New Mexico § 59A-47-45.1 Coverage for orally administered anticancer

New Mexico Statutes

§ 59A-47-45.1 — Coverage for orally administered anticancer

New Mexico § 59A-47-45.1

Ch. 59AInsurance Code

Art. 47Nonprofit Health Care Plans

This text of New Mexico § 59A-47-45.1 (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-47-45.1 (2026).

Text

medications; limits on patient costs.

A.An individual or group health insurance policy, health care plan or certificate of health insurance 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.A nonprofit health care plan 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 autho

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medications; limits on patient costs. A. An individual or group health insurance policy, health care plan or certificate of health insurance 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. A nonprofit health care plan 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, "nonprofit health care plan": (1) means: (a) a nonprofit health insurer; (b) a nonprofit health service provider; (c) a nonprofit health maintenance organization; (d) a nonprofit managed care organization; or (e) a nonprofit provider service organization; and (2) does not include individual 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.