Health plans would include all legally authorized provider types

Health plans would have to include every type of legally authorized health care provider for participation in the plan. The rule would cover individual and group insurance policies, health plans, health maintenance contracts, nonprofit plans, and group coverage under the Health Care Purchasing Act. A provider must hold a state license, certification, or other legal authority to provide physical or behavioral health services. A plan would not have to contract with every provider who agrees to the plan's participation rules. Plans could still set different payment rates based on quality or performance measures. The bill states that its provisions would apply to policies, contracts, certificates, or agreements entered into, offered, renewed, extended, amended, or issued on or after July 1, 2026.

The bill would repeal four listed sections of New Mexico's health care laws. The repeal would cover Sections 59A-46-35, 59A-46-36, 59A-47-28.2, and 59A-47-28.3 of the New Mexico Statutes. The text gives no separate effective date for this repeal; the bill's general applicability section refers to covered policies and agreements on or after July 1, 2026.