summary
Introduced
01/20/2017
01/20/2017
In Committee
02/05/2017
02/05/2017
Crossed Over
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 and group health insurance policies, health care plans, health maintenance organizations, and nonprofit health care plans to establish clinical review criteria for any step therapy protocols used, based on specific criteria. The bill also requires these plans to have a clear and accessible process for patients and their practitioners to request exceptions to step therapy protocols in certain circumstances, and it prohibits these plans from denying exceptions that meet the specified criteria. The provisions of the bill apply to plans delivered, issued, or renewed on or after January 1, 2018.
Committee Categories
Budget and Finance, Government Affairs, Transportation and Infrastructure
Sponsors (3)
Last Action
[LD 20] Referred to Senate Finance (on 02/05/2017)
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=S&legtype=B&legno=179&year=17 |
| BillText | http://www.nmlegis.gov/Sessions/17%20Regular/bills/senate/SB0179.pdf |
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