In April 2026, Janet Mills signed LD 2242 into law, marking a significant shift in the scope of practice for naturopathic doctors in the state. On the surface, the legislation updates prescriptive authority. In practical terms, it reshapes what care can look like for patients who rely on naturopathic medicine.
This did not happen in isolation. It is the result of sustained, organized, and highly visible grassroots advocacy, led in large part by Nicole Egenberger, ND, and long-time Townsend Letter contributor and friend, Barbara MacDonald, ND, LAc, PC, along with the broader efforts of the Maine Association of Naturopathic Doctors and their patients.










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