An Act Regarding Licensing of Community Paramedicine Services
Maine Legislature, Session 132, LD 2133
Committee: Criminal Justice and Public Safety
Sponsors: BAILEY
Amends: 22 MRSA §2147, 24-A MRSA §4303-F, 32 MRSA §82, 32 MRSA §83, 32 MRSA §84, 32 MRSA §85-C, 32 MRSA §85-D

Legislative Document
No. 2133
S.P. 830
In Senate, January 7, 2026
An Act Regarding Licensing of Community Paramedicine Services 
and Clinicians
Submitted by the Department of Public Safety pursuant to Joint Rule 203.
Reference to the Committee on Criminal Justice and Public Safety suggested and ordered 
printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator BAILEY of York.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  22 MRSA §2147, sub-§15, as corrected by RR 2023, c. 2, Pt. A, §30, is 
amended to read:
15.  Emergency medical services community Community paramedicine services.  
Ambulance services and nontransporting emergency medical Community paramedicine 
services as defined in Title 32, section 83, subsection 9-C and licensed under Title 32, 
chapter 2‑B, that are authorized by the Emergency Medical Services' Board to provide 
community paramedicine services pursuant to Title 32, section 84, subsection 4. This 
exemption applies for the express and exclusive purpose of delivering community 
paramedicine services, as long as:
A.  The care is episodic. For the purposes of this paragraph, "episodic" means an 
encounter with a patient focused on presenting concerns and an identified medical 
condition in which neither the community paramedic nor the patient has the expectation 
of an ongoing general home care relationship; and
B.  The Emergency Medical Services' Board adopts rules requiring authorized 
community paramedicine services to:
(1)  Comply with the Maine Background Check Center Act requirements as 
described in chapter 1691;
(2)  Conduct initial and ongoing training of all staff regarding their obligations as 
mandatory reporters;
(3)  Meet licensing standards consistent with those required by section 2145, 
subsections 3 and 4; and
(4)  Coordinate with home health agencies; and
Sec. 2.  24-A MRSA §4303-F, sub-§1, as amended by PL 2025, c. 34, §1 and 
affected by §2, is further amended by amending the first blocked paragraph to read:
Notwithstanding this subsection, a carrier is not required to reimburse an ambulance service 
provider at the reimbursement rates required in this subsection for covered services 
delivered through community paramedicine in accordance with Title 32, section 84, 
subsection 4 85-D and a carrier may require an ambulance service provider to obtain prior 
authorization before providing services through community paramedicine.
Sec. 3.  32 MRSA §82, sub-§1, as amended by PL 2021, c. 220, §1, is further 
amended to read:
1.  Licenses required.  An ambulance service, ambulance, nontransporting emergency 
medical service, emergency medical services person, community paramedicine clinician, 
community paramedicine service, emergency medical services ambulance operator, 
emergency medical dispatch center or emergency medical dispatcher may not operate or 
practice unless duly licensed by the Emergency Medical Services' Board board pursuant to 
this chapter, except as stated in subsection 2.
Sec. 4.  32 MRSA §83, sub-§9-A is enacted to read:
9-A.  Community paramedicine.  "Community paramedicine" means the practice by 
an emergency medical services provider, primarily in an out-of-hospital setting, of 
providing episodic patient evaluation, advice and treatment directed at preventing or 
improving a particular medical condition.
Sec. 5.  32 MRSA §83, sub-§9-B is enacted to read:
9-B.  Community paramedicine clinician.  "Community paramedicine clinician" 
means an emergency medical services person licensed under this chapter who has 
completed specialized education and training to operate in an expanded role, providing 
episodic, proactive and preventive health care services in nonemergency settings.
Sec. 6.  32 MRSA §83, sub-§9-C is enacted to read:
9-C.  Community paramedicine service.  "Community paramedicine service" means 
an ambulance service or other nontransporting emergency medical service licensed to 
provide community paramedicine.
Sec. 7.  32 MRSA §84, sub-§4, as repealed and replaced by PL 2023, c. 195, §4, is 
repealed.
Sec. 8.  32 MRSA §85-C is enacted to read:
§85-C.  Community paramedicine clinicians
1.  License required.  A community paramedicine clinician must be licensed by the 
board in accordance with rules adopted by the board.
2.  Minimum requirements for licensing.  In adopting rules for the licensure of 
community paramedicine clinicians, the board shall ensure that a person is not licensed to 
provide community paramedicine unless that person's qualifications are at least those 
specified in this subsection. 
A.  The person has successfully completed training specified in rules adopted by the 
board pursuant to the Maine Administrative Procedure Act.
B.  The person has successfully demonstrated trustworthiness and competence to 
engage in the practice of community paramedicine in such a manner as to safeguard 
the interests of the public. 
C.  The person holds a separate license as an emergency medical services person.
Rules adopted pursuant to this section are routine technical rules as defined in Title 5, 
chapter 375, subchapter 2-A.
Sec. 9.  32 MRSA §85-D is enacted to read:
§85-D.  Community paramedicine services
1.  License required.  A community paramedicine service must be licensed and must 
operate in accordance with rules and protocols adopted for services under this chapter.
2.  Mandatory qualifications.  The board shall adopt rules governing the 
qualifications for and standards to be observed by community paramedicine services, 
including:
A.  The identification of a primary care medical director with whom the community 
paramedicine service works;
B.  The identification of an emergency medical services medical director;
C.  Compliance with the Maine Background Check Center Act requirements as 
described in Title 22, chapter 1691;
D.  Conducting initial and ongoing training of all staff regarding their obligations as 
mandatory reporters; and
E.  Meeting licensing standards that address the following areas:
(1)  General requirements;
(2)  Qualifications for professional personnel;
(3)  Qualifications for paraprofessional personnel;
(4)  Treatment and services and their coordination;
(5)  Organizational structure, including lines of authority;
(6)  Treatment records;
(7)  Business records; and
(8)  Other aspects of community paramedicine that may be necessary to protect the 
public.
Rules adopted pursuant to this section are routine technical rules as defined in Title 5, 
chapter 375, subchapter 2-A.
SUMMARY
This bill defines "community paramedicine," "community paramedicine clinician" and 
"community paramedicine service" and requires community paramedicine clinicians and 
community paramedicine services to be licensed by the Emergency Medical Services' 
Board.  It establishes minimum requirements for licensure and directs the board to adopt 
rules governing qualifications and standards.