| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24 MRSA §2329, sub-§3, as enacted by PL 1983, c. 527, §1, is | | amended to read: |
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| | | 3. Requirement. Every A nonprofit hospital or medical | service organization which that issues individual and group | health care contracts providing coverage for hospital care to | | residents of this State shall provide benefits as required in | | this section to any subscriber or other person covered under | | those contracts for the treatment of alcoholism and other drug | | dependency pursuant to a treatment plan. |
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| | | Sec. 2. 24 MRSA §2329, sub-§4, as enacted by PL 1983, c. 527, §1, is | | repealed. |
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| | | Sec. 3. 24 MRSA §2329, sub-§4-A is enacted to read: |
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| | | 4-A.__Parity coverage.__An individual and group contract must | | provide, at a minimum, benefits for the treatment of alcoholism | | and other drug dependency, including benefits for residential | | treatment and outpatient care, under terms and conditions that | | are no less extensive than the benefits provided for medical | | treatment for physical illness.__At the request of a nonprofit | | hospital or medical service organization, a provider of treatment | | for alcoholism or other drug dependency shall furnish data | | substantiating that the initial or continued treatment is | | medically necessary and appropriate pursuant to a treatment plan. |
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| | | Sec. 4. 24 MRSA §2329, sub-§5, as amended by PL 1989, c. 490, §2, is | | repealed. |
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| | | Sec. 5. 24 MRSA §2329, sub-§7, as enacted by PL 1983, c. 527, §1, is | | amended to read: |
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| | | 7. Notice. At the time of delivery or renewal, the nonprofit | | hospital or medical service organization shall provide written | | notification to all individuals eligible for benefits under | individual and group policies or contracts of these the | | alcoholism and drug dependency benefits provided under this | | section. |
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| | | Sec. 6. 24 MRSA §2329, sub-§9, as enacted by PL 1983, c. 527, §1, is | | amended to read: |
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| | | 9. Reports to superintendent. Every A nonprofit hospital or | | medical service organization subject to this section shall report | | its experience for each calendar year beginning with 1984 to the | | superintendent not later than April 30th of the following year. | The report shall must be in a form prescribed by the |
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