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NM SB220

NM SB220
Personal Care Service Medicaid Reimbursement


summary

Introduced
02/03/2026
In Committee
Crossed Over
Passed
Dead

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 that help individuals with daily living activities. Specifically, it sets reimbursement rates at $23.50 per hour for consumer-delegated personal care services, where a Medicaid recipient chooses an agency to provide all services, and $19.78 per hour for consumer-directed personal care services, where the recipient has more control and the agency acts as a financial manager. A key provision mandates that at least seventy percent of Medicaid reimbursement for these services must be used for direct care workforce expenditures, which includes wages, employee benefits like health insurance and retirement contributions, and training and supervision costs for the workers who directly provide care. The bill also appropriates over $51 million to the Health Care Authority to update the fee schedule and increase these reimbursements.

Sponsors (2)

Last Action

Sent to SCC - Referrals: SCC/SHPAC/SFC (on 02/03/2026)

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