An Act To Establish the Trust for a Healthy Maine
Maine Legislature, Session 129, LD 1961
Committee: Health and Human Services
Sponsors: KESCHL, SANBORN, BRENNAN, DILLINGHAM, MILLETT, PERRY, STEWART, GRATWICK, JACKSON, VITELLI
Amends: 5 MRSA §12004-G, 22 MRSA §1511, 22 MRSA §1515

Legislative Document
No. 1961
H.P. 1405
House of Representatives, January 8, 2020
An Act To Establish the Trust for a Healthy Maine
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 
203.
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative KESCHL of Belgrade.
Cosponsored by Senator SANBORN, L. of Cumberland and
Representatives: BRENNAN of Portland, DILLINGHAM of Oxford, MILLETT of Waterford, 
PERRY of Calais, STEWART of Presque Isle, Senators: GRATWICK of Penobscot, President 
JACKSON of Aroostook, VITELLI of Sagadahoc.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  5 MRSA §12004-G, sub-§14-J is enacted to read:
14-J.  
Sec. 2.  22 MRSA c. 260-A, sub-c. 1 is enacted by adding before section 1511 the 
following to read:
SUBCHAPTER 1
FUND FOR A HEALTHY MAINE
Sec. 3.  22 MRSA §1511, sub-§2, as enacted by PL 1999, c. 401, Pt. V, §1, is 
amended to read:
2.  Sources of fund.  The State Controller shall credit to the fund:
A.  All If the Trust for a Healthy Maine established in section 1515 is repealed or 
dissolved, all money received by the State in settlement of or in relation to the lawsuit 
CV-97-134;
B.  Money from any other source, whether public or private, designated for deposit 
into or credited to the fund; and
C.  Interest earned or other investment income on balances in the fund.; and
D.  If the Trust for a Healthy Maine established in section 1515 is repealed or 
dissolved, all money transferred from the trust to the fund.
Sec. 4.  22 MRSA c. 260-A, sub-c. 2 is enacted to read:
SUBCHAPTER 2
TRUST FOR A HEALTHY MAINE ACT
§1513.  Short title
This subchapter may be known and cited as "the Trust for a Healthy Maine Act."
§1514.  Definitions
As used in this subchapter, unless the context otherwise indicates, the following 
terms have the following meanings.
Health
Trust for a Healthy 
Maine Board
Expenses Only
MRSA §1515
1.  Administrative costs.  "Administrative costs" means staffing, overhead and 
related operational costs incurred by the trust in carrying out its duties under this 
subchapter.
2.  Allocation.  "Allocation" means a legally binding decision of the trust governing 
how settlement funds are to be distributed by the trust for the purposes set forth in this 
subchapter.
3.  Board.  "Board" means the Trust for a Healthy Maine Board established under 
Title 5, section 12004-G, subsection 14-J.
4.  Coordinator.  "Coordinator" means the coordinator of the Trust for a Healthy 
Maine under section 1519, subsection 2.
5.  Designated agent.  "Designated agent" means an entity with which the 
department has entered an agency relationship for the purpose of applying for federal 
funds to support public health research and programming and that is authorized by the 
Federal Government to receive those funds.
6.  Medical care.  "Medical care" means direct medical care, including but not 
limited to care provided under the MaineCare program and the prescription drug program 
established under section 254-D.  "Medical care" does not include treatments provided 
under the Tobacco Prevention and Control Program established in section 272.
7.  Settlement funds.  "Settlement funds" means any money received by the State or 
any component of the State in settlement of or in relation to the lawsuit State of Maine v. 
Philip Morris, et al., Kennebec County Superior Court, Docket No. CV-97-134.
8.  State health improvement plan.  "State health improvement plan" means the 
most recent plan regarding state health improvement submitted by the Department of 
Health and Human Services, Maine Center for Disease Control and Prevention for 
accreditation by a nonprofit public health accreditation board dedicated to advancing the 
continuous quality improvement of tribal, state, local and territorial health departments or 
any successor plan identified by the Maine Center for Disease Control and Prevention.
9.  Trust.  "Trust" means the Trust for a Healthy Maine established in section 1515.
10.  Trustee.  "Trustee" means a member of the board.
11.  Trust fund.  "Trust fund" means the Trust for a Healthy Maine Trust Fund 
established in section 1520-E, subsection 1.
