New Mexico Statutes
Article 7 - Health Care Purchasing
Section 13-7-3 - Definitions.

As used in the Health Care Purchasing Act:
A. "consolidated purchasing" means a single process for the procurement of all health care benefits by the publicly funded insurance agencies in compliance with the Procurement Code [13-1-28 to 13-1-199 NMSA 1978] and includes associated activities related to the procurement such as actuarial, cost containment, benefits consultation and analysis; and
B. "publicly funded health care agency" means the:
(1) risk management division and the group benefits committee of the general services department;
(2) retiree health care authority;
(3) public school insurance authority; and
(4) publicly funded health care program of any public school district with a student enrollment in excess of sixty thousand students.
History: Laws 1997, ch. 74, ยง 3.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 13 - Public Purchases and Property

Article 7 - Health Care Purchasing

Section 13-7-1 - Short title.

Section 13-7-2 - Purpose of act.

Section 13-7-3 - Definitions.

Section 13-7-4 - Mandatory consolidated purchasing.

Section 13-7-5 - Consolidated purchasing for other persons.

Section 13-7-6 - Use of social security numbers.

Section 13-7-7 - Consolidated administrative functions; benefit.

Section 13-7-8 - Maximum age of dependent.

Section 13-7-9 - General anesthesia and hospitalization for dental surgery.

Section 13-7-10 - Hearing aid coverage for children required.

Section 13-7-11 - Required coverage of patient costs incurred in cancer clinical trials.

Section 13-7-12 - Coverage for orally administered anticancer medications; limits on patient costs.

Section 13-7-13 - Coverage of prescription eye drop refills.

Section 13-7-14 - Coverage for telemedicine services.

Section 13-7-15 - Prescription drugs; prohibited formulary changes; notice requirements.

Section 13-7-16 - Coverage for autism spectrum disorder diagnosis and treatment; permissible limitations.

Section 13-7-17 - Pharmacy benefits; prescription synchronization.

Section 13-7-18 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 13-7-19 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 13-7-20 - Prior Authorization Act.

Section 13-7-21 - Physical rehabilitation services; limits on cost sharing.

Section 13-7-22 - Coverage for contraception.

Section 13-7-23 - Pharmacist prescriptive authority services; reimbursement parity.

Section 13-7-24 - Heart artery calcium scan coverage.

Section 13-7-25 - Insulin for diabetes; cost-sharing cap.

Section 13-7-26 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)