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NM SB189
Bill
Status
1/29/2026
Primary Sponsor
Heather Berghmans
Click for details
AI Summary
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Group health plans, individual policies, and Medicaid must cover abortion care, gender-affirming care, and preventive services with no cost-sharing (deductibles, copayments, or coinsurance)
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Contraceptive coverage expanded to require 12-month supplies dispensed at once (increased from 6 months), FDA-approved over-the-counter contraceptives, and elimination of prior authorization, utilization review, and quantity limits
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Special enrollment periods established for pregnancy, allowing uninsured individuals to obtain coverage within the first month of receiving pregnancy certification from a health care provider
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Family planning services under Medicaid must be reimbursed without quantity limits, utilization controls, or prior authorization, and recipients may choose any licensed New Mexico provider regardless of managed care enrollment
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Provisions apply to policies delivered, issued, renewed, extended, or amended beginning January 1, 2027, with exemptions for high-deductible plans until deductibles are met and limited-benefit or disease-specific plans
Legislative Description
Reproductive Health Care Coverage
Last Action
STBTC: Reported by committee with Do Not Pass but with a Do Pass recommendation on Committee Substitution
2/11/2026