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2025 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 13-7-17.1 - Community-based pharmacy reimbursement. (Effective January 1, 2026.)
- 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 - Coverage for individuals with diabetes; insulin for diabetes; cost-sharing cap.
- Section 13-7-26 - Behavioral health services; elimination of cost sharing.
- Section 13-7-26 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2026.)
- Section 13-7-27 - Diagnostic and supplemental breast examinations.
- Section 13-7-28 - Chiropractic physician services; limits on cost sharing and coinsurance.
- Section 13-7-29 - Sexually transmitted infection care; cost sharing eliminated.
- Section 13-7-30 - Definitions.
- Section 13-7-31 - Benefits required.
- Section 13-7-32 - Parity for coverage of mental health and substance use disorder services.
- Section 13-7-33 - Provider network adequacy.
- Section 13-7-34 - Utilization review of mental health or substance use disorder services.
- Section 13-7-35 - Prohibited exclusions of coverage for mental health or substance use disorder services.
- Section 13-7-36 - Level of care determinations for the provision of mental health or substance use disorder services.
- Section 13-7-37 - Coordination of care.
- Section 13-7-38 - Confidentiality provisions.
- Section 13-7-39 - Exceptions.
- Section 13-7-40 - Biomarker testing insurer coverage.
- Section 13-7-41 - Dental coverage; prior authorization.
- Section 13-7-42 - Dental coverage; designation of payment.
- Section 13-7-43 - Dental coverage; erroneously paid claims; restrictions on recovery.
- Section 13-7-44 - Dental coverage; methods of payment.
- Section 13-7-45 - Dental coverage; provider network leasing.
- Section 13-7-46 - Prosthetic devices; custom orthotic devices; minimum coverage.
- Section 13-7-47 - Calculating an enrollee's cost-sharing obligation for prescription drug coverage.
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