Sat Mar 8 5:07PM - 13 days, 17 hours left in session
| Sponsors | ||
|---|---|---|
| Rep. Jenifer Jones | 32 | Doña Ana, Hidalgo & Luna |
| Rep. Elizabeth "Liz" Thomson | 24 | Bernalillo |
| Rep. Joshua N. Hernandez | 60 | Sandoval |
| Status | |||
|---|---|---|---|
| HHHC | 🗓 Mon Mar 10 | 8:30 AM | Room 307 |
| HGEIC | |||
This is the official nmlegis action history. I'm doing my best to translate the LONG/WEIRD-STRING to something less gibberishy. And before you ask, no, the "Legis Day" number has no mapping to the real world.
Actions: [8] HHHC/HGEIC-HHHC
| Legis Day | Action | Details |
|---|---|---|
| 8 | referred | HHHC/HGEIC |
| 8 | sent | HHHC |
This table shows bill actions detected on Ed's system, using heuristics that may not be 100% accurate and which may not reflect the "official" nmlegis chronology. It is probably more than you care to know.
| Feb 20 | filed: Prior Authorization Act |
| [new] | |
| sent to HHHC | |
| title: 'Prior Authorization Act' -> 'Prior Authorization Requirement Changes' | |
| actions: 'HPREF' -> '[8] HHHC/HGEIC-HHHC' | |
| new sponsor: Jenifer Jones | |
| new sponsor: Elizabeth "Liz" Thomson | |
| new sponsor: Joshua N. Hernandez | |
| Mar 6 | added to HHHC agenda on Mon Mar 10, 08:30 |
HOUSE BILL 570
57th legislature - STATE OF NEW MEXICO - first session, 2025
INTRODUCED BY
Jenifer Jones and Elizabeth "Liz" Thomson
and Joshua N. Hernandez
AN ACT
RELATING TO INSURANCE; AMENDING AND ENACTING SECTIONS OF THE PRIOR AUTHORIZATION ACT TO PROHIBIT THE IMPOSITION OF PRIOR AUTHORIZATION REQUIREMENTS FOR CERTAIN COVERED SERVICES AND PRESCRIPTION MEDICATION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1. Section 59A-22B-1 NMSA 1978 (being Laws 2019, Chapter 187, Section 3) is amended to read:
"59A-22B-1. SHORT TITLE.--[Sections 3 through 7 of this act] Chapter 59A, Article 22B NMSA 1978 may be cited as the "Prior Authorization Act"."
SECTION 2. A new section of the Prior Authorization Act is enacted to read:
"[NEW MATERIAL] PRIOR AUTHORIZATION FOR CHEMOTHERAPY SERVICES PROHIBITED.--
A. A health insurer shall not require prior authorization for covered chemotherapy services.
B. A health insurer may require a health care provider to provide notification to the health insurer after the initiation of chemotherapy services.
C. A health insurer may require a health care provider to develop and submit a treatment plan for a covered person receiving chemotherapy services in a manner that is compliant with federal law."
SECTION 3. A new section of the Prior Authorization Act is enacted to read:
"[NEW MATERIAL] PRIOR AUTHORIZATION FOR DIALYSIS SERVICES PROHIBITED.--
A. A health insurer shall not require prior authorization for covered dialysis services.
B. A health insurer may require a health care provider to provide notification to the health insurer after the initiation of dialysis services.
C. A health insurer may require a health care provider to develop and submit a treatment plan for a covered person receiving dialysis services in a manner that is compliant with federal law."
SECTION 4. A new section of the Prior Authorization Act is enacted to read:
"[NEW MATERIAL] PRIOR AUTHORIZATION FOR ELDER CARE SERVICES PROHIBITED.--
A. A health insurer shall not require prior authorization for covered elder care services.
B. A health insurer may require a health care provider to provide notification to the health insurer after the initiation of elder care services.
C. A health insurer may require a health care provider to develop and submit a treatment plan for a covered person receiving elder care services in a manner that is compliant with federal law."
SECTION 5. A new section of the Prior Authorization Act is enacted to read:
"[NEW MATERIAL] PRIOR AUTHORIZATION FOR HOME HEALTH CARE SERVICES PROHIBITED.--
A. A health insurer shall not require prior authorization for covered home health care services. B. A health insurer may require a health care provider to provide notification to the health insurer after the initiation of home health care services.
C. A health insurer may require a health care provider to develop and submit a treatment plan for a covered person receiving home health care services in a manner that is compliant with federal law."
SECTION 6. Section 59A-22B-8 NMSA 1978 (being Laws 2023, Chapter 114, Section 13, as amended) is amended to read:
"59A-22B-8. PRIOR AUTHORIZATION FOR PRESCRIPTION DRUGS OR STEP THERAPY FOR CERTAIN CONDITIONS PROHIBITED.--
A. Coverage for medication approved by the federal food and drug administration that is prescribed for the treatment of an autoimmune disorder, cancer, diabetes, high blood pressure or a substance use disorder, pursuant to a medical necessity determination, shall not be subject to prior authorization, except in cases in which a biosimilar, interchangeable biologic or generic version is available.
B. A health insurer shall not impose step therapy requirements before authorizing coverage for medication approved by the federal food and drug administration that is prescribed for the treatment of an autoimmune disorder, cancer, diabetes, high blood pressure or a substance use disorder, pursuant to a medical necessity determination, except in cases in which a biosimilar, interchangeable biologic or generic version is available."
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