0001| HOUSE BILL 214
|
0002| 43RD LEGISLATURE - STATE OF NEW MEXICO - SECOND SESSION, 1998
|
0003| INTRODUCED BY
|
0004| EDWARD C. SANDOVAL
|
0005|
|
0006|
|
0007|
|
0008| FOR THE HEALTH AND WELFARE REFORM COMMITTEE
|
0009|
|
0010| AN ACT
|
0011| RELATING TO INSURANCE; ENACTING THE PATIENT PROTECTION ACT;
|
0012| PROVIDING PROTECTIONS FOR PERSONS IN MANAGED HEALTH CARE
|
0013| PLANS; APPLYING PATIENT PROTECTIONS TO MEDICAID MANAGED CARE;
|
0014| IMPOSING A CIVIL PENALTY; AMENDING AND ENACTING SECTIONS OF
|
0015| THE NMSA 1978.
|
0016|
|
0017| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
|
0018| Section 1. A new section of the New Mexico Insurance
|
0019| Code is enacted to read:
|
0020| "[|NEW MATERIAL|] SHORT TITLE.--Sections 1 through 11 of
|
0021| this act may be cited as the "Patient Protection Act"."
|
0022| Section 2. A new section of the New Mexico Insurance
|
0023| Code is enacted to read:
|
0024| "[|NEW MATERIAL|] PURPOSE OF ACT.--The purpose of the
|
0025| Patient Protection Act is to regulate aspects of health
|
- 1 -
0001| insurance by specifying patient and provider rights and
|
0002| confirming and clarifying the authority of the department to
|
0003| adopt regulations to provide protections to persons enrolled
|
0004| in managed health care plans. The insurance protections
|
0005| should ensure that managed health care plans treat patients
|
0006| fairly and fulfill their primary obligation to deliver good
|
0007| quality health care services."
|
0008| Section 3. A new section of the New Mexico Insurance
|
0009| Code is enacted to read:
|
0010| "[|NEW MATERIAL|] DEFINITIONS.--As used in the Patient
|
0011| Protection Act:
|
0012| A. "continuous quality improvement" means an
|
0013| ongoing and systematic effort to measure, evaluate and improve
|
0014| a managed health care plan's operations in order to improve
|
0015| continually the quality of health care services provided to
|
0016| enrollees;
|
0017| B. "covered person", "enrollee", "patient" or
|
0018| "consumer" means an individual who is entitled to receive
|
0019| health care benefits from a managed health care plan;
|
0020| C. "department" means the insurance department;
|
0021| D. "emergency care" means a health care procedure,
|
0022| treatment or service delivered to a covered person after the
|
0023| sudden onset of what appears to be a medical condition that
|
0024| manifests itself by symptoms of sufficient severity that the
|
0025| absence of immediate medical attention could be expected by a
|
- 2 -
0001| reasonable layperson to result in jeopardy to a person's
|
0002| health, serious impairment of bodily functions, serious
|
0003| dysfunction of a body part or disfigurement to a person;
|
0004| E. "health care facility" means an institution
|
0005| providing health care services, including a hospital or other
|
0006| licensed inpatient center; an ambulatory surgical or treatment
|
0007| center; a skilled nursing center; a residential treatment
|
0008| center; a home health agency; a diagnostic, laboratory or
|
0009| imaging center; and a rehabilitation or other therapeutic
|
0010| health setting;
|
0011| F. "health care insurer" means a person who has a
|
0012| valid certificate of authority in good standing pursuant to
|
0013| the Insurance Code to act as an insurer, health maintenance
|
0014| organization, nonprofit health care plan or prepaid dental
|
0015| plan;
|
0016| G. "health care professional" means a physician or
|
0017| other health care practitioner, including a pharmacist, who is
|
0018| licensed, certified or otherwise authorized by the state to
|
0019| provide health care services consistent with state law;
|
0020| H. "health care provider" or "provider" means a
|
0021| person licensed or otherwise authorized by the state to
|
0022| furnish health care services and includes health care
|
0023| professionals and health care facilities;
|
0024| I. "health care services" includes physical health
|
0025| or community-based mental health or developmental disability
|
- 3 -
0001| services, including services for developmental delay;
|
0002| J. "managed health care plan" or "plan" means a
|
0003| health benefit plan of a health care insurer or a provider
|
0004| service network that either requires a covered person to use,
|
0005| or creates incentives, including financial incentives, for a
|
0006| covered person to use health care providers managed, owned,
|
0007| under contract with or employed by the health care insurer.
