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Geoffrey Gratwick photograph

Senator Geoff Gratwick [Democrat]
Penobscot ~ District 9

Towns in District: Bangor and Hermon

Term limited in 2020

Campaign funding in 2018 Election: Maine Clean Elections Act

Joint Committees:
♦ Health and Human Services (Chair)
♦ Health Coverage, Insurance and Financial Affairs (Chair)

♦ Committee on Engrossed Bills

✉ Geoffrey.Gratwick@legislature.maine.gov
☎ (207) 287-1515

✉ 1230 Kenduskeag Avenue
Bangor, Maine 04401


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OrganizationScore
Maine People's Alliance, Will of the Voters91%
Maine People's Alliance, 201892%
Maine Conservation Voters, 20189 of 9
Maine Conservation Voters, 20177 of 7
AFL-CIO, 2017100%
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 52 An Act To Provide an Affordable and Accessible Health Care System for all Residents of Maine Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 23, 2019
LD 52
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to establish a health care system in the State that will be simple and efficient for all consumers and providers. The bill proposes to provide all Maine residents with access to an affordable health benefit plan covering essential health benefits. The bill proposes to create the Health Care Trust, which will have authority to determine essential health care benefits, to negotiate with providers, to reimburse providers for the costs of providing care at negotiated rates and to manage the financing mechanisms for the trust. All Maine residents will be eligible to enroll in the trust on a voluntary basis. Those residents currently eligible for MaineCare or other public coverage will be automatically enrolled; MaineCare and other public coverage programs will be replaced by the trust's health care coverage.

The bill proposes to use several funding sources to pay for the costs of the trust and for coverage of all Maine residents enrolled in the trust for coverage, including payroll taxes, transaction taxes and available federal funding.

The Health Care Trust will be administered by a health care administrator and overseen by a board of trustees. In addition, a stakeholder advisory board will provide input and guidance for the trust.

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 447 An Act Regarding the Substance Use Disorder Continuum of Care Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
LD 447
This bill is a concept draft pursuant to Joint Rule 208.This bill proposes to provide support for persons with substance use disorder along a continuum of care that includes prevention, law enforcement diversion, treatment, harm reduction and recovery. The bill proposes to provide:
  • 1. Funding for programs that reduce the use of marijuana and so-called "vaping" by youth in Maine in order to reduce the likelihood of neural pathway changes that can lead to addiction later in life;
  • 2. Ongoing support for detoxification as a path to recovery;
  • 3. Reimbursement under the MaineCare program for substance use disorder peer recovery coaches;
  • 4. Funding to the Bangor Area Recovery Network for addiction recovery support;
  • 5. Support for regional 2-1-1 hotlines to offer referrals to persons with substance use disorder for local services; and
  • 6. Access to evidence-based approaches to prevent substance use and treat substance use disorder in rural areas.


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 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 894 An Act To Expressly Allow Nonprofit Corporations To Conduct Electronic Voting Status: Referred to Judiciary Committee, Enacted, Signed into law June 5, 2019
LD 894
This bill specifically permits a nonprofit corporation to authorize in its bylaws the conduct of elections or voting, or both, through electronic transmission.

LD 894 Chaptered Law
LD 894 Chaptered Law fiscal note
LD 917 An Act Increasing Municipal Agent Fees for Motor Vehicle, All-terrain Vehicle, Snowmobile and Watercraft Registrations Status: Referred to Transportation Committee, both chambers engrossed with Committee amendment S-70 and House amendment H-279 and enacted, May 28, 2019, Became law without the Governor's signature, June 9, 2019
LD 917
This bill allows municipal agents to charge higher service fees for registrations for motor vehicles, from $3 to $5 for renewals and from $4 to $6 for new registrations. It also allows municipal agents to charge higher service fees for registrations for all-terrain vehicles, snowmobiles and watercraft, from $1 to $3 for renewals and from $2 to $5 for new registrations.

LD 917 Chaptered Law
LD 917 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 1352 An Act To Provide for Consistency Regarding Persons Authorized To Conduct Examinations for Involuntary Hospitalization and Guardianship Status: Referred to Judiciary Committee, Enacted, Signed into law June 13, 2019
LD 1352
This bill changes the Maine Uniform Probate Code, taking effect July 1, 2019, in the provision governing professional evaluation in an adult guardianship matter to replace the term "licensed physician or psychologist" with the term "medical practitioner," the definition of which is added to the provision by the bill and is the same as under the Maine Revised Statutes, Title 34-B, section 3801, which provides definitions for provisions governing hospitalization by psychiatric hospitals.

LD 1352 Chaptered Law
LD 1352 Chaptered Law fiscal note
LD 1460 An Act To Support Collection and Proper Disposal of Unwanted Drugs Status: Referred to Environment and Natural Resources Committee, Work session held, May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1460
This bill provides for the establishment of drug take-back stewardship programs. It requires certain drug manufacturers, as defined in the bill, to operate a drug take-back stewardship program to collect and dispose of certain drugs.

LD 1694 Resolve, To Determine Compliance with Federal and State Mental Health Parity Laws Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-226, Finally passed, Signed into law June 17, 2019
LD 1694
This bill requires insurers, health maintenance organizations and nonprofit hospital or medical service organizations to submit mental health and substance use disorder parity compliance reports to the Superintendent of Insurance. It specifies how the superintendent of Insurance may enforce parity requirements and provides parity reporting requirements for the superintendent. The bill also prohibits certain types of medical management protocols from being used in conjunction with prescription medications used to treat substance use disorder.

LD 1694 Chaptered Law
LD 1694 Chaptered Law fiscal note
LD 1794 An Act To Amend the Service Fee for Child Support Services Status: Referred to Judiciary Committee, Amended by Committee amendment S-291, Enacted, Signed into law June 19, 2019
LD 1794
This bill amends the service fee for child support services to $35 annually for those individuals receiving at least $550 in support collected for the federal fiscal year.

Amendment S-291
This amendment incorporates a fiscal note.

LD 1794 Chaptered Law
LD 1794 Chaptered Law fiscal note
LD 1795 An Act To Clarify Requirements for Assisted Living Programs Regarding Fire Safety Inspections Status: Referred to Criminal Justice and Public Safety Committee, Enacted, Signed into law June 17, 2019
LD 1795
This bill amends the law governing fire safety inspection for assisted living programs to require inspections using the chapter pertaining to the applicable building type of the National Fire Protection Association Life Safety Code adopted by the Department of Public Safety, Office of the State Fire Marshal.

LD 1795 Chaptered Law
LD 1795 Chaptered Law fiscal note
LD 2 An Act To Increase from $25,000 to $50,000 the Minimum Amount Motor Vehicle Liability Insurance Policies Must Cover for Damage to Property Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, February 7, 2019
LD 2
This bill increases from $25,000 to $50,000 the minimum amount motor vehicle liability insurance policies must cover for damage to property in order for the policies to be accepted as proof of financial responsibility to drive, including for vehicles used exclusively to transport passengers for hire between points within the State and seating no more than 3 passengers behind the driver and for rental trucks with a registered gross weight of 26,000 pounds or less, rented or leased for fewer than 30 days. It also amends the law regarding satisfied judgments to increase to $50,000 the amount that must be credited on a judgment for injury to or destruction of property of others as a result of one accident rendered in excess of that amount.

LD 29 Resolve, To Implement the Recommendations of the Task Force To Address the Opioid Crisis in the State by Establishing a Work Group To Develop Educational Programming for Prevention of Substance Use and Substance Use Disorders among Youth and Adolescents (Emergency) Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, February 14, 2019
LD 29
This resolve is based on recommendations of the Task Force To Address the Opioid Crisis in the State, which submitted its report to the Legislature in December 2017. The resolve requires the Department of Education to establish a work group to evaluate existing substance use prevention programs targeting school-age children, investigate prevention programs that have proven effective in other areas of the United States or in other countries, identify funding resources and determine how prevention programs should be incorporated into education curricula. The work group must include representatives of educational, law enforcement and public health organizations. The department is required to submit a report of the findings of the work group no later than January 1, 2020 to the joint standing committee of the Legislature having jurisdiction over education matters.

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 53 An Act To Clarify Local Referendum Ballots Status: Referred to State and Local Government Committee, Amended by Committee amendment S-41, Enacted, Signed into law April 26, 2019
LD 53
This bill requires that municipal initiative and referendum questions be listed on election ballots using sequential capital letters of the alphabet rather than sequential numbers.

Amendment S-41
This amendment allows municipal officers to use sequential capital letters for municipal initiative and referendum questions, rather than requiring the use of sequential capital letters as in the bill. This amendment also clarifies that only the portion of the Maine Revised Statutes, Title 21-A, section 906, subsection 7 regarding the required use of sequential numbers is not applicable to the provisions of this legislation.

LD 53 Chaptered Law
LD 53 Chaptered Law fiscal note
LD 103 An Act To Ensure the Integrity of For-profit Colleges and Universities Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-83, Enacted, Signed into law May 28, 2019
LD 103
This bill requires annual review of for-profit colleges by the State Board of Education to ensure that they are meeting adequate educational standards. If the board finds that a for-profit college is not meeting the standards, the board may terminate the degree-granting authority of the for-profit college.

Amendment S-83
This amendment, which is the majority report, clarifies that the bill applies to for-profit universities as well as colleges and expands the definition of "for-profit college or university" to include a postsecondary institution that is regulated by the Department of Education or the State Board of Education, is eligible to participate in federal student aid programs and is operated by a private, for-profit business. The amendment requires the Commissioner of Education, instead of the State Board of Education, to review a for-profit college or university and adds a requirement that student support services, including the process by which student complaints are handled, be reviewed by the Commissioner of Education to determine whether adequate educational standards are being met by a for-profit college or university.

LD 103 Chaptered Law
LD 103 Chaptered Law fiscal note
LD 109 An Act To Create a Public Health Insurance Option Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 23, 2019
LD 109
This bill makes any legally domiciled resident of the State eligible for coverage under the group health plan available to state employees and other eligible persons. The bill permits any resident enrolling in coverage under this provision to do so during an open enrollment period.

The bill also adds a reporting requirement to track the experience of those persons enrolling in coverage under the group health plan and the relative effect of that experience on the overall costs of the group health plan.

LD 114 An Act To Establish Open Primaries for Certain Federal and State Offices Status: Referred to Veterans and Legal Affairs Committee, Dead, Concurrence in Ought Not to Pass, May 28, 2019
LD 114
This bill provides for open primary elections for the elections for United States Senator, United States Representative to Congress, Governor, State Senator and State Representative. All of the candidates for those offices, including candidates enrolled in a party and unenrolled candidates, must appear on the same open primary ballot. All qualified voters, regardless of enrollment status, are eligible to vote in open primary elections.

The votes in an open primary election must be tabulated using ranked-choice voting, except that the 2 candidates who receive the most votes are declared the winners of the open primary and their names must appear on the ballot for the general election. If one of the 2 candidates who received the most votes at the open primary withdraws from the race at least 70 days before the general election, that candidate must be replaced with the candidate who received the 3rd most votes in the open primary election, if any. Voters may not vote for a write-in candidate in a general election that was preceded by an open primary election. As a result, ranked-choice voting will no longer be used in general elections for United States Senator and United States Representative to Congress. Instead, the candidate who receives a plurality of votes at the general election will be elected to those offices.

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 151 An Act To Align State Law with Current Practice Regarding Required School Attendance Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment S-30, tabled to Special Appropriations in the Senate April 25, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 151
This bill changes the age at which children are required to begin attending school from 7 years of age to 6 years of age.

Amendment S-30
This amendment, which is the majority report, requires the Commissioner of Education to provisionally adopt amendments to the Department of Education rule Chapter 125: Basic Approval Standards: Public Schools and School Administrative Units to address developmentally appropriate educational practices for kindergarten to grade 2.

