PRIOR AUTHORIZATION REQUIREMENT CHANGES

HB 570 prohibits health insurers in New Mexico from requiring prior authorization for specific covered services, including chemotherapy, dialysis, elder care, and home health care. It also removes prior authorization requirements for prescription medications treating autoimmune disorders, cancer, diabetes, high blood pressure, or substance use disorders - unless a biosimilar, interchangeable biologic, or generic alternative is available. Insurers may still request post-service notifications and treatment plans compliant with federal law. The bill directly affects health insurers, healthcare providers, and patients seeking these covered services.