§1515.  Trust for a Healthy Maine; Trust for a Healthy Maine Board
1.  Establishment; purposes.  The Trust for a Healthy Maine is established for the 
purposes of receiving all settlement funds and other funds, redistributing that money to 
state agencies or designated agents of the State to fund tobacco use prevention and 
control at levels recommended by the United States Department of Health and Human 
Services, Centers for Disease Control and Prevention and to ensure adequate resources 
for other disease prevention efforts and promoting public health.  The purposes of the 
trust also include supporting state agencies in planning and delivering public health and 
prevention programs and services, supporting accreditation of the Department of Health 
and Human Services, Maine Center for Disease Control and Prevention and supporting 
public health workforce development. The trust also provides public health expertise and 
evidence-based information to the Legislature.
2.  Governance; board.  The trust is created as a body corporate and politic and a 
public instrumentality of the State and is governed by the Trust for a Healthy Maine 
Board in accordance with this subchapter.
3.  Trustees; appointment.  The board consists of 16 trustees appointed in 
accordance with this subsection.  A person who stands to benefit from the tobacco, 
vaping, alcohol or marijuana industry is not eligible to serve as a trustee.
A.  The Governor shall appoint:
(1)  The Director of the Maine Center for Disease Control and Prevention within 
the Department of Health and Human Services or the director's designee;
(2)  A person who has clinical expertise or public health expertise, or both, in the 
science and prevention of addiction as a brain disease, selected from 
recommendations provided by a statewide organization dedicated to supporting 
physicians, advancing the quality of medicine and promoting the health of 
citizens in the State;
(3)  A person who is an employer with experience recruiting and retaining a 
healthy workforce; and
(4)  A person who has experience as a member of an advisory board of a local 
community health coalition, selected from recommendations provided by a 
statewide network of community coalitions working to enhance physical, social, 
emotional, environmental and economic health in the State.
B.  The President of the Senate shall appoint:
(1)  A member of the Senate who serves on the joint standing committee of the 
Legislature having jurisdiction over health and human services matters;
(2)  A person who has expertise in epidemiology and infectious disease, or in 
hospital-based prevention, screening and early prevention of infectious disease, 
selected from recommendations provided by the integrated health care delivery 
systems in the State and by a statewide hospital organization that provides 
advocacy, information and education in its mission to improve the health of 
patients and communities; and
(3)  A person who has clinical expertise or public health expertise, or both, in 
rural primary care, selected from recommendations provided by a statewide 
organization that represents community health centers in the State.
C.  The Speaker of the House of Representatives shall appoint:
(1)  A member of the House of Representatives who serves on the joint standing 
committee of the Legislature having jurisdiction over appropriations and 
financial affairs;
(2)  A person who has expertise in public health policy related to the leading 
causes of chronic disease, selected from recommendations provided by a 
statewide, nonprofit membership organization that promotes a healthy State 
through advocacy, education, community connection and coalition-building; and
(3)  A person who has expertise in preventing the use of nicotine or tobacco and 
other addictive substances by youth and young adults.
D.  The member of the Senate who is the leader of the party with the 2nd largest 
number of members in the Senate shall appoint:
(1)  A person who has expertise in trauma, resilience and social determinants of 
health, selected from recommendations provided by a statewide network 
dedicated to building community strengths and reducing the effects of trauma; 
and
(2)  A person who represents a statewide association of public health 
professionals.
E.  The member of the House of Representatives who is the leader of the party with 
the 2nd largest number of members in the House shall appoint:
(1)  A person who is employed as a member of the senior staff or faculty in a 
public health academic program; and
(2)  A person who has expertise in maternal and child health issues, including 
early childhood education and out-of-school child care, or school-based health.
F.  The leadership of the Wabanaki Confederacy shall appoint:
(1)  A person who has expertise in environmental health; and
(2)  A person who has expertise in health equity or health disparity issues.
4.  Terms; vacancies.  Trustees serve 3-year terms.  Trustees may serve no more 
than 3 consecutive terms.  If a trustee is unable to complete a term, the Governor shall 
consult with the board and appoint a replacement for the remainder of the unexpired term.  
The replacement trustee must hold the same qualifications, set forth in subsection 3, as 
that of the departing trustee.
