) The full range of personal health services is covered to include prevention, screening, annual health assessment, diagnosis and treatment of illness, both in and out of hospitals, extended care, medical rehabilitation, medically justified nursing home care and care provided in an organized home care program.

(b) A nominal charge for prescription drugs for the treatment of all illnesses.

(c) No payments shall be made for custodial or residential care. Payments may be made for medical and nursing services performed in custodial or residential living arrangements.

(d) Enrollees of any health maintenance organization may seek medical services outside their health maintenance organization, or services in addition to the scope of benefits set forth in this Chapter; provided, however, that such enrollees shall be strictly and solely liable for any such services requested and received. Such enrollee liability shall include but is not limited

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to those benefits specifically excluded in this Chapter pursuant to Article 4, and such extra medical care is not reimbursable under approved prepaid plans.

(e) All charges resulting from an emergency while an enrollee is off- island shall be reimbursable to the enrollee or their closest living heir.

(f) The Commission shall establish the benefits and limits of liability to be provided by this personal health service program.

SOURCE: GC § 9990.20.