Maine
Maine native picked to lead largest department in Maine government
AUGUSTA, Maine – Gov. Janet Mills announced Thursday she will nominate Sara Gagné-Holmes to serve as Commissioner of the Maine Department of Health and Human Services.
Gagné-Holmes will face a hearing before the legislature’s Health and Human Services Committee and must be confirmed by the Maine State Senate.
Gagné-Holmes, a Maine native who has served as Deputy Commissioner of the Department for the past five years, has been the Acting Commissioner since June 1, after Jeanne Lambrew stepped down to become the Director of Health Care Reform for the Century Foundation, a Washington-based think tank focusing on research and policy change.
“Acting Commissioner Gagné-Holmes cares deeply about the health, safety, and welfare of Maine people, and she has dedicated nearly her entire professional career to improving the lives of people across this state,” Mills said. “Her deep policy and managerial experience, her intimate knowledge of the department — including both its strengths and its challenges — along with the respect she has earned from her colleagues, lawmakers and others, and her collaborative approach to solving problems make her the right person at the right time to take on this important role.”
DHHS is the largest department in the Maine state government, with more than 3,000 employees across eight Offices and two psychiatric hospitals.
“The Department has made great strides in advancing our mission of ensuring health, safety, resilience, and opportunity for Maine people. We have more work to do to fully implement our progress, better meet the needs of the Maine people we serve, and continue building trust through listening, transparency, and accountability. I look forward to discussing how we will achieve those goals with the legislature, our many partners, and the public,” Gagne-Holmes said.
Gagné-Holmes grew up in Sanford before earning an undergraduate degree at Bowdoin College in Brunswick and a law degree from the University of Maine School of Law. After law school, she served as a law clerk with the Maine Supreme Judicial Court.
She practiced law with a focus on health care at a Maine law firm before serving as a Health Policy and Legal Advisor in the Governor’s Office under Gov. John Baldacci. She also led work in nonprofit legal services and advocacy at Maine Equal Justice Partners and philanthropy at the John T. Gorman Foundation.
She joined the Maine Department of Health and Human Services in March 2019.
Copyright 2024 WABI. All rights reserved.
Maine
Maine legalized iGaming. Will tribes actually benefit?
Maine’s gambling landscape is set to expand after Gov. Janet Mills decided Thursday to let tribes offer online casino games, but numerous questions remain over the launch of the new market and how much it will benefit the Wabanaki Nations.
Namely, there is no concrete timeline for when the new gambling options that make Maine the eighth “iGaming” state will become available. Maine’s current sports betting market that has been dominated by the Passamaquoddy Tribe through its partnership with DraftKings is evidence that not all tribes may reap equal rewards.
A national anti-online gaming group also vowed to ask Maine voters to overturn the law via a people’s veto effort and cited its own poll finding a majority of Mainers oppose online casino gaming.
Here are the big remaining questions around iGaming.
1. When will iGaming go into effect?
The law takes effect 90 days after the Legislature adjourns this year. Adjournment is slated for mid-April, but Mills spokesperson Ben Goodman noted it is not yet known when lawmakers will actually finish their work.
2. Where will the iGaming revenue go?
The iGaming law gives the state 18% of the gross receipts, which will translate into millions of dollars annually for gambling addiction and opioid use treatment funds, Maine veterans, school renovation loans and emergency housing relief.
Leaders of the four federally recognized tribes in Maine highlighted the “life-changing revenue” that will come thanks to the decision from Mills, a Democrat who has clashed with the Wabanaki Nations over the years over more sweeping tribal sovereignty measures.
But one chief went so far Thursday as to call her the “greatest ever” governor for “Wabanaki economic progress.”
3. What gaming companies will the tribes work with?
DraftKings has partnered with the Passamaquoddy to dominate Maine’s sports betting market, while the Penobscot Nation, the Houlton Band of Maliseet Indians and the Mi’kmaq Nation have partnered with Caesars Entertainment to garner a smaller share of the revenue.
Wall Street analysts predicted the two companies will likely remain the major players in Maine’s iGaming market.
The partnership between the Passamaquoddy and DraftKings has brought in more than $100 million in gross revenue since 2024, but the Press Herald reported last month that some members of the tribe’s Sipayik reservation have criticized Chief Amkuwiposohehs “Pos” Bassett, saying they haven’t reaped enough benefits from the gambling money.
