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NM SB130
Bill
Status
1/23/2026
Primary Sponsor
Martin Hickey
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AI Summary
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Prohibits cost sharing (copayments, coinsurance, deductibles) on generic cholesterol-lowering medications for group health coverage, individual health insurance, HMOs, and Medicaid
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Eliminates cost sharing on second-line step therapy medications when generic drugs fail to lower cholesterol below 60 mg/dL or cause adverse reactions not tolerated by the patient
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Removes cost sharing for coronary artery calcium screenings for eligible insureds over age 49, unless they have a strong family history of coronary artery disease or diagnosed symptoms
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Expands cholesterol lipid panel coverage to include tests for total cholesterol, LDL, HDL, lipoprotein (a), triglycerides, and high-sensitivity c-reactive protein
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Grants the Board of Pharmacy authority to establish protocols for assessing cardiovascular risk and prescribing lipid-lowering or cardiovascular plaque-reducing drug therapies based on risk levels
Legislative Description
No Cost-sharing Of Certain Drugs
Last Action
SHPAC: Reported by committee with Do Not Pass but with a Do Pass recommendation on Committee Substitution
2/17/2026