LD 189 Maine House · 132nd Legislature (2025-2026)

An Act To Increase Availability And Affordability Of Mental Health Care And Substance Use Disorder Services By Removing The Certificate Of Need Requirement

LD 189 removes the requirement for health care facilities to obtain state approval (a "certificate of need") before offering mental health services or substance use disorder treatment in Maine. This change directly affects facilities providing these services, allowing them to expand or start new programs without waiting for state review. By eliminating this regulatory barrier, the bill aims to increase the availability and affordability of mental health and substance use disorder care for residents. The legislation amends Maine law to specifically exclude these services from the certificate of need process.
Bill status failed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Jan 14, 2025 Last action May 20, 2025
Floor votes · House May 6, 2025

How they voted

6662
Passed · 7 other
Total votes 135
May 6, 2025
D Democratic66
63 Yea 3
95% Yea
I Independent3
2 Yea 1
66% Yea
R Republican66
1 Yea 62 Nay 3
93% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
3
Committee
5
May 6, 2025
Committee
On motion of Representative MATHIESON of Kittery, the Majority Ought Not to Pass Report was ACCEPTED.
lower
May 6, 2025
House · Passed
House Vote: pass (66-62-7)
house
May 2, 2025
Legislature · Passed
Reported Out - ONTP/OTP-AM
legislature
Jan 14, 2025
Committee
The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence
upper
Jan 14, 2025
Committee
The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.
lower
Jan 14, 2025
Lower · Passed
Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed.
lower
1 primary · 6 co-sponsors

Sponsors