# Maine LD 2201: An Act to Implement Certain Recommendations Related to the Regulatory Review and Approval of Certain Health Care Transactions Involving Private Equity Companies, Hedge Funds or Management Services Organizations from the Commission to Evaluate the Scope of Regulatory Review and Oversight over Health Care Transactions That Impact the Delivery of Health Care Services in the State Maine LD 2201, An Act to Implement Certain Recommendations Related to the Regulatory Review and Approval of Certain Health Care Transactions Involving Private Equity Companies, Hedge Funds or Management Services Organizations from the Commission to Evaluate the Scope of Regulatory Review and Oversight over Health Care Transactions That Impact the Delivery of Health Care Services in the State, is a 132nd Maine Legislature (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2026-04-13 (Signed by Governor, ACTPUB Chapter 690); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/ME-LD2201-132 - 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 2201 - State: Maine - Session: 132nd Maine Legislature (2025-2026) - Title: An Act to Implement Certain Recommendations Related to the Regulatory Review and Approval of Certain Health Care Transactions Involving Private Equity Companies, Hedge Funds or Management Services Organizations from the Commission to Evaluate the Scope of Regulatory Review and Oversight over Health Care Transactions That Impact the Delivery of Health Care Services in the State - Status: signed - Chamber: House - Introduced: 2026-02-10 - Last action: 2026-04-13, Signed by Governor, ACTPUB Chapter 690 - Sponsors: no sponsor on record - Cosponsors: 0 - Subjects: HEALTH CARE FACILITIES, HEALTH CARE FACILITIES - ADMINISTRATION - Touches household money: yes - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Small independent provider groups avoid new rules: benefit, low. Independent provider groups with six or fewer individual providers are exempt from the new deal review rules. To qualify, the group must have no ownership or control entities. These qualifying groups are also exempt from the ownership reporting requirements. - Health care deal parties pay review costs: cost, low. Covered health care entities must pay a nonrefundable filing fee when they submit notice of a deal. Initial fees set by state rules must range from $2,000 to $10,000. The state may set other reasonable fees to run the program. It may also charge deal parties all actual, reasonable, direct review co… - State reviews investor takeovers of health care: mixed, medium. Beginning January 1, 2027, Maine reviews covered investor deals that acquire majority ownership or operating control of health care entities. This includes private equity firms, hedge funds, and management services organizations owned or controlled by those investors. Covered entities must submit d… - Health care deals face checks and penalties: mixed, low. After approval following a full review, the health care entity or buyer must report at 1, 2, and 5 years. The state can require further reports and audit whether parties follow approval conditions. Reports must cover conditions, cost trends, patient access, available services, workers, quality, and… - Health care ownership becomes public information: mixed, low. Covered health care entities must file ownership reports by July 1, 2027, and again after completing a covered ownership deal. Reports include names, addresses, operating locations, business IDs, contact details, and charts showing owners, affiliates, and subsidiaries. Hospitals must also report de… ## Sponsors and cosponsors - (none) ## Actions (7) - 2026-04-13: Signed by Governor, ACTPUB Chapter 690 - 2026-04-08: PASSED TO BE ENACTED, in concurrence. (Senate) - 2026-04-08: PASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH. (House) - 2026-04-07: Report READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-981) 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-981), in concurrence.Ordered sent down forthwith. (Senate) - 2026-04-07: 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-981).Sent for concurrence. ORDERED SENT FORTHWITH. (House) - 2026-02-10: Report READ and ACCEPTED, in concurrence.On motion by Senator Bailey of York REFERRED to Committee on Health Coverage, Insurance and Financial Services, in concurrence. (Senate) - 2026-02-10: Representative MATHIESON for the Joint Standing Committee on Health Coverage, Insurance and Financial Services pursuant to Resolve 2025, chapter 106, section 8 reports that the Bill be REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES and printed pursuant to Joint Rule 218.Report was READ and ACCEPTED.The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICESSent for concurrence. ORDERED SENT FORTHWITH. (House) ## Bill text - Amendment C-A (H-981), adopted by House & Senate: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&item=2&snum=132) - Enacted: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&item=3&snum=132) - Introduced: [PDF](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&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 (H-981), adopted by House & Senate (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&item=2&snum=132) - [Enacted (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&item=3&snum=132) - [Introduced (PDF)](https://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP1480&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-LD2201-132 (as of 2026-10-17).