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).