Section 59A-23F-9 – Standardized health plans.
A. The board may establish no more than three standardized health plans for each of three levels of coverage with increasing benefits, designated bronze, silver and gold plans. B. In establishing standardized health plans, the board may design those plans to: (1) limit increases in health plan premium rates; (2) reduce the deductible portion of […]
Section 59A-23F-10 – Reporting.
The board shall make reports publicly available as follows: A. during all exchange open enrollment periods beginning on or after October 1, 2021, the board shall produce weekly reports that include information on: (1) applications; (2) plan selections; (3) new enrollees; (4) enrollees renewing coverage; (5) call center volume; and (6) website traffic; B. within […]
Section 59A-23F-11 – Health care affordability fund. (Effective January 1, 2022.)
A. The “health care affordability fund” is created in the state treasury. The fund consists of distributions, appropriations, gifts, grants and donations. Money in the fund at the end of a fiscal year shall not revert to any other fund. The office of superintendent of insurance shall administer the fund, and money in the fund […]
Section 59A-23F-12 – Health care affordability plan; rulemaking; reporting requirements. (Effective January 1, 2022.)
A. The superintendent, in consultation with the secretary of human services, the secretary of taxation and revenue and the chief executive officer of the New Mexico health insurance exchange, shall promulgate rules to: (1) provide enhanced premium and cost-sharing assistance to individuals and families for the purchase of qualified health plans on the New Mexico […]
Section 59A-23F-5 – Plan of operation.
A. No later than September 1, 2020, the board, in coordination with insurance producers appointed and compensated by the insurance industry, shall review its plan of operation and approve amendments to it as appropriate to ensure that the exchange is operated using best practices for state-based exchanges in business administration, consumer engagement and public outreach […]
Section 59A-23F-6 – Board duties; reporting.
The board shall: A. between July 1, 2013 and January 1, 2015, provide quarterly reports to the legislature, the governor and the superintendent on the implementation of the exchange and report annually and upon request thereafter; B. keep an accurate accounting of all of the activities, receipts and expenditures of the exchange and submit this […]
Section 59A-23F-6.1 – Board; additional duties and powers.
In addition to other duties and powers in the New Mexico Health Insurance Exchange Act, the board shall: A. in consultation with the superintendent: (1) establish policies and procedures for the review and recommendation of health benefits plans to be offered on the exchange; (2) determine additional minimum requirements for a health insurance issuer to […]
Section 59A-23F-7 – Superintendent of insurance; rulemaking.
The superintendent shall coordinate with the board to promulgate rules necessary to implement and carry out the provisions of the New Mexico Health Insurance Exchange Act, including rules to establish the criteria for certification of qualified health plans. History: Laws 2013, ch. 54, § 7; 2020, ch. 35, § 5. ANNOTATIONS The 2020 amendment, effective […]
Section 59A-23F-8 – Funding.
A. To fund the planning, implementation and operation of the exchange, the board shall contract with the human services department or any other state agency that receives federal funds allocated, appropriated or granted to the state for purposes of funding the planning, implementation or operation of a health insurance exchange. B. The human services department […]
Section 59A-23F-1 – Short title.
Chapter 59A, Article 23F NMSA 1978 may be cited as the “New Mexico Health Insurance Exchange Act”. History: Laws 2013, ch. 54, § 1; 2020, ch. 35, § 1. ANNOTATIONS The 2020 amendment, effective May 20, 2020, changed “Sections 1 through 8 of this act” to “Chapter 59A, Article 23F NMSA 1978”. Severability. — Laws […]