Bill > HB112

This bill establishes limitations on health coverage and provider contract changes. Key provisions include: 1. Restricting health plans from making certain changes to prescription drug coverage, such as reclassifying drugs to a higher tier, increasing cost-sharing, or removing drugs from the formulary, less than 90 days before the start of a plan year or during the current plan year. 2. Requiring health plans to provide enrollees with clear information about their drug formularies and how they are managed. 3. Prohibiting health plans from modifying or rescinding provider contracts during the plan year. Plans must execute new provider contracts no sooner than 90 days before the start of the plan year. 4. Allowing plans to execute new provider contracts during the plan year, but requiring those contracts to terminate by the end of that plan year. The goal of the bill is to provide more stability and predictability around health coverage and provider networks for consumers.

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https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legtype=B&legno=112&year=17