LD 1890 Maine House · 132nd Legislature (2025-2026)

An Act To Facilitate The Development Of Ambulatory Surgical Facilities By Exempting Certain Facilities From The Requirement To Obtain A Certificate Of Need

This bill exempts certain ambulatory surgical facilities from needing state approval (a "Certificate of Need") before developing or expanding. It directly affects new or expanding ambulatory surgical facilities, particularly those owned by hospitals that meet specific conditions. The key provision removes the Certificate of Need requirement for these facilities if they operate solely as ambulatory surgical centers and do not share physical space with a hospital or critical access hospital's outpatient surgery department - even if they aren’t open simultaneously. This streamlines development for qualifying facilities without requiring additional state review.
Bill status signed all 5 stages cleared
Introduction
May 2025
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced May 1, 2025 Signed Mar 31, 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
38
Key actions
8
Committee
10
Mar 18, 2026
Upper · Passed
PASSED TO BE ENACTED, in concurrence.
upper
Mar 17, 2026
Lower · Passed
PASSED TO BE ENACTED.
lower
Mar 10, 2026
Upper · Passed
Committee Amendment "A" (H-827) READ and ADOPTED.
upper
Mar 10, 2026
Upper · Passed
On motion by Senator BAILEY of York The Majority Ought to Pass As Amended by Committee Amendment "A" (H-827) Report ACCEPTED in concurrence.
upper
Mar 5, 2026
Lower · Passed
Committee Amendment "A" (H-827) was READ and ADOPTED.
lower
Mar 5, 2026
Lower · Passed
On motion of Representative MATHIESON of Kittery, the Majority Ought to Pass as Amended Report was ACCEPTED.
lower
Mar 3, 2026
Legislature · Passed
Reported Out - OTP-AM/OTP-AM
legislature
May 7, 2025
Committee
On motion by Senator Nangle of Cumberland for the Committee on Health and Human Services REFERRED to the Committee on Health Coverage, Insurance and Financial Services, in concurrence.
upper
May 6, 2025
Committee
On motion of Representative MEYER, the Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.
lower
May 6, 2025
Lower · Passed
Representative MEYER from the Committee on HEALTH AND HUMAN SERVICES Reports a recommendation for a CHANGE OF COMMITEE.
lower
May 2, 2025
Committee
Reported Out - REF TO OTHER
legislature
May 1, 2025
Committee
The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES pursuant to Joint Rule 308.2 and ordered printed pursuant to Joint Rule 401.
lower
1 primary · 5 co-sponsors

Sponsors