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LD 84

An Act To Improve The Coordination Of Health Care For Minors In State Care

132nd Legislature (2025-2026) Introduced by Annie Graham

LD 84 improves health care coordination for minors in state care by clarifying responsibilities, enabling cross-agency record sharing, and ensuring continuity across placements.

Signed by Governor
#children #healthcareservices #youthinstatecare
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Bill Summary · LD 84

Summary — LD 84: An Act To Improve The Coordination Of Health Care for Minors in State Care

Status: Signed by Governor (enacted June 17, 2025)
Introduced: January 6, 2025
Sponsor: Rep. Graham of North Yarmouth
Committee: Health and Human Services
Bill Number: LD 84 (engrossed with Committee Amendment A, H‑614)
Subjects: Children; Health Care Services; Youth in State Care

Purpose and intent

LD 84, as titled, is intended to improve how health care is coordinated for minors who are in state care (for example, children in foster care, residential treatment, or juvenile justice custody). The legislative record shows the bill moved with a committee recommendation “Ought to Pass as Amended” (OTP‑AM), adopted Committee Amendment A (H‑614), and was enacted after concurrence by both chambers and signature by the Governor.

Confirmed provisions and legislative actions (from record)

  • Committee Amendment A (H‑614) was read and adopted (June 11, 2025) and the bill was passed to be engrossed as amended.
  • Legislative steps: referred to Health & Human Services (Jan 6, 2025); work sessions held; voted OTP‑AM (May 19, 2025); amendment adopted and bill passed in June; sent for concurrence and enacted.
  • Fiscal impact: multiple fiscal notes (preliminary and as amended/engrossed) were approved on 02/03/25, 05/29/25, and 06/11/25 and each states “No fiscal impact.”

Who is affected

  • Primary: minors in state care (e.g., children in foster care, residential treatment facilities, juvenile justice placements).
  • State agencies: Department(s) responsible for child welfare and juvenile services (e.g., Maine DHHS), and potentially the judicial system (guardian/ad litem roles).
  • Providers and caregivers: foster parents, residential care providers, health care providers, and caseworkers who coordinate and deliver services.
  • Schools and community providers may be involved if the bill requires cross‑agency information sharing or continuity of care.

Likely types of changes (based on title and common practice)

The bill’s title indicates reforms to coordination rather than large new funding. Typical provisions such a bill may include (the bill text was not provided here; these are plausible examples, not confirmed specifics):
- Requirements for developing and maintaining individualized health care plans for minors in care.
- Clear assignment of responsibility for health‑care coordination (caseworker, medical liaison, or agency).
- Protocols for sharing medical records and consent for routine and emergency care across agencies and caregivers.
- Standards to ensure continuity of mental health, dental, and specialty care during placement changes.
- Training or guidance for caseworkers and caregivers on health care access and recordkeeping.
- Reporting or performance metrics to monitor coordination outcomes.

Fiscal and procedural notes

  • The enacted bill was determined to have no fiscal impact by the Legislature’s fiscal offices at multiple stages (preliminary, as amended, and as engrossed).
  • The bill underwent committee amendment (H‑614) and passed both chambers with concurrence before gubernatorial signature on June 17, 2025.

If you would like, I can locate and summarize the enacted statutory language (the final bill text / Public Law) to list the exact statutory changes and quoted provisions.

Compiled from official sources — confirm details with the bill’s official record.

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