Summary List of New Mexico Insurance Mandates

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. Continuation of coverage and conversion rights Craniomandibular and temporomandibular joint disorders Incontestability after two years Limit on exclusion of pre-existing conditions if disclosed Grace periods & reinstatement Freedom of choice of hospital and practitioner. Handicapped children; coverage continued. Newly born children coverage. Coverage for adopted children. Coverage of children. Childhood immunization coverage required Maximum dependent age of 25. Coverage of circumcision for newborn males Hearing aid coverage for children required. Maternity transport required. Home health care service option required. Coverage for mammograms. Mastectomies and lymph node dissection; minimum hospital stay coverage required. Coverage for cytologic and human papillomavirus screening. Coverage for individuals with diabetes. Coverage for medical diets for genetic inborn errors of metabolism. Coverage for prescription contraceptive drugs or devices. Required coverage of patient costs incurred in cancer clinical trials. Coverage for smoking cessation treatment. Coverage of alpha-fetoprotein IV screening test. Coverage of part-time employees. Coverage of colorectal cancer screening. General anesthesia and hospitalization for dental surgery Coverage for autism spectrum disorder diagnosis and treatment. Coverage for orally administered anticancer medications; limits on patient costs. Coverage of Prescription Eye Drop Refills Alcohol dependency coverage. Adjusted community rating. (includes minimum genetic info protection) Disclosure of rating practices and renewability provisions for small group Limitations of exclusion of pre-existing conditions for small group Group health plan; group health insurance; prohibiting discrimination based on health status against individual participants and beneficiaries in eligibility to enroll. Treatment of partners and self-employed individuals in connection with group health plans. Mental health benefits required in group health plan

Last updated 11/20/2012, ABE