Sen. Donna Bailey

Maddy summaryThis bill allocates $1.1 million in one-time state funds to help build a psychiatric residential treatment facility for at-risk youth under 21 years old in Maine. The money is designated for capital expenditures within the Department of Health and Human Services' Office of Behavioral Health. The legislation directs these funds specifically toward construction costs for the new facility, which aims to provide residential mental health care services to young people in need.

Maddy summaryMaine's LD 1998 requires operators of cash-dispensing machines (like ATMs or kiosks) to register through the Nationwide Mortgage Licensing System and Registry. It prohibits these machines from functioning as unlicensed virtual currency kiosks and mandates compliance with federal electronic funds transfer rules. Operators must pay a $50 fee for the first machine location and $25 for each additional location, with annual renewal fees. The law also authorizes fines of $25 per day for non-compliance with registration or operational requirements.

Maddy summaryLD 1301 prohibits Maine health insurance companies and their contractors from using artificial intelligence to deny, delay, or modify health insurance claims starting January 1, 2026. It requires that any denial based on medical necessity must be made by a clinical peer (a healthcare professional) who reviews the patient’s medical history and provider’s recommendation. The bill also mandates that AI use must be transparent to patients, cannot discriminate based on protected characteristics, and must be reviewed for accuracy. This directly affects health insurers and their third-party reviewers handling claim decisions in Maine.

Maddy summaryThis bill requires Maine health insurance carriers to report quarterly on denied claims and prior authorizations starting in 2026. Carriers must track the number of denials and list the five most common reasons for both claim denials and prior authorization denials. The Superintendent of Insurance will compile these reports, along with federal data from the Affordable Care Act, into an annual report submitted to the relevant legislative committee by January 31 each year. The committee may then propose new legislation based on the findings to address patterns in insurance denials.

Maddy summaryLD 259 establishes the Criminal Records Review Commission in Maine law to annually review state laws, rules, and procedures related to criminal history record information. The commission, composed of 24 members including legislators, state agency leaders, and representatives from legal aid, civil rights, victim advocacy, and law enforcement groups, will submit findings and recommendations to the Legislature each year. This bill does not change existing criminal record policies but creates a structured process for ongoing review. The commission directly affects how Maine evaluates and potentially updates its criminal record systems, involving diverse stakeholders in the review process.

Maddy summaryLD 697 directs Maine's Prescription Drug Affordability Board to set annual spending targets for prescription drugs purchased by state and local government health plans (excluding MaineCare), using a formula based on a 10-year average of medical care costs plus inflation, minus savings. The board must assess cost-reduction strategies, including reference-based pricing - which aligns drug prices with those in other regions - and establish a 12-member advisory council with representatives from state agencies, labor unions, and consumer groups to advise on setting targets and methods. The board will also identify public payors (state, county, and municipal health plans) likely to exceed the spending targets.

Maddy summaryLD 784 requires Maine health insurance plans to cover specific preventive screenings for first responders (including firefighters, police officers, EMTs, and emergency communications personnel) without denying coverage, requiring prior authorization (except to verify first responder status or for screenings by designated providers), or charging out-of-pocket costs. The screenings include cancer tests linked to job risks, blood tests, age-independent cancer screenings, and tests for inflammation or nutritional deficiencies. This law applies to all health insurance policies issued or renewed on or after January 1, 2027, ensuring first responders can access these preventive services without financial or administrative barriers.

Maddy summaryThis bill allows victims of sex trafficking or sexual exploitation to have their criminal history records sealed. It requires business screening services (like background check companies) to delete any sealed records from their databases and stop sharing inaccurate or sealed information. Specifically, if a victim's record is sealed through legal process, the screening service must remove it and notify the individual within 30 days. The law ensures these services update records within 30 days and verify accuracy every 90 days. It applies directly to trafficking victims seeking to limit how their sealed records are used by private background check providers.

Maddy summaryLD 874 establishes a Maine state program to provide financial relief to Maine-resident state and federal employees who lose pay during government shutdowns lasting over 7 days. The bill creates a special fund managed by the Treasurer to guarantee loans made by eligible Maine credit unions or financial institutions to these affected employees. Employees must prove their Maine residency, employment status, and income to qualify for loans covering up to 90 days of lost wages during the shutdown. The state will reimburse lenders for any unpaid loans through the fund, with repayment guaranteed for borrowers during the shutdown period or a 90-day grace period after. This program directly benefits Maine-based government workers facing financial hardship due to federal or state shutdowns.

Maddy summaryLD 163 requires all health insurance plans in Maine covering prescription drugs or outpatient services to fully cover federally approved nonprescription oral hormonal contraceptives and emergency contraceptives without any deductibles, copays, or coinsurance. This applies directly to health insurers and enrollees, eliminating out-of-pocket costs for these specific contraceptives. The bill clarifies that no prescription is needed to obtain these items, and coverage must include supplies for a full 12-month period. It specifically excludes coverage for abortion-inducing drugs. The law updates Maine’s health insurance coverage requirements to align with federal contraceptive approvals.