New Mexico 2025 Regular Session

New Mexico Senate Bill SB390 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	underscored material = new
2	2	[bracketed material] = delete
3	3	1
4	4	2
5	5	3
6	6	4
7	7	5
8	8	6
9	9	7
10	10	8
11	11	9
12	12	10
13	13	11
14	14	12
15	15	13
16	16	14
17	17	15
18	18	16
19	19	17
20	20	18
21	21	19
22	22	20
23	23	21
24	24	22
25	25	23
26	26	24
27	27	25
28	28	SENATE BILL 390
29	29	57
30	30	TH LEGISLATURE
31	31	-
32	32
33	33	STATE
34	34
35	35	OF
36	36
37	37	NEW
38	38
39	39	MEXICO
40	40
41	41	-
42	42	FIRST SESSION
43	43	,
44	44
45	45	2025
46	46	INTRODUCED BY
47	47	Katy M. Duhigg
48	48	AN ACT
49	49	RELATING TO INSURANCE; REQUIRING BEHAVIORAL AND MENTAL HEALTH
50	50	CARE PROVIDERS TO BE REIMBURSED FOR ALL NECESSARY SERVICES THAT
51	51	THEY PROVIDE.
52	52	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
53	53	SECTION 1. Section 13-7-32 NMSA 1978 (being Laws 2023,
54	54	Chapter 114, Section 3) is amended to read:
55	55	"13-7-32. PARITY FOR COVERAGE OF MENTAL HEALTH AND
56	56	SUBSTANCE USE DISORDER SERVICES--PARITY FOR REIMBURSEMENT .--
57	57	A. The office of superintendent of insurance shall
58	58	ensure that an insurer complies with federal and state laws,
59	59	rules and regulations applicable to coverage for mental health
60	60	or substance use disorder services.
61	61	B. An insurer shall not impose quantitative
62	62	treatment limitations, financial restrictions, limitations or
63	63	.229548.3 underscored material = new
64	64	[bracketed material] = delete
65	65	1
66	66	2
67	67	3
68	68	4
69	69	5
70	70	6
71	71	7
72	72	8
73	73	9
74	74	10
75	75	11
76	76	12
77	77	13
78	78	14
79	79	15
80	80	16
81	81	17
82	82	18
83	83	19
84	84	20
85	85	21
86	86	22
87	87	23
88	88	24
89	89	25
90	90	requirements on the provision of mental health or substance use
91	91	disorder services that are more restrictive than the
92	92	predominant restrictions, limitations or requirements that are
93	93	imposed on substantially all of the coverage of benefits for
94	94	other conditions.
95	95	C. An insurer shall not impose non-quantitative
96	96	treatment limitations for the treatment of mental health or
97	97	substance use disorders or conditions unless factors, including
98	98	the processes, strategies or evidentiary standards used in
99	99	applying the non-quantitative treatment limitation, as written
100	100	and in operation, are comparable to and are applied no more
101	101	restrictively than the factors used in applying the limitation
102	102	to medical or surgical benefits in the classification.
103	103	D. An insurer shall pay or reimburse a behavioral
104	104	or mental health care provider for all medically necessary
105	105	services that the health care provider performs, regardless of
106	106	the health care provider's designation as a behavioral or
107	107	mental health care provider; provided that the service is
108	108	within the scope and limitations of the provider's license. "
109	109	SECTION 2. A new section of Chapter 59A, Article 22 NMSA
110	110	1978 is enacted to read:
111	111	"[NEW MATERIAL] PARITY FOR REIMBURSEMENT TO BEHAVIORAL AND
112	112	MENTAL HEALTH CARE PROVIDERS.--An insurer shall pay or
113	113	reimburse a behavioral or mental health care provider for all
114	114	medically necessary services that the health care provider
115	115	.229548.3
116	116	- 2 - underscored material = new
117	117	[bracketed material] = delete
118	118	1
119	119	2
120	120	3
121	121	4
122	122	5
123	123	6
124	124	7
125	125	8
126	126	9
127	127	10
128	128	11
129	129	12
130	130	13
131	131	14
132	132	15
133	133	16
134	134	17
135	135	18
136	136	19
137	137	20
138	138	21
139	139	22
140	140	23
141	141	24
142	142	25
143	143	performs, regardless of the health care provider's designation
144	144	as a behavioral or mental health care provider; provided that
145	145	the service is within the scope and limitations of the
146	146	provider's license."
147	147	SECTION 3. Section 59A-23-24 NMSA 1978 (being Laws 2023,
148	148	Chapter 114, Section 16) is amended to read:
149	149	"59A-23-24. PARITY FOR COVERAGE OF MENTAL HEALTH OR
150	150	SUBSTANCE USE DISORDER SERVICES--PARITY FOR REIMBURSEMENT .--
151	151	A. The office of superintendent of insurance shall
152	152	ensure that an insurer complies with federal and state laws,
153	153	rules and regulations applicable to coverage for mental health
154	154	or substance use disorder services.
155	155	B. An insurer shall not impose quantitative
156	156	treatment limitations, financial restrictions, limitations or
157	157	requirements on the provision of mental health or substance use
158	158	disorder services that are more restrictive than the
159	159	predominant restrictions, limitations or requirements that are
160	160	imposed on substantially all of the coverage of benefits for
161	161	other conditions.
