---
type: "Bill"
title: "An Act To Require Reimbursement For Gender-Affirming Care For Mainecare Members"
description: "An Act To Require Reimbursement For Gender-Affirming Care For Mainecare Members"
jurisdiction: "us/states/me"
legislature: "Maine Legislature"
session: "131"
identifier: "LD 1040"
citation: "Maine LD 1040 (131)"
classification: ["bill"]
subjects: ["GENDER-AFFIRMING CARE", "MAINECARE", "MEDICAID"]
status: "enacted"
primary_sponsors: ["Matthew MOONEN"]
version_count: 4
action_count: 40
vote_count: 6
first_action: "2023-03-07"
last_action: "2023-06-23"
source: "openstates"
source_identifier: "ocd-bill/bf85f7b2-1cfd-4a0f-a998-fc9cbacd28eb"
source_url: "https://legislature.maine.gov/LawMakerWeb/dockets.asp?ID=280087069"
source_hash: "25eee02db40193b87ad608aeb5f2a7226c0205e945f00ac9bd4e35441d3a677d"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-me"]
---

# Maine LD 1040 (131) — An Act To Require Reimbursement For Gender-Affirming Care For Mainecare Members

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Chaptered Law** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0676&item=2&snum=131)
2. **Documents and Disposition** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0676&item=1&snum=131)
3. **Final Disposition** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0676&item=3&snum=131)
4. **Status In Committee** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0676&item=4&snum=131)

## Votes

- RECONSIDER IPP H-A — **68–75** (fail) · lower
- ADOPT SAS-362 — **11–22** (fail) · upper
- ACCEPT MAJORITY OUGHT TO PASS REPORT — **23–10** (pass) · upper
- ADOPT SENATE AMENDMENT (S-362) to LD 1040 — **12–21** (fail) · upper
- ACC MAJ OUGHT TO PASS REP — **75–65** (pass) · lower
- PASSAGE TO BE ENGROSSED — **23–10** (pass) · upper

## Sponsors

- Matthew MOONEN — primary (person)
- Ambureen RANA — cosponsor (person)
- Anne GRAHAM — cosponsor (person)
- Colleen MADIGAN — cosponsor (person)
- Daniel SHAGOURY — cosponsor (person)
- Henry INGWERSEN — cosponsor (person)
- Joseph BALDACCI — cosponsor (person)
- Margaret CRAVEN — cosponsor (person)
- Michele MEYER — cosponsor (person)
- Samuel ZAGER — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-03-07** Committee on Health and Human Services suggested and ordered printed.
- **2023-03-07** The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES. `referral-committee`
- **2023-03-07** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-03-07** The Bill was REFERRED to the Committee on HEALTH AND HUMAN SERVICES in concurrence `referral-committee`
- **2023-03-30** Carried over, in the same posture, to any special or regular session of the 131st Legislature, pursuant to Joint Order SP 594.
- **2023-05-23** Reports READ.
- **2023-05-23** On motion of Representative MEYER of Eliot, TABLED pending ACCEPTANCE of Either Report.
- **2023-05-23** Later today assigned.
- **2023-06-16** Speaker laid before the House
- **2023-06-16** Subsequently, on motion of Representative MEYER of Eliot, the Majority Ought to Pass Report was ACCEPTED.
- **2023-06-16** ROLL CALL NO. 248
- **2023-06-16** (Yeas 75 - Nays 65 - Absent 10 - Excused 1)
- **2023-06-16** The Bill was READ ONCE. `reading-1`
- **2023-06-16** Under suspension of the rules, the Bill was given its SECOND READING without REFERENCE to the Committee on Bills in the Second Reading.
- **2023-06-16** On motion of Representative SMITH of Palermo, House Amendment "A" (H-207) was READ.
- **2023-06-16** On motion of Representative TERRY of Gorham House Amendment "A" (H-207) was INDEFINITELY POSTPONED.
- **2023-06-16** Motion of Representative SMITH of Palermo, to RECONSIDER INDEFINITE POSTPONEMENT of House Amendment "A" (H-207) FAILED.
- **2023-06-16** ROLL CALL NO. 249
- **2023-06-16** (Yeas 68 - Nays 75 - Absent 7 - Excused 1)
- **2023-06-16** Subsequently, the Bill was PASSED TO BE ENGROSSED. `reading-3`
- **2023-06-16** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-06-20** Reports READ
- **2023-06-20** On motion by Senator BALDACCI of Penobscot The Majority Ought to Pass Report ACCEPTED
- **2023-06-20** Roll Call Ordered Roll Call Number 379 Yeas 23 - Nays 10 - Excused 2 - Absent 0 PREVAILED
- **2023-06-20** READ ONCE `reading-1`
- **2023-06-20** Under suspension of the Rules, READ A SECOND TIME `reading-2`
- **2023-06-20** Senator GUERIN of Penobscot moved to Senate Amendment "A" (S-362) READ
- **2023-06-20** Roll Call Ordered Roll Call Number 380 Yeas 12 - Nays 21 - Excused 2 - Absent 0 FAILED
- **2023-06-20** On motion by Senator VITELLI of Sagadahoc The Senate RECONSIDERED whereby Senate Amendment "A" (S-362) FAILED ADOPTION
- **2023-06-20** Roll Call Ordered Roll Call Number 381 Yeas 11 - Nays 22 - Excused 2 - Absent 0 FAILED
- **2023-06-20** PASSED TO BE ENGROSSED in concurrence `reading-3`
- **2023-06-20** Roll Call Ordered Roll Call Number 382 Yeas 23 - Nays 10 - Excused 2 - Absent 0
- **2023-06-20** Subsequently PASSED TO BE ENGROSSED in concurrence `reading-3`
- **2023-06-21** PASSED TO BE ENACTED. `passage`
- **2023-06-21** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-06-21** PASSED TO BE ENACTED, in concurrence. `passage`
- **2023-06-23** Signed by Governor `executive-signature`
- **2023-04-26T04:00:00+00:00** Work Session Held
- **2023-04-26T04:00:00+00:00** Voted - Divided Report
- **2023-05-18T04:00:00+00:00** Reported Out - OTP/ONTP

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bf85f7b2-1cfd-4a0f-a998-fc9cbacd28eb`. Confidence: reported (aggregated from official Maine legislature records).