{"data":{"id":"us-nm/59a-47-45.7","jurisdiction":"us-nm","citation":"59A-47-45.7","heading":"Heart artery calcium scan coverage.","body":"A. A group health care plan, other than a small group health care plan, that is delivered, issued for delivery or renewed in this state shall provide coverage for eligible subscribers to receive a heart artery calcium scan.\nB. Coverage provided pursuant to this section shall:\n(1) be limited to the provision of a heart artery calcium scan to an eligible subscriber to be used as a clinical management tool;\n(2) be provided every five years if an eligible subscriber has previously received a heart artery calcium score of zero; and\n(3) not be required for future heart artery calcium scans if an eligible subscriber receives a heart artery calcium score greater than zero.\nC. At its discretion or as required by law, a health care plan may offer or refuse coverage for further cardiac testing or procedures for eligible subscribers based upon the results of a heart artery calcium scan.\nD. The provisions of this section do not apply to short-term travel, accident-only or limited or specified- disease policies, plans or certificates of health insurance.\nE. As used in this section:\n(1) \"eligible subscriber\" means a subscriber who:\n(a) is a person between the ages of forty-five and sixty-five; and\n(b) has an intermediate risk of developing coronary heart disease as determined by a health care provider based upon a score calculated from an evidence-based algorithm widely used in the medical community to assess a person's ten-year cardiovascular disease risk, including a score calculated using a pooled cohort equation;\n(2) \"health care provider\" means a physician, physician assistant, nurse practitioner or other health care professional authorized to furnish health care services within the scope of the professional's license; and\n(3) \"heart artery calcium scan\" means a computed tomography scan measuring coronary artery calcium for atherosclerosis and abnormal artery structure and function.","path":["Chapter 59A - Insurance Code","ARTICLE 47 Nonprofit Health Care Plans"],"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":"a59ed74a5160c51502dc6d47ae8c8784ee1ebcc51140c9c160584a473b70e752","source_id":"us-nm","stale":false,"prev":"us-nm/59a-47-45.6","next":"us-nm/59a-47-45.8"},"notice":"GroundRules: Original legal text. Not legal advice."}