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Linda Sanborn photograph

Senator Linda Sanborn [Democrat]
Cumberland ~ District 30

Towns in District: Gorham/Buxton (part)/Scarborough (part)

Would be term limited: 2026
Campaign funding in 2018 Election: Maine Clean Elections Act

Joint Committees:
♦ Appropriations and Financial Affairs
♦ Government Oversight

✉ Linda.Sanborn@legislature.maine.gov
☎ (207) 287-1505





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Senator Sanborn did not serve in the 128th Maine legislature - no scorecards available.

LD 51 An Act To Implement the Recommendations of the Task Force on Health Care Coverage for All of Maine Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 15, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 51
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to implement the recommendations of the Task Force on Health Care Coverage for All of Maine.

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

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

LD 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 443 An Act To Prevent Vitamin K Deficiency Bleeding and Eye Damage in Infants Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-153, Enacted, Signed into law June 20, 2019
LD 443
This bill requires every physician, midwife or nurse in charge at the birth of an infant to administer vitamin K to an infant intramuscularly to prevent vitamin K deficiency bleeding in infants. This bill also removes the exemption for religious tenets and practices for the administration of a prophylactic solution instilled into an infant's eyes at birth.

Amendment S-153
This amendment, which is the unanimous report of the committee, replaces the bill. Current law requires every physician, midwife or nurse in charge to instill or cause to be instilled into the eyes of an infant within 24 hours after the infant's birth prophylactic eye drops, except for an infant whose parents object to this procedure on the grounds that it conflicts with their religious tenets and practices. This amendment updates the term "eye drops" to "ophthalmic ointment" to reflect current practice, removes the civil penalties for noncompliance and removes the exemption based on religious tenets and practices.

This amendment also requires every physician, midwife or nurse in charge at the birth of an infant to administer vitamin K to an infant intramuscularly to prevent vitamin K deficiency bleeding in infants within 6 hours after the infant's birth.

It requires the Department of Health and Human Services to adopt rules to implement this section, including, but not limited to, creating and making publicly available a brochure about the medical benefits and risks of administering the prophylactic ophthalmic ointment and vitamin K injection and providing a form on which a parent can refuse the prophylactic ophthalmic ointment and vitamin K injection for the infant of that parent. It also requires the Department of Health and Human Services to amend its newborn blood spot screening refusal form to include a section permitting a parent to refuse the prophylactic ophthalmic ointment and vitamin K injection for the infant of that parent.

LD 443 Chaptered Law
LD 443 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 493 An Act To Provide Lung Cancer Counseling and Screening for MaineCare Recipients Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-223, tabled to Special Appropriations in the Senate June 7, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 493
This bill requires that shared decision-making counseling and annual screening for lung cancer for certain recipients be reimbursed under the MaineCare program. The Department of Health and Human Services may adopt routine technical rules to implement this requirement.

Amendment S-223
This amendment, which is the majority report of the committee, adds an appropriations and allocations section. The amendment also reallocates the statutory language to avoid a numbering conflict with a prior enacted section.

LD 493 fiscal note
LD 493 Amendment S-223 fiscal note
LD 494 An Act To Update the Family Planning Statutes Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-151, Enacted, Signed into law June 7, 2019
LD 494
This bill updates language in the laws governing family planning.

Amendment S-151
This amendment, which is the majority report of the committee, amends the bill to remove conflicts with other provisions in statute relating to consent by minors. Current law provides that the treatment of a minor for a sexually transmitted infection does not require the consent of the minor's parent or guardian. This amendment provides that the prevention or treatment of a sexually transmitted infection does not require the consent of the minor's parent or guardian. Current law also provides that family planning services may be provided to a minor who is a parent, who is married, with the consent of the minor's guardian or if the minor will suffer probable health hazards. This amendment provides that a health care provider may provide family planning services to a minor without requiring the consent of the minor's parent or guardian, just as with sexually transmitted infections. This amendment clarifies that the provisions of the Maine Revised Statutes, Title 22, chapter 406 regarding family planning services are not intended to change the scope of practice of a health care provider. It also makes other technical changes.

LD 494 Chaptered Law
LD 494 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 818 An Act To Reduce Greenhouse Gas Emissions (Emergency) Status: Referred to Environment and Natural Resources Committee, Dead, Joint rule 310.3, April 11, 2019
LD 818
This bill provides that by January 1, 2030 the State must reduce net annual greenhouse gas emissions to at least 80% below the 1990 net annual greenhouse gas emissions level. It directs the Department of Environmental Protection to establish interim net annual emissions levels and to monitor and report on gross and net annual greenhouse gas emissions. It directs the department to update the State's climate action plan and evaluate the State's progress toward meeting the reduction levels. It requires the Board of Environmental Protection to establish greenhouse gas emission standards for individual sources or categories of sources.

LD 1085 An Act To Ensure That Maine Residents Have Adequate and Affordable Access to Health Care Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 10, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1085
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to ensure that consumer protections in health insurance are maintained under state law.



LD 1096 An Act To Require That Comprehensive Substance Use Disorder Treatment Be Made Available to Maine's Incarcerated Population Status: Referred to Criminal Justice and Public Safety Committee, Work session held, May 9, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1096
This bill requires the Commissioner of Corrections to establish and maintain a substance use disorder treatment program in the correctional facilities, which must provide for an assessment on intake, provide a variety of behavioral and medication-assisted treatment options and offer peer support and comprehensive treatment options after release. The bill also provides funding for the establishment of the substance use disorder treatment program.

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 1276 An Act To Better Enforce the Prohibition against Dangerous Persons Possessing Firearms (By request) Status: Referred to Criminal Justice and Public Safety Committee, Dead, Concurrence in Ought Not to Pass, June 13, 2019
LD 1276
This bill requires background checks of purchasers of firearms for all private sales at gun shows or private sales resulting from advertising or marketing.

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 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 1386 An Act Regarding the Determination of the Prevailing Wage Rate for Public Works Projects Status: Referred to Labor and Housing Committee, Enacted in both chambers as amended by Committee amendment S-204 and Senate amendment S-342, June 18, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 1386
This bill directs the Department of Labor, Bureau of Labor Standards, when determining prevailing hourly wages and benefits, to collect one set of data through conducting a survey of wages and benefits and a 2nd set of data through certified payroll submissions on state construction projects during 2 weeks in July of each year and to use the higher wage and benefit information of the 2 data sets to determine the prevailing hourly wage and benefit rate. This bill also increases from $50 to $250 the penalty for failing to provide requested information to the bureau.

Amendment S-204
Like the bill, this amendment requires 2 data sets to be reported to the Department of Labor, Bureau of Labor Standards in order to determine the hourly prevailing wage and benefits rate paid in the construction industry but clarifies that the 2nd set of data, the certified payroll submissions on state construction of public works, is to come from reporting by state agencies that contract for the construction of public works. It also requires that all data must be submitted to the bureau by the 2nd week in October. It increases the penalties the director may assess against any person who fails to provide the information from $250 for all offenses, as in the bill, to $250 for the first offense, $500 for a 2nd offense and $1,000 for any subsequent offense. Lastly, it adds an appropriations and allocations section to fund a position in the department necessary for the administration of requirements of the bill, as amended.

Amendment S-342
This amendment eliminates the General Fund appropriations for one-half of the cost of one Statistician II position within the Department of Labor, Bureau of Labor Standards and instead provides Other Special Revenue Funds allocations for the full cost of the position.

LD 1386 Amendment S-204 fiscal note
LD 1386 Amendment S-342 fiscal note
LD 1689 An Act To Address the Opioid Crisis through Evidence-based Public Health Policy Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-177, tabled to Special Appropriations in the Senate June 5, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1689
This bill expands the scope and capabilities of hypodermic apparatus exchange programs certified by the Department of Health and Human Services, Maine Center for Disease Control and Prevention. This bill requires the center to adopt rules that:
  • 1. Allow the programs to distribute naloxone hydrochloride and other safer drug use supplies; and
  • 2. Expand the criteria a program must meet in order to be awarded funds, including distributing naloxone hydrochloride and other safer drug use supplies; providing HIV, AIDS and hepatitis C testing; and maintaining referral agreements or having the capacity to provide counseling services, medication-assisted treatment services and infectious disease care.

The center is also required to consider geographic distribution of services provided by a program when allocating funding.

This bill also amends the Maine Criminal Code to remove the crimes of furnishing hypodermic apparatuses and illegal possession of hypodermic apparatuses and makes changes to other statutes to reflect that decriminalization.

Amendment S-177
This amendment, which is the unanimous report of the committee, removes the sections of the bill that decriminalize the crimes of furnishing or possessing hypodermic apparatuses. It removes the changes to the requirement to distribute educational materials. It removes the requirement to distribute naloxone hydrochloride and other safer drug use supplies. Instead of requiring that a hypodermic apparatus exchange program have a board, the amendment requires a program to have a process or system to regularly seek input from persons with a history of drug use. The amendment also makes changes to the allocation of funds appropriated for hypodermic apparatus exchange programs. The amendment also adds an appropriations and allocations section.

LD 1689 Amendment S-177 fiscal note
LD 1660 An Act To Improve Access to Physician Assistant Care Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 16, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1660
This bill makes the following changes to the laws governing the licensing and scope of practice of physician assistants.
  • 1. It increases the membership of the Board of Osteopathic Licensure and the Board of Licensure in Medicine from 10 to 11 members by changing the number of members on each board who are physician assistants from 1 member to 2 members.
  • 2. It establishes provisions for the scope of practice, insurance coverage of services and immunity from liability for providing volunteer medical services during emergencies or disasters and clarifies that physician assistants are primary care providers when practicing in a medical specialty required for a physician to be a primary care provider.
  • 3. It removes registration and physician supervisory requirements.
  • 4. It establishes requirements for physician assistant collaboration and consultation with physicians and other health care professionals.
  • 5. It changes the initial licensing fee from $250 to $300.
  • 6. It provides a transition provision for physician assistant licenses that are current and not subject to disciplinary action.


LD 1825 An Act To Authorize Limited Disclosure of Cigarette Sales Information To Ensure Continued Receipt of Tobacco Settlement Funds (Governor's Bill) Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-268, Enacted, Signed into law June 18, 2019
LD 1825
This bill authorizes the Attorney General to share information received under the laws governing tobacco product manufacturers, other than information received from the Department of Administrative and Financial Services, Bureau of Revenue Services, with courts, arbitrators, data clearinghouses or similar entities for the purpose of assessing compliance with, resolving disputes arising under or making calculations required by the Master Settlement Agreement or agreements resolving disputes arising under the Master Settlement Agreement, and with counsel for the parties or expert witnesses in any such proceeding, if the information otherwise remains confidential.

