LD 27
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LR 269
Item 1

 
mental health nursing 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
licensed pastoral counselor licensed in this State, a certified
social worker licensed to practice in this State, or a certified
nurse licensed to practice in this State.

 
3. Mental health services provided by counseling
professionals. Except as provided in subsection 1 with regard to
reimbursement of clinical professional counselors and pastoral
counselors licensed in this State, an insurer that issues
individual health care contracts providing coverage for mental
health services shall offer coverage for those services when
performed by a counseling professional who is licensed by the
State pursuant to Title 32, chapter 119 to assess and treat
interpersonal and intrapersonal problems, has at least a masters
degree in counseling or a related field from an accredited
educational institution and has been employed as a counselor for
at least 2 years. Any contract providing coverage for the
services of counseling professionals pursuant to this section may
be subject to any reasonable limitations, maximum benefits,
coinsurance, deductibles or exclusion provisions applicable to
overall benefits under the contract. This subsection applies to
all contracts executed, delivered, issued for delivery, continued
or renewed in this State on or after January 1, 1997. For
purposes of this subsection, all contracts are deemed renewed no
later than the next yearly anniversary of the contract date.

 
Sec. 2. 24-A MRSA §2835, as amended by PL 2003, c. 517, Pt. B, §13,
is further amended to read:

 
§2835. Mental health services

 
1. Notwithstanding any provision of a health insurance policy
or certificate issued under a group policy subject to this
chapter, whenever the policy provides for payment or
reimbursement for services that are within the lawful scope of
practice of a psychologist licensed to practice in this State; a
certified social worker licensed for the independent practice of
social work in this State who has at least a masters degree in
social work from an accredited educational institution, has been
employed in social work for at least 2 years, and who, after


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