Bill > HB233

This bill amends multiple sections of the New Mexico Insurance Code to expand and standardize coverage for individuals with diabetes across different types of health insurance plans, with a specific focus on equipment and treatment for diabetic foot ulcers. The bill requires health insurance providers to cover a comprehensive range of diabetes-related medical equipment and supplies, including blood glucose monitors, test strips, insulin, injection aids, and podiatric appliances. Notably, the legislation explicitly adds medically necessary treatment of active diabetic foot ulcers, including topical oxygen therapy, as a required benefit. The bill also imposes several new requirements on insurers, such as maintaining an adequate network of medical equipment suppliers, guaranteeing timely reimbursement for out-of-pocket expenses within 30 days, and submitting quarterly reports to the state superintendent detailing their compliance with these provisions. Additionally, the bill limits prior authorization requirements for diabetes-related treatments and equipment, ensuring patients have more streamlined access to necessary medical care. The provisions will take effect on January 1, 2026, and apply to various types of health insurance plans, including individual and group policies, health maintenance organizations, and health care plans.

Budget and Finance, Health and Social Services

https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legtype=B&legno=233&year=25