HB 398 New Mexico House · 2025 Regular Session

HMO & CONTRACT PROVIDER EXAM TIME LINES

HB 398 extends the required examination timeline for Health Maintenance Organizations (HMOs) and their contracted healthcare providers in New Mexico from every three years to every five years. This change directly affects HMOs and the healthcare providers they contract with, reducing the frequency of regulatory reviews they must undergo. The key provision modifies Section 59A-46-19 of the New Mexico Insurance Code to update the examination schedule while maintaining the requirement for HMOs to submit records and cooperate with exams. The bill aims to reduce administrative burden on these entities while still requiring regular oversight for consumer protection.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Feb 12, 2025 Signed Apr 9, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

HC substitute Final Version · 5 edits
MODERATE
The bill amends New Mexico's Insurance Holding Company Law to update definitions for modern insurance regulation, establish new requirements for group capital calculation reports and liquidity stress tests, and modify examination timelines for health maintenance organizations and contract providers. These changes aim to strengthen oversight of large insurance groups and improve financial stability monitoring.
Scope change
The bill expands regulatory oversight to include internationally active insurance groups meeting specific asset and premium thresholds, while clarifying definitions for various insurance entities and their relationships.
DEFINITION

Updated definitions for 'acquire', 'affiliate', 'control', 'enterprise risk', 'group-wide supervisor', 'health maintenance organization', 'insurance holding company', 'insurer', 'internationally active insurance group', 'liquidity stress test framework', 'person', 'securityholder', 'subsidiary', and 'voting security' to align with current regulatory standards.

REQUIREMENT

Added requirements for group capital calculation reports and liquidity stress tests to better monitor financial stability of insurance holding company systems.

TIMELINE

Modified the timeline for examinations of health maintenance organizations and contract providers to improve regulatory oversight efficiency.

ELIGIBILITY

Established specific criteria for 'internationally active insurance group' status, requiring operations in at least three counties, 10% gross premiums written outside the United States, and total assets of at least $50 billion or gross written premiums of at least $10 billion.

ENFORCEMENT

Enhanced superintendent authority to determine actual control existence based on specific findings of fact, even when legal presumptions suggest otherwise.

Floor votes · Senate Mar 21, 2025 · House Mar 20, 2025

How they voted

360
Passed · 4 other
Total votes 40
Mar 21, 2025
D Democratic24
23 Yea 1
95% Yea
R Republican16
13 Yea 3
81% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
6
Committee
3
Apr 9, 2025
Signed into law
Signed
executive
Mar 21, 2025
Upper · Passed
passed Senate
upper
Mar 21, 2025
Upper · Passed
DO PASS committee report adopted
upper
Mar 21, 2025
Introduced
Sent to Senate Tax, Business and Transportation Committee
upper
Mar 20, 2025
Lower · Passed
passed House
lower
Mar 12, 2025
Lower · Passed
DO NOT PASS, replaced with committee substitute
lower
Mar 8, 2025
Lower · Passed
DO PASS committee report adopted
lower
Feb 12, 2025
Introduced
Sent to House Government, Elections and Indian Affairs Committee & House Health & Human Services Committee
lower
4 primary · 0 co-sponsors

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