The bill amends the Health Maintenance Organization Law in New Mexico to modify the timeline for examinations of health maintenance organizations and their contracted providers. Specifically, it changes the frequency of required examinations from at least once every three years to at least once every five years. This adjustment aims to streamline the examination process while still ensuring the protection of the interests of the state's residents.

Additionally, the bill clarifies that the superintendent may examine the affairs of health maintenance organizations and their providers as often as necessary for public protection, and it allows for the examination of quality assurance programs by the secretary of health. The bill also stipulates that medical records of individuals will not be subject to examination, and it outlines that the expenses incurred during these examinations will be assessed against the health maintenance organization being examined.

Statutes affected:
introduced version: 59A-46-19