GroundRules
Browse New Mexico
Read the original sections, or search by topic.
- 59A-46-63 · Parity for coverage of mental health or substance use disorder services.
- 59A-46-64 · Provider network adequacy.
- 59A-46-65 · Utilization review of mental health or substance use disorder services.
- 59A-46-66 · Prohibited exclusions of coverage for mental health or substance use disorder services.
- 59A-46-67 · Level of care determinations for the provision of mental health or substance use disorder services.
- 59A-46-68 · Coordination of care.
- 59A-46-69 · Confidentiality provisions.
- 59A-46-70 · Exceptions.
- 59A-46-71 · Biomarker testing coverage.
- 59A-46-72 · Medical necessity and nondiscrimination standards for coverage of prosthetic devices, custom orthotic devices or complex rehabilitation technology devices.
- 59A-47-1 · Short title.
- 59A-47-2 · Purpose; exemptions.
- 59A-47-3 · Definitions.
- 59A-47-4 · Organization; profit corporations prohibited; merger and consolidation of health care plans.
- 59A-47-5 · Qualifications for health care plan authority.
- 59A-47-6 · Preliminary permit for solicitations.
- 59A-47-7 · Escrow of preliminary premiums.
- 59A-47-8 · Certificate of authority required; application and conditions; exceptions.
- 59A-47-9 · Issuance and denial of initial certificate of authority.
- 59A-47-10 · Trust deposit.
- 59A-47-11 · Expiration, continuance of certificate of authority.
- 59A-47-12 · Suspension, revocation or refusal to continue certificate of authority.
- 59A-47-13 · Service of process; superintendent as attorney.
- 59A-47-14 · Annual statement.
- 59A-47-15 · Assets.
- 59A-47-16 · Reserves.
- 59A-47-17 · Examination.
- 59A-47-18 · Investments.
- 59A-47-19 · Limitation upon acquisition and administration expenses.
- 59A-47-20 · Conflicts of interest as to certain transactions.
- 59A-47-21 · Joint coverage, reinsurance.
- 59A-47-22 · Transfer of subscribership.
- 59A-47-23 · Subscriber contracts; coverage period.
- 59A-47-24 · Subscriber contracts; requirements and provisions.
- 59A-47-25 · Subscriber contracts; filing, approval.
- 59A-47-26 · Premium rates; filing and approval.
- 59A-47-27 · Coverage for newly born children, maternity transport, home health care.
- 59A-47-27.1 · Coverage of circumcision for newborn males.
- 59A-47-28 · Coverage for service of chiropractor.
- 59A-47-28.1 · Coverage for service of certified nurse-midwives and registered lay midwives.
- 59A-47-28.2 · Doctor of oriental medicine discrimination prohibited.
- 59A-47-28.3 · Provider discrimination prohibited.
- 59A-47-28.4 · Coverage for collaborative practice; dental therapists; dental hygienists.
- 59A-47-29 · Settlement of disputes; appeal.
- 59A-47-30 · Licensed insurance producers required; qualifications, licensing procedures and conditions.
- 59A-47-31 · Rehabilitation, liquidation or dissolution.
- 59A-47-32 · Unauthorized contract or adjustment transactions; penalty.
- 59A-47-33 · Other provisions applicable.
- 59A-47-34 · Continuation of coverage and conversion rights; health care plans.
- 59A-47-35 · Alcohol dependency coverage.
- 59A-47-36 · Nonprofit health care plans; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program.
- 59A-47-37 · Coverage of children.
- 59A-47-37.1 · Hearing aid coverage for children required.
- 59A-47-38 · Coverage for medical diets for genetic inborn errors of metabolism.
- 59A-47-39 · Employer utilization and loss experience availability.
- 59A-47-40 · Maximum age of dependent.
- 59A-47-41 · Coverage of alpha-fetoprotein IV screening test.
- 59A-47-41.1 · Prior authorization for gynecological or obstetrical ultrasounds prohibited.
- 59A-47-42 · Coverage of part-time employees.
- 59A-47-43 · Coverage of colorectal cancer screening.
- 59A-47-44 · General anesthesia and hospitalization for dental surgery.
- 59A-47-45 · Coverage for autism spectrum disorder diagnosis and treatment.
- 59A-47-45.1 · Coverage for orally administered anticancer medications; limits on patient costs.
- 59A-47-45.2 · Coverage of prescription eye drop refills.
- 59A-47-45.3 · Coverage for telemedicine services.
- 59A-47-45.4 · Prescription drugs; prohibited formulary changes; notice requirements.
- 59A-47-45.5 · Coverage for contraception.
- 59A-47-45.6 · Coverage exclusion. (Contingent repeal. See note.)
- 59A-47-45.7 · Heart artery calcium scan coverage.
- 59A-47-45.8 · Coverage for individuals with diabetes.
- 59A-47-45.9 · Biomarker testing coverage.
- 59A-47-45.10 · Calculating a subscriber's cost-sharing obligation for prescription drug coverage.
- 59A-47-46 · Repealed.
- 59A-47-47 · Prescription drug prior authorization protocols.
- 59A-47-47.1 · Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.
- 59A-47-47.2 · Pharmacist prescriptive authority services; reimbursement parity.
- 59A-47-48 · Pharmacy benefit; prescription synchronization.
- 59A-47-49 · Provider credentialing; requirements; deadline.
- 59A-47-50 · Physical rehabilitation services; limits on cost sharing.
- 59A-47-51 · Behavioral health services; elimination of cost sharing.
- 59A-47-52 · Anatomical gift nondiscrimination.
- 59A-47-53 · Diagnostic and supplemental breast examinations.
- 59A-47-54 · Chiropractic physician services; limits on cost sharing and coinsurance.
- 59A-47-55 · Sexually transmitted infection care; cost sharing eliminated.
- 59A-47-56 · Definitions.
- 59A-47-57 · Benefits required.
- 59A-47-58 · Parity for coverage of mental health or substance use disorder services.
- 59A-47-59 · Provider network adequacy.
- 59A-47-60 · Utilization review of mental health or substance use disorder services.
- 59A-47-61 · Prohibited exclusions of coverage for mental health or substance use disorder services.
- 59A-47-62 · Level of care determinations for the provision of mental health or substance use disorder services.
- 59A-47-63 · Coordination of care.
- 59A-47-64 · Confidentiality provisions.
- 59A-47-65 · Exceptions.
- 59A-47-66 · Medical necessity and nondiscrimination standards for coverage of prosthetic devices, custom orthotic devices or complex rehabilitation technology devices.
- 59A-48-1 · Short title.
- 59A-48-2 · Definitions.
- 59A-48-3 · Certificate of authority required.
- 59A-48-4 · Application for certificate of authority.
- 59A-48-5 · Issuance of certificate of authority.