---
type: "Bill"
title: "An Act Regarding Coverage For Step Therapy For Advanced Metastatic Cancer"
description: "An Act Regarding Coverage For Step Therapy For Advanced Metastatic Cancer"
jurisdiction: "us/states/me"
legislature: "Maine Legislature"
session: "132"
identifier: "LD 178"
citation: "Maine LD 178 (132)"
classification: ["bill"]
subjects: ["HEALTH INSURANCE", "INSURANCE", "METASTATIC CANCER"]
status: "enacted"
primary_sponsors: ["Kristi MATHIESON"]
version_count: 3
action_count: 23
vote_count: 0
first_action: "2025-01-14"
last_action: "2025-07-01"
source: "openstates"
source_identifier: "ocd-bill/6a967dfb-7ff9-4d69-8070-134c9b5539c4"
source_url: "https://legislature.maine.gov/LawMakerWeb/dockets.asp?ID=280095793"
source_hash: "e59caa7e3c5ffa6b2cbbf050affbb12713e4ae3faf60d7d599af6efbc1820c96"
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 178 (132) — An Act Regarding Coverage For Step Therapy For Advanced Metastatic Cancer

## Version chain

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

1. **Amendment C-A (H-272)** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0111&item=2&snum=132)
2. **Chapter 448** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0111&item=3&snum=132)
3. **LD 178 HP 111** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0111&item=1&snum=132)

## Sponsors

- Kristi MATHIESON — primary (person)
- Denise TEPLER — cosponsor (person)
- Sally CLUCHEY — cosponsor (person)

## Timeline

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

- **2025-01-14** Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed.
- **2025-01-14** The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES. `referral-committee`
- **2025-01-14** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2025-01-14** The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence `referral-committee`
- **2025-03-21** Carried over, in the same posture, to the next special or regular session of the 132nd Legislature, pursuant to Joint Order SP 519.
- **2025-05-27** CONSENT CALENDAR - FIRST DAY
- **2025-05-27** Under suspension of the rules CONSENT CALENDAR - SECOND DAY.
- **2025-05-27** The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (H-272). `reading-3`
- **2025-05-27** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2025-05-28** Report READ and ACCEPTED, in concurrence.
- **2025-05-28** READ ONCE. `reading-1`
- **2025-05-28** Committee Amendment "A" (H-272) READ and ADOPTED, in concurrence. `committee-passage-favorable, passage`
- **2025-05-28** Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (H-272), in concurrence. `reading-2, reading-3`
- **2025-05-28** Ordered sent down forthwith.
- **2025-05-29** PASSED TO BE ENACTED. `passage`
- **2025-05-29** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2025-06-02** On motion by Senator ROTUNDO of Androscoggin PLACED ON THE SPECIAL APPROPRIATIONS TABLE pending ENACTMENT in concurrence.
- **2025-06-25** On motion by Senator ROTUNDO of Androscoggin taken from the Special Appropriations Table
- **2025-06-25** PASSED TO BE ENACTED in concurrence. `passage`
- **2025-07-01** Signed by Governor `executive-signature`
- **2025-02-12T05:00:00+00:00** Work Session Held
- **2025-02-12T05:00:00+00:00** Voted - OTP-AM
- **2025-05-23T04:00:00+00:00** Reported Out - OTP-AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6a967dfb-7ff9-4d69-8070-134c9b5539c4`. Confidence: reported (aggregated from official Maine legislature records).