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Bill > HB400


NM HB400

Medicaid Health Provider Cost Studies


summary

Introduced
02/12/2025
In Committee
Crossed Over
Passed
Dead
03/22/2025

Introduced Session

2025 Regular Session

Bill Summary

AN ACT RELATING TO MEDICAID; REQUIRING THE HEALTH CARE AUTHORITY TO CONDUCT COST STUDIES FOR EACH TYPE OF HEALTH CARE PROVIDER THAT IS REIMBURSED BY MEDICAID.

AI Summary

This bill requires New Mexico's Medicaid authority to conduct comprehensive cost studies for health care providers at least every three years. The studies will determine the cost of providing health care services across different types of Medicaid-reimbursed providers and include recommendations for appropriate reimbursement rates. These recommendations will consider factors such as competitive compensation for healthcare providers, recent and projected cost changes due to inflation and wage increases. When submitting budget requests to the legislature, the Medicaid authority must include the most recent cost study for each type of healthcare provider. The bill allows flexibility in how these studies are conducted, meaning the authority does not need to study every provider type in a single year, but must ensure each type of provider is studied at least once every three years. The bill defines Medicaid as the federal-state program administered under Titles 19 and 21 of the Social Security Act, aimed at ensuring fair and sustainable reimbursement for healthcare providers serving Medicaid recipients.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

House Health & Human Services Committee (08:00:00 2/26/2025 Room 307) (on 02/26/2025)

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