MaineLD 2133132nd Maine Legislature (2025-2026)SenateWALLET

An Act Regarding Licensing of Community Paramedicine Services and Clinicians

Sponsored By: Donna Bailey (Democratic)

Signed by Governor

EMERGENCY MEDICAL SERVICESEMERGENCY MEDICAL SERVICES - AMBULANCE SERVICES

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 1 costs, 1 mixed.

Insurers gain flexibility on community paramedicine

For covered community paramedicine care, insurers do not have to pay ambulance providers the otherwise required ambulance reimbursement rates. Insurers may also require approval before care begins. The law does not itself require patients to pay or set their out-of-pocket costs.

New licensing safeguards for community paramedicine

Ambulance services and nontransport emergency medical services need state licenses to provide community paramedicine, replacing the former authorization. Clinicians need a board license, a separate emergency medical services license, instructor-led training, and proof of trustworthiness and skill. The exemption covers only licensed services providing community paramedicine alone, through single visits without an ongoing general home-care relationship. The Maine Emergency Medical Services Board must require background checks and initial and ongoing training for all staff on mandatory reporting duties. Board rules must set staff, organization, treatment and business record standards, and require coordination with home health agencies.

Sponsors & Cosponsors

Sponsor

  • Donna Bailey

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Signed by Governor, ACTPUB Chapter 635

    4/3/2026
  2. PASSED TO BE ENACTED, in concurrence.

    3/25/2026Senate
  3. PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.

    3/24/2026House
  4. 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" (S-552).In concurrence. ORDERED SENT FORTHWITH.

    3/19/2026House
  5. COMMITTEE ON BILLS IN THE SECOND READING REPORTS NO FURTHER VERBAL AMENDMENTS NECESSARY. REPORT ACCEPTED.READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (S-552)Ordered sent down forthwith for concurrence.

    3/18/2026Senate
  6. Report READ and ACCEPTED.Bill READ ONCE. Committee Amendment "A" (S-552) READ and ADOPTED. ASSIGNED FOR SECOND READING NEXT LEGISLATIVE DAY.

    3/17/2026Senate
  7. The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.In concurrence. ORDERED SENT FORTHWITH.

    1/7/2026House
  8. Committee on CRIMINAL JUSTICE AND PUBLIC SAFETY suggested and ordered printed. On motion by Senator PIERCE of Cumberland REFERENCE to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES ordered sent down forthwith for concurrence.

    1/7/2026Senate

Bill Text

  • Amendment C-A (S-552), adopted by House & Senate

  • Enacted

  • Introduced

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