Research summary
Research summary
Topic summary
Map their records on rural hospitals, Medicare, and Medicaid in Maine.
Key research questions
- Investigate "Maine Senate: Susan Collins vs.
Important claims and supporting citations
On June 28, 2025, Susan Collins voted in favor of the motion to proceed to consider the One Big Beautiful Bill Act reconciliation bill, but later voted against final passage.
- https://www.king.senate.gov/newsroom/press-releases/king-cosponsors-bill-to-expand-telehealth-services-in-rural-maine
- https://www.collins.senate.gov/newsroom/senator-collins-announces-190-million-for-maine-rural-hospitals-and-providers-through-rural-health-transformation-program
- https://www.collins.senate.gov/newsroom/senator-collins-fights-preserve-critical-access-hospitals-rural-communities
The Senate increased funding for the Rural Health Transformation program from $25 billion to $50 billion over five years following negotiations involving Collins and Lisa Murkowski.
PolitiFact rated 'Mostly False' an ad by WinSenate claiming Troy Jackson expanded Medicaid in Maine while Susan Collins was the deciding vote for Trump's Medicaid cuts.
Collins initially proposed a $100 billion provider relief fund to mitigate Medicaid cuts to rural hospitals before halving her request to $50 billion funded by taxes on the ultra-wealthy.
Troy Jackson introduced Maine bill LD 1350 to increase the reimbursement rate for rural hospitals and health clinics to 100 percent.
Maine received a $190 million first-year award for rural hospitals and providers under the CMS-administered Rural Health Transformation Program.
- https://www.collins.senate.gov/newsroom/senator-collins-announces-190-million-for-maine-rural-hospitals-and-providers-through-rural-health-transformation-program
- https://www.legislature.maine.gov/doc/9467
- https://www.collins.senate.gov/newsroom/senator-collins-fights-preserve-critical-access-hospitals-rural-communities
On July 26, 2017, Susan Collins was the only Republican senator among 10 senators to vote for an amendment prioritizing Medicaid expansion and advocating ACA improvement rather than repeal.
- https://www.collins.senate.gov/newsroom/senator-collins-announces-190-million-for-maine-rural-hospitals-and-providers-through-rural-health-transformation-program
- https://www.collins.senate.gov/newsroom/senator-collins-fights-preserve-critical-access-hospitals-rural-communities
- https://www.collins.senate.gov/newsroom/collins-king-announce-more-than-500000-to-improve-rural-healthcare
In a 2026 candidate questionnaire, Troy Jackson endorsed establishing a Maine public option alongside national Medicare for All.
Outstanding questions
- On June 28, 2025, Susan Collins voted in favor of the motion to proceed to consider the One Big Beautiful Bill Act reconciliation bill, but later voted against final passage.
- The Senate increased funding for the Rural Health Transformation program from $25 billion to $50 billion over five years following negotiations involving Collins and Lisa Murkowski.
- PolitiFact rated 'Mostly False' an ad by WinSenate claiming Troy Jackson expanded Medicaid in Maine while Susan Collins was the deciding vote for Trump's Medicaid cuts.
- Collins initially proposed a $100 billion provider relief fund to mitigate Medicaid cuts to rural hospitals before halving her request to $50 billion funded by taxes on the ultra-wealthy.
- Troy Jackson introduced Maine bill LD 1350 to increase the reimbursement rate for rural hospitals and health clinics to 100 percent.
- Maine received a $190 million first-year award for rural hospitals and providers under the CMS-administered Rural Health Transformation Program.
- On July 26, 2017, Susan Collins was the only Republican senator among 10 senators to vote for an amendment prioritizing Medicaid expansion and advocating ACA improvement rather than repeal.
- In a 2026 candidate questionnaire, Troy Jackson endorsed establishing a Maine public option alongside national Medicare for All.
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Troy Jackson sponsored LD 1758 in the 129th Maine Legislature to clarify and amend MaineCare reimbursement pr…
Troy Jackson sponsored LD 1758 in the 129th Maine Legislature to clarify and amend MaineCare reimbursement provisions for nursing and residential care facilities.
Labels: Inferred, Low, investigate
Troy Jackson sponsored a 2023 Maine legislative proposal to establish a Maine Hospital Board.
Troy Jackson sponsored a 2023 Maine legislative proposal to establish a Maine Hospital Board.
Labels: Source-linked, Low, investigate
In May 2023, Troy Jackson introduced LD 1792, a resolve to establish a Rural Health Services Task Force to ev…
In May 2023, Troy Jackson introduced LD 1792, a resolve to establish a Rural Health Services Task Force to evaluate the effects of potential rural hospital closures in Maine.