LD 151 fiscal note
LD 151 Amendment S-30 fiscal note
LD 159 An Act To Require Cameras in Ambulances When a Patient Is Being Transported Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, March 12, 2019
LD 159
This bill requires that, whenever an ambulance transports a patient from the scene of an emergency or from a hospital or other health care facility to another place, the ambulance must be equipped with video recording equipment that is in operation for the duration of the transport and that is producing a clear video record of the care provided to the patient. In accordance with applicable federal and state law, the video records are to be maintained as confidential by the ambulance service operator and, if applicable, by the Emergency Medical Services' Board and the Department of Public Safety.

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 187 An Act To Restore the Laws Governing the Reunification of Parents and Children Status: Referred to Judiciary Committee, Dead, Non-concurrence, June 12, 2019
LD 187
Recently enacted law eliminated language that established as a priority under the Child and Family Services and Child Protection Act family rehabilitation and reunification. This bill restores family rehabilitation and reunification as a priority under the laws governing child protective services.

LD 218 An Act To Prohibit a Person from Collecting Contributions under the Maine Clean Election Act at a Polling Place Status: Referred to Veterans and Legal Affairs Committee, Dead, Joint rule 310.3, June 17, 2019
LD 218
This bill prohibits the solicitation, acceptance or collection by a participating candidate under the Maine Clean Election Act of seed money contributions or qualifying contributions within 250 feet of the entrance to a voting place as well as within the voting place itself.

LD 254 An Act To Clarify Liquor Label Approval and Registration Requirements Status: Referred to Veterans and Legal Affairs Committee, Amended by Committee amendment S-27, Enacted, Signed into law April 22, 2019
LD 254
This bill requires that all malt liquor, wine and low-alcohol spirits products imported to, exported from or sold in Maine bear a label approved by the United States Department of the Treasury, Alcohol and Tobacco Tax and Trade Bureau unless the malt liquor, wine or low-alcohol spirits products are manufactured in Maine and are not shipped, distributed or sold in interstate commerce.

The bill also requires manufacturers to register the labels of all malt liquor, wine and low-alcohol spirits products sold in the State with the Department of Administrative and Financial Services, Bureau of Alcoholic Beverages and Lottery Operations unless the malt liquor, wine or low-alcohol spirits products are sold by a Maine manufacturer directly to consumers for on-premises consumption or in a keg to a Maine retailer licensed to sell liquor for on-premises consumption. The Bureau of Alcoholic Beverages and Lottery Operations is required to adopt rules establishing requirements for label registration that are consistent with the regulations promulgated by the United States Department of the Treasury, Alcohol and Tobacco Tax and Trade Bureau pursuant to the Federal Alcohol Administration Act, 27 United States Code, Section 205(e).

Amendment S-27
This amendment clarifies that the liquor label approval and registration requirements in the bill apply to hard cider as well as malt liquor, wine and low-alcohol spirits products.

The amendment further exempts Maine manufacturers from the requirement to register the labels of all malt liquor, wine, hard cider and low-alcohol spirits products with the Department of Administrative and Financial Services, Bureau of Alcoholic Beverages and Lottery Operations if those products are given as complimentary samples to consumers or sold to customers as samples.



LD 254 Chaptered Law
LD 254 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 280 An Act To Improve Public Safety by Restricting the Use of Distracting Electronic Devices While Operating a Motor Vehicle Status: Referred to Transportation Committee, Dead, Joint rule 310.3, May 21, 2019
LD 280
This bill adds a prohibition on the use of a portable electronic device such as a video device or a global positioning system device to the prohibition on text messaging while operating a motor vehicle.

LD 287 An Act To Impose on Mental Health Professionals a Duty To Warn and Protect Status: Referred to Judiciary Committee, Amended by Committee amendment H-450, Enacted, Signed into law June 17, 2019
LD 287
This bill imposes on certain mental health professionals a duty to warn and protect if a patient or client is likely to engage in physical violence that poses a serious risk of harm to self or others or that constitutes a serious threat of substantial damage to real property. The duty to warn and protect applies to osteopathic physicians, physicians, psychologists, alcohol and drug counselors, social workers and counseling professionals.

Amendment H-450
This amendment clarifies the duty that the bill imposes on certain professionals to warn and protect if a patient or client is likely to engage in physical violence by limiting the duty to cases in which there is a belief that the patient is likely to pose a serious risk of harm to self or others. The bill includes a duty with regard to a serious threat of substantial damage to real property, which this amendment deletes.

This amendment also replaces the immunity language provided in the bill to make clear that there is no monetary liability and that the specific mental health professionals are not subject to a cause of action based on the disclosure of information to a 3rd party in an effort to discharge the duty to warn or protect.

LD 287 Chaptered Law
LD 287 Chaptered Law fiscal note
LD 297 An Act To Strengthen Brain Injury Resources for Underserved Populations, Including Opioid Overdose Brain Injury Survivors Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-134, Enacted, Signed into law, June 27, 2019
LD 297
This bill authorizes the Department of Health and Human Services to enter into contracts with organizations representing individuals with a brain injury and their families, bringing together state and national expertise to provide core brain injury support for underserved populations of individuals with an acquired brain injury.

Amendment H-134
This amendment adds victims of domestic violence to the list of underserved populations of individuals with an acquired brain injury. It also clarifies that the Department of Health and Human Services may adopt rules rather than being required to adopt rules.

LD 297 Chaptered Law
LD 297 Chaptered Law fiscal note
LD 331 An Act To Prohibit the Operation of Large Commercial Vessels in the Waters of Southern Mount Desert Island (By request) Status: Referred to Transportation Committee, Dead, Joint rule 310.3, May 7, 2019
LD 331
This bill prohibits the operation, mooring or anchoring of commercial vessels over 200 feet in length or with the capacity to carry more than 100 passengers in the waters of southern Mount Desert Island.

LD 362 Resolve, To Require the Department of Health and Human Services To Submit a State Plan Amendment To Exempt Retirement and Educational Assets from Calculations for Medicaid Eligibility Status: Referred to Health and Human Services Committee, Work session held, February 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 362
This resolve requires the Department of Health and Human Services to prepare and submit a state plan amendment to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services in order to make a change in Medicaid eligibility requirements for individuals with disabilities under 65 years of age who have dependent children living in the home by disregarding assets held in qualifying retirement and education accounts.

LD 363 An Act To Protect Residents of Assisted Living Facilities Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, March 21, 2019
LD 363
This bill requires nursing facilities and assisted living and residential care facilities that provide services to a person who requires assistance with activities of daily living to perform cardiopulmonary resuscitation or use an automated external defibrillator in the event of a suspected sudden cardiac arrest unless the person has made a health care decision that includes an order not to resuscitate. It requires those facilities to store the necessary equipment to perform cardiopulmonary resuscitation or use an automated external defibrillator. It requires those facilities to provide training to their employees on how to perform cardiopulmonary resuscitation and use an automated external defibrillator. The bill also directs those facilities to establish a process for quickly determining in the event of a medical emergency whether an individual residing in the facility has made a health care decision that includes an order not to resuscitate.

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 401 An Act To Preserve State Landfill Capacity and Promote Recycling Status: Referred to Environment and Natural Resources Committee, Work session held, May 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 401
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to enact measures to ensure accurate tracking of the origin and type of waste materials disposed of in Maine, to discourage landfilling of recyclable materials, to preserve landfill capacity at state-owned facilities for Maine-generated materials, and to ensure the rights of host communities and abutters of waste disposal facilities. In order to achieve these goals, the bill proposes to:
  • 1. Ensure there is accurate tracking and record keeping identifying the origin, amounts and types of materials disposed in waste facilities in the State;
  • 2. Ensure waste is effectively tracked from generation point through processing to final disposal point, including the following types of facilities and disposal sites where tracking is required: landfills; landfill leachate discharge sites; incinerator ash and slag disposal sites; and biosolids disposal sites;
  • 3. Ensure that waste materials imported from outside the State that are processed at facilities in the State are not classified as Maine-generated waste;
  • 4. Ensure that waste materials that end up in a landfill, such as construction and demolition debris, which are used for daily cover in a landfill, are not counted toward the State's recycling goals;
  • 5. Ensure adequate legal standing and strengthen protections for the health and well-being of people living in close proximity to waste disposal facilities;
  • 6. Strengthen conflict-of-interest protections in awarding and management and oversight of state waste contracts to prevent price fixing and market manipulation; and
  • 7. Direct the Department of Environmental Protection to amend rule Chapter 400, Maine Solid Waste Management Rules to:
    • A. Amend the definition of "bypass" to limit the waste that is considered bypass to solid waste that cannot be disposed of, processed or beneficially used at that facility because of malfunction, insufficient capacity, downtime or inability of the facility to process or burn;
    • B. Amend the definition of "recycle" and "recycling" to add a provision that any material left at a landfill is not considered recycled; and
    • C. Define "Maine-generated waste" as solid waste that is discarded for the first time within the physical confines of the State.


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 439 Resolve, Directing the Commissioner of Health and Human Services To Convene a Task Force To Study the Need for Long-term Acute Care Beds Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-145, Finally passed, Signed into law June 15, 2019
LD 439
This resolve requires the Commissioner of Health and Human Services to convene a task force to evaluate the need for long-term acute care beds in the State. The commissioner is required to submit a report detailing findings of the task force and recommended legislation to the Joint Standing Committee on Health and Human Services, which may submit a bill related to the report to the Second Regular Session of the 129th Legislature.

Amendment S-145
This amendment clarifies that the Commissioner of Health and Human Services is required to convene a task force of stakeholders to evaluate the need for long-term acute care beds in the State. It changes the reporting date for the department from December 1, 2019 to January 2, 2020.

LD 439 Chaptered Law
LD 439 Chaptered Law fiscal note
LD 440 An Act To Continue the Doctors for Maine's Future Scholarship Program Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Enacted in the House as amended by Committee amendment S-61, tabled to Special Appropriations in the Senate May 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 440
This bill provides ongoing funds to the Doctors for Maine's Future Scholarship Program under the Maine Revised Statutes, Title 20-A, section 12103-A.

Amendment S-61
This amendment incorporates a fiscal note.

LD 440 fiscal note
LD 440 Amendment S-61 fiscal note
LD 441 An Act To Reduce Childhood Exposure to Harmful Ultraviolet Radiation by Allowing Students To Use Sunscreen in Schools Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-14, Enacted, Signed into law April 11, 2019
LD 441
This bill allows public school students to possess and use a topical sunscreen product while on school property or at a school-sponsored event without prior authorization from a parent or legal guardian or a note or prescription from a licensed health care professional.

Amendment S-14
This amendment directs the Commissioner of Education to adopt rules authorizing students who attend public school to possess and use a topical sunscreen product while on school property or at a school-sponsored event without a note or prescription from a licensed health care professional if the product is regulated by the federal Food and Drug Administration for over-the-counter use for the purpose of limiting skin damage from ultraviolet radiation.

LD 441 Chaptered Law
LD 441 Chaptered Law fiscal note
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 474 Resolve, To Ensure the Health and Wellness of Older Residents of the State Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-36, tabled to Special Appropriations in the Senate April 23, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 474
This bill directs the Department of Health and Human Services to request the United States Department of Agriculture to waive the asset test for determining the eligibility for the federal supplemental nutrition assistance program of any household in which there is an individual who is 60 years of age or older. It also directs the department to develop a pilot project to provide home-delivered meals to individuals who are 60 years of age or older and who are homebound or at risk for readmission to a health care facility. It requires the department to report to the joint standing committee of the Legislature having jurisdiction over health and human services matters at the conclusion of the pilot project. The bill also provides funding to eliminate the waiting list for home-delivered meals to homebound individuals who are over 60 years of age who cannot prepare meals and do not have others available to prepare meals for them.