162	162	C. An insurer shall not impose non-quantitative
163	163	treatment limitations for the treatment of mental health or
164	164	substance use disorders or conditions unless factors, including
165	165	the processes, strategies or evidentiary standards used in
166	166	applying the non-quantitative treatment limitation, as written
167	167	and in operation, are comparable to and are applied no more
168	168	.229548.3
169	169	- 3 - underscored material = new
170	170	[bracketed material] = delete
171	171	1
172	172	2
173	173	3
174	174	4
175	175	5
176	176	6
177	177	7
178	178	8
179	179	9
180	180	10
181	181	11
182	182	12
183	183	13
184	184	14
185	185	15
186	186	16
187	187	17
188	188	18
189	189	19
190	190	20
191	191	21
192	192	22
193	193	23
194	194	24
195	195	25
196	196	restrictively than the factors used in applying the limitation
197	197	with respect to medical or surgical benefits in the
198	198	classification.
199	199	D. An insurer shall pay or reimburse a behavioral
200	200	or mental health care provider for all medically necessary
201	201	services that the health care provider performs, regardless of
202	202	the health care provider's designation as a behavioral or
203	203	mental health care provider; provided that the service is
204	204	within the scope and limitations of the provider's license. "
205	205	SECTION 4. Section 59A-46-63 NMSA 1978 (being Laws 2023,
206	206	Chapter 114, Section 27) is amended to read:
207	207	"59A-46-63. PARITY FOR COVERAGE OF MENTAL HEALTH OR
208	208	SUBSTANCE USE DISORDER SERVICES--PARITY FOR REIMBURSEMENT .--
209	209	A. The office of superintendent of insurance shall
210	210	ensure that a carrier complies with federal and state laws,
211	211	rules and regulations applicable to coverage for mental health
212	212	or substance use disorder services.
213	213	B. A carrier shall not impose quantitative
214	214	treatment limitations, financial restrictions, limitations or
215	215	requirements on the provision of mental health or substance use
216	216	disorder services that are more restrictive than the
217	217	predominant restrictions, limitations or requirements that are
218	218	imposed on substantially all of the coverage of benefits for
219	219	other conditions.
220	220	C. A carrier shall not impose non-quantitative
221	221	.229548.3
222	222	- 4 - underscored material = new
223	223	[bracketed material] = delete
224	224	1
225	225	2
226	226	3
227	227	4
228	228	5
229	229	6
230	230	7
231	231	8
232	232	9
233	233	10
234	234	11
235	235	12
236	236	13
237	237	14
238	238	15
239	239	16
240	240	17
241	241	18
242	242	19
243	243	20
244	244	21
245	245	22
246	246	23
247	247	24
248	248	25
249	249	treatment limitations for the treatment of mental health or
250	250	substance use disorders or conditions unless factors, including
251	251	the processes, strategies or evidentiary standards used in
252	252	applying the non-quantitative treatment limitation, as written
253	253	and in operation, are comparable to and are applied no more
254	254	restrictively than the factors used in applying the limitation
255	255	with respect to medical or surgical benefits in the
256	256	classification.
257	257	D. A carrier shall pay or reimburse a behavioral or
258	258	mental health care provider for all medically necessary
259	259	services that the health care provider performs, regardless of
260	260	the health care provider's designation as a behavioral or
261	261	mental health care provider; provided that the service is
262	262	within the scope and limitations of the provider's license. "
263	263	SECTION 5. Section 59A-47-58 NMSA 1978 (being Laws 2023,
264	264	Chapter 114, Section 37) is amended to read:
265	265	"59A-47-58. PARITY FOR COVERAGE OF MENTAL HEALTH OR
266	266	SUBSTANCE USE DISORDER SERVICES--PARITY FOR REIMBURSEMENT .--
267	267	A. The office of superintendent of insurance shall
268	268	ensure that a health care plan complies with federal and state
269	269	laws, rules and regulations applicable to coverage for mental
270	270	health or substance use disorder services.
271	271	B. A health care plan shall not impose quantitative
272	272	treatment limitations, financial restrictions, limitations or
273	273	requirements on the provision of mental health or substance use
274	274	.229548.3
275	275	- 5 - underscored material = new
276	276	[bracketed material] = delete
277	277	1
278	278	2
279	279	3
280	280	4
281	281	5
282	282	6
283	283	7
284	284	8
285	285	9
286	286	10
287	287	11
288	288	12
289	289	13
290	290	14
291	291	15
292	292	16
293	293	17
294	294	18
295	295	19
296	296	20
297	297	21
298	298	22
299	299	23
300	300	24
301	301	25
302	302	disorder services that are more restrictive than the
303	303	predominant restrictions, limitations or requirements that are
304	304	imposed on substantially all of the coverage of benefits for
305	305	other conditions.
306	306	C. A health care plan shall not impose non-
307	307	quantitative treatment limitations for the treatment of mental
308	308	health or substance use disorders or conditions unless factors,
309	309	including the processes, strategies or evidentiary standards
310	310	used in applying the non-quantitative treatment limitation, as
311	311	written and in operation, are comparable to and are applied no
312	312	more restrictively than the factors used in applying the
313	313	limitation with respect to medical or surgical benefits in the
314	314	classification.
315	315	D. A health care plan shall pay or reimburse a
316	316	behavioral or mental health care provider for all medically
317	317	necessary services that the health care provider performs,
318	318	regardless of the health care provider's designation as a
319	319	behavioral or mental health care provider; provided that the
320	320	service is within the scope and limitations of the provider's
321	321	license."
322	322	- 6 -
323	323	.229548.3