A. An individual or group health maintenance organization contract that is delivered, issued for delivery or renewed in this state that offers coverage for preventive care or treatment of sexually transmitted infections shall not impose cost sharing on eligible enrollees.

Terms Used In New Mexico Statutes 59A-46-60

  • Contract: A legal written agreement that becomes binding when signed.

B. Pursuant to this section, preventive care or treatment of sexually transmitted infections shall not be conditioned upon the gender identity of the insured.

C. The provisions of Subsection A of this section do not apply to high-deductible health care plans with health savings accounts until an eligible enrollee’s deductible has been met, unless otherwise allowed pursuant to federal law.

D. For the purposes of this section:

(1)     “cost sharing” means policy deductibles, copayments or coinsurance; (2)     “preventive care” means screening, testing, examination or counseling and the administration, dispensing or prescribing of preventive drugs, devices or supplies incidental to the prevention of a sexually transmitted infection;

(3)     “sexually transmitted infection” means chlamydia, syphilis, gonorrhea, HIV and relevant types of hepatitis, as well as any other sexually transmitted infection regardless of mode of transportation, as designated by rule upon making a finding that the particular sexually transmitted infection is contagious; and

(4)     “treatment” means medically necessary care for the management of an existing sexually transmitted infection.