N.M. Stat. § 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 a benefit an insured individual is required
to pay;
(3)
make more services available before a deductible amount is applied to a
benefit;
(4)
provide predictable cost sharing;
(5)
maximize available subsidies;
(6)
limit adverse premium impacts;
(7)
reduce barriers to maintaining and improving health; and
(8)
encourage choice based on value.
C. The board may update the standardized health plans annually.
D. The board shall provide for notice and public comment before finalizing each
year's standardized health plans.
E. The board shall establish a procedure and time line for providing written notice of
the standardized health plans to health insurance issuers before the year in which the
health plans are to be offered on the exchange.
F. Beginning on January 1, 2022, the board may require a health insurance issuer
offering a qualified health plan through the exchange to offer one silver standardized
health plan and one gold standardized health plan on the exchange. If a health
insurance issuer offers a bronze health plan through the exchange, the exchange may
also require the issuer to offer one bronze standardized health plan through the
exchange.
G. A health insurance issuer offering standardized health plans through the
exchange may also offer nonstandardized health plans through the exchange.
H. The actuarial value of nonstandardized silver health plans offered through the
exchange shall not be less than the actuarial value of the standardized silver health plan
with the lowest actuarial value.