LD 566
pg. 9
Page 8 of 20 An Act to Ensure Equality in Mental Health Coverage Page 10 of 20
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LR 22
Item 1

 
Sec. 12. 24-A MRSA §2843, sub-§3, ¶F is enacted to read:

 
F.__"Residential treatment services" means services at a
facility that provides care 24 hours daily to one or more
patients, including, but not limited to, the following
services: room and board; medical, nursing and dietary
services; patient diagnosis, assessment and treatment;
individual, family and group counseling; and educational
and support services, including a designated unit of a
licensed health care facility providing any other services
specified in this paragraph to a person suffering from a
mental illness.

 
Sec. 13. 24-A MRSA §2843, sub-§§4 and 5, as enacted by PL 1983, c. 515,
§6, are amended to read:

 
4. Requirement. Every insurer which that issues 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 group contract shall must provide, at a
minimum, for the following benefits for a person suffering
from a mental or nervous condition illness:

 
A. Inpatient care;

 
B. Day treatment services; and

 
C. Outpatient services.;

 
D.__Home support services; and

 
E.__Residential treatment services.

 
Sec. 14. 24-A MRSA §2843, sub-§5-C, as amended by PL 1995, c. 625,
Pt. B, §8 and affected by §9 and amended by c. 637, §4, is
further amended to read:

 
5-C. Coverage for treatment for certain mental illness.
Coverage for medical or psychiatric 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


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