{"data":{"id":"us-nm/59a-54-7.1","jurisdiction":"us-nm","citation":"59A-54-7.1","heading":"Prescription drug program; cost-sharing.","body":"A. The board may establish a prescription drug program, in whole or in part, including a pilot or phase-in program, to offer selected eligible persons the ability to purchase prescription drugs. The board may establish varying levels of eligibility and cost-sharing criteria as needed for selected eligible persons and, if established, shall ensure that cost-containment mechanisms are included in the program.\nB. The board may establish the cost-sharing amounts payable by a person enrolled in the prescription drug program, including the premium, deductible, coinsurance, co-payment and other out-of-pocket expenses.\nC. If the board establishes a prescription drug program, the board shall establish the assessments pursuant to Section 59A-54-10 NMSA 1978.\nD. If the board establishes a prescription drug program, the assessment for a pool member shall be determined in the same manner as provided in this section provided that a pool member shall be allowed a fifty percent credit for the prescription drug program assessment on the premium tax return for that member.\nE. The board may issue a pool prescription drug program benefit policy for a person who is over the age of sixty-five and unable to purchase or is ineligible for a similar prescription drug program. The board may issue a pool prescription drug program benefit policy for a person who is eligible for a state-funded or state-operated low-income pharmacy benefit program.\nF. If the board establishes a prescription drug program, the board shall cooperate with other state and federal prescription drug initiatives.","path":["Chapter 59A - Insurance Code","ARTICLE 54 Medical Insurance Pool"],"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":"05be17a09451f7a161ce0f3cc242b9af786311954205fdb34b3d36f92b15db40","source_id":"us-nm","stale":false,"prev":"us-nm/59a-54-7","next":"us-nm/59a-54-7.2"},"notice":"GroundRules: Original legal text. Not legal advice."}