Current through 2024, ch. 69
Section 13-7-25 - Coverage for individuals with diabetes; insulin for diabetes; cost-sharing capA. Group health care coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall cap the amount an insured is required to pay for a preferred formulary prescription insulin drug or a medically necessary alternative at an amount not to exceed a total of twenty-five dollars ($25.00) per thirty-day supply and shall provide coverage for individuals with diabetes as required by law for each health care insurer, including:(1) group health insurance policies, health care plans, certificates of health insurance and managed health care plans delivered or issued for delivery in New Mexico;(2) group health plans provided through a cooperative;(3) group health maintenance organization contracts delivered or issued for delivery in New Mexico; and(4) health benefit plans.B. As used in this section, "health care insurer" means a person who provides health insurance in this state, including a licensed insurance company, a licensed fraternal benefit society, a prepaid hospital or medical service plan, a health maintenance organization, a managed care organization, a nonprofit health care organization, a multiple-employer welfare arrangement or any other person providing a plan of health insurance subject to state regulation.Amended by 2023, c. 50,s. 1, eff. 6/13/2023.