LD 2055
pg. 17
Page 16 of 33 An Act To Correct Errors and Inconsistencies in the Laws of Maine Page 18 of 33
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LR 3065
Item 1

 
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 policies,
contracts and certificates executed, delivered, issued for
delivery, continued or renewed in this State.__For purposes of this
subsection, all contracts are deemed renewed no later than the next
yearly anniversary of the contract date.

 
Sec. 47. 24-A MRSA §2844, sub-§2, as amended by PL 1997, c. 777, Pt.
B, §3, is further amended to read:

 
2. Medicaid and Cub Care programs. Insurers may not consider
the availability or eligibility for medical assistance under 42
United States Code, Section 13969, referred to as "Medicaid," or
Title 22, section 3174-R 3174-T, referred to as the "Cub Care
program," when considering coverage eligibility or benefit
calculations for insureds and covered family members.

 
A. To the extent that payment for coverage expenses has
been made under the Medicaid program or the Cub Care program
for health care items or services furnished to an
individual, the State is considered to have acquired the
rights of the insured or family member to payment by the
insurer for those health care items or services. Upon
presentation of proof that the Medicaid program or the Cub
Care program has paid for covered items or services, the
insurer shall make payment to the Medicaid program or the
Cub Care program according to the coverage provided in the
contract or certificate.

 
B. An insurer may not impose requirements on a state agency
that has been assigned the rights of an individual eligible
for Medicaid or Cub Care coverage and covered by a
subscriber contract that are different from requirements
applicable to an agent or assignee of any other covered
individual.

 
Sec. 48. 24-A MRSA §2849-B, sub-§3, śC-1, as enacted by PL 1997, c. 777,
Pt. B, §6, is amended to read:

 
C-1. That person was covered by the Cub Care program under
Title 22, section 3174-R 3174-T, and the request for
replacement coverage is made while coverage is in effect or
within 30 days from the termination of coverage; or

 
Sec. 49. 24-A MRSA §6908, sub-§12, as enacted by PL 2005, c. 400, Pt.
A, §5, is reallocated to 12 MRSA §6908, sub-§13.


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