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NM HB55

NM HB55
Medicaid For Personal Care Services


summary

Introduced
01/21/2025
In Committee
01/30/2025
Crossed Over
Passed
Dead
03/22/2025

Introduced Session

2025 Regular Session

Bill Summary

AN ACT RELATING TO LABOR; REQUIRING THE HEALTH CARE AUTHORITY TO SET A MINIMUM MEDICAID FEE SCHEDULE FOR REIMBURSING PERSONAL CARE SERVICES; REQUIRING AT LEAST SEVENTY PERCENT OF MEDICAID REIMBURSEMENT FOR PERSONAL CARE SERVICES TO BE USED FOR COMPENSATING DIRECT CARE WORKERS; MAKING AN APPROPRIATION.

AI Summary

This bill requires the New Mexico Health Care Authority to establish a minimum Medicaid fee schedule for personal care services, setting a reimbursement rate of at least $23.50 per hour. The bill defines key terms such as "direct care workers" (non-administrative employees providing personal care services) and "personal care services" (assistance with daily living activities). It mandates that at least 70% of Medicaid reimbursements must be used to compensate direct care workers, with allowable deductions for training, travel, and personal protective equipment costs. The bill broadly defines compensation to include wages, benefits, insurance, paid leave, retirement benefits, and payroll taxes. To support this initiative, the bill appropriates $20.8 million from the general fund in fiscal year 2026 to update the fee schedule and increase Medicaid reimbursements for personal care services. This legislation aims to ensure better compensation and support for direct care workers providing essential services to Medicaid recipients.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Action Postponed Indefinitely (on 01/30/2025)

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