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illness and may not be counted in the calculation of | | any maximum outpatient treatment visit limits. |
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| | | This subsection does not apply to policies, contracts and | | certificates covering employees of employers with 20 or fewer | | employees, whether the group policy is issued to the employer, | | to an association, to a multiple-employer trust or to another | | entity. |
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| | This subsection may not be construed to allow coverage and | benefits for the treatment of alcoholism or other drug | dependencies through the diagnosis of a mental illness listed | in paragraph A . |
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| | | Sec. 6. 24 MRSA §2325-A, sub-§5-D, as amended by PL 1995, c. 637, | | §2, is further amended to read: |
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| | | 5-D. Mandated offer of coverage for certain mental | | illnesses. Except as otherwise provided, coverage for medical | | or psychiatric treatment for mental illnesses listed in | | paragraph A by all individual and group nonprofit hospital and | medical services service organization health care plan | | contracts is subject to this subsection. |
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| | | A. All individual and group contracts must make available | | coverage providing, at a minimum, benefits according to | | paragraph B, subparagraph (1) for a person receiving | | medical or psychiatric treatment for any of the following | | mental illnesses diagnosed by a licensed allopathic or | osteopathic physician or, a licensed psychologist who is | | trained and has received a doctorate in psychology | specializing in the evaluation and treatment of human | behavior mental illness: |
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| | | (3) Pervasive developmental disorder, or autism; |
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| | | (6) Obsessive-compulsive disorder; or |
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| | | (7) Major depressive disorder. |
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| | B. Every nonprofit hospital and medical services service | | organization and nonprofit health care plan must make | | available coverage in all individual and group policies, | | contracts and certificates executed, delivered, issued for |
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