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Increasing tobacco tax, AI protections among 2025 Maine health priorities

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Health experts and advocates are prioritizing a wide range of issues in the upcoming legislative session, spanning from the tobacco tax and artificial intelligence protections to measures that address children’s behavioral health, medical cannabis and workforce shortages.

Matt Wellington, associate director of the Maine Public Health Association, said his organization will push to increase the tobacco tax, which he said has not been increased in 20 years, in order to fund efforts to reduce rates of cancer.

Maine has a higher cancer incidence rate than the national average, yet one of the lowest tobacco taxes in the region.

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“One in three Mainers will face a cancer diagnosis in their lifetime,” Wellington said. “We’re putting a big emphasis on educating lawmakers about all of the tools at our disposal to prevent cancer and to reduce the incidence of cancer in our state.”

MPHA also supports efforts to update landlord-tenant regulations to create safer housing that can handle extreme weather events and high heat days by requiring air conditioning and making sure water damage is covered to prevent mold.

Wellington also emphasized expanding the breadth of issues local boards of health are allowed to weigh in on beyond the current scope of nuisance issues such as rodents, and establishing a testing, tracking and tracing requirement for the medical cannabis program.

Dr. Henk Goorhuis, co-chair of the Maine Medical Association legislative committee, said he is concerned about the use of artificial intelligence in denial of prior authorizations by health insurance companies and said there are some steps the state could take.

Both Goorhuis and Dr. Scott Hanson, MMA president, emphasized stronger gun safety protections.

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“The Maine Medical Association, and the Maine Gun Safety Coalition and the American Academy of Pediatricians … we’re all not convinced that Maine’s system is as good as it can be,” Hanson said.

Goorhuis added that while he thinks Maine has made progress on reproductive autonomy, it will be important to watch what could happen at the federal level and whether there will be repercussions here in Maine.

Jess Maurer, executive director of the Maine Council on Aging, and Arthur Phillips, the economic policy analyst with the Maine Center for Economic Policy, both said they are working on an omnibus bill to grow the essential care and support workforce and close gaps in care.

Maurer said this bill will include a pay raise for Mainers caring for older adults and people with intellectual and physical disabilities; an effort to study gaps in care; the use of technology to monitor how people are getting care; and the creation of a universal worker credential.

Phillips said he hopes lawmakers will pursue reimbursement for wages at 140 percent of minimum wage. A report he published this summer estimated that the state needs an additional 2,300 full-time care workers, and called for the Medicaid reimbursement rate for direct care to be increased.

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Maurer said Area Agencies on Aging are “overburdened” with demand for services and at least three have waitlists for Meals on Wheels. She is pushing for a bill that would increase funding for these agencies and the services they provide.

John Brautigam, with Legal Services for Maine Elders, said his organization is focused on making sure the Medicare Savings Program expansion is implemented as intended.

He’s following consumer protection initiatives, including those relating to medical debt collection, and supports the proposed regulations for assisted housing programs, which will go to lawmakers this session.

Brautigam said he’s also advocating for legislation that will protect older Mainers’ housing, adequate funding for civil legal service providers and possible steps to restructure the probate court system to bring it in line with the state’s other courts.

Jeffrey Austin, vice president of government affairs for the Maine Hospital Association, said he’s focused on protecting the federal 340B program, which permits eligible providers, such as nonprofit hospitals and federally qualified health centers, to purchase certain drugs at a discount.

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Austin said this program is crucial for serving certain populations, including the uninsured, but the pharmaceutical industry has been trying to “erode” the program. Maine hospitals lost roughly $75 million last year due to challenges to the program, he said.

Katie Fullam Harris,  chief government affairs officer for MaineHealth, also highlighted protecting 340B. She said that although it’s a federal program, there are some steps Maine could take to protect it at a local level, as other states have done.

Both Austin and Harris said there is more work to be done on providing behavioral health services for children so they aren’t stuck in hospital emergency rooms or psychiatric units. Harris said there will potentially be multiple bills that aim to increase in-home support systems and create more residential capacity. 