Amendment S-36
This amendment removes from the resolve the provisions relating to requesting a waiver from the asset test for the federal supplemental nutrition assistance program and providing additional funds to eliminate the waiting list for home-delivered meals to homebound individuals. The amendment also clarifies that the demonstration waiver for medically tailored foods applies to individuals who are 60 years of age or older, homebound and at risk for readmission to a health care facility. It changes the date for reporting on the 2-year pilot project to January 1, 2023 and clarifies that the pilot project goes forward only if the waiver is approved by the Federal Government.

The amendment also includes an appropriations and allocations section.



LD 474 Amendment S-36 fiscal note
LD 480 An Act To Ensure Pay Transparency and To Reduce Gender and Racial Wage Inequities Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, April 2, 2019
LD 480
This bill requires certain employers, including, but not limited to, state agencies, to annually submit wage data reports regarding employee gender, race and ethnicity to the Maine Human Rights Commission.

LD 481 An Act To Allow the Expansion of the Types of Newspapers That Qualify as Legal Notice Publishers by Removing the 2nd Class Postal Matter Requirement Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, March 14, 2019
LD 481
This bill removes from the law governing publication of legal notices the requirement that, in order for a newspaper to publish notices, it must be entered as 2nd class postal matter in the United States mails.

LD 486 An Act To Improve Efficiencies in Cosmetology Licensing Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Dead, Joint rule 310.3, April 23, 2019
LD 486
This bill provides that a person is eligible to obtain a cosmetology license in this State if that person has met the hour and timing requirements in state law by completing a course of instruction or having experience as a trainee out of state that is approved by the Director of the Office of Professional and Occupational Regulation within the Department of Professional and Financial Regulation.

LD 496 An Act To Extend the Availability of Protection from Abuse and Protection from Harassment Orders Status: Referred to Judiciary Committee, Amended by Committee amendment S-282, Enacted, Signed into law June 18, 2019
LD 496
This bill expands the definition of "family or household member" in the laws governing protection from abuse in order to include, for purposes of a protection from abuse order, all related individuals regardless of whether the individuals are adult household members.

This bill also directs a court in which a protection from harassment or a protection from abuse complaint is filed to notify the plaintiff if appropriate or greater relief is available.

Amendment S-282
This amendment replaces the bill.

The amendment clarifies the bill's language regarding the court's discretion in a protection from harassment action to issue a protection from harassment order even if the notice to stop harassing the plaintiff was not issued to the defendant.

The amendment clarifies that an adult who has been abused, as defined in the Maine Revised Statutes, Title 19-A, section 4002, subsection 1, can seek a protection from abuse order if the adult has been abused by, in addition to a family or household member or a dating partner as provided in current law, an individual related to the adult by consanguinity or affinity. The amendment provides the same protection for a minor child.

The amendment directs the offices of the court clerks to provide plaintiffs with written contact information for resources from which the plaintiff may receive legal or social service assistance when the contact information for those services has been provided to the Administrative Office of the Courts by the various providers, including the Maine State Bar Association or successor organization, any local or statewide organizations providing domestic violence services and sexual assault services and any other agency providing reliable and relevant resource contact information.

LD 496 Chaptered Law
LD 496 Chaptered Law fiscal note
LD 498 Resolve, Regarding Reimbursement of Physical Medicine and Rehabilitation Codes under MaineCare Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-144, tabled to Special Appropriations in the Senate June 3, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 498
This resolve sets the reimbursement rates for occupational therapy and physical therapy services under the Department of Health and Human Services rule Chapter 101: MaineCare Benefits Manual, Chapter III, Sections 68 and 85 at 70% of the federal Medicare reimbursement rate as long as the rate is no lower than the rate in effect on January 1, 2019.

Amendment S-144
This amendment adds an appropriations and allocations section.

LD 498 fiscal note
LD 498 Amendment S-144 fiscal note
LD 514 An Act To Amend the Laws Governing the Political Party Representation of Election Clerks Status: Referred to Veterans and Legal Affairs Committee, Amended by Committee amendment H-93, Enacted, Signed into law April 30, 2019
LD 514
This bill requires election clerks in a municipality to be selected so that 33% of clerks are from one major party and 33% from another, with 34% of clerks being selected without regard to party enrollment.

Amendment H-93
This amendment, which is the majority report of the committee, strikes and replaces the bill, which requires election clerks in a municipality to be selected so that 33% of clerks are from one major party, 33% are from another major party and 34% are selected without regard to party enrollment. This amendment amends the process for selection of election clerks and clarifies other provisions regarding election clerks.

Specifically, the amendment retains the provision in current law allowing parties to nominate election clerks but also allows the municipal clerk or any registered voter to make nominations. Like current law, the amendment directs timely consideration of nominations but does not require municipal officers to appoint the election clerks from among nominees and instead allows them to appoint any qualified voter. Under the amendment, the minimum requirement is 2 election clerks at each voting place, one each from the 2 major parties. The amendment requires that at least 1/2 of the election clerks working at any election are affiliated with the major parties, and the rest of the election clerks may be affiliated with a minor party or be unenrolled.

The amendment also provides that if the municipal officers do not appoint a sufficient number of election clerks representing the major parties or an insufficient number of appointees are available to serve from the list provided by municipal officers, the municipal clerk may appoint additional election clerks without regard to party enrollment status.

LD 514 Chaptered Law
LD 514 Chaptered Law fiscal note
LD 545 An Act To Ban Child Marriage Status: Referred to Judiciary Committee, Enacted in both chambers June 14, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 545
Under current law, a marriage license may be issued to parties who are under 16 years of age with the written consent of their parents, guardians or legal custodians and the consent of the probate judge in the county where each minor resides. This bill amends the law to prohibit the issuance of a marriage license to a person under 16 years of age.

LD 545 fiscal note
LD 551 An Act To Ban Nicotine Liquid Containers Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 30, 2019
LD 551
This bill prohibits, beginning January 1, 2020, a person from selling, furnishing or giving away a nicotine liquid container.

LD 555 An Act To Reduce Colorectal Cancer Incidence and Mortality by Updating Screening Coverage Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-46, Enacted, Signed into law May 8, 2019
LD 555
This bill removes references to the age of the patient for purposes of requiring coverage for colorectal cancer screening for asymptomatic individuals who are at average risk for colorectal cancer and instead requires coverage in accordance with the most recently published guidelines of a national cancer society. In addition, this bill requires coverage of all colorectal examinations and laboratory tests recommended by a health care provider in accordance with those published guidelines.

Amendment S-46
This amendment makes the bill's requirements for coverage of colorectal cancer screening apply to health insurance plans issued or renewed on or after January 1, 2020. The amendment also adds language exempting the Act from the provisions of the Maine Revised Statutes, Title 24-A, section 2752.

LD 555 Chaptered Law
LD 555 Chaptered Law fiscal note
LD 558 An Act To Amend the Continuing Education Requirements for Prescribers of Opioid Medication Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, March 12, 2019
LD 558
This bill will reduce the amount of opioid prescribing education required of prescribers from 3 hours per license cycle of 2 years to one hour per license cycle of 2 years after the licensee has completed an initial 3-hour requirement. It will also require the licensing boards to adopt rules consistent with the reduction in the amount of required prescribing education.

LD 570 An Act To Create an Airplane Mechanic Education Program Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Dead, Joint rule 310.3, May 21, 2019
LD 570
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to develop a program to train and educate individuals for a career in aircraft mechanics and maintenance.

LD 586 An Act Regarding the Department of Transportation's Use of Sediment Erosion Control Systems Status: Referred to Transportation Committee, Dead, Joint rule 310.3, May 7, 2019
LD 586
This bill requires the Department of Transportation to specify whether a biodegradable or nonbiodegradable sediment erosion control system will be used for a project by the department and requires that nonbiodegradable sediment erosion control systems be removed with 90 days of a project's completion.

LD 603 An Act To Amend the Laws Governing Funding for Landfill Closure Costs Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment S-55, Enacted, Signed into law May 8, 2019
LD 603
This bill extends the eligibility period for closure costs for a landfill that currently applies only to a landfill licensed on or before September 1, 1989. The bill provides that if a license application for a landfill was accepted for processing on or before September 1, 1989 and the application was approved by the Commissioner of Environmental Protection within one year of accepting the application for processing, the landfill is eligible for payment of 75% of certain closure costs by the Department of Environmental Protection.

Amendment S-55
This bill extends the eligibility period for closure costs for a landfill that currently applies only to a landfill licensed on or before September 1, 1989. The bill provides that if a license application for a landfill was accepted for processing on or before September 1, 1989 and the application was approved by the Commissioner of Environmental Protection within one year of accepting the application for processing, the landfill is eligible for payment of 75% of certain closure costs by the Department of Environmental Protection.

LD 603 Chaptered Law
LD 603 Chaptered Law fiscal note
LD 606 Resolve, To Require the Department of Health and Human Services To Provide Cost-based Reimbursement to Maine Veterans' Homes Status: Dead, Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-120, tabled to Special Appropriations in the Senate May 29, 2019, in the Senate when the Senate adjourned sine die, June 20, 2019
LD 606
This resolve requires the Department of Health and Human Services to amend its rules governing MaineCare reimbursement in order to provide cost-based reimbursement to Maine Veterans' Homes nursing facilities.

Amendment S-120
This amendment adds an appropriations and allocations section.

LD 606 fiscal note
LD 606 Amendment S-120 fiscal note
LD 615 An Act To Protect the Integrity of the MaineCare Program Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-306, Enacted, Became law without the Governor's signature June 11, 2019
LD 615
This bill provides that, without authorization from the Legislature by proper enactment of a law, the Department of Health and Human Services may not implement changes in the Medicaid program or the federal State Children's Health Insurance Program that significantly change enrollment in the program, the category or scope of covered services or the funding mechanisms for the program, unless required by federal law.

Amendment H-306
This amendment, which is the unanimous report of the committee, adds language describing the situations in which the Department of Health and Human Services may not implement changes in the Medicaid program or the federal State Children's Health Insurance Program without proper authorization from the Legislature.

LD 615 Chaptered Law
LD 615 Chaptered Law fiscal note
LD 620 An Act Regarding Licensing of Land-based Aquaculture Facilities Status: Referred to Agriculture, Conservation and Forestry Committee, Dead, Joint rule 310.3, March 21, 2019
LD 620
This bill amends the law allowing the Commissioner of Agriculture, Conservation and Forestry to refuse to issue a land-based aquaculture license, or revoke an existing license, when the aquaculture activity presents an unreasonable risk to indigenous marine or freshwater life or its environment and specifies that the activity is either alone in the use of a body of water in combination with the aquaculture activity of any other land-based aquaculture operations using the same body of water.

LD 639 An Act To Protect Student Privacy Status: Referred to Judiciary Committee, Work session held, May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 639
This bill provides that video and audio recordings made by security or surveillance cameras on school grounds or in school vehicles are not public records for purposes of the Freedom of Access Act.

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 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 730 An Act To Create the Substance Use Disorders Cabinet Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, April 11, 2019
LD 730
This bill establishes the Substance Use Disorders Cabinet. The cabinet consists of the Commissioner of Corrections, the Commissioner of Education, the Commissioner of Health and Human Services, the Commissioner of Labor and the Commissioner of Public Safety, the Chief Justice of the Supreme Judicial Court and, at the discretion of the Governor, one member of the public. The initial chair of the cabinet is the Commissioner of Health and Human Services or the commissioner's designee. The cabinet is established to promote interdepartmental collaboration on substance use disorders policy development and program implementation and support service delivery in an integrated manner. The duties of the cabinet include coordinating funding, conducting long-term planning and policy development, coordinating service delivery, assessing resource capacity, reviewing programs and policies and communicating the work of the cabinet. The cabinet is authorized to solicit, receive and pool funds from the Federal Government, subdivisions of the State and individuals, foundations or corporations. The cabinet is required to submit an annual report to the joint standing committees of the Legislature having jurisdiction over appropriations and financial affairs, criminal justice and public safety matters, education and cultural affairs, health and human services matters, judiciary matters, labor matters and state and local government matters and to make the report available to the public. The cabinet is required to carry out its duties within existing resources.

