety Committee, Work session held, June 3, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 608
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to provide funding to establish a correctional facility in the eastern coastal region of Maine in Washington and Hancock counties.

LD 613 Resolve, Concerning the Adoption of Rules To Carry Out the Purpose of the Bridging Rental Assistance Program Status: Referred to Health and Human Services Committee, Finally passed, Became law without the Governor's signature June 9, 2019
LD 613
This resolve directs the Department of Health and Human Services to adopt rules for the Bridging Rental Assistance Program in order to ensure fairness, equity and access to the program for those persons with mental illness who qualify for the program. The department is required to submit a report to the Joint Standing Committee on Health and Human Services if the department anticipates a delay in the adoption of the rules.

LD 613 Chaptered Law
LD 613 Chaptered Law fiscal note
LD 645 RESOLUTION, Proposing an Amendment to the Constitution of Maine To Cap the Property Tax on the Primary Residence of Certain Residents Who Are 65 Years of Age or Older Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 30, 2019
LD 645
This resolution proposes to amend the Constitution of Maine to authorize the Legislature to require municipalities to cap property taxes on property owned and occupied as a person's primary residence if that person is at least 65 years of age and the household income for the residents of the property does not exceed 400% of the federal poverty level. The tax would be stabilized at the amount assessed on the property on the later of the date by which the person attained 65 years of age or purchased the property. Upon transfer of the property to someone other than a family member of the owner, the property would assume the just value at the time of transfer. The State would be required to reimburse a municipality for any revenue lost due to the cap on property taxes.

LD 660 An Act To Exempt Sales to Parent-Teacher Organizations from the Sales Tax Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment H-183, tabled to Special Appropriations in the Senate May 14, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 660
This bill provides a sales tax exemption to a parent-teacher organization organized as a public benefit corporation.

Amendment H-183
The amendment adds an appropriations and allocations section.

LD 660 fiscal note
LD 660 Amendment H-183 fiscal note
LD 683 An Act To Provide Social Workers to Persons with Mental Illness to Help Them Avoid Incarceration Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
LD 683
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to provide social workers to persons with mental illness who are in crisis or pose a threat to themselves or others in order for them to avoid incarceration and protect their safety and the safety of others.

LD 684 Resolve, Relating to the Prevention and Management of Neonatal Abstinence Syndrome Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 684
This resolve requires the Department of Health and Human Services to develop recommendations for measures related to the prevention and management of neonatal abstinence syndrome.

LD 699 Resolve, To Provide for Outreach Programs To Assist Women at Risk of Giving Birth to Substance-exposed Infants Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-121, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 699
This resolve requires the Department of Health and Human Services to contract with a community-based nonprofit organization to develop outreach and educational programs regarding reproductive and sexual health care for women and adolescents at highest risk of experiencing an unintended pregnancy. The programming must emphasize the right to individual self-determination regarding family planning and childbearing and be targeted to women and adolescents experiencing substance use disorder, homelessness or other circumstances that indicate a need for family planning services or who are involved in the correctional system.

Amendment S-121
This amendment incorporates a fiscal note.

LD 699 fiscal note
LD 699 Amendment S-121 fiscal note
LD 701 An Act To Modernize the National School Lunch Program and the School Breakfast Program (Emergency) Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-139 and Senate amendment S-329, Enacted, Signed into law June 27, 2019
LD 701
Current law requires the Department of Education to make information available to public schools regarding Internet-based applications for free or reduced-price meals under the National School Lunch Program. This bill requires the department to develop and make available to public schools a specific Internet-based application for the National School Lunch Program as well as for the School Breakfast Program. A public school that implements the Internet-based application process is required to continue to distribute paper applications for school meals to all students.

Amendment S-139
This amendment provides that the Department of Education is required to contract for the development and implementation of an Internet-based application for free or reduced-price meals under the National School Lunch Program and the School Breakfast Program. The amendment provides that a public school implementing the Internet-based application is solely responsible for processing that school's online applications. The amendment also provides that the department may contract with a 3rd-party vendor to develop and implement the Internet-based application for free or reduced-price school meals.

The amendment also adds an appropriations and allocations section.

Amendment S-329
This amendment removes the emergency preamble and emergency clause. This amendment also provides ongoing General Fund appropriations of $150,000 per year beginning in fiscal year 2019-20 for the cost to develop and maintain an Internet-based application for free or reduced-price meals and a one-time General Fund appropriation of $500,000 in fiscal year 2019-20 to eligible school administrative units that start or expand alternative breakfast delivery services that provide breakfast after the start of the school day.

This amendment also requires the State Controller to transfer $650,000 to the unappropriated surplus of the General Fund no later than June 30, 2020 and $150,000 no later than June 30, 2021 from the Medical Use of Marijuana Fund, established in the Maine Revised Statutes, Title 22, section 2430.

LD 701 Chaptered Law
LD 701 Chaptered Law fiscal note
LD 705 An Act Regarding the Process for Obtaining Prior Authorization for Health Insurance Purposes Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-175, Enacted, Signed into law June 13, 2019
LD 705
This bill amends the prior authorization process for health insurance carriers. It reduces the time frame for a carrier's response to a prior authorization request and it exempts medication-assisted treatment for opioid use disorder from prior authorization requirements.

The bill also requires a health insurance carrier to develop an electronic transmission system for prior authorization of prescription drug orders by January 1, 2020 and for medical services by July 1, 2020.

Amendment S-175
This amendment replaces the bill. The amendment does the following to amend the prior authorization process for health insurance carriers.

  • 1. It reduces the time frame for a carrier's response to a prior authorization request from 2 business days to 72 hours or 2 business days, whichever is less, and clarifies that the same time frame for a response applies in instances when a carrier requests additional information or requires outside consultation. It also provides that a request for prior authorization is granted if a carrier fails to respond within the required time frames.
  • 2. It clarifies a provision in existing law to reflect the change in time frame.
  • 3. It prohibits a carrier from requiring prior authorization for medication-assisted treatment for opioid use disorder for the prescription of at least one drug for each type of medication used in medication-assisted treatment, except that a carrier may not require prior authorization for medication-assisted treatment for opioid use disorder for a pregnant woman.
  • 4. It requires a health insurance carrier to develop an electronic transmission system for prior authorization of prescription drug orders by January 1, 2020.
  • 5. It requires health insurance carriers to report, no later than January 1, 2020, to the Joint Standing Committee on Health Coverage, Insurance and Financial Services on efforts to develop standards for secure electronic transmission of prior authorization requests. It also authorizes the committee to report out legislation to the Second Regular Session of the 129th Legislature related to the electronic transmission of prior authorization requests for medical services.
  • 6. It directs the Department of Professional and Financial Regulation, Bureau of Insurance to amend its rules regarding health plan accountability to conform to the statutory changes and designates those rules as routine technical.


LD 705 Chaptered Law
LD 705 Chaptered Law fiscal note
LD 706 An Act To Reduce the Incidence of Obesity and Chronic Disease in the State Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-33, tabled to Special Appropriations in the Senate April 23, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 706
This bill provides for reimbursement under the MaineCare program for medical nutritional therapy and prescription drug therapy.

Amendment S-33
This amendment, which is the unanimous report of the committee, amends the bill by changing the term "medical nutritional therapy" to "medical nutrition therapy" to accurately reflect common usage of the term. It adds physician assistants to the group of medical providers authorized to provide medical nutrition therapy that is reimbursable under MaineCare. It clarifies that medical nutrition therapy is reimbursable by MaineCare in any setting in which the authorized medical provider practices. It also removes the provisions of the bill that provide for the reimbursement under the MaineCare program for certain prescription drugs to treat obesity.

LD 706 Amendment S-33 fiscal note
LD 711 Resolve, To Establish a Commission To Study and Recommend a Minimum Age for Participation in Tackle Football (Emergency) Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, April 23, 2019
LD 711
This resolve establishes the Commission To Study and Recommend a Minimum Age for Participation in Tackle Football. The commission is required to submit a report, including suggested legislation, for presentation to the Second Regular Session of the 129th Legislature.

LD 717 An Act To Provide Comprehensive Mental Health Treatment Reform Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 717
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to create a seamless crisis services system that allows high-risk patients timely access to inpatient care and to increase communication within the crisis services system to better manage patients after discharge. The purpose of this bill is to save lives and improve the overall quality and integrity of the crisis services system by:

  • 1. Creating a single point of entry for a high-risk patient by designating an independent entity of a hospital to provide clinical assessment of the patient and determine whether the patient meets inpatient criteria of care;
  • 2. Adopting universal criteria under which priority admission for a patient is based on acuteness of crisis and length of stay in an emergency room;
  • 3. Requiring hospitals to communicate with and make referrals to community providers for aftercare within 24 hours following discharge from the emergency room or inpatient treatment when patients are most at risk of suicide; and
  • 4. Exploring further significant upgrades, access and training in developing prevention and post-intervention services with the goal of avoiding hospitalization of patients with mental illness who are not in need of psychiatric hospitalization and can be stabilized in the community.


LD 745 An Act To Support the Northern New England Poison Center Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-67, tabled to Special Appropriations in the Senate April 23, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 745
This bill appropriates funds to the Northern New England Poison Center to ensure continued access to 24-hour expert medical treatment advice and information on potentially harmful substances.

Amendment H-67
This amendment incorporates a fiscal note.

LD 745 fiscal note
LD 745 Amendment H-67 fiscal note
LD 765 Resolve, To Revise Asset Limits for Social Service Programs Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-247, Finally passed, Signed into law May 30, 2019
LD 765
This resolve directs the Department of Health and Human Services to review asset limits for social service programs and revise the limits to increase the effectiveness of the programs.

Amendment H-247
The amendment replaces the resolve. It requires the Department of Health and Human Services to convene a stakeholder group to examine the asset limits for eligibility applied to the elderly low-cost drug program, the Medicare savings program, the Temporary Assistance for Needy Families program and the statewide food supplement program, otherwise known as SNAP. The department and stakeholder group are required to examine the asset limits to determine if they meet the missions of the programs or present barriers and to determine compliance with federal laws and guidelines. The department is required to submit a report, together with its findings, legislative recommendations and any rulemaking activities to the Joint Standing Committee on Health and Human Services no later than December 1, 2019.

LD 765 Chaptered Law
LD 765 Chaptered Law fiscal note
LD 795 RESOLUTION, Proposing an Amendment to the Constitution of Maine To Establish a Right to Food Status: Referred to Agriculture, Conservation and Forestry Committee, amended by Committee amendment H-430 and House amendment H-541 and engrossed in both chambers, June 17, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 795
This constitutional resolution declares that all individuals have a natural, inherent and unalienable right to acquire, produce, process, prepare, preserve and consume and to barter, trade and purchase the food of their own choosing for their own nourishment, sustenance, bodily health and well-being.

Amendment H-430
This amendment, which is the majority report, incorporates a fiscal note.

Amendment H-541
This amendment amends the bill by:
  • 1. Removing the word "acquire" from the enumeration of the elements of an individual's right to food and removing the language limiting the exercise of acquisition;
  • 2. Removing language establishing a fundamental right to be free from hunger, starvation and the endangerment of life due to scarcity of or lack of access to food; and
  • 3. Specifying that the right to food does not allow an individual to abuse private property rights or abuse public lands or natural resources in the harvesting of food.