Amendment S-268
This amendment incorporates a fiscal note.

LD 1825 Chaptered Law
LD 1825 Chaptered Law fiscal note
LD 37 An Act To Allow for the Sale of Nonprescription Drugs through Vending Machines Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-466, Enacted, Signed into law June 21, 2019
LD 37
This bill creates a limited exception to the prohibition against the sale of drugs by vending machines to allow for the sale of nonprescription drugs by vending machines.

Amendment H-466
This amendment adds a "vending machine outlet" pharmacy licensing classification and requires that the Maine Board of Pharmacy adopt rules in accordance with certain specified requirements.

LD 37 Chaptered Law
LD 37 Chaptered Law fiscal note
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 80 An Act To Create the Department of Substance Use Disorder Services Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 7, 2019
LD 80
This bill establishes the Department of Substance Use Disorder Services as a separate cabinet-level department. It removes from the Department of Health and Human Services, and transfers to the Department of Substance Use Disorder Services, functions and services for individuals with substance use disorders, prevention programs and administrative assistance for the Substance Use Disorder Services Commission.

LD 105 An Act To Establish the Office of Outdoor Recreation Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Dead, Joint rule 310.3, February 5, 2019
LD 105
This bill creates the Office of Outdoor Recreation within the Department of Economic and Community Development.

It also makes an ongoing allocation of $250,000 per fiscal year from the Tourism Marketing Promotion Fund, which is funded by a portion of the meals and lodging sales tax, to the new Office of Outdoor Recreation.

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

LD 142 An Act To Increase Funding for the Fund for a Healthy Maine To Reduce Smoking Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
LD 142
This bill adjusts funding between the Maine Center for Disease Control and Prevention program and the Medical Care - Payments to Providers program in the Fund for a Healthy Maine within the Department of Health and Human Services to fund tobacco cessation services.

LD 148 An Act To Authorize a General Fund Bond Issue To Recapitalize the School Revolving Renovation Fund and To Give Priority Status to Certain School Facility Upgrades Status: Referred to Appropriations and Financial Affairs Committee, Public hearing held, February 12, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 148
The funds provided by the bond issue in Part A of this bill, in the amount of $50,000,000, will be used to recapitalize the School Revolving Renovation Fund for the purpose of providing funds to public schools for renovation and capital repairs.

Part B of this bill gives upgrades of facilities required to meet prekindergarten facility standards and for prekindergarten capacity building Priority 4 status for loans from the fund to school administrative units for school repair and renovation.

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

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

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

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

LD 152 Chaptered Law
LD 152 Chaptered Law fiscal note
LD 153 An Act To Strengthen Testing for Lead in School Drinking Water Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-84, Enacted, Signed into law May 28, 2019
LD 153
This bill requires all schools to test water used for drinking or culinary purposes for lead using water testing kits or by submitting samples of water to an approved laboratory for lead testing. It directs the Department of Health and Human Services to establish by major substantive rule water lead levels, testing protocols, appropriate abatement and mitigation methods and public notification requirements. It directs the department to provisionally adopt major substantive rules and submit them to the Legislature no later than 5:00 p.m. on January 10, 2020. It provides that the department has the authority to issue an order reducing exposure to lead until the elevated water lead levels are abated or mitigated. It provides that water lead abatement or mitigation efforts will receive Priority 1 status for receipt of funds from the School Revolving Renovation Fund in the custody of the Maine Municipal Bond Bank.

Amendment S-84
This amendment, which is the majority report of the committee, amends the bill to provide that the State is not establishing a mandate on school administrative units. It provides that a school must test water used for drinking or culinary purposes for lead to the extent the Department of Health and Human Services provides the necessary resources to the school so that the school is not required to expand or modify its activities so as to necessitate additional expenditures from local revenue. It directs the department to adopt rules regarding testing and guidance to reduce exposure to lead but provides that the department may not require a school to expand or modify its activities so as to necessitate additional expenditures from local revenue in implementing the rules. It further provides that the department may provide resources to schools within its existing resources or identify alternative means to achieve the purposes of the legislation. It requires the Department of Health and Human Services to report annually beginning January 1, 2021 on lead testing in schools.

LD 153 Chaptered Law
LD 153 Chaptered Law fiscal note
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 278 An Act Regarding Pay Equality Status: Referred to Labor and Housing Committee, Amended by Committee amendment S-28, Enacted, Signed into law April 12, 2019
LD 278
This bill amends the Maine Human Rights Act to provide that evidence of discrimination with respect to compensation includes an employer seeking information about a prospective employee's prior wage history before an offer of employment, including all compensation, to the prospective employee has been made. It provides that this discrimination is also evidenced by an employer requiring that a prospective employee's prior compensation history meet certain criteria. The bill broadens a provision in the current equal pay law to prohibit an employer from preventing employees from discussing or disclosing other employees' wages and makes the practice a violation of the Maine Human Rights Act as well.

Amendment S-28
This amendment strikes and replaces the bill. The amendment prohibits an employer from inquiring about a prospective employee's compensation history until after an offer of employment that includes all terms of compensation has been negotiated and made to the prospective employee. It creates an exception for compensation history sought pursuant to any federal or state law that specifically requires the disclosure or verification of compensation history for employment purposes, for example, when such information is related to economic development programs that specifically create employment opportunities for persons with low incomes. An employer that violates this provision is subject to a fine of not less than $100 and not more than $500 per violation and is also subject to a civil action that may be brought by or on behalf of an affected employee or applicant by the Department of Labor or the affected employee or applicant.

This amendment also amends the Maine Human Rights Act to provide that evidence of unlawful employment discrimination includes an employer's seeking information about a prospective employee's compensation history before an offer of employment, including all terms of compensation, to the applicant has been made. It also creates an exception for compensation history sought pursuant to any federal or state law that specifically requires the disclosure or verification of compensation history for employment purposes.



LD 278 Chaptered Law
LD 278 Chaptered Law fiscal note
LD 284 An Act To Improve Care Provided to Forensic Patients Status: Referred to Health and Human Services Committee, Work session held, May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 284
This bill establishes a residential forensic step-down facility, which provides treatment of forensic patients who no longer require hospital level care but cannot be safely treated in a community setting, in Augusta in the Capitol Area. It authorizes the Commissioner of Health and Human Services to maintain and operate the 21-bed forensic step-down facility. It provides that the facility must be licensed and that the Department of Health and Human Services must adopt rules that apply specifically to the licensure of a forensic step-down facility and that include the admission and discharge standards of the facility, the staffing model, security, patients' access to treatment and patient rights protections. It requires that the department provisionally adopt rules to implement the licensure of the forensic step-down facility no later than January 11, 2020. It creates an advisory committee to participate in and guide the planning process for the facility and to report to the Joint Standing Committee on Health and Human Services. It authorizes the committee to report out a bill based on the advisory committee's report. It requires the department to report to the committee on the progress of creating the facility and developing rules. It provides that the transfer of a forensic patient into the forensic step-down facility must be approved by a court of appropriate jurisdiction. It includes the forensic step-down facility in the Maine Revised Statutes, Title 34-B, chapter 1 as a "state institution."

LD 304 An Act To Improve Stroke Care in Maine Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 7, 2019
LD 304
This bill provides funding to the Department of Health and Human Services, Maine Center for Disease Control and Prevention for evidence-based education efforts designed to inform residents of the State about the causes, signs and symptoms of stroke, focusing on populations and geographic areas most affected by stroke, and to improve stroke surveillance and epidemiology efforts of the Maine Center for Disease Control and Prevention. The bill also provides funding for one Stroke Care Coordinator position in the Maine Center for Disease Control and Prevention.

LD 319 An Act To Standardize the Laws Concerning Property Transfers and To Protect Water Quality Status: Referred to Environment and Natural Resources Committee, Dead, Joint rule 310.3, March 19, 2019
LD 319
This bill extends to inland shoreland areas the requirement that subsurface waste water disposal systems on property located within a shoreland area be inspected prior to a sale of the property. Currently, that inspection requirement applies only to the sale of property located within a coastal shoreland area.

LD 320 An Act To Amend the Scope of Practice of Podiatric Medicine Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Concurrence in Ought Not to Pass, March 12, 2019
LD 320
This bill amends the scope of practice of podiatric medicine to include the diagnosis and treatment of maladies of the soft tissue of the lower leg and the evaluation, diagnosis, management and prevention of conditions of the lower extremities.

LD 354 An Act To Authorize a General Fund Bond Issue To Encourage the Provision of Reliable High-speed Internet in Rural Underserved Areas of Maine Status: Referred to Appropriations and Financial Affairs Committee, Public hearing held, February 19, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 354
The funds provided by this bond issue, in the amount of $20,000,000, will be used for encouraging the provision of reliable high-speed Internet in rural underserved areas of Maine.

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 369 An Act Authorizing Earned Employee Leave Status: Referred to Labor and Housing Committee, Amended by Committee amendment S-79, Enacted, Signed into law May 28, 2019
LD 369
This bill creates a right to earned paid sick leave for employees who are employed by an employer that employs more than 5 employees. The bill also creates a right to earned unpaid sick leave for employees of an employer that employs 5 or fewer employees. This bill takes effect January 1, 2021.

