---
type: "Bill"
title: "An Act To Strengthen Maine'S Health Care Workforce By Preventing Discrimination By Requiring Maintenance Of Certification For Insurance Reimbursement"
description: "An Act To Strengthen Maine'S Health Care Workforce By Preventing Discrimination By Requiring Maintenance Of Certification For Insurance Reimbursement"
jurisdiction: "us/states/me"
legislature: "Maine Legislature"
session: "131"
identifier: "LD 224"
citation: "Maine LD 224 (131)"
classification: ["bill"]
subjects: ["HEALTH INSURANCE", "INSURANCE", "MAINTENANCE OF CERTIFICATION"]
status: "enacted"
primary_sponsors: ["Samuel ZAGER"]
version_count: 3
action_count: 29
vote_count: 1
first_action: "2023-01-24"
last_action: "2023-04-24"
source: "openstates"
source_identifier: "ocd-bill/4ec23d9a-2e98-4eec-8457-c3a7ea0507a4"
source_url: "https://legislature.maine.gov/LawMakerWeb/dockets.asp?ID=280085447"
source_hash: "1a9933f0cd30271b9be69331bf80266d7a8c71414016a622994ebf94597afb06"
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 224 (131) — An Act To Strengthen Maine'S Health Care Workforce By Preventing Discrimination By Requiring Maintenance Of Certification For Insurance Reimbursement

## Version chain

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

1. **Adopted Amendments** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0145&item=2&snum=131)
2. **Documents and Disposition** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0145&item=1&snum=131)
3. **Final Disposition** (committee substitute) — [source](http://www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0145&item=3&snum=131)

## Votes

- ACCEPT MAJORITY OUGHT TO PASS AS AMENDED REPORT — **23–11** (pass) · upper

## Sponsors

- Samuel ZAGER — primary (person)
- Anne CARNEY — cosponsor (person)
- Anne GRAHAM — cosponsor (person)
- Donna BAILEY — cosponsor (person)
- Poppy ARFORD — cosponsor (person)

## Timeline

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

- **2023-01-24** Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed.
- **2023-01-24** The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES. `referral-committee`
- **2023-01-24** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-01-24** The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL 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.
- **2023-04-05** Reports READ.
- **2023-04-05** On motion of Representative PERRY of Calais, the Majority Ought to Pass as Amended Report was ACCEPTED.
- **2023-04-05** The Bill was READ ONCE. `reading-1`
- **2023-04-05** Committee Amendment "A" (H-21) was READ and ADOPTED. `committee-passage-favorable, passage`
- **2023-04-05** Under suspension of the rules, the Bill was given its SECOND READING without REFERENCE to the Committee on Bills in the Second Reading.
- **2023-04-05** The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (H-21). `reading-3`
- **2023-04-05** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-04-06** Reports Read
- **2023-04-06** On motion by Senator BAILEY of York the Majority Ought to Pass as Amended Report ACCEPTED. in concurrence
- **2023-04-06** Roll Call Ordered Roll Call Number 76 Yeas 23 - Nays 11 - Excused 1 - Absent 0 PREVAILED
- **2023-04-06** READ ONCE `reading-1`
- **2023-04-06** Committee Amendment "A" (H-21) READ and ADOPTED `committee-passage-favorable`
- **2023-04-06** ASSIGNED FOR SECOND READING NEXT LEGISLATIVE DAY.
- **2023-04-11** COMMITTEE ON BILLS IN THE SECOND READING REPORTS NO FURTHER VERBAL AMENDMENTS NECESSARY. REPORT ACCEPTED.
- **2023-04-11** READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (H-21), in concurrence. `reading-2, reading-3`
- **2023-04-11** Ordered sent down forthwith.
- **2023-04-12** PASSED TO BE ENACTED. `passage`
- **2023-04-12** Sent for concurrence. ORDERED SENT FORTHWITH.
- **2023-04-13** PASSED TO BE ENACTED, in concurrence. `passage`
- **2023-04-24** Signed by Governor `executive-signature`
- **2023-03-02T05:00:00+00:00** Work Session Held - TABLED
- **2023-03-09T05:00:00+00:00** Work Session Held
- **2023-03-09T05:00:00+00:00** Voted - Divided Report
- **2023-04-03T04:00:00+00:00** Reported Out - OTP-AM/ONTP

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4ec23d9a-2e98-4eec-8457-c3a7ea0507a4`. Confidence: reported (aggregated from official Maine legislature records).