reglab/housing_qa huggingface dataset:
NM Stat § 59A-23E-17 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23E - Health Insurance Portability|Section 59A-23E-17 - Treatment of partners and self-employed individuals in connection with group health plans.

A. Any plan, fund or program that would not be an employee welfare benefit plan, except for the provisions of this section, that is established or maintained by a partnership, to the extent that the plan, fund or program provides medical care to current or former partners in the partnership or to their dependents directly or through insurance, reimbursement or otherwise, shall be treated as an employee welfare benefit plan that is a group health plan. B. As used in this section: (1) "employer" includes a partnership in relation to a partner; and (2) "participant" includes: (a) in connection with a group health plan maintained by a partnership, an individual who is a partner in relationship to the partnership; and (b) in connection with a group health plan maintained by a self-employed individual under which one or more employees are participants, the self-employed individual, if he or his beneficiaries are or may become eligible to receive a benefit under the plan. History: Laws 1997, ch. 243, § 17; 1998, ch. 41, § 21. ANNOTATIONSThe 1998 amendment, effective March 6, 1998, in the section heading, substituted "partners" for "partnerships" following "of" and inserted "in connection with group health plans" at the end of the heading.
NM Stat § 59A-23E-18 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23E - Health Insurance Portability|Section 59A-23E-18 - Requirement for mental health benefits in an individual or group health plan, or group health insurance offered in connection with the plan, for a plan year of an employer.

A. A group health plan or group or individual health insurance shall not impose treatment limitations or financial restrictions, limitations or requirements on the provision of mental health benefits that are more restrictive than the predominant restrictions, limitations or requirements that are imposed on coverage of benefits for other conditions.B. A group health plan or group or individual health insurance offered in connection with that plan, may:(1) require pre-admission screening prior to the authorization of mental health benefits whether inpatient or outpatient; or(2) apply limitations that restrict mental health benefits provided under the plan to those that are medically necessary.C. As used in this section, "mental health benefits" means mental health benefits as described in the group health plan, or group health insurance offered in connection with the plan; but does not include benefits with respect to treatment of substance abuse, chemical dependency or gambling addiction. History: 1978 Comp., § 59A-23E-18, enacted by Laws 2000, ch. 6, § 1; 2019, ch. 259, § 16. ANNOTATIONSRepeals and reenactments. — Laws 2000, ch. 6, § 1 repeals 59A-23E-18 NMSA 1978, as enacted by Laws 1998, ch. 41, § 22, relating to individual health insurance coverage; guaranteed renewability; exceptions, and enacts the above section, effective May 17, 2000. For provisions of former section, see 1999 Cumulative Supplement. The 2019 amendment, effective June 14, 2019, provided that a group health plan may not impose restrictions, limitations or requirements on the provisions of mental health benefits that are more restrictive than the predominant restrictions, limitations or requirements that are imposed on coverage of benefits for other conditions, and removed language that limits the annual premium increase based on providing mental health coverage parity; in Subsection A, after "group or individual health insurance", deleted "offered in connection with that plan, shall provide both medical and surgical benefits and mental health benefits. The plan", after "financial", added "restrictions, limitations", after "mental health benefits", deleted "if identical" and added "that are more restrictive than the predominant restrictions"; and deleted former Subsections C through E and redesignated former Subsection F as Subsection C.
NM Stat § 59A-23E-20 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23E - Health Insurance Portability|Section 59A-23E-20 - Certification of coverage by issuers in the individual market.

The provisions of Section 59A-23E-7 NMSA 1978 [repealed] apply to health insurance coverage offered by a health insurance issuer in the individual market in the same manner as it applies to health insurance coverage offered by a health insurance issuer in connection with a group health plan in the small or large group market. History: 1978 Comp., § 59A-23E-20, enacted by Laws 1998, ch. 41, § 24. ANNOTATIONSBracketed material. — The bracketed material was inserted by the compiler and is not part of the law. Laws 2019, ch. 259, § 22 repealed 59A-23E-7 NMSA 1978, effective June 14, 2019.
NM Stat § 59A-23F-1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-1 - Short title.

Chapter 59A, Article 23F NMSA 1978 may be cited as the "New Mexico Health Insurance Exchange Act". History: Laws 2013, ch. 54, § 1; 2020, ch. 35, § 1. ANNOTATIONSThe 2020 amendment, effective May 20, 2020, changed "Sections 1 through 8 of this act" to "Chapter 59A, Article 23F NMSA 1978".Severability. — Laws 2013, ch. 54, § 16 provided that if any part or application of Laws 2013, ch. 54, §§ 1 through 15 are held invalid, the remainder or its application to other situations or persons shall not be affected.
NM Stat § 59A-23F-4 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-4 - Board of directors; powers.