|
0008| "Managed health care plan" or "plan" does not include a
|
0009| traditional fee-for-service indemnity plan, a student health
|
0010| plan or a plan that covers only short-term travel or accident-
|
0011| only, limited benefit or specified disease policies;
|
0012| K. "person" means an individual or other legal
|
0013| entity;
|
0014| L. "point-of-service plan" or "open plan" means a
|
0015| managed health care plan that allows enrollees to use health
|
0016| care providers other than providers under direct contract with
|
0017| the plan, even if the plan provides incentives, including
|
0018| financial incentives, for covered persons to use the plan's
|
0019| designated participating providers;
|
0020| M. "primary health care clinic" means a nonprofit
|
0021| community-based entity established to provide the first level
|
0022| of basic or general health care needs, including diagnostic
|
0023| and treatment services, for residents of a health care
|
0024| underserved area as that area is defined in regulation adopted
|
0025| by the department of health and includes an entity that serves
|
- 4 -
0001| primarily low-income populations;
|
0002| N. "provider service network" means two or more
|
0003| health care providers affiliated for the purpose of providing
|
0004| health care services to covered persons on a capitated or
|
0005| similar prepaid flat-rate basis;
|
0006| O. "superintendent" means the superintendent of
|
0007| insurance; and
|
0008| P. "utilization review" means a system for
|
0009| reviewing the appropriate and efficient allocation of health
|
0010| care services, including hospitalization, given or proposed to
|
0011| be given to a patient or group of patients."
|
0012| Section 4. A new section of the New Mexico Insurance
|
0013| Code is enacted to read:
|
0014| "[|NEW MATERIAL|] PATIENT RIGHTS--DISCLOSURES--RIGHTS TO
|
0015| BASIC AND COMPREHENSIVE HEALTH CARE SERVICES--GRIEVANCE
|
0016| PROCEDURE--UTILIZATION REVIEW PROGRAM--CONTINUOUS QUALITY
|
0017| PROGRAM.--
|
0018| A. Each covered person enrolled in a managed
|
0019| health care plan has the right to be treated fairly. A
|
0020| managed health care plan shall deliver good quality and
|
0021| appropriate health care services to enrollees. The department
|
0022| shall adopt regulations to implement the provisions of the
|
0023| Patient Protection Act and shall monitor and oversee a managed
|
0024| health care plan to ensure that each covered person enrolled
|
0025| in a plan is treated fairly and is accorded the rights
|
- 5 -
0001| necessary or appropriate to protect patient interests. In
|
0002| adopting regulations to implement the provisions of
|
0003| Subparagraphs (a) and (b) of Paragraph (3) and Paragraphs (5)
|
0004| and (6) of Subsection B of this section regarding health care
|
0005| standards and specialists, utilization review programs and
|
0006| continuous quality improvement programs, the department shall
|
0007| cooperate with and seek advice from the department of health.
