N.M. Stat. § 13-7-25
Coverage for individuals with diabetes; insulin for
diabetes; cost-sharing cap.
A. Group health care coverage, including any form of self-insurance, offered, issued
or renewed under the Health Care Purchasing Act shall cap the amount an insured is
required to pay for a preferred formulary prescription insulin drug or a medically
necessary alternative at an amount not to exceed a total of twenty-five dollars ($25.00)
per thirty-day supply and shall provide coverage for individuals with diabetes as
required by law for each health care insurer, including:
(1)
group health insurance policies, health care plans, certificates of health
insurance and managed health care plans delivered or issued for delivery in New
Mexico;
(2)
group health plans provided through a cooperative;
(3)
group health maintenance organization contracts delivered or issued for
delivery in New Mexico; and
(4)
health benefit plans.
B. As used in this section, "health care insurer" means a person who provides
health insurance in this state, including a licensed insurance company, a licensed
fraternal benefit society, a prepaid hospital or medical service plan, a health
maintenance organization, a managed care organization, a nonprofit health care
organization, a multiple-employer welfare arrangement or any other person providing a
plan of health insurance subject to state regulation.