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Ned Claxton photograph

Senator Ned Claxton [Democrat]
Androscoggin ~ District 20

Towns in District: Auburn, Mechanic Falls, Minot, New Gloucester and Poland

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

Joint Committees:
♦ State and Local Government (Chair)
♦ Health and Human Services

✉ Ned.Claxton@legislature.maine.gov
☎ (207) 287-1505

✉ 72 Danbury Drive
Auburn, Maine 04210


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

LD 157 An Act To Amend the Laws Governing Car Seats Status: Referred to Transportation Committee, Dead, Joint rule 310.3, May 21, 2019
LD 157
This bill amends the laws governing the required use of child safety restraints in motor vehicles by changing the weight and age limits for the different types of restraints.

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

LD 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 554 An Act To Clarify the Authority To Recall Municipal Officials Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, March 19, 2019
LD 554
This bill repeals the provision that limits the use of the recall process for elected municipal officials in the Maine Revised Statutes, Title 30-A, section 2505 to cases in which the official is convicted of a crime, the conduct of which occurred during the official's term of office and the victim of which is the municipality.

LD 779 An Act To Improve the Definition of "Strangulation" in the Aggravated Assault Laws Status: Referred to Criminal Justice and Public Safety Committee, Amended by Committee amendment S-47, Enacted, Signed into law May 8, 2019
LD 779
This bill removes the requirement that the act of strangulation has to be intentional in order to be considered aggravated assault.

Amendment S-47
This amendment clarifies that, in order for the act of strangulation to be considered aggravated assault, the actor must intentionally, knowingly or recklessly apply pressure on another person's throat or neck.

LD 779 Chaptered Law
LD 779 Chaptered Law fiscal note
LD 1093 An Act To Authorize a General Fund Bond Issue To Invest in Maine's Railroad Infrastructure Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
LD 1093
The funds provided by this bond issue, in the amount of $50,000,000, will be used for investments in railroad infrastructure to expand passenger rail service, with a priority for railroad track corridors that could support passenger and freight intermodal operations and enhance the movement of agricultural products.

LD 1128 An Act To Clarify Statutes Related to Establishing a Municipal Charter Commission Status: Referred to State and Local Government Committee, Enacted, Signed into law May 23, 2019
LD 1128
This bill clarifies that a petition to form a charter commission to establish a new municipal charter uses different language than a petition to form a charter commission to revise a charter.

LD 1128 Chaptered Law
LD 1128 Chaptered Law fiscal note
LD 1327 An Act To Require Residential Mortgage Loan Servicers To Act in Good Faith in Dealings with Homeowners Status: Referred to Judiciary Committee, Amended by Committee amendment S-258, Enacted, Signed into law June 18, 2019
LD 1327
This bill requires servicers of residential mortgage loans to act in good faith when dealing with homeowners who are the borrowers under those loans. The bill changes the foreclosure mediation program to allow the courts to directly sanction a mortgage servicer when the servicer's conduct evidences a failure to mediate in good faith. The bill requires an order of sanctions to identify the name of the mortgage servicer so that, when a servicer is found to have failed to act in good faith, the court may take into account previous misconduct in fashioning a sanction sufficient to deter continuation of the misconduct in the same case or in future cases.

Amendment S-258
This amendment excludes certain types of entities from the definitions of "mortgage servicer" and "servicer" to provide that the mortgage servicer's duty of good faith as established in the bill does not apply to most financial institutions licensed by the State, including licensed banks and credit unions, supervised financial organizations, Maine financial institutions and mutual holding companies whose home state is Maine, as well as the Maine State Housing Authority.

LD 1327 Chaptered Law
LD 1327 Chaptered Law fiscal note
LD 1662 An Act To Save Lives by Establishing the Low Barrier Opioid Treatment Response Program (Emergency) Status: Referred to Health and Human Services Committee, Work session held, May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1662
This bill requires the Department of Health and Human Services to establish the Low Barrier Opioid Treatment Response Program in Maine's federally qualified health centers to improve the availability of medication-assisted treatment and enhance the effectiveness and sustainability of acute care responses to persons in urgent need of treatment for substance use disorders, including opioid use disorder. The department is required to implement the program on a pilot basis initially and expand the program statewide after reviewing initial outcomes of the pilot.

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

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

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

LD 1661 fiscal note
LD 1661 Amendment S-227 fiscal note
LD 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 53 An Act To Clarify Local Referendum Ballots Status: Referred to State and Local Government Committee, Amended by Committee amendment S-41, Enacted, Signed into law April 26, 2019
LD 53
This bill requires that municipal initiative and referendum questions be listed on election ballots using sequential capital letters of the alphabet rather than sequential numbers.

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

LD 53 Chaptered Law
LD 53 Chaptered Law fiscal note
LD 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 150 An Act To Improve Attendance at Public Elementary Schools Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment S-35, Enacted, Signed into law June 7, 2019
LD 150
This bill provides that unless a person 5 years of age or older and under 7 years of age who is enrolled in a public day school withdraws from the school, the person is required to attend the school during the time it is in session. It provides that students who are at least 5 years of age and have not completed grade 6 and are enrolled in a public day school are subject to the same provisions regarding truancy as students who are at least 7 years of age and have not completed grade 6 who are required to attend a public day school. It provides that a person 5 years of age or older and under 7 years of age is not required to meet the alternatives to attendance requirements set forth in the Maine Revised Statutes, Title 20-A, section 5001-A, subsection 3.

Amendment S-35
This amendment clarifies that the provisions of the bill relating to persons attending schools outside of the unorganized territory also apply to a person who resides in the unorganized territory. The amendment provides that unless a person in the unorganized territory 5 years of age or older and under 7 years of age who is enrolled in a public day school withdraws from the school, the person is required to attend the school during the time it is in session. It provides that students in the unorganized territory who are at least 5 years of age and have not completed grade 6 and are enrolled in a public day school are subject to the same provisions regarding truancy as students who are at least 7 years of age and have not completed grade 6 who are required to attend a public day school. It provides that a person in the unorganized territory 5 years of age or older and under 7 years of age is not required to meet the alternatives to attendance requirements set forth in the Maine Revised Statutes, Title 20-A, section 3271, subsection 2.

