An Act to Modemize
Maine Legislature, Session 132, LD 1128
Committee Amendment CA_A_H178 (House)
Amends: 32 MRSA §12522

COMMITTEE AMENDMENT "A" to H.P. 747, L.D. 1128, "An Act to Modemize 
the Formulary for Naturopathic Doctors" 
Amend the bill by inse1ting after the title and before the enacting clause the following:· 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, the rule designating the formula1y for naturopathic doctors has not been 
updated since 1996; and 
Whereas, there is a statutory inconsistency that restricts the authority of the Board of 
Complementa1y Health Care Providers to amend the formulary by rule; and 
Whereas, this legislation corrects that inconsistency and must take effect immediately 
so that the process to update the fo11nula1y can begin; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore,' 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec, 1. 32 MRSA §12522, sub~§4, ~, as enacted by PL 1995, c. 671, § 13, is 
amended to read: 
B. A naturopathic doctor may only prescribe noncontrolled legend drugs from the 
following categories: homeopathic remedies, vitamins and minerals, ho1111ones, local 
anesthesia and immunizations that are designated by rule by a subcommittee of the 
board consist;ing of the naturopathic members, the pharmacist member and the 
allopathic or osteopathic physician member, as consistent with a naturopathic doctor's 
education and training. 
A naturopathic doctor may not prescribe psychotropic 
medications. 
Page I - 132LR0606(02) 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT "A" to H.P. 747, L.D. 1128 
Sec, 2. Board of Complementary Health Care Providers to adopt rules, No 
later than Jai1uary 1, 2026, as authorized by the Maine Revised Statutes, Title 32, section 
12522, subsect.ion 4, paragraph B, the formula1y subcommittee of the Board of 
Complementary Health Care Provid~rs shall update the formulary for naturopathic doctors 
and the Board of Complementa1y Health Care Providers shall adopt the formulary by rule. 
Prior to making final recommendation to the Board of Complementary Health Care 
Providers on an update to the formulary, the formula1y subcommittee shal_l consult ·with 
pharmacist members of the Maine Board_ of Phannacy.· Rules adopted. by the B.oard of 
Complementary Health Care Providers pursuant to this secti9n are major substantive ,rules 
as required by Title 32, section 12506. 
Sec. 3. Authority to report out bill .• The Joii1t Standing Conimitte£oi1 Heaith 
Coverage, Insui•ance and Finai1cial Servic~s may repo1i out a bill to the Second Regular 
Session of the 132nd Legislature relating to the prescripti~,e authority or' riaturopathic 
doctors.' 
Amend the bill by adding before the summary the following: . 
'Emergency clause. In view of the emergency cited in the preamble, this legis:latio11 
takes effect when approved.' 
Amend the bill by relettering or renumbering any nonconsecutive Paii letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill and adds an emergency preamble and emergency 
clause. The amendment corrects an inconsistency in the membership of the formulary 
subcommittee of the Board of Complementary Health Care Providers by removing an 
outdated reference to a pharmacist member. The amendment requires that the formula1y 
related to the prescriptive authority of naturopathic doctors must be updated by the 
formula1y subcommittee of the Board of Complementary Health Care Providers and that 
the formulary subcommittee consult with pharmacist members of the Maine Board of 
Pharmacy. The amendment requires that the Board of Complementary Health Care 
Providers adopt the rule designating the formulary no later than Januaiy 1, 2026,. The 
amendment also authorizes the Joint Standing Committee on Health Coverage, Insmance 
and Financial Services to report out a bill relating to the prescriptive authority of 
naturopathic doctors to the Second Regular Session of the 132nd Legislature . 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 04/23/25 LRL 
LD 1128 
LR 606(02) 
An Act to Modernize the Formulary for Naturopathic Doctors 
Fiscal Note for Bill as Amended by Committee Amendment 'A' ( H-('t8) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Additional costs to the Department of Professional and Financial Regulation, Board of Complementary Health Care 
Providers associated with the rnlemaking process can be absorbed within existing budgeted resources. 
LR0606(02) - Fiscal Note - Page 1 of 1