LD 740 An Act To Include Bucksport and the Penobscot River Basin in the Department of Transportation's Cargo Port Strategy Status: Referred to Transportation Committee, Dead, Joint rule 310.3, April 2, 2019
LD 740
This bill directs the Department of Transportation to develop and implement a strategy for cargo port development that includes Bucksport and the Penobscot River Basin.

LD 747 An Act To Promote the Safe Use and Sale of Firearms Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, May 28, 2019
LD 747
This bill does the following.
  • 1. It creates the civil violation of the sale or transfer of a firearm to a prohibited person and provides that a 2nd or subsequent offense is a strict liability Class E crime. The bill also creates an affirmative defense to prosecution under this new civil violation and crime that the seller or transferor of the firearm requested a federally licensed firearms dealer to conduct a computerized background check under the Federal Bureau of Investigation, National Instant Criminal Background Check System on the purchaser or transferee prior to the sale or transfer of the firearm and the background check indicated that the purchaser or transferee was not a prohibited person.
  • 2. It creates the Class D crime of the sale or transfer of a firearm to a prohibited person. A person is guilty of this crime if that person intentionally or knowingly sells or transfers a firearm to another person that the seller or transferor knows or believes is prohibited from possessing a firearm.
  • 3. It increases the fine from $50 to $1,000 for the civil violation of giving a false or fictitious name to a firearms dealer and makes the fine mandatory.
  • 4. It requires the Chief of the State Police to convene a study group to review and make recommendations regarding the so-called blue paper process as it relates to persons admitted to a psychiatric hospital on an emergency basis who are temporarily prohibited from possessing firearms. Representatives from the following are invited to participate in this review: the Office of the Attorney General, the Department of Health and Human Services, the Maine Prosecutors Association, Disability Rights Maine and any other interested parties that the Chief of the State Police determines appropriate. The Chief of the State Police is required to report the recommendations of the study group to the Joint Standing Committee on Criminal Justice and Public Safety by January 30, 2020. Following receipt of the report, the Joint Standing Committee on Criminal Justice and Public Safety may report out a bill to the Second Regular Session of the 129th Legislature.


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 793 An Act To Improve Accountability of Opioid Manufacturers Status: Referred to Judiciary Committee, Enacted in both chambers as amended by Committee amendment S-320 and Senate amendment S-321, June 19, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 793
This bill prohibits opioid medication manufacturers and distributors from falsely advertising that an opioid medication does not have abuse liability or has a lower abuse liability than another opioid medication; distributing a quantity of opioid medications that is not medically reasonable; or failing to report orders that are not medically reasonable. It establishes a civil violation and authorizes the Attorney General to investigate violations. It creates a fund into which the penalties and fees must be paid. This legislation applies retroactively to January 1, 1985.

Amendment S-320
This amendment replaces the bill.

The amendment raises the annual fee for a manufacturer of opioid medication to $55,000. The amendment establishes a registration fee due from manufacturers of opioid medications of $250,000 if the manufacturer sells, delivers or distributes 2,000,000 or more units of an opioid medication within this State, not including units that are prescribed for the purpose of medication-assisted treatment of substance use disorder. The fees are deposited into the Opioid Use Disorder Prevention and Treatment Fund, which is established to provide opioid use disorder prevention and treatment services and administered by the Department of Health and Human Services.

The amendment also requires manufacturers and wholesale distributors of opioid medications to provide to the State the same information as provided to the United States Drug Enforcement Administration under its Automation of Reports and Consolidated Orders System regarding controlled substances transactions in this State on the same schedule that information is provided to the Federal Government.

The amendment requires the Maine Board of Pharmacy to evaluate and report whether the fees have affected the prescribing practices for opioid medications by reducing the number of opioid medication prescriptions issued during calendar years 2020, 2021 and 2022 or whether the fees have created any unintended consequences in the availability of opioid medications for the treatment of chronic or intractable pain, to the extent the board has the ability to identify a correlation. The board shall provide the report to the joint standing committee of the Legislature having jurisdiction over health and human services matters, which may report out legislation based upon the report. The reports must be submitted annually by March 1st.

Amendment S-321
This amendment exempts from the opioid medication fee a manufacturer of opioid medications exclusively for use in veterinary medicine.

LD 793 Amendment S-320 fiscal note
LD 793 Amendment S-321 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 817 An Act To Advance the Restoration of the Penobscot River Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment S-34, Enacted, Signed into law April 30, 2019
LD 817
This bill extends north to Milford Dam between Milford and Old Town on the Penobscot River, with the exception of the Stillwater Branch, the protections under the Maine Revised Statutes, Title 38, section 418-A currently provided to the lower Penobscot River. It requires the Department of Marine Resources, the Department of Inland Fisheries and Wildlife and the Department of Environmental Protection, in consultation with the Penobscot Indian Nation and interested federal agencies, to conduct a comprehensive assessment of fish passage barriers, water quality and habitat conditions affecting the full restoration of fisheries within the Penobscot River watershed and the feasibility and costs of mitigating problems and report to the Joint Standing Committee on Marine Resources, the Joint Standing Committee on Inland Fisheries and Wildlife and the Joint Standing Committee on Environment and Natural Resources. It authorizes the joint standing committees to report out legislation to the Second Regular Session of the 129th Legislature.

Amendment S-34
This amendment removes from the bill the directed comprehensive assessment of the Penobscot River Watershed by the Department of Marine Resources, the Department of Inland Fisheries and Wildlife and the Department of Environmental Protection. It also makes a technical correction to a section headnote.

LD 817 Chaptered Law
LD 817 Chaptered Law fiscal note
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 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 842 An Act Relating to Insurance Companies and Totaled Motor Vehicles Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, March 19, 2019
LD 842
This bill requires motor vehicle insurance policies to allow an insured to maintain possession of an insured motor vehicle determined a total loss by the insurer if the insured provides a credible estimate from a motor vehicle mechanic or repair facility detailing repairs that, if performed, would conform the motor vehicle to state motor vehicle inspection standards. This bill allows an insurer to deduct from a settlement paid for damage to a totaled vehicle an amount equal to the motor vehicle's salvage value if the insured elects to maintain possession of the motor vehicle.

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 864 An Act To Make Whole Family Support Available Statewide Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, June 18, 2019
LD 864
This bill requires community action agencies to establish support programs to serve families to assist parents with children as they pursue stable employment, pursue education intended to lead to employment or otherwise pursue self-sufficiency. The bill also provides funding for community action agencies to establish the support programs.

LD 867 An Act To Require Public Health Impact Statements for Certain Legislation Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, March 26, 2019
LD 867
This bill requires the Department of Health and Human Services, when requested by the chairs of a joint standing committee of the Legislature, to prepare and provide a public health impact statement for legislation before the committee. The public health impact statement must include the potential positive and negative public health effects of the legislation and considerations necessary to the decision-making process regarding the legislation and provide practical recommendations to increase the positive health effects and minimize negative health effects of the legislation.

LD 879 An Act To Decrease the Risk of the Spread of Invasive Aquatic Plants Status: Referred to Inland Fisheries and Wildlife Committee, Dead, Joint rule 310.3, March 26, 2019
LD 879
This bill requires the Commissioner of Inland Fisheries and Wildlife, in consultation with the Department of Environmental Protection, to develop a risk assessment tool to evaluate the economic and environmental risks associated with public access, including the issuance of permits for fishing derbies and tournaments, on public waters with documented invasive aquatic plants. It requires the commissioner to utilize the risk assessment tool before the issuance of permits for fishing derbies and tournaments and when making decisions regarding public access on public waters with documented invasive aquatic plants.

LD 892 Resolve, To Require the Examination of Alternatives to the Service Provider Tax Status: Referred to Taxation Committee, Amended by Committee amendment S-289, Finally passed, Signed into law June 19, 2019
LD 892
This bill repeals the service provider tax for so-called MaineCare Appendix C private nonmedical institutions, which are residential care facilities maintained wholly or partly for the purpose of providing residents with medical and remedial treatment services. The service provider tax continues to apply to private nonmedical institution services that are provided by MaineCare Appendix B, D, E or F private nonmedical institutions.

Amendment S-289
This amendment replaces the bill with a resolve that directs the Department of Health and Human Services in partnership with the Department of Administrative and Financial Services and other state agencies that the departments determine should be included to examine the service provider tax and alternatives to the tax and submit a report on their findings to the Joint Standing Committee on Taxation by March 1, 2020. The committee is authorized to submit a bill to the Second Regular Session of the 129th Legislature.

LD 892 Chaptered Law
LD 892 Chaptered Law fiscal note
LD 893 An Act To Create an Updated Unified Maine Climate Action Plan Status: Referred to Environment and Natural Resources Committee, Dead, Joint rule 310.3, June 3, 2019
LD 893
This bill requires the Department of Environmental Protection, working with the Maine Interagency Climate Adaptation Work Group, or MICA Work Group, and the University of Maine, to update the Maine Climate Action Plan developed in 2004 by the department. It requires the updated plan to address both mitigation and adaptation strategies. It requires the department and the MICA Work Group to convene a group of stakeholders to evaluate the mitigation and adaptation strategies in order to update the plan and it provides for internships for University of Maine students to work on the development and implementation of the updated plan. It authorizes the department to hire consultants. It requires the University of Maine System to develop and implement procedures for providing climate data to residents of the State. It also includes an appropriations and allocations section.

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 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 991 Resolve, To Expunge Criminal and Civil Records Related to Marijuana Activities Legalized by the Voters of Maine Status: Referred to Judiciary Committee, Dead, Joint rule 310.3, June 3, 2019
LD 991
This bill requires the Department of Public Safety to expunge, by July 1, 2020, all records relating to criminal convictions and civil violations for conduct now authorized by the adult use of marijuana provisions in the Maine Revised Statutes.

LD 997 An Act To Promote Social and Emotional Learning and Development for Young Children Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-191 and Senate amendment S-334, Enacted, Signed into law June 27, 2019
LD 997
This bill requires the Commissioner of Education to implement, beginning September 1, 2020, a statewide voluntary early childhood consultation program to provide support, guidance and training to families, early care and education teachers and providers working in public elementary schools, child care facilities, family child care settings and Head Start programs serving infants and young children who are experiencing challenging behaviors that put them at risk of learning difficulties and removal from early learning settings. The bill requires the Department of Education to design and implement the program and to report to the joint standing committee of the Legislature having jurisdiction over education matters on the implementation of the statewide voluntary early childhood consultation program.

Amendment S-191
This amendment, which is the majority report, provides that any record about a child created as a result of an early childhood consultation program must be made available to the parents or guardians of that child and may not become part of the child's education record.

The amendment also stipulates that 50% of the costs of the early childhood consultation program established under the bill is to be funded using funds transferred to the Department of Education by the Department of Health and Human Services that are provided to the Department of Health and Human Services under the Temporary Assistance for Needy Families block grant that are available under Title IV-A of the United States Social Security Act or that are transferred to the Department of Health and Human Services from that block grant authorized under Title XX of the United States Social Security Act.

The amendment also adds an appropriations and allocations section.

Amendment S-334
This amendment changes the responsibility for the statewide voluntary early childhood consultation program from the Department of Education to the Department of Health and Human Services and makes other minor changes to reflect the change in responsibility.

