An Act to Exempt Emergency Medical Services Community Paramedicine Programs from Home Health Care Provider Licensing Requirements
Maine Legislature, Session 131, LD 0883
Committee: Health and Human Services
Sponsors: SALISBURY, CURRY, GERE, SOBOLESKI, TALBOT ROSS, NANGLE
Amends: 22 MRSA §2142, 22 MRSA §2143

Legislative Document
No. 883
H.P. 549
House of Representatives, February 24, 2023
An Act to Exempt Emergency Medical Services Community 
Paramedicine Programs from Home Health Care Provider 
Licensing Requirements
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative SALISBURY of Westbrook.
Cosponsored by Senator CURRY of Waldo and
Representatives: GERE of Kennebunkport, SOBOLESKI of Phillips, Speaker TALBOT ROSS 
of Portland, Senator: NANGLE of Cumberland.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  22 MRSA §2142, sub-§3, as amended by PL 1993, c. 331, §1, is further 
amended to read:
3.  Home health care provider.  "Home health care provider" means any business 
entity or subdivision thereof, whether public or private, proprietary or not for profit, that is 
engaged in providing acute, restorative, rehabilitative, maintenance, preventive or health 
promotion services through professional nursing or another therapeutic service, such as 
physical therapy, home health aides, nurse assistants, medical social work, nutritionist 
services or personal care services, either directly or through contractual agreement, in a 
client's place of residence. This term does not apply to any sole practitioner providing 
private duty nursing services or other restorative, rehabilitative, maintenance, preventive 
or health promotion services in a client's place of residence or to municipal entities 
providing health promotion services in a client's place of residence.  This term does not 
apply to a federally qualified health center or a rural health clinic as defined in 42 United 
States Code, Section 1395x, subsection (aa) (1993) that is delivering case management 
services or health education in a client's place of residence.  Beginning October 1, 1991, 
"home health care provider" includes any business entity or subdivision thereof, whether 
public or private, proprietary or nonprofit, that is engaged in providing speech pathology 
services. "Home health care provider" does not include an emergency medical services 
provider licensed under Title 32, chapter 2-B providing community paramedicine services 
approved under Title 32, section 84, subsection 4.
Sec. 2.  22 MRSA §2143, as enacted by PL 1983, c. 570, is amended to read:
§2143.  License required
Effective July 1, 1984, no a home health care provider may not provide home health 
services without having, subject to this chapter and to the rules promulgated adopted by the 
department under this chapter, a written license therefor to provide the services from the 
department. This section does not apply to a provider providing community paramedicine 
services approved under Title 32, section 84, subsection 4.
SUMMARY
This bill excepts from the definition of "home health care provider" a licensed 
emergency medical services provider providing community paramedicine services 
approved by the Emergency Medical Services' Board and exempts from Department of 
Health and Human Services home health services licensing requirements a provider 
providing approved community paramedicine services.