New Mexico § 59A-23-7.10 Coverage for orally administered anticancer

New Mexico Statutes

§ 59A-23-7.10 — Coverage for orally administered anticancer

New Mexico § 59A-23-7.10

Ch. 59AInsurance Code

Art. 23Group and Blanket Health Insurance Contracts

This text of New Mexico § 59A-23-7.10 (Coverage for orally administered anticancer) is published on Counsel Stack Legal Research, covering New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.M. Stat. Ann. § 59A-23-7.10 (2026).

Text

medications; limits on patient costs.

A.A blanket or group health insurance policy or contract that is delivered, issued for delivery or renewed in this state and that provides coverage for cancer treatment shall provide coverage for a prescribed, orally administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis no less favorable than intravenously administered or injected cancer medications that are covered as medical benefits by the plan.

B.An insurer shall not increase patient cost-sharing for anticancer medications in order to achieve compliance with the provisions of this section.

C.Coverage of orally administered anticancer medication shall not be subject to any prior authorization, dollar limit, copayment, deductible or coinsurance pr

Free access — add to your briefcase to read the full text and ask questions with AI

medications; limits on patient costs. A. A blanket or group health insurance policy or contract that is delivered, issued for delivery or renewed in this state and that provides coverage for cancer treatment shall provide coverage for a prescribed, orally administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis no less favorable than intravenously administered or injected cancer medications that are covered as medical benefits by the plan. B. An insurer shall not increase patient cost-sharing for anticancer medications in order to achieve compliance with the provisions of this section. C. Coverage of orally administered anticancer medication shall not be subject to any prior authorization, dollar limit, copayment, deductible or coinsurance provision that does not apply to intravenously administered or injected anticancer medication used to kill or slow the growth of cancerous cells. D. As used in this section, "insurer" or "blanket or group health insurance plan": (1) means: (a) a health insurer; (b) a nonprofit health service provider; (c) a health maintenance organization; (d) a managed care organization; or (e) a provider service organization; and (2) does not include blanket or large group policies intended to supplement major medical group-type coverages such as medicare supplement, long-term care, disability income, specified disease, accident-only, hospital indemnity or other limited- benefit health insurance policies.