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NM HB83

NM HB83
Personal Care Services Medicaid Reimbursement


summary

Introduced
01/20/2026
In Committee
Crossed Over
Passed
Dead
02/19/2026

Introduced Session

2026 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 COVERING DIRECT CARE WORKFORCE EXPENDITURES; MAKING AN APPROPRIATION.

AI Summary

This bill requires the Health Care Authority to establish a minimum Medicaid fee schedule for personal care services, which are services provided to assist individuals with daily living activities. Specifically, it mandates a minimum reimbursement rate of $23.50 per hour for consumer-delegated personal care services, where a Medicaid recipient chooses an agency to deliver these services, and $19.78 per hour for consumer-directed personal care services, where the recipient has control over service delivery and the agency acts as a financial intermediary. Crucially, personal care services provider agencies receiving Medicaid reimbursement must use at least seventy percent of that reimbursement for direct care workforce expenditures, which include wages, employee-related expenses like payroll taxes and insurance, and training and supervision costs for the workers who directly provide care. The bill also appropriates over $51 million from the general fund to the Health Care Authority to implement these changes and update the Medicaid personal care services fee schedule.

Sponsors (6)

Last Action

Not Printed (on 01/22/2026)

bill text


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