4. Has Mills always supported gambling measures?
The iGaming measure from Rep. Ambureen Rana, D-Bangor, factored into a long-running debate in Maine over gambling. In 2022, lawmakers and Mills legalized online sports betting and gave tribes the exclusive rights to offer it beginning in 2023.
But allowing online casino games such as poker and roulette in Maine looked less likely to become reality under Mills. Her administration had previously testified against the bill by arguing the games are addictive.
But Mills, who is in the final year of her tenure and is running in the high-profile U.S. Senate primary for the chance to unseat U.S. Sen. Susan Collins, R-Maine, said Thursday she would let the iGaming bill become law without her signature. She said she viewed iGaming as a way to “improve the lives and livelihoods of the Wabanaki Nations.”
5. Who is against iGaming?
Maine’s two casinos in Bangor and Oxford opposed the iGaming bill, as did Gambling Control Board Chair Steve Silver and the Maine Center for Disease Control and Prevention, among other opponents.
Silver noted Hollywood Casino Bangor and Oxford Casino employ nearly 1,000 Mainers, and he argued that giving tribes exclusive rights to iGaming will lead to job losses.
He also said in a Friday interview the new law will violate existing statutes by cutting out his board from iGaming oversight.
“I don’t think there’s anything the board can do at this point,” Silver said.
The National Association Against iGaming has pledged to mount an effort to overturn the law via a popular referendum process known as the “people’s veto.” But such attempts have a mixed record of success.
Maine
Flu, norovirus and other illnesses circulating in Maine
While influenza remains the top concern for Maine public health experts, other viruses are also currently circulating, including norovirus and COVID-19.
“Influenza is clearly the main event,” said Dr. Cheryl Liechty, a MaineHealth infectious disease specialist. “The curve in terms of the rise of influenza cases was really steep.”
Maine reported 1,343 flu cases for the week ending Jan. 3, an uptick from the 1,283 cases recorded the previous week, according to the Maine Center for Disease Control and Prevention. Hospitalizations increased to 147 from 108 during the same time periods.
“I hope the peak is now,” Liechty said, “but I’m not really sure.”
The U.S. Centers for Disease Control and Prevention reported on Friday that all of New England, except for Vermont, is currently experiencing “very high” levels of influenza. Vermont is in the “moderate” category.
“What we are seeing, overwhelmingly, is the flu,” said Andrew Donovan, associate vice president of infection prevention for Northern Light Health. “We are seeing both respiratory and gastrointestinal viruses in our patients.”
Norovirus also appears to be circulating, although due to its short duration and because it’s less severe than the flu, public health data on the illness — which causes gastrointestinal symptoms that typically resolve within a few days — is not as robust.
“Norovirus is the gastrointestinal scourge of New England winters and cruise ships,” Liechty said.
According to surveillance data at wastewater treatment plants in Portland, Bangor and Lewiston, norovirus levels detected in those communities are currently “high.” The treatment plants participate in WastewaterSCAN, which reports virus levels in wastewater through a program run by Stanford University and Emory University.
Dr. Genevieve Whiting, a Westbrook pediatrician and secretary of the Maine chapter of the American Academy of Pediatrics, said viruses are prevalent right now, especially the flu and norovirus.
“For my patients right now, it’s a rare encounter that I hear everyone in a family has been healthy,” Whiting said. “I’ve had families come in and say their entire family has had norovirus. Several of my patients have had ER visits for suspected norovirus, where they needed IV fluids because they were dehydrated.”
Both Liechty and Whiting said they are seeing less respiratory syncytial virus, or RSV, likely because there has been good uptake of the new RSV vaccine, which is recommended for older people and those who are pregnant. The vaccine was approved by the Food and Drug Administration in 2023.
“The RSV vaccine has been a real success, as RSV was a leading cause of hospitalizations for babies,” Whiting said.
Meanwhile, COVID-19 cases increased to 610 in the final week of 2025, compared to 279 the previous week. Influenza and COVID-19 vaccinations are available at primary care, pharmacies and clinics across the state.
“If you haven’t gotten your flu shot yet,” Liechty said, “you should beat a hasty path to get your shot.”
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