Bill > SB278

This bill amends several sections of New Mexico law to improve coverage for coronary artery calcium screening, a medical imaging test that measures calcium buildup in heart arteries to assess cardiovascular disease risk. The bill requires group health insurance plans, medical assistance programs, and health maintenance organizations to cover coronary artery calcium screenings without cost sharing (meaning no deductibles, copayments, or coinsurance) for patients. The screening can be performed at a healthcare provider's discretion as a clinical management tool, with coverage provided every four years if the previous screening showed zero calcium score. The bill removes previous restrictions that limited screenings to people aged 45-65 with intermediate cardiovascular risk, effectively broadening eligibility. Additionally, the bill clarifies that no further screenings are required if a patient receives a calcium score greater than zero. The provisions will apply to health insurance policies delivered or renewed on or after January 1, 2026, giving insurers time to adjust their coverage. The changes aim to make this preventive cardiovascular screening more accessible and affordable for New Mexico residents.

Health and Social Services

https://www.nmlegis.gov/Legislation/Legislation?chamber=S&legtype=B&legno=278&year=25