New Mexico 2025 Regular Session

New Mexico House Bill HB269 Compare Versions

Version 1 (Old)

Version 2 (New)

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1		-	~~HB 269/a/woec~~
2		-	~~Page 1~~
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	28	+	HOUSE BILL 269
	29	+	57
	30	+	TH LEGISLATURE
	31	+	-
	32	+
	33	+	STATE
	34	+
	35	+	OF
	36	+
	37	+	NEW
	38	+
	39	+	MEXICO
	40	+
	41	+	-
	42	+	FIRST SESSION
	43	+	,
	44	+
	45	+	2025
	46	+	INTRODUCED BY
	47	+	Gail Armstrong
28	48		AN ACT
29		-	RELATING TO HEALTH CARE; REQUIRING THE HEALTH CARE AUTHORITY
30		-	TO IMPLEMENT AN OPEN ELECTRONIC VISIT VERIFICATION SYSTEM
31		-	~~THAT IS~~ COMPLIANT WITH FEDERAL LAW.
	49	+	RELATING TO HEALTH CARE; REQUIRING THE HEALTH CARE AUTHORITY TO
	50	+	IMPLEMENT AN OPEN ELECTