LD 1158
pg. 1
LD 1158 Title Page An Act to Ensure Equality in Mental Health Coverage for Children and Adults ... Page 2 of 7
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LR 14
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24 MRSA §2325-A, sub-§3, ¶¶A-1 and F are enacted to read:

 
A-1.__"Health insurance plan" means a health insurance
policy or health benefit plan offered by a health insurer.__
"Health insurance plan" includes a health benefit plan
offered or administered by the State or by any subdivision
or instrumentality of the State.

 
F.__"Rate term or condition" means lifetime or annual
payment limits, deductibles, copayments, coinsurance and any
other cost-sharing requirements, out-of-pocket limits, visit
limits and any other financial component of health insurance
coverage that affects the insured.

 
Sec. 2. 24 MRSA §2325-A, sub-§5-A, as amended by PL 1989, c. 490, §1,
is repealed.

 
Sec. 3. 24 MRSA §2325-A, sub-§5-C, as amended by PL 1995, c. 625, Pt.
B, §6 and affected by §7 and amended by c. 637, §1, is further
amended to read:

 
5-C. Coverage for treatment for certain mental illnesses.
Coverage for medical treatment for mental illnesses listed in
paragraph A is subject to this subsection.

 
A. All individual and group contracts must provide, at a
minimum, benefits according to paragraph B, subparagraph (1)
for a person receiving medical treatment for any of the
following mental illnesses diagnosed by a licensed
allopathic or osteopathic physician or, a medical doctor, a
licensed psychologist who is trained and has received a
doctorate in psychology specializing in the evaluation and
treatment of human behavior or a licensed master's-level
social worker:

 
(1) Schizophrenia;

 
(2) Bipolar disorder;

 
(3) Pervasive developmental disorder, or autism;

 
(4) Paranoia;

 
(5) Panic disorder;

 
(6) Obsessive-compulsive disorder; or


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