A. On or before January 1, 2014, the board shall jointly develop with the insurance division of the public regulation commission a uniform prior authorization form that, notwithstanding any other provision of law, a prescribing practitioner in the state shall use to request prior authorization for coverage of prescription drugs. The uniform prior authorization form shall: (1) not exceed two pages; (2) be made electronically available on the web site of the insurance division and on the web site of each health insurer, plan or health maintenance organization that uses the form; (3) be developed with input received from interested parties pursuant to at least one public meeting; and (4) take into consideration the following: (a) any existing prior authorization forms that the federal centers for medicare and medicaid services or the human services department [health care authority department] has developed; and (b) any national standards pertaining to electronic prior authorization for prescription drugs. B. As used in this section, 'prescribing practitioner' means a person that is licensed or certified to prescribe and administer drugs that are subject to the New Mexico Drug, for prescription drugs. B. As used in this section, 'prescribing practitioner' means a person that is licensed or certified to prescribe and administer drugs that are subject to the New Mexico Drug, Device and Cosmetic Act [Chapter 26, Article 1 NMSA 1978]. History: Laws 2013, ch. 170, § 3. ANNOTATIONSBracketed material. — The bracketed material was inserted by the compiler and is not part of the law. Laws 2023, ch. 205, § 16 provided that references to the human services department shall be deemed to be references to the health care authority department. Effective dates. — Laws 2013, ch. 170 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2013, 90 days after the adjournment of the legislature.
New Mexico Legal Code