LD 150 Chaptered Law
LD 150 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 171 Resolve, To Establish a Pilot Project To Evaluate and Address the Transportation Needs of Maine's Veterans Status: Referred to Transportation Committee, Enacted in the House as amended by Committee amendment H-116, tabled to Special Appropriations in the Senate May 2, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 171
This resolve establishes a 30-month pilot project in Oxford, Franklin and Androscoggin counties to provide transportation to veterans and their caregivers or dependents to and from employment or employment-related services, medical appointments, mental health services, social services and community activities.

Amendment H-116
The amendment adds an appropriations and allocations section.

LD 171 fiscal note
LD 171 Amendment H-116 fiscal note
LD 202 An Act To Increase the Required Number of Qualifying Contributions Gubernatorial Candidates Must Obtain To Qualify as Maine Clean Election Act Candidates Status: Referred to Veterans and Legal Affairs Committee, Dead, Concurrence in Ought Not to Pass, March 26, 2019
LD 202
This bill increases from 3,200 to 6,000 the number of qualifying contributions verified registered voters must make to a gubernatorial candidate for that candidate to be certified as a Maine Clean Election Act candidate.

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

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

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

LD 249 Chaptered Law
LD 249 Chaptered Law fiscal note
LD 262 An Act To Protect Law Enforcement and Corrections Officers by Creating the Crime of Aggravated Assault on an Officer Status: Referred to Criminal Justice and Public Safety Committee, Dead, Concurrence in Ought Not to Pass, May 14, 2019
LD 262
This bill changes the crime of assault on an officer to include offensive physical contact and creates the crime of aggravated assault on an officer, which includes assaults against law enforcement officers and corrections officers and other corrections personnel and which is modeled on the crime of aggravated assault.

LD 263 An Act To Prohibit Certain Sex Offenders from Establishing Residence in Certain Multiunit Residential Buildings in which Minors Reside Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, March 12, 2019
LD 263
This bill prohibits certain convicted sex offenders who were convicted of an offense against a minor under 14 years of age from intentionally or knowingly establishing residence in a dwelling unit of a multiunit residential building in which another dwelling unit that shares the same entryway is occupied by a person under 18 years of age. The bill makes violation of this provision a Class E crime.

LD 264 An Act Regarding the Taking of a Blood Sample from an Operator of a Motor Vehicle Involved in a Fatal Accident Status: Referred to Criminal Justice and Public Safety Committee, Amended by Committee amendment S-118, Enacted, Signed into law June 3, 2019
LD 264
This bill allows an emergency medical services person or law enforcement officer whose training allows that person to draw blood samples to draw a specimen of blood from the operator of a motor vehicle involved in a fatal traffic accident for the purpose of determining the blood-alcohol level or the presence of a drug or drug metabolite. This bill extends to those same persons the current law shielding persons from liability for acts done or omitted in collecting or withdrawing specimens of blood.

Amendment S-118
This amendment changes the title of the bill and strikes and replaces the bill. The amendment makes grammatical changes to clarify the law providing immunity from liability for an act done or omitted in collecting or withdrawing specimens of blood at the request of a law enforcement officer and extends that immunity to an emergency medical services person, a law enforcement officer, an emergency medical service and a law enforcement agency.

LD 264 Chaptered Law
LD 264 Chaptered Law fiscal note
LD 266 An Act To Eliminate the 2-year Limit on MaineCare Coverage for Approved Drugs for Opioid Use Disorder Status: Referred to Health and Human Services Committee, Dead, Joint rule 310.3, April 4, 2019
LD 266
This bill repeals the 24-month limit on MaineCare coverage or reimbursement for buprenorphine and naloxone combination drugs, also known as Suboxone, for the treatment of addiction to opioids.

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

LD 301 An Act To Help Older Adults Age in Place through Comprehensive Planning Status: Referred to State and Local Government Committee, Amended by Committee amendment H-31, Enacted, Signed into law April 19, 2019
LD 301
This bill encourages municipalities to develop policies that assist older adults with aging in place and that create age-friendly communities. It amends the law governing comprehensive plans by encouraging municipalities to plan for the needs of older adults in their communities.

Amendment H-31
This amendment amends the definition of age-friendly community in the bill to clarify that it refers to older adults.

LD 301 Chaptered Law
LD 301 Chaptered Law fiscal note
LD 312 An Act To Reduce the Cost of Workers' Compensation Insurance for Small Employers Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, May 28, 2019
LD 312
This bill prohibits a workers' compensation insurer from charging a minimum premium in connection with its issuance of a workers' compensation policy.

LD 336 An Act To Require That Notice of Lead Abatement Orders Be Filed with the Registry of Deeds Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-136, Enacted, Signed into law May 14, 2019
LD 336
This bill requires the Department of Health and Human Services to file a notice of the existence of an environmental lead hazard in the registry of deeds in the county in which the relevant property is located. It also requires the department to file a notice in the registry of deeds when the department determines that the environmental lead hazard no longer exists.

Amendment H-136
This amendment, which is the unanimous report of the committee:
  • 1. Amends the bill to refer to an order directing that lead-based substances be removed, replaced or securely and permanently covered;
  • 2. Requires that the book and page in the registry of the owner's deed be identified on the notice filed with the registry of deeds that the owner complied with the order issued by the Department of Health and Human Services;
  • 3. Requires that a notice filed with the registry of deeds include a notarized signature of the person issuing the notice; and
  • 4. Directs the Department of Health and Human Services to adopt routine technical rules, including for the form of the notice to be filed in the registry of deeds.


LD 336 Chaptered Law
LD 336 Chaptered Law fiscal note
LD 359 An Act To Address Student Hunger with a "Breakfast after the Bell" Program Status: Referred to Education and Cultural Affairs Committee, both chambers engrossed as amended by Committee amendment S-78 and Senate amendment S-100, Enacted in the House May 23, 2019, tabled to Special Appropriations in the Senate, May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 359
This bill requires a school administrative unit with a public school in which at least 50% of students qualified for a free or reduced-price lunch during the preceding school year to operate an alternative breakfast delivery service that provides breakfast after the start of the school day for students at that public school. It also provides a process for a school administrative unit to opt out of the alternative breakfast delivery service. This bill requires the Department of Education to adopt rules to develop an application process and to adopt standards to address evaluation criteria based on need for funding assistance for alternative breakfast delivery services in school administrative units. It also requires the department to develop a means to track health and academic outcomes of students and schools that participate in alternative breakfast delivery services.

