Sat Mar 8 4:52PM - 13 days, 18 hours left in session

Senate Bill 207

Add Classes to Prior Authorization Drugs [view on nmlegis.gov]

Financial Analysis: FIR


Sponsors
Sen. Elizabeth "Liz" Stefanics 39 San Miguel, Santa Fe, Torrance & Valencia
Rep. Elizabeth "Liz" Thomson 24 Bernalillo
Sen. Martin Hickey 20 Bernalillo
Rep. Reena Szczepanski 47 Santa Fe

Status
SHPAC[Referred, not scheduled]
STBTC


"Official" History

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: [2] SHPAC/STBTC-SHPAC

Legis DayActionDetails
2 referred SHPAC/STBTC
2 sent SHPAC


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.

Jan 30 filed: [Prefiled by Elizabeth "Liz" Stefanics et al; not yet on nmlegis]
[new]
sent to SHPAC
title: '[prefiled by Elizabeth "Liz" Stefanics Et Al; Not Yet on Nmlegis]' -> 'Add Classes to Prior Authorization Drugs'
actions: 'SPREF' -> '[2] SHPAC/STBTC-SHPAC'
new sponsor: Elizabeth "Liz" Stefanics
new sponsor: Elizabeth "Liz" Thomson
new sponsor: Martin Hickey
Feb 10 new sponsor: Reena Szczepanski

SENATE BILL 207

57th legislature - STATE OF NEW MEXICO - first session, 2025

INTRODUCED BY

Elizabeth "Liz" Stefanics and Elizabeth "Liz" Thomson

and Martin Hickey and Reena Szczepanski

 

 

 

 

AN ACT

RELATING TO INSURANCE; AMENDING THE PRIOR AUTHORIZATION ACT TO ADD MORE CLASSES OF DRUGS THAT ARE NOT SUBJECT TO PRIOR AUTHORIZATIONS OR STEP THERAPY PROTOCOLS.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

     SECTION 1. 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 on-label or off-label use, for the treatment of an autoimmune disorder, cancer, a rare disease 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 on-label or off-label use, for the treatment of an autoimmune disorder, cancer, a rare disease 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.

          C. For the purposes of this section, "rare disease" means a disease or medical condition that affects fewer than two hundred thousand people in the United States."

- 2 -


Legislators: Democratic sponsorship Republican sponsorship Bipartisan sponsorship This indicates your legislator
(Highlights bills they sponsor, committees they sit in)
Bill Rows: Active -- hearings scheduled (NN) - sequence number in agenda Inactive -- no hearings scheduled
Bill Progress: Passed Failed Vote Tabled
Incomplete Data: Heard(?)
(was scheduled for hearing recently)
Heard Long Ago
(was scheduled for hearing many days ago)
(There is very little I can do about these because nmlegis.gov does not report real-time results)

This site pulls data from nmlegis.gov but is in no way associated with that site or the state of New Mexico. It's just a labor of love by Ed.

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