HB 168 - Establishes Health Insurance Exchange - New Mexico Key Vote

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Title: Establishes Health Insurance Exchange

Vote Smart's Synopsis:

Vote to pass a bill that establishes the New Mexico Health Insurance Exchange and specifies the duties and functions of the Board of Directors.

Highlights:

  • Establishes the “New Mexico Health Insurance Exchange” as a nonprofit public corporation to provide health plans to individuals and employers through a website that provides comparative information about qualified health plans (Sec. 3).
  • Establishes a board of directors for the New Mexico health insurance exchange, comprised of the following members (Sec. 3):
    • 3 voting members appointed by the governor;
    • 3 voting members appointed by the superintendent;
    • 1 voting member appointed by the president pro tempore of the senate;
    • 1 voting member appointed by the speaker of the house of representatives;
    • 1 voting member appointed by the senate minority floor leader;
    • 1 voting member appointed by the house minority floor leader;
    • The Secretary of Human Services, a voting member; and
    • The Superintendent of Insurance, a non-voting member. 
  • Prohibits managerial and full-time employees on the board of directors from being paid for consultation services to health care providers (Sec. 3).
  • Requires the board of directors to create a plan of operation to (Sec. 5):
    • Establish procedures to implement the provisions of this act consistent with all state and federal laws, including the federal Patient Protection and Affordable Care Act;
    • Determine which health plans will be offered through the exchange;
    • Determine eligibility for the exchange;
    • Establish procedures to enroll qualified individuals; and
    • Establish a program to publicize the exchange.
  • Requires the board of directors to establish an application process for health insurance coverage by October 1, 2013 (Sec. 6).
  • Requires the Superintendent of Insurance to certify that all health plans conform to state and federal requirements for qualified health plans (Sec. 7).
  • Requires the Department of Human Services to share information and facilitate transitions in enrollment between the exchange and Medicaid (Sec. 4).

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