summary
Introduced
01/19/2017
01/19/2017
In Committee
02/12/2017
02/12/2017
Crossed Over
01/26/2017
01/26/2017
Passed
Dead
03/18/2017
03/18/2017
Introduced Session
2017 Regular Session
Bill Summary
AN ACT RELATING TO HEALTH COVERAGE; ENACTING NEW SECTIONS OF THE HEALTH CARE PURCHASING ACT, THE PUBLIC ASSISTANCE ACT, THE NEW MEXICO INSURANCE CODE, THE HEALTH MAINTENANCE ORGANIZATION LAW AND THE NONPROFIT HEALTH CARE PLAN LAW TO ESTABLISH GUIDELINES RELATING TO STEP THERAPY FOR PRESCRIPTION DRUG COVERAGE.
AI Summary
This bill establishes guidelines relating to step therapy for prescription drug coverage. It requires group health plans, medical assistance plans, individual health insurance policies, group or blanket health insurance policies, health maintenance organization contracts, and nonprofit health care plan contracts to establish clinical review criteria for any step therapy protocols used, based on specific clinical practice guidelines. The bill also provides a clear, readily accessible process for enrollees, insureds, and recipients to request an exception to a step therapy protocol. The bill's provisions apply to plans delivered, issued for delivery, or renewed on or after January 1, 2018.
Committee Categories
Budget and Finance, Justice, Transportation and Infrastructure
Sponsors (1)
Last Action
[LD 27] Referred to Senate Finance (on 02/12/2017)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legtype=B&legno=244&year=17 |
| BillText | http://www.nmlegis.gov/Sessions/17%20Regular/bills/house/HB0244.pdf |
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