SB 130: NO COST-SHARING OF CERTAIN DRUGS
SB 130 prohibits copays and deductibles for specific cholesterol-related care under New Mexico health plans. It requires coverage for generic cholesterol medications and coronary artery calcium scans without cost-sharing for adults over 49 with intermediate heart disease risk (determined by medical algorithms), unless they have family history or diagnosed symptoms. The bill also eliminates cost-sharing for second-line cholesterol medications if generic drugs fail or cause adverse reactions. It excludes short-term plans, catastrophic plans, and high-deductible health plans until deductibles are met, as defined by federal law.








