LD 1319
pg. 432
Page 431 of 460 PUBLIC Law Chapter 20 Page 433 of 460
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LR 2000
Item 1

 
person has a disorder of thought, mood, perception,
orientation or memory that impairs judgment, behavior,
capacity to recognize or ability to cope with the ordinary
demands of life. The person manifests an impaired capacity
to maintain acceptable levels of functioning in the area of
intellect, emotion or physical well-being.

 
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, for medically necessary health care for a person
suffering from mental illness. Medically necessary health care
includes, but is not limited to, the following benefits services
for a person suffering from a mental or nervous condition
illness:

 
A. Inpatient services;

 
B. Day treatment services; and

 
C. Outpatient services.; and

 
D.__Home health care 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 treatment for mental illnesses listed in
paragraph A A-1 is subject to this subsection.

 
A. All group contracts must provide, 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:

 
(1) Schizophrenia;

 
(2) Bipolar disorder;


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