Bill

Bill > HB527


NM HB527

NM HB527
Insurance Coverage For Medical Cannabis Costs


summary

Introduced
02/20/2025
In Committee
03/05/2025
Crossed Over
Passed
Dead
03/22/2025

Introduced Session

2025 Regular Session

Bill Summary

AN ACT RELATING TO INSURANCE; ENACTING NEW SECTIONS OF THE HEALTH CARE PURCHASING ACT, THE PUBLIC ASSISTANCE ACT AND THE NEW MEXICO INSURANCE CODE TO REQUIRE COVERAGE FOR AN ADEQUATE SUPPLY OF MEDICAL CANNABIS TO TREAT DEBILITATING CONDITIONS OF QUALIFIED PATIENTS; PROVIDING FOR DIRECT PAYMENT TO CANNABIS RETAILERS OR REIMBURSEMENT TO QUALIFIED PATIENTS.

AI Summary

This bill mandates insurance coverage for medical cannabis for patients with debilitating medical conditions across various healthcare plans in New Mexico. The bill requires group health coverage, medical assistance programs, health insurance policies, health maintenance organizations, and nonprofit health care plans to provide coverage for medical cannabis that is consistent with standard medication coverage for treating specific debilitating conditions. Patients must be qualified, meaning they are New Mexico residents holding a registry identification card, and must obtain cannabis from an approved retailer. The coverage includes an "adequate supply" defined as a three-month quantity of cannabis from an in-state source. Insurers can either reimburse patients directly after claim submission or pay cannabis retailers directly. The bill defines an extensive list of qualifying medical conditions, including cancer, multiple sclerosis, epilepsy, PTSD, chronic pain, and several other specific health conditions. The comprehensive definitions cover various forms of cannabis products and establish clear guidelines for cost-sharing, copayments, and reimbursement processes. The provisions will take effect on January 1, 2026, giving healthcare providers and insurers time to prepare for implementation.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Action Postponed Indefinitely (on 03/05/2025)

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