LD 997 Chaptered Law
LD 997 Chaptered Law fiscal note
LD 1003 An Act To Ensure Accurate Explanations of Electric Bills Status: Referred to Energy, Utilities and Technology Committee, Amended by Committee amendment H-101, Enacted, Signed into law May 8, 2019
LD 1003
This bill requires an investor-owned transmission and distribution utility to obtain the approval of the Public Utilities Commission before providing information explaining electricity rate components to a customer. The bill requires the commission to ensure that the information provided to a customer accurately reflects the overall rate structure and cost components for the supply and delivery of electricity. The bill also requires the commission to receive input from the Public Advocate and other interested parties before approving or disapproving any written information provided by an investor-owned transmission and distribution utility to a customer.

Amendment H-101
This amendment replaces the bill. The amendment requires the Public Utilities Commission to adopt rules to do the following:
  • 1. Require investor-owned transmission and distribution utilities to provide customers annually, as an insert or attachment to customer bills, an informational chart showing a 10-year history of transmission, distribution and standard-offer service rates available to the customer's rate class, along with a statement of the total percentage change in those rates over the 10-year period;
  • 2. Require a customer bill issued by an investor-owned transmission and distribution utility to display clearly and prominently the toll-free telephone number for the commission's consumer assistance and safety division and a statement of the consumer assistance services available by calling the division; and
  • 3. Establish a process for the commission, upon finding that an investor-owned transmission and distribution utility has distributed information to customers that is misleading, deceptive or inaccurate, to require the transmission and distribution utility to provide customers a statement that corrects the misleading, deceptive or inaccurate information.

    The amendment also requires the commission to post informational charts showing a 10-year history of electricity rate components on the commission's website.


LD 1003 Chaptered Law
LD 1003 Chaptered Law fiscal note
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 1047 An Act To Prohibit Consideration of Naloxone Purchases in Life Insurance Underwriting Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-106, Enacted, Signed into law June 5, 2019
LD 1047
This bill prohibits a denial or limitation of coverage or an increase in insurance premiums under a life insurance policy based on the fact that an individual has been issued a prescription for naloxone or has purchased naloxone.

Amendment S-106
This amendment is the majority report and replaces the bill. The amendment prohibits a denial or limitation of coverage or an increase in insurance premiums under a life insurance policy based on the fact that an individual has been issued a prescription for naloxone hydrochloride or has purchased naloxone hydrochloride. The amendment also provides an exception to the prohibition when the individual has a demonstrated history of opioid use disorder.

LD 1047 Chaptered Law
LD 1047 Chaptered Law fiscal note
LD 1070 An Act To Reduce the Number of Domestic Assaults and Suicides By Increasing the Tax on Alcohol Status: Referred to Taxation Committee, Dead, Joint rule 310.3, May 2, 2019
LD 1070
This bill, for the purpose of reducing the incidence of domestic violence and suicides, increases the excise taxes imposed on spirits, malt liquor, fortified wines and hard cider and the sales tax imposed on the sale of liquor sold in establishments for consumption on or off premises.

LD 1071 An Act To Prohibit the Sale of High-capacity Magazines Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, May 28, 2019
LD 1071
This bill makes sale of a high-capacity magazine a Class D crime. A high-capacity magazine is a firearm magazine or other device that is used to load ammunition into the chamber of a firearm and that has the capacity to contain or accept more than 10 rounds of ammunition.

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 1079 An Act To Require Public Schools To Periodically Test for Radon Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-251, Enacted, Signed into law May 30, 2019
LD 1079
This bill requires school administrative units to test schools and other buildings for radon every 5 years. The radon testing must comply with the United States Environmental Protection Agency's recommended testing standards for schools. A school administrative unit must notify parents, faculty and staff of the test results and must report test results to the Department of Education and the Department of Health and Human Services. The Department of Health and Human Services must report these results every 5 years to the Governor and the Legislature.

The bill also requires school administrative units to build new schools and buildings using radon-resistant new construction techniques as recommended by the United States Environmental Protection Agency.

Amendment H-251
This amendment, which is the unanimous report of the committee, removes the requirement in the bill that school administrative units test for radon, but allows school administrative units to test for radon. It provides that any testing and new school construction must comply with rules adopted by the Department of Health and Human Services instead of recommendations of the United States Environmental Protection Agency as in the bill.

LD 1079 Chaptered Law
LD 1079 Chaptered Law fiscal note

LD 1083 An Act To Implement Ranked-choice Voting for Presidential Primary and General Elections in Maine Status: Referred to Veterans and Legal Affairs Committee, Engrossed as amended by Committee amendment S-313 in both chambers, Enacted in the both chambers, August 26, 2019, Governor's action pending
LD 1083
This bill provides that, whenever the state committee of a qualified political party certifies that there is a contest among candidates for nomination as the presidential candidate of the party and that the committee has voted to conduct a presidential primary election, the State shall hold a presidential primary election on a date in March of the presidential election year chosen by the Secretary of State in consultation with the parties. Only voters who are enrolled in the party may vote in that party's presidential primary election. The votes cast in the presidential primary for each party must be tabulated according to the ranked-choice method of tabulating votes. The selection of delegates to the national presidential nominating convention for each party and allocation of those delegates among primary candidates must be in accordance with any reasonable procedures established at the state party convention.

This bill also requires the ballots cast for presidential electors during the general election to be tabulated according to the ranked-choice method of tabulating votes.

Amendment S-313
This amendment, which is the majority report of the committee, strikes and replaces the bill. Under the amendment, general elections for presidential electors must be determined by ranked-choice voting. The amendment further provides that, if a law establishing a presidential primary election is enacted in the State, primary elections for the office of President of the United States must be determined by ranked-choice voting.

LD 1083 Amendment S-313 fiscal note

LD 1094 An Act To Increase Funding for the Child Welfare Services Ombudsman Program Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-180 and Senate amendment S-336, Enacted, Signed into law July 2, 2019
LD 1094
This bill provides funding for additional staffing for the child welfare services ombudsman program in the Executive Department.

Amendment S-180
This amendment replaces the bill. The amendment preserves the portion of the bill that provides additional staffing for the child welfare services ombudsman program in the Executive Department and adds funding for leasing office space and purchasing necessary office supplies for the program staff. It also changes the title.

Amendment S-336
This amendment replaces the appropriations and allocations section and changes the title.

LD 1094 Chaptered Law
LD 1094 Chaptered Law fiscal note
LD 1099 An Act To Reduce Suicides and Violent Crimes by Requiring a 72-hour Waiting Period after the Sale of a Firearm Status: Referred to Criminal Justice and Public Safety Committee, Dead, Concurrence in Ought Not to Pass, June 13, 2019
LD 1099
This bill requires a 72-hour waiting period between an agreement for the purchase and sale of a firearm and its delivery to the purchaser and makes violation of the waiting period a civil violation with a $200 to $500 fine for the first violation and a $500 to $1,000 fine for a subsequent violation.

LD 1114 An Act To Humanely Treat Animals Trapped in Buildings Status: Referred to Agriculture, Conservation and Forestry Committee, Dead, Joint rule 310.3, May 14, 2019
LD 1114
This bill requires an animal control officer or law enforcement officer who responds to a report of an animal trapped in a building to attempt to capture and release the animal unharmed unless doing so would pose a threat to public health or safety.

LD 1115 An Act To Create Fairness in the Redemption of Beverage Containers Status: Referred to Environment and Natural Resources Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1115
This bill amends the bottle redemption laws to require a dealer to accept from a consumer or other person and to pay the refund value on any beverage container that was sold by the dealer if no approved bottle redemption centers are located within 5 miles from the property line of the dealer. Subject to prior approval of the Department of Environmental Protection, a dealer shall affix to the beverage containers it sells a sticker or similar device indicating that the beverage container is sold by the dealer and may refuse to accept from a consumer or other person and to pay the refund value on any beverage container that does not have the sticker or similar device affixed to it. A dealer may also limit the hours or days on which it accepts beverage containers for redemption.

Under the bottle redemption laws, a dealer is a person who sells, offers to sell or engages in the sale of beverages in beverage containers to a consumer, and a dealer may, but is not currently required to, accept from a consumer or other person and pay the refund value on any beverage container.

LD 1116 An Act To Strengthen the Lead Poisoning Control Act (Emergency) Status: Referred to Health and Human Services Committee, Amended by Committee amendemnt S-122 and Senate amendment S-337, Enacted as an emergency measure, Signed into law June 27, 2019
LD 1116
This bill:
  • 1. Changes the year for the State's goal to eradicate childhood lead poisoning from 2010 to 2030 and requires that a report on progress toward meeting that goal be submitted to the Legislature by January 1, 2025;
  • 2. Requires that all Maine children be tested for unsafe exposure to lead at one year of age and 2 years of age;
  • 3. Increases the lead poisoning prevention fee from 25¢ to 50¢ per gallon of paint and allows up to 50% of the fee to be used for mandated dwelling inspections and mandated orders to remove lead hazards; and
  • 4. Makes permanent 5 Environmental Specialist III positions created in 2015 and necessary to the operation of the lead poisoning risk assessment and blood lead level testing program.


Amendment S-122
This amendment, which is the unanimous report of the committee, removes the sections of the bill increasing the lead poisoning prevention fee. It continues funding for 5 limited-period Environmental Specialist III positions instead of making the positions permanent. It also amends the section that repeals the lead poisoning prevention fee when a period of 24 months has elapsed since the Department of Health and Human Services identified a child with an elevated blood lead level from a level of blood lead of 10 micrograms per deciliter to 5 micrograms per deciliter. It adds an appropriations and allocations section.

Amendment S-337
This amendment removes the appropriations and allocations section.

LD 1116 Chaptered Law
LD 1116 Chaptered Law fiscal note
LD 1136 An Act To Provide Snow Sports Safety Information to Consumers Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1136
This bill requires a ski area operator to annually create a safety plan for the ski area and make that plan accessible to the public. It also requires ski area operators to report on skiing accidents from the previous year and make those reports accessible to the public.

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 1180 Resolve, To Establish the Task Force To Better Coordinate the Protection of Vulnerable Populations (Emergency) Status: Referred to Health and Human Services Committee, Work session held, April 11, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1180
This resolve establishes the Task Force To Better Coordinate the Protection of Vulnerable Populations to identify areas of improvement in the coordination of information and processes of the entities that investigate allegations of abuse and neglect. The task force must report its findings and recommendations, including suggested legislation, to the Joint Standing Committee on Health and Human Services by December 4, 2019.

LD 1186 An Act To Address Electricity Costs of Agricultural Fairs (Emergency) Status: Referred to Energy, Utilities and Technology Committee, Amended by Committee amendment H-228, Enacted as an emergency measure, Signed into law May 30, 2019
LD 1186
This bill provides that a transmission and distribution utility may not assess a person or entity licensed to hold an agricultural fair a demand charge in connection with electric power or service provided for an agricultural fair.

Amendment H-228
This amendment replaces the bill. The amendment establishes a program administered by the Efficiency Maine Trust to help agricultural fairs reduce electricity costs through efficiency and conservation. The program includes outreach and technical assistance to agricultural fairs to identify opportunities to lower electricity costs and enroll agricultural fairs in existing programs offered by the trust as appropriate. The program also provides custom financial incentives to agricultural fairs to implement electric efficiency and conservation measures, including but not limited to measures to reduce peak electricity demand. Funds for the program are set at the total amount paid in demand charges by agricultural fairs in the State during the prior year and are collected from electricity customers by transmission and distribution utilities. The trust is required to report to the Legislature on the program in January 2022 and January 2024, and the program has a sunset date of June 30, 2024.

The amendment also directs the Public Utilities Commission to examine rate design and related issues for electricity customers that, like agricultural fairs, have seasonal, limited-duration, concentrated load profiles. It requires the commission to submit a report on its findings and recommendations to the Joint Standing Committee on Energy, Utilities and Technology and authorizes the committee to report out a bill to the Second Regular Session of the 129th Legislature based on the report.