Amendment S-78
The bill requires a school administrative unit with a public school in which at least 50% of students qualified for a free or reduced-price lunch during the preceding school year to operate an alternative breakfast delivery service.

This amendment, which is the majority report, clarifies that the alternative breakfast delivery service provides breakfast after the start of the school day and before any lunch period in the school begins for students at that public school. The amendment also provides that a school administrative unit or a public school in which at least 70% of students who are eligible for free and reduced-price meals participate in the breakfast program is exempt from the requirement of providing an alternative breakfast delivery service. The amendment revises the process as proposed in the bill for a school administrative unit to opt out of the alternative breakfast delivery service. The amendment also provides for procedures to track health and academic outcomes of students.

Amendment S-100
This amendment provides funding for the so-called "breakfast after the bell" program for fiscal years 2019-20 and 2020-21, and removes the indication of ongoing funding. This amendment also specifies that the funds provided do not lapse but are carried forward.

LD 359 Amendment S-78 fiscal note
LD 359 Amendment S-100 fiscal note
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 364 An Act To Establish the Right To Practice Complementary and Alternative Health Care Act Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-109, Enacted, Became law without the Governor's signature June 11, 2019
LD 364
This bill establishes the Right To Practice Complementary and Alternative Health Care Act. The bill provides that a person providing alternative or complementary health care services who is not licensed under the Maine Revised Statutes, Title 32 may provide health care services as long as the person does not perform surgery, prescribe medications, drugs or devices that require a prescription, perform chiropractic manipulation or falsely state that the person is a licensed health care professional. The person providing services must disclose certain information to the person receiving services and must collect and retain a signed statement granting permission to provide services.

Amendment S-109
This amendment clarifies that a person providing complementary or alternative health care services is not a licensed professional providing health care services within the scope of a license.

LD 364 Chaptered Law
LD 364 Chaptered Law fiscal note
LD 370 An Act To Facilitate State Employee Service in the Legislature Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, March 14, 2019
LD 370
This bill allows an officer or employee in classified and unclassified service of the State to campaign for and serve in partisan elective office in the Legislature if the officer or employee first resigns or requests and takes a leave of absence from the classified or unclassified service. The officer or employee may be granted unpaid leave while serving in the Legislature under the same provision of law that allows employees in general to be granted a leave of absence from their employment during their service in the Legislature.

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

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

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

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

LD 392 Chaptered Law
LD 392 Chaptered Law fiscal note
LD 398 An Act To Allow for Greater Flexibility in Addressing Energy Efficiency Needs in the State Status: Referred to Energy, Utilities and Technology Committee, Amended by Committee amendment H-73, Enacted, Signed into law April 30, 2019
LD 398
This bill removes the provision that requires the Efficiency Maine Trust to allocate 50% of the funds in the Regional Greenhouse Gas Initiative Trust Fund for residential programs and 50% for commercial and industrial programs.

Amendment H-73
This amendment incorporates a fiscal note.

LD 398 Chaptered Law
LD 398 Chaptered Law 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 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 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 453 An Act To Ensure the Integrity and Accountability of Persons Who Are Elected to Public Office Status: Referred to State and Local Government Committee, Dead, Concurrence in Ought Not to Pass, May 23, 2019
LD 453
This bill is a concept draft pursuant to Joint Rule 208.

This bill proposes to enact measures designed to ensure the integrity and accountability of persons who are elected to public office.

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 535 An Act To Authorize a General Fund Bond Issue To Invest in Maine's Rail Infrastructure and Expand Passenger Rail Service Status: Referred to Appropriations and Financial Affairs Committee, carried over to any regular or special session per Joint Order HP 1322
LD 535
The funds provided by this bond issue, in the amount of $50,000,000, will be used to repair and reconstruct state-owned railroad lines, improve infrastructure on a railway crossing in the Town of Yarmouth and improve the railroad line between the cities of Lewiston and Auburn and the City of Portland.

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

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

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

LD 571 Resolve, Directing the Department of Transportation To Initiate a Service Development Plan for Commuter and Passenger Train Service between Portland and the Lewiston and Auburn Area Status: Referred to Transportation Committee, Work session held, May 21, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 571
This resolve directs the Department of Transportation to initiate a service development plan for commuter and passenger train service between Portland and the Lewiston and Auburn area. The plan must indicate the locations of railway stations in towns along the corridor route and include an environmental impact statement for each station site. It directs the department to submit a progress report to the Joint Standing Committee on Transportation by January 15, 2020.

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

LD 636 Resolve, To Establish the Work Group To Study the Use of Body Cameras by Law Enforcement Officers Status: Referred to Criminal Justice and Public Safety Committee, Engrossed as amended by Committee amendment S-236 in both chambers, Enacted in the House, Senate tabled to Special Study, carried over to any regular or special session per Joint Order HP 1322
LD 636
This bill requires that, beginning January 1, 2021, a law enforcement agency shall ensure that each law enforcement officer in its employ is equipped with a body-worn camera and that such body-worn camera is in operation and creating a recording at all times the officer is in uniform and engaged in law enforcement-related encounters or activities. Use of body-worn cameras by law enforcement officers and the maintenance and retention of data and recordings must be consistent with model policies and procedures developed by the Board of Trustees of the Maine Criminal Justice Academy.

Amendment S-236
This amendment replaces the bill with a resolve establishing the Work Group To Study the Use of Body Cameras by Law Enforcement Officers, consisting of 9 members appointed by the President of the Senate, the Speaker of the House and the Attorney General. The Attorney General or the Attorney General's designee serves as chair. The Attorney General is required to give notice of meetings of the work group to the general public and a broad array of organizations. The work group is required to study the use of body cameras by law enforcement officers, to review current practices in Maine and outside of Maine, to review research on the use of body cameras and to report by March 1, 2020 with any recommendations to the Joint Standing Committee on Criminal Justice and Public Safety.

