{"data":{"id":"us-nm/59a-46-56","jurisdiction":"us-nm","citation":"59A-46-56","heading":"Physical rehabilitation services; limits on cost sharing.","body":"A. An individual or group health maintenance contract that is delivered, issued for delivery or renewed in this state shall not impose a member cost share for physical rehabilitation services that is greater than that for primary care services on a coinsurance percentage basis when coinsurance is applied or on an absolute dollar amount when a copay is applied.\nB. As used in this section:\n(1) \"physical rehabilitation services\" means services aimed at maximizing an individual's level of function, returning to a prior level of function or maintaining or slowing the decline of function, which services are provided by or under the direction of a licensed physical therapist, occupational therapist or speech therapist; and\n(2) \"primary care services\" means the first level of basic or general health care for a person's health needs, including diagnostic and treatment services, initiation of referrals for other health care services and maintenance of the continuity of care when appropriate.","path":["Chapter 59A - Insurance Code","ARTICLE 46 Health Maintenance Organizations"],"source_url":"https://nmonesource.com/nmos/nmsa-unanno/en/item/18562/index.do","current_through":"2026-07-01","vintage":"","retrieved_at":"2026-09-03T15:02:20Z","sha256":"9ce8e1d30a22f576da8985ded5917342d8c4e9b2ba4181c3112a14ff2c21c250","source_id":"us-nm","stale":false,"prev":"us-nm/59a-46-55","next":"us-nm/59a-46-57"},"notice":"GroundRules: Original legal text. Not legal advice."}