Loading chat...
ME LD1589
Bill
Status
5/28/2025
Primary Sponsor
Lydia Crafts
Click for details
AI Summary
-
Requires insurers and HMOs providing mental health coverage to reimburse outpatient counseling services at minimum 150% of MaineCare rates when provided by licensed master social workers, clinical social workers, clinical professional counselors, pastoral counselors, or marriage and family therapists
-
Prohibits insurers from discriminating against licensed counseling professionals or arbitrarily reducing reimbursement rates based solely on the type of professional license held
-
Eliminates prior authorization and referral requirements for outpatient counseling services, banning any access restrictions that lack a clinical basis
-
Mandates insurers maintain adequate networks of licensed counseling professionals to ensure reasonable patient access to outpatient services
-
Applies to all individual and group health policies executed, delivered, or renewed on or after January 1, 2026
Legislative Description
An Act to Improve Parity in Insurance Coverage for Outpatient Counseling Services in Maine
Insurance
Last Action
Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD)
5/28/2025