LD 636 Amendment S-236 fiscal note
LD 637 An Act Regarding Motor Vehicle Operation and Drug Use Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, May 14, 2019
LD 637
This bill does the following:
  • 1. It allows as admissible evidence indicating whether a person is operating a motor vehicle under the influence of intoxicants whether the person has an alcohol level of 0.05 grams or less of alcohol per 100 milliliters of blood or 210 liters of breath and has a trace amount of any drug or the metabolite of any drug within the person's blood or urine;
  • 2. It establishes a permissible inference of operating under the influence of intoxicants when a person operates a motor vehicle and has an alcohol level in excess of 0.05 grams of alcohol but less than 0.08 grams of alcohol per 100 milliliters of blood or 210 liters of breath and has a trace amount of any drug or the metabolite of any drug within the person's blood or urine;
  • 3. It establishes a 0.00 nanogram level for THC for a person under 21 years of age who is operating a motor vehicle; and
  • 4. It creates a new traffic infraction for a person who consumes marijuana or a marijuana product in a vehicle, possesses an open container of marijuana or a marijuana product in the passenger area of a vehicle or possesses marijuana or a marijuana product that has been placed in a container labeled by the manufacturer of the container as containing a non-marijuana substance.


LD 640 Resolve, To Require a Study of Greenhouse Gas Emissions Reductions from the Proposed Central Maine Power Company Transmission Corridor (Emergency) Status: Referred to Environment and Natural Resources Committee, Dead, Non-concurrence, June 7, 2019
LD 640
This resolve requires the Department of Environmental Protection to review all relevant, verifiable evidence on the total net effect on greenhouse gas emissions from Central Maine Power Company's New England Clean Energy Connect project and submit a report to the Legislature, make the report available to the public and provide a copy of the report to the Massachusetts Department of Public Utilities by June 1, 2019. The resolve prohibits the department from issuing a permit for the project without taking into account the results of the department's review.

Amendment S-82
This amendment, which is the majority report of the committee, replaces the resolve and directs the Department of Environmental Protection to commission a study regarding the potential effect of the New England Clean Energy Connect, or NECEC, project, as proposed by Central Maine Power Company, on total greenhouse gas emissions across all jurisdictions interconnected with electricity generation and distribution systems operated by the Hydro-Quebec company. The findings of the study regarding greenhouse gas emissions effects, with and without construction of the NECEC project, must be presented in relation to a benchmark of reducing greenhouse gas emissions in New England by 3.6 million metric tons per year. The study, which is to be prepared by a consultant that is an independent, nongovernmental organization with expertise in energy and environmental policy and analysis, must be based on a modeling analysis that incorporates appropriate assumptions regarding load growth, fuel costs, variation in dispatch of electricity among electricity markets, rainfall, electricity transmission constraints, addition and retirement of electric generation facilities and technology development.

On or before August 15, 2019, the department is required to submit the final report prepared by the consultant to the Joint Standing Committee on Environment and Natural Resources. The department may not issue a permit, license or other approval relating to the NECEC project until at least 45 days after it submits to the committee the final report prepared by the consultant, except that this 45-day prohibition does not apply if the department fails to submit the final report to the committee on or before August 15, 2019.

Amendment H-345
This amendment removes a requirement in the bill that the Department of Environmental Protection obtain outside funding to complete a study regarding the potential effect of the New England Clean Energy Connect project and instead transfers $150,000 from the Public Utilities Commission Reimbursement Fund within the Public Utilities Commission to the Maine Environmental Protection Fund within the department to fund the cost of the study. The amendment includes a one-time $150,000 allocation in fiscal year 2019-20 to allow for the expenditure of the transferred funds.

LD 640 Amendment S-82 fiscal note
LD 640 Amendment H-345 fiscal note
LD 641 An Act To Save Lives through Epinephrine Autoinjector Accessibility Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, May 21, 2019
LD 641
This bill authorizes pharmacists to prescribe and dispense epinephrine autoinjectors at no cost to a person of any age who the pharmacist reasonably believes is at risk of experiencing severe allergic reactions, including anaphylaxis, or to a person who is in a position to assist the other person if the other person is at risk of experiencing severe allergic reactions, including anaphylaxis. It creates a fund within the Department of Health and Human Services to reimburse a pharmacist who has prescribed and dispensed an epinephrine autoinjector and directs the department to adopt routine technical rules to implement the fund.

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

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

Amendment H-67
This amendment incorporates a fiscal note.

LD 745 fiscal note
LD 745 Amendment H-67 fiscal note
LD 793 An Act To Improve Accountability of Opioid Manufacturers Status: Referred to Judiciary Committee, Enacted in both chambers as amended by Committee amendment S-320 and Senate amendment S-321, June 19, 2019, Governor's action pending, Governor placed on hold, July 2, 2019
LD 793
This bill prohibits opioid medication manufacturers and distributors from falsely advertising that an opioid medication does not have abuse liability or has a lower abuse liability than another opioid medication; distributing a quantity of opioid medications that is not medically reasonable; or failing to report orders that are not medically reasonable. It establishes a civil violation and authorizes the Attorney General to investigate violations. It creates a fund into which the penalties and fees must be paid. This legislation applies retroactively to January 1, 1985.

Amendment S-320
This amendment replaces the bill.

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

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

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

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

LD 793 Amendment S-320 fiscal note
LD 793 Amendment S-321 fiscal note
LD 794 An Act To Authorize a General Fund Bond Issue To Recapitalize the Municipal Investment Trust Fund Status: Referred to Appropriations and Financial Affairs Committee, Dead, Joint rule 310.3, May 14, 2019
LD 794
The funds provided by this bond issue, in the amount of $6,000,000, will be used to provide funds to recapitalize the Municipal Investment Trust Fund to provide grants and loans to municipalities for public facilities and infrastructure.

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

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

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


LD 795 fiscal note
LD 795 Amendment H-430 fiscal note
LD 809 An Act To Expand and Clarify the Disqualification from Workers' Compensation Benefits of an Employee Who Is Injured While Under the Influence of Drugs or Alcohol Status: Referred to Labor and Housing Committee, Dead, Joint rule 310.3, June 5, 2019
LD 809
Under current law, workers' compensation benefits are not allowed for the injury or death of an employee when the injury or death was caused by the employee's intoxication. This bill eliminates that provision and instead disallows benefits for an employee who was intoxicated at the time of the injury or death. This bill also clarifies that intoxication includes intoxication from an illegal drug, marijuana or alcohol.

