• Health Care Affordability Fund

    The Life and Health Division of the New Mexico Office of Superintendent of Insurance (OSI) protects New Mexicans by ensuring that all life insurance and health insurance policies sold commercially in the State of New Mexico comply with all federal and state laws and regulations.

During the 2021 Legislative Session, the New Mexico Legislature passed and Governor Michelle Lujan Grisham signed Senate Bill 317, which placed a moratorium on out-of-pocket costs for mental health services for state-regulated plans and created a Health Care Affordability Fund to lower health care costs for New Mexicans. The law allows the Fund to be used to:

  1. Reduce premiums and out-of-pocket health care costs for New Mexicans who qualify for coverage on beWellnm, the state’s Health Insurance Marketplace;

  2. Reduce premiums for small businesses and their employees;

  3. Provide resources for planning, design and implementation of health care coverage initiatives for uninsured New Mexico residents; and

  4. Provide resources for administration of state health care coverage initiatives for uninsured New Mexico residents.

The Fund and its programs are administered by the New Mexico Office of Superintendent of Insurance (OSI).

Materials Published in 2024

Final 2025 Health Insurance Marketplace Affordability Program Guidance

Materials Published in 2023

2024 Health Insurance Marketplace Affordability Program Guidance

Final 2023 Plan Year SOPA Reconciliation Guidance for Health Insurance Issuers

  1. Final SOPA Reconciliation Guidance (Version 2)
  2. OSI Responses to Carrier Questions Following Jan 2023 SOPA Reconciliation Training – Mar 2023
  3. Template A – Issuer and Plan Level SOPA
  4. Template B – Policy Level SOPA-Reconciliation
  5. Template C – SOPA Request for Reconsideration
  6. Attestation Form A – EHB Inclusion
  7. Attestation Form B – EHB Inclusion
  8. Attestation Form C – Simplified Methodology Forms

Materials Published in 2022

Health Insurance Marketplace Affordability Program Information for the 2023 Plan Year

2023 Health Insurance Marketplace Affordability Program Guidance

Small Business Health Insurance Premium Relief Initiative

Materials Published in 2021

beWellnm Coverage Affordability Initiatives

Small Business Coverage Affordability Initiatives

Recent News

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June 26, 2026 Bulletins

MEDICAL MALPRACTICE PREMIUM REDUCTION

AMENDED BULLETIN 2026-010: The New Mexico State Legislature appropriated $5 million to the New Mexico Office of Superintendent of Insurance (OSI) to address medical malpractice insurance costs for individual providers. The appropriation was part of a supplemental appropriation package passed in 2025. This one-time appropriation directs OSI to provide a premium subsidy for private medical malpractice insurance policies. […]

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June 12, 2026 Announcements

NOTICE OF PRESCRIPTION DRUG PRICE TRANSPARENCY ANNUAL MEETING

The Office of the Superintendent of Insurance will hold its annual public meeting to present and discuss the findings and recommendations contained in the 2025 Prescription Drug Price Transparency legislative report. The purpose of this meeting is to inform the public of the report’s contents and to provide an opportunity for public comments and questions. […]

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