LD 795 fiscal note
LD 795 Amendment H-430 fiscal note
LD 798 An Act To Protect Maine Children and Students from Preventable Diseases by Repealing Certain Exemptions from the Laws Governing Immunization Requirements Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-120, Enacted, Signed into law May 24, 2019. People's veto petition certified to appear on March 3, 2020 ballot: Do you want to reject the new law that removes religious and philosophical exemptions to requiring immunization against certain communicable diseases for students to attend schools and colleges and for employees of nursery schools and health care facilities?
LD 798
Current law allows exemptions from immunization requirements based on religious or philosophical beliefs for students in elementary and secondary schools and postsecondary schools and employees of nursery schools and health care facilities. This bill removes those exemptions. The bill also directs the Department of Education and the Department of Health and Human Services to remove any immunization exemptions based on religious or philosophical beliefs from their rules and requires the Department of Education to adopt rules allowing a student who is covered by an individualized education plan and has elected a philosophical or religious exemption from immunization requirements to continue to attend school under the existing exemption as long as an appropriate medical professional provides a statement that the medical professional has provided information on the risks and benefits associated with the choice to immunize.

Amendment H-120
Current law allows exemptions from immunization requirements based on religious or philosophical beliefs for students in elementary and secondary schools and postsecondary schools and employees of nursery schools and health care facilities. This amendment, which is the majority report, removes those exemptions effective September 1, 2021.

Current law relating to enrollment in any public or private elementary or secondary school provides that the superintendent may not permit any child to be enrolled in or to attend school without a certificate of immunization for each disease or other acceptable evidence of required immunization or immunity against the disease except when the parent or child provides a physician's written statement that immunization against one or more of the diseases may be medically inadvisable. Instead, the amendment requires the parent or child to provide a written statement from a licensed physician, nurse practitioner or physician assistant that, in that physician's, nurse practitioner's or physician assistant's professional judgment, immunization against one or more of the diseases may be medically inadvisable.

Current law relating to immunization of students enrolled in any public or private postsecondary school provides that a chief administrative officer may not permit a student to be enrolled in or to attend a school without a certificate of immunization for each disease or other acceptable evidence of required immunization or immunity against the disease except when the parent or the student provides a physician's written statement or a written statement from a school health provider that immunization against one or more of the diseases may be medically inadvisable. Instead, the amendment requires that the parent or the student provide a written statement from a licensed physician, nurse practitioner or physician assistant that, in that physician's, nurse practitioner's or physician assistant's professional judgment, immunization against one or more of the diseases may be medically inadvisable.The amendment keeps the directive in the unallocated section of the bill to the Department of Education and the Department of Health and Human Services to remove any immunization exemptions based on religious or philosophical beliefs from their rules.

The amendment places in statute the directive in the unallocated section of the bill allowing a student who is covered by an individualized education plan and has elected a philosophical or religious exemption from immunization requirements to continue to attend school under the existing exemption as long as a licensed physician, nurse practitioner or physician assistant provides a statement that the physician, nurse practitioner or physician assistant has provided information on the risks and benefits associated with the choice to immunize.

The amendment also requires the Director of the Maine Center for Disease Control and Prevention within the Department of Health and Human Services to submit a report, by January 1st of each odd-numbered year, to the joint standing committees of the Legislature having jurisdiction over health and human services matters and education matters concerning any new developments in the evaluation of vaccine safety and effectiveness. The joint standing committees of the Legislature having jurisdiction over health and human services matters and education matters are each authorized to submit a bill during the legislative session in which the report was submitted.

LD 798 Chaptered Law
LD 798 Chaptered Law fiscal note
LD 799 An Act To Create the Maine Health Care Provider Loan Repayment Program Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Enacted in the House as amended by Committee amendment H-558, tabled to Special Appropriations in the Senate June 14, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 799
This bill amends the nursing education loan repayment program as follows:
  • 1. It extends eligibility to apply to individuals who are currently enrolled in master's or doctoral degree programs;
  • 2. It specifies that applicants must indicate an intention to work as full-time nursing faculty in a nursing education program in the State, and increases the required commitment from 3 to 5 years after acceptance into the nursing education loan repayment program;
  • 3. It increases the maximum amount of loans eligible for repayment under the program from $4,500 to $30,000 for a master's degree, and from $6,000 to $60,000 for a doctoral degree.


Amendment H-558
This amendment replaces the bill and creates a new loan repayment program, administered by the Finance Authority of Maine, for health care providers who agree to live and work in the State for a minimum of 5 years. Under the program, the authority will pay up to $30,000 per year and the lesser of $150,000 in aggregate and 50% of the recipient's outstanding loan balance. The amendment establishes a fund for the program, sets parameters for the administration of the program and establishes an advisory committee to guide the work of the Finance Authority of Maine in administering the program. The amendment also adds an appropriations and allocations section.

LD 799 Amendment H-558 fiscal note
LD 803 An Act To Create 4 Regional Mental Health Receiving Centers Status: Referred to Health and Human Services Committee, carried over to any regular or special session per Joint Order HP 1322
LD 803
This bill establishes 4 crisis intervention centers regionally throughout the State that will be operated and maintained by the Department of Health and Human Services. It requires the crisis intervention centers to provide treatment 24 hours a day, 7 days a week and to provide sufficient staffing. It provides that the Department of Health and Human Services must adopt rules that include the certification of the crisis intervention centers; the location of the crisis intervention centers to ensure regional accessibility throughout the State; admission and discharge standards; requirements for notice of a person's admission; availability of and patients' access to treatment; the staffing model, with specific descriptions of staffing levels, roles and responsibilities; and patient rights protections; and that, to the extent possible, the rules must be consistent with the Maine Revised Statutes, Title 5, chapter 511; Title 34-B, chapter 1, subchapter 8; and Title 34-B, chapter 3, subchapter 4.

LD 820 An Act To Prevent Discrimination in Public and Private Insurance Coverage for Pregnant Women in Maine Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-210 and Senate amendment S-275, Enacted, Signed into law June 13, 2019
LD 820
This bill requires the Department of Health and Human Services to provide coverage to a MaineCare member for abortion services. The bill provides that abortion services that are not approved Medicaid services must be funded by the State. The bill also directs the Department of Health and Human Services to adopt rules no later than March 1, 2020.

The bill also requires that health insurance carriers that provide coverage for maternity services also provide coverage for abortion services. The bill applies this requirement to all health insurance policies and contracts issued or renewed on or after January 1, 2020, except for those religious employers granted an exclusion of coverage. The bill authorizes the Superintendent of Insurance to grant an exemption from the requirements if enforcement of the requirements would adversely affect the allocation of federal funds to the State.

Amendment H-210
This amendment is the majority report of the committee. The amendment adds language exempting the provisions of the bill from the provisions of the Maine Revised Statutes, Title 24-A, section 2752. The amendment reallocates the section of the bill requiring the Department of Health and Human Services to pay for abortion services for MaineCare members and adds language to authorize the department to adopt rules using the emergency rule-making provisions of the Maine Administrative Procedure Act.

Amendment S-275
The amendment adds an appropriations and allocations section. This amendment also makes technical corrections.

LD 820 Chaptered Law
LD 820 Chaptered Law fiscal note

LD 821 Resolve, To Review Case Loads for Child Welfare Caseworkers Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-209, Finally passed as an emergency measure, Signed into law May 21, 2019
LD 821
This bill requires that the Department of Health and Human Services ensure that a caseworker in the Office of Child and Family Services is not assigned a number of cases that exceeds a number established by the department by rule. The number established by the department must be a number recommended by a national organization with expertise in maximum case loads that ensures caseworkers can adequately focus on each case. The bill also provides that the number of caseworkers assigned to any individual support staff may not exceed 8.

Amendment H-209
This amendment replaces the bill. It requires the Department of Health and Human Services to review case load standards for child welfare caseworkers and develop standard case load recommendations with input from child welfare caseworkers and the Public Consulting Group. The Public Consulting Group is currently contracted with the department to evaluate the child welfare program. The department is required to submit a report by October 1, 2019 with its findings and recommendations and then submit annual reports on staffing in the child welfare program in relation to the standard case load recommendations. The reports are submitted to the joint standing committee of the Legislature having jurisdiction over health and human services matters and the joint legislative committee established to oversee program evaluation and government accountability matters. The amendment adds an emergency preamble and an emergency clause.

LD 821 Chaptered Law
LD 821 Chaptered Law fiscal note
LD 836 An Act To Expand Maine's School-based Health Centers Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-158, tabled to Special Appropriations in the Senate May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 836
This bill provides ongoing funding to the school-based health centers within the Fund for a Healthy Maine program within the Department of Health and Human Services to add an additional 15 school-based health center sites.

Amendment H-158
This amendment, which is the majority report of the committee, removes the reference to 15 new school-based health centers from the bill but retains the funding amount. The Department of Health and Human Services distributes the funding through a request for proposals process for the number of sites the funding will support.

LD 836 fiscal note
LD 836 Amendment H-158 fiscal note
LD 838 Resolve, To Ensure the Continuation of Services to Maine Children and Families (Emergency) Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 838
Resolve 2017, chapter 56 requires the Department of Health and Human Services to continue certain contractual agreements entered into by the department with Community Partnerships for Protecting Children until January 31, 2019. This resolve amends that resolve to require the department to extend the contractual agreements until at least the termination date specified in the contractual agreement. This resolve applies retroactively to January 31, 2019.

LD 859 An Act To Authorize a General Fund Bond Issue To Fund Equipment for Career and Technical Education Centers and Regions Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
LD 859
The funds provided by this bond issue, in the amount of $40,000,000, will be used to provide funds to make capital improvements to and purchase equipment for career and technical education centers and regions for high school students.

LD 866 An Act To Support College Completion by Homeless Youth in Maine Status: Referred to Education and Cultural Affairs Committee, Engrossed in both chambers as amended by Committee amendment H-321, Enacted in both chambers June 18, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 866
This bill requires institutions of higher education in the State to designate an existing staff member to serve as a liaison for homeless youth who are enrolled in that institution of higher education. The bill also requires institutions of higher education to give homeless youth priority for on-campus housing, develop a plan to provide homeless youth housing during school breaks and allow homeless youth who are enrolled part-time to access on-campus housing during the homeless youth's first year of school. The bill also expands the tuition waiver for state postsecondary educational institutions to include tuition waivers for homeless youth.

Amendment H-321
This amendment, which strikes and replaces the bill, does the following.
  • 1. It defines as a homeless student a student under 25 years of age who has been verified, at any time during the 24 months immediately preceding the student's admission to or while enrolled in a state postsecondary educational institution, as a homeless child or youth as defined in the federal McKinney-Vento Homeless Education Assistance Improvements Act of 2001.
  • 2. It requires each state postsecondary educational institution to designate a staff member as the homeless student liaison.
  • 3. It authorizes each state postsecondary educational institution to award a homeless student a financial assistance grant, which is limited to the amount of the cost of tuition less all other financial aid received that a student is not required to repay. The availability of the grant and the amount of the grant is also subject to the amounts appropriated by the Legislature.


