New MexicoSB 392025 Regular SessionSenateWALLET

ADD CLASSES TO PRIOR AUTHORIZATION DRUGS

Sponsored By: Elizabeth "Liz" Stefanics (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Fewer drug coverage barriers for patients

The law applies to covered New Mexico health policies and contracts issued on or after July 1, 2025. Plans generally cannot require prior approval for FDA-approved drugs treating autoimmune disorders, cancer, rare diseases, or substance use disorders. Plans also cannot require patients to try other drugs first for autoimmune disorders, cancer, or substance use disorders. That protection also covers off-label drugs for rare diseases—diseases affecting fewer than 200,000 people nationwide. A health professional in the same or a similar specialty must find the drug medically necessary. The prior-approval and try-first protections do not apply when a generic, biosimilar, or interchangeable biologic version is available. Medical-necessity requests are automatically approved unless denied within seven calendar days after all required documents arrive. The deadline is 24 hours when delay threatens life or overall health, limits recovery of maximum function, or causes severe, intolerable pain.

Sponsors & Cosponsors

Sponsor

  • Elizabeth "Liz" Stefanics

    Democratic • Senate

Cosponsors

  • Carrie Hamblen

    Democratic • Senate

  • Mimi Stewart

    Democratic • Senate

  • Reena Szczepanski

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 95 • No: 6

House vote • 3/18/2025

Final House Vote

Yes: 61 • No: 6

Senate vote • 3/8/2025

Final Senate Vote

Yes: 34 • No: 0

Actions Timeline

  1. Signed by Governor - Chapter 57 - Apr. 7

    4/7/2025Senate
  2. Passed in the House of Representatives - Y:61 N:6

    3/18/2025House
  3. HJC: Reported by committee with Do Pass recommendation

    3/15/2025House
  4. HHHC: Reported by committee with Do Pass recommendation

    3/12/2025House
  5. Sent to HHHC - Referrals: HHHC/HJC

    3/10/2025Senate
  6. Passed in the Senate - Y:34 N:0

    3/8/2025Senate
  7. SHPAC: Reported by committee with Do Pass recommendation

    3/6/2025Senate
  8. STBTC: Reported by committee with Do Pass recommendation with amendment(s)

    2/21/2025Senate
  9. Sent to STBTC - Referrals: STBTC/SHPAC

    2/7/2025Senate

Bill Text

  • Final Version

    4/8/2025

  • HJC Committee Report   3/15/25

    3/15/2025

  • HHHC Committee Report   3/12/25

    3/12/2025

  • SHPAC Committee Report   3/06/25

    3/6/2025

  • STBTC Committee Report   2/21/25

    2/21/2025

  • Introduced

    2/7/2025

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