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

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

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


LD 870 Chaptered Law
LD 870 Chaptered Law fiscal note
LD 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 913 An Act To Amend the Laws on Gross Sexual Assault, Unlawful Sexual Contact and Unlawful Sexual Touching To Include Counseling Professionals (By request) Status: Referred to Criminal Justice and Public Safety Committee, Enacted in the House as amended by Committee amendment S-117, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 913
This bill makes it unlawful for a member of the clergy who is in a position of trust or authority over another person to cause the other person to submit to or participate in a sexual act, sexual contact or sexual touching by exploiting the person's emotional dependency on the member of the clergy. It also places the current definition of "domestic partner" in the definition section of the Maine Revised Statutes, Title 17-A, chapter 11 and deletes repetitive definitions of "domestic partner" found throughout the chapter.

Amendment S-117
This amendment replaces the bill and provides a new title. The amendment amends the law on gross sexual assault, unlawful sexual contact and unlawful sexual touching to include all licensed counseling professionals as the actors in the gross sexual assault, unlawful sexual contact and unlawful sexual touching.

LD 913 Amendment S-117 fiscal note
LD 915 An Act To Provide Adequate Reimbursement under MaineCare for Ambulance and Neonatal Transport Services Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment S-104, tabled to Special Appropriations in the Senate May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 915
This bill specifies that beginning September 1, 2019 the reimbursement rate for ambulance services under the MaineCare program may not be less than the average allowable reimbursement rate under Medicare and reimbursement for neonatal transport services under MaineCare must be at the average rate for critical care transport services under Medicare.

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

LD 915 fiscal note
LD 915 Amendment S-104 fiscal note
LD 934 Resolve, To Review the Implementation of the Maine Background Check Center Act Status: Referred to Health and Human Services Committee, Amended by Committee amendment H-348, Finally passed, Signed into law June 6, 2019
LD 934
This resolve directs the Commissioner of Health and Human Services to convene a study group to assess the effects of the implementation of the system of background checks established by the Maine Background Check Center Act. The commissioner is required to submit a report, including any recommended legislation, by December 15, 2019 to the Joint Standing Committee on Health and Human Services, which may submit legislation based on the report to the Second Regular Session of the 129th Legislature.

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

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

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

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

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

LD 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 1039 Resolve, To Establish and Fund Interventions for At-risk Families and Children Status: Referred to Health and Human Services Committee, Enacted in the House as amended by Committee amendment H-250, tabled to Special Appropriations in the Senate May 28, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1039
This resolve requires the Department of Health and Human Services to provide grants to behavioral health providers to fund costs to attract, retain and train new professional employees to provide treatment services known as "functional family therapy - child welfare" and "multisystemic therapy for child abuse and neglect" to children and families involved in the child protective services. The department is required to develop a rate of reimbursement for these services under MaineCare and amend its rules in rule Chapter 101: MaineCare Benefits Manual, Sections 28 and 65 accordingly. The department is required to seek federal funding including under the Family First Prevention Services Act of 2017 for the grants. If federal funding is not available, the department is required to provide grants using general funds.

Amendment H-250
The amendment adds an appropriations and allocations section.

LD 1039 Amendment H-250 fiscal note
LD 1044 An Act To Advance Children's Cancer Research in Maine Status: Referred to Transportation Committee, Amended by Committee amendment H-441, Enacted, Signed into law June 20, 2019
LD 1044
This bill creates the option for an individual to make a donation upon vehicle registration or renewal in support of children's cancer research and establishes the Maine Children's Cancer Research Fund for collection of the donations. All donations are transferred quarterly to an entity determined by the Secretary of State and must be used exclusively for children's cancer research.

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

LD 1044 Chaptered Law
LD 1044 Chaptered Law fiscal note
LD 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 1052 An Act To Require Regular and Transparent Review of MaineCare Reimbursement Rates Status: Referred to Health and Human Services Committee, Work session held, May 1, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1052
This bill establishes a regular review process for MaineCare reimbursement rates. The Department of Health and Human Services shall review all rates over a 3-year period except those that are already subject to regular review, based on cost, reimbursed at a capitated rate, or tied to Medicare or some other rates. The 3-year schedule and the reviews are required to be submitted to the joint standing committees of the Legislature having jurisdiction over health and human services matters and appropriations and financial affairs. The results of reviews are also submitted to the Governor for consideration for inclusion in the biennial budget. The bill also establishes the MaineCare Reimbursement Rates Review Advisory Committee made up of stakeholders appointed by the Presiding Officers and the minority leaders in the Legislature to provide advice and input to the department on rate reviews. The advisory committee also submits an annual review of its activities to the joint standing committees of the Legislature having jurisdiction over health and human services matters and appropriations and financial affairs. The advisory committee is staffed by the Department of Health and Human Services.

LD 1065 An Act To Expand Health Insurance Coverage To Certain State Employees Status: Referred to State and Local Government Committee, Enacted in the House as amended by Committee amendment H-278, tabled to Special Appropriations in the Senate May 29, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1065
This bill requires the State to pay its share of the individual premium for the state employee health insurance plan for a seasonal or session-only employee regardless of whether the employee is in active work status unless the seasonal or session-only employee has health coverage under another plan.

Amendment H-292
This amendment requires the State Budget Officer to calculate the increased cost to state departments and agencies due to the requirements of the bill and transfer the amounts by financial order. This amendment also adds an appropriations and allocations section.

LD 1065 fiscal note
LD 1065 Amendment H-292 fiscal note
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 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 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 1105 An Act To Allow Acupuncture Detoxification Specialists To Administer an Auricular Acupuncture Treatment for Substance Use and Co-occurring Disorders Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment H-337, Enacted, Became law without the Governor's signature June 11, 2019
LD 1105
This bill directs the Department of Professional and Financial Regulation, Board of Complementary Health Care Providers to license acupuncture detoxification specialists and establishes standards for the provision of auricular acupuncture detoxification. The bill directs the board to adopt rules to implement the requirements.