Labels: Inferred, Low, investigate
Susan Collins and Peter Welch introduced legislation in 2026 to count hospital observation days toward Medica…
Susan Collins and Peter Welch introduced legislation in 2026 to count hospital observation days toward Medicare's three-day inpatient requirement for skilled-nursing facility coverage.
Labels: Source-linked, Low, investigate
On July 26, 2017, Susan Collins was the only Republican senator among 10 senators to vote for an amendment pr…
On July 26, 2017, Susan Collins was the only Republican senator among 10 senators to vote for an amendment prioritizing Medicaid expansion and advocating ACA improvement rather than repeal.
Labels: Source-linked, Low, investigate
In December 2024, Susan Collins and Joe Manchin introduced bipartisan legislation proposing a Medicare pilot…
In December 2024, Susan Collins and Joe Manchin introduced bipartisan legislation proposing a Medicare pilot to reimburse EMS providers for 'treat-in-place' care without requiring patient transport.
Labels: Source-linked, Low, investigate
PolitiFact rated 'Mostly False' an ad by WinSenate claiming Troy Jackson expanded Medicaid in Maine while Sus…
PolitiFact rated 'Mostly False' an ad by WinSenate claiming Troy Jackson expanded Medicaid in Maine while Susan Collins was the deciding vote for Trump's Medicaid cuts.
Labels: Source-linked, Low, investigate
Across Maine's rural hospitals between 2017 and 2023, inpatient days for commercially insured patients droppe…
Across Maine's rural hospitals between 2017 and 2023, inpatient days for commercially insured patients dropped 51%, while Medicaid inpatient days increased by 20%.
Labels: Inferred, Low, investigate
In 2020, Susan Collins introduced the PPP for Critical Access Hospitals Act to allow bankrupt nonprofit Criti…
In 2020, Susan Collins introduced the PPP for Critical Access Hospitals Act to allow bankrupt nonprofit Critical Access Hospitals, including Penobscot Valley Hospital and Calais Regional Hospital, to receive forgivable Paycheck Protection Program loans.
Labels: Source-linked, Low, investigate
According to the Maine People's Alliance 2023 scorecard, Troy Jackson opposed LD 199, which aimed to close an…
According to the Maine People's Alliance 2023 scorecard, Troy Jackson opposed LD 199, which aimed to close an exclusion in MaineCare affecting low-income residents based on immigration status.
Labels: Inferred, Medium, investigate
Collins estimated that federal Medicaid cuts under H.R.
Collins estimated that federal Medicaid cuts under H.R. 1 would result in Maine losing $5.9 billion over 10 years, potentially jeopardizing several rural hospitals.
Labels: Inferred, Low, investigate
In August 2024, Senators Susan Collins and Angus King announced a $504,176 HRSA Medicare Rural Hospital Flexi…
In August 2024, Senators Susan Collins and Angus King announced a $504,176 HRSA Medicare Rural Hospital Flexibility Program grant to the Maine Department of Health and Human Services.
Labels: Source-linked, Low, investigate
In a 2026 candidate questionnaire, Troy Jackson endorsed establishing a Maine public option alongside nationa…
In a 2026 candidate questionnaire, Troy Jackson endorsed establishing a Maine public option alongside national Medicare for All.
Labels: Source-linked, Low, investigate
Troy Jackson sponsored a 2023 Maine legislative request titled 'An Act to Ensure the Longevity of Rural Hospi…
Troy Jackson sponsored a 2023 Maine legislative request titled 'An Act to Ensure the Longevity of Rural Hospitals and Health Service Providers.'
Labels: Source-linked, Low, investigate
MaineCare Medicaid Expansion History and Enrollment
MaineCare Medicaid Expansion History and Enrollment
Labels: Inferred, Low
Susan Collins's Actions and Positions on the One Big Beautiful Bill Act
Susan Collins's Actions and Positions on the One Big Beautiful Bill Act
Labels: Inferred, Low
2019 Maine Rural Healthcare and Reimbursement Legislation
2019 Maine Rural Healthcare and Reimbursement Legislation
Labels: Inferred, Low
Rural Health Transformation Program Negotiations and Proposals
Rural Health Transformation Program Negotiations and Proposals
Labels: Inferred, Low
Maine Hospital and Birthing Unit Closures
Maine Hospital and Birthing Unit Closures
Labels: Inferred, Low
The Senate increased funding for the Rural Health Transformation program from $25 billion to $50 billion over…
The Senate increased funding for the Rural Health Transformation program from $25 billion to $50 billion over five years following negotiations involving Collins and Lisa Murkowski.
