Bill > SB297

This bill requires the New Mexico Health Care Authority to conduct regional commercial insurance market assessments every two years, starting in July 2026, by examining average reimbursement rates in neighboring states (Arizona, Colorado, Utah, Oklahoma, and Texas). The bill mandates that Medicaid reimbursement rates must be set at the higher of either 200% of Medicare rates or the regional average commercial insurance rates for equivalent health care services. Health care entities receiving increased Medicaid reimbursement must allocate at least 75% of the additional revenue to either raising compensation for direct patient care workers or hiring additional such workers. The bill defines key terms like "health care entity" (which includes hospitals, clinics, hospices, and other licensed health care providers) and clarifies that "Medicaid" refers to the federal-state health care program for low-income individuals. By linking Medicaid reimbursement to commercial rates and requiring reinvestment in workforce compensation, the bill aims to improve healthcare worker pay and potentially address healthcare workforce challenges in New Mexico.

Budget and Finance

https://www.nmlegis.gov/Legislation/Legislation?chamber=S&legtype=B&legno=297&year=25