GroundRules
Browse New Mexico
Read the original sections, or search by topic.
- 59A-22B-4 · Duties of office; prescribing penalties.
- 59A-22B-5 · Prior authorization requirements.
- 59A-22B-6 · Prior authorization rescinding or modifying prohibited.
- 59A-22B-7 · Prior authorization or referral requirement for in-network mental health or substance use disorder services coverage prohibited.
- 59A-22B-8 · Prior authorization for prescription drugs or step therapy for certain conditions prohibited.
- 59A-23-1 · Scope of article.
- 59A-23-2 · Blanket health insurance.
- 59A-23-3 · Group health insurance.
- 59A-23-3.1 · Group insurance reports required.
- 59A-23-4 · Other provisions applicable.
- 59A-23-5 · Extended disability benefit.
- 59A-23-6 · Alcohol dependency coverage.
- 59A-23-6.1 · Coverage of alpha-fetoprotein IV screening test.
- 59A-23-6.2 · Prior authorization for gynecological or obstetrical ultrasounds prohibited.
- 59A-23-7 · Blanket or group health policy or certificate; provisions relating to individuals who are eligible for medical benefits under the medicaid program.
- 59A-23-7.1 · Reserved.
- 59A-23-7.2 · Coverage of children.
- 59A-23-7.3 · Maximum age of dependent.
- 59A-23-7.4 · Coverage of circumcision for newborn males.
- 59A-23-7.5 · Coverage of part-time employees.
- 59A-23-7.6 · Coverage of colorectal cancer screening.
- 59A-23-7.7 · General anesthesia and hospitalization for dental surgery.
- 59A-23-7.8 · Hearing aid coverage for children required.
- 59A-23-7.9 · Coverage for autism spectrum disorder diagnosis and treatment.
- 59A-23-7.10 · Coverage for orally administered anticancer medications; limits on patient costs.
- 59A-23-7.11 · Coverage of prescription eye drop refills.
- 59A-23-7.12 · Coverage for telemedicine services.
- 59A-23-7.13 · Prescription drugs; prohibited formulary changes; notice requirements.
- 59A-23-7.14 · Coverage for contraception.
- 59A-23-7.15 · Coverage exclusion. (Contingent repeal. See note.)
- 59A-23-7.16 · Heart artery calcium scan coverage.
- 59A-23-7.17 · Coverage for individuals with diabetes.
- 59A-23-7.18 · Biomarker testing coverage.
- 59A-23-8 · Group formed to purchase health insurance; limitations.
- 59A-23-9 · Repealed.
- 59A-23-10 · Employer utilization and loss data availability.
- 59A-23-11 · Private health insurance cooperatives; incorporation.
- 59A-23-12 · Prescription drug prior authorization protocols.
- 59A-23-12.1 · Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.
- 59A-23-12.2 · Pharmacist prescriptive authority services; reimbursement parity.
- 59A-23-12.3 · Calculating an insured's cost-sharing obligation for prescription drug coverage.
- 59A-23-13 · Pharmacy benefits; prescription synchronization.
- 59A-23-14 · Provider credentialing; requirements; deadline.
- 59A-23-15 · Physical rehabilitation services; limits on cost sharing.
- 59A-23-16 · Behavioral health services; elimination of cost sharing.
- 59A-23-17 · Anatomical gift nondiscrimination.
- 59A-23-18 · Diagnostic and supplemental breast examinations.
- 59A-23-19 · Chiropractic physician services; limits on cost sharing and coinsurance.
- 59A-23-20 · Employee leasing contractor group health plan requirements.
- 59A-23-21 · Sexually transmitted infection care; cost sharing eliminated.
- 59A-23-22 · Definitions.
- 59A-23-23 · Benefits required.
- 59A-23-24 · Parity for coverage of mental health or substance use disorder services.
- 59A-23-25 · Provider network adequacy.
- 59A-23-26 · Utilization review of mental health or substance use disorder services.
- 59A-23-27 · Prohibited exclusions of coverage for mental health or substance use disorder services.
- 59A-23-28 · Level of care determinations for the provision of mental health or substance use disorder services.
- 59A-23-29 · Coordination of care.
- 59A-23-30 · Confidentiality provisions.
- 59A-23-31 · Exceptions.
- 59A-23-32 · Medical necessity and nondiscrimination standards for coverage of prosthetic devices, custom orthotic devices or complex rehabilitation technology devices.
- 59A-23A-1 · Short title.
- 59A-23A-2 · Purpose.
- 59A-23A-3 · Scope.
- 59A-23A-4 · Definitions.
- 59A-23A-5 · Extraterritorial jurisdiction; group long-term care insurance.
- 59A-23A-6 · Long-term care insurance; standards; requirements.
- 59A-23A-7 · Preexisting condition; definition; coverage.
- 59A-23A-8 · Incontestability period.
- 59A-23A-9 · Authority to promulgate regulations.
- 59A-23A-10 · Penalties.
- 59A-23A-11 · Filing requirements for advertising.
- 59A-23A-12 · Medicaid long-term care partnership program; certification of policies; rulemaking.
- 59A-23A-13 · Licensed producers; qualified state long-term care partnership program; disclosures
- 59A-23B-1 · Repealed.
- 59A-23B-2 · Repealed.
- 59A-23B-3 · Repealed.
- 59A-23B-4 · Repealed.
- 59A-23B-5 · Repealed.
- 59A-23B-6 · Repealed.
- 59A-23B-7 · Repealed.
- 59A-23B-8 · Repealed.
- 59A-23B-9 · Repealed.
- 59A-23B-10 · Repealed.
- 59A-23B-10.1 · Reserved.
- 59A-23B-10.2 · Repealed.
- 59A-23B-11 · Repealed.
- 59A-23B-12 · Repealed.
- 59A-23C-1 · Short title.
- 59A-23C-2 · Purpose of act.
- 59A-23C-3 · Definitions.
- 59A-23C-4 · Health insurance plans subject to the Small Group Rate and Renewability Act.
- 59A-23C-5 · Repealed.
- 59A-23C-5.1 · Adjusted community rating.
- 59A-23C-6 · Provisions on renewability of coverage.
- 59A-23C-7 · Disclosure of rating practices and renewability provisions.
- 59A-23C-7.1 · Repealed.
- 59A-23C-8 · Maintenance of records.
- 59A-23C-8.1 · Employer utilization and loss data availability.
- 59A-23C-9 · Discretion of the superintendent.