Text of NM HB 536 (2025)
Disclosure Of Health Insurance Billing Info
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As introduced
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HOUSE BILL 536
57TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 2025
INTRODUCED BY
Marianna Anaya
AN ACT
RELATING TO INSURANCE; PROHIBITING HEALTH INSURANCE BILLING
INFORMATION FROM DISCLOSING PARTICULARLY SENSITIVE HEALTH CARE
SERVICES THAT ARE PROVIDED TO PEOPLE COVERED BY THE INSURANCE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1. A new section of the Health Care Purchasing
Act is enacted to read:
"[NEW MATERIAL] SENSITIVE BILLING INFORMATION.--
A. Any billing information, explanation of benefits
or summary of payments provided to a person enrolled in group
health coverage, including any form of self-insurance, offered,
issued or renewed under the Health Care Purchasing Act shall
not disclose any sensitive health care services received by a
person covered by the group health coverage.
B. For the purposes of this section, "sensitive
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health care service" means any health care service that is of a
particularly sensitive and personal nature, including:
(1) reproductive or sexual health care
services;
(2) gender-affirming health care services;
(3) behavioral health care services; or
(4) health care services related to treating a
victim of domestic violence."
SECTION 2. A new section of Chapter 59A, Article 22 NMSA
1978 is enacted to read:
"[NEW MATERIAL] SENSITIVE BILLING INFORMATION.--
A. Any billing information, explanation of benefits
or summary of payments provided to a person enrolled in an
individual group health insurance policy, health care plan or
certificate of health insurance that is delivered, issued or
renewed in this state shall not disclose any sensitive health
care services received by a person covered by the policy, plan
or certificate.
B. For the purposes of this section, "sensitive
health care service" means any health care service that is of a
particularly sensitive and personal nature, including:
(1) reproductive or sexual health care
services;
(2) gender-affirming health care services;
(3) behavioral health care services; or
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(4) health care services related to treating a
victim of domestic violence."
SECTION 3. A new section of Chapter 59A, Article 23 NMSA
1978 is enacted to read:
"[NEW MATERIAL] SENSITIVE BILLING INFORMATION.--
A. Any billing information, explanation of benefits
or summary of payments provided to a person enrolled in a group
or blanket health insurance policy, health care plan or
certificate of health insurance that is delivered, issued for
delivery or renewed in this state shall not disclose any
sensitive health care services received by a person covered by
the policy, plan or certificate.
B. For the purposes of this section, "sensitive
health care service" means any health care service that is of a
particularly sensitive and personal nature, including:
(1) reproductive or sexual health care
services;
(2) gender-affirming health care services;
(3) behavioral health care services; or
(4) health care services related to treating a
victim of domestic violence."
SECTION 4. A new section of the Health Maintenance
Organization Law is enacted to read:
"[NEW MATERIAL] SENSITIVE BILLING INFORMATION.--
A. Any billing information, explanation of benefits
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or summary of payments provided to a person enrolled in an
individual or group health maintenance contract that is
delivered, issued for delivery or renewed in this state shall
not disclose any sensitive health care services received by a
person covered by the health maintenance contract.
B. For the purposes of this section, "sensitive
health care service" means any health care service that is of a
particularly sensitive and personal nature, including:
(1) reproductive or sexual health care
services;
(2) gender-affirming health care services;
(3) behavioral health care services; or
(4) health care services related to treating a
victim of domestic violence."
SECTION 5. A new section of the Nonprofit Health Care
Plan Law is enacted to read:
"[NEW MATERIAL] SENSITIVE BILLING INFORMATION.--
A. Any billing information, explanation of benefits
or summary of payments provided to a person enrolled in an
individual or group health care plan that is delivered, issued
or renewed in this state shall not disclose any sensitive
health care services received by a person covered by the
policy, plan or certificate.
B. For the purposes of this section, "sensitive
health care service" means any health care service that is of a
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particularly sensitive and personal nature, including:
(1) reproductive or sexual health care
services;
(2) gender-affirming health care services;
(3) behavioral health care services; or
(4) health care services related to treating a
victim of domestic violence."
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