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

LD 1105 Chaptered Law
LD 1105 Chaptered Law fiscal note
LD 1125 Resolve, To Require Reimbursement for Bed-hold Days in Adult Family Care Homes Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-103, Finally passed, Signed into law June 20, 2019
LD 1125
This bill requires the Department of Health and Human Services to reimburse up to 50% of the MaineCare rate for patient care for a maximum of 6 months to nursing homes for bad debt incurred when a patient is provided care but is determined ineligible for MaineCare and the nursing home has made all reasonable efforts to collect on the debt. The bill also requires the Department of Health and Human Services to reimburse adult family care homes for up to 30 bed-hold days per calendar year in the same manner as residential care facilities are reimbursed.

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

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

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

LD 1126 fiscal note
LD 1126 Amendment S-87 fiscal note
LD 1149 An Act To Strengthen the Maine State Library Status: Referred to Education and Cultural Affairs Committee, Amended by Committee amendment H-173 and Senate amendment S-365, Enacted, Signed into law July 2, 2019
LD 1149
This bill provides funds to support resource sharing services for Maine's libraries, including van delivery and interlibrary lending, the Digital Maine Library and the Maine statewide catalog known as MaineCat, and to conduct an analysis of statewide library services and resource sharing.

Amendment H-173
This amendment, which is the majority report, incorporates a fiscal note.

Amendment S-365
Like the bill, this amendment is designed to strengthen libraries. This amendment deappropriates funding for a position provided by the General Fund, and instead allocates funds for another position funded 75% General Fund and 25% Federal Expenditures Fund.

LD 1149 Chaptered Law
LD 1149 Chaptered Law fiscal note
LD 1161 An Act To Restrict the Use of Mercury in Dental Fillings in State-funded Dental Procedures Status: Referred to Health and Human Services Committee, Dead, Non-concurrence, June 7, 2019
LD 1161
This bill prohibits the use of mercury amalgam fillings as part of a procedure covered by any dental care program funded or partially funded by the State.

LD 1169 An Act To Provide Ready Access to Defibrillators in Businesses and Pharmacies Status: Committed to Criminal Justice and Public Safety Committee, June 20, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1169
This bill requires the Technical Building Codes and Standards Board to amend the Maine Uniform Building and Energy Code to require that commercial buildings built or renovated on or after January 1, 2020 with occupancy exceeding 200 individuals have an operational automated external defibrillator on the premises. The bill also requires that retail pharmacies, rural health center pharmacies and free clinic pharmacies have an automated external defibrillator on the premises, and that an individual trained in the use of the defibrillator be present at all times the pharmacy is open to the public.

Amendment S-233
This amendment is the majority report of the committee. The amendment requires that required automated external defibrillators be clearly marked. The amendment removes from the requirements for pharmacies that an individual trained in the use of the defibrillator be present at all times the pharmacy is open to the public.

LD 1169 Amendment S-233 fiscal note
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 1197 An Act To Amend the Law Prohibiting the Denial by Health Insurers of Referrals by Out-of-network Providers Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-90, Enacted, Signed into law May 30, 2019
LD 1197
This bill provides that the law that prohibits carriers from denying payment for covered health care services solely on the basis that the referral for services was made by an out-of-network provider applies only to referrals made by out-of-network direct primary care providers. It also allows a carrier to require a direct primary care provider who is not a member of the carrier's provider network and who makes a referral to meet appropriate credentialing standards consistent with other primary care providers participating in the carrier's provider network.

Amendment S-90
This amendment replaces the bill.. The amendment provides that the law that prohibits carriers from denying payment for covered health care services solely on the basis that the referral for services was made by an out-of-network provider applies only to referrals made by out-of-network direct primary care providers. It prohibits a carrier from requiring an enrollee to pay a greater cost-sharing amount than the cost-sharing that would apply to the same service if the service was referred by a participating primary care provider. It also allows a carrier to require a direct primary care provider who is not a member of the carrier's provider network to attest that the provider is a direct primary care provider through a written attestation or copy of the direct primary care agreement with the enrollee.

LD 1197 Chaptered Law
LD 1197 Chaptered Law fiscal note
LD 1198 An Act To Ensure Transparency and Participation in Maine Water Districts Status: Referred to Energy, Utilities and Technology Committee, Dead, Concurrence in Ought Not to Pass, May 14, 2019
LD 1198
This bill removes from the laws governing water districts and standard water districts language referencing the appointment of standard district trustees pursuant to standard district charters. It amends the law regarding appointments of trustees to provide that, if sufficient and appropriate nominations for the election of trustees have not occurred, trustees may be appointed.

LD 1199 An Act To Protect the Safety of Health Care Workers Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, April 23, 2019
LD 1199
This bill provides that an assault on a health care practitioner while that health care practitioner is providing medical care or an assault on a hospital employee or person working for a hospital on a contractual basis while that employee or person is performing duties related to the provision of care for a patient or a prospective patient is a Class C crime.

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 1221 An Act To Allow Deductions from Prison Sentences for Rehabilitative Activities Status: Referred to Criminal Justice and Public Safety Committee, carried over to any regular or special session per Joint Order HP 1322
LD 1221
This bill allows, in addition to existing deductions in time from a prison or jail sentence, a deduction in time of up to 7.5 days per calendar month for a person's satisfactory performance, while in custody or on probation, in the completion of an educational program leading to a high school equivalency diploma, completion of another educational or vocational training program or a work release program or work for a county or state facility industry that leads directly to the rehabilitation of that person.

LD 1257 An Act To Prepare Maine for a Low-carbon Transportation Future Status: Referred to Transportation Committee, Dead, Joint rule 310.3, May 23, 2019
LD 1257
This bill authorizes the Secretary of State to require the owner of an electric vehicle to pay an electric vehicle registration surcharge of $25 per year when at least 3,000 electric vehicles are annually registered in the State. The amount of the surcharge increases to $50 per year when at least 10,000 electric vehicles are annually registered in the State. The municipality that collects the annual electric vehicle registration surcharge is required to expend no less than 50% of the surcharge to construct or modify public infrastructure that facilitates the charging of electric vehicles for use by the general public or for other purposes that encourage or support the purchase and use by the general public of electric vehicles.

