New Mexico § 13-7-32 - Parity for coverage of mental health and substance use disorder services

§ 13-7-32. Parity for coverage of mental health and substance use disorder services

A. The office of superintendent of insurance shall ensure that an insurer complies

with federal and state laws, rules and regulations applicable to coverage for mental

health or substance use disorder services. B. An insurer shall not impose quantitative treatment limitations, financial restrictions,

limitations or requirements on the provision of mental health or substance use disorder

services that are more restrictive than the predominant restrictions, limitations

or requirements that are imposed on substantially all of the coverage of benefits

for other conditions. C. An insurer shall not impose non-quantitative treatment limitations for the treatment

of mental health or substance use disorders or conditions unless factors, including

the processes, strategies or evidentiary standards used in applying the non-quantitative

treatment limitation, as written and in operation, are comparable to and are applied

no more restrictively than the factors used in applying the limitation to medical

or surgical benefits in the classification.