Friday, March 7, 2008

Regulating Health Insurance in New Mexico 

By Paul Gessing

Categories:  New Mexico

While most of the attention during New Mexico's recently-completed legislative session was on Governor Richardson's massive, government-managed health care proposal, apparently it wasn't the only health care reform considered during the session. In fact, Richardson just signed a new law that further regulates health insurance.

One provision in the law will make it more difficult for insurance companies to rescind coverage for people who develop serious medical conditions.

The cap on yearly medical services paid by health insurance policies offering certain minimum coverage also will increase from $50,000 to $100,000 under the new law. The higher limit starts next year.

Currently, an insurer can refuse to pay claims or rescind coverage if there were omissions or misstatements—sometimes even if inadvertent—about a person's medical condition or medical history in an insurance application.

That standard will change under the new law. Once a policy takes effect, insurers can deny claims or end coverage only if they show that an individual made "willful or fraudulent misstatements" in their application about a pre-existing medical condition.

Another change in the new law is to give people more time to obtain medical insurance after they lost coverage. It increases from 63 days to 95 days the "creditable coverage" period. That's the time in which a person without coverage receives credit for previously being insured.

While all of these policy matters may sound reasonable to the average citizen, each of these new regulations will further increase the cost of health insurance in New Mexico. Considering that Richardson is simultaneously working to mandate "universal coverage," it might seem odd that he would sign legislation to make insurance more costly. Unfortunately, it is perfectly consistent because the tendency is towards greater government involvement in all areas of health care.



RSS feed

FEATURED BLOGGERS

John R. Graham
Pacific Research Institute
View Posts
Christie Raniszewski Herrera
American Legislative Exchange Council (ALEC)
View Posts
Paul Gessing
Rio Grande Foundation
View Posts
Michael Bond
National Center for Policy Analysis
View Posts
Tarren R. Bragdon
Maine Heritage Policy Center and Empire State Center
View Posts
Liberty is for me .
Blogivist
View Posts
Nathan Benefield
Commonwealth Foundation
View Posts
Greg Blankenship
Illinois Policy Institute
View Posts

MEDICAID POLICY EXCHANGE

Read more