The bill also directs the Governor's Energy Office to convene an electric vehicle task force, which is charged with reviewing a number of matters relating to electric vehicles and electric vehicle infrastructure. The director of the office is required to report by February 15, 2020 to the Joint Standing Committee on Energy, Utilities and Technology and the Joint Standing Committee on Transportation regarding any recommendations of the task force, including proposed legislation. After reviewing the report, the committees may report out legislation to the Second Regular Session of the 129th Legislature.

The bill also directs the Commissioner of Transportation to take a number of actions regarding short-term and long-term planning for road infrastructure and highway funding, including a review of potential new vehicle or road use fees. The commissioner is directed to report by February 15, 2021 to the joint standing committees of the Legislature having jurisdiction over energy, utilities and technology matters and transportation matters regarding those actions and including any findings and recommendations and proposed legislation necessary to implement those recommendations. After reviewing the report, the committees may report out legislation to the First Regular Session of the 130th Legislature.

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 1269 An Act To Update the Laws Governing Child Safety Seats and Seat Belts Status: Referred to Transportation Committee, Amended by Committee amendment S-217, Enacted, Signed into law June 14, 2019
LD 1269
This bill amends the laws governing the use of seat belts and child restraint systems in motor vehicles. It defines several types of child restraint systems and establishes requirements for the use of child restraint systems based on a child's age, height and weight. It increases the fines for violations of the law. It repeals a provision in current law making the nonuse of seat belts or the failure to secure a child not admissible in evidence in a civil or criminal trial involving a motor vehicle accident.

Amendment S-217
This amendment makes the following changes to the bill.
  • 1. It defines "convertible child restraint system" and allows a child under 2 years of age properly secured in a convertible child restraint system to ride in a forward-facing position if the child exceeds the manufacturer recommended weight limit for a rear-facing position.
  • 2. It retains fines for the violation of seat belt laws at current statutory levels.
  • 3. It removes the changes in the bill regarding the inadmissibility of evidence for failure to properly secure a child.


LD 1269 Chaptered Law
LD 1269 Chaptered Law fiscal note
LD 1272 An Act To Increase Access to Low-cost Prescription Drugs Status: Referred to Health Coverage, Insurance and Financial Services Committee, Amended by Committee amendment S-250, Enacted, Signed into law June 24, 2019
LD 1272
This bill establishes a wholesale importation program for prescription drugs from Canada by or on behalf of the State in order to provide cost savings to consumers. The bill requires the Department of Health and Human Services to design the program through rulemaking by January 1, 2020. The rules are designated as major substantive and must be submitted to the Legislature for final approval. The bill also specifies that the program may not be implemented until the State has received federal approval and certification. The bill directs the Department of Health and Human Services to apply for federal approval no later than May 1, 2020.

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

LD 1272 Chaptered Law
LD 1272 Chaptered Law fiscal note
LD 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 1278 RESOLUTION, Proposing an Amendment to the Constitution of Maine Requiring the State To Share Not Less Than 5 Percent of State Sales and Income Tax Revenue with Municipalities Status: Referred to Taxation Committee, Dead, Joint rule 310.3, April 30, 2019
LD 1278
For the purpose of reducing the burden placed on the property tax to finance municipal services, this resolution proposes an amendment to the Constitution of Maine to require that not less than 5% of state sales and income tax revenue be distributed to municipalities.

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

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

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

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


LD 1340 An Act To Require Criminal History Record Checks for All Prospective and Current Staff Members of the Office of the State Auditor Status: Referred to State and Local Government Committee, Amended by Committee amendment H-420, Enacted as an emergency measure, Signed into law June 20, 2019
LD 1340
This bill requires all employees of and persons who may be offered employment by the Office of the State Auditor to consent to having their fingerprints taken for criminal background checks conducted by the Department of Public Safety, which include state and federal criminal history record information from the United States Department of Justice, Federal Bureau of Investigation. This bill allows the Office of the State Auditor to request subsequent criminal background checks as the office determines appropriate and establishes provisions relating to confidentiality and use of the information and the rights of the subjects of the fingerprinting and criminal background checks.

Amendment H-420
This amendment adds an emergency preamble to ensure the Office of the State Auditor may immediately meet the fingerprint background check requirements set in federal regulation. This amendment makes several minor changes to section 1 to bring this law into conformity with similar criminal background check laws in Maine statute. The amendment authorizes the State Bureau of Identification to obtain fingerprints and conduct state and national criminal history record checks for the Office of the State Auditor. This amendment removes conflicts in the Maine Revised Statutes, Title 25, section 1542-A, subsection 4. The amendment also resolves lettering conflicts in the statutes regarding the taking of fingerprints by the State Bureau of Identification created when 2 public laws enacted substantively different provisions with the same paragraph designations. The amendment also adds an appropriations and allocations section.

LD 1340 Chaptered Law
LD 1340 Chaptered Law fiscal note
LD 1351 An Act To Allow for the Recovery and Redistribution of Food in Public Schools Status: Referred to Education and Cultural Affairs Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1351
This bill requires the Department of Health and Human Services, Maine Center for Disease Control and Prevention and the Department of Education, by October 1, 2019, to collaborate to revise the Department of Health and Human Services, Maine Center for Disease Control and Prevention's health inspection program guidance titled "Food Sharing Tables - Guidance for Schools" and disseminate the new guidance to public schools in the State.

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

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

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

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

LD 1353 Chaptered Law
LD 1353 Chaptered Law fiscal note
LD 1361 An Act Regarding Health Care Providers and Patient Trust Status: Referred to Health Coverage, Insurance and Financial Services Committee, Dead, Joint rule 310.3, April 2, 2019
LD 1361
This bill prevents the State from requiring persons licensed by the Board of Osteopathic Licensure or the Board of Licensure in Medicine, including physician assistants, or the State Board of Nursing to give patients information that is medically inaccurate or perform medical services that are inconsistent with evidence-based standards. It also provides that the State may not prohibit a person licensed under these professional boards from providing patients with medically accurate information or evidence-based medical services.