The board may: A. seek and receive grant funding from federal, state or local governments or private philanthropic organizations to defray the costs of operating the exchange; B. generate funding, including charging assessments or fees, to support its operations in accordance with provisions of the New Mexico Health Insurance Exchange Act solely for the reasonable administrative costs of the exchange; provided that no assessment or user fee shall be imposed upon a carrier that exclusively offers policies, plans or contracts outside the exchange intended to supplement major medical coverage, including medicare supplement, long-term care, disability income, specified disease, accident-only, hospital indemnity or other limited-benefit health insurance policy; C. establish a Native American service center to ensure that the exchange: (1) is accessible to Native Americans; (2) complies with the provisions of the federal Indian Health Care Improvement Act and Indian-specific provisions of the federal Patient Protection and Affordable Care Act; and (3) facilitates meaningful, ongoing consultation with Native Americans; D. create ad hoc advisory councils; E. request assistance from other boards, commissions, departments, agencies and organizations as necessary to provide appropriate expertise to accomplish the exchange's duties; F. enter into contracts with persons or other organizations as necessary or proper to carry out the provisions and purposes of the New Mexico Health Insurance Exchange Act, including the authority to contract or employ staff for the performance of administrative, legal, actuarial, accounting and other functions; provided that no contractor shall be a health insurance issuer or a producer; G. enter into contracts with similar exchanges of other states for the joint performance of common administrative functions; H. enter into information-sharing agreements with federal and state agencies and other state exchanges to carry out its responsibilities; provided that these agreements include adequate protections of the confidentiality of the information to be shared and comply with all state and federal laws and regulations; I. sue or be sued or otherwise take any necessary or proper legal action in the execution of its duties and powers; J. appoint board committees, which may include non-board members, to provide technical assistance in the operation of the exchange and any other function within the authority of the exchange; and K. conduct periodic audits to assure the general accuracy of the financial data submitted to the exchange. History: Laws 2013, ch. 54, § 4. ANNOTATIONSEmergency clauses. — Laws 2013, ch. 54, § 17 contained an emergency clause and was approved March 28, 2013. Severability. — Laws 2013, ch. 54, § 16 provided that if any part or application of Laws 2013, ch. 54, §§ 1 through 15 are held invalid, the remainder or its application to other situations or persons shall not be affected.
NM Stat § 59A-23F-6 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-6 - Board duties; reporting.

The board shall: A. between July 1, 2013 and January 1, 2015, provide quarterly reports to the legislature, the governor and the superintendent on the implementation of the exchange and report annually and upon request thereafter; B. keep an accurate accounting of all of the activities, receipts and expenditures of the exchange and submit this information annually to the superintendent and as required by federal law to the federal secretary of health and human services; C. beginning with the first year of operation in which access to health insurance coverage is provided, obtain an annual audit of the exchange's operations from an independent certified public accountant; D. publish the administrative costs of the exchange as required by state or federal law; and E. discharge those duties required to implement and operate the exchange in accordance with the provisions of the New Mexico Health Insurance Exchange Act consistent with state and federal law. History: Laws 2013, ch. 54, § 6. ANNOTATIONSEmergency clauses. — Laws 2013, ch. 54, § 17 contained an emergency clause and was approved March 28, 2013. Severability. — Laws 2013, ch. 54, § 16 provided that if any part or application of Laws 2013, ch. 54, §§ 1 through 15 are held invalid, the remainder or its application to other situations or persons shall not be affected.
NM Stat § 59A-23F-7 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-7 - Superintendent of insurance; rulemaking.

The superintendent shall coordinate with the board to promulgate rules necessary to implement and carry out the provisions of the New Mexico Health Insurance Exchange Act, including rules to establish the criteria for certification of qualified health plans.History: Laws 2013, ch. 54, § 7; 2020, ch. 35, § 5. ANNOTATIONSThe 2020 amendment, effective May 20, 2020, required the superintendent of insurance to coordinate with the board of directors of the exchange to promulgate rules necessary to implement and carry out the provisions of the New Mexico Health Insurance Exchange Act; and after "shall", added "coordinate with the board to". Severability. — Laws 2013, ch. 54, § 16 provided that if any part or application of Laws 2013, ch. 54, §§ 1 through 15 are held invalid, the remainder or its application to other situations or persons shall not be affected.
NM Stat § 59A-23F-8 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-8 - Funding.

