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Health Care Coverage Innovations – Initiatives

During the 2021 Legislative Session, the New Mexico Legislature passed and Governor Michelle Lujan Grisham signed Senate Bill 317, which placed a moratorium on out-of-pocket costs for mental health services for state-regulated plans and created a Health Care Affordability Fund to lower health care costs for New Mexicans. The law allows the Fund to be used to:

  1. Reduce premiums and out-of-pocket health care costs for New Mexicans who qualify for coverage on beWellnm, the state’s Health Insurance Marketplace;
  2. Reduce premiums for small businesses and their employees;
  3. Provide resources for planning, design and implementation of health care coverage initiatives for uninsured New Mexico residents; and
  4. Provide resources for administration of state health care coverage initiatives for uninsured New Mexico residents.

The Fund and its programs are administered by the New Mexico Office of Superintendent of Insurance (OSI).

Plan/Program Year 2024: Materials

2024 Health Insurance Marketplace Affordability Program Guidance

2024 Plan Year Marketplace Affordability Program Bulletins

2024 Plan Year SOPA Reconciliation Guidance for Health Insurance Issuers

  1. **NEW** DRAFT 2024 SOPA Reconciliation Guidance (Comments are due by November 15, 2024)

Small Business Health Insurance Premium Relief Initiative

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