Bill > HB260

This bill aims to improve mental health and substance use disorder coverage in New Mexico. Key provisions include: - Defining "generally recognized standards" for mental health and substance use disorder services, based on evidence-based sources and professional guidelines. - Requiring group health plans, health maintenance organizations, and nonprofit health care plans to cover all mental health and substance use disorder services that meet generally recognized standards of care. - Prohibiting health insurers from imposing more restrictive treatment limitations, financial restrictions, or requirements on mental health/substance use disorder services compared to medical/surgical benefits. - Mandating that insurers maintain adequate provider networks and set reimbursement rates for mental health/substance use disorder services at parity with medical/surgical services. - Specifying standards for utilization review, prohibiting exclusions of coverage, and requiring coordination of care between mental health/substance use disorder providers and primary care. The bill also appropriates $1.5 million to the Office of Superintendent of Insurance to hire staff to regulate, monitor compliance, and enforce these new requirements.

Health and Social Services

https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legtype=B&legno=260&year=23