LD 1186 Chaptered Law
LD 1186 Chaptered Law fiscal note
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 1222 An Act Regarding Electric Bicycles Status: Referred to Transportation Committee, Amended by Committee amendment H-511, Enacted, Signed into law June 17, 2019
LD 1222
This bill defines and regulates the use of electric bicycles, which are bicycles with a motor and which fall into one of 3 classes, depending on the top speed attainable and whether the operator needs to pedal while the motor is propelling the electric bicycle. The bill provides that an operator of an electric bicycle has generally the same rights and obligations as the operator of a bicycle, except that the use of an electric bicycle on bicycle paths and bikeways may be restricted by the entity having jurisdiction over the bicycle path or bikeway. An electric bicycle is considered a vehicle for purposes of the State's so-called open container law and, as with bicycles, any person under 16 years of age who is operating or riding as a passenger on an electric bicycle must wear a helmet.

Amendment H-511
This amendment makes minor technical edits to the bill, including to the definitions of Class 1, Class 2 and Class 3 electric bicycles, and clarifies the label requirement to apply only to a manufacturer, distributor or seller in the State. The amendment also makes changes to the age restrictions in the bill.

LD 1222 Chaptered Law
LD 1222 Chaptered Law fiscal note
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 1238 An Act To Exempt Certain Print Publications from Sales Tax Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment H-330, tabled to Special Appropriations in the Senate May 30, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1238
This bill expands the sales tax exemption for free publications to also apply to printed publications, including daily newspapers, that are issued at least once every 7 days, on average.

Amendment H-330
This amendment removes language from the bill that changes the definition of "publication" to retain the minimum average publication interval of 3 months, as found in the current law, required for a publication to qualify for the exemption.

LD 1238 Amendment H-330 fiscal note
LD 1241 An Act To Improve Survival Rates of Salmon and Other Migratory Fish Transitioning from Freshwater to Saltwater Environments Status: Referred to Marine Resources Committee, Dead, Joint rule 310.3, April 11, 2019
LD 1241
This bill directs the Commissioner of Marine Resources to establish a smoltification success research program to investigate the external influences on smoltification success and metamorphosis success of nonsalmonid anadromous species and smolt migration success. Specific attention must be given to evaluating the effects of industrial and sewage treatment plant effluents and other pollutants on the timing of smoltification. The program must include the capacity to systematically analyze the effect of a variety of chemicals found in effluents on the timing of the development of and physical health of smolts and recommendations for conservation and management options. The analysis must include the effluence of biological substances such as pheromones from land-based aquaculture. Analysis of these effects must be conducted cooperatively with the industries and communities that discharge into rivers that are significant for Atlantic salmon and other diadromous fish species.

LD 1242 An Act To Reinstitute the State Property Tax Deferral Program for Seniors Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 2, 2019
LD 1242
This bill reinstitutes the property tax deferral program for seniors which, until April 1, 1991, provided a mechanism allowing qualifying senior homeowners to defer property tax payments and required the State to pay the property taxes on behalf of the homeowners. The bill makes the existing abatement and appeal processes available in cases in which the State Tax Assessor disagrees with the municipal assessment of a property eligible for enrollment in the program and makes other technical changes to the program to bring it into conformity with current law.

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 1267 An Act To Allow the Awarding of Graduation Credits by Career and Technical Education Centers and Regions Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1267
This bill allows career and technical education centers and regions to award credit toward graduation requirements for courses and programs that are approved by the Commissioner of Education. The commissioner is required to establish the credit to be awarded and the content area toward which the school administrative unit must apply the credit. Finally, the commissioner must adopt routine technical rules that develop a procedure for career and technical education centers and regions to submit courses and programs for approval and criteria in each content area that the course or program must meet to be approved.

LD 1274 An Act To Enact the Health Insurance Consumer Assistance Program Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-110 and Senate amendment S-338, Enacted, Signed into law July 2, 2019
LD 1274
This bill establishes the Health Insurance Consumer Assistance Program in the Department of Professional and Financial Regulation, Bureau of Insurance to provide support for consumers, including prospective consumers, of health insurance and to health insurance customer assistance programs and health insurance ombudsman programs. Some of the services the new program may provide include assisting with filing complaints and appeals regarding decisions made by a group health plan, health insurance carrier or independent review organization and obtaining health insurance premium tax credits on behalf of consumers. The Superintendent of Insurance is required to contract with a nonprofit, independent health insurance consumer assistance entity that is not an insurer to operate the consumer assistance program, and funding is provided for that requirement.

Amendment S-110
This amendment transfers the responsibility for contracting for the Health Insurance Consumer Assistance Program from the Bureau of Insurance to the Attorney General. The amendment also makes other clarifying changes to the bill.

Amendment S-338
This amendment requires, in fiscal year 2019-20 and fiscal year 2020-21, the State Controller to transfer $200,000 from available balances in the Bureau of Insurance Other Special Revenue Funds account within the Department of Professional and Financial Regulation to the Department of the Attorney General. The amendment also provides an Other Special Revenue Funds allocation to the Department of the Attorney General and makes other technical changes.

LD 1274 Chaptered Law
LD 1274 Chaptered Law fiscal note
LD 1275 An Act To Support Access to Health Services for Homeless Youth in Maine Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-127, Enacted, Signed into law June 5, 2019
LD 1275
Under current law, a minor who has been living separately from parents or legal guardians for at least 60 days and is independent of parental support may provide consent to all medical, mental, dental and other health counseling and services.

This bill allows a minor to provide consent to all medical, mental, dental and other health counseling and services by proving that the minor is living separately and is independent of parental support through various means such as a written, signed statement to that fact from the director of a governmental or nonprofit agency that provides services to homeless persons or an attorney representing the minor or proof of filing for emancipation.

This bill also provides immunity to a health care practitioner who provides services to a minor if the minor consented to those services and provided proof of living separately and independently. Finally, this bill prohibits a minor or other person from disaffirming the consent given by the minor solely because the minor is a minor.

Amendment S-127
This amendment clarifies that a health care practitioner who obtains documentation is immune from civil or criminal liability. It removes the language regarding consent not being subject to later disaffirmance solely by reason of the minor's age.

LD 1275 Chaptered Law
LD 1275 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 1280 An Act To Establish the Maine Buy American and Build Maine Act Status: Referred to State and Local Government Committee, Work session held, May 6, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1280
This bill establishes the Maine Buy American and Build Maine Act and requires that all contracts for the construction, reconstruction, alteration, repair, improvement or maintenance of a public building or public work made by a state agency, board, commission or institution contain a provision that the manufactured goods, including iron, cement and steel, used or supplied in the performance of the contract or any subcontract to the contract must be manufactured in the United States. This requirement does not apply to counties, municipalities or school administrative units.

The bill requires that, in the case of a manufactured good other than an iron, cement or steel product, all of the manufacturing processes take place in the United States and the origin of the manufactured good's components or subcomponents meet a minimum level of domestic content as established by rule.

Under the Act, a public agency may apply to the Governor or the Governor's designee for a waiver of the requirement if the executive head of the public agency finds that the application of the requirement would be inconsistent with the public interest, that the necessary manufactured goods are not produced in the United States in sufficient and reasonably available quantities and of a satisfactory quality or that inclusion of manufactured goods made in the United States will increase the cost of the overall project contract by an unreasonable amount. The Department of Administrative and Financial Services is directed to develop rules to implement the Act.

The bill requires that, if the department has reason to believe that any person, business or other entity has intentionally made fraudulent representations about the domestic content of a manufactured good or has intentionally violated any provision of the Act, the department must, after a hearing, debar that person, business or other entity from contracts or subcontracts with the State for 2 years.

The bill provides that the provisions of this legislation must be applied in a manner consistent with the State's obligations under any applicable international agreements pertaining to government procurement.

The bill also requires that, in the award of a bid for the construction, reconstruction, alteration, repair, improvement or maintenance of a public building or public work or for services to be provided to or on behalf of the State, if 2 or more bids are submitted that are substantially similar, preference must be given to the bid submitted by an in-state contractor, which includes a business at which at least 60% of the employees are residents of Maine. If the bid submitted by an in-state contractor is higher than the lowest bid submitted by a contractor that is not an in-state contractor, the in-state contractor must be given the opportunity to match the lowest bid submitted.

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 1294 Resolve, Directing the Maine Human Rights Commission To Implement a Pilot Program To Investigate and Report on Incidents of Harassment Due to Housing Status, Lack of Employment and Other Issues Status: Referred to Judiciary Committee, Finally passed in both chambers June 11, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 1294
This resolve directs the Maine Human Rights Commission to create a 2-year pilot program to receive, review and investigate incidents and complaints of harassment due to a person's lack of employment or housing status and other reports of interference with a person's access to public accommodations. In carrying out the pilot program, the commission must investigate and respond to incidents and complaints of harassment as set out in the Maine Revised Statutes, Title 5, sections 4611 and 4612. The commission is authorized to use any of its powers under Title 5, section 4566 to carry out the pilot program and may limit its scope. The commission is authorized to establish an advisory board to document and evaluate complaints and to advise the commission as to which incidents and complaints should be acted on and possible solutions. The commission is directed to produce an interim report for submission to the Joint Standing Committee on Judiciary by September 15, 2020 and a final report to the joint standing committee of the Legislature having jurisdiction over judiciary matters by September 15, 2021. The reports are authorized to contain recommendations on changes to the program or for its continuation as well as proposed legislation to carry out any recommendations.

LD 1294 fiscal note
LD 1295 An Act To Determine the Need To Increase the Number of Forensic Emergency and Crisis Beds Status: Referred to Criminal Justice and Public Safety Committee, carried over to any regular or special session per Joint Order HP 1322
LD 1295
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to direct the Department of Health and Human Services and the Department of Corrections to determine the current need for forensic emergency and crisis beds to ensure the prompt and humane treatment of arrested individuals who are suffering from mental illness and awaiting trial. In making this determination, the departments shall consider:

  • 1. The number of currently available forensic emergency and crisis beds;
  • 2. The number of individuals currently awaiting placement pretrial;
  • 3. The annual average number of individuals needing forensic services pretrial;
  • 4. Proposals to address unmet needs and associated costs; and
  • 5. Other factors that would lessen wait times for placements and provide needed mental health services to individuals pretrial.


LD 1312 An Act Regarding Access to Firearms by Extremely Dangerous and Suicidal Individuals Status: Referred to Judiciary Committee, Dead, Concurrence in Ought Not to Pass, June 18, 2019
LD 1312
This bill creates an extreme risk protection order to authorize a court to order a person to surrender that person's firearms temporarily for 14 days or on an extended basis for 365 days when it has been proved that the person poses a danger of causing personal injury to that person or another person. The bill provides that:
  • 1. A law enforcement officer, a law enforcement agency or a family or household member may file a petition for a temporary extreme risk protection order, which may be granted if the court finds probable cause exists to issue the order. The temporary extreme risk protection order expires in 14 days or when a hearing to determine whether to issue an extended extreme risk protection order is held, whichever occurs sooner. A temporary extreme risk protection order may be issued on an ex parte basis;
  • 2. Whether or not the court issues a temporary extreme risk protection order, the court is required to hold a hearing within 14 days to determine whether the person poses a danger of causing personal injury to that person or another person. If the court, based on clear and convincing evidence, finds that an extended extreme risk protection order should be issued, the extended extreme risk protection order must be issued, and it expires 365 days after the issuance of the order unless extended after another hearing;
  • 3. Following the issuance of a temporary or extended extreme risk protection order, the court is required to order law enforcement to serve the order and is required to issue a search warrant if the court finds probable cause that the person who is the subject of the order is in possession of a firearm;
  • 4. A person who is the subject of a temporary or extended extreme risk protection order is required to surrender all firearms in the person's possession to a law enforcement officer or law enforcement agency. The firearms must be returned to the person at the expiration of the extreme risk protection order unless an extended extreme risk protection order is issued;
  • 5. A person against whom an extended extreme risk protection order is issued may request that the order be dissolved and be granted a hearing once during the term of the extended extreme risk protection order; and
  • 6. A person who possesses firearms in violation of an extreme risk protection order commits a Class D crime.


