| | | treatment for mental illnesses listed in paragraph A by all | individual and group nonprofit hospital and medical services | | service organization health care plan contracts is subject to | | this subsection. |
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| | | A. All individual and group contracts must make available | | coverage providing, at a minimum, benefits according to | | paragraph B, subparagraph (1) for a person receiving medical | | treatment for any of the following mental illnesses | | diagnosed by a licensed allopathic or osteopathic physician | | or a licensed psychologist who is trained and has received a | | doctorate in psychology specializing in the evaluation and | treatment of human behavior mental illness: |
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| | | (3) Pervasive developmental disorder, or autism; |
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| | | (6) Obsessive-compulsive disorder; or |
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| | | (7) Major depressive disorder. |
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| | B. Every nonprofit hospital and medical services service | | organization and nonprofit health care plan must make | | available coverage in all individual and group policies, | | contracts and certificates executed, delivered, issued for | delivery, continued or renewed in this State on or after | July 1, 1996 that provides benefits meeting 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 offer of coverage 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. |
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| | (2) At the request of a nonprofit hospital or and | | 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 health care. When | | making the determination of whether treatment is |
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