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