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ROBERT L. EHRLICH, JR., Governor
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Ch. 44
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Error: Incorrect word usage in § 19-4A-01(b)(4) of the Health - General
Article.
Occurred: Ch. 529, § 1, Acts of 1990.
19-703.1.
(b) (2) It shall not be considered to be discriminatory under paragraph (1) of
this subsection if at least the following benefits are provided:
(iii) With respect to outpatient coverage, other than for inpatient or
partial hospitalization services, benefits for covered expenses arising from services,
including psychological and neuropsychological testing for diagnostic purposes, which
are rendered to treat mental illness, emotional disorders, drug [abuse] ABUSE, and
alcohol abuse shall be at a rate which is, after the applicable deductible, not less than:
1. 80 percent for the first 5 visits in any calendar year or
benefit period of not more than 12 months;
2. 65 percent for the 6th through 30th visit in any calendar
year or benefit period of not more than 12 months; and
3. 50 percent for the 31st visit and any visit after the 31st
visit in any calendar year or benefit period of not more than 12 months.
(c) (1) The benefits under this section shall be required only for expenses
arising for treatment of mental illnesses, emotional disorders, drug [abuse] ABUSE,
and alcohol abuse which in the professional judgment of practitioners is medically
necessary and treatable.
(2) The benefits required under this section shall be provided as one set
of benefits covering mental illnesses, emotional disorders, drug [abuse] ABUSE, and
alcohol abuse.
(d) Notwithstanding the provisions of subsection (b)(2)(i)1 of this section, until
July 1, 1995, a contract or certificate that is subject to this section that offers less
than 60 days coverage for inpatient care for health care for physical illness must only
include coverage for mental illness, emotional disorders, drug [abuse] ABUSE, and
alcohol abuse that is at least equal to the benefit offered for those other types of
health care. On and after July 1, 1995, the provisions of subsection (b)(2)(i)2 of this
section shall apply.
DRAFTER'S NOTE:
Error: Omitted comma in § 19-703.l(b)(2)(iii), (c)(1) and (2), and (d) of
the Health — General Article.
Occurred: Ch. 2, § 2, Acts of 1994.
19-706.1.
(d) (2) Before taking any action under [subparagraph (ii) of paragraph (1)]
PARAGRAPH (1)(II) of this subsection, the Commissioner shall consider:
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