LD 1319
pg. 395
Page 394 of 423 An Act Making Unified Appropriations and Allocations for the Expenditures of St... Page 396 of 423
Download Bill Text
LR 2000
Item 1

 
to maintain acceptable levels of functioning in the area of
intellect, emotion or physical well-being.

 
Sec. VV-18. 24-A MRSA §4234-A, sub-§3, ¶F is enacted to read:

 
F.__"Residential treatment services" means services at a
facility that provides care 24 hours daily to one or more
patients, including, but not limited to, the following
services: room and board; medical, nursing and dietary
services; patient diagnosis, assessment and treatment;
individual, family and group counseling; and educational
and support services, including a designated unit of a
licensed health care facility providing any other services
specified in this paragraph to a person suffering from a
mental illness.

 
Sec. VV-19. 24-A MRSA §4234-A, sub-§§4 and 5, as enacted by PL 1995, c.
407, §10, are amended to read:

 
4. Requirement. Every health maintenance organization that
issues individual or 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 conditions
arising from mental illness.

 
5. Services. Each individual or group contract must
provide, at a minimum, the following benefits for a person
suffering from a mental or nervous condition illness:

 
A. Inpatient services;

 
B. Day treatment services; and

 
C. Outpatient services.;

 
D.__Home support services; and

 
E.__Residential treatment services.

 
Sec. VV-20. 24-A MRSA §4234-A, sub-§6, as amended by PL 1995, c. 637,
§6, is further amended to read:

 
6. Coverage for treatment of certain mental illnesses.
Coverage for medical or psychiatric treatment for mental
illnesses listed in paragraph A A-1 is subject to this
subsection.


Page 394 of 423 Top of Page Page 396 of 423