LD 866 Amendment H-321 fiscal note
LD 870 An Act To Change the Membership of the Maine Commission on Domestic and Sexual Abuse To Include More Tribal Members Status: Referred to Judiciary Committee, Enacted, Became law without the Governor's signature June 2, 2019
LD 870
This bill changes the membership of the Maine Commission on Domestic and Sexual Abuse by:
  • 1. Reducing the representation of the statewide coalition of domestic violence projects from 2 members to one member;
  • 2. Reducing the representation of the statewide coalition of sexual assault centers from 2 members to one member;
  • 3. Allowing the member who is a chief of a municipal police department to appoint a designee to serve on the commission;
  • 4. Allowing the member who is a county sheriff to appoint a designee to serve on the commission;
  • 5. Correcting the description of a member from the statewide coordinator of a statewide coalition to end domestic violence to the executive director of a statewide coalition to end domestic violence;
  • 6. Reducing the number of at-large members from 6 to 4; and
  • 7. Adding 4 new members, all of whom are appointed by the Governor, one of whom is an executive director of a tribal coalition against sexual assault and domestic violence, one of whom is chief of a tribal police department or the chief's designee, one of whom is a representative of a tribal court and one of whom is a representative of tribal government.


LD 870 Chaptered Law
LD 870 Chaptered Law fiscal note
LD 876 Resolve, Directing the Department of Health and Human Services, Office of Substance Abuse and Mental Heath Services To Build Peer Respite Program Capacity in Maine by Implementing at Least One Peer Respite Program Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, June 5, 2019
LD 876
This resolve directs the Department of Health and Human Services, office of substance abuse and mental health services to implement by means of a request-for-proposals process at least one peer respite program in the State to provide a voluntary, short-term residential program designed to support individuals experiencing, or at risk of, a psychiatric crisis.

LD 911 An Act To Authorize a General Fund Bond Issue To Promote Land Conservation, Working Waterfronts, Water Access and Outdoor Recreation Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
LD 911
The funds provided by this bond issue, in the amount of $95,000,000, will be used to provide funds for the Department of Agriculture, Conservation and Forestry, Bureau of Parks and Lands and the Land for Maine's Future Board.

LD 915 An Act To Provide Adequate Reimbursement under MaineCare for Ambulance and Neonatal Transport Services Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-104, tabled to Special Appropriations in the Senate May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 915
This bill specifies that beginning September 1, 2019 the reimbursement rate for ambulance services under the MaineCare program may not be less than the average allowable reimbursement rate under Medicare and reimbursement for neonatal transport services under MaineCare must be at the average rate for critical care transport services under Medicare.

Amendment S-104
This amendment adds an appropriations and allocations section to provide funding to increase the reimbursement rate for ambulance services.

LD 915 fiscal note
LD 915 Amendment S-104 fiscal note
LD 955 An Act To Prohibit Offshore Oil and Natural Gas Drilling and Exploration Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment H-425, Enacted, Signed into law June 13, 2019
LD 955
This bill prohibits a person from performing or causing to be performed any oil or natural gas exploration, development or production in, on or under the waters of the State or that may adversely affect the waters of the State.

The bill also prohibits the Department of Environmental Protection and the Director of the Bureau of Parks and Lands within the Department of Agriculture, Conservation and Forestry from permitting, approving or otherwise authorizing any oil or natural gas exploration, development or production in, on or under the submerged and intertidal land owned by the State.

It is the intent of this legislation to generally prohibit activities relating to offshore oil and natural gas exploration, development and production within the boundaries and jurisdiction of the State, which place the State's coastal communities at economic and ecological risk from oil spills, and from the pollution caused by routine drilling operations and onshore industrialization, and threaten the quality of life and livelihoods of Maine citizens and economically significant industries, including tourism, recreation and commercial and recreational fishing, and small businesses that rely on a clean and healthy ocean and clean and healthy beaches.

Amendment H-425
This amendment, which is the majority report of the committee, amends the bill to clarify the prohibition on oil or natural gas exploration, development or production activities as follows.

  • 1. It amends certain definitions to more clearly delineate the activities regulated and to specify that the transfer of oil or natural gas resources to or from the waters of the State, including both on-loading and offloading of oil or natural gas resources between an oil terminal facility and a vessel or between vessels, is not prohibited under the bill.
  • 2. It removes language specifically prohibiting exploration, development or production activities that may adversely affect the waters of the State.


LD 955 Chaptered Law
LD 955 Chaptered Law fiscal note
LD 992 Resolve, To Extend the Down East Sunrise Trail from Ayers Junction to Calais Status: Referred to Transportation Committee, Work session held, May 21, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 992
This resolve directs the Director of the Bureau of Parks and Lands within the Department of Agriculture, Conservation and Forestry to develop a fully off-road trail corridor linking the East Coast Greenway's northern terminus at the Ferry Point International Bridge in Calais with the Down East Sunrise Trail's eastern terminus at Ayers Junction.

LD 1025 An Act To Prohibit the Provision of Conversion Therapy to Minors by Certain Licensed Professionals Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-213, Enacted, Signed into law May 29, 2019
LD 1025
This bill does the following.
  • 1. It defines "conversion therapy" as any practice or course of treatment that seeks or purports to change an individual's sexual orientation or gender identity, except for any practice or treatment that assists an individual undergoing a gender transition; any practice or treatment that provides acceptance, support and understanding to an individual; and any practice or treatment that facilitates an individual's coping, social support or identity exploration and development, including any therapeutic intervention that is neutral with regard to sexual orientation or gender identity, and that seeks to prevent or address unlawful conduct or unsafe sexual practices, as long as the counseling does not seek to change the individual's sexual orientation or gender identity.
  • 2. It prohibits certified school psychologists and guidance counselors, nurses, doctors, physician assistants, psychologists, psychological examiners, alcohol and drug counselors and aides, social workers, pharmacists and pharmacy technicians, professional counselors, marriage and family therapists, pastoral counselors, speech-language pathologists and assistants and audiologists from advertising, offering or administering conversion therapy to individuals under 18 years of age. Advertising, offering or administering conversion therapy to an individual under 18 years of age in violation of this prohibition is grounds for discipline of the professional by the department or board that issued the professional's license, certification or registration, including but not limited to suspension or revocation of the license, certification or registration.
  • 3. It prohibits MaineCare reimbursement for conversion therapy administered to an individual who is under 18 years of age.
  • 4. It includes a statement of legislative findings and intent.


Amendment H-213
This amendment is the majority report of the committee. The amendment clarifies the definition of "conversion therapy." The bill provides that evidence that a certified school psychologist or guidance counselor has advertised, offered or administered conversion therapy to a child within the last 5 years is grounds for discipline; the amendment retains this provision but removes the 5-year limitation. The amendment also removes a similar 5-year limitation added by the bill to the current law that provides that evidence that an applicant for such a certification has injured the health or welfare of a child through abuse or exploitation is grounds for a denial of the certification. The amendment also adds an additional finding and makes other clarifying changes to the legislative findings and intent section.

LD 1025 Chaptered Law
LD 1025 Chaptered Law fiscal note
LD 1041 An Act Regarding Collective Bargaining for Public Employees under the Municipal Public Employees Labor Relations Laws Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, April 25, 2019
LD 1041
This bill amends provisions relating to collective bargaining by public employees covered by municipal public employees labor relations laws, including:
  • 1. Repealing the provision that prohibits public employees from stopping or slowing work, striking or blacklisting public employers to prevent the employers from filling vacancies; and
  • 2. Requiring both parties to collective bargaining to have an individual present who is authorized to reach a tentative agreement.


LD 1044 An Act To Advance Children's Cancer Research in Maine Status: Referred to Transportation Committee, Amended by Committee amendment H-441, Enacted, Signed into law June 20, 2019
LD 1044
This bill creates the option for an individual to make a donation upon vehicle registration or renewal in support of children's cancer research and establishes the Maine Children's Cancer Research Fund for collection of the donations. All donations are transferred quarterly to an entity determined by the Secretary of State and must be used exclusively for children's cancer research.

Amendment H-441
This amendment replaces the bill and establishes the Maine Children's Cancer Research Fund administered by the Department of Health and Human Services to support children's cancer research. Amounts available in the fund must be used to provide grants and other funding to support children's cancer research provided by research facilities in Maine that operate children's cancer programs. The amendment also requires the inclusion of a check-off provision on Maine income tax forms for taxpayers who wish to contribute to the fund. The amendment also adds an appropriations and allocations section.

LD 1044 Chaptered Law
LD 1044 Chaptered Law fiscal note
LD 1062 An Act To Support Maine Families by Providing for Transportation of Parents and Guardians of MaineCare Recipients under 18 Years of Age to Their Appointments Status: Referred to Health and Human Services Committee, Dead, Concurrence in Ought Not to Pass, June 5, 2019
LD 1062
This bill allows nonemergency medical transportation services that are currently available to MaineCare members for transportation to and from providers of medical services to be used by parents or guardians of MaineCare members under 18 years of age to and from providers of medical services when no other means of transportation is available to the parents or guardians. The bill also requires the Department of Health and Human Services to adopt or amend rules to implement this provision. The Department of Health and Human Services is required to apply for any Medicaid waivers or submit any state plan amendments to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to receive matching funds. In the event that no matching federal funds are available, the Department of Health and Human Services is required to cover the cost using General Fund money.

LD 1072 An Act To Promote Workforce Education on Alzheimer's Disease and Dementia Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, April 16, 2019
LD 1072
This bill requires health care practitioners to disclose a diagnosis of Alzheimer's disease or dementia to an authorized representative or a family or household member except for a person that is expressly prohibited by the individual diagnosed. The health care practitioner making the diagnosis must also provide information regarding care planning services, including assistance understanding the diagnosis, and medical and nonmedical options for treatment, services and supports and information on how to access those options.

The bill requires that by January 1, 2023 every hospital must have a policy regarding the recognition and management of patients with Alzheimer's disease and dementia within that hospital and have the policy on file. The hospital must consult with the Department of Health and Human Services and statewide organizations with expertise in the field of Alzheimer's disease and dementia and include relevant portions of the federal Department of Health and Human Services, Centers for Disease Control and Prevention "Healthy Brain Initiative" publication and any succeeding plans and the state plan regarding Alzheimer's disease and related dementias in Maine developed by the Department of Health and Human Services.

The bill also requires continuing education requirements to be adopted by the Board of Licensure in Medicine, the Board of Osteopathic Licensure and the State Board of Nursing that relate to diagnosis, behavioral symptoms, respectful and effective communication, safety, signs of abuse and neglect and identifying signs of self-neglect by persons living alone with Alzheimer's or dementia. It also requires physician assistants to receive the same continuing education.

The bill also requires the Department of Health and Human Services to provide 4 hours of education and training to all employees of adult protective services at the beginning of employment.

