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MaineLD 2123132nd Maine Legislature (2025-2026)HouseWALLET

Resolve, to Improve Dental Care Access by Modifying the MaineCare Reimbursement Methodology for the Provision of Certain Dental Services

Sponsored By: Ryan Fecteau (Democratic)

Became Law

MEDICAIDMEDICAID - MAINECARE

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Easier dental anesthesia under MaineCare

Beginning July 1, 2026, MaineCare removes prior authorization for deep sedation and general anesthesia for dental care. DHHS sets payment for these services at 67% of the commercial median benchmark. Claims must use CDT codes D9222, D9223, D9224, or D9225. The 67% rate stays in place through June 30, 2028, or until new dental rates take effect, whichever comes first.

MaineCare keeps rates for extractions, cavity care

DHHS keeps the temporary MaineCare payment rates for two dental services: extractions (D7140) and caries-arrest medicament (D1354). This applies as of July 1, 2026. The rates must stay at least through June 30, 2028, or until new dental rates start, whichever comes first. This keeps provider payments steady for those services.

Funds to implement MaineCare dental changes

For FY 2026-27, the state provides $55,014 to DHHS to carry out these MaineCare dental changes. The money is $17,580 from the General Fund, $31,647 from Federal Expenditures, and $5,787 from a Federal Block Grant. It supports removing prior authorization and setting the 67% anesthesia payment rate.

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Sponsors & Cosponsors

Sponsor

  • Ryan Fecteau

    Democratic • House

Cosponsors

  • Ambureen Rana

    Democratic • House

  • Chip Curry

    Democratic • Senate

  • Kilton Webb

    Democratic • House

  • Lucien Daigle

    Republican • House

  • Matthea E. L. Daughtry

    Democratic • Senate

  • Michelle Boyer

    Democratic • House

  • Sally Cluchey

    Democratic • House

  • Samuel Zager

    Democratic • House

  • Stephan Bunker

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. RESLV Chapter 164

    5/4/2026

  2. On motion by Senator ROTUNDO of Androscoggin taken from the Special Appropriations Table. Subsequently, FINALLY PASSED in concurrence.

    4/13/2026Senate

  3. On motion by Senator ROTUNDO of Androscoggin PLACED ON THE SPECIAL APPROPRIATIONS TABLE pending FINAL PASSAGE in concurrence.

    3/30/2026Senate

  4. FINALLY PASSED.Sent for concurrence. ORDERED SENT FORTHWITH.

    3/26/2026House

  5. Report READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-876) READ and ADOPTED, in concurrence.Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (H-876), in concurrence.Ordered sent down forthwith.

    3/25/2026Senate

  6. CONSENT CALENDAR - FIRST DAYUnder suspension of the rules CONSENT CALENDAR - SECOND DAY.The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (H-876).Sent for concurrence. ORDERED SENT FORTHWITH.

    3/24/2026House

  7. The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES in concurrence

    1/7/2026Senate

  8. Committee on Health and Human Services suggested and ordered printed. The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES.Sent for concurrence. ORDERED SENT FORTHWITH.

    1/7/2026House

Bill Text

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