A. To fund the planning, implementation and operation of the exchange, the board shall contract with the human services department or any other state agency that receives federal funds allocated, appropriated or granted to the state for purposes of funding the planning, implementation or operation of a health insurance exchange. B. The human services department or any other state agency that receives federal funds allocated, appropriated or granted to the state for purposes of funding the planning, implementation or operation of a health insurance exchange shall contract with the board to provide those funds to the exchange in consideration for its planning, implementation or operation. History: Laws 2013, ch. 54, § 8. ANNOTATIONSEmergency clauses. — Laws 2013, ch. 54, § 17 contained an emergency clause and was approved March 28, 2013. Severability. — Laws 2013, ch. 54, § 16 provided that if any part or application of Laws 2013, ch. 54, §§ 1 through 15 are held invalid, the remainder or its application to other situations or persons shall not be affected.
NM Stat § 59A-23F-9 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-9 - Standardized health plans.

A. The board may establish no more than three standardized health plans for each of three levels of coverage with increasing benefits, designated bronze, silver and gold plans.B. In establishing standardized health plans, the board may design those plans to:(1) limit increases in health plan premium rates;(2) reduce the deductible portion of a benefit an insured individual is required to pay;(3) make more services available before a deductible amount is applied to a benefit;(4) provide predictable cost sharing;(5) maximize available subsidies;(6) limit adverse premium impacts;(7) reduce barriers to maintaining and improving health; and(8) encourage choice based on value.C. The board may update the standardized health plans annually.D. The board shall provide for notice and public comment before finalizing each year's standardized health plans.E. The board shall establish a procedure and time line for providing written notice of the standardized health plans to health insurance issuers before the year in which the health plans are to be offered on the exchange. F. Beginning on January 1, 2022, the board may require a health insurance issuer offering a qualified health plan through the exchange to offer one silver standardized health plan and one gold standardized health plan on the exchange. If a health insurance issuer offers a bronze health plan through the exchange, the exchange may also require the issuer to offer one bronze standardized health plan through the exchange.G. A health insurance issuer offering standardized health plans through the exchange may also offer nonstandardized health plans through the exchange.H. The actuarial value of nonstandardized silver health plans offered through the exchange shall not be less than the actuarial value of the standardized silver health plan with the lowest actuarial value.History: Laws 2020, ch. 35, § 7. ANNOTATIONSEffective dates. — Laws 2020, ch. 35 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective May 20, 2020, 90 days after adjournment of the legislature.
NM Stat § 59A-23F-10 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-10 - Reporting.

The board shall make reports publicly available as follows:A. during all exchange open enrollment periods beginning on or after October 1, 2021, the board shall produce weekly reports that include information on:(1) applications;(2) plan selections;(3) new enrollees;(4) enrollees renewing coverage;(5) call center volume; and(6) website traffic;B. within sixty days following the last day of each open enrollment period beginning on or after October 1, 2021, the board shall produce a report with the number of effectuated enrollments from the most recent open enrollment period; andC. beginning on September 1, 2022, and on each succeeding September 1, the board, in consultation with the superintendent, shall issue a report that includes analysis of:(1) the individual health insurance market;(2) on- and off-exchange enrollment and demographics;(3) small business enrollment;(4) qualified health plan pricing;(5) outreach and enrollment assistance activities;(6) the impact of offering standardized health plans; and(7) the remaining uninsured in New Mexico and strategies to reach them. History: Laws 2020, ch. 35, § 8. ANNOTATIONSEffective dates. — Laws 2020, ch. 35 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective May 20, 2020, 90 days after adjournment of the legislature.
NM Stat § 59A-23F-11 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23F - New Mexico Health Insurance Exchange|Section 59A-23F-11 - Health care affordability fund. (Effective January 1, 2022.)