LD 1103 An Act To Increase the Number of Members of the Wild Blueberry Commission of Maine Status: Referred to Agriculture, Conservation and Forestry Committee, Dead, Joint rule 310.3, May 14, 2019
LD 1103
This bill expands the membership of the Wild Blueberry Commission of Maine by adding 2 additional members who are grower representatives and requires the Commissioner of Agriculture, Conservation and Forestry to formally call for nominations for grower representative members. The bill clarifies the requirements governing grower representative members and processor representative members. The bill prohibits former employees of the commission from serving as paid lobbyists for wild blueberry businesses for a period of one year following employment by the commission. The bill also allows members of the University of Maine System Wild Blueberry Advisory Committee to be reappointed for additional terms.

LD 1106 An Act To Improve the Health and Economic Security of Older Residents Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-355, tabled to Special Appropriations in the Senate June 3, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1106
This bill removes the asset test for the Medicare savings program and the elderly low-cost drug program. It also increases the income eligibility levels for the Medicare savings program and the elderly low-cost drug program to the levels in effect prior to Public Law 2011, chapter 657. The Department of Health and Human Services is required to submit any necessary state plan amendments for approval for the increases in income eligibility.

Amendment H-355
This amendment, which is the majority report of the committee, removes the provisions in the bill relating to income eligibility levels for the Medicare savings program and the elderly low-cost drug program. It also removes the asset test for the Medicare savings program and requires the Department of Health and Human Services to submit any necessary Medicaid state plan amendments to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. The amendment adds an appropriations and allocations section.

LD 1106 Amendment H-355 fiscal note
LD 1107 An Act To Promote Workforce Development and Community Integration Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, April 11, 2019
LD 1107
This bill directs the Department of Labor to establish an immigrant workforce development council and, after consultation with the council, to distribute funds through a competitive process to entities that promote integration of immigrants into the workforce and community. The bill also provides funds to support integration of immigrants into the workforce and community.

LD 1108 Resolve, Establishing the Task Force on Alternatives to Incarceration for Maine Youth (Emergency) Status: Referred to Criminal Justice and Public Safety Committee, Work session held, May 22, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1108
This resolve establishes the Task Force on Alternatives to Incarceration for Maine Youth to:
  • 1. Review and evaluate current state and national reports regarding the efficacy of the use of incarceration of youth in the State and nationally;
  • 2. Seek input from juvenile justice system stakeholders, including judges, defense attorneys, prosecutors, agency staff, residential and community-based service providers, youth advocates and youth and families affected by the juvenile justice system;
  • 3. Develop a plan to close the Long Creek Youth Development Center by 2022 and make recommendations on subsequent use of the land or facility, including identifying options for alternate use of the land or facility that do not include the incarceration of other populations, and a transition plan for the center's staff; and
  • 4. Develop recommendations for reinvestment of corrections funds currently designated for youth incarceration into a continuum of community-based alternatives.


LD 1125 Resolve, To Require Reimbursement for Bed-hold Days in Adult Family Care Homes Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-103, Finally passed, Signed into law June 20, 2019
LD 1125
This bill requires the Department of Health and Human Services to reimburse up to 50% of the MaineCare rate for patient care for a maximum of 6 months to nursing homes for bad debt incurred when a patient is provided care but is determined ineligible for MaineCare and the nursing home has made all reasonable efforts to collect on the debt. The bill also requires the Department of Health and Human Services to reimburse adult family care homes for up to 30 bed-hold days per calendar year in the same manner as residential care facilities are reimbursed.

Amendment S-103
This amendment removes the section of the bill that reimburses nursing homes for bad debt incurred and changes the bill to a resolve. It changes the title to reflect the remaining provision to provide for reimbursement for bed-hold days in adult family care homes. It also adds an appropriations and allocations section.

LD 1125 Chaptered Law
LD 1125 Chaptered Law fiscal note
LD 1126 Resolve, To Classify Employee Health Insurance as a Fixed Cost for MaineCare Reimbursement in Nursing Homes Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-87, tabled to Special Appropriations in the Senate May 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1126
This resolve requires the Department of Health and Human Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities no later than January 1, 2020 to move health insurance costs for personnel from direct care and routine cost components to fixed costs components. This was a majority recommendation of the Commission To Study Long-term Care Facilities, which reported in December 2013.

Amendment S-87
This amendment adds an appropriations and allocations section.

LD 1126 fiscal note
LD 1126 Amendment S-87 fiscal note
LD 1144 An Act To Authorize Tribal Gaming Status: Referred to Veterans and Legal Affairs Committee, Work session held, May 20, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1144
This bill authorizes the Department of Public Safety, Gambling Control Board to accept an application for a casino operator license from a joint tribal entity authorizing the joint tribal entity to operate table games and slot machines at one casino owned by the joint tribal entity. It increases by 1,500 the number of slot machines that may be registered in the State. "Joint tribal entity" is defined as a legal entity formed for the purpose of operating slot machines and table games at one casino, the entire ownership of which is held equally, either jointly or in common, by the Passamaquoddy Tribe, the Penobscot Nation, the Aroostook Band of Micmacs and the Houlton Band of Maliseet Indians. The bill provides the following in regard to the casino.
  • 1. It specifies that, as a condition of a joint tribal entity's receiving a license, a casino must be located:
    • A. On land that on January 1, 2019 was owned by the Passamaquoddy Tribe, the Penobscot Nation, the Aroostook Band of Micmacs or the Houlton Band of Maliseet Indians or land held in trust by the United States or by any other person or entity for the Passamaquoddy Tribe, the Penobscot Nation, the Aroostook Band of Micmacs or the Houlton Band of Maliseet Indians;
    • B. On land located in the unorganized territory; or
    • C. On land in a municipality and that municipality approves of the operation of the casino in that municipality, either by vote of its legislative body or in a referendum of the voters of the municipality.
  • 2. It exempts a casino licensed to a joint tribal entity from the provision in current law that prohibits a new casino or slot machine facility from being located within 100 miles of an existing casino or slot machine facility. It provides that a casino licensed to a joint tribal entity may not be located within 50 miles of an existing facility.
  • 3. It provides that a change in the composition of a joint tribal entity does not invalidate a casino license issued to the entity as long as the change occurs no sooner than 6 months after the license is issued and the entity still consists of at least 2 federally recognized Indian tribes in the State who own equal shares of the entity in its entirety.
  • 4. It changes the provision in current law that states that distributions of net slot machine revenue from the casino located in Oxford County to the Penobscot Nation and the Passamaquoddy Tribe revert to the operator if one or both tribes operate or receive distributions from a newly licensed casino. It provides that the distribution of that slot machine revenue would instead be deposited into the General Fund if either the Penobscot Nation or the Passamaquoddy Tribe operated or received distributions from a newly licensed casino.
  • 5. It establishes a distribution rate of 25% of net slot machine income and 16% of net table game income for a casino operator that is a joint tribal entity. The slot machine income is used to fund education for kindergarten to grade 12 and the table game income is deposited to the General Fund.


LD 1155 An Act To Protect Patients and the Prudent Layperson Standard Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-372, Enacted, Signed into law June 7, 2019
LD 1155
This bill establishes a definition of "emergency medical condition" in the law governing utilization review in the Maine Insurance Code and makes clear that the determination of an emergency medical condition relies on the prudent layperson standard regardless of the final diagnosis that is given. The bill also prohibits a carrier from requiring prior authorization for emergency services and requires that utilization review of benefit determinations for emergency services be conducted by a clinical peer, who is a licensed provider in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.

Amendment H-372
This amendment makes several changes to the bill.
  • 1. It removes the reference to inadequately controlled pain and uses the phrase "severe pain" to maintain consistency with the definition used in the federal Patient Protection and Affordable Care Act.
  • 2. It clarifies the definition of "emergency service" so that it applies to services provided in an emergency setting or facility and makes other changes to maintain consistent language within the definition.
  • 3. It removes the reference to prior authorization for emergency services in section 2 of the bill because it is redundant with changes made in section 3.
  • 4. It clarifies that before a carrier denies benefits or reduces payment for an emergency service based on a determination of the absence of an emergency medical condition or a determination that a lower level of care was needed, the carrier's utilization review must be done by a board-certified emergency physician who is licensed in this State and that the review must include a review of the enrollee's medical record related to the emergency medical condition subject to dispute.
  • 5. It provides that any rules adopted by the Department of Professional and Financial Regulation, Bureau of Insurance to amend current rules to conform to changes made in this legislation are routine technical rules.


LD 1155 Chaptered Law
LD 1155 Chaptered Law fiscal note
LD 1161 An Act To Restrict the Use of Mercury in Dental Fillings in State-funded Dental Procedures Status: Referred to Health and Human Services Committee, Dead, Non-concurrence, June 7, 2019
LD 1161
This bill prohibits the use of mercury amalgam fillings as part of a procedure covered by any dental care program funded or partially funded by the State.

LD 1171 An Act To Prevent Sexual and Domestic Violence and To Support Survivors Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-86, tabled to Special Appropriations in the Senate May 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1171
This bill provides funding for sexual assault and domestic violence prevention and victim services.

Amendment S-86
This amendment incorporates a fiscal note.

LD 1171 Amendment S-86 fiscal note
LD 1178 An Act To Address the Needs of Children with Intellectual Disabilities and Autism Spectrum Disorder Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-410, tabled to Special Appropriations in the Senate June 6, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1178
This bill requires the Department of Health and Human Services to apply for a home and community-based waiver from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to provide services to children up to 21 years of age with intellectual disabilities or autism spectrum disorder. Services must be provided according to a care plan process that requires participation by the child's family. The care plan must address safety as the highest priority. The care plan must address the child's developmental, mental health, emotional, social, educational and physical needs in the least restrictive environment. Services must be clinically appropriate, be provided in a location as close to the child's home as possible, be provided in a timely manner and promote early identification and intervention. The department is directed to apply for the waiver no later than January 1, 2020. Upon approval of the waiver, the department is directed to adopt rules within 6 months. The rules are major substantive rules.

Amendment H-410
This amendment removes the requirement for the Department of Health and Human Services to request a waiver pursuant to Section 1915(c) of the United States Social Security Act for services to children with intellectual disabilities or autism spectrum disorder and allows the department to apply for any waiver or state plan amendment that would accomplish this purpose. The amendment also adds an appropriations and allocations section.

LD 1178 fiscal note
LD 1178 Amendment H-410 fiscal note
LD 1185 An Act To Facilitate Intervention by and Provision of Services through the Department of Health and Human Services for Certain Families Affected by Substance Use Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1185
This bill requires the Department of Health and Human Services to provide and pay for services relating to and treatment for substance use disorder in cases in which it does not file a child protection petition under the Maine Revised Statutes, Title 22, section 4032 but does open a case to provide services to the family to alleviate child abuse and neglect in the home, and also to provide and pay for those services as part of the rehabilitation and reunification plan required pursuant to Title 22, section 4041 when a child has been removed from the home. The bill provides that the department is not financially responsible if the person receiving services is insured by MaineCare or other insurance and that insurance covers the cost of those services. The bill establishes a program within the department for families affected by substance use disorder. The department is required to create a process to identify families engaged in a rehabilitation and reunification plan in which substance use disorder is a barrier to the return of a child to the child's home and ensure the family receives intervention and treatment for the disorder.

