House Bill 53, Delivery of Necessary Diabetic Resources, (HB53) was enacted in the 2023 New Mexico legislative session and became effective on January 1, 2024. HB53 amended certain sections of, and added other sections to, the New Mexico Insurance Code included in Chapter 59A, Articles 22 (Insurance Contracts), 23 (Group and Blanket Health Insurance Contracts), 46 (Health Maintenance Organization Law), and 47 (Nonprofit Health Care Plan Law). The Office of Superintendent of Insurance (OSI), through its Life and Health Division, will enforce the provisions of HB53.

Through its compliance review required by HB53, OSI will review claims processing, provider reimbursement procedures, network adequacy, provider reimbursement rate adequacy, utilization management, level of care determinations and medication coverage to ensure access to resources for diabetics.

HOUSE BILL 53, IMPLEMENTATION – SUBMISSION OF HEALTH INSURANCE POLICIES FOR COMPLIANCE REVIEW