|
0008| B. The regulations adopted by the department to
|
0009| protect patient rights shall provide at a minimum that:
|
0010| (1) a managed health care plan shall provide
|
0011| oral and written summaries, policies and procedures that
|
0012| explain, prior to or at the time of enrollment and at
|
0013| subsequent periodic times as appropriate, in a clear,
|
0014| conspicuous and readily understandable form, full and fair
|
0015| disclosure of the plan's benefits, terms, conditions, prior
|
0016| authorization requirements, enrollee financial responsibility
|
0017| for payments, grievance procedures, appeal rights and the
|
0018| patient rights generally available to all covered persons;
|
0019| (2) a managed health care plan shall provide
|
0020| each covered person with appropriate basic and comprehensive
|
0021| health care services that are reasonably accessible and
|
0022| available in a timely manner to each covered person;
|
0023| (3) in providing the right to reasonably
|
0024| accessible health care services that are available in a timely
|
0025| manner, a managed health care plan shall ensure that:
|
- 6 -
0001| (a) the plan offers sufficient numbers
|
0002| and types of safe and adequately staffed health care providers
|
0003| at reasonable hours of service to meet the health needs of the
|
0004| enrollee population, and takes into account cultural aspects
|
0005| of the enrollee population;
|
0006| (b) health care providers that are
|
0007| specialists may act as primary care providers for patients
|
0008| with chronic medical conditions, provided the specialists
|
0009| offer all reasonable primary care services required by a
|
0010| managed health care plan;
|
0011| (c) reasonable access is provided to
|
0012| out-of-network health care providers; and
|
0013| (d) emergency care is immediately
|
0014| available without prior authorization requirements, and
|
0015| appropriate out-of-network emergency care is not subject to
|
0016| additional costs;
|
0017| (4) a managed health care plan shall adopt
|
0018| and implement a prompt and fair grievance procedure for
|
0019| resolving patient complaints and addressing patient questions
|
0020| and concerns regarding any aspect of the plan, including the
|
0021| quality of and access to health care, the choice of health
|
0022| care provider or treatment and the adequacy of the plan's
|
0023| provider network. The grievance procedures shall notify
|
0024| patients of their statutory appeal rights, including the
|
0025| option of seeking immediate relief in court, and shall provide
|
- 7 -
0001| for a prompt and fair appeal of a plan's decision to the
|
0002| superintendent, including special provisions to govern
|
0003| emergency appeals to the superintendent in health emergencies;
|
0004| (5) a managed health care plan shall adopt
|
0005| and implement a comprehensive utilization review program. The
|
0006| basis of a decision to approve or deny care shall be disclosed
|
0007| to an affected enrollee. The decision to approve or deny care
|
0008| to a patient shall be made in a timely manner, and the final
|
0009| decision shall be made by a qualified health care
|
0010| professional. A plan's utilization review program shall
|
0011| ensure that enrollees have proper access to health care
|
0012| services, including referrals to necessary specialists. A
|
0013| decision made in a plan's utilization review program shall be
|
0014| subject to the plan's grievance procedure and appeal to the
|
0015| superintendent; and
|
0016| (6) a managed health care plan shall adopt
|
0017| and implement a continuous quality improvement program that
|
0018| monitors the quality and appropriateness of the health care
|
0019| services provided by the plan."
|
0020| Section 5. A new section of the New Mexico Insurance
|
0021| Code is enacted to read:
|
0022| "[|NEW MATERIAL|] CONSUMER ASSISTANCE--CONSUMER ADVISORY
|
0023| BOARDS--OMBUDSMAN OFFICE--REPORTS TO CONSUMERS--
|
0024| SUPERINTENDENT'S ORDERS TO PROTECT CONSUMERS.--
|
0025| A. Each health care insurer that offers a managed
|
- 8 -
0001| health care plan shall establish and adequately staff a
|
0002| consumer assistance office. The purpose of the consumer
|
0003| assistance office is to respond to consumer questions and
|
0004| concerns and assist patients in exercising their rights and
|
0005| protecting their interests as consumers of health care.
|
0006| B. Each health care insurer that offers a managed
|
0007| health care plan shall establish a consumer advisory board.