LD 1201 An Act To Create a Low-barrier, Permanent Housing Rental Subsidy for Individuals in the State Experiencing Long-term Homelessness Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1201
This bill establishes a rental subsidy program within the Maine State Housing Authority for persons experiencing long-term homelessness. The rental subsidy program provides a rental subsidy and housing retention services to a person eligible for the program.

LD 1202 Resolve, To Develop a Plan To Improve Service Delivery to Individuals Receiving Medicaid Home and Community-based Services Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1202
This resolve directs the Department of Health and Human Services to convene a stakeholder group to review the Medicaid home and community-based settings rules, review past efforts by the State to come into compliance with those rules and make recommendations about how to bring the State into compliance and recommendations on necessary statutory and regulatory changes. The department is required to submit a report by January 15, 2020 to the Joint Standing Committee on Health and Human Services, which may submit a bill to the Second Regular Session of the 129th Legislature.

LD 1214 Resolve, To Conduct a Comprehensive Study of the Compensation System for State Employees Status: Referred to Labor and Housing Committee, Enacted in the House as amended by Committee amendment S-146, tabled to Special Appropriations in the Senate June 3, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1214
This resolve directs the Commissioner of Administrative and Financial Services to commission a comprehensive study of the wages and compensation system for employees of the executive branch of State Government. The resolve directs the commissioner to involve the certified bargaining agents for the employees covered by collective bargaining units and report the findings and any recommendations to the joint standing committee of the Legislature having jurisdiction over state and local government matters no later than July 1, 2020, and authorizes the joint standing committee to submit a bill relating to the subject matter of the report to the First Regular Session of the 130th Legislature.

Amendment S-146
This amendment changes the committee to which the report is submitted in the bill to the Joint Standing Committee on Labor and Housing and authorizes that committee to report out a bill. This amendment adds an appropriations and allocations section.

LD 1214 fiscal note
LD 1214 Amendment S-146 fiscal note
LD 1225 An Act To Increase Funding for Home Visiting Programs Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
LD 1225
This bill increases the State's funding for home visiting programs in the State in order to stabilize the workforce and expand eligibility to foster families caring for infants.

LD 1228 Resolve, Requiring the Department of Health and Human Services To Develop More Comprehensible MaineCare Benefit Letters Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-367, Finally passed, Signed into law June 20, 2019
LD 1228
This resolve requires the Department of Health and Human Services to create a new limited benefit MaineCare card for individuals who qualify for the Medicare Savings Program, also known as the Medicare Buy-in Program. The department must issue the card to qualified individuals for use at pharmacies and providers of medical, behavioral health and other services. The department must assess the ease of use of the card to cardholders and providers of services and submit a report regarding the limited benefit MaineCare card to the joint standing committee of the Legislature having jurisdiction over health and human services matters by February 1, 2021.

Amendment H-367
This amendment replaces the resolve. It requires the Department of Health and Human Services to examine the letters the department sends notifying individuals of their eligibility for MaineCare and the Medicare savings program, also known as the Medicare buy-in program, and make changes to the letters to ensure the format and language of the letters are as user-friendly and comprehensible as possible. The department shall investigate the possibility of a letter that includes a tear-off or cut-out section for use as proof of eligibility for persons eligible for the Medicare savings program to carry if they do not otherwise receive a card from the department for this purpose. Any changes must be made within existing resources. The department shall report any changes to the letters and cards to the joint standing committee of the Legislature having jurisdiction over health and human services matters by February 1, 2021.

LD 1228 Chaptered Law
LD 1228 Chaptered Law fiscal note
LD 1229 Resolve, To Establish the Committee To Study and Develop Recommendations To Address Guardianship Challenges That Delay Patient Discharges from Hospitals Status: Referred to Judiciary Committee, Engrossed as amended by Committee amendment H-452 in both chambers, Enacted in the House, Senate tabled to Special Study, June 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1229
This resolve establishes the Committee To Study and Develop Recommendations To Address Guardianship Challenges That Delay Patient Discharges from Hospitals. The committee is required to study and develop recommendations to address guardianship, conservatorship and authorization of transaction challenges that result in extended hospitalization of patients clinically qualified for discharge from a hospital.

Amendment H-452
This amendment revises the membership of the committee, requires the report to be submitted to both the Joint Standing Committee on Health and Human Services and the Joint Standing Committee on Judiciary, authorizes both committees to report out legislation based on the report to the Second Regular Session of the 129th Legislature and adds an emergency preamble and clause. It also allows the committee to accept outside contributions, approved by the Legislative Council, to help fund the committee.

LD 1229 Amendment H-452 fiscal note
LD 1239 An Act To Mandate Paid Maternity and Parental Leave Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, June 5, 2019
LD 1239
This bill requires employers with one to 49 employees to provide 2 weeks of paid maternity leave, including existing benefits, to an employee who gives birth and one week of paid parental leave to an employee whose spouse or domestic partner gives birth. Employers with more than 49 employees are required to provide 4 weeks of paid maternity leave, including existing benefits, to an employee who gives birth and 2 weeks of paid parental leave to an employee whose spouse or domestic partner gives birth. The bill also includes provisions regarding the protection of existing benefits, position restoration, denial of rights and judicial enforcement similar to the provisions of the family medical leave laws.

LD 1244 An Act To Authorize the Gambling Control Board To Accept an Application from the Passamaquoddy Tribe To Operate 50 Slot Machines in the Tribe's High-stakes Beano Facility Status: Referred to Veterans and Legal Affairs Committee, Work session held, May 20, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1244
This bill authorizes the Department of Public Safety, Gambling Control Board to accept an application from the Passamaquoddy Tribe to operate 50 slot machines at a gambling facility in Washington County at which high-stakes beano is conducted by the Passamaquoddy Tribe. The bill raises the limit on the number of slot machines allowed in the State by 50 to accommodate the slot machines that may be operated by the Passamaquoddy Tribe. The bill requires deposit of 25% of net slot machine income in the General Fund and sets the initial application fee to operate the 50 slot machines at $10,000 and the renewal fee at $5,000. The Passamaquoddy Tribe is exempted from paying a $250,000 nonrefundable privilege fee and a $5,000,000 license fee. Slot machines operated by the Passamaquoddy Tribe would be subject to the oversight of the Gambling Control Board and subject to the same laws and rules as other slot machines operated in this State.

LD 1247 Resolve, To Clarify the Good Cause and Sanction Process in the Temporary Assistance for Needy Families and Additional Support for People in Retraining and Employment Programs Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-408, Finally passed, Signed into law June 6, 2019
LD 1247
This resolve directs the Department of Health and Human Services to amend its rules to include a Temporary Assistance for Needy Families program participant's attendance at the medical and mental health appointments of the participant's children as a life management skill and job readiness activity.

Amendment H-408
This amendment replaces the resolve and changes the title. It requires the Department of Health and Human Services to amend its rules to establish a process for a participant in the Temporary Assistance for Needy Families or Additional Support for People in Retraining and Employment - Temporary Assistance for Needy Families program who fails to comply with a program requirement with an opportunity to claim good cause and receive a determination from the department in response to that claim.

LD 1247 Chaptered Law
LD 1247 Chaptered Law fiscal note
LD 1261 An Act To Authorize Certain Health Care Professionals To Perform Abortions (Governor's Bill) Status: Referred to Health Coverage, Insurance and Financial Services Committee, Enacted, Signed into law June 10, 2019
LD 1261
This bill allows a physician assistant or an advanced practice registered nurse licensed as such in this State to perform abortions, in addition to a licensed allopathic or osteopathic physician.

LD 1261 Chaptered Law
LD 1261 Chaptered Law fiscal note
LD 1263 An Act Regarding Telehealth Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-176, Enacted, Signed into law June 13, 2019
LD 1263
This bill does the following.
  • 1. It provides immunity from liability to health care practitioners who voluntarily provide health care services through telehealth in the same manner as immunity is provided to health care practitioners who voluntarily provide health care services in person.
  • 2. It requires carriers that offer health plans in this State to provide coverage for health care services provided through telehealth services in the same manner as coverage is provided for services provided in person and sets forth certain standards for coverage of telehealth services.
  • 3. It clarifies that carriers may apply prior approval and credentialing requirements for providers for services provided through telehealth services only if the requirements are the same as are applied for services provided in person.
  • 4. It makes the bill's provisions apply to health insurance policies issued or renewed on or after January 1, 2020.


Amendment S-176
This amendment does the following.
  • 1. It strikes the references in the bill to "enrollee originating site" and "provider distant site" and removes those definitions.
  • 2. It requires that a clinical evaluation be required before a provider may write a covered prescription through telehealth. The bill requires a physical exam.
  • 3. It removes the prohibition for coverage of prescribed schedule I, II or III controlled substances.
  • 4. It clarifies the telemonitoring requirements and provides that telephonic services are covered when scheduled telehealth services are technologically unavailable at the time of the scheduled telehealth service for an existing enrollee.
  • 5. It removes the exclusions section of the bill.
  • 6. It adds language exempting the bill from the provisions of the Maine Revised Statutes, Title 24-A, section 2752.


LD 1263 Chaptered Law
LD 1263 Chaptered Law fiscal note
LD 1272 An Act To Increase Access to Low-cost Prescription Drugs Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-250, Enacted, Signed into law June 24, 2019
LD 1272
This bill establishes a wholesale importation program for prescription drugs from Canada by or on behalf of the State in order to provide cost savings to consumers. The bill requires the Department of Health and Human Services to design the program through rulemaking by January 1, 2020. The rules are designated as major substantive and must be submitted to the Legislature for final approval. The bill also specifies that the program may not be implemented until the State has received federal approval and certification. The bill directs the Department of Health and Human Services to apply for federal approval no later than May 1, 2020.

Amendment S-250
This amendment is the majority report of the committee. It adds language to the bill directing the Department of Health and Human Services to consider whether the program may be developed on a multistate basis through collaboration with other states and to apply for and receive funds, grants or contracts from public and private sources.

LD 1272 Chaptered Law
LD 1272 Chaptered Law fiscal note
LD 1277 An Act To Require the Director of the Maine Center for Disease Control and Prevention To Be Credentialed Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-101 and Senate amendment S-339, Enacted, Signed into law July 2, 2019
LD 1277
This bill establishes qualifications for the Director of the Maine Center for Disease Control and Prevention within the Department of Health and Human Services, and requires that the director report annually to the joint standing committee of the Legislature having jurisdiction over health and human services matters on challenges and threats to public health and ways in which the Maine Center for Disease Control and Prevention has responded to those challenges and threats.

Amendment S-101
This amendment, which is the majority report of the committee, amends the qualifications for the Director of the Maine Center for Disease Control and Prevention and adds an appropriations and allocations section.

Amendment S-339
This amendment strikes the appropriations and allocations section.

