| (7) Major depressive disorder.; or |
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| Any person birth to 18 years of age with a mental health | condition that falls under any of the diagnostic categories | listed in the mental disorders section of the Diagnostic and | Statistical Manual of Mental Health Disorders, 4th Edition, | DMS 4, as periodically revised, is covered under this | paragraph. |
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| B. All policies, contracts and certificates executed, | delivered, issued for delivery, continued or renewed in this | State on or after July 1, 1996 must provide benefits that | meet the requirements of this paragraph. For purposes of | this paragraph, all contracts are deemed renewed no later | than the next yearly anniversary of the contract date. |
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| (1) The contracts must provide benefits for the | treatment and diagnosis of mental illnesses under terms | and conditions that are no less extensive than the | benefits provided for medical treatment for physical | illnesses. A health insurance plan must provide | coverage for treatment of a mental health condition and | may not establish a rate, term or condition that places | a greater financial burden on an insured for access to | treatment for a mental health condition than for access | to treatment for a physical health condition.__Any | deductible or out-of-pocket limits required under a | health insurance plan must be comprehensive for | coverage of both mental health and physical health | conditions. |
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| (2) At the request of a nonprofit hospital or medical | service organization, a provider of medical treatment | for mental illness shall furnish data substantiating | that initial or continued treatment is medically | necessary and appropriate. When making the | determination of whether treatment is medically | necessary and appropriate, the provider shall use the | same criteria for medical treatment for mental illness | as for medical treatment for physical illness under the | group contract. |
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| C.__A health insurance plan that does not otherwise provide for | management of care under the plan or that does not provide for | the same degree of management of care for all |
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