5.  Chair.  The board shall elect a chair, a vice-chair, a secretary and a treasurer from 
among the trustees. Each officer serves a one-year term in that office and is eligible for 
reelection.
6.  Meetings; quorum.  The board shall meet at least 4 times each year at regular 
intervals and may meet at other times at the call of the chair or the Governor.  A majority 
of the trustees constitutes a quorum.  Meetings of the board are public proceedings as 
provided by Title 1, chapter 13, subchapter 1.
7.  Election of subcommittees.  The board may elect an executive committee of not 
fewer than 5 trustees who, between meetings of the board, may transact such business of 
the trust as the board authorizes.  The board may also elect a planning committee.
8.  Liaison to Legislature.  The chair is the trust's liaison to the joint standing 
committee of the Legislature having jurisdiction over public health matters.
9.  Advisory committees.  The board may establish advisory committees to make 
recommendations to the board. Advisory committees may include persons who are not 
trustees.
10.  Removal of trustee.  The Governor may remove a trustee upon a showing of a 
deliberate or reckless failure to attend to duties required for service on the board or 
unexcused absences from 4 or more meetings of the board in a 12-month period.
11.  Expenses; reimbursement.  Trustees are not entitled to compensation for 
service on the board, except that, in accordance with Title 5, section 12004-G, subsection 
14-J, the trust may reimburse travel and board-related expenses.
12.  Fiduciary duties.  A trustee has a fiduciary duty to the people of the State in the 
administration of the trust. Upon accepting appointment as a trustee, each trustee must 
acknowledge the fiduciary duty to use the trust fund only for the purposes set forth in this 
subchapter.  It is the duty of each trustee to ensure that the purposes of the trust set forth 
in this subchapter are fulfilled.
13.  Conflict of interest.  A trustee is deemed to be an executive employee for 
purposes of Title 5, sections 18, 18-A and 19.  A trustee or employee of the trust or a 
spouse or dependent child of any of those individuals may not receive any direct personal 
benefit from the activities of the trust.  This subsection does not prohibit corporations or 
other entities with which a trustee is associated by reason of ownership or employment 
from participating in activities funded directly or indirectly by the trust if ownership or 
employment is made known to the board and the trustee abstains from all matters directly 
relating to that participation immediately upon discovery of the association.
§1516.  Powers and duties
1.  Powers.  The trust may:
A.  Receive all settlement funds directly from the payer of the funds;
B.  Receive money from any other source, whether public or private, designated for 
deposit into or credited to the trust;
C.  Receive funds transferred from the Fund for a Healthy Maine under subchapter 1;
D.  Through funding allocation plans under section 1517, allocate funds; and
E.  Make recommendations to the Legislature regarding improving public health 
outcomes and promoting public health awareness and understanding.
2.  Duties.  The trust shall:
A.  Administer the trust and the trust fund;
B.  Promote the visibility and understanding of public health among children and 
adults;
C.  Participate in the development and promotion of a state health improvement plan 
by the Department of Health and Human Services, Maine Center for Disease Control 
and Prevention or another planning entity and provide funding for the planning 
process if necessary;
D.  Promote multilevel planning and coordination that includes state, district, 
community and municipal decision-making and advisory boards; and
E.  Take other actions necessary and appropriate to fulfill the purposes of this 
subchapter.
§1517.  Funding allocation plan
1.  Funding allocation plan.  By December 31, 2020 and every 2 years thereafter, 
the board shall develop and approve a funding allocation plan to allocate settlement funds 
and other funds it may hold or receive in the subsequent biennium.  The funding 
allocation plan must advance the purposes of this subchapter and be based on the most 
recent state health improvement plan and the most recent data available to the board.
2.  Input from interested parties.  Prior to adopting a funding allocation plan or 
substantially amending an existing funding allocation plan, the trust shall hold at least one 
public hearing to receive input from interested parties, including but not limited to the 
Department of Health and Human Services, Maine Center for Disease Control and 
Prevention, other state agencies, organizations engaged in smoking cessation and public 
health efforts, other nongovernmental organizations, interested stakeholders, patients and 
members of the public.  When considering the input of interested parties, the trust must 
consider zero-based budgeting principles and long-term returns on investment.
3.  Funding allocation plans.  The funding allocation plan approved by the board for 
fiscal year 2021-22 must allocate an amount equal to 0.50 of the settlement funds 
projected to be received in fiscal year 2021-22 for the purpose of providing medical care.  