LD 1277 Chaptered Law
LD 1277 Chaptered Law fiscal note
LD 1278 RESOLUTION, Proposing an Amendment to the Constitution of Maine Requiring the State To Share Not Less Than 5 Percent of State Sales and Income Tax Revenue with Municipalities Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 30, 2019
LD 1278
For the purpose of reducing the burden placed on the property tax to finance municipal services, this resolution proposes an amendment to the Constitution of Maine to require that not less than 5% of state sales and income tax revenue be distributed to municipalities.

LD 1281 Resolve, To Create a Committee To Explore Regional Cooperation for Affordable Health Insurance Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 23, 2019
LD 1281
This resolve establishes the Committee To Explore Regional Cooperation for Affordable Health Insurance, which is required to study providing a more affordable health insurance option to middle-income individuals and small businesses, including convening a multistate conference to draft a proposal for a nonprofit health insurance cooperative.

LD 1324 Resolve, To Establish the Committee To Study the Feasibility of Creating Basic Income Security Status: Referred to Labor and Housing Committee, Amended by Committee amendment S-157, Enacted, Signed into law June 19, 2019
LD 1324
This resolve establishes the Committee To Study the Feasibility of Creating Basic Income Security to examine options to better provide basic economic security to Maine people, including through the development of a direct cash payment system.

Amendment S-157
This amendment, which is the majority report of the committee, amends the resolve, which establishes the Committee To Study the Feasibility of Creating Basic Income Security, as follows.
  • 1. It changes the membership of the committee.
  • 2. It requires that the committee in fulfilling its duties invite input as necessary from the Department of Administrative and Financial Services, Bureau of Revenue Services and from the Governor's Office of Policy and Management.
  • 3. It changes the date of the committee's report to the Legislature.


LD 1324 Chaptered Law
LD 1324 Chaptered Law fiscal note
LD 1325 An Act To Allow Workplace Substance Use Testing for Fentanyl, Hydromorphone, Hydrocodone, Oxycodone and Oxymorphone Use at the Employer's Discretion Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, April 25, 2019
LD 1325
This bill allows an employer to test an employee or an applicant for employment for fentanyl, hydromorphone, hydrocodone, oxycodone and oxymorphone use during any substance use test administered by the employer.

LD 1350 An Act To Improve Rural Health Care Status: Referred to Environment and Natural Resources Committee, Enacted in the House as amended by Committee amendment S-259, tabled to Special Appropriations in the Senate June 12, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1350
This bill provides that, for taxable years beginning on or after January 1, 2019, student loan payments made by a taxpayer's employer directly to a lender on behalf of a qualified health care employee are not included in federal adjusted gross income for Maine income tax purposes. The bill also directs the Department of Health and Human Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter II and Chapter III regarding reimbursement to rural and nonrural hospitals, acute care critical access hospitals and rural health clinics.

Amendment S-259
This amendment makes the following changes to the bill.
  • 1. It changes the reimbursement for acute care critical access hospitals to 100% for all hospital-based physician costs rather than facility and physician costs.
  • 2. It clarifies that rural health clinics are paid under an alternative payment methodology option that is the same as the current system except for rebasing costs to 2016 and 2017 costs as long as the rural health clinics are not paid less than the current reimbursement rate.
  • 3. It requires the Department of Health and Human Services to submit any necessary state plan amendments to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services no later than January 1, 2020. Rulemaking must be completed by the department within 180 days of receiving federal approval.
  • 4. It adds language to clarify that taxpayers cannot claim a double benefit for educational opportunity tax credits.
  • 5. It adds an appropriations and allocations section.


LD 1350 Amendment S-259 fiscal note
LD 1351 An Act To Allow for the Recovery and Redistribution of Food in Public Schools Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1351
This bill requires the Department of Health and Human Services, Maine Center for Disease Control and Prevention and the Department of Education, by October 1, 2019, to collaborate to revise the Department of Health and Human Services, Maine Center for Disease Control and Prevention's health inspection program guidance titled "Food Sharing Tables - Guidance for Schools" and disseminate the new guidance to public schools in the State.

The bill requires the Department of Health and Human Services, Maine Center for Disease Control and Prevention and the Department of Agriculture, Conservation and Forestry to grant public school food service programs a variance under the departments' jointly adopted rules regulating food safety in order to allow public school food service programs to collect food that was taken from the food service line by students and placed on a share table and to redistribute that food through the food service line; to allow students to take food from a share table and consume that food in the same breakfast, lunch or snack period or at another time; to allow students to place unwanted, eligible food items on a share table at any time during their breakfast, lunch or snack period; and to allow school staff members under certain circumstances to collect and redistribute food from a share table.

The bill does not mandate the creation of share tables within schools or require schools to purchase additional food or materials.

LD 1353 An Act To Establish Transparency in Primary Health Care Spending Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-156, Enacted, Signed into law June 7, 2019
LD 1353
This bill requires insurers to report primary care expenditures to the Maine Health Data Organization and for the Maine Quality Forum to use this data to report annually to the Department of Health and Human Services and the Legislature the percentage of total medical expenditures paid for primary care by commercial insurers, the MaineCare program, Medicare, the organization that administers health insurance for state employees and the Maine Education Association benefits trust respectively, the average of the percentage of total medical expenses paid for primary care across all organizations and the methods used by these organizations to pay for primary care. This bill also requires the Maine Quality Forum to conduct a study on best practices in health care spending reporting and submit its findings to the Department of Health and Human Services and the Joint Standing Committee on Health and Human Services.

Amendment S-156
This amendment replaces the bill. The amendment requires the Maine Quality Forum to submit an annual report, beginning January 15, 2020, to the Department of Health and Human Services and the joint standing committee of the Legislature having jurisdiction over health coverage and health insurance matters, based on claims data reported to the Maine Health Data Organization and information on methods of reimbursement for primary care reported by insurers. The annual report is required to include the percentage of total medical expenditures paid for primary care by commercial insurers, the MaineCare program, Medicare, the organization that administers health insurance for state employees and the Maine Education Association benefits trust, the average percentage of total medical expenditures paid for primary care across all payors and the methods used by these organizations to pay for primary care. The amendment also requires the Maine Quality Forum to consult with other state and national agencies and organizations on best practices in health care spending reporting.

LD 1353 Chaptered Law
LD 1353 Chaptered Law fiscal note
LD 1360 Resolve, To Expand Eligibility for Presumptive Eligibility Determinations by Hospitals Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 30, 2019
LD 1360
This resolve directs the Department of Health and Human Services to amend the department's rule Chapter 332: MaineCare Eligibility Manual, Part 18: Presumptive Eligibility Determined by Hospitals regarding expanding hospital presumptive eligibility, hospital presumptive eligibility cards, assisting individuals with MaineCare application forms and performance standards for qualified hospitals to require that 85% of presumptive eligibility determinations made will be found eligible for full MaineCare coverage.

LD 1362 An Act To Fund Opioid Treatment by Establishing an Excise Tax on Manufacturers of Opioids Status: Referred to Taxation, both chambers accepted Majority Committee report, Ought to Pass as amended by Committee amendment H-608 and adopted House amendment H-650, House enacted, Senate tabled to Special Appropriations, June 19, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1362
This bill establishes the Opioid Stewardship Fund within the Fund for a Healthy Maine for the purpose of supporting opioid use disorder prevention, treatment and recovery funded by an excise tax of 0.1¢ per morphine milligram equivalent assessed against opioid drug manufacturers for opioid drugs purchased by consumers in the State.

Amendment H-608
This amendment makes the following changes to the bill.
  • 1. It provides that the excise tax is a tax on manufacturers of opioids if more than 100,000 morphine milligram equivalents of the manufacturer's prescription opioid products are dispensed in the State in the tax year.
  • 2. It changes the rate of the tax from 0.1¢ per morphine milligram equivalent to $0.01 per morphine milligram equivalent for a brand-name opioid distributed in the State or $0.0025 per morphine milligram equivalent for a generic substitute.
  • 3. It removes the prohibition on passing the tax on to consumers.
  • 4. It provides that revenue collected from the tax also may be used to fund the costs of administering the tax and provides necessary administrative details.
  • 5. It provides that the tax is in effect until December 31, 2023 and requires the joint standing committee of the Legislature having jurisdiction over taxation matters to review the tax. It authorizes the committee to submit a bill to extend, amend or repeal the tax to the 131st Legislature based on the review.
  • 6. It adds an appropriations and allocations section.


Amendment H-650
This amendment is the same as House AmendmentH-629 to Committee Amendment H-608 except that this amendment retains the appropriations and allocations section in Committee Amendment H-608, which was removed in error by House Amendment H-629 to Committee Amendment H-608.

House amendment H-629
This amendment to the committee amendment strikes the list of information that must be reported annually by a manufacturer of opioids to the Department of Health and Human Services and substitutes a requirement that the department adopt major substantive rules establishing the information that must be reported. The amendment also provides a different method of determining the products subject to the 2 levels of tax specified in the committee amendment and changes elements of the calculation of the rates.

LD 1362 Amendment H-608 fiscal note
LD 1362 Amendment H-650 fiscal note
LD 1374 An Act To Amend the Maine Medical Use of Marijuana Act Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1374
This bill prohibits delivery of medical marijuana except from a registered caregiver with an approved retail store or from a registered dispensary. This bill does not prohibit a caregiver from delivery to patients from the caregiver's 30-plant limit.

LD 1376 An Act To Direct the Department of Education To Amend Its Rules To Ensure That Physical Restraint and Seclusion Policies Are Followed and Make Biennial Reports on the Use of Physical Restraint and Seclusion Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-617, tabled to Special Appropriations in the Senate June 18, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1376
This bill directs the Department of Education to amend its rule Chapter 101: Maine Unified Special Education Regulation Birth to Age Twenty to include concepts from and references to the department's rule Chapter 33: Rule Governing Physical Restraint and Seclusion.

It directs schools to make annual reports to the department regarding incidents of physical restraint and seclusion and directs the Commissioner of Education to report biennially to the Governor and the Legislature on data regarding the use of physical restraint and seclusion.

Amendment H-617
This amendment, which is the majority report of the committee, strikes and replaces the bill. The amendment directs schools to submit annual reports to the Department of Education regarding incidents of physical restraint and seclusion including the number of uses and number of students, broken down by grade level or age group, gender, race and type of education plan, and the number of injuries to students and to staff and directs the Commissioner of Education to report biennially to the Governor and the Legislature on data regarding the use of physical restraint and seclusion.

The amendment also directs the Department of Education to, by rule, develop and implement a performance review system to define and monitor all schools' use of physical restraint and seclusion.

The amendment also requires the Department of Education to submit major substantive rules by December 5, 2019, provide guidance to schools regarding these rules and submit a plan by January 15, 2020 to the Joint Standing Committee on Education and Cultural Affairs on professional development opportunities to promote preventive practice models that will reduce dependence on physical restraint and seclusion.

The amendment also adds an appropriations and allocations section.

This amendment also incorporates a fiscal note. The fiscal note identifies the requirement that school administrative units break down the aggregate data by grade level or age group, gender, race and type of plan as a potential unfunded state mandate. Because schools are already required to collect this data pursuant to department rule Chapter 33: Rule Governing Physical Restraint and Seclusion, the committee finds this additional requirement does not require an expansion or modification of activities so as to necessitate additional expenditures.