A. The "health care affordability fund" is created in the state treasury. The fund consists of distributions, appropriations, gifts, grants and donations. Money in the fund at the end of a fiscal year shall not revert to any other fund. The office of superintendent of insurance shall administer the fund, and money in the fund is subject to appropriation by the legislature for purposes provided by this section. Disbursements from the fund shall be made by warrant of the secretary of finance and administration pursuant to vouchers signed by the superintendent or the superintendent's authorized representative.B. The purpose of the fund is to:(1) reduce health care premiums and cost sharing for New Mexico residents who purchase health care coverage on the New Mexico health insurance exchange;(2) reduce premiums for small businesses and their employees purchasing health care coverage in the fully insured small group market;(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.C. If the federal Patient Protection and Affordable Care Act is repealed in full or in part by an act of congress or invalidated by the United States supreme court and eliminates or reduces comprehensive health care coverage for New Mexico residents through medicaid or the New Mexico health insurance exchange, the fund may be used to maintain coverage through the New Mexico health insurance exchange or through medical assistance programs administered by the human services department, provided that coverage is prioritized for New Mexico residents with incomes below two hundred percent of the federal poverty level.D. Prior to July 1, 2025, the staff of the legislative finance committee shall conduct a program evaluation to measure the impact of changes to the health insurance premium surtax and the creation of the health care affordability fund as it relates to the purpose of the fund.E. Prior to July 1 of each year, the superintendent shall provide actuarial data from the health care affordability fund to the legislative finance committee.F. Prior to July 1 of each year, the superintendent, in consultation with the secretary of human services, the secretary of taxation and revenue and the chief executive officer of the New Mexico health insurance exchange, shall work with the legislative finance committee and the department of finance and administration to develop and report on performance measures relating to the health care affordability fund and any programs or initiatives funded by the fund.History: Laws 2021, ch. 136, § 4. ANNOTATIONSEffective dates. — Laws 2021, ch. 136, § 11 made Laws 2021, ch. 136, § 4 effective January 1, 2022.
NM Stat § 59A-23G-1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23G - Short-Term Health Plan and Excepted Benefit|Section 59A-23G-1 - Short title.

Sections 1 through 6 [59A-23G-1 to 59A-23G-7 NMSA 1978] of this act may be cited as the "Short-Term Health Plan and Excepted Benefit Act". History: Laws 2019, ch. 235, § 1. ANNOTATIONSEffective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.
NM Stat § 59A-23G-3 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23G - Short-Term Health Plan and Excepted Benefit|Section 59A-23G-3 - Short-term plans; excepted benefits; standards for policy provisions.

A. The superintendent shall adopt and promulgate rules to establish specific standards:(1) that set the manner, content and required disclosure for the sale of short-term plans and excepted benefits plans, including standards for full and fair disclosure; and(2) for the sale of short-term plans and excepted benefits plans, which standards shall include standards relating to:(a) terms of renewability or extension of coverage;(b) initial and subsequent conditions of eligibility;(c) nonduplication of coverage provisions;(d) coverage of dependents;(e) preexisting conditions;(f) termination of insurance;(g) probationary periods;(h) limitations;(i) exceptions;(j) reductions and exclusions;(k) elimination periods;(l) requirements for replacement by the health insurance carrier;(m) recurrent conditions; (n) the definition of terms to describe the specific types of coverage sold pursuant to the Short-Term Health Plan and Excepted Benefit Act and specific standards and policy provisions required of these plans;(o) benefit duration; (p) scope of coverage; (q) advertising and marketing; (r) sales practices; (s) mandatory disclosures; (t) coverage suitability; and(u) policy and certificate approval. B. All advertisements, marketing materials and application and policy forms relating to short-term plans shall prominently display a notice that the coverage is unavailable to any potential insured who has been covered under a short-term plan in the previous twelve-month period. History: Laws 2019, ch. 235, § 3. ANNOTATIONSEffective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.
NM Stat § 59A-23G-4 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23G - Short-Term Health Plan and Excepted Benefit|Section 59A-23G-4 - Benefits; minimum standards.

A. The superintendent shall adopt and promulgate rules to establish minimum standards for benefits provided by short-term plans and excepted benefits plans that are subject to the Short-Term Health Plan and Excepted Benefit Act. B. Rules of the superintendent shall require short-term plans to cover state-mandated benefits in addition to each of the following categories of benefits:(1) diagnostic;(2) rehabilitative;(3) maternity;(4) neonatal;(5) behavioral health services;(6) emergency services;(7) hospitalization;(8) ambulatory services; and(9) prescription drugs. History: Laws 2019, ch. 235, § 4. ANNOTATIONSEffective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.
NM Stat § 59A-23G-5 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23G - Short-Term Health Plan and Excepted Benefit|Section 59A-23G-5 - Rates; medical loss ratios.

The superintendent shall adopt and promulgate rules to establish standards for rates, including medical loss ratios, of short-term plans and excepted benefits plans. Rules relating to rates shall be based on generally recognized and current actuarial standards.History: Laws 2019, ch. 235, § 5. ANNOTATIONSEffective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.
NM Stat § 59A-23G-6 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 23G - Short-Term Health Plan and Excepted Benefit|Section 59A-23G-6 - Prohibition; association, trust or multiple employer welfare arrangement plans.

No insurer shall issue, and no association, trust or multiple employer welfare arrangement shall offer, a short-term or excepted benefits plan to a resident of the state unless through a bona fide association.History: Laws 2019, ch. 235, § 6. ANNOTATIONSEffective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.