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Bill > SB273


NM SB273

NM SB273
Health Insurance Mental Health Coverage


summary

Introduced
01/30/2023
In Committee
03/15/2023
Crossed Over
03/06/2023
Passed
03/17/2023
Dead
Signed/Enacted/Adopted
04/04/2023

Introduced Session

2023 Regular Session

Bill Summary

AN ACT RELATING TO HEALTH COVERAGE; ENACTING SECTIONS OF THE HEALTH CARE PURCHASING ACT AND THE NEW MEXICO INSURANCE CODE TO PROHIBIT INSURERS FROM APPLYING LIMITATIONS ON COVERAGE FOR MENTAL HEALTH OR SUBSTANCE USE DISORDER SERVICES THAT ARE MORE RESTRICTIVE THAN LIMITATIONS ON COVERAGE FOR OTHER TYPES OF HEALTH CARE SERVICES; PROVIDING FOR INSURER COMPLIANCE.

AI Summary

This bill: Enacts new sections of the Health Care Purchasing Act, the New Mexico Insurance Code, the Health Maintenance Organization Law, and the Nonprofit Health Care Plan Law to prohibit insurers from applying more restrictive limitations, financial restrictions, or requirements on coverage for mental health or substance use disorder services compared to other types of health care services. It requires insurers to maintain adequate provider networks, apply criteria based on generally recognized standards of care for utilization review, and ensure parity between mental health/substance use disorder services and medical/surgical benefits. The bill also prohibits exclusions of provider-prescribed mental health or substance use disorder services in certain circumstances and establishes requirements for level of care determinations and coordination of care.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (3)

Last Action

Signed by Governor - Chapter 114 - Apr. 4 (on 04/04/2023)

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