This bill amends the Health Care Purchasing Act, the Public Assistance Act, and the New Mexico Insurance Code to improve access to sexual, reproductive, and gender-affirming health care services. Key provisions include the requirement for group health coverage to provide no-cost sharing for preventive benefits, abortion care, and gender-affirming care. It establishes a special enrollment period for pregnant individuals to obtain health coverage and mandates that contraceptive coverage includes a sufficient quantity for continuous use without cost sharing or prior authorization. Additionally, the bill ensures that medical assistance programs cover lactation support and family planning services without restrictions.
The legislation also introduces significant changes to health insurance regulations, requiring insurers to cover a twelve-month supply of contraception dispensed at once without cost sharing or prior authorization. It prohibits restrictions on the quantity of contraceptives based on the plan year and mandates that health insurance policies cover the total cost of abortion care and gender-affirming care without cost sharing. Furthermore, it clarifies that over-the-counter contraceptives do not require prescriptions for coverage. The effective date for these provisions is set for January 1, 2026, indicating a future implementation timeline for these changes.
Statutes affected: introduced version: 13-7-22, 27-2-12.29, 59A-22-42, 59A-23-7.14, 59A-46-44, 59A-47-45.5