# Maine LD 2133: An Act Regarding Licensing of Community Paramedicine Services and Clinicians

Maine LD 2133, An Act Regarding Licensing of Community Paramedicine Services and Clinicians, is a 132nd Maine Legislature (2025-2026) Senate bill sponsored by Donna Bailey (Democratic); status signed, last action 2026-04-03 (Signed by Governor, ACTPUB Chapter 635); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/ME-LD2133-132
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maine LD 2133
- State: Maine
- Session: 132nd Maine Legislature (2025-2026)
- Title: An Act Regarding Licensing of Community Paramedicine Services and Clinicians
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-07
- Last action: 2026-04-03, Signed by Governor, ACTPUB Chapter 635
- Sponsor: Donna Bailey (Democratic)
- Cosponsors: 0
- Subjects: EMERGENCY MEDICAL SERVICES, EMERGENCY MEDICAL SERVICES - AMBULANCE SERVICES
- Touches household money: yes
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Insurers gain flexibility on community paramedicine: cost, low. 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: mixed, low. 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.…

## Sponsors and cosponsors

- Sponsor: Donna Bailey (Democratic), Senate

## Actions (8)

- 2026-04-03: Signed by Governor, ACTPUB Chapter 635
- 2026-03-25: PASSED TO BE ENACTED, in concurrence. (Senate)
- 2026-03-24: PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH. (House)
- 2026-03-19: 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. (House)
- 2026-03-18: 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. (Senate)
- 2026-03-17: Report READ and ACCEPTED.Bill READ ONCE. Committee Amendment "A" (S-552) READ and ADOPTED. ASSIGNED FOR SECOND READING NEXT LEGISLATIVE DAY. (Senate)
- 2026-01-07: The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.In concurrence. ORDERED SENT FORTHWITH. (House)
- 2026-01-07: 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. (Senate)

## Bill text

- Amendment C-A (S-552), adopted by House & Senate: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=2&snum=132)
- Enacted: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=3&snum=132)
- Introduced: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=1&snum=132)

## Related bills

- LD 1522: An Act to Establish the Maine Eviction Prevention Program (failed)
- LD 1665: An Act to Provide Property Tax Relief to Maine Families (failed)
- LD 1872: An Act to Reinvest in the Pension Funds of the Maine Public Employees Retirement System (failed)
- LD 2067: An Act to Include Community Mental Health Workers Under the 1998 Special Plan for Retirement (failed)
- LD 1611: An Act to Decrease the Retirement Contributions Required for Teachers and State Employees (failed)
- LD 1294: An Act to Expand the Dependent Exemption Tax Credit (failed)

## Sources
- [Amendment C-A (S-552), adopted by House & Senate (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=2&snum=132)
- [Enacted (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=3&snum=132)
- [Introduced (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0830&item=1&snum=132)

## Related
- [LD 1522: An Act to Establish the Maine Eviction Prevention Program](https://policyrisk.com/state-bill/ME-LD1522-132)
- [LD 1665: An Act to Provide Property Tax Relief to Maine Families](https://policyrisk.com/state-bill/ME-LD1665-132)
- [LD 1872: An Act to Reinvest in the Pension Funds of the Maine Public Employees Retiremen…](https://policyrisk.com/state-bill/ME-LD1872-132)
- [LD 2067: An Act to Include Community Mental Health Workers Under the 1998 Special Plan f…](https://policyrisk.com/state-bill/ME-LD2067-132)
- [LD 1611: An Act to Decrease the Retirement Contributions Required for Teachers and State…](https://policyrisk.com/state-bill/ME-LD1611-132)
- [LD 1294: An Act to Expand the Dependent Exemption Tax Credit](https://policyrisk.com/state-bill/ME-LD1294-132)
- [Maine bills](https://policyrisk.com/states/maine/bills)
- [Maine state hub](https://policyrisk.com/states/maine)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/ME-LD2133-132 (as of 2026-10-17).