LD 1313 An Act To Enact the Maine Death with Dignity Act Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-305, Enacted, Signed into law June 12, 2019
LD 1313
This bill enacts the Maine Death with Dignity Act authorizing a person who is 18 years of age or older, who meets certain qualifications and who has been determined by the person's attending physician to be suffering from a terminal disease, as defined in the Act, to make a request for medication prescribed for the purpose of ending the person's life. The bill establishes the procedures for making these requests, including 2 waiting periods and one written and 2 oral requests and requires a 2nd opinion by a consulting physician. The bill requires specified information to be documented in the person's medical record, including all oral and written requests for a medication to hasten death.

The bill requires the attending and consulting physicians to assess the patient for depression or other mental health condition that impairs judgment. If the attending or consulting physician, in the physician's professional opinion, believes such a condition exists, the patient must be evaluated and treated by a state-licensed psychiatrist, psychologist, clinical social worker or clinical professional counselor. Medication to end a patient's life in a humane and dignified manner may not be prescribed until the person performing the counseling determines that the patient is not suffering from a psychiatric or psychological disorder or depression causing impaired judgment.

The bill prohibits a provision in a contract, will or other agreement from being conditioned upon, or affected by, a person's making or rescinding a request for medication under the Act. The bill prohibits the sale, procurement or issuance of any life, health or accident insurance or annuity policy or the rate charged for any life, health or accident insurance or annuity policy from being conditioned upon or affected by the making or rescinding of such a request.

The bill authorizes a health care provider to prohibit its employees, independent contractors or other persons or entities, including other health care providers, from participating in activities under the Act while on premises owned by or under the management or direct control of that prohibiting health care provider or while acting within the course and scope of any employment by, or contract with, the prohibiting health care provider.

The bill makes it a Class A crime to knowingly alter or forge a request for medication to end a person's life without that person's authorization or to conceal or destroy a withdrawal or rescission of a request for medication, if it is done with the intent or effect of causing the person's death. The bill makes it a Class A crime to knowingly coerce or exert undue influence on a person to request medication for the purpose of ending that person's life or to destroy a withdrawal or rescission of a request. The bill provides that the Act does not authorize ending a patient's life by lethal injection, mercy killing or active euthanasia and provides that action taken in accordance with the Act does not constitute, among other things, suicide or homicide.

The bill requires health care providers to submit specified information to the Department of Health and Human Services upon their writing a prescription for or dispensing medication under the Act and after the death of the qualified patient. The bill requires the department to generate and make available to the public an annual statistical report of information collected regarding compliance with the Act. The bill requires a copy of the report to be submitted to the joint standing committee of the Legislature having jurisdiction over health matters annually by March 1st.

Amendment H-305
This amendment is the majority report and makes the following changes to the bill.

  • 1. It creates in the Maine Criminal Code affirmative defenses to prosecution for aggravated attempted murder, for murder and for aiding or soliciting suicide. A person may raise an affirmative defense to prosecution for these crimes if that person's conduct was expressly authorized by the Maine Revised Statutes, Title 22, chapter 418. The amendment also strikes from the bill language that creates new Class A crimes and other penalty language, as the prohibited conduct described is sufficiently covered by existing statute.
  • 2. It changes the rule-making authority of the Department of Health and Human Services for rules for the collection of information from routine technical to major substantive.
  • 3. It makes technical changes to the provisions regarding insurance in order to conform to current Maine law.
  • 4. It allows the physician completing the patient's death certificate to determine the cause of the death recorded on the certificate.
  • 5. It clarifies that an individual health care provider may choose not to participate in providing medication to end a qualified patient's life but, if the patient requests the medical records be provided to another health care provider, the records must be transferred.
  • 6. It includes the Board of Osteopathic Licensure in the list of appropriate licensing boards.


LD 1313 Chaptered Law
LD 1313 Chaptered Law fiscal note
LD 1317 An Act To Restore Services To Help Certain Noncitizens Meet Their Basic Needs Status: Dead, Referred to Health and Human Services Committee, House accepted Majority Ought to Pass as amended by Committee amendment H-248, adopted House amendment H-645 and engrossed, in the Senate when the Senate adjourned sine die, June 20,2019
LD 1317
This bill removes limitations on food supplement program benefits and Temporary Assistance to Needy Families program benefits, provides MaineCare coverage and modifies language for state-funded supplemental security income to maintain consistency throughout the law for certain noncitizens who are lawfully present in the United States or pursuing a lawful process to apply for immigration relief.

LD 1341 An Act To Provide Flexibility for Efficient and Effective Management of School Management and Leadership Centers Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-325, Enacted, Signed into law June 6, 2019
LD 1341
This bill amends the Maine Revised Statutes, Title 20-A, chapter 123, regarding school management and leadership centers, and related laws to change the term "school management and leadership center" to the term "regional service center." It amends the law governing the geographic boundaries of centers to remove the requirement that the Commissioner of Education must determine 9 to 12 geographic areas for the establishment of centers with the requirement that the commissioner must determine the geographic areas for the establishment of centers. It also amends the law governing school management and leadership centers to allow a center to contract for leadership services and hire a fiscal agent. It changes the law allowing a center to borrow funds by removing language requiring debts to be repaid within one year and limiting amounts borrowed to 3/4 of a center's annual approved budget. It amends the law governing the withdrawal of a member school administrative unit from a center to replace the requirement that the member school administrative unit must demonstrate there will be no increases in costs or decrease in student programs or services with the requirement that the member school administrative unit must demonstrate that the withdrawal is in the best interests of the withdrawing school administrative unit and of any of the remaining member school administrative units. It amends the law governing dissolution of centers to replace the requirement that member school administrative units must demonstrate to the Commissioner of Education that there will be no increase in costs or decrease in student programs and services for any of the member school administrative units of a center with the requirement that the school administrative units must demonstrate that it is in the best interests of the member school administrative units to dissolve the center. It amends the law governing application for and approval of a center to replace voter approval with school board approval. It amends the law governing state funding of a center that provides at least 2 different services to its members to include 55% funding support for contracted leadership services and financial software.

Amendment H-325
This amendment retains the substance of the bill but changes the name of regional service centers to education service centers, defines "benefits," includes public charter schools as eligible to be members of education service centers rather than associate members and caps the direct state funding for the provider of leadership services or the executive director to 55% of the statewide average superintendent's salary and benefits using the most recent data available.

LD 1341 Chaptered Law
LD 1341 Chaptered Law 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 1361 An Act Regarding Health Care Providers and Patient Trust Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, April 2, 2019
LD 1361
This bill prevents the State from requiring persons licensed by the Board of Osteopathic Licensure or the Board of Licensure in Medicine, including physician assistants, or the State Board of Nursing to give patients information that is medically inaccurate or perform medical services that are inconsistent with evidence-based standards. It also provides that the State may not prohibit a person licensed under these professional boards from providing patients with medically accurate information or evidence-based medical services.

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 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 1461 An Act To Support Early Intervention and Treatment of Mental Health Disorders (Emergency) Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-244, tabled to Special Appropriations in the Senate June 18, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1461
This bill requires the Department of Health and Human Services to establish a funding mechanism and reimbursement rate for the treatment of individuals showing early signs of a psychotic disorder using a coordinated specialty care model. Services must be evidence-based and treat both the individual and the family. The Department of Health and Human Services is directed to establish a funding mechanism to reimburse for the treatment of individuals in cooperation with the Department of Education and the Department of Labor. The Department of Health and Human Services is directed to apply to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for any necessary waivers and state plan amendments and to seek federal funding under the community mental health services block grant.

Amendment S-244
This amendment, which is the unanimous report of the committee, clarifies that the department must establish a bundled rate for coordinated specialty care. It also provides that the department may review, develop or apply for any source of funds that may be available to implement reimbursement for the coordinated specialty care model. The amendment also adds an appropriations and allocations section.

Amendment S-300
This amendment amends the committee amendment. This amendment retains the emergency preamble and emergency clause and, as in the committee amendment and the bill, requires the Department of Health and Human Services to establish a reimbursement rate for a coordinated specialty care model to treat individuals showing early signs of psychotic disorder. Services must be evidence-based and treat both the individual and the family. Under this amendment, the Department of Health and Human Services is directed, in cooperation with the Department of Education and the Department of Labor and no later than July 1, 2020, to establish a bundled rate to reimburse for services provided under the coordinated specialty care model that are not otherwise covered under the MaineCare program. This amendment moves the statutory requirements for the reimbursement to the Maine Revised Statutes, Title 22. This amendment retains the requirement that the Department of Health and Human Services apply to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services for any necessary waivers and state plan amendments and to seek federal funding under the community mental health services block grant but changes cross-references and requires that necessary applications be submitted no later than 90 days after the effective date of this legislation.

The amendment also changes the appropriations and allocations section.

LD 1461 Amendment S-244 fiscal note
LD 1461 Amendment S-300 fiscal note
LD 1499 An Act To Establish the Maine Prescription Drug Affordability Board Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-251, Enacted, Signed into law June 24, 2019
LD 1499
This bill creates the Maine Prescription Drug Affordability Board to determine the reasonableness of the costs for certain prescription drug products. The bill requires prescription drug manufacturers to notify the board when the introductory price or proposed price increase for a brand-name or generic drug reaches a specified threshold. The board is directed to review the information submitted by manufacturers to justify the price or increase.

The bill requires the board to have a public process for each prescription drug required to be reviewed based on certain criteria. The board is directed to determine if the cost to the health care system of appropriate utilization of a drug is commensurate with its benefit to the system and whether the drug is affordable to state residents. If the board finds that the cost in the State is not affordable to state health care systems and state residents, the board is authorized to establish a cost or payment rate for the drug to which all state programs, local governments, licensed commercial health plans, including state marketplace plans, licensed pharmacies, wholesalers and distributors must abide. These covered entities are prohibited from paying more for the drugs than the board-established rate.

Amendment S-251
This amendment replaces the bill.

The amendment, as in the bill, establishes the Maine Prescription Drug Affordability Board but removes the provisions that allow rate setting by the board and require the board to determine excess prescription drug costs based upon certain thresholds for prescription drug prices and price increases.

The amendment instead provides that the board determines prescription drug spending targets for public entities, including for specific prescription drugs, based upon a 10-year rolling average of the medical care services component of the United States Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care services index plus a reasonable percentage for inflation and minus a spending target determined by the board for pharmacy savings and in consideration of information received about the public entity's prescription drug spending and information collected by the Maine Health Data Organization. The board makes recommendations on prescription drug spending targets, including spending targets for specific prescription drugs, with input from representatives of those public entities. The recommendations may include establishing a common prescription drug formulary among public payors, purchasing prescription drugs in bulk or through a single purchasing agreement, collaborating with other states and state prescription drug purchasing consortia to purchase prescription drugs in bulk or to jointly negotiate rebates, allowing health insurance carriers providing coverage to small businesses in the State to participate in a public payor prescription drug benefit for a fee, procuring common pharmacy benefit management services and actuarial services, negotiating specific rebates and removing drugs for which a manufacturer does not negotiate a sufficient rebate from a formulary and other methods determined by the board. The board is required to report its prescription drug spending targets and the methods recommended to meet those targets to the Legislature annually.

