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New Mexico Statutes Annotated 1978
Chapter 59A
47
Nonprofit Health Care Plans
State of New Mexico
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59A-47-1
Short title
59A-47-2
Purpose; exemptions
59A-47-3
Definitions
59A-47-4
Organization; profit corporations prohibited; merger and consolidation of health care plans
59A-47-5
Qualifications for health care plan authority
59A-47-6
Preliminary permit for solicitations
59A-47-7
Escrow of preliminary premiums
59A-47-8
Certificate of authority required; application and conditions; exceptions
59A-47-9
Issuance and denial of initial certificate of authority
59A-47-10
Trust deposit
59A-47-11
Expiration, continuance of certificate of authority
59A-47-12
Suspension, revocation or refusal to continue certificate of authority
59A-47-13
Service of process; superintendent as attorney
59A-47-14
Annual statement
59A-47-15
Assets
59A-47-16
Reserves
59A-47-17
Examination
59A-47-18
Investments
59A-47-19
Limitation upon acquisition and administration expenses
59A-47-20
Conflicts of interest as to certain transactions
59A-47-21
Joint coverage, reinsurance
59A-47-22
Transfer of subscribership
59A-47-23
Subscriber contracts; coverage period
59A-47-24
Subscriber contracts; requirements and provisions
59A-47-25
Subscriber contracts; filing, approval
59A-47-26
Premium rates; filing and approval
59A-47-27
Coverage for newly born children, maternity transport, home health care
59A-47-27.1
Coverage of circumcision for newborn males
59A-47-28
Coverage for service of chiropractor
59A-47-28.1
Coverage for service of certified nurse-midwives and registered lay midwives
59A-47-28.2
Doctor of oriental medicine discrimination prohibited
59A-47-28.3
Provider discrimination prohibited
59A-47-28.4
Coverage for collaborative practice; dental therapists; dental hygienists
59A-47-29
Settlement of disputes; appeal
59A-47-30
Licensed insurance producers required; qualifications, licensing procedures and conditions
59A-47-31
Rehabilitation, liquidation or dissolution
59A-47-32
Unauthorized contract or adjustment transactions; penalty
59A-47-33
Other provisions applicable
59A-47-34
Continuation of coverage and conversion rights; health care plans
59A-47-35
Alcohol dependency coverage
59A-47-36
Nonprofit health care plans; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program
59A-47-37
Coverage of children
59A-47-37.1
Hearing aid coverage for children required
59A-47-38
Coverage for medical diets for genetic inborn errors of metabolism
59A-47-39
Employer utilization and loss experience availability
59A-47-40
Maximum age of dependent
59A-47-41
Coverage of alpha-fetoprotein IV screening test
59A-47-42
Coverage of part-time employees
59A-47-43
Coverage of colorectal cancer screening
59A-47-44
General anesthesia and hospitalization for dental surgery
59A-47-45
Coverage for autism spectrum disorder diagnosis and treatment
59A-47-45.1
Coverage for orally administered anticancer medications; limits on patient costs
59A-47-45.2
Coverage of prescription eye drop refills
59A-47-45.3
Coverage for telemedicine services
59A-47-45.4
Prescription drugs; prohibited formulary changes; notice requirements
59A-47-45.5
Coverage for contraception
59A-47-45.6
Coverage exclusion. (Contingent repeal. See note.)
59A-47-45.7
Heart artery calcium scan coverage
59A-47-45.8
Coverage for individuals with diabetes
59A-47-45.9
Biomarker testing coverage
59A-47-45.10
Calculating a subscriber's cost-sharing obligation for prescription drug coverage
59A-47-46
Repealed
Repealed
59A-47-47
Prescription drug prior authorization protocols
59A-47-47.1
Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions
59A-47-47.2
Pharmacist prescriptive authority services; reimbursement parity
59A-47-48
Pharmacy benefit; prescription synchronization
59A-47-49
Provider credentialing; requirements; deadline
59A-47-50
Physical rehabilitation services; limits on cost sharing
59A-47-51
Behavioral health services; elimination of cost sharing
59A-47-52
Anatomical gift nondiscrimination
59A-47-53
Diagnostic and supplemental breast examinations
59A-47-54
Chiropractic physician services; limits on cost sharing and coinsurance
59A-47-55
Sexually transmitted infection care; cost sharing eliminated
59A-47-56
Definitions
59A-47-57
Benefits required
59A-47-58
Parity for coverage of mental health or substance use disorder services
59A-47-59
Provider network adequacy
59A-47-60
Utilization review of mental health or substance use disorder services
59A-47-61
Prohibited exclusions of coverage for mental health or substance use disorder services
59A-47-62
Level of care determinations for the provision of mental health or substance use disorder services
59A-47-63
Coordination of care
59A-47-64
Confidentiality provisions
59A-47-65
Exceptions
59A-47-66
Medical necessity and nondiscrimination standards for coverage of prosthetic devices, custom orthotic devices or complex rehabilitation technology devices