LD 2177 Maine House · 132nd Legislature (2025-2026)

An Act To Update And Improve The Mainecare Reimbursement System

This bill updates Maine's MaineCare reimbursement system to ensure nursing homes and healthcare providers receive fair payment rates that reflect actual costs of care. It requires the Department of Health and Human Services to establish reimbursement rates based on regional labor costs, inflation adjustments, and audited cost reports rather than flat rates. The legislation mandates that rates be rebased every two years starting from a 2016 baseline, with protections against rate reductions and adjustments for cost-of-living increases. Additionally, it creates a framework for alternative payment models that link reimbursement to quality performance measures while maintaining compliance with federal requirements.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 27, 2026 Signed Apr 13, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
20
Key actions
6
Committee
5
Apr 13, 2026
Signed into law
Signed by Governor
executive
Apr 6, 2026
Upper · Passed
PASSED TO BE ENACTED, in concurrence.
upper
Apr 2, 2026
Lower · Passed
PASSED TO BE ENACTED.
lower
Apr 2, 2026
Upper · Passed
Committee Amendment "A" (H-921) READ and ADOPTED, in concurrence.
upper
Mar 27, 2026
Legislature · Passed
Reported Out - OTP-AM
legislature
Jan 27, 2026
Committee
The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES in concurrence
upper
Jan 27, 2026
Committee
The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES.
lower
Jan 27, 2026
Lower · Passed
Committee on Health and Human Services suggested and ordered printed.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Drew Gattine
Drew Gattine
DDemocratic
ME
126