Austin said there’s a second aspect of Mainers getting stuck in hospitals: older adults with nowhere to be discharged. Improving the long-term care eligibility process will make this more effective. For example, there’s currently a mileage limit on how far away someone can be placed in long-term care, but that’s no longer realistic due to nursing home closures, he said.

This story was originally published by The Maine Monitor, a nonprofit civic news organization. To get regular coverage from the Monitor, sign up for a free Monitor newsletter here.

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Maine

Watch these otters playing in the Maine woods

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Watch these otters playing in the Maine woods


River otters are members of the weasel family, and are equally comfortable on land or in the water.

They probably are the most fun mammal Maine has, just because they like to play. But their play antics have a more serious purpose too. They teach their young survival skills, and hone their own, that way.

You will see them slide down riverbanks and muddy or snowy hills, wrestle with each other, bellyflop, somersault or juggle rocks while lying on their backs, according to the Smithsonian’s National Zoo and Conservation Biology Institute.

The otters in this video courtesy of Colin Chase have found a fun log to include in their games.

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Otters are social creatures but usually live alone in pairs. Parents raise two or three kits that are born in spring in a den near a river or stream, the Maine Department of Inland Fisheries and Wildlife website says.

They primarily eat fish, but also shellfish, crayfish and sometimes turtles, snakes, muskrats and small beavers, according to the MDIF&W.

Otters can swim up to a quarter mile under water, and their noses and ears close while they are submerged. They also have a membrane that closes over their eyes so they can see better under water, the Smithsonian said.

They are mostly nocturnal so it’s a treat to see them during the day, playing or hunting for food.



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Maine State Police respond to dozens of highway crashes amid Saturday snow

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Maine State Police respond to dozens of highway crashes amid Saturday snow


Maine State Police responded to more than 50 crashes and road slide-offs Saturday after southern Maine woke up to some light snowfall.

Police were responding to several crashes on the Maine Turnpike (Interstate 95) and Interstate 295 south of Augusta, state police said in a Facebook message posted around 10 a.m. Saturday.

Maine State Police spokesperson Shannon Moss said that as of early Saturday afternoon, more than 50 crashes had been reported on the turnpike and I-295.

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“The Turnpike has seen 24 crashes and slide offs primarily between Kittery and Falmouth with a higher concentration in Saco,” Moss wrote in an email. “The interstate has seen about 30 crashes and slide offs also in the Falmouth area but now in Lincoln and heading north.”

Moss said no injuries have been reported in any of the crashes.

“So far it appears visibility and driving too fast for road conditions are the causation factors,” Moss said.

State police reminded drivers to take caution, especially during snowy conditions, in the Facebook post.

“Please drive with extra care and give yourself plenty of space between you and the other vehicles on the roadway,” the post said. “Give the MDOT and Turnpike plows extra consideration and space to do their jobs to clear the roadway. Drive slow, plan for the extra time to get to your destination and be safe.”

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Maine real estate mostly unaffected by commission changes

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Maine real estate mostly unaffected by commission changes


New rules that went into effect in August changing who pays real estate commissions have resulted in more paperwork and some anxiety for home buyers and sellers but have had little, if any, impact on home prices in the state’s hot real estate market.

The changes, which stem from a settlement in a lawsuit accusing real estate agents of conspiring to keep their commissions high, altered the way commission fees are set nationally. 

For decades, most home sales in the United States have included a commission fee, typically between 5 and 6 percent of the sale price.

The typical Maine home went for around $400,000 this fall. A 5 to 6 percent commission on a $400,000 home would be between $20,000 and $24,000, split between the agents for the buyer and the seller.

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Before the changes in August, the split for each agent was predetermined by the seller, who paid the fee for both agents. That usually resulted in fees being baked into the list price of a home.

In some states (although not in Maine) agents were able to search the multiple listing service, a catalogue of homes for sale, by the commission split, which critics said incentivized agents to steer clients toward more expensive properties with higher commissions.

