LD 812
pg. 1
LD 812 Title Page An Act to Provide Insurance Parity for Substance Abuse Treatment Page 2 of 2
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LR 1810
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24 MRSA §2329, sub-§3, as enacted by PL 1983, c. 527, §1, is
amended to read:

 
3. Requirement. Every A nonprofit hospital or medical
service organization which that issues individual and 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 the treatment of alcoholism and other drug
dependency pursuant to a treatment plan.

 
Sec. 2. 24 MRSA §2329, sub-§4, as enacted by PL 1983, c. 527, §1, is
repealed.

 
Sec. 3. 24 MRSA §2329, sub-§4-A is enacted to read:

 
4-A.__Parity coverage.__An individual and group contract must
provide, at a minimum, benefits for the treatment of alcoholism
and other drug dependency, including benefits for residential
treatment and outpatient care, under terms and conditions that
are no less extensive than the benefits provided for medical
treatment for physical illness.__At the request of a nonprofit
hospital or medical service organization, a provider of treatment
for alcoholism or other drug dependency shall furnish data
substantiating that the initial or continued treatment is
medically necessary and appropriate pursuant to a treatment plan.

 
Sec. 4. 24 MRSA §2329, sub-§5, as amended by PL 1989, c. 490, §2, is
repealed.

 
Sec. 5. 24 MRSA §2329, sub-§7, as enacted by PL 1983, c. 527, §1, is
amended to read:

 
7. Notice. At the time of delivery or renewal, the nonprofit
hospital or medical service organization shall provide written
notification to all individuals eligible for benefits under
individual and group policies or contracts of these the
alcoholism and drug dependency benefits provided under this
section.

 
Sec. 6. 24 MRSA §2329, sub-§9, as enacted by PL 1983, c. 527, §1, is
amended to read:

 
9. Reports to superintendent. Every A nonprofit hospital or
medical service organization subject to this section shall report
its experience for each calendar year beginning with 1984 to the
superintendent not later than April 30th of the following year.
The report shall must be in a form prescribed by the


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