LD 1499 Chaptered Law
LD 1499 Chaptered Law fiscal note
LD 1504 An Act To Protect Consumers from Unfair Practices Related to Pharmacy Benefits Management Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-253, Enacted, Signed into law June 24, 2019
LD 1504
This bill replaces the current registration requirement for pharmacy benefits managers doing business in this State with a licensing requirement beginning January 1, 2020. The bill imposes the following requirements on a carrier that provides prescription drug benefits.
  • 1. It makes a carrier responsible for monitoring all activities carried out by the carrier, or all activities carried out on behalf of the carrier by a pharmacy benefits manager, related to a carrier's prescription drug benefits and for ensuring that all requirements of the law are met.
  • 2. If a carrier contracts with a pharmacy benefits manager to perform any activities related to the carrier's prescription drug benefits, it makes the carrier responsible for ensuring that the pharmacy benefits manager acts as the carrier's agent and owes a fiduciary duty to the carrier.
  • 3. It prohibits a carrier from entering into a contract or agreement or allowing a pharmacy benefits manager or any person acting on the carrier's behalf to enter into a contract or agreement that prohibits a pharmacy provider from providing a consumer with the option of paying the cash price for the purchase of a prescription drug and not filing a claim with the consumer's carrier if the cash price is less than the covered person's cost-sharing amount or providing information to a state or federal agency, law enforcement agency or the Superintendent of Insurance when such information is required by law.
  • 4. It prohibits a carrier or pharmacy benefits manager from requiring a consumer to make an excessive payment at the point of sale for a covered prescription drug.
  • 5. It requires a carrier to provide a reasonably adequate retail pharmacy network and specifies that a mail order pharmacy may not be included in determining the adequacy of a retail pharmacy network.
  • 6. It replaces and updates current law related to the use of a maximum allowable cost list by a carrier or pharmacy benefits manager under contract with a carrier. It also clarifies how a carrier or pharmacy benefits manager may determine the average wholesale price of a brand-name drug or generic drug not included on the maximum allowable cost list.
  • 7. It specifies how to calculate the amount paid by a carrier or a carrier's pharmacy benefits manager to a pharmacy provider under contract with the carrier or the carrier's pharmacy benefits manager for dispensing a prescription drug.
  • 8. It requires that all compensation remitted by or on behalf of a pharmaceutical manufacturer, developer or labeler, directly or indirectly, to a carrier or to a pharmacy benefits manager related to its prescription drug benefits must be remitted to, and retained by, the carrier and used to lower the premium for covered persons. The bill requires a carrier to file annual reports beginning March 1, 2021 demonstrating how the carrier has complied with this requirement.
  • 9. It requires a carrier to use a prescription drug formulary and specifies certain requirements for accessibility and disclosure of the formulary to covered persons. The bill also prohibits a carrier from allowing a person to be a member of its pharmacy and therapeutics committee if the member has a conflict of interest because of a relationship with, or compensation from, a pharmaceutical manufacturer, developer, labeler, wholesaler or distributor.
  • 10. It requires a carrier to maintain certain records related to the administration and provision of prescription drug benefits under a health plan and authorizes the carrier to audit those activities. The bill also authorizes the superintendent to have access to records upon request.
  • 11. If a carrier uses a pharmacy benefits manager to administer or manage prescription drug benefits provided for the benefit of covered persons, it provides that any pharmacy benefits manager compensation constitutes an administrative cost incurred by a carrier for purposes of calculating the anticipated loss ratio. "Pharmacy benefits manager compensation" is defined in the bill as the difference between the value of payments made by a carrier of a health plan to its pharmacy benefits manager and the value of payments made by the pharmacy benefits manager to dispensing pharmacists for the provision of prescription drugs or pharmacy services with regard to pharmacy benefits covered by the health plan.
  • 12. It provides that the provisions in the bill take effect January 1, 2020.


Amendment S-253
This amendment makes the following changes to the bill.
  • 1. It clarifies the provision related to excess payments at the point of sale.
  • 2. It requires that all compensation remitted by or on behalf of a pharmaceutical manufacturer, developer or labeler, directly or indirectly, to a carrier or to a pharmacy benefits manager related to its prescription drug benefit must be remitted directly to the covered person at the point of sale or to the carrier to offset premiums for covered persons.
  • 3. It removes the provision related to prescription drug formularies used by carriers as it is duplicative of other provisions in current law.
  • 4. It clarifies that the definition of "carrier" does not include a multiple-employer welfare arrangement if the multiple-employer welfare arrangement contracts with a 3rd-party administrator to manage and administer health benefits, including benefits for prescription drugs.


LD 1504 Chaptered Law
LD 1504 Chaptered Law fiscal note
LD 1523 An Act To Ensure the Quality of and Increase Access to Recovery Residences Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-240 and Senate amendment S-345, Enacted, Signed into law July 2, 2019
LD 1523
This bill adds definitions of "person recovering from substance use disorder" and "recovery residence" to the laws governing the substance use disorder programs of the Department of Health and Human Services and directs the department to establish a voluntary certification process for recovery residences. It also directs the Maine State Housing Authority to create a pilot project to provide a short-term rental subsidy to a person recovering from substance use disorder to reside in a certified recovery residence that provides medication-assisted treatment.

This bill also adds "recovery" to "substance use disorder prevention and treatment" in the context of activities and services under the laws addressing alcohol and drug use. The bill also adds an appropriations and allocations section.

Amendment S-240
This amendment, which is the unanimous report of the committee, amends the bill as follows.

  • 1. It makes the definition of "recovery" consistent with the definition of "recovery support services."
  • 2. It allows for a short-term rental subsidy to be provided for a person in recovery so that the rental subsidy may be provided to an administrator of the recovery residence not only the person in recovery directly.
  • 3. It removes the requirement that recovery residences provide medication-assisted treatment as a condition of receiving a short-term rental subsidy and instead requires that the recovery residences must permit medication-assisted treatment.
  • 4. It makes the Maine State Housing Authority's rule-making authority permissive with respect to providing a short-term rental subsidy for a person in recovery.
  • 5. It removes the appropriations and allocations section so that the short-term rental subsidy can be provided within existing budgeted resources.
  • 6. It removes certain provisions that add "recovery" to "substance use disorder prevention and treatment" that have substantive implications beyond the scope of this legislation.
  • 7. It adds an appropriations and allocations section.


Amendment S-345
This amendment removes the appropriations and allocations section.

LD 1523 Chaptered Law
LD 1523 Chaptered Law 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 1595 An Act To Enhance the Child Welfare Ombudsman Program Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1595
This bill makes the following changes to the laws governing the ombudsman program that provides ombudsman services to the children and families of the State regarding child welfare services provided by the Department of Health and Human Services.
  • 1. It provides that the program is an independent program operated as a nonprofit organization to provide investigative, oversight and advocacy services on a statewide basis.
  • 2. It requires the program to provide oversight of child welfare practice and policy to ensure the rights and safety of children and their families.
  • 3. It specifies staffing for the program.
  • 4. It provides that the Governor appoints the ombudsman, subject to review by the joint standing committee of the Legislature having jurisdiction over health and human services matters and to confirmation by the Legislature.
  • 5. It provides that the ombudsman serves a 7-year term of office.
  • 6. It requires the ombudsman to submit the ombudsman's budget recommendations, using a format prescribed by the State Budget Officer, as part of the unified current services budget legislation.
  • 7. It provides full-time program employees access to health insurance benefits provided to state employees and retirement benefits provided to state employees.
  • 8. It requires the program to provide services directly to individuals and families and authorizes the program to provide systemwide comment to the department and the joint standing committee of the Legislature having jurisdiction over health and human services matters.
  • 9. It requires the department to inform the ombudsman of any statewide policy or practice changes in child welfare before they take effect.
  • 10. It allows the ombudsman to participate in trainings, studies or policy development activities conducted by the department.
  • 11. It requires the ombudsman to be available to provide information about child welfare issues on a statewide basis to individuals and entities outside the department.
  • 12. It authorizes the ombudsman to disclose confidential information, records or case-specific reports to a joint standing committee, joint select committee or oversight committee of the Legislature meeting in executive session.


LD 1602 Resolve, Establishing the Working Group on Mental Health (Emergency) Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-213, tabled to Special Study in the Senate June 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1602
This resolve establishes the Working Group on Mental Health to assess the State's capacity to serve Maine citizens with behavioral health needs and propose a comprehensive mental health plan for the State.

Amendment S-213
This amendment, which is the unanimous report of the committee, changes the membership of the working group.

LD 1602 Amendment S-213 fiscal note
LD 1606 An Act To Increase Funding for Career and Technical Education Programs Status: Referred to Education and Cultural Affairs Committee, Work session held, May 9, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1606
This bill provides an additional $1,500,000 per year for the cost of career and technical education pursuant to the Maine Revised Statutes, Title 20-A, section 15688-A, subsection 1.

This bill also removes the so-called hold harmless provision that limits the amount of any decrease or increase in the total allocation for a career and technical education center or career and technical education region, effective January 1, 2020.

LD 1608 An Act To Exempt Trailers Sold to Out-of-state Entities from Sales and Use Tax (Emergency) Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment S-168, tabled to Special Appropriations in the Senate June 6, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1608
This bill provides an exemption from the sales and use tax for trailers that are purchased in the State but then driven or transported outside the State immediately upon delivery. The exemption excludes camper trailers, which are included in the definition of "trailer," since a similar exemption already exists for camper trailers, other than those that are being leased for a period of less than one year.

Amendment S-168
This amendment incorporates a fiscal note.

LD 1608 Amendment S-168 fiscal note
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 1650 An Act To Strengthen Consumer Protections in Health Care Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 21, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1650
This bill makes changes to the rating provisions for individual and small group health insurance plans to reduce the rating band for age and to require that the ratio on the basis of geographic area is 1.5 to 1 and that the ratio for age and geographic area may not exceed 2.5. The changes in the bill reinstate the rating provisions in place before the enactment of Public Law 2011, chapter 90.

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 1667 An Act To Amend the Laws Governing the State Compensation Commission Status: Referred to State and Local Government Committee, Amended by Committee amendment H-422, Enacted as an emergency measure, Signed into law June 19, 2019
LD 1667
This bill increases the annual salary of the Governor to $141,000 beginning in January 2023. The bill provides that beginning in January 2027, whenever a new Governor takes office, that Governor's annual salary must be adjusted by the percentage change in the Consumer Price Index during the term of office of that Governor's predecessor subject to a limit of 3% per year.

The bill increases the annual salary of members of the Legislature to $23,500 beginning in December 2022.

The bill provides that the Governor appoints 2 members of the State Compensation Commission and removes language that provides that one member is appointed by a majority of the members of the commission. The bill increases the term of members to 4 years and provides for staggered terms.

Amendment H-422
This amendment changes the title and strikes the bill, adding an emergency preamble and clause. It amends the statutory reporting requirements of the State Compensation Commission, eliminating alternate year interim reports and changing the final report submission to require the State Compensation Commission to submit a report to the Legislature and the joint standing committee of the Legislature having jurisdiction over state and local government matters by January 15th of every even-numbered year. The amendment authorizes the joint standing committee of the Legislature having jurisdiction over state and local government matters to introduce legislation based on the commission's report.

LD 1667 Chaptered Law
LD 1667 Chaptered Law fiscal note
LD 1673 An Act To Prohibit Prescription Drug Advertising Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 21, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1673
This bill amends current law, which allows the advertising of prescription drugs only if the advertisement is not misleading, to ban completely, beginning January 1, 2020, the advertising of prescription drugs, either by broadcast by a television or radio station in this State, over the Internet from a location in this State or in a magazine or newspaper printed, distributed or sold in this State. A violation is a violation of the Maine Unfair Trade Practices Act.

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