The funding allocation plan approved by the board for fiscal year 2022-23 may not 
allocate funds for the purpose of providing medical care.  When approving other elements 
of the funding allocation plans, the board shall consider funding levels in the most recent 
fiscal year and allocate funding in amounts that minimize disruption of existing programs 
and ensure smooth and efficient transitions to the funding levels required beginning in 
fiscal year 2023-24 under subsection 4.
4.  Tier 1 allocation.  Beginning in fiscal year 2023-24, each funding allocation plan 
approved by the board must allocate funds in accordance with the following Tier 1 
allocation:
A.  An amount that, when combined with amounts from other funding sources 
received by the Department of Health and Human Services, Maine Center for Disease 
Control and Prevention, yields a total amount available for purposes of providing 
tobacco prevention and control programs in the State that is equal to or greater than 
the minimum level recommended by the United States Department of Health and 
Human Services, Centers for Disease Control and Prevention must be allocated to the 
Department of Health and Human Services, Maine Center for Disease Control and 
Prevention or its designated agent;
B.  An amount equal to 0.0035 of the settlement funds received in the previous fiscal 
year must be allocated to the Department of the Attorney General;
C.  An amount not to exceed 0.002 of the settlement funds received in the previous 
fiscal year must be allocated to the administration fund established pursuant to 
section 1519, subsection 1;
D.  An amount not to exceed 0.05 of the settlement funds received in the previous 
fiscal year may be allocated to the internal stabilization account established in 
subsection 6;
E.  An amount not to exceed 0.05 of the settlement funds received in the previous 
fiscal year may be allocated to the internal flexible account established in subsection 
7; and
F.  The funds remaining after making the allocations required by paragraphs A to C 
and authorized by paragraphs D and E must be allocated to the Tier 2 Funding Pool 
account established in subsection 5.
The Tier 1 allocations approved by the board may not allocate settlement funds for the 
purpose of providing medical care.
5.  Tier 2 Funding Pool account.  The Tier 2 Funding Pool account is established 
and funded with settlement funds in accordance with subsection 4, paragraph F.  The 
board shall allocate funds in the Tier 2 Funding Pool account to state entities or their 
designated agents that, in the board's sole determination, will use the funds efficiently and 
effectively to promote the purposes of this subchapter, implement evidence-based 
prevention and screening strategies to address the priorities of the state health 
improvement plan and support efforts by the Department of Health and Human Services, 
Maine Center for Disease Control and Prevention to prevent disease and promote public 
health.  Funds in the Tier 2 Funding Pool account may not be allocated for the purpose of 
providing medical care.
6.  Internal stabilization account.  An internal stabilization account is established 
within the trust. In order to prevent disruptions from year to year in the amounts allocated 
pursuant to Tier 1 allocation under subsection 4 and to ensure continuity in the event of 
fluctuations in the amount of settlement funds received by the State, the board may draw 
upon the internal stabilization account to make additional allocations. The trust may not 
cause the balance in the internal stabilization account at any one time to exceed the 
amount of settlement funds received by the trust in the most recent year. The funds within 
the internal stabilization account are nonlapsing and carry forward from year to year for 
future use consistent with this subsection and do not revert to the trust fund.
7.  Internal flexible account.  An internal flexible account is established within the 
trust.  The funds in the internal flexible account may be drawn upon by the board for the 
purpose of rapidly addressing emerging public health threats, promptly implementing 
innovative promising practices or addressing other immediate unmet needs identified by 
the board in the period between approval of funding allocation plans, consistent with the 
purposes of this subchapter.  Year-end balances remaining in the internal flexible account 
lapse to the trust fund and are available for a subsequent year's funding allocation plan.
8.  Informational copies of funding allocation plans.  Upon final approval by the 
board of a funding allocation plan, the trust shall transmit informational copies of the 
funding allocation plan to the Governor and to the joint standing committee of the 
Legislature having jurisdiction over public health matters.  A funding allocation plan does 
not require approval of the Governor or the joint standing committee of the Legislature 
having jurisdiction over public health matters.
