LD 2201 Maine House · 132nd Legislature (2025-2026)

An Act To Implement Certain Recommendations Related To The Regulatory Review And Approval Of Certain Health Care Transactions Involving Private Equity Companies, Hedge Funds Or Management Services Organizations From 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 bill creates a new regulatory framework in Maine requiring private equity firms, hedge funds, and management services organizations to obtain state approval before acquiring majority ownership or operational control of health care entities. The process involves submitting detailed notices 180 days prior to a transaction, which triggers either a preliminary review or a comprehensive investigation into the deal's impact on local health care costs, quality, and access. If a comprehensive review is required, the state must hold public hearings and may impose conditions on the transaction or disapprove it entirely based on factors such as competition and service availability. Additionally, the legislation mandates annual reporting of ownership structures for all health care entities to ensure transparency, with penalties imposed for non-compliance with these new oversight requirements.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 10, 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
24
Key actions
5
Committee
5
Apr 13, 2026
Signed into law
Signed by Governor
executive
Apr 8, 2026
Upper · Passed
PASSED TO BE ENACTED, in concurrence.
upper
Apr 8, 2026
Lower · Passed
PASSED TO BE ENACTED.
lower
Apr 7, 2026
Upper · Passed
Committee Amendment "A" (H-981) READ and ADOPTED, in concurrence.
upper
Apr 6, 2026
Legislature · Passed
Reported Out - OTP-AM
legislature
Feb 10, 2026
Committee
On motion by Senator Bailey of York REFERRED to Committee on Health Coverage, Insurance and Financial Services, in concurrence.
upper
Feb 10, 2026
Committee
The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES
lower
Feb 10, 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