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ME LD1589

Bill

Status

Failed

5/28/2025

Primary Sponsor

Lydia Crafts

Click for details

Origin

House of Representatives

132nd Legislature

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

Committee Referrals

Health Coverage, Insurance and Financial Services4/10/2025

Full Bill Text

No bill text available