Amendment S-79
This amendment, which is the majority report of the Joint Standing Committee on Labor and Housing, replaces the title and the bill. This amendment does the following:1. It requires an employer, except in a seasonal industry, that employs more than 10 employees for more than 120 days in any calendar year to permit each employee to earn paid leave based on the employee's base pay;
  • 2. It specifies that an employee is entitled to earn one hour of paid leave from a single employer for every 40 hours worked, up to 40 hours in one year of employment, with accrual of leave beginning at the start of employment;
  • 3. It requires an employee to work for 120 days before an employer is required to permit use of accrued earned paid leave;
  • 4. It requires an employer to pay an employee taking earned leave at least the same base rate of pay that employee received immediately prior to taking earned leave and provide the same benefits as those provided under established policies of the employer pertaining to other types of paid leave;
  • 5. It requires an employee, absent an emergency, illness or other sudden necessity for taking earned leave, to give reasonable notice to the employee's supervisor of the employee's intent to use leave;
  • 6. It specifies that an employee taking earned leave maintains any employee benefits accrued before the date on which the leave commenced and the leave may not affect the employee's right to health insurance benefits on the same terms and conditions as applicable to similarly situated employees;
  • 7. It provides the Department of Labor, Bureau of Labor Standards the exclusive authority to enforce the law and requires the Department of Labor to adopt routine technical rules to implement and enforce the law;
  • 8. It allows for the imposition of penalties currently established in the Maine Revised Statutes, Title 26, section 53;
  • 9. It preempts the authority of a municipality or other political subdivision to enact any ordinance or other rule purporting to have the force of law under its home rule or other authority regulating earned paid leave;
  • 10. It requires the Department of Labor to adopt routine technical rules to implement and enforce provisions regarding earned paid leave;
  • 11. It specifies that earned paid leave does not apply to an employee covered by a collective bargaining agreement during the period between January 1, 2021 and the expiration of the collective bargaining agreement; and
  • 12. It requires the Department of Labor, beginning January 1, 2022 and annually thereafter, to report progress to the joint standing committee of the Legislature having jurisdiction over labor matters.


  • LD 369 Chaptered Law
    LD 369 Chaptered Law fiscal note
    LD 427 An Act To Require the State To Fund Teacher Retirement Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-20, tabled to Special Appropriations in the Senate April 2, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 427
    This bill changes the method for funding teacher retirement costs. It repeals those provisions of law enacted pursuant to Public Law 2013, chapter 368 that require school administrative units and private schools to pay a portion of the costs for teacher retirement.

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

    LD 427 fiscal note
    LD 427 Amendment H-20 fiscal note
    LD 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 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 463 An Act To Reduce Obesity Rates in Maine Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 23, 2019
    LD 463
    This bill requires the Department of Health and Human Services, Maine Center for Disease Control and Prevention to develop a comprehensive state plan relating to the reduction of unhealthy weight and obesity. The plan must include coordination of activities within the Department of Health and Human Services and among state departments, efforts to monitor rates of unhealthy weight and obesity, including a survey of food and drink consumption and physical exercise, and a media plan to reduce the consumption of sugary drinks. The department is required to submit the plan to the joint standing committee of the Legislature having jurisdiction over health and human services matters no later than January 1, 2020 and every 2 years thereafter. The bill also includes a position within the Maine Center for Disease Control and Prevention, or contracted for by the department, as a coordinator of the state plan. The bill also appropriates funds to develop and implement the plan, to improve surveillance and epidemiology related to obesity and to fund one Obesity Care Coordinator position in the Maine Center for Disease Control and Prevention.

    LD 464 An Act To Change the Period To Request a Due Process Hearing for Costs Related to a Unilateral Private School Placement from a Public School Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, March 7, 2019
    LD 464
    This bill removes a requirement that rules adopted by the Commissioner of Education governing due process hearings include a maximum period within which due process hearings and appeals may be requested. It provides that an action against a school administrative unit to recover the costs of a unilateral special education placement in a private school may be commenced only by requesting a due process hearing within 90 days of the placement. It also provides that rules adopted by the Commissioner of Education governing the procedures for conducting due process hearings must include procedures for discovery, including rules for the production of documents.

    LD 467 An Act To Amend the Eligibility Criteria for Creditable Service in the Armed Forces of the United States under the State Retirement System Status: Referred to Labor and Housing Committee, Enacted in the House as amended by Committee amendment H-550, tabled to Special Appropriations in the Senate June 14, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 467
    This bill amends the state retirement system laws governing creditable service for service in the United States Armed Forces to provide credit for service during operations in Lebanon, August 21, 1982 to February 26, 1984; operations in Grenada, October 25, 1983 to December 15, 1983; and operations in Panama, December 21, 1989 to February 13, 1990.

    Amendment H-550
    This amendment is the majority report of the committee. It adds an appropriations and allocations section.

    LD 467 fiscal note
    LD 467 Amendment H-550 fiscal note
    LD 509 An Act To Increase the Minimum Grant Amount under the Maine State Grant Program Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Enacted in the House as amended by Committee amendment H-468, tabled to Special Appropriations in the Senate June 10, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 509
    This bill provides that the minimum grant amount under the Maine State Grant Program may not be less than $2,500 if sufficient funds are appropriated for this purpose, subject to the current grant amount modifications under the program.

    Amendment H-468
    This amendment provides that, of the $9,450,000 appropriated in each fiscal year, $1,000,000 in each fiscal year must be dedicated to assistance of adult learners in returning to school and completing their credentials.

    LD 509 fiscal note
    LD 509 Amendment H-468 fiscal note
    LD 511 An Act To Create an Alzheimer's Disease and Dementia Coordinator Position within the Department of Health and Human Services Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-159, tabled to Special Appropriations in the Senate May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 511
    This bill establishes a position within the Department of Health and Human Services, office of aging and disability services for coordinating programs and services to Maine's population with Alzheimer's disease and other dementias across departments and branches of State Government. The coordinator is required to implement recommendations developed by the United States Department of Health and Human Services, Centers for Disease Control and Prevention and national organizations such as the Alzheimer's Association and plans developed by the Department of Health and Human Services relating to Alzheimer's disease and other dementias. The department is required to submit an annual report to the joint standing committee of the Legislature having jurisdiction over health and human services matters outlining the activities and progress of the coordinator and the department. The bill includes funding for the coordinator position.

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

    LD 511 fiscal note
    LD 511 Amendment H-159 fiscal note
    LD 512 Resolve, To Create the Task Force To Study and Plan for the Implementation of Maine's Early Childhood Special Education Services (Emergency) Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-561, tabled to Special Appropriations in the Senate June 12, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 512
    This resolve establishes the Task Force To Study and Plan for the Implementation of Maine's Early Childhood Special Education Services to examine the national trends and relevant models of governing and delivering early childhood special education systems and the short-term and long-term costs and benefits to the Department of Education's proposed plan to restructure the Child Development Services System and to make recommendations for an early childhood special education services program plan.

    Amendment H-561
    This amendment authorizes the Legislature, through the Joint Standing Committee on Education and Cultural Affairs, to contract with a qualified research and technical assistance entity to conduct an independent review of Maine's early childhood special education services. This amendment authorizes the Office of the Executive Director of the Legislative Council, at the direction of the Joint Standing Committee on Education and Cultural Affairs, to develop and administer a request for proposals process to award a contract for the independent review. The amendment also adds an appropriations and allocations section.

    LD 512 fiscal note
    LD 512 Amendment H-561 fiscal note
    LD 513 An Act To Limit the Number of Students and Prevent the Addition of Grade Levels at Virtual Public Charter Schools Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-239, Enacted, Became law without the Governor's signature June 9, 2019
    LD 513
    This bill limits total enrollment at all virtual public charter schools authorized by the commission to the total enrollment at the end of the 2018-2019 school year. It also prohibits a virtual public charter school authorized by the commission from expanding to serve a grade level not included in the school's initial charter contract or, for a school whose charter was renewed prior to November 1, 2019, the renewed charter contract.

    Amendment H-239
    This amendment, which is the majority report of the committee, limits the total enrollment at all virtual public charter schools authorized by the Maine Charter School Commission to 1,000 students.

    LD 513 Chaptered Law
    LD 513 Chaptered Law fiscal note
    LD 529 An Act To Provide Property Tax Deferral for Senior Citizens and People with Physical Disabilities Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 23, 2019
    LD 529
    This bill reinstates the State's property tax deferral program, which was in effect for applications filed before April 1, 1991. The bill modifies the program to include households with at least one individual who is 65 years of age or older or who retired from gainful employment due to physical disability and to surviving spouses who are at least 60 years of age and provides that household income must be less than $40,000. This limit is indexed for inflation in 2020 and annually thereafter.

    This bill limits the total amount of property taxes that a taxpayer may defer to 80% of the taxpayer's equity in the property and requires the Finance Authority of Maine to establish a loan program to ensure adequate funding of reimbursements to municipalities.

    LD 547 An Act To Authorize a General Fund Bond Issue To Support Maine Aquaculture Status: Referred to Appropriations and Financial Affairs Committee, Public hearing held, April 2, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 547
    The funds provided by this bond issue, in the amount of $25,000,000, will be used to provide funds to the Gulf of Maine Research Institute to study and promote Maine aquaculture.

    LD 549 An Act To Promote Academic Achievement through Hunger Relief for Maine Children Status: Dead, Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment S-57, tabled to Special Appropriations in the Senate May 7, 2019, in the Senate when the Senate adjourned sine die, June 20, 2019
    LD 549
    This bill directs the State to fund the difference between the federal reimbursements for reduced-price and free lunches in order to provide all children from families with incomes under 185% of the federal poverty level free lunch at school.

    Amendment S-57
    This amendment incorporates a fiscal note.

    LD 549 Amendment S-57 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 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 610 An Act To Provide Funding for Maine Public Status: Referred to Education and Cultural Affairs Committee, Enacted in the House as amended by Committee amendment H-401, tabled to Special Appropriations in the Senate June 6, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 610
    This bill provides ongoing funds to Maine Public and increases the State's contribution to funding the cost of the emergency alert system.

    Amendment H-401
    This amendment, which is the majority report, decreases the ongoing appropriation to Maine Public because additional funding is included in the Governor's biennial budget.

    LD 610 fiscal note
    LD 610 Amendment H-401 fiscal note
    LD 699 Resolve, To Provide for Outreach Programs To Assist Women at Risk of Giving Birth to Substance-exposed Infants Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-121, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 699
    This resolve requires the Department of Health and Human Services to contract with a community-based nonprofit organization to develop outreach and educational programs regarding reproductive and sexual health care for women and adolescents at highest risk of experiencing an unintended pregnancy. The programming must emphasize the right to individual self-determination regarding family planning and childbearing and be targeted to women and adolescents experiencing substance use disorder, homelessness or other circumstances that indicate a need for family planning services or who are involved in the correctional system.

    Amendment S-121
    This amendment incorporates a fiscal note.

    LD 699 fiscal note
    LD 699 Amendment S-121 fiscal note
    LD 705 An Act Regarding the Process for Obtaining Prior Authorization for Health Insurance Purposes Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-175, Enacted, Signed into law June 13, 2019
    LD 705
    This bill amends the prior authorization process for health insurance carriers. It reduces the time frame for a carrier's response to a prior authorization request and it exempts medication-assisted treatment for opioid use disorder from prior authorization requirements.

