LD 1319
pg. 435
Page 434 of 460 PUBLIC Law Chapter 20 Page 436 of 460
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LR 2000
Item 1

 
(7)__For the purposes of this section, a medication
management visit associated with a mental illness must be
covered in the same manner as a medication management
visit for the treatment of a physical illness and may not
be counted in the calculation of any maximum outpatient
treatment visit limits.

 
This subsection does not apply to policies, contracts or
certificates covering employees of employers with 20 or fewer
employees, whether the group policy is issued to the employer, to
an association, to a multiple-employer trust or to another
entity.

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

 
Sec. VV-21. 24-A MRSA §4234-A, sub-§7, as amended by PL 1995, c. 637,
§7, is further amended to read:

 
7. Mandated offer of coverage for certain mental illnesses.
Except as provided in subsection 6, coverage for medical
treatment for mental illnesses listed in paragraph A by all
individual and group contracts is subject to this subsection.

 
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:

 
(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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