Bill > SB508

This bill mandates comprehensive health insurance coverage for sexual, reproductive, and gender-affirming healthcare services across various types of health plans in New Mexico. Specifically, the bill requires group health coverage, health maintenance organizations, and health care plans to provide coverage without cost-sharing for preventive services, contraception, abortion care, and gender-affirming care. Key provisions include eliminating cost-sharing for a wide range of contraceptive methods (including over-the-counter options), ensuring coverage for a full 12-month supply of contraceptives, and establishing special enrollment periods for pregnant individuals who are currently uninsured. The bill defines gender-affirming care as medical procedures or services prescribed to address incongruence between an individual's gender identity and sex assigned at birth. For high-deductible health plans, these provisions will take effect after the insured's deductible is met. The bill applies to various types of health insurance contracts, including group and individual plans, and allows for some exceptions for religious entities. Importantly, the bill seeks to remove barriers to accessing reproductive and gender-affirming healthcare by eliminating prior authorization requirements, reducing cost barriers, and expanding coverage options. The provisions will become effective on January 1, 2026, giving health insurance providers time to implement the new requirements.

Budget and Finance

https://www.nmlegis.gov/Legislation/Legislation?chamber=S&legtype=B&legno=508&year=25