ME LD2201

Requires health care entities to provide 180 days written notice to the Department of Health and Human Services before completing any "material change transaction" where a private equity company, hedge fund, or management services organization acquires majority interest or operational control

Establishes a two-tier review process: preliminary review within 60 days for all transactions, with mandatory comprehensive review for transactions involving assets over $100,000,000, those that lessen competition, or those likely to materially impact cost, quality, equity, or access to health care

Authorizes the department to approve, conditionally approve, or disapprove transactions based on factors including health care costs, service availability, workforce impact, market competition, and public interest

Imposes $10,000 per day administrative penalties for violations and requires post-transaction compliance reports at 1, 2, and 5 years following approved transactions

Creates annual ownership reporting requirements for health care entities to the Maine Health Data Organization, with public transparency reports beginning July 1, 2028, and takes effect January 1, 2027