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the superintendent and shall include the amount of claims paid in | | this State for the services required by this section and the total | | amount of claims paid in this State for individual and group health | care contracts, both separated between according to those paid for | inpatient and or outpatient services. The superintendent shall | | compile this data for all nonprofit hospital or medical service | | organizations in an annual report. |
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| | | Sec. 7. 24 MRSA §2329, sub-§10, as repealed and replaced by PL 1987, | | c. 480, §4, is amended to read: |
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| | | 10. Application; expiration. The requirements of this | section shall apply to all policies and any certificates or | | contracts executed, delivered, issued for delivery, continued or | | renewed in this State on or after January 1, 1984. The | | requirements of subsection 4-A apply to all policies and | | contracts executed, delivered, issued for delivery, continued or | | renewed in this State on or after January 1, 2000. For purposes | of this section, all contracts shall be are deemed to be renewed | | no later than the next yearly anniversary of the contract date. |
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| | | Sec. 8. 24-A MRSA §2749-D is enacted to read: |
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| | | §2749-D.__Equitable health care for alcoholism and drug |
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| | | 1.__Definitions.__As used in this section, unless the context | | otherwise indicates, the following terms have the following | | meanings. |
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| | | A.__"Outpatient care" means care rendered by a state- | | licensed, approved or certified detoxification, residential | | treatment or outpatient program, or partial hospitalization | | program on a periodic basis, including, but not limited to, | | patient diagnosis, assessment and treatment, individual, | | family and group counseling and educational and support | | services. |
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| | | B.__"Residential treatment" means services at a facility | | that provides care 24 hours daily to one or more patients, | | including, but not limited to: room and board; medical, | | nursing and dietary services; patient diagnosis, assessment | | and treatment; individual, family and group counseling; and | | educational and support services, including a designated | | unit of a licensed health care facility providing any and | | all other services specified in this paragraph to patients | | with the illness of alcoholism or drug dependency. |
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| | | C.__"Treatment plan" means a written plan initiated at the time | | of admission, approved by a Doctor of Medicine, Doctor |
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