HB 75 — CHIROPRACTIC SERVICES INSURANCE COVERAGE

HOUSEAN BILLACT 75RELATING 56THTO LEGISLATUREHEALTH -COVERAGE; STATEOFNEWMEXICO- FIRST SESSION, 2023 INTRODUCED BY Dayan Hochman-Vigil This document may incorporate amendments proposed by a committee, but not yet adopted, as well as amendments that have been adopted during the current legislative session.

TheENACTING documentSECTIONS isOF aTHE toolHEALTH toCARE showPURCHASING amendmentsACT, inTHE contextNEW andMEXICO cannotINSURANCE beCODE, usedTHE forHEALTH theMAINTENANCE purposeORGANIZATION ofLAW addingAND amendmentsTHE toNONPROFIT legislation.HEALTH CARE PLAN LAW TO ESTABLISH LIMITS ON COST SHARING AND COINSURANCE FOR CHIROPRACTIC PHYSICIAN SERVICES.

h8 ANBE ACTIT gENACTED oBY RELATINGTHE TOLEGISLATURE HEALTHOF COVERAGE;THE STATE OF NEW MEXICO:

ENACTINGSECTION SECTIONS1. OF THE HEALTH t hr g e i k CARE PURCHASING ACT, THE NEW MEXICO INSURANCE CODE, THE HEALTH h r i s MAINTENANCE ORGANIZATION LAW AND THE NONPROFIT HEALTH CARE PLAN h , t, LAW TO ESTABLISH LIMITS ON COST SHARING AND COINSURANCE FOR e u g e b l e e h CHIROPRACTIC PHYSICIAN SERVICES.

nA dnew dsection iof =the =Health oCare hPurchasing lAct ]is benacted ,dto iread: a º e BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

r"CHIROPRACTIC iPHYSICIAN =SERVICES--LIMITS rON tCOST eSHARING wAND dCOINSURANCE.-- mA. a n o SECTION 1.

A new section of the Health Care Purchasing d m :

b e d s º o t n = .223358.1AIC February 3, 2023 (1:49pm) s k m e e a n e d r e l u [ A d Act is enacted to read:

"[NEW MATERIAL ] CHIROPRACTIC PHYSICIAN SERVICES--LIMITS ON COST SHARING AND COINSURANCE.-- A.

As used in this section, "primary care services" means the first level of basic or general health care for a person's health needs, including diagnostic and treatment services, initiation of referrals for other health care services and maintenance of the continuity of care when appropriate." hHB 75/a Page 1 SECTION 2.

A new section of Chapter 59A, Article 22 NMSA u » r 1978 is enacted to read:

t"CHIROPRACTIC h g e l i "[NEW MATERIAL ] CHIROPRACTIC PHYSICIAN SERVICES--LIMITS ON h r i s COST SHARING AND COINSURANCE.-- h , e h A.

An individual or group health insurance policy, t u g e b l e e , gh health care plan or certificate of health insurance that is n d d i = = o h delivered, issued for delivery or renewed in this state that l ] b ,d i a º r offers coverage of the services of a chiropractic physician eshall rnot =impose ta ecopayment wor dcoinsurance mon athose nchiropractic ophysician shallservices notthat imposeexceeds athe copayment or coinsurance onimposed thosefor dprimary mcare :services.

b r e t º o t n = .223358.1AIC February 3, 2023 (1:49pm) s k m e - 2 - e a n e d r e l u [ A d chiropractic physician services that exceeds the copayment or coinsurance imposed for primary care services.

HCPACºC. "»HCPAC HCPACºC.

The provisions of this section do not apply to short-term travel, accident-only or limited or specified-diseasespecified- policies."»HCPACdisease policies." SECTION 3.

A new section of Chapter 59A, Article 23 NMSA 1978 is enacted to read:

"[NEW"CHIROPRACTIC MATERIAL] CHIROPRACTIC PHYSICIAN SERVICES--LIMITS ON COST SHARING AND COINSURANCE.-- A.

A group or blanket health insurance policy, hHB 75/a Page 2 health care plan or certificate of health insurance that is u » r delivered, issued for delivery or renewed in this state that t h g e l i offers coverage of the services of a chiropractic physician h r i s shall not impose a copayment or coinsurance on those h , e h chiropractic physician services that exceeds the copayment or t u g e b l e e , gh coinsurance imposed for primary care services.

n d d i = = o h B.

As used in this section, "primary care services" l ] b ,d i a º r means the first level of basic or general health care for a eperson's rhealth =needs, tincluding ediagnostic wand dtreatment mservices, ainitiation nof oreferrals person'sfor other health needs,care includingservices diagnostic and treatmentmaintenance dof mthe :continuity of care when appropriate.

bC. r e t º o t n = .223358.1AIC February 3, 2023 (1:49pm) s k m e - 3 - e a n e d r e l u [ A d services, initiation of referrals for other health care services and maintenance of the continuity of care when appropriate.

HCPACºThe "»HCPACprovisions HCPACºC.of this section do not apply to short-term travel, accident-only or limited or specified- disease policies." SECTION 4.

The provisions of this section do not apply to short-term travel, accident-only or limited or specified-disease policies."»HCPAC SECTION 4.

"[NEW"CHIROPRACTIC MATERIAL] CHIROPRACTIC PHYSICIAN SERVICES--LIMITS ON COST SHARING AND COINSURANCE.-- A.

An individual or group health maintenance contract that is delivered, issued for delivery or renewed in this state that offers coverage of the services of a chiropractic physician shall not impose a copayment or coinsurance on those chiropractic physician services that exceeds the copayment or coinsurance imposed for primary care hHB 75/a Page 3 services.

u » r B.

As used in this section, "primary care services" t h g e l i means the first level of basic or general health care for a h r i s person's health needs, including diagnostic and treatment h , e h services, initiation of referrals for other health care t u g e b l e e , gh services and maintenance of the continuity of care when n d d i = = o h appropriate.

HCPACºC. "»HCPAC l ] b ,d i a º r HCPACºC.

The provisions of this section do not e r = t e w d m a n o apply to short-term travel, accident-only or limited or dspecified- mdisease :policies." SECTION 5.

b r e t º o t n = .223358.1AIC February 3, 2023 (1:49pm) s k m e - 4 - e a n e d r e l u [ A d specified-disease policies."»HCPAC SECTION 5.

"[NEW"CHIROPRACTIC MATERIAL] CHIROPRACTIC PHYSICIAN SERVICES--LIMITS ON COST SHARING AND COINSURANCE.-- A.

As used in this section, "primary care services" means the first level of basic or general health care for a person's health needs, including diagnostic and treatment services, initiation of referrals for other health care services and maintenance of the continuity of care when hHB 75/a Page 4 appropriate.

HCPACºC. "»HCPAC u » r HCPACºC.

The provisions of this section do not t h g e l i apply to short-term travel, accident-only or limited or hspecified- rdisease i s specified-disease policies." h , e h SECTION 6.

EFFECTIVE DATE.--The effective date of the t u g e b l e e , gh provisions of this act is January 1, 2024.»HCPAC2024. n d d i = = o h - 5 - l ] b ,d i a º r e r = t e w d m a n o d m :

bHB r75/a ePage t5 º8 o25 t n = .223358.1AIC February 3, 2023 (1:49pm) s k m e e a n e d r e l u [ A d