Sat Mar 8 5:24PM - 13 days, 17 hours left in session

Senate Bill 297

Health Care Authority Market Assessments [view on nmlegis.gov]

Financial Analysis: FIR


Sponsors
Sen. Nicole Tobiassen 21 Bernalillo
Sen. Jay C. Block 12 Bernalillo & Sandoval
Sen. Katy Duhigg 10 Bernalillo
Sen. Linda M. López 11 Bernalillo

Status
STBTCPassed, Feb 27, with Do Pass recommendation
SFC[Referred, not scheduled]


"Official" History

This is the official nmlegis action history. I'm doing my best to translate the LONG/WEIRD-STRING to something less gibberishy. And before you ask, no, the "Legis Day" number has no mapping to the real world.

Actions: [4] STBTC/SFC-STBTC [11] DP-SFC

Legis DayActionDetails
4 referred STBTC/SFC
4 sent STBTC
11 passed STBTC (view committee report) DP 9-0
11 sent SFC


This table shows bill actions detected on Ed's system, using heuristics that may not be 100% accurate and which may not reflect the "official" nmlegis chronology. It is probably more than you care to know.

Feb 6 filed: [Prefiled by Nicole Tobiassen et al; not yet on nmlegis]
[new]
sent to STBTC
title: '[prefiled by Nicole Tobiassen Et Al; Not Yet on Nmlegis]' -> 'Health Care Authority Market Assessments'
actions: 'SPREF' -> '[4] STBTC/SFC-STBTC'
new sponsor: Nicole Tobiassen
new sponsor: Jay C. Block
new sponsor: Katy Duhigg
new sponsor: Linda M. López
Feb 26 scheduled for STBTC on Thu Feb 27, 00:00
added to STBTC agenda on Thu Feb 27, 13:30
Feb 28 passed STBTC; sent to SFC
actions: '[4] STBTC/SFC-STBTC' -> '+ [11] DP-SFC'

SENATE BILL 297

57th legislature - STATE OF NEW MEXICO - first session, 2025

INTRODUCED BY

Nicole Tobiassen and Jay C. Block and Katy M. Duhigg

and Linda M. López

 

 

 

 

AN ACT

RELATING TO HEALTH CARE; REQUIRING THE HEALTH CARE AUTHORITY TO CONDUCT REGIONAL COMMERCIAL INSURANCE MARKET ASSESSMENTS; REQUIRING INCREASED MEDICAID REIMBURSEMENT FOR HEALTH CARE SERVICES.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

     SECTION 1. A new section of the Public Assistance Act is enacted to read:

     "[NEW MATERIAL] MARKET ASSESSMENTS REQUIRED.--

          A. By July 1, 2026 and every two years thereafter, the authority shall conduct a market assessment to determine the regional average commercial insurance reimbursement rate for all health care services provided in Arizona, Colorado, Utah, Oklahoma and Texas that are covered by the New Mexico medicaid program.

          B. The medicaid reimbursement rate for all health care services that are covered by the New Mexico medicaid program shall be the greater of:

                (1) two hundred percent of the medicare reimbursement rate for the equivalent service; or

                (2) the regional average commercial insurance reimbursement rate for the service.

          C. Using the medicaid reimbursement rate for each health care service as of July 1, 2024 as a baseline for comparison, all health care entities that receive increases in medicaid reimbursement pursuant to this section shall ensure that at least seventy-five percent of the increase in reimbursement revenue is used to:

                (1) provide increased compensation to health care workers and other employees who interact directly with patients; or

                (2) hire additional health care workers and other employees who interact directly with patients.

          D. For the purposes of this section:

                (1) "health care entity" means an entity, other than an individual, that is licensed to provide any form of health care in the state, including a hospital, clinic, hospice agency, home health agency, long-term care agency, pharmacy, group medical practice, medical home or any similar entity;

                (2) "medicaid" means the federal-state program administered by the authority pursuant to Title 19 or Title 21 of the federal Social Security Act; and

                (3) "medicare" means coverage provided pursuant to part A or part B of Title 18 of the federal Social Security Act, as amended."

- 3 -


Legislators: Democratic sponsorship Republican sponsorship Bipartisan sponsorship This indicates your legislator
(Highlights bills they sponsor, committees they sit in)
Bill Rows: Active -- hearings scheduled (NN) - sequence number in agenda Inactive -- no hearings scheduled
Bill Progress: Passed Failed Vote Tabled
Incomplete Data: Heard(?)
(was scheduled for hearing recently)
Heard Long Ago
(was scheduled for hearing many days ago)
(There is very little I can do about these because nmlegis.gov does not report real-time results)

This site pulls data from nmlegis.gov but is in no way associated with that site or the state of New Mexico. It's just a labor of love by Ed.

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