|
0008| The board shall meet at least quarterly and shall advise the
|
0009| insurer about the plan's general operations from the
|
0010| perspective of the enrollee as a consumer of health care. The
|
0011| board shall also oversee the plan's consumer assistance
|
0012| office.
|
0013| C. The department shall establish and adequately
|
0014| staff a managed care ombudsman office, either within the
|
0015| department or by contract. The purpose of the managed care
|
0016| ombudsman office shall be to assist patients in exercising
|
0017| their rights and help advocate for and protect patient
|
0018| interests. The department's managed care ombudsman office
|
0019| shall work in conjunction with each insurer's consumer
|
0020| assistance office and shall independently evaluate the
|
0021| effectiveness of the insurer's consumer assistance office.
|
0022| The department's managed care ombudsman office may require an
|
0023| insurer's consumer assistance office to adopt measures to
|
0024| ensure that the plan operates effectively to protect patient
|
0025| rights and inform consumers of the information to which they
|
- 9 -
0001| are entitled.
|
0002| D. The department shall prepare an annual report
|
0003| assessing the operations of managed health care plans subject
|
0004| to the department's oversight, including information about
|
0005| consumer complaints.
|
0006| E. A person may file a complaint with the
|
0007| superintendent regarding a violation of the Patient Protection
|
0008| Act. Prior to issuing any remedial order regarding violations
|
0009| of the Patient Protection Act or its regulations, the
|
0010| superintendent shall hold a hearing in accordance with the
|
0011| provisions of Chapter 59A, Article 4 NMSA 1978. The
|
0012| superintendent may issue any order he deems necessary or
|
0013| appropriate, including ordering the delivery of appropriate
|
0014| care, to protect consumers and enforce the provisions of the
|
0015| Patient Protection Act. The superintendent shall adopt
|
0016| special procedures to govern the submission of emergency
|
0017| appeals to him in health emergencies."
|
0018| Section 6. A new section of the New Mexico Insurance
|
0019| Code is enacted to read:
|
0020| "[|NEW MATERIAL|] FAIRNESS TO HEALTH CARE PROVIDERS--GAG
|
0021| RULES PROHIBITED--GRIEVANCE PROCEDURE FOR PROVIDERS.--
|
0022| A. No managed health care plan may:
|
0023| (1) adopt a gag rule or practice that
|
0024| prohibits a health care provider from discussing a treatment
|
0025| option with an enrollee even if the plan does not approve of
|
- 10 -
0001| the option;
|
0002| (2) include in any of its contracts with
|
0003| health care providers any provisions that offers an
|
0004| inducement, financial or otherwise, to provide less than
|
0005| medically necessary services to an enrollee; or
|
0006| (3) require a health care provider to violate
|
0007| the ethical duties of his profession or place his license in
|
0008| jeopardy.
|
0009| B. A health care insurer that proposes to
|
0010| terminate a health care provider from the insurer's managed
|
0011| health care plan shall explain in writing the rationale for
|
0012| its proposed termination and deliver reasonable advance
|
0013| written notice to the provider prior to the proposed effective
|
0014| date of the termination.
|
0015| C. A managed health care plan shall adopt and
|
0016| implement a prompt and fair grievance procedure for resolving
|
0017| health care provider complaints and addressing provider
|
0018| questions and concerns regarding any aspect of the plan,
|
0019| including the quality of and access to health care, the choice
|
0020| of health care provider or treatment and the adequacy of the
|
0021| plan's provider network. The grievance procedures shall
|
0022| notify providers of their statutory appeal rights, including
|
0023| the option of seeking immediate relief in court, and shall
|
0024| provide for a prompt and fair appeal of a plan's decision to
|
0025| the superintendent, including special provisions to govern
|
- 11 -
0001| emergency appeals to the superintendent in health
|
0002| emergencies."