LD 1376 Amendment H-617 fiscal note
LD 1384 An Act Relating to Complementary and Alternative Medicine Licensure Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, April 25, 2019
LD 1384
This bill establishes a licensing requirement for holistic health practitioners, defines "holistic health practitioner," establishes applicant eligibility requirements and license renewal requirements and establishes the scope of practice.

LD 1399 An Act To Improve Oral Health and Access to Dental Care for Maine Children Status: Referred to Health and Human Services Committee, Enacted in both chambers as amended by Committee amendment H-249 and Senate amendment S-343, June 20, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 1399
This bill establishes within the Department of Health and Human Services one Oral Health Coordinator position in the oral health program within the Maine Center for Disease Control and Prevention, rural health and primary care division to lead the State's work on oral health; one Planning and Research Associate II position in the rural health and primary care division within the Maine Center for Disease Control and Prevention tasked with data analysis, performance management reporting and program planning and evaluation; and one Early Periodic Screening Diagnosis and Treatment Dental Coordinator position in the Office of MaineCare Services. The bill also provides funding to expand preventive oral health services provided in schools through the oral health program within the Maine Center for Disease Control and Prevention, rural health and primary care division to all schools in the State and a half-time Office Assistant II position to provide logistical and administrative support for that expansion.

Amendment H-249
This amendment makes the following changes to the bill.
  • 1. It replaces the appropriations and allocations section to remove the funding to expand preventive oral health services provided in schools.
  • 2. It removes the descriptions of the responsibilities of 2 positions created in the bill to provide the Department of Health and Human Services flexibility.
  • 3. It removes the interim report on the oral health program.
  • 4. It requires a report on the status of the oral health program rather than on the expansion of the program since the funding to expand the program has been removed.


Amendment S-343
This amendment requires the Department of Health and Human Services, when completing the report on oral health care services provided in schools, to include methods for utilization and maximization of Medicaid funding for oral health staff positions and school-based services. This amendment also changes the date for submission of the report to February 15, 2020 and removes the funding for new positions in the Department of Health and Human Services, Maine Center for Disease Control and Prevention.

LD 1399 Amendment H-249 fiscal note
LD 1399 Amendment S-343 fiscal note
LD 1403 An Act To Amend the General Assistance Laws Governing Reimbursement Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-514, tabled to Special Appropriations in the Senate June 11, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1403
This bill establishes presumptive eligibility for general assistance for persons who are provided shelter at emergency shelters for the homeless. It also reestablishes the 90% reimbursement rate for municipalities that incur net general assistance costs in any fiscal year in excess of .0003 of that municipality's most recent state valuation, which was amended in Public Law 2015, chapter 267, Part SSSS. It retains the 70% reimbursement rate for other municipalities and Indian tribes for costs below the .0003% of all state valuation amount.

Amendment H-514
This amendment, which is the majority report of the committee, removes the section of the bill relating to presumptive eligibility. It also grants 100% reimbursement for general assistance costs to Indian tribes. It clarifies that the municipality's most recent state valuation rather than the all state valuation is used for calculating when a municipality begins to be reimbursed 90% for general assistance costs and that the reimbursement is for gross costs rather than net costs. It establishes that the new departmental reimbursement to municipalities begins July 1, 2020.

LD 1403 fiscal note
LD 1403 Amendment H-514 fiscal note
LD 1404 Resolve, To Provide Support Services and Funds To Prevent Homelessness Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-368, tabled to Special Appropriations in the Senate June 3, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1404
This resolve requires the Department of Health and Human Services to apply to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for a waiver from the requirements of federal law and regulations to allow Maine to provide Medicaid-funded direct support services to individuals experiencing homelessness. In addition, the bill provides ongoing funds to the Housing First Assistance Program established within the Maine State Housing Authority to be distributed to community action agencies to assist individuals on the verge of becoming homeless.

Amendment H-368
This amendment clarifies that the Department of Health and Human Services is required to examine opportunities to provide home and community-based services to individuals experiencing homelessness using a state plan amendment option under Section 1915(i) of the federal Social Security Act or any other Medicaid-funded mechanism that may be appropriate. It requires the department to report its progress in examining options and submitting a waiver to the Joint Standing Committee on Health and Human Services. The amendment also corrects the appropriations and allocations section to reflect funding from the Temporary Housing Assistance Fund and changes the initiative language to be more consistent with the statute governing the fund.

LD 1404 Amendment H-368 fiscal note
LD 1418 An Act To Address Maine's Shortage of Behavioral Health Services for Minors Status: Referred to Health and Human Services Committee, Work session held, May 9, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1418
This bill:
  • 1. Defines "behavioral health needs" to mean a wide range of mental health disorders and illnesses, substance use disorder, developmental disabilities and autism spectrum disorder;
  • 2. Directs the Department of Health and Human Services to take measures to address the issue of extended stays in hospital emergency departments by minors with behavioral health needs by:
    • A. Maintaining a daily updated online statewide list of available mental health facility or program and community service provider placements for referral purposes by hospital emergency departments;
    • B. Maintaining a quarterly updated online resource list of mental health programs or facilities and community service providers that treat behavioral health needs; and
    • C. Collecting monthly data on and study the issue of extended stays of minors with behavioral health needs in hospital emergency departments and annually submitting a report with a summary of the study along with any recommendations to the joint standing committee of the Legislature having jurisdiction over health and human services matters;
  • 3. Directs the department to study the data and analysis on extended stays in hospital emergency departments by minors with behavioral health needs and submit an annual report to the Legislature that identifies:
    • A. Reasons for the extended stays;
    • B. Specific behavioral health needs treatment programs and the waiting list for admission to each program; and
    • C. Funding mechanisms to provide short-term transitional assistance to minors with behavioral health needs discharged from a hospital emergency department to residential placements, partial hospitalizations or home-based programs; and
  • 4. Directs the department to study the feasibility of adding a child behavioral needs advocate within the department to coordinate the department's activities with those of various agencies and programs that provide behavioral health needs services to minors and to submit a report to the Legislature by January 1, 2020.


LD 1428 An Act To Require the State To Fund 50 Percent of Public Preschool Programs Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1428
This bill requires the State to fund a minimum of 50% of the costs of an approved public preschool program for each year a school administrative unit operates the program, other than the year in which the school administrative unit receives start-up funds for the program. If funds for essential programs and services do not provide the funding necessary to fund a minimum of 50% of approved public preschool programs, the State is directed to use other funding sources and the Commissioner of Education is directed to include the funding levels necessary in the Department of Education's request to the Legislature for appropriations from the General Fund.

LD 1429 An Act To Fund Opioid Use Disorder Prevention and Treatment Status: Referred to Health and Human Services Committee, Public hearing held, April 26, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1429
This bill establishes the Opioid Use Disorder Prevention and Treatment Fund administered by the Department of Health and Human Services for the purpose of supporting opioid use disorder analysis, prevention and treatment. The fund is funded by a 2¢ fee per morphine milligram equivalent assessed against prescription opioid drug manufacturers for prescription opioid drugs distributed in the State as well as appropriations, allocations and contributions from private and public sources.

LD 1492 An Act To Reform Drug Sentencing Laws Status: Referred to Criminal Justice and Public Safety Committee, Work session held, May 22, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1492
This bill amends the Maine Criminal Code provisions regarding scheduled drugs by relaxing or eliminating provisions regarding trafficking and furnishing, unlawful possession of scheduled drugs, trafficking, furnishing or possession of hypodermic apparatuses, use of drug paraphernalia and trafficking or furnishing of imitation drugs.

LD 1520 An Act To Create and Sustain Jobs and Encourage Affordable Housing through Development of Cooperatives and Employee-owned Businesses Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment S-260, tabled to Special Appropriations in the Senate June 12, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1520
This bill supports employee-owned businesses and cooperatives in the following ways.
  • 1. It excludes from Maine income tax the amount of gain, up to a maximum of $750,000 recognized by a business owner in transferring the business to an employee stock ownership plan, eligible worker-owned cooperative, consumer cooperative or affordable housing cooperative.
  • 2. It excludes from Maine income tax interest from loans that finance transfers of ownership from a business to an employee stock ownership plan, eligible worker-owned cooperative, consumer cooperative or affordable housing cooperative.
  • 3. It requires the Department of Economic and Community Development, Office of Business Development to encourage and assist employee-owned businesses by requiring the office to: develop educational programs, including convening an annual conference on employee ownership issues; provide information about employee ownership and technical assistance to retiring business owners, employees of plants threatened with closure and entrepreneurs interested in creating businesses with broadly shared ownership; link Maine businesses interested in implementing employee ownership to available financial, technical and legal resources; and help businesses interested in implementing some form of employee ownership to obtain financing, as well as undertake other duties.
  • 4. It requires the Commissioner of Economic and Community Development to give priority to employee-owned businesses, either established or in the process of becoming employee-owned, when providing loans or grants from funds or programs maintained by the department.
  • 5. It requires the Maine Public Employees Retirement System to conduct a study to determine how funds held by the system may be invested responsibly in employee-owned businesses in this State and to report its findings to the Joint Standing Committee on Innovation, Development, Economic Advancement and Business, which is authorized to report out a bill to the Second Regular Session of the 129th Legislature based on the study and recommendations of the system.


Amendment S-260
This amendment requires the Department of Economic and Community Development, Office of Business Development to contract with a nonprofit development organization with relevant expertise to develop and manage the Maine Employee Ownership Center to provide information and programs to assist businesses in the transition to employee or cooperative ownership, rather than requiring the office to provide those services. The amendment removes requirements that the Department of Administrative and Financial Services, Maine Revenue Services collect specified data and report annually to the Office of Program Evaluation and Government Accountability and that the Maine Public Employees Retirement System study investment of funds in employee-owned businesses. The amendment also makes changes to facilitate the administration and evaluation of the deductions provided in the bill. The amendment also adds an appropriations and allocations section.

LD 1520 Amendment S-260 fiscal note
LD 1580 An Act To Protect Licensing Information of Medical Professionals Status: Referred to Judiciary Committee, Amended by Committee amendment H-631, Enacted, Signed into law June 27, 2019
LD 1580
This bill allows applicants and licensees of the State Board of Nursing, the Board of Osteopathic Licensure and the Board of Licensure in Medicine to review their own redacted licensing files before the respective board makes the file available for inspection or copying after the licensing file has been requested.

The board must notify the applicant or licensee of the request to view the file at the same time the board acknowledges the request under the Freedom of Access Act. The board must use the most recent address on file for that applicant or licensee. If the applicant or licensee would like to review the redacted file before it is made publicly available, the applicant or licensee must notify the board within 10 business days. If requested by the applicant or licensee, the board must send a copy of the redacted file to the applicant or licensee, and the applicant or licensee has 10 business days from when the file is sent to stop the release of all or a part of the redacted licensing file by petitioning the board to withhold release of all or a part of the file because making all or part of the redacted file available to the public creates a potential risk to the personal safety of the applicant or licensee or any 3rd party.

