Maine debates higher reimbursement for DSPs

Maine lawmakers are weighing a proposed change to MaineCare reimbursement aimed at strengthening the direct care workforce. A bipartisan proposal, LD 1932, would raise the labor portion of MaineCare reimbursement for essential support workers from 125 percent to 140 percent of the state minimum wage. Supporters frame the bill as a targeted response to ongoing workforce shortages in the direct care sector. Providers and advocates say reimbursement levels directly affect their ability to keep services staffed and consistent.

What LD 1932 would change

Under LD 1932, the labor component of MaineCare reimbursement tied to essential support workers would increase from 125 percent to 140 percent of the state minimum wage. The proposal focuses on reimbursement, with the intent of giving providers more room to adjust wages. The bill is described as bipartisan, signaling cross-party interest in addressing workforce pressures that have affected care delivery and staffing patterns.

Workforce shortages and service disruption concerns

The proposal comes amid continued shortages in the direct care workforce. Providers and advocates report that current reimbursement levels make it difficult to recruit and retain staff. They also say these challenges have contributed to service disruptions across the state. By changing the labor portion of reimbursement, supporters argue that LD 1932 is designed to improve the staffing picture where services rely on essential support workers. The stated goal is greater stability, not only for providers trying to maintain schedules, but also for individuals who depend on MaineCare-funded supports.

Public hearing held week of Jan. 20, 2026

Lawmakers held a public hearing on LD 1932 during the week of January 20, 2026. Testimony reflected both support for the proposal and concerns about its potential cost. Those speaking in support included direct support professionals, provider organizations, and family advocates. State officials raised concerns related to potential budget impacts.

If enacted, LD 1932 would give providers greater flexibility to raise wages, improve staffing stability, and sustain essential services for individuals receiving supports through MaineCare.