|
0003| Section 7. A new section of the New Mexico Insurance
|
0004| Code is enacted to read:
|
0005| "[|NEW MATERIAL|] POINT-OF-SERVICE OPTION PLAN.--The
|
0006| department may require a health care insurer that offers a
|
0007| point-of-service plan or open plan to include in any managed
|
0008| health care plan it offers an option for a point-of-service
|
0009| plan or open plan."
|
0010| Section 8. A new section of the New Mexico Insurance
|
0011| Code is enacted to read:
|
0012| "[|NEW MATERIAL|] ADMINISTRATIVE COSTS AND BENEFIT COSTS
|
0013| DISCLOSURES.--The department shall adopt regulations to ensure
|
0014| that both the administrative costs and the direct costs of
|
0015| providing health care services of each managed health care
|
0016| plan are fully and fairly disclosed to consumers in a uniform
|
0017| manner that allows meaningful cost comparisons among plans."
|
0018| Section 9. A new section of the New Mexico Insurance
|
0019| Code is enacted to read:
|
0020| "[|NEW MATERIAL|] PRIVATE REMEDIES TO ENFORCE PATIENT AND
|
0021| PROVIDER INSURANCE RIGHTS--ENROLLEE AS THIRD-PARTY BENEFICIARY
|
0022| TO ENFORCE RIGHTS.--
|
0023| A. A person who suffers a loss as a result of a
|
0024| violation of a right protected pursuant to the provisions of
|
0025| the Patient Protection Act, its regulations or a managed
|
- 12 -
0001| health care plan may bring an action to recover actual damages
|
0002| or the sum of one hundred dollars ($100), whichever is
|
0003| greater.
|
0004| B. A person likely to be damaged by a denial of a
|
0005| right protected pursuant to the provisions of the Patient
|
0006| Protection Act, its regulations or a managed health care plan
|
0007| may be granted an injunction under the principles of equity
|
0008| and on terms that the court considers reasonable. Proof of
|
0009| monetary damage or intent to violate a right is not required.
|
0010| C. To protect and enforce an enrollee's rights in
|
0011| a managed health care plan, an individual enrollee
|
0012| participating in or eligible to participate in a managed
|
0013| health care plan shall be treated as a third-party beneficiary
|
0014| of the managed health care plan contract between the health
|
0015| care insurer and the party with which the health care insurer
|
0016| directly contracts. An individual enrollee may sue to enforce
|
0017| the rights provided in the contract that governs the managed
|
0018| health care plan.
|
0019| D. The relief provided pursuant to this section is
|
0020| in addition to other remedies available against the same
|
0021| conduct under the common law or other statutes of this state.
|
0022| E. In any class action filed pursuant to this
|
0023| section, the court may award damages to the named plaintiffs
|
0024| as provided in this section and may award members of the class
|
0025| the actual damages suffered by each member of the class as a
|
- 13 -
0001| result of the unlawful practice."
|
0002| Section 10. A new section of the New Mexico Insurance
|
0003| Code is enacted to read:
|
0004| "[|NEW MATERIAL|] APPLICATION OF ACT TO MEDICAID
|
0005| PROGRAM.--The provisions of the Patient Protection Act apply
|
0006| to the medicaid program operation in the state. A managed
|
0007| health care plan offered through the medicaid program shall
|
0008| grant enrollees and providers the same rights and protections
|
0009| as are granted to enrollees and providers in any other managed
|
0010| health care plan subject to the provisions of the Patient
|
0011| Protection Act."
|
0012| Section 11. A new section of the New Mexico Insurance
|
0013| Code is enacted to read:
|
0014| "[|NEW MATERIAL|] PENALTY.--In addition to any other
|
0015| penalties provided by law, a civil administrative penalty of
|
0016| up to twenty-five thousand dollars ($25,000) may be imposed
|
0017| for each violation of the Patient Protection Act. An
|
0018| administrative penalty shall be imposed by written order of
|
0019| the superintendent made after holding a hearing as provided
|
0020| for in Chapter 59A, Article 4 NMSA 1978."
