New Mexico Statutes
Article 23 - Group and Blanket Health Insurance Contracts
Section 59A-23-7.15 - Coverage exclusion. (Contingent repeal. See note.)

Coverage of vasectomy and male condoms pursuant to Section 5 [59A-23-7.14 NMSA 1978] of this 2019 act is excluded for high-deductible individual or group health insurance policies, health care plans or certificates of insurance with health savings accounts delivered or issued for delivery in this state until an insured's deductible has been met.
History: Laws 2019, ch. 263, § 6.
Contingent repeal. — Laws 2019, ch. 263, § 11 provided that upon certification by the superintendent of insurance to the director of the legislative council service and the New Mexico compilation commission that federal law permits coverage of vasectomies and male condoms under high-deductible health benefits plans with health savings accounts, 59A-23-7.15 NMSA 1978 is repealed.
Effective dates. — Laws 2019, ch. 263 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 59A - Insurance Code

Article 23 - Group and Blanket Health Insurance Contracts

Section 59A-23-1 - Scope of article.

Section 59A-23-2 - Blanket health insurance.

Section 59A-23-3 - Group health insurance.

Section 59A-23-3.1 - Group insurance reports required.

Section 59A-23-4 - Other provisions applicable.

Section 59A-23-5 - Extended disability benefit.

Section 59A-23-6 - Alcohol dependency coverage.

Section 59A-23-6.1 - Coverage of alpha-fetoprotein IV screening test.

Section 59A-23-6.2 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 59A-23-7 - Blanket or group health policy or certificate; provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section 59A-23-7.2 - Coverage of children.

Section 59A-23-7.3 - Maximum age of dependent.

Section 59A-23-7.4 - Coverage of circumcision for newborn males.

Section 59A-23-7.5 - Coverage of part-time employees.

Section 59A-23-7.6 - Coverage of colorectal cancer screening.

Section 59A-23-7.7 - General anesthesia and hospitalization for dental surgery.

Section 59A-23-7.8 - Hearing aid coverage for children required.

Section 59A-23-7.9 - Coverage for autism spectrum disorder diagnosis and treatment.

Section 59A-23-7.10 - Coverage for orally administered anticancer medications; limits on patient costs.

Section 59A-23-7.11 - Coverage of prescription eye drop refills.

Section 59A-23-7.12 - Coverage for telemedicine services.

Section 59A-23-7.13 - Prescription drugs; prohibited formulary changes; notice requirements.

Section 59A-23-7.14 - Coverage for contraception.

Section 59A-23-7.15 - Coverage exclusion. (Contingent repeal. See note.)

Section 59A-23-7.16 - Heart artery calcium scan coverage.

Section 59A-23-8 - Group formed to purchase health insurance; limitations.

Section 59A-23-9 - Repealed.

Section 59A-23-10 - Employer utilization and loss data availability.

Section 59A-23-11 - Private health insurance cooperatives; incorporation.

Section 59A-23-12 - Prescription drug prior authorization protocols.

Section 59A-23-12.1 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 59A-23-12.2 - Pharmacist prescriptive authority services; reimbursement parity.

Section 59A-23-13 - Pharmacy benefits; prescription synchronization.

Section 59A-23-14 - Provider credentialing; requirements; deadline.

Section 59A-23-15 - Physical rehabilitation services; limits on cost sharing.

Section 59A-23-16 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)