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

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

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


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

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

    LD 706 Amendment S-33 fiscal note
    LD 738 Resolve, Directing the Commissioner of Health and Human Services To Convene a Study Group To Review the Crisis Response System in the State Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
    LD 738
    This resolve requires the Commissioner of Health and Human Services to convene a study group of interested parties to review the crisis response system in the State. The study group is required to submit its report, including any recommended legislation, to the Joint Standing Committee on Health and Human Services no later than December 15, 2019. The joint standing committee may submit legislation related to the report to the Second Regular Session of the 129th Legislature.

    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 789 An Act To Appropriate General Fund Money for Basic Government Functions Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
    LD 789
    This bill is a concept draft pursuant to Joint Rule 208.

    This bill proposes to appropriate money from the General Fund to support basic government functions.

    LD 797 An Act To Limit Greenhouse Gas Pollution and Effectively Use Maine's Natural Resources Status: Referred to Environment and Natural Resources Committee, Dead, Joint rule 310.3, June 3, 2019
    LD 797
    This bill provides that by January 1, 2050 the State must reduce net annual greenhouse gas emissions to at least 80% below the 1990 net annual greenhouse gas emissions level. It directs the Department of Environmental Protection to establish interim net annual emissions levels and to monitor and report on gross and net annual greenhouse gas emissions. It directs the department to update the State's climate action plan and evaluate the State's progress toward meeting the reduction levels.

    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 814 An Act To Strengthen Maine's Economy through Research and Innovation led by the University of Maine System Status: Referred to Innovation, Development, Economic Advancement and Business Committee, Work session held, May 9, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 814
    This bill is a concept draft pursuant to Joint Rule 208.

    his bill would provide funding and enact measures based on recommendations of the President of the University of Maine at Machias in a strategic plan chartered by the Chancellor of the University of Maine System and due to the Board of Trustees of the University of Maine System in March 2019. The bill would strengthen research and economic development efforts across the University of Maine System to support Maine industries and workforce development and to foster business formation and expansion, specifically in the 7 research and development sectors designated in statute: advanced technology for agriculture and forestry; aquaculture and marine technology; biotechnology; composite materials technology; environmental technology; information technology; and precision manufacturing technology.

    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 857 An Act To Increase Accountability for Wage Violations Status: Referred to Labor and Housing Committee, Enacted in the House as amended by Committee amendment H-78, tabled to Special Appropriations in the Senate April 23, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 857
    This bill amends the law regarding employment practices by increasing the fine for a violation of certain state wage and benefits laws to $500 for the first violation and $2,500 for each subsequent violation and by providing a private right of action for a person aggrieved of such a violation. It amends the law regarding employees' remedies to provide that in a judgment for an employee an additional amount of 3 times the unpaid wages must be awarded the employee. It also provides ongoing funds for 10 labor and safety inspector positions within the Department of Labor, Bureau of Labor Standards, wage and hour division beginning October 1, 2019.

    Amendment H-78
    This amendment changes the fine structure proposed in the bill from a $2,500 fine for each subsequent violation of the various wage and hour laws to a fine of at least $500 but not more than $2,500 for each subsequent violation. It also strikes new language added by the bill regarding a civil action remedy for violations of various wage and hour laws. It reduces the liquidated damages available in a civil action to collect unpaid minimum wages from 3 times the amount of unpaid wages, as proposed by the bill, to twice the amount of unpaid wages, and it reduces the Labor and Safety Inspector positions added to the bill from 10 to 4.

    LD 857 Amendment H-78 fiscal note
    LD 898 An Act To Provide for Support for New Educators Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-59 and Senate amendment S-332, Enacted, Signed into law July 2, 2019
    LD 898
    This bill proposes to improve teacher quality in the State by amending the current statutes related to programs involving teacher preparation, support systems for conditionally certified teachers and educational specialists, teacher certification and teacher salaries and funding college loans for students enrolled in a program of study leading to certification as a teacher.

    The bill expands the student teaching experience and academic achievement requirements for candidates for a professional teacher certificate. It specifies the number of hours of practicum an applicant must complete and clarifies the time frame during which the student teaching experience must occur. The bill enacts a grade point average requirement with respect to applicants recommended by educational institutions offering teacher preparation programs.

    The bill strengthens the support and mentoring systems required to provide assistance for teachers, including teachers certified for less than 5 years, and requires the Commissioner of Education to pay salary supplements to teachers who are involved in the operation of such systems. The bill provides that a school administrative unit may not employ a conditionally certified teacher or educational specialist unless it has an approved, locally designed support and mentoring system or has received specific authorization from the commissioner.

    The bill increases the minimum salary for certified teachers to $40,000 beginning with the 2020-2021 school year and provides that a certified teacher's salary may not remain at the minimum level for longer than 2 years. The bill includes in the school funding formula state funding for the incremental costs of meeting this minimum in fiscal year 2020-21, state funding for 66% of these incremental costs in fiscal year 2021-22 and state funding for 33% of these incremental costs in fiscal year 2022-23.

    The bill requires the State Board of Education to amend its rule Chapter 114: Purpose, Standards and Procedures for the Review and Approval of Preparation Programs for Education Personnel to articulate and outline clear standards for a memorandum of understanding between student teachers, teacher preparation programs and participating school administrative units.

    The bill directs the Governor to appoint members to vacant positions on the Professional Standards Board by November 1, 2019 and directs the board to convene a meeting by December 1, 2019.

    The bill provides additional appropriations for the Educators for Maine Program within the Finance Authority of Maine in order to double the annual investment of state loan funds awarded to eligible students.

    Amendment S-59
    This amendment, which is the majority report of the committee, removes the requirement that a support and mentoring system must be approved by the Commissioner of Education, and it clarifies that the support and mentoring system is a peer support and mentoring system and that it must include opportunities for educators to share, learn and improve their practice in collaboration with peers, be formative in nature and be for the sole purpose of ongoing professional growth for educators.

    This amendment also removes the provisions of the bill on teacher preparation programs and salary supplements for approved support and mentoring systems for teacher certification and the appropriations for the Educators for Maine Program under the Finance Authority of Maine.

    Amendment S-332
    This amendment removes the sections of the bill relating to establishing a minimum salary of $40,000 for certified teachers starting after June 30, 2020.

    LD 898 Chaptered Law
    LD 898 Chaptered Law fiscal note

    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 984 Resolve, To Develop Plans To Return to the State Children Housed in Residential Treatment Systems outside of the State Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-352, Finally passed, Signed into law June 6, 2019
    LD 984
    This resolve requires the Department of Health and Human Services to coordinate with families of children who are receiving certain services out of state to develop plans to bring the children back to the State to receive the required services and care. The resolve also suspends current contracts regarding any psychiatric residential treatment facility licensed by the department and prohibits the department from issuing new contracts for such facilities. The suspension and moratorium are lifted 30 days after the department submits a report, as required by this resolve, to the Joint Standing Committee on Appropriations and Financial Affairs and the Joint Standing Committee on Health and Human Services regarding the adequacy of beds and staffing levels in those facilities and the need to increase the MaineCare reimbursement rate to allow for additional facilities or staffing.

    Additionally, the resolve provides funding to increase rates in rule Chapter 101: MaineCare Benefi\ts Manual, Chapter III, Section 65, Behavioral Health Services, Children's Home and Community Based Treatment and Section 97, Appendix D, Principles of Reimbursement for Child Care Facilities by 30% no later than October 1, 2019.

    Amendment H-352
    This amendment removes from the resolve the sections relating to psychiatric residential treatment facilities and increasing MaineCare reimbursement rates under rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 65 and Section 97, Appendix D. The amendment requires the Department of Health and Human Services to negotiate reimbursement rates with providers to provide services to children returning to the State, including deviating from reimbursement rates established by department rules in order to access additional services.

    LD 984 Chaptered Law
    LD 984 Chaptered Law fiscal note

    LD 1000 An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government and To Change Certain Provisions of Law Necessary to the Proper Operations of State Government for the Fiscal Year Ending June 30, 2019 (Emergency)(Governor's Bill) Status: Referred to Appropriations and Financial Affairs Committee, Amended by Committee amendment H-6, Enacted as an emergency measure, Signed into law March 14, 2019
    LD 1000
    PART A

    This Part makes appropriations and allocations.

    PART B

    This Part repeals the limited lifetime maximum coverage and reimbursement of 24 months under the MaineCare program for buprenorphine and naloxone combination drugs for the treatment of addiction.

    PART C

    This Part repeals the limited lifetime maximum reimbursement of 24 months under the MaineCare program for methadone for the treatment of addiction.

    PART D

    This Part repeals the laws governing the former Downeast Correctional Facility and establishes a Department of Corrections prerelease center in Washington County.

    PART E

    This Part transfers the remaining funds in the cost recovery fund of the Public Utilities Commission to the unappropriated surplus of the General Fund in fiscal year 2018-19.

    PART F

    This Part requires the State Controller to transfer any remaining balance specifically related to federal supplemental nutrition assistance program overpayments in the Food Supplement Administration program, Federal Expenditures Fund to the Food Supplement Administration program, Other Special Revenue Funds.

    PART G

    This Part imposes an additional assessment on electric utility entities for fiscal year 2018-19 to provide funding to the Office of the Public Advocate in order to fund the costs of representing ratepayers in rate cases.

    Amendment H-6
    PART A

    This Part makes appropriations and allocations.

    PART B

    This Part repeals the limited lifetime maximum coverage and reimbursement of 24 months under the MaineCare program for buprenorphine and naloxone combination drugs for the treatment of addiction.

    PART C

    This Part repeals the limited lifetime maximum reimbursement of 24 months under the MaineCare program for methadone for the treatment of addiction.

    PART D

    This Part repeals the laws governing the former Downeast Correctional Facility and establishes a Department of Corrections prerelease center in Washington County.

    PART E

    This Part transfers the remaining funds in the cost recovery fund of the Public Utilities Commission to the unappropriated surplus of the General Fund in fiscal year 2018-19.

    PART F

    This Part requires the State Controller to transfer any remaining balance specifically related to federal supplemental nutrition assistance program overpayments in the Food Supplement Administration program, Federal Expenditures Fund to the Food Supplement Administration program, Other Special Revenue Funds.

    PART G

    This Part imposes an additional assessment on electric utility entities for fiscal year 2018-19 to provide funding to the Office of the Public Advocate in order to fund the costs of representing ratepayers in rate cases.

