LD 28
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Page 3 of 4 PUBLIC Law Chapter 213 LD 28 Title Page
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LR 268
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specialist in adult or child and adolescent psychiatric and mental
health nursing. Payment or reimbursement for services rendered by
clinical social workers licensed in this State, licensed clinical
professional counselors licensed in this State, licensed marriage
and family therapists 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 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 in this State, a licensed
marriage and family therapist licensed in this State, a certified
social worker licensed to practice in this State, or a nurse
certified and 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 marriage
and family therapists licensed in this State, an insurer that
issues group health care contracts providing coverage for mental
health services shall make available 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 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. 3. Application. The requirements of this Act apply to all
policies, contracts and certificates executed, delivered, issued for
delivery, continued or renewed in this State on or after January 1, 2006.
For purposes of this Act, all contracts are deemed to be renewed no later
than the next yearly anniversary of the contract date.


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