An Act to Update and Improve the MaineCare Reimbursement System
Sponsored By: Drew Gattine (Democratic)
Signed by Governor
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Public MaineCare rates and advance notice
Maine must keep a public MaineCare rate list by service code and update it each year. Each entry must show the rate, its source, and the year and author of supporting studies. It must also show inflation-adjustment status and index, the governing policy, and the next planned review date. Maine must post the studies, benchmark reports, and other materials used to set rates and payment models. For changes without rulemaking, stakeholders who request notice must receive at least 30 calendar days' notice of inflation adjustments. They must receive at least 7 calendar days' notice of Medicare fee-schedule changes or new service codes.
New payment rules for MaineCare providers
Maine puts state-paid nursing home care under its standard MaineCare rate-setting system. Nursing home rates are reset effective January 1, 2028; later resets follow that system. The law does not specify whether those rates rise or fall. Maine must adjust provider payments for inflation, using measures that reflect reasonable care costs and align with minimum wage increases. It must favor a consistent measure for services driven by direct-care staffing costs and cover services provided by essential support workers. When an adjustment equals the minimum wage increase, it takes effect 6–12 months after that increase. By January 1 each year, Maine must publish estimated adjustment costs for the next fiscal year. Maine can use its MaineCare Stabilization Fund when separate initiative funding is insufficient, but those adjustments require ongoing funding to become permanent.
Sponsors & Cosponsors
Sponsor
Drew Gattine
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
Signed by Governor, ACTPUB Chapter 664
4/13/2026PASSED TO BE ENACTED, in concurrence.
4/6/2026SenatePASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
4/2/2026HouseReport READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-921) 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-921), in concurrence.Ordered sent down forthwith.
4/2/2026SenateCONSENT 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-921).Sent for concurrence. ORDERED SENT FORTHWITH.
3/31/2026HouseThe Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES in concurrence
1/27/2026SenateCommittee 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.
1/27/2026House
Bill Text
Amendment C-A (H-921), adopted by House & Senate
Enacted
Introduced
Related Bills
LD 1522, An Act to Establish the Maine Eviction Prevention Program
LD 1665, An Act to Provide Property Tax Relief to Maine Families
LD 1872, An Act to Reinvest in the Pension Funds of the Maine Public Employees Retirement System
LD 2067, An Act to Include Community Mental Health Workers Under the 1998 Special Plan for Retirement
LD 1611, An Act to Decrease the Retirement Contributions Required for Teachers and State Employees
LD 1294, An Act to Expand the Dependent Exemption Tax Credit