9.  Report.  The trust shall produce annually a report on the results of the tobacco 
prevention and control programs funded pursuant to section 1517, subsection 4, 
paragraph A and all other activities of the trust. The report must include an accounting of 
the funding allocation plan created pursuant to this section, including identification of 
recipients and amounts allocated.  The report may include information on actual health 
and economic outcomes from funding allocated to date and projected outcomes from 
undertakings funded by the trust but not yet complete.  The report may also include 
recommendations for changes to the laws relating to activities under the jurisdiction of 
the trust.  The board must approve the report prior to its release.  Upon release, the trust 
shall transmit copies of the report to the Governor and to the joint standing committee of 
the Legislature having jurisdiction over public health matters.
§1518.  Restrictions; construction
The trust's activity is restricted to receiving and allocating funds and any actions 
necessary and appropriate to receive and allocate funds.  The trust may not create, 
manage or operate public health or health delivery programs.  Nothing in this subchapter 
may be construed to empower the trust to direct, manage or oversee any program, fund or 
activity of any other state agency.
§1519.  Administration
1.  Administration fund.  The board shall establish an administration fund to be used 
solely to defray administrative costs approved by the board or the coordinator.  The trust 
may annually deposit funds authorized to be used for administrative costs under this 
subchapter into the administration fund.  Any interest on funds in the administration fund 
must be credited to the administration fund, and any funds unspent in any fiscal year 
carry forward and remain in the administration fund to be used to defray administrative 
costs.  In any year, the board may not allocate to the administration fund an amount 
greater than 0.002 of the most recent year's settlement funds.  The board may also use the 
administration fund to contract for reasonable professional assistance to help review input 
received from interested parties, to develop the funding allocation plan under section 
1517 and to allow the board to fulfill its responsibilities under this subchapter.
2.  Coordinator.  The board shall appoint, using a full and competitive search 
process, a qualified full-time coordinator of the trust. The coordinator serves at the 
pleasure of the board.  The coordinator must have demonstrated experience in research 
and analysis of public health issues, coordination of public health programs or 
administrative support of a board in the public health sector, public health finance or 
policy, or closely related experience.  The coordinator shall assist the board in gathering 
and disseminating information, preparing for meetings, analyzing public health issues at 
the direction of the board, communicating with stakeholders, writing reports and such 
other board support and administrative functions as the board may assign. The board shall 
establish the rate and amount of compensation of the coordinator. The coordinator may 
exercise any powers lawfully delegated to the coordinator by the board.
3.  Bylaws.  The board shall adopt bylaws for the governance of its affairs consistent 
with this subchapter.
4.  Self-dealing prohibited.  In the operation or dissolution of the trust, no part of the 
trust may benefit any trustee, officer or employee, except that the trust may pay 
reasonable compensation for services rendered and otherwise hold, manage and dispose 
of the trust's property in furtherance of the purposes of the trust.
5.  Coordination with other entities.  Consistent with the requirements of this 
subchapter and other applicable law, the board shall coordinate the development of its 
funding allocation plans with the Statewide Coordinating Council for Public Health, 
established under Title 5, section 12004-G, subsection 14-G, and other state agencies and 
authorities the missions of which relate to the purposes of this subchapter in order to 
minimize inefficiency and duplication and to ensure consistency and effectiveness.  
Notwithstanding any other provision of law to the contrary, upon request of the trust, 
other state agencies, officials and employees shall cooperate and assist in the 
administration of the trust as needed to further the purposes of this subchapter.
6.  Recommendations; advisory groups.  The trust may establish advisory groups as 
needed to gather technical knowledge on any aspect of public health policy or funding 
allocation.  With input from advisory groups, if established, the trust may make 
recommendations to the Governor, the Legislature and other public officials regarding 
public health.  The trust may receive and shall consider any recommendations made by 
the Governor, other state agencies, the joint standing committee of oversight under 
section 1520-A and other interested entities and individuals.
§1520.  Rulemaking
The trust shall adopt rules regarding establishing and administering the trust, 
receiving public input and developing and approving funding allocation plans. Rules 
adopted pursuant to this section are routine technical rules pursuant to Title 5, chapter 
375, subchapter 2-A.
§1520-A.  Legislative oversight
The trust is subject to the oversight of the joint standing committee of the Legislature 
having jurisdiction over public health matters.
§1520-B.  Construction by court
The court shall liberally construe this subchapter to give the greatest possible effect to 
the powers and duties accorded to the trust.
