LD 1319
pg. 424
Page 423 of 460 PUBLIC Law Chapter 20 Page 425 of 460
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LR 2000
Item 1

 
medically necessary and appropriate health care, the
provider shall use the same criteria for medical
treatment for mental illness as for medical treatment
for physical illness under the individual or group
contract.

 
This subsection may not be construed to allow coverage and
benefits for the treatment of alcoholism or other drug
dependencies through the diagnosis of a mental illness listed in
paragraph A.

 
Sec. VV-7. 24 MRSA §2325-A, sub-§6, as enacted by PL 1983, c. 515, §4,
is amended to read:

 
6. Contracts; providers. Subject to the approval by the
Superintendent of Insurance pursuant to section 2305, a nonprofit
hospital or and a medical service organization incorporated under
this chapter shall offer contracts to providers authorizing the
provision of mental health services within the scope of the
provider's licensure.

 
Sec. VV-8. 24-A MRSA §2749-C, sub-§1, as amended by PL 1995, c. 637,
§3, is further amended to read:

 
1. Coverage for treatment for certain mental illnesses.
Coverage for medical treatment for mental illnesses listed in
paragraph A by all individual policies is subject to this
section.

 
A. All individual policies 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:

 
(1) Schizophrenia;

 
(2) Bipolar disorder;

 
(3) Pervasive developmental disorder, or autism;

 
(4) Paranoia;

 
(5) Panic disorder;

 
(6) Obsessive-compulsive disorder; or

 
(7) Major depressive disorder.


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