HB 100 Health Insurance Exchange Changes

 

Why NM Legislators Should Vote for HB 100

 

HB 100 Health Insurance Exchange Changes

 

Summary:  Sponsored by Reps. Deborah Armstrong and Micaela Lara Cadena, HB 100 specifies additional duties for the Health Insurance Exchange Board of Directors. It creates standardized gold, silver, and bronze health plans for purchase by individuals and small businesses.  It requires the Board to develop an operation plan using best practices and approve it by Sept. 1, 2020.  It also requires the Board to collaborate with the Superintendent to submit a report to the legislature and governor by Sept. 1, 2022 that analyzes the impact of offering standardized health plans.

History: A similar previous bill died in 2013.  SB294, introduced by Senator Mary Kay Papan, passed in 2019.  This bill amends the 2019 bill as well as previous legislation.

 

Why This Bill Is Good for NM

  • This bill empowers the Board of Directors to manage the exchange with specific duties and powers.  
  • It requires health insurance companies to meet Board requirements to be eligible for the Exchange.
  • It requires the Board to develop an operating plan using best practices for state-based exchanges in business administration, consumer engagement, public outreach, and marketing.
  • It sets criteria and standards for certifying health plans.
  • It requires a current website and a statewide consumer assistance program to help enrollees compare plans.
  • It coordinates enrollment of individuals with Medicaid and other public programs.
  • It provides for public notice and comment on each year’s health plans before they can be finalized.
  • It includes an assessment after 2 years of operation on the impact of offering standardized health plans.
  • Some enrollees may object to having their information shared with Medicaid and other public programs, but NM should ensure that we are accessing all of the benefits available through federal programs.
  • Some may object to the broad scope of power held by the Board, but members of the Board are selected by the governor, Superintendent of Insurance, and legislative leadership. The Board’s composition must represent NMs ethnic, cultural, and geographic diversity. It will also have representation from the administration, consumers, health insurance industry, and healthcare providers to ensure all points of view are considered in decision-making.

 

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