§1520-C.  Freedom of access; confidentiality
The proceedings of the board and records of the trust are subject to the freedom of 
access laws under Title 1, chapter 13, subchapter 1.
§1520-D.  Liability
1.  Bond.  All officers, directors, employees and other agents of the trust entrusted 
with the custody of funds of the trust or authorized to disburse the funds of the trust must 
be bonded either by a blanket bond or by individual bonds with a minimum of $100,000 
coverage for each person, or equivalent fiduciary liability insurance, conditioned upon the 
faithful performance of their duties. The premiums for the bond or bonds are 
administrative costs of the trust.
2.  Indemnification.  Each trustee must be indemnified by the trust against expenses 
actually and necessarily incurred by the trustee in connection with the defense of any 
action or proceeding in which the trustee is made a party by reason of being or having 
been a trustee and against any final judgment rendered against the trustee in that action or 
proceeding.
§1520-E.  Trust for a Healthy Maine Trust Fund
1.  Establishment.  The Trust for a Healthy Maine Trust Fund is established as a 
nonlapsing fund administered exclusively by the trust solely for the purposes established 
in this subchapter.
2.  Tobacco settlement funds.  Notwithstanding any provision of law to the contrary, 
the State Controller shall credit to the trust fund all settlement funds immediately upon 
receipt by the State.
3.  Administration of trust fund.  The trust fund may not be used for any purpose 
other than that set forth in this subchapter, and money in the trust fund is held in trust for 
the purposes of this subchapter.  All money received by the trust must be deposited in the 
trust fund for distribution by the trust in accordance with this subchapter.  The trust is 
authorized to receive settlement funds and may also seek and accept funding from other 
public or private sources if the trust determines that such acceptance advances the 
purposes of this subchapter.  Any balance in the trust fund not spent in any fiscal year 
does not lapse and carries forward in the trust fund available to be used immediately for 
the purposes of this subchapter, upon the sole direction of the trust.  Any interest or 
investment income earned by the trust fund must be credited to the trust fund.  The trust 
may use administrative services of the Department of Administrative and Financial 
Services for the management of the trust fund, but the role of the Department of 
Administrative and Financial Services is nondiscretionary and the Department of 
Administrative and Financial Services shall carry out all lawful instructions of the trust 
for all matters relating to accessing the trust fund without the requirement of an additional 
legislative authorization or a financial order.
4.  Working capital advance.  The State Controller is authorized to provide an 
annual advance from the General Fund to the trust fund to provide money for allocations 
from the trust fund.  The money must be returned to the General Fund as the first priority 
from the amounts credited to the trust fund pursuant to subsection 2.
5.  Transfer of funds upon repeal or dissolution of the trust fund.  If the trust fund 
is repealed or dissolved for any reason, the State Controller shall transfer the balance of 
funds in the trust fund to the Fund for a Healthy Maine established in section 1511.
Sec. 5.  Staggered terms.  Notwithstanding the Maine Revised Statutes, Title 22, 
section 1515, subsection 4, at the initial meeting of the Trust for a Healthy Maine Board, 
except for those trustees appointed pursuant to Title 22, section 1515, subsection 3, 
paragraph B, subparagraph (1) and paragraph C, subparagraph (1), trustees shall draw lots 
to determine trustees' initial term lengths so that the initial terms of 5 trustees expire after 
one year, the initial terms of 4 trustees expire after 2 years and the initial terms of 5 
trustees expire after 3 years.
Sec. 6.  Transfer from Fund for a Healthy Maine.  The State Controller, no 
later than July 1, 2021, shall transfer all settlement funds, as defined in the Maine Revised 
Statutes, Title 22, section 1514, subsection 7, in the Fund for a Healthy Maine and a pro 
rata share of investment income in the Fund for a Healthy Maine to the Trust for a 
Healthy Maine Trust Fund.
SUMMARY
This bill establishes the Trust for a Healthy Maine to receive money paid to the State 
pursuant to the tobacco settlement and from other sources and to distribute that money to 
state agencies or designated agents of the State to fund tobacco use prevention and 
control, ensure adequate resources for other disease prevention efforts, promote public 
health, plan and deliver public health and prevention programs and services, support 
accreditation of the Department of Health and Human Services, Maine Center for Disease 
Control and Prevention and support public health workforce development. The trust is 
governed by a board of trustees appointed by the Governor and legislative leaders.