N.M. Stat. § 59A-23-7.10
Coverage for orally administered anticancer
medications; limits on patient costs.
A. A blanket or group health insurance policy or contract that is delivered, issued for
delivery or renewed in this state and that provides coverage for cancer treatment shall
provide coverage for a prescribed, orally administered anticancer medication that is
used to kill or slow the growth of cancerous cells on a basis no less favorable than
intravenously administered or injected cancer medications that are covered as medical
benefits by the plan.
B. An insurer shall not increase patient cost-sharing for anticancer medications in
order to achieve compliance with the provisions of this section.
C. Coverage of orally administered anticancer medication shall not be subject to any
prior authorization, dollar limit, copayment, deductible or coinsurance provision that
does not apply to intravenously administered or injected anticancer medication used to
kill or slow the growth of cancerous cells.
D. As used in this section, "insurer" or "blanket or group health insurance plan":
(1)
means:
(a) a health insurer;
(b) a nonprofit health service provider;
(c) a health maintenance organization;
(d) a managed care organization; or
(e) a provider service organization; and
(2)
does not include blanket or large group policies intended to supplement
major medical group-type coverages such as medicare supplement, long-term care,
disability income, specified disease, accident-only, hospital indemnity or other limited-
benefit health insurance policies.