Maine 2025-2026 Regular Session

Maine House Bill LD2119

Introduced
1/7/26  
Refer
1/7/26  
Refer
1/7/26  
Engrossed
3/30/26  
Enrolled
4/2/26  

Caption

Resolve, to Review Reimbursement for Certain Emergency Medical Services

Impact

The implementation of LD2119 would significantly impact state laws by mandating the Department of Health and Human Services to revise how reimbursement standards are set for emergency medical services. It calls for new rules to define the standards for treatment delivered by community paramedics and those provisions associated with alternate destination transport. By supporting treatment in place and community paramedicine, the bill aims to create a more effective healthcare response system that can adapt to patient needs in varied settings, potentially reducing unnecessary emergency room visits.

Summary

LD2119, also known as 'An Act to Expand Reimbursement for Treatment in Place, Community Paramedicine and Alternate Destination Transport', aims to broaden the scope of reimbursement for ambulance services under the MaineCare program. The bill proposes that reimbursement will now include treatment provided on the scene in response to an emergency call, care by community paramedics, and alternatives to traditional hospital transport, allowing patients to be taken to more appropriate facilities based on their condition. This represents a significant shift in policy to improve pre-hospital care and optimize emergency services delivery in Maine.

Sentiment

The sentiment surrounding LD2119 appears to be generally positive among healthcare professionals and advocacy groups focused on improving emergency medical services. Proponents argue that the bill enhances patient care and supports innovative approaches to emergency medicine. However, there may be concerns from other stakeholders regarding the implementation of these new reimbursements and whether these changes will ensure comprehensive care across all emergency services.

Contention

Despite the overall support, there are notable points of contention regarding LD2119. Critics may raise concerns about the financial implications for the state’s budget due to expanded reimbursements and the operational challenges that might arise for emergency medical services as they adapt to new regulations. Additionally, discussions may center on ensuring that the quality of care remains high and that new protocols for community paramedicine are effectively established to prevent any gaps in service delivery.

Companion Bills

No companion bills found.

Previously Filed As

ME HB205

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

ME HB503

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

ME AB102

Revises provisions relating to emergency medical services. (BDR 40-345)

ME HB1378

Medicaid; seek waiver for reimbursement for services to certain prison inmates.

ME HB4156

Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.

ME AB2405

Emergency Medical Services Act.

ME SB00429

An Act Concerning Medicaid Reimbursement For Emergency Medical Transportation.

ME H5772

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

ME LD1530

An Act to Improve the Sustainability of Emergency Medical Services in Maine

ME HB3361

Medicaid reimbursements; minimum rates of reimbursements; discretionary; effective date.

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