Now, fees are negotiated sale-by-sale. Buyers and sellers are now each responsible for paying their own agents, meaning a buyer may have to come with more cash up front if a seller doesn’t want to pay the commission fee for a buyer’s agent. Sellers are also no longer allowed to include commission fees in their listings.

Tacy Ridlon, a listing agent with Better Homes and Gardens Real Estate The Masiello Group in Ellsworth, who has been in real estate for 32 years, said it is a bit jarring to have a conversation with buyers about whether they are willing to pay part of their agent’s commission. 

Once the commission is established and the agreement signed, she said, the buyer’s agent then approaches the seller’s agent to see what part of their commission the seller is willing to cover, if any.

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Ridlon said 3 percent for the buyer’s agent is a typical starting point. 

“We have to start high. If the seller is willing to offer 2 percent for the buyer’s agent, then our buyer only has to pay one percent… If the seller is not offering anything, then we ask the buyer to pay a certain amount. Some can pay and some can’t. For some it’s very difficult because they don’t have a lot of money to play around with.”

The change has resulted in some confusion for many buyers and even some agents around the country, as rules differ from state-to-state. Photo by Kate Cough.

Some agents said they found the changes minimal; others find the paperwork and negotiating with buyers daunting. One agency owner said the ruling has done little to bring prices down.

“This ruling has done nothing to save buyers or sellers any money,” said Billy Milliken, a designated broker and owner of Bold Coast Properties, LLC, in Jonesport. “If anything, it’s made the cost of buying a home even more expensive.”

Milliken said his sellers have had no problem agreeing to pay both buyers’ and sellers’ commissions. The cost has been embedded in the price of the property. 

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“The real loser is first time home buyers who are not educated in buying a home and also have limited cash resources,” said Milliken. “It puts them at a disadvantage.”

The change has resulted in some confusion for many buyers and even some agents around the country, as rules differ from state-to-state. 

People are slowly getting used to the changes, said Monet Yarnell, president of the Midcoast Board of Realtors, who owns her own agency, Sell 207 in Belfast, adding that Maine’s real estate practices were already more transparent than many other areas of the country. 

“I think it was a little confusing in the beginning, more doom and gloom,” said Yarnell. But sellers are still incentivized to offer something to the buyers’ agents, she said. And the changes have increased the level of communication between agents and their clients.

“It’s more how the money flows rather than the actual dollars.”

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Ridlon, in Ellsworth, said she has been fortunate that most sellers have offered some compensation toward the buyer’s agent commission. “I have not had a buyer who can’t do the 3 percent.”

Ridlon had one seller who was not willing to pay any part of the buyer’s agent’s commission. The property had a lot of showings, but many of the buyers asked for closing costs to be covered or for concessions in lieu of picking up part of the commission.

“That didn’t really work for my seller either,” she said. “Then he relented and said he would pay one percent.” 

The property sold.

Debbie Walter sold her condominium in Stockton Springs via Yarnell and then bought another condominium in New London, N.H., with another real estate agent. 

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“We’re kind of guinea pigs,” said Walter. “We were very concerned about that whole piece, both as sellers and buyers.”

Fearful the sale of their house might not proceed smoothly the couple readily agreed to pay a 3 percent commission for the buyer’s agent.

When they made their offer to buy the condominium in N.H., they offered as buyers to cover their buyer’s agent’s commission as well. But the seller in that case took an equally cautious approach and offered to cover 2.5 percent of the buyer’s agent’s commission, which Walters’ agent accepted.

“It was very stressful,” Walter said. Offering to cover their buyer’s agent’s commission, she said, created “one less headache for the whole closing procedure.”

Tom McKee, president of the Maine Realtors Association, said the settlement and new rules have had little impact.

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“It hasn’t changed anything for me,” said McKee, who is with Keller Williams in Portland. Now that the commission split is no longer listed in the M.L.S., said McKee, “there are just more questions in the transaction.”

McKee said there is no set percentage, that everything is negotiable.

“If we do our job right and are meeting with the client first, they already understand.”



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