Bill > HB107

This bill enacts new sections in several state laws to provide covered persons with parity of access and payment between participating mail-order pharmacies and participating community pharmacies. The key provisions are: - Group health plans, individual/group health insurance policies, health maintenance organization contracts, and health care plans must permit any licensed pharmacy or pharmacist in the state to participate as a participating community pharmacy or participating mail-order pharmacy if they agree to the plan's terms. Enrollees/insureds can fill covered prescriptions at any participating pharmacy. - Plans cannot impose different copayments, coinsurance, or other conditions on enrollees/insureds who choose to fill prescriptions at a participating community pharmacy versus a participating mail-order pharmacy. - Plans cannot require enrollees/insureds to purchase pharmacy services, including prescription drugs, exclusively through a mail-order pharmacy. - The bill defines "participating community pharmacy" and "participating mail-order pharmacy" based on factors like agreeing to the plan's contracted payment rate and not having recent convictions or settlements related to fraud, waste, or abuse.

Budget and Finance, Health and Social Services, Justice

https://www.nmlegis.gov/lcs/legislation.aspx?chamber=H&legtype=B&legno=107&year=21