    LD 1000 Chaptered Law
    LD 1000 Chaptered Law fiscal note
    LD 1001 An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2019, June 30, 2020 and June 30, 2021 (Emergency)(Governor's Bill) Status: Referred to Appropriations and Financial Affairs Committee, Amended by Committee amendment H-586, Enacted as an emergency measure, Signed into law June 17, 2019
    LD 1001
    This bill is a concept draft pursuant to Joint Rule 208.

    This bill as emergency legislation proposes to make unified appropriations and allocations for the expenditures of State Government, General Fund and other funds and change certain provisions of the law necessary to the proper operations of State Government for the fiscal years ending June 30, 2019, June 30, 2020 and June 30, 2021, as submitted by the Governor pursuant to the Maine Revised Statutes, Title 5.

    The documents submitted by the Governor may be found here: https://legislature.maine.gov/ros/9635.

    Amendment H-586
    Link to amendment H-586 (opens in new tab)


    LD 1001 Chaptered Law
    LD 1001 Chaptered Law fiscal note

    LD 1006 Resolve, To Require the Development of Strategies for Reducing Health Disparities Based on Social Determinants Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, May 21, 2019
    LD 1006
    This resolve directs the Department of Health and Human Services to present to the Joint Standing Committee on Health and Human Services an action plan detailing strategies for reducing health disparities based on social determinants.

    LD 1007 An Act To Expand and Enhance Maine's Behavioral Health Direct Care Workforce Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-499, tabled to Special Appropriations in the Senate June 10, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1007
    This bill is a concept draft pursuant to Joint Rule 208.

    This bill proposes to enact measures to expand and enhance the State's behavioral health direct care workforce, including, but not limited to, community-based mental health rehabilitation technicians, direct support professionals and behavioral health professionals.

    Amendment H-499
    This amendment replaces the concept draft. It changes the educational requirements for behavioral health professionals providing children's home and community-based treatment to replace the requirement for a bachelor's degree to a minimum of 60 credit hours in a related field, 90 credit hours in an unrelated field combined with a plan for supervision and training or a high school diploma or equivalent with 3 years of experience working in the field combined with a plan for supervision and training. The educational requirements do not change the required behavioral health professional training or the prescribed time frames for that training. It also requires the Department of Health and Human Services to amend or establish contracts for training behavioral health professionals to train any additional individuals within existing resources, and authorizes the department to opt to charge individuals or their employers fees for training.

    LD 1007 Amendment H-499 fiscal note

    LD 1009 An Act To Provide Protections for Maine Patients Facing Step Therapy Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-432, Enacted, Signed into law June 13, 2019
    LD 1009
    This bill requires health insurance carriers to establish a process for prescription drug step therapy exceptions.

    Amendment H-432
    This amendment conforms the timeline for responding to a request for a step therapy override exception determination with the existing timeline for prior authorization requests. The amendment clarifies the meaning of exigent circumstances and makes clear that a carrier is required to continue to provide access to the prescription drug subject to step therapy protocol during the consideration of a request for a step therapy override exception determination. The amendment also adds a definition of "stable on a prescription drug" and clarifies that the provisions do not prevent a carrier from requiring an enrollee to try an interchangeable biological product. The amendment also changes the allocation of a new section of the statutory provision to avoid a numbering problem.

    LD 1009 Chaptered Law
    LD 1009 Chaptered Law fiscal note
    LD 1010 Resolve, Directing the Department of Education To Develop a Model School Disciplinary Policy Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-129, Finally passed, Signed into law May 17, 2019
    LD 1010
    This resolve requires the Department of Education to develop a model school disciplinary policy that focuses on positive and restorative interventions designed to strengthen relationships, improve the connection to school, promote a strong sense of accountability and close economic and racial gaps. It also requires the department to provide support to school administrative units that choose to implement the model policy.

    Amendment H-129
    This amendment, which is the majority report of the committee, adds a requirement that the Department of Education's model school disciplinary policy promote interventions designed to close disability-related and gender gaps and requires the department, while developing the model school disciplinary policy, to review existing law regarding disciplinary policies and report back to the Joint Standing Committee on Education and Cultural Affairs on any recommended legislation on disciplinary policies no later than January 15, 2020. The committee may report out a bill to the Second Regular Session of the 129th Legislature to implement the recommendations on school disciplinary policies.

    LD 1010 Chaptered Law
    LD 1010 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 1026 Resolve, Directing the Secretary of State To Examine Best Practices in Elections Status: Referred to Veterans and Legal Affairs Committee, Amended by Committee amendment H-278, Finally passed, Signed into law June 5, 2019
    LD 1026
    This bill requires the Secretary of State to:
    • 1. Publish a guide to election procedures for public distribution and revise the guide annually to reflect current law, rules and procedures regarding elections;
    • 2. Provide local election procedure and ballot reconciliation forms for local election officials to complete;
    • 3. Develop an election complaint process;
    • 4. Maintain automatic voter registration information and contract with a nonprofit corporation of member states to maintain the information;
    • 5. Report to the Legislature on certain election issues within 12 months after a general election; and
    • 6. Conduct a study of post-election audits and recounts.


    Amendment H-278
    This amendment, which is the majority report of the committee, replaces the bill with a resolve directing the Secretary of State to conduct a study of post-election ballot audits and recounts. By December 6, 2023, the Secretary of State is directed to submit a report based upon the study to the joint standing committee of the Legislature having jurisdiction over election matters. The joint standing committee may report out a bill based upon the report to the Second Regular Session of the 131st Legislature.

    LD 1026 Chaptered Law
    LD 1026 Chaptered Law fiscal note
    LD 1028 An Act To Prevent and Reduce Tobacco Use with Adequate Funding and by Equalizing the Taxes on Tobacco Products and To Improve Public Health Status: Referred to Taxation Committee, Amended by Committee amendment H-622 and House amendment H-656, Enacted, Signed into law July 2, 2019
    LD 1028
    This bill increases the cigarette tax from $2.00 to $3.50 per pack of 20 cigarettes and increases the tax on all other tobacco products including electronic cigarettes to 81% of the wholesale sales price, beginning November 1, 2019. The bill provides that, if the tax on cigarettes is increased on or after November 1, 2019, the tax on all other tobacco products will be adjusted by a rate that is equivalent to the percentage change in the tax rate for one cigarette. The bill provides ongoing funding, $11,100,000 per year, to the Department of Health and Human Services, Maine Center for Disease Control and Prevention for tobacco use prevention and cessation in order to align with the United States Department of Health and Human Services, Centers for Disease Control and Prevention recommendations. The bill also provides $1,000,000 in fiscal year 2019-20 and $750,000 thereafter for MaineCare members for tobacco use cessation medications and counseling. Finally, the bill provides $250,000 per year in ongoing funding to the Attorney General's office for increased tobacco enforcement activities.

    Amendment H-622
    This amendment strikes the bill and instead increases the tax on tobacco products, other than cigarettes, to 43% of the wholesale sales price, beginning January 2, 2020, and includes electronic smoking devices and liquids used in electronic smoking devices in the definition of "tobacco products." The amendment provides that, if the tax on cigarettes is increased after January 2, 2020, the tax on smokeless tobacco and other tobacco products will be adjusted by a rate that is equivalent to the percentage change in the tax rate for one cigarette.

    The amendment provides ongoing funding of $5,100,000 in each year of the biennium to the Department of Health and Human Services, Maine Center for Disease Control and Prevention for tobacco use prevention and cessation in order to align with the United States Department of Health and Human Services, Centers for Disease Control and Prevention recommendations. The bill also provides $1,000,000 in fiscal year 2019-20 and $750,000 in fiscal year 2020-21 for tobacco use cessation medications and counseling for MaineCare members.

    Amendment H-656
    This amendment reduces appropriations for tobacco use prevention and cessation and adds provisions increasing reimbursement for certain services under the MaineCare program, providing an income tax deduction for student loan payments made by a taxpayer's employer directly to a lender on behalf of a qualified health care employee and transferring Other Special Revenue Funds in the Department of Health and Human Services to the unappropriated surplus of the General Fund.

    LD 1028 Chaptered Law
    LD 1028 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 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 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 1119 An Act To Authorize a General Fund Bond Issue To Support Investments in Energy Efficiency and Renewable Energy in Municipalities and School Administrative Units Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
    LD 1119
    The funds provided by the bond issue in Part A, in the amount of $10,000,000, will be used to purchase solar arrays, high-efficiency ductless heat pumps and high-efficiency modern wood heating systems for buildings and property owned by municipalities and school administrative units.

    Part B directs the Efficiency Maine Trust to use funds from the bond issue under Part A to fund the Municipal Energy Efficiency and Renewable Energy Program.

    Part C establishes the Municipal Energy Efficiency and Renewable Energy Program within the Efficiency Maine Trust to support municipalities and municipally authorized citizen committees and school administrative units across the State in reducing energy costs, reducing carbon emissions, facilitating the development of renewable energy resources and creating local jobs related to the building of renewable energy facilities and the installation of energy-efficient equipment. It funds the program with the proceeds of bonds, including bonds issued pursuant to Part A, any other funds allocated by the trust and matching funds from participating municipalities.

    Parts B and C take effect only if the bond issue under Part A is approved by the voters of the State.

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

    Amendment S-86
    This amendment incorporates a fiscal note.

    LD 1171 Amendment S-86 fiscal note
    LD 1190 An Act To Prohibit the Sale and Distribution of Flavored Tobacco Products Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-238, Enacted, Signed into law June 27, 2019
    LD 1190
    This bill prohibits the sale and distribution of flavored tobacco products, including flavored cigars.

    Amendment S-238
    This amendment replaces the bill. It provides that it is a Class D crime for a person who is 21 years of age or older to procure, furnish, give, sell or deliver a tobacco product to a minor or allow a minor under that person's control or in a place under that person's control to possess or consume a tobacco product. This provision does not apply to a licensee under the Maine Revised Statutes, Title 22, chapter 262-A or an agent of that licensee in the scope of employment. Current law provides that a person is guilty of endangering the welfare of a child if the person knowingly sells, furnishes, gives away or offers to sell, furnish or give away cigarettes to a child under 16 years of age. This amendment instead makes the same conduct illegal with respect to a tobacco product.

