LD 563
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Page 3 of 4 An Act To Require That Mental Health Workers with LCPC Licenses Are Recognized ... LD 563 Title Page
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LR 764
Item 1

 
make available coverage for those services when performed by a
counseling professional who is licensed by the State pursuant to
Title 32, chapter 119 to assess and treat interpersonal and
intrapersonal problems, has at least a masters degree in
counseling or a related field from an accredited educational
institution and has been employed as a counselor for at least 2
years. Any contract providing coverage for the services of
counseling professionals pursuant to this section may be subject
to any reasonable limitations, maximum benefits, coinsurance,
deductibles or exclusion provisions applicable to overall
benefits under the contract. This subsection applies to all
contracts executed, delivered, issued for delivery, continued or
renewed in this State on or after January 1, 1997. For purposes
of this subsection, all contracts are deemed renewed no later
than the next yearly anniversary of the contract date.

 
Sec. 3. 24-A MRSA §4234-A, sub-§8, as enacted by PL 1995, c. 407,
§10, is amended to read:

 
8. Contracts; providers. Subject to approval by the
superintendent pursuant to section 4204, a health maintenance
organization incorporated under this chapter shall allow
providers, pursuant to sections 2744 and 2835, to contract for
and receive payment, subject to the health maintenance
organization's credentialling policy, for the provision of
mental health services within the scope of the provider's
licensure.

 
Sec. 4. Application. This Act applies to all policies, contracts
and certificates executed, delivered, issued for delivery,
continued or renewed in this State on or after January 1,
2004. For purposes of this Act, all contracts are deemed to
be renewed no later than the next yearly anniversary of the
contract date.

 
SUMMARY

 
This bill mandates that all health care plans reimburse
licensed clinical professional counselors for mental health
services. The bill applies to all policies and contracts
issued or renewed on or after January 1, 2004.


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