The provisions of the Surprise Billing Protection Act apply to the following types of health coverage delivered or issued for delivery in this state:
A. group health coverage governed by the provisions of the Health Care Purchasing Act [Chapter 13, Article 7 NMSA 1978];
B. individual health insurance policies, health benefits plans and certificates of insurance governed by the provisions of Chapter 59A, Article 22 NMSA 1978;
C. multiple-employer welfare arrangements governed by the provisions of Section 59A-15-20 NMSA 1978;
D. group and blanket health insurance policies, health benefits plans and certificates of insurance governed by the provisions of Chapter 59A, Article 23 NMSA 1978;
E. individual and group health maintenance organization contracts governed by the provisions of the Health Maintenance Organization Law; and
F. individual and group nonprofit health benefits plans governed by the provisions of the Nonprofit Health Care Plan Law [Chapter 59A, Article 47 NMSA 1978].
History: Laws 2019, ch. 227, § 12.
Effective dates. — Laws 2019, ch. 227, § 16 made Laws 2019, ch. 227 effective January 1, 2020.
Structure New Mexico Statutes
Article 57A - Surprise Billing Protection
Section 59A-57A-1 - Short title.
Section 59A-57A-2 - Definitions.
Section 59A-57A-3 - Emergency care; reimbursement; limitation on charges.
Section 59A-57A-4 - Non-emergency care; limitation on charges.
Section 59A-57A-6 - Covered persons; providers; overpayment.
Section 59A-57A-7 - Nonparticipating providers; rebates and inducements; prohibition.
Section 59A-57A-8 - Health care provider reimbursement rates; surprise billing.
Section 59A-57A-9 - Reasonable health care cost management permitted.
Section 59A-57A-10 - Private cause of action.
Section 59A-57A-11 - Information from provider networks.