    LD 1190 Chaptered Law
    LD 1190 Chaptered Law fiscal note
    LD 1194 An Act To Increase Property Tax Relief for Veterans Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment S-136, tabled to Special Appropriations in the Senate May 30, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1194
    This bill increases the property tax exemption beginning on or after April 1, 2020 from $6,000 to $10,000 of the just value of a home of a veteran who served in the Armed Forces of the United States during specified periods or who is receiving compensation from the United States Government for total, service-connected disability.

    Amendment S-136
    This amendment increases to $10,000 the property tax exemption for all categories of eligible veterans other than those receiving a $50,000 exemption for specially adapted housing units and who are paraplegic veterans. It also expands the dates of federally recognized war periods to include February 1, 1955 to February 27, 1961. State reimbursement is provided for 100% of the property tax revenue loss to municipalities as a result of the increase and expansion of exemptions.

    The amendment also adds an appropriations and allocations section.

    LD 1194 Amendment S-136 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 1256 An Act To Provide a Health Care Preceptor Tax Credit Status: Referred to Taxation Committee, Enacted in the House as amended by Committee amendment H-331, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1256
    This bill establishes a refundable tax credit in the amount of $500 per student, up to a maximum of $1,500 per year, for a health care preceptor who provides, without compensation, instruction to and supervision of advanced practice registered nursing students in an approved course of study. A health care preceptor may be a licensed physician, physician's assistant or advanced practice registered nurse.

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

    LD 1256 Amendment H-331 fiscal note
    LD 1260 An Act Regarding Short-term, Limited-duration Health Plans Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-476, Enacted, Signed into law June 17, 2019
    LD 1260
    This bill limits the issuance of short-term, limited-duration individual health insurance policies in this State to policies with a term that is 3 months or less and further restricts an insurer or the insurer's agent or broker from issuing a short-term, limited-duration policy that replaces a prior short-term, limited-duration policy if the combined term of the new policy and all prior successive policies exceeds 3 months in any 12-month period. The bill prohibits an insurer from imposing any preexisting condition exclusion on a short-term, limited-duration policy.

    The bill also requires that insurers make specific written disclosures related to the terms and benefits of policies in at least 14-point type, including the types of benefits and consumer protections that are and are not included in the policies.

    The bill prohibits the issuance of a policy without prior approval from the Superintendent of Insurance.

    The requirements of the bill apply to policies issued or renewed in this State on or after January 1, 2020.

    Amendment H-476
    This amendment replaces the bill. The amendment does the following.

    • 1. It limits the issuance of short-term, limited-duration individual health insurance policies in this State to policies with a term that ends on December 31st of the calendar year in which they are issued and allows an insurer or the insurer's agent or broker to issue a short-term, limited-duration policy that replaces a prior short-term, limited-duration policy only if the combined term of the new policy and all prior policies does not exceed 24 months and as long as the individual has not been covered under any short-term, limited-duration policy for at least 12 months prior to the issuance of a policy.
    • 2. It requires that insurers make specific written disclosures related to the terms and benefits of policies in at least 14-point type, including the types of benefits and consumer protections that are and are not included in the policies, a summary of plan benefits, limits and exclusions in a standardized format, information about the circumstances in which covered benefits may be subject to balance billing and examples of how charges may be applied toward any cost sharing under the policy and billed to the individual policyholder, and a comparison of the short-term, limited-duration policy to a qualified health plan in the terms, benefits and conditions of the policy, any exclusions, medical loss ratio requirements or the provisions of guaranteed renewal and continuity of coverage. It also requires an insurer to make the documents and information required to be disclosed to be made available on the insurer's publicly accessible website.
    • 3. It prohibits a short-term, limited-duration policy from being actively marketed or sold during any open enrollment period except for a policy that terminates coverage on December 31st.
    • 4. It restricts the sale of short-term, limited-duration policies to in-person encounters with an insurer or an insurer's agent or broker.
    • 5. It requires that an insurer or an insurer's agent or broker, upon offering an individual short-term, limited-duration policy for purchase, assess an individual making an application for eligibility for an advanced premium tax credit or cost-sharing reduction for coverage under a qualified health plan purchased on the exchange pursuant to the federal Patient Protection and Affordable Care Act and provide an estimate of the cost for coverage under a qualified health plan after applying any advanced premium tax credit or cost-sharing reduction.
    • 6. It requires the Department of Professional and Financial Regulation, Bureau of Insurance to issue, no later than 30 days following the effective date of this legislation, a bulletin related to short-term, limited-duration health insurance policies describing the statutory requirements for the policies, including the requirements enacted in this legislation and the required mandated benefits applicable to all short-term, limited-duration policies.
    • 7. It makes the requirements of this legislation apply to policies issued or renewed in this State on or after January 1, 2020.


    LD 1260 Chaptered Law
    LD 1260 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 1315 An Act To Support Medically Monitored Crisis Support and Intervention Status: Referred to Health and Human Services Committee, Engrossed in both chambers as amended by Committee amendment H-351, Enacted in both chambers June 18, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
    LD 1315
    This bill directs the Department of Health and Human Services to provide for an enhanced crisis stabilization reimbursement rate under the MaineCare program for medically monitored crisis support and intervention provided to persons 18 years of age or older with mental health and co-occurring substance use disorders who voluntarily seek treatment.

    Amendment H-351
    This amendment clarifies that the Department of Health and Human Services must establish a rate under the MaineCare program that is sufficient to provide medically monitored crisis support and intervention to an adult. The rate must be established in rule by December 31, 2019.

    LD 1315 fiscal note
    LD 1315 Amendment H-351 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 1318 Resolve, To Increase Access to Housing-related Support Services Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-349, Finally passed, Signed into law June 6, 2019
    LD 1318
    This resolve directs the Department of Health and Human Services to apply for waivers to provide housing-related services, including housing transition and tenancy sustaining services, to individuals with disabilities, older adults needing long-term services and supports and persons experiencing chronic homelessness under the 1915(b) and 1915(c) Medicaid waiver provisions. It also directs the department to amend MaineCare rules to implement the waivers once approved. These allowable benefits are set forth in the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services Informational Bulletin dated June 26, 2015 on Coverage of Housing-Related Activities and Services for Individuals with Disabilities.

    The resolve also directs the department to review any waivers or state plan amendments available under Title XIX of the United States Social Security Act to stabilize access to safe and affordable housing for individuals with disabilities, older adults, individuals needing long-term services and supports and persons experiencing chronic homelessness through the provision of housing transition, tenancy sustainment and case management services and to collaborate with the Maine State Housing Authority to determine how resources may be leveraged more effectively to address housing needs. As part of its review, the department is required to convene a stakeholder group to solicit input regarding methods to improve health outcomes through greater housing stability.

    Amendment H-349
    This amendment replaces the bill. It directs the Department of Health and Human Services to examine opportunities available pursuant to a home and community-based services waiver available from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, including, but not limited to, a Medicaid 1915(i) state plan amendment to provide housing-related services to persons experiencing chronic homelessness who have mental health or substance use disorders and other vulnerable populations.

    It also directs the department to collaborate with Maine State Housing Authority to determine how resources may be leveraged more effectively to address the housing needs of persons experiencing chronic homelessness who have mental health or substance use disorders and other vulnerable populations and to consult with interested stakeholders as it conducts this review. The department must report to the Joint Standing Committee on Health and Human Services with any recommendations related to this review by no later than February 1, 2020, and the committee is authorized to report out a bill to implement the recommendations.

    LD 1318 Chaptered Law
    LD 1318 Chaptered Law fiscal note

    LD 1337 Resolve, To Save Lives by Establishing a Homeless Opioid Users Service Engagement Pilot Project within the Department of Health and Human Services Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-429 and Senate amendment S-340, Finally passed, Signed into law July 2, 2019
    LD 1337
    This bill establishes within the Department of Health and Human Services a program to provide rapid access to low-barrier treatment for substance use disorders and stable housing to support recovery and create stability for 50 opioid users who are among the most vulnerable and unstable in the State. The bill details the program objectives, eligibility criteria for program participants and services that must be provided to those participants, including medication-assisted treatment, intensive case management services and financial and case management assistance to ensure immediate and continued access to stable housing. The bill requires an independent evaluation of the program and directs the department to submit a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters regarding the program by March 15, 2020 and annually thereafter. The joint standing committee is authorized to submit legislation regarding the program.

    Amendment H-429
    This amendment changes the bill into a resolve.

    The bill established a homeless opioid users service engagement program. The amendment changes it to a pilot project that operates for 24 months.

    The amendment also adds an appropriations and allocations section.

    Amendment S-340
    This amendment provides that the Maine State Housing Authority, within its existing programs and resources, is required to provide funding for costs associated with housing provided under the pilot project. This amendment also allocates funds from the Fund for a Healthy Maine rather than appropriating funds from the General Fund.

    LD 1337 Chaptered Law
    LD 1337 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 1360 Resolve, To Expand Eligibility for Presumptive Eligibility Determinations by Hospitals Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 30, 2019
    LD 1360
    This resolve directs the Department of Health and Human Services to amend the department's rule Chapter 332: MaineCare Eligibility Manual, Part 18: Presumptive Eligibility Determined by Hospitals regarding expanding hospital presumptive eligibility, hospital presumptive eligibility cards, assisting individuals with MaineCare application forms and performance standards for qualified hospitals to require that 85% of presumptive eligibility determinations made will be found eligible for full MaineCare coverage.

    LD 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 1365 RESOLUTION, Proposing an Amendment to the Constitution of Maine To Provide for the Election of the Governor by Majority Vote Status: Referred to Veterans and Legal Affairs Committee, Dead, Joint rule 310.3, April 30, 2019
    LD 1365
    This resolution proposes to amend the Constitution of Maine to require that the Governor be elected by majority vote.

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

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


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

    LD 1399 Amendment H-249 fiscal note
    LD 1399 Amendment S-343 fiscal note
    LD 1417 An Act To Expand Access to Head Start To Assist Opioid-affected and Other At-risk Families Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-265, tabled to Special Appropriations in the Senate May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1417
    This bill establishes eligibility standards for the Head Start program that allow participation for a child up to 5 years of age who is or whose family is affected by substance use disorder or whose family's income is at or below 185% of the federal poverty level. This bill also provides appropriations to be distributed to nontribal Head Start program service providers proportionately in an amount based upon the percentage of children up to 5 years of age who live at or below the federal poverty level in each provider's service area compared to the percentage of children up to 5 years of age who live at or below the federal poverty level statewide, with preference given to children who are at risk or whose families are at risk.