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

LD 1387 An Act To Increase Access to Safe and Affordable Prescription Drugs 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 1387
Under the Federal Food, Drug, and Cosmetic Act, the importation of unapproved new prescription drugs, including foreign-made versions of prescription drugs that have been approved by the federal Department of Health and Human Services, Food and Drug Administration, is prohibited. However, the Food and Drug Administration has developed guidance that allows the personal importation of certain drugs.

This bill, using the guidance developed by the federal Department of Health and Human Services, Food and Drug Administration, enacts the Maine Pharmaceutical Drug Safety Act to allow an individual in Maine to import prescription drugs from Canada as long as specific criteria are met, including that the drug is imported for personal use, that the individual importing the drug has a valid prescription, that the drug does not present an unreasonable risk to the individual and that no more than a 90-day supply of the drug is imported. The prescription drug to be imported must also meet specific requirements. The importation of controlled substances and prescription drugs for sale or resale is specifically prohibited.

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 1427 An Act To Amend the Legislative Expense Reimbursement Status: Referred to State and Local Government Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1427
This bill changes, beginning with the 130th Legislature, the per diem housing allowance from a set amount of $38 per day to an amount that is established annually by the Legislative Council based on the average rate of lodging in the Augusta area.

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

LD 1443 An Act To Enact the Senior Property Tax Reimbursement Act Status: Referred to Taxation Committee, Dead, Joint rule 310.3, May 21, 2019
LD 1443
This bill provides state reimbursement to eligible individuals for the portion of property taxes on their homesteads for a tax year that exceeds the property taxes for the year in which they reached retirement age as defined under the federal Social Security Act. For an individual to be eligible, the individual must be receiving a homestead exemption, have a household income of less than $40,000 and, if filing individually, have liquid assets of less than $50,000 or, if household members are filing jointly, have liquid assets of less than $75,000.

LD 1458 An Act To Protect Taxpayers in the Privatization of State Services Status: Referred to State and Local Government Committee, Work session held, May 8, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1458
This bill creates a process by which a state agency can enter a privatization contract with a nongovernmental entity to perform basic agency services for up to 5 years if a number of criteria are met, including:
  • 1. Wages and benefits for employees of the contractor are comparable to state employees performing the same services;
  • 2. The contractor endeavors to hire agency employees terminated due to the privatization;
  • 3. The agency provides an estimate of its costs in providing the subject services in the most efficient manner;
  • 4. The agency provides support and resources to allow agency employees to submit a competing bid to provide the privatized services;
  • 5. The agency considers as a contract cost any income tax revenue lost to the State as a result of services to be performed out of state under the contract; and
  • 6. The Attorney General performs a review to determine that all of the requirements of the bidding process and privatization contract have been met.


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

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

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

The amendment also changes the appropriations and allocations section.

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

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

Amendment S-251
This amendment replaces the bill.

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

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

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


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


LD 1504 Chaptered Law
LD 1504 Chaptered Law fiscal note
LD 1530 An Act To Expand Incentives To Live and Work in Maine through a Tax Credit for Certain Student Loans Status: Referred to Criminal Justice and Public Safety Committee, Dead, Joint rule 310.3, May 28, 2019
LD 1530
This bill provides an income tax credit of up to $1,000 for individuals for certain student loan payments made during the tax year if the individuals were first employed in Maine on or after January 1, 2020. The credit is equal to the lesser of 50% of the loan payments actually made and 50% of income tax liability in the first year in which the credit is claimed declining to 10% of income tax liability in the 5th and final year in which the credit is claimed. The credit may not exceed 50% of the individual's outstanding student loan debt and may not be claimed if the individual claims the credit for educational opportunity.

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

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

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

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

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

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

LD 1580 Chaptered Law
LD 1580 Chaptered Law fiscal note
LD 1635 Resolve, To Improve Access to Early and Periodic Screening, Diagnostic and Treatment Services for Children from Birth to 8 Years of Age (Emergency) Status: Referred to Health and Human Services Committee, Amended by Committee amendment S-182, Finally passed as an emergency measure, Signed into law June 13, 2019
LD 1635
This emergency resolve requires the Department of Health and Human Services, in consultation with the Department of Education, to convene the participants of the federally funded Developmental Systems Integration initiative to determine the capacity of the State to provide child find and early and periodic screening, diagnostic and treatment services to children from birth to 8 years of age, the gaps in services and the costs of addressing those gaps. The report must be submitted to the Joint Standing Committee on Health and Human Services no later than December 30, 2019.

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

LD 1635 Chaptered Law
LD 1635 Chaptered Law fiscal note
LD 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 1673 An Act To Prohibit Prescription Drug Advertising Status: Referred to Health Coverage, Insurance and Financial Services Committee, Work session held, May 21, 2019, carried over to any regular or special session per Joint Order HP 1322
LD 1673
This bill amends current law, which allows the advertising of prescription drugs only if the advertisement is not misleading, to ban completely, beginning January 1, 2020, the advertising of prescription drugs, either by broadcast by a television or radio station in this State, over the Internet from a location in this State or in a magazine or newspaper printed, distributed or sold in this State. A violation is a violation of the Maine Unfair Trade Practices Act.

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

LD 1694 Chaptered Law
LD 1694 Chaptered Law fiscal note
LD 1697 An Act Regarding the Timeliness of Payments to the State Status: Referred to State and Local Government Committee, Amended by Committee amendment H-479, Enacted, Signed into law June 17, 2019
LD 1697
This bill requires the collection of certain payments due the State made through the use of automated procedures, electronic processes and computer-driven technology to be deposited in the State Treasury within 3 business days of the date of the transaction initiated by the obligor. It allows the Treasurer of State and the State Controller to adopt routine technical rules outlining procedures for the use of these payment methods. It prohibits any rule adopted from waiving prohibitions against deductions on account of salaries, fees, costs, charges, expenses, refunds, claims or demands of any description whatsoever.

Amendment H-479
This amendment clarifies that the bill applies to payments from departments and agencies of the State to the State Treasury. It removes the 3-day requirement for payments and directs the Treasurer of State and the State Controller to adopt major substantive rules to implement the legislation, including rules outlining procedures for the use of automated procedures, electronic processes and computer-driven technology.

LD 1697 Chaptered Law
LD 1697 Chaptered Law fiscal note

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