Labels: Source-linked, Low, investigate
The disability advocacy group ANCOR presented Susan Collins with its Congressional Medicaid Champion Award fo…
The disability advocacy group ANCOR presented Susan Collins with its Congressional Medicaid Champion Award for her work during consideration of OBBBA.
Labels: Inferred, Low, investigate
Susan Collins was one of three Republican senators who voted against final passage of the One Big Beautiful B…
Susan Collins was one of three Republican senators who voted against final passage of the One Big Beautiful Bill Act in July 2025, alongside Thom Tillis and Rand Paul.
Labels: Inferred, Low, investigate
Former Maine Governor Paul LePage vetoed Medicaid expansion legislation five times prior to its voter approva…
Former Maine Governor Paul LePage vetoed Medicaid expansion legislation five times prior to its voter approval in 2017 and implementation in January 2019 under Governor Janet Mills.
Labels: Source-linked, Low, investigate
On July 2, 2019, Maine Governor Janet Mills enacted legislation amending a bill by Sen.
On July 2, 2019, Maine Governor Janet Mills enacted legislation amending a bill by Sen. Jay McCreight to fund rural hospital, ambulance, and neonatal transport reimbursement initiatives from LD 1350 and LD 915.
Labels: Inferred, Low, investigate
Between 2014 and 2025, 11 of Maine's 28 hospital birthing units closed, leaving 17 operational across the sta…
Between 2014 and 2025, 11 of Maine's 28 hospital birthing units closed, leaving 17 operational across the state.
Labels: Inferred, Low, investigate
Collins initially proposed a $100 billion provider relief fund to mitigate Medicaid cuts to rural hospitals b…
Collins initially proposed a $100 billion provider relief fund to mitigate Medicaid cuts to rural hospitals before halving her request to $50 billion funded by taxes on the ultra-wealthy.
Labels: Source-linked, Low, investigate
Troy Jackson introduced Maine bill LD 1350 to increase the reimbursement rate for rural hospitals and health…
Troy Jackson introduced Maine bill LD 1350 to increase the reimbursement rate for rural hospitals and health clinics to 100 percent.
Labels: Source-linked, Low, investigate
Collins offered a Senate amendment that would have doubled funding for rural healthcare providers, but it fai…
Collins offered a Senate amendment that would have doubled funding for rural healthcare providers, but it failed to pass.
Labels: Source-linked, Low, investigate
Northern Light Inland Hospital in Waterville, Maine, shut down in July 2025.
Northern Light Inland Hospital in Waterville, Maine, shut down in July 2025.
Labels: Inferred, Low, investigate
Collins's stated reason for opposing final passage of the 2025 reconciliation bill was that it would harm Med…
Collins's stated reason for opposing final passage of the 2025 reconciliation bill was that it would harm Medicaid beneficiaries and rural healthcare providers, specifically mentioning hospitals and nursing homes.
Labels: Source-linked, Low, investigate
Houlton Regional Hospital closed its birthing unit on May 2, 2025, following a drop in annual deliveries from…
Houlton Regional Hospital closed its birthing unit on May 2, 2025, following a drop in annual deliveries from roughly 135 to 77.
Labels: Inferred, Low, investigate
Collins proposed a $50 billion Rural Health Transformation Program designed to distribute $10 billion annuall…
Collins proposed a $50 billion Rural Health Transformation Program designed to distribute $10 billion annually over five years to states for rural health systems.
Labels: Source-linked, Low, investigate
Maine received a $190 million first-year award for rural hospitals and providers under the CMS-administered R…
Maine received a $190 million first-year award for rural hospitals and providers under the CMS-administered Rural Health Transformation Program.
Labels: Source-linked, Low, investigate
The 2019 Maine ambulance reimbursement legislation raised reimbursement rates from 65 percent to the average…
The 2019 Maine ambulance reimbursement legislation raised reimbursement rates from 65 percent to the average allowable Medicare rate.
Labels: Inferred, Low, investigate
On June 28, 2025, Susan Collins voted in favor of the motion to proceed to consider the One Big Beautiful Bil…
On June 28, 2025, Susan Collins voted in favor of the motion to proceed to consider the One Big Beautiful Bill Act reconciliation bill, but later voted against final passage.
Labels: Source-linked, Medium, investigate