LD 566
pg. 20
Page 19 of 20 An Act to Ensure Equality in Mental Health Coverage LD 566 Title Page
Download Bill Text
LR 22
Item 1

 
certificates executed, delivered, issued for delivery, continued
or renewed in this State on and after July 1, 1996. Contracts
entered into with the State Government or the Federal Government
to service Medicaid or Medicare populations may limit the
services provided under such contracts consistent with the terms
of those contracts if mental health services are provided to
these populations by other means. For purposes of this section,
all contracts are deemed renewed no later than the next yearly
anniversary of the contract date.

 
Sec. 25. Application. The requirements of this Act apply to all
policies, contracts and certificates executed, delivered,
issued for delivery, continued or renewed in this State on or
after the effective date of this Act. 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 requires parity coverage for mental illnesses for
all health benefit plans covering groups of 21 or more. The
bill expands the coverage of mental illness to include 11
categories of mental illness as defined in the Diagnostic and
Statistical Manual of Mental Disorders, as periodically
revised, and allows that coverage to be delivered as a carve
out under a managed care system. The bill requires coverage
for residential treatment services and home support services.
The provisions apply to all policies and contracts issued or
renewed on or after the effective date of this bill. The bill
makes no change to the mandated offer of parity requirement
for individual plans and group plans covering fewer than 20
persons under current law.


Page 19 of 20 Top of Page LD 566 Title Page