    Amendment H-265
    This amendment clarifies that eligibility for the Head Start program is limited to children who have not met the minimum age requirement to enroll in a school administrative unit in accordance with the Maine Revised Statutes, Title 20-A, section 5201, subsection 2.

    LD 1417 fiscal note
    LD 1417 Amendment H-265 fiscal note
    LD 1418 An Act To Address Maine's Shortage of Behavioral Health Services for Minors Status: Referred to Health and Human Services Committee, Work session held, May 9, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1418
    This bill:
    • 1. Defines "behavioral health needs" to mean a wide range of mental health disorders and illnesses, substance use disorder, developmental disabilities and autism spectrum disorder;
    • 2. Directs the Department of Health and Human Services to take measures to address the issue of extended stays in hospital emergency departments by minors with behavioral health needs by:
      • A. Maintaining a daily updated online statewide list of available mental health facility or program and community service provider placements for referral purposes by hospital emergency departments;
      • B. Maintaining a quarterly updated online resource list of mental health programs or facilities and community service providers that treat behavioral health needs; and
      • C. Collecting monthly data on and study the issue of extended stays of minors with behavioral health needs in hospital emergency departments and annually submitting a report with a summary of the study along with any recommendations to the joint standing committee of the Legislature having jurisdiction over health and human services matters;
    • 3. Directs the department to study the data and analysis on extended stays in hospital emergency departments by minors with behavioral health needs and submit an annual report to the Legislature that identifies:
      • A. Reasons for the extended stays;
      • B. Specific behavioral health needs treatment programs and the waiting list for admission to each program; and
      • C. Funding mechanisms to provide short-term transitional assistance to minors with behavioral health needs discharged from a hospital emergency department to residential placements, partial hospitalizations or home-based programs; and
    • 4. Directs the department to study the feasibility of adding a child behavioral needs advocate within the department to coordinate the department's activities with those of various agencies and programs that provide behavioral health needs services to minors and to submit a report to the Legislature by January 1, 2020.


    LD 1433 An Act To Protect the Environment and Public Health by Further Reducing Toxic Chemicals in Packaging Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment H-362, Enacted, Signed into law June 13, 2019
    LD 1433
    This bill amends the laws regarding the reduction of toxics in packaging to prohibit the sale of food packaging to which phthalates have been intentionally introduced, effective January 1, 2022. It also authorizes the Department of Environmental Protection to by rule prohibit the sale of food packaging to which perfluoroalkyl and polyfluoroalkyl substances, or PFAS, have been intentionally introduced upon a determination by the department that a safer alternative to the intentionally introduced PFAS is available, except that such prohibition may not take effect until January 1, 2022 or 2 years following the department's determination that a safer alternative is available, whichever is later.

    The bill provides an exemption from these prohibitions for a manufacturer of a food or beverage product that has annual national sales of all food and beverage products produced by the manufacturer of less than one billion dollars. It also authorizes the department to designate additional chemicals of concern in food packaging; to require manufacturers of food packaging that use such designated chemicals to report regarding its use of the chemical and the availability of safer alternatives; and to prohibit the sale of food packaging to which a designated chemical of concern has been intentionally introduced if safer alternatives are reasonably available, effective and affordable to the consumer.

    Amendment H-362
    This amendment, which is the majority report of the committee, amends the bill as follows.

    • 1. It clarifies that the sales prohibitions on food packaging containing intentionally introduced perfluoroalkyl and polyfluoroalkyl substances, or PFAS, and phthalates in any amount greater than an incidental presence applies only to sales occurring in the State and clarifies the scope of the exemption to those prohibitions for certain manufacturers of food or beverage products.
    • 2. It provides that any rulemaking by the Department of Environmental Protection to prohibit the sale of food packaging containing intentionally introduced PFAS is major substantive rulemaking and requires the department to adopt by rule such a prohibition upon a determination that a safer alternative to the use of PFAS in a specific application of PFAS to a food package is available.
    • 3. It removes from the bill the provisions authorizing the department to designate by rule additional chemicals of concern in food packaging and instead enacts a new chapter to regulate the use of additional toxic chemicals in food packaging. That new chapter is modeled after the toxic chemicals in children's products law in the Maine Revised Statutes, Title 38, chapter 16-D and incorporates the definitions and criteria from that law into the new chapter, as adapted for application to food packaging.
    • 4. It includes a number of technical changes to the bill as necessary to incorporate the other amendments to the bill described in this summary.


    LD 1433 Chaptered Law
    LD 1433 Chaptered Law fiscal note
    LD 1453 An Act To Improve Dental Health for Maine Children and Adults with Low Incomes Status: Referred to Health and Human Services Committee, Engrossed in both chambers as amended by Committee amendment H-409, Enacted in both chambers June 5, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
    LD 1453
    This bill adds access to comprehensive medically necessary preventive, diagnostic and restorative dental services to the limited dental services currently available to MaineCare members 21 years of age and over. It also establishes a dental incentive payment program for dentists to increase access to dental care for MaineCare members, including children, and requires the Department of Health and Human Services to convene a working group to make recommendations on the design of the program. It provides for the establishment of benchmarks to measure the effectiveness of the dental incentive payment program over time.

    Amendment H-409
    This amendment removes from the bill provisions establishing the dental incentive payment program and the working group that would have designed it. It retains the adult dental benefit under MaineCare and the rulemaking implementing it. It also adds an appropriations and allocations section.

    LD 1453 Amendment H-409 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 1480 An Act To Modify Retirement Plans for Fire Investigators and Sergeants Status: Referred to Labor and Housing Committee, Enacted in the House as amended by Committee amendment H-568, tabled to Special Appropriations in the Senate June 19, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1480
    This bill changes the eligibility requirements for the retirement of a state fire marshal investigator, state fire marshal senior investigator and state fire marshal sergeant under the Maine Public Employees Retirement System from 55 years of age and 25 years of creditable service to just 20 years of creditable service.

    Amendment H-568
    This amendment is the majority report of the committee and replaces the bill. The amendment changes the eligibility requirements for the retirement of a state fire marshal investigator, state fire marshal senior investigator and state fire marshal sergeant under the Maine Public Employees Retirement System from 55 years of age and 25 years of creditable service to 20 years of creditable service. The amendment establishes a special retirement plan for a state fire marshal investigator, state fire marshal senior investigator and state fire marshal sergeant based on 20 years of creditable service.

    The amendment also adds an appropriations and allocations section to provide the funding.

    LD 1480 Amendment H-568 fiscal note
    LD 1492 An Act To Reform Drug Sentencing Laws Status: Referred to Criminal Justice and Public Safety Committee, Work session held, May 22, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1492
    This bill amends the Maine Criminal Code provisions regarding scheduled drugs by relaxing or eliminating provisions regarding trafficking and furnishing, unlawful possession of scheduled drugs, trafficking, furnishing or possession of hypodermic apparatuses, use of drug paraphernalia and trafficking or furnishing of imitation drugs.

    LD 1494 An Act To Reform Maine's Renewable Portfolio Standard Status: Referred to Energy, Utilities and Technology Committee, Amended by Committee amendment S-307, Enacted, Signed into law June 26, 2019
    LD 1494
    This bill increases the percentage of supply sources for retail electricity sales in the State that must be accounted for by new renewable capacity resources from 10% to 50% by 2030. It also makes several changes to resource eligibility to meet these requirements. The bill also creates a renewable portfolio standard for thermal energy resources.

    The bill also directs the Public Utilities Commission to procure long-term contracts for an amount of renewable capacity resources that is equal to 1/2 the amount of the portfolio requirements for these resources. The bill requires the commission to conduct annual competitive solicitations for the long-term contracts.

    Amendment S-307
    This amendment makes the following changes to the bill.

    • 1. It adds state goals for consumption of electricity from renewable resources.
    • 2. It updates renewable portfolio requirement terminology to use the terms "Class I" and "Class II," which are the terms used in practice and in agency rules.
    • 3. It clarifies certain definitions in the bill.
    • 4. It creates a Class IA renewable resource portfolio requirement and removes the increased requirements for Class I resources that are in the bill; the new Class IA requirement combined with the existing Class I requirement preserves the overall increase in requirements to 50% by 2030 that is in the bill.
    • 5. It applies a 300% multiplier for the output of a generator fueled by municipal solid waste in conjunction with recycling in Class II.
    • 6. It delays by one year the portfolio requirements for thermal renewable energy credits in the bill.
    • 7. It extends the alternative compliance payment policy to Class IA resources and thermal renewable energy credit requirements, and establishes a maximum alternative compliance payment rate of $50 for Class I, Class IA and thermal renewable energy credits.
    • 8. It creates options for electricity customers that receive service at the transmission or subtransmission voltage level to elect to opt out of Class IA resource portfolio requirements and thermal renewable energy credit requirements and the costs and benefits resulting from long-term contracts for Class IA resources.
    • 9. It requires the Public Utilities Commission to submit a report by March 31, 2024 and every 5 years thereafter regarding the status and impacts of implementing the portfolio requirements for Class IA resources and thermal renewable energy credits.
    • 10. It amends the long-term contracting provisions in the bill to require 2 competitive solicitations for contracts with Class IA resources to procure, in total, an amount of energy or renewable energy credits equal to 14% of retail electricity sales in the State during calendar year 2018. It also adds language to allow energy storage systems to be awarded long-term contracts when paired as a complementary resource with a Class IA resource.
    • 11. It directs the Governor's Office of Policy and Management and the Governor's Energy Office to conduct a market assessment study and analysis of opportunities, potential and challenges in meeting the State's renewable energy goals. The report is due January 31, 2021.
    • 12. It adds an appropriations and allocations section.


    LD 1494 Chaptered Law
    LD 1494 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 1512 An Act Regarding Persons Who Are Found Not Criminally Responsible and Are Sent out of State for Treatment Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-469, Enacted, Became law without the Governor's signature June 20, 2019
    LD 1512
    This bill concerns persons charged with crimes who are judged not criminally responsible by reason of insanity who are placed in an institution outside the State. The bill:
    • 1. Requires the court, before placing a person in an institution outside the State or upon request of the person after being placed outside the State, to conduct a hearing to find that the institution is the least restrictive placement, that there is not an equivalent placement within the State and that the institution outside the State will comply with state reporting requirements;
    • 2. Requires an institution outside the State in which a patient is placed to provide quarterly status reports on the patient to the Commissioner of Health and Human Services; and
    • 3. Directs the Commissioner of Health and Human Services to convene an oversight committee to review the status of forensic patients placed in institutions outside the State to determine if a patient is in the least restrictive environment and receiving adequate care and if the Department of Health and Human Services is actively working on a plan to return the patient to the State and to make recommendations to the commissioner, the head of the institution where the patient is placed, the court of record, a family member designated by the patient and the patient's attorney or, if the patient does not have an attorney, the patient's attorney of record.


