This bill amends New Mexico's insurance laws to improve coverage for coronary artery calcium screenings, mandating that group health coverage, medical assistance, and health maintenance organization contracts provide these screenings without cost sharing for individuals over the age of forty-nine. The legislation stipulates that eligible individuals can receive screenings every five years if their previous score was zero, while further screenings are not necessary if a score greater than zero is obtained. The bill also clarifies definitions related to the screenings, including "cost sharing," "coronary artery calcium screening," and "health care provider," ensuring a comprehensive understanding of the terms involved.

Furthermore, the bill specifies that its provisions will apply to group health insurance policies and health care plans that are delivered, issued for delivery, or renewed in the state on or after January 1, 2026. It also notes that certain types of insurance plans, such as short-term travel or high-deductible health plans, are exempt from these provisions until the deductible is met, unless federal law states otherwise. Overall, the bill aims to enhance access to preventive cardiovascular care for eligible individuals in New Mexico, thereby promoting better health outcomes for those at risk.

Statutes affected:
introduced version: 13-7-24, 27-2-12.31, 59A-23-7.16, 59A-46-50.5, 59A-47-45.7
CT substitute: 13-7-24, 27-2-12.31, 59A-23-7.16, 59A-46-50.5, 59A-47-45.7