|
0021| Section 12. Section 59A-1-16 NMSA 1978 (being Laws 1984,
|
0022| Chapter 127, Section 16) is amended to read:
|
0023| "59A-1-16. EXEMPTED FROM CODE.--In addition to
|
0024| organizations and businesses otherwise exempt, the Insurance
|
0025| Code shall not apply ~[as]~ to:
|
- 14 -
0001| A. a labor organization ~[which]~ |that|
|
0002| incidental only to operations as a labor organization issues
|
0003| benefit certificates to members or maintains funds to assist
|
0004| members and their families in times of illness, injury or
|
0005| need, and not for profit;
|
0006| B. the credit union share insurance corporation,
|
0007| as identified in ~[Article 58-12]~ |Chapter 58, Article l2|
|
0008| NMSA 1978, and similar corporations and funds for protection
|
0009| of depositors, shareholders or creditors of financial
|
0010| institutions and businesses other than insurers; or
|
0011| C. the risk management division of the |general
|
0012| services| department ~[of finance and administration of New
|
0013| Mexico]~ or ~[as]~ to insurance of public property or public
|
0014| risks by any agency of government not otherwise engaged in the
|
0015| business of insurance, |except the provisions of the patient
|
0016| protection act shall apply to the risk management division and
|
0017| any managed health care plan it offers|."
|
0018| Section 13. Section 59A-46-30 NMSA 1978 (being Laws
|
0019| 1993, Chapter 266, Section 29, as amended) is amended to read:
|
0020| "59A-46-30. STATUTORY CONSTRUCTION AND RELATIONSHIP TO
|
0021| OTHER LAWS.--
|
0022| A. The provisions of the Insurance Code other than
|
0023| Chapter 59A, Article 46 NMSA 1978 shall not apply to health
|
0024| maintenance organizations except as expressly provided in the
|
0025| Insurance Code and that article. To the extent reasonable and
|
- 15 -
0001| not inconsistent with the provisions of that article, the
|
0002| following articles and provisions of the Insurance Code shall
|
0003| also apply to health maintenance organizations and their
|
0004| promoters, sponsors, directors, officers, employees, agents,
|
0005| solicitors and other representatives. For the purposes of
|
0006| such applicability, a health maintenance organization may
|
0007| ~[therein]~ be referred to as an "insurer":
|
0008| (1) Chapter 59A, Article 1 NMSA 1978;
|
0009| (2) Chapter 59A, Article 2 NMSA 1978;
|
0010| (3) Chapter 59A, Article 3 NMSA 1978;
|
0011| (4) Chapter 59A, Article 4 NMSA 1978;
|
0012| (5) Subsection C of Section 59A-5-22 NMSA
|
0013| 1978;
|
0014| (6) Sections 59A-6-2 through 59A-6-4 and
|
0015| 59A-6-6 NMSA 1978;
|
0016| (7) Chapter 59A, Article 8 NMSA 1978;
|
0017| (8) Chapter 59A, Article 10 NMSA 1978;
|
0018| (9) Section 59A-12-22 NMSA 1978;
|
0019| (10) Chapter 59A, Article 16 NMSA 1978;
|
0020| (11) Chapter 59A, Article 18 NMSA 1978;
|
0021| (12) Chapter 59A, Article 19 NMSA 1978;
|
0022| |(13) Section 59A-22-14 NMSA 1978;|
|
0023| ~[(13)]~ |(14)| Chapter 59A, Article 23B NMSA
|
0024| 1978;
|
0025| ~[(14)]~ |(15)| Sections 59A-34-9 through
|
- 16 -
0001| 59A-34-13, 59A-34-17, 59A-34-23, 59A-34-36 and 59A-34-37 NMSA
|
0002| 1978; ~[and
|
0003| (15)]~ |(16)| Chapter 59A, Article 37 NMSA
|
0004| 1978; |and|
|
0005| |(17) The Patient Protection Act|.
