LD 2189 Maine House · 132nd Legislature (2025-2026)

An Act To Require Prior Notification Of Closures Of Labor And Delivery Units And Changes In Maternity Or Newborn Care Services By Hospitals As Recommended By 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

This Maine bill requires hospitals to submit a formal notice to the state department at least 120 days before closing labor and delivery units or changing the level of maternity and newborn care services. The notification must include the effective date, reasons for the change, contact information, and details on how the hospital will handle emergency obstetric care. Hospitals must also document their efforts to notify surrounding facilities within 50 miles, local emergency services, affected patients, and the general public. These provisions are designed to ensure transparency and allow communities adequate time to prepare for changes in essential healthcare services.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Feb 3, 2026 Signed Apr 3, 2026
Floor votes · Senate Mar 18, 2026 · House Mar 17, 2026

How they voted

250
Passed · 3 other
Total votes 28
Mar 18, 2026
D Democratic18
17 Yea 1
94% Yea
I Independent1
1 Yea
100% Yea
R Republican9
7 Yea 2
77% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
45
Key actions
13
Committee
11
Apr 3, 2026
Signed into law
Signed by Governor
executive
Mar 30, 2026
Upper · Passed
PASSED TO BE ENACTED - Emergency - 2/3 Elected Required, in concurrence.
upper
Mar 26, 2026
Lower · Passed
PASSED TO BE ENACTED.
lower
Mar 24, 2026
Lower · Passed
Committee Amendment "A" (H-851) as Amended by House Amendment "A" (H-886) thereto was ADOPTED.
lower
Mar 24, 2026
Lower · Passed
On motion of Representative STOVER of Boothbay, House Amendment "A" (H-886) to Committee Amendment "A" (H-851) was READ and ADOPTED.
lower
Mar 24, 2026
Lower · Passed
On further motion of the same Representative, under further SUSPENSION of the rules, the House RECONSIDERED ADOPTION of Committee Amendment "A" (H-851).
lower
Mar 18, 2026
Upper · Passed
Committee Amendment "A" (H-851) READ and ADOPTED.
upper
Mar 18, 2026
Upper · Passed
On motion by Senator BAILEY of York the Majority Ought to Pass as Amended Report ACCEPTED in concurrence.
upper
Mar 18, 2026
Senate · Passed
Senate Vote: pass (25-0-3)
senate
Mar 17, 2026
Lower · Passed
Committee Amendment "A" (H-851) was READ and ADOPTED.
lower
Mar 17, 2026
Lower · Passed
On motion of Representative MATHIESON of Kittery, the Majority Ought to Pass as Amended Report was ACCEPTED.
lower
Mar 17, 2026
House · Passed
House Vote: pass (124-2-8)
house
Mar 13, 2026
Legislature · Passed
Reported Out - OTP-AM/ONTP
legislature
Feb 3, 2026
Committee
On motion by Senator Bailey of York REFERRED to Committee on Health Coverage, Insurance and Financial Services, in concurrence.
upper
Feb 3, 2026
Committee
The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES
lower
Feb 3, 2026
Committee
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.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kristi Mathieson
Kristi Mathieson
DDemocratic
ME
151