LD 1499
pg. 8
Page 7 of 12 An Act To Amend the Laws Related to Health Insurance and Confidentiality of Pro... Page 9 of 12
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LR 447
Item 1

 
educational institution, has been employed in counseling for at
least 2 years and, after January 1, 2002, must be licensed as a
clinical professional counselor in this State, or a licensed nurse
who is certified by the American Nurses' Association as a clinical
specialist in adult psychiatric and mental health nursing or as a
clinical specialist in child and adolescent psychiatric and mental
health nursing professional listed in subsection 2-A, any person
covered by the policy is entitled to reimbursement for these
services if the services are performed by a physician; a
psychologist licensed to practice in this State; a certified social
worker licensed for the independent practice of social work who has
at least a masters degree in social work from an accredited
educational institution, who has been employed in social work for
at least 2 years, and who, after January 1, 1985, must be licensed
as a clinical social worker in this State; a licensed clinical
professional counselor licensed for the independent practice of
counseling who has at least a masters degree in counseling from an
accredited educational institution, has been employed in counseling
for at least 2 years and, after January 1, 2002, must be licensed
as a clinical professional counselor in this State; or a licensed
nurse certified by the American Nurses' Association as a clinical
specialist in adult or child and adolescent psychiatric and mental
health nursing or a professional listed in subsection 2-A. Payment
or reimbursement for services rendered by clinical social workers
licensed in this State, licensed clinical professional counselors
licensed in this State or licensed nurses certified by the American
Nurses' Association as clinical specialists in adult or child and
adolescent psychiatric and mental health nursing a professional
listed in subsection 2-A, paragraph B, C or D may not be
conditioned upon prior diagnosis or referral by a physician or
other health care professional, except in cases where diagnosis of
the condition for which the services are rendered is beyond the
scope of their licensure.

 
2. Nothing in subsection 1 may be construed to require a
health insurance policy subject to this chapter to provide for
reimbursement of services that are within the lawful scope of
practice of a psychologist licensed to practice in this State, a
clinical social worker licensed in this State, a clinical
professional counselor licensed to practice in this State, a
certified social worker licensed to practice in this State, or a
certified nurse licensed to practice in this State professional
listed in subsection 2-A.

 
Sec. I-2. 24-A MRSA §2744, sub-§2-A is enacted to read:

 
2-A. Subsections 1 and 2 apply with respect to the following
types of professionals:


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