Amendment H-631
This amendment is the majority report of the Joint Standing Committee on Judiciary. It replaces the bill but retains the basic concept of protecting information in applicants' and licensees' records held by medical licensing boards when the records are requested to be inspected or copied.< p>This amendment revises terminology to refer to an applicant's or licensee's record rather than a licensing file as in the bill. It requires that the acknowledgement that the licensing board must send to a requester that a request for a record has been received include a description of the review process provided to the applicant or licensee, including the fact that all or part of the record may be withheld if the board finds that disclosure of all or part of the redacted record creates a risk to the applicant's or licensee's personal safety or the personal safety of any 3rd party.

The amendment extends the time for the licensing board to review the applicant's or licensee's petition to withhold all or part of the record from 30 days in the bill to 60 days.

It allows an applicant or licensee who does not agree with the licensing board's decision to seek an injunction in Superior Court.

It clarifies that the restriction on releasing an applicant's or licensee's record does not apply to requests for records from other governmental licensing or disciplinary authorities or from any health care providers located within or outside this State that are concerned with granting, limiting or denying an applicant's or licensee's employment or privileges.

LD 1580 Chaptered Law
LD 1580 Chaptered Law fiscal note
LD 1630 Resolve, To Ensure Access to Opiate Addiction Treatment Status: Referred to Health and Human Services Committee, Work session held, May 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1630
This resolve directs the Department of Health and Human Services to set the weekly MaineCare reimbursement rate paid to outpatient opioid treatment providers at $110 per week, or at a higher rate if the department determines a higher rate is justified.

LD 1635 Resolve, To Improve Access to Early and Periodic Screening, Diagnostic and Treatment Services for Children from Birth to 8 Years of Age (Emergency) Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-182, Finally passed as an emergency measure, Signed into law June 13, 2019
LD 1635
This emergency resolve requires the Department of Health and Human Services, in consultation with the Department of Education, to convene the participants of the federally funded Developmental Systems Integration initiative to determine the capacity of the State to provide child find and early and periodic screening, diagnostic and treatment services to children from birth to 8 years of age, the gaps in services and the costs of addressing those gaps. The report must be submitted to the Joint Standing Committee on Health and Human Services no later than December 30, 2019.

Amendment S-182
This amendment requires the Department of Health and Human Services to convene a stakeholder group rather than convene the participants of the federally funded Developmental Systems Integration initiative. It also adds additional requirements to the report submitted to the Joint Standing Committee on Health and Human Services.

LD 1635 Chaptered Law
LD 1635 Chaptered Law fiscal note
LD 1648 An Act To Improve Access to Experienced Primary Care Providers in Maine Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 23, 2019
LD 1648
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to amend the laws regarding the supervision and duties of licensed physician assistants.

LD 1655 An Act To Improve and Modernize Home-based Care Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-524, tabled to Special Appropriations in the Senate June 11, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1655
This bill:
  • 1. Establishes the Social Determinants of Health Stakeholder Advisory Group to collaborate with providers of home health care services and other services relating to the social determinants of health and make recommendations to the Department of Health and Human Services;
  • 2. Provides for reimbursement for telehealth or telemonitoring private duty nursing, home health services and personal care services for an adult MaineCare member with a physical disability or an adult who is elderly who is receiving MaineCare services under a waiver granted by the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services for home-based and community-based services or state-funded home-based and community-based support services. The services must include:
    • A. Services that support a member's ability to remain in the member's home, including, but not limited to, telehealth and telemonitoring services that support a member's safety, mobility or medication compliance, or that support virtual home visits and clinical consultation; and
    • B. Services of a pharmacist to provide medication evaluation or consultation to a member;
  • 3. Expands the duties of the Maine Telehealth and Telemonitoring Advisory Group to include making recommendations about home technology to the Department of Health and Human Services;
  • 4. Directs the Department of Health and Human Services, beginning in 2020 and at least every 2 years thereafter and whenever legislation is enacted that affects the costs of providing private duty nursing, home health services and personal care services, to review the rates for providers of services under a waiver granted by the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services for home-based and community-based services or state-funded home-based and community-based support services;
  • 5. Directs the Department of Health and Human Services to amend its rules for services provided under rule Chapter 101: MaineCare Benefits Manual, Chapter II, Sections 19, 40 and 96 and rule Chapter 5, Office of Elder Services Policy Manual, Section 63 so that:
    • A. A certified nurse practitioner licensed under the Maine Revised Statutes, Title 32, chapter 31 and a physician assistant licensed under Title 32, chapter 36 or 48 may authorize or amend a plan of care; and
    • B. Reimbursement is provided for activities performed outside of the home by a registered nurse licensed under Title 32, chapter 31 that are directly related to a member's care and are part of the member's plan of care;
  • 6. Directs the Department of Health and Human Services to convene a work group to review options for adjusting rates in order to provide health care coverage and paid sick leave to home-based and community-based care providers and to report the recommendations of the work group to the Joint Standing Committee on Health and Human Services; and
  • 7. Directs the Department of Health and Human Services to review its in-person supervisory requirement for home-based and community-based care providers to determine whether the use of technology that provides interactive, real-time communication is feasible and practical and to report its recommendations to the Joint Standing Committee on Health and Human Services.


Amendment H-524
This amendment removes the sections of the bill that establish the Social Determinants of Health Stakeholder Advisory Group within the Department of Health and Human Services, requires review of certain home-based and community-based MaineCare reimbursement rates every 2 years and convenes a work group to review options for adjusting reimbursement rates for home-based and community-based services. It requires the department to amend its rules for reimbursement for pharmacists conducting a medication evaluation or consultation in the home. It clarifies that certified nurse practitioners and physician assistants may only authorize or amend a plan of care under rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 40 after the Federal Government allows for it. It adds making recommendations to the department on best practices to the additional duties of the Maine Telehealth and Telemonitoring Advisory Group included in the bill. It also adds an appropriations and allocations section.

LD 1655 Amendment H-524 fiscal note
LD 1660 An Act To Improve Access to Physician Assistant Care Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1660
This bill makes the following changes to the laws governing the licensing and scope of practice of physician assistants.
  • 1. It increases the membership of the Board of Osteopathic Licensure and the Board of Licensure in Medicine from 10 to 11 members by changing the number of members on each board who are physician assistants from 1 member to 2 members.
  • 2. It establishes provisions for the scope of practice, insurance coverage of services and immunity from liability for providing volunteer medical services during emergencies or disasters and clarifies that physician assistants are primary care providers when practicing in a medical specialty required for a physician to be a primary care provider.
  • 3. It removes registration and physician supervisory requirements.
  • 4. It establishes requirements for physician assistant collaboration and consultation with physicians and other health care professionals.
  • 5. It changes the initial licensing fee from $250 to $300.
  • 6. It provides a transition provision for physician assistant licenses that are current and not subject to disciplinary action.


LD 1661 An Act To Create the Drug Donation and Redispensing Program Status: Referred to Health Coverage, Insurance and Financial Services Committee, Enacted in the House as amended by Committee amendment S-227, tabled to Special Appropriations in the Senate June 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1661
This bill establishes the drug donation and redispensing program under the Department of Health and Human Services. The program collects donations of unused prescription and legend drugs from health care providers, health care facilities and other sources, including at drop-off locations throughout the State, and redispenses the drugs through participating pharmacies to qualified low-income persons.

Amendment S-227
This amendment adds a provision to protect a person from civil or criminal liability and from professional discipline of a licensing board for actions taken by a person in good faith in accordance with the requirements of the drug donation and redispensing program established in the bill.

LD 1661 fiscal note
LD 1661 Amendment S-227 fiscal note
LD 1662 An Act To Save Lives by Establishing the Low Barrier Opioid Treatment Response Program (Emergency) Status: Referred to Health and Human Services Committee, Work session held, May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1662
This bill requires the Department of Health and Human Services to establish the Low Barrier Opioid Treatment Response Program in Maine's federally qualified health centers to improve the availability of medication-assisted treatment and enhance the effectiveness and sustainability of acute care responses to persons in urgent need of treatment for substance use disorders, including opioid use disorder. The department is required to implement the program on a pilot basis initially and expand the program statewide after reviewing initial outcomes of the pilot.

It also directs the department and representatives of federally qualified health centers to examine the extent to which existing structures for reimbursement and delivery of services by federally qualified health centers and other providers may hamper or facilitate access to opioid use disorder treatment and develop proposed changes to address identified barriers, reduce unnecessary costs and enhance coordination between federally qualified health centers and other providers serving persons at risk of opioid overdose. The department is required to report findings on these subjects and on initial pilot implementation of the Low Barrier Opioid Treatment Response Program to the Joint Standing Committee on Health and Human Services no later than January 15, 2020.

LD 1735 An Act To Clarify the Pathway for a Registered Dispensary under the Maine Medical Use of Marijuana Act To Become a For-profit Entity (Emergency) Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-214, Enacted as an emergency measure, Signed into law June 17, 2019
LD 1735
Public Law 2017, chapter 452 authorized registered dispensaries under the Maine Medical Use of Marijuana Act operating as nonprofit entities to become for-profit entities, but did not outline a pathway to follow for such a transaction. This bill:
  • 1. Specifies the possible pathways of merger, purchase and conversion for such a dispensary to become a for-profit entity;
  • 2. Provides that a registered dispensary operating as a nonprofit entity that reorganizes as a for-profit entity retains its registration certificate;
  • 3. Requires that a registered dispensary that reorganizes as a for-profit entity pay to the Medical Use of Marijuana Fund a percentage of the value of the sale or transfer of interest; and
  • 4. Requires that a registered dispensary that reorganizes as a for-profit entity pay to the Medical Use of Marijuana Fund 2% of gross sales for discounts to certain qualified patients.


Amendment S-214
This amendment, which is the unanimous report of the committee:
  • 1. Provides that the reorganization of a registered dispensary operating as a nonprofit entity to a for-profit entity may be accomplished only by any of the 8 registered dispensaries that were issued registration certificates as of April 1, 2018 and that operate as any type of nonprofit entity;
  • 2. Specifies that any exemptions from fiduciary duty and conflicts of interest otherwise required by the law do not apply for the limited purposes required in order for a registered dispensary operating as a nonprofit entity to reorganize as a for-profit entity;
  • 3. Clarifies that the triggering event for a registered dispensary to pay a fine to the Medical Use of Marijuana Fund is only upon the sale or transfer of interest within 4 years after the reorganization to a for-profit entity and provides that the cost of an appraisal required to determine the value of the sale or transfer of interest must be paid from the Medical Use of Marijuana Fund;
  • 4. Requires a registered dispensary that reorganizes as a for-profit entity or the dispensary's successor in interest to provide discounts in an amount that is not less than 2% of gross sales of the dispensary in the previous year to certain qualifying patients as a condition of registration. The Department of Administrative and Financial Services is required to submit a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters by January 15, 2023 regarding the discounts provided. The requirement to provide discounts is repealed July 1, 2023; and
  • 5. Directs the Secretary of State to develop a form for use by registered dispensaries to accomplish the reorganization from a nonprofit to a for-profit entity.


LD 1735 Chaptered Law
LD 1735 Chaptered Law fiscal note

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