    Amendment H-469
    This amendment, which is the unanimous report of the committee:
    • 1. Removes the requirement in the bill that the court, before placing a person in an institution outside the State or upon request of the person after being placed outside the State, conduct a hearing;
    • 2. Reduces the frequency of required status reports on a forensic patient placed outside the State from quarterly to every 6 months and requires the report be filed in the Superior Court in the county in which the state institution monitoring the person's placement is located; and
    • 3. Replaces the proposed oversight committee of forensic patients in the bill with a committee for the oversight of patient human rights, for patients in state institutions or forensic patients placed outside the State, to review practices that affect, or potentially affect, the civil liberties or other rights of patients; review patient grievances; review reports regarding the placement of forensic patients outside the State and, among other duties, to report concerns and make recommendations to the superintendent of the state institution.


    LD 1512 Chaptered Law
    LD 1512 Chaptered Law fiscal note
    LD 1516 An Act To Improve Efficiency in Communication in the Court System (Emergency) Status: Referred to Judiciary Committee, Enacted in the House as amended by Committee amendment H-270, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1516
    This bill provides funding to the judicial branch to allow it to develop and implement a text message notification system to provide information regarding pending court cases, such as location, calendar, case category and case type, to involved parties.

    Amendment H-270
    This amendment removes the emergency preamble and emergency clause and reduces the appropriation to reflect the new effective date.

    LD 1516 fiscal note
    LD 1516 Amendment H-270 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 1532 An Act To Eliminate Single-use Plastic Carry-out Bags Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment H-378, Enacted, Signed into law June 17, 2019
    LD 1532
    This bill prohibits a retail establishment from using single-use carry-out bags to bag products at the point of sale or otherwise make single-use carry-out bags available to customers, with exemptions for certain types and uses of plastic and paper bags. Retail establishments may provide recyclable paper bags to bag products at the point of sale for at least 5¢ per bag, with exceptions to the fee requirement for certain types of retail establishments. The prohibition is effective April 22, 2020.

    Amendment H-378
    This amendment, which is the majority report of the committee, requires a retail establishment to charge at least a 5¢ fee for each reusable bag made of plastic and for each recycled paper bag used to bag products at the point of sale. It also clarifies provisions in the bill regarding the implementation of the statewide preemption on single-use carry-out bag regulation and the provision regarding violations of the bag prohibition and bag fees requirements. It makes additional technical changes to clarify the application of existing state law regarding plastic bags and removes language in the bill regarding the application of bag fees to purchasers using the federal supplemental nutrition assistance program or the Women, Infants and Children Special Supplemental Food Program of the United States Child Nutrition Act of 1996.

    LD 1532 Chaptered Law
    LD 1532 Chaptered Law fiscal note
    LD 1539 An Act To Provide Maine Children Access to Affordable Health Care Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-578, tabled to Special Appropriations in the Senate June 17, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1539
    This bill makes the following changes to the Cub Care program.
    • 1. It changes the maximum eligibility level for family income from 200% of the federal poverty level to 325% of the federal poverty level.
    • 2. It removes the 3-month waiting period for enrollment in the Cub Care program following the loss of health insurance or coverage under an employer-based plan.
    • 3. It establishes that eligibility is not subject to an asset test.
    • 4. It provides coverage to persons 19 and 20 years of age and to noncitizens under 21 years of age. The Department of Health and Human Services is required to use state funds to fund the program but may apply for waivers or state plan amendments to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to receive federal matching funds.
    • 5. It repeals the provisions regarding premium payments for the Cub Care program.
    • 6. It requires the department to contract for outreach activities rather than providing them directly. The department must have a contract or contracts in place no later than January 1, 2020. The department is also required to seek federal grant funds for additional outreach activities under the federal Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act, Public Law 115-120 and the federal Advancing Chronic Care, Extenders and Social Services (ACCESS) Act, Public Law 115-123.
    • 7. It requires the department to submit a state plan amendment to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to implement the use of the express lane eligibility option no later than January 1, 2020 and to implement it no later than 6 months after receiving approval.


    Amendment H-578
    This amendment, which is the majority report of the committee, makes the following changes to the bill.
    • 1. It changes the maximum eligibility level for family income from 325% of the federal poverty level to 300% of the federal poverty level.
    • 2. It directs the Department of Health and Human Services to submit any waivers or state plan amendments to accomplish the eligibility criteria established in this legislation, including but not limited to removing the 3-month waiting period for enrollment in the Cub Care program following the loss of health insurance or coverage under an employer-based plan.
    • 3. It removes the provision that eligibility is not subject to an asset test because current rules do not make eligibility subject to an asset test.
    • 4. It removes the requirement to provide coverage to persons 19 and 20 years of age and to noncitizens under 21 years of age.
    • 5. It removes the requirement that the department contract for outreach activities and removes the reference to specific federal grant funds the department must seek for additional outreach activities.
    • 6. It removes the requirement for the department to submit a state plan amendment to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to implement the use of the express lane eligibility option.
    • 7. It makes the repeal of the waiting period and premium payment requirements under the Cub Care program contingent on the approval of a waiver of those requirements by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services.
    • 8. It also adds an appropriations and allocations section.


    LD 1539 Amendment H-578 fiscal note
    LD 1582 An Act Relating to Surgical Technologists and the Practice of Surgical Technology Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 21, 2019
    LD 1582
    Surgical technologists are individuals with specialized education who function as members of a surgical team by providing support during every phase of a surgical case. This bill requires health care facilities to employ or contract with only certified surgical technologists for this function. A surgical technologist who is not certified, but who is practicing surgical technology on the effective date of this legislation, may continue in that employment after the effective date. After the effective date, a health care facility may hire a noncertified surgical technologist who is a recent graduate, but the individual is required to obtain certification within 6 months of graduation in order to remain employed. Further, a critical access hospital may employ a noncertified surgical technologist if that facility is unable to recruit certified personnel and maintains a record detailing its recruitment efforts. All employed surgical technologists, regardless of certification status, must meet stated continuing education requirements. Nothing in the bill prohibits a licensed practitioner from performing surgical technology duties that fall within the scope of that person's license.

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

    LD 1634 An Act To Create the Maine Clean Energy Fund and To Authorize a General Fund Bond Issue To Capitalize the Fund Status: Referred to Energy, Utilities and Technology Committee, Work session held, May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
    LD 1634
    This bill creates the Maine Clean Energy Fund within and with oversight from the Efficiency Maine Trust to support the development of renewable and clean energy technologies and infrastructure through providing financing support including loans, loan guarantees and other financial and risk mitigation products. The fund is administered by a 9-member board of directors consisting of certain government officials and members of the public appointed by the Governor.

    This bill also provides for a bond issue in the amount of $100,000,000 to be used to capitalize the Maine Clean Energy Fund.

    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 1679 An Act To Establish the Maine Climate Change Council To Assist Maine To Mitigate, Prepare for and Adapt to Climate Change (Governor's Bill) Status: Referred to Environment and Natural Resources Committee, Amended by Committee amendment S-221, Enacted as an emergency measure, Signed into law June 26, 2019
    LD 1679
    This bill:
    • 1. Establishes the Maine Climate Change Council to assist Maine to mitigate, prepare for and adapt to climate change;
    • 2. Provides that by January 1, 2030 80% of electricity consumed in the State must come from renewable resources and by January 1, 2050 100% of electricity consumed in the State must come from renewable resources;
    • 3. Updates the greenhouse gas emissions reductions required in statute; and
    • 4. Requires that the state climate action plan be updated by December 1, 2020 and every 4 years thereafter.


    Amendment S-221
    This amendment changes the title of the bill, adds an emergency preamble and emergency clause and makes the following additional changes to the bill.
    • 1. It removes from the bill provisions regarding requirements for the consumption of electricity from renewable resources.
    • 2. It stipulates an interim greenhouse gas emissions reductions level to be achieved by January 1, 2040, requiring by such date that the greenhouse gas emissions reductions be on a trajectory sufficient to achieve the 2050 annual emissions reductions level in the bill.
    • 3. It clarifies the rule-making authority concerning compliance rules for the greenhouse gas emissions reductions levels required under the bill, specifying that the rules are to be adopted by the Board of Environmental Protection rather than the Department of Environmental Protection and that the rules must be consistent with the updated climate action plan and must be fair and equitable and account for and give significant weight to greenhouse gas emissions reductions already achieved by various sectors.
    • 4. It requires the State's climate action plan update to include development of a clean energy economy transition plan.
    • 5. It amends the Maine Climate Change Council, which is proposed in the bill, as follows.
      • A. It changes the name of the council to the Maine Climate Council.
      • B. It adds as a member of the council the Commissioner of Labor, increasing the total membership to 39.
      • C. It clarifies member compensation and terms of membership, increasing the term for public members from 2 years to 3 years.
      • D. It clarifies the purpose and makeup of the council's steering committee as well as the designation of the members of the Scientific and Technical Subcommittee and the working groups.
      • E. It clarifies the duties and responsibilities of the council, the subcommittee and the working groups.
      • F. It removes language from the bill authorizing the subcommittee and the working groups to solicit and accept funding, and instead authorizes the council to conduct all funding solicitation and acceptance.
      • G. It requires, beginning January 15, 2021, and annually thereafter, that the council submit a report to the joint standing committee of the Legislature having jurisdiction over environment and natural resources matters describing the activities of the council, the subcommittee and its working groups over the prior calendar year and including any findings and recommendations of the council, including any proposed legislation. After reviewing the report, the committee may report out legislation to implement any recommendations contained in the report.

        It requires that the report also include a list of the amounts and sources of any funds accepted by the council in the prior calendar year, excluding those funds appropriated or allocated by the Legislature, and an indication of whether such outside funds were expended in the prior calendar year and, if expended, the purpose or purposes of the expenditure.
    • 6. It makes a number of other clarifications and technical changes to the bill.


    LD 1679 Chaptered Law
    LD 1679 Chaptered Law fiscal note

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