|
0006| B. Solicitation of enrollees by a health
|
0007| maintenance organization granted a certificate of authority,
|
0008| or its representatives, shall not be construed as violating
|
0009| any provision of law relating to solicitation or advertising
|
0010| by health professionals, but health professionals shall be
|
0011| individually subject to the laws, rules, regulations and
|
0012| ethical provisions governing their individual professions.
|
0013| C. Any health maintenance organization authorized
|
0014| under the provisions of the Health Maintenance Organization
|
0015| Law shall not be deemed to be practicing medicine and shall be
|
0016| exempt from the provisions of laws relating to the practice of
|
0017| medicine."
|
0018| Section 14. Section 59A-47-33 NMSA 1978 (being Laws
|
0019| 1984, Chapter 127, Section 879.32, as amended by Laws 1997,
|
0020| Chapter 7, Section 4 and by Laws 1997, Chapter 248, Section 3
|
0021| and also by Laws 1997, Chapter 255, Section 4) is amended to
|
0022| read:
|
0023| "59A-47-33. OTHER PROVISIONS APPLICABLE.--The provisions
|
0024| of the Insurance Code other than Chapter 59A, Article 47 NMSA
|
0025| 1978 shall not apply to health care plans except as expressly
|
- 17 -
0001| provided in the Insurance Code and that article. To the
|
0002| extent reasonable and not inconsistent with the provisions of
|
0003| that article, the following articles and provisions of the
|
0004| Insurance Code shall also apply to health care plans, their
|
0005| promoters, sponsors, directors, officers, employees, agents,
|
0006| solicitors and other representatives; and, for the purposes of
|
0007| such applicability, a health care plan may ~[therein]~ be
|
0008| referred to as an "insurer":
|
0009| A. Chapter 59A, Article 1 NMSA 1978;
|
0010| B. Chapter 59A, Article 2 NMSA 1978;
|
0011| C. Chapter 59A, Article 4 NMSA 1978;
|
0012| D. Subsection C of Section 59A-5-22 NMSA 1978;
|
0013| E. Sections 59A-6-2 through 59A-6-4 and
|
0014| 59A-6-6 NMSA 1978;
|
0015| F. Section 59A-7-11 NMSA 1978;
|
0016| G. Chapter 59A, Article 8 NMSA 1978;
|
0017| H. Chapter 59A, Article 10 NMSA 1978;
|
0018| I. Section 59A-12-22 NMSA 1978;
|
0019| J. Chapter 59A, Article 16 NMSA 1978;
|
0020| K. Chapter 59A, Article 18 NMSA 1978;
|
0021| L. Chapter 59A, Article 19 NMSA 1978;
|
0022| M. Subsections B through E of Section
|
0023| 59A-22-5 NMSA 1978;
|
0024| |N. Section 59A-22-14 NMSA 1978;|
|
0025| ~[N.]~ |O.| Section 59A-22-34.1 NMSA 1978;
|
- 18 -
0001| ~[O.]~ |P.| Section 59A-22-39 NMSA 1978;
|
0002| ~[P.]~ |Q.| Section 59A-22-40 NMSA 1978;
|
0003| ~[Q.]~ |R.| Section 59A-22-41 NMSA 1978;
|
0004| ~[R.]~ |S.| Sections 59A-34-9 through 59A-34-13
|
0005| and 59A-34-23 NMSA 1978;
|
0006| ~[S.]~ |T.| Chapter 59A, Article 37 NMSA 1978,
|
0007| except Section 59A-37-7 NMSA 1978; ~[and ||
|
0008| T.]~ |U.| Section 59A-46-15 NMSA 1978; |and|
|
0009| |V. the Patient Protection Act|."
|
0010| Section 15. EFFECTIVE DATE.--The effective date of the
|
0011| provisions of this act is July 1, 1998.
|
0012|
|