ADD CLASSES TO PRIOR AUTHORIZATION DRUGS

SB 207 would expand New Mexico's insurance rules to exempt certain medications from prior authorization requirements. It directly affects patients with autoimmune disorders, cancer, rare diseases (affecting fewer than 200,000 people in the U.S.), or substance use disorders, and insurers covering their prescriptions. The bill requires insurers to cover these medications without prior approval or step therapy (trying cheaper drugs first) when a doctor deems them medically necessary for the condition. This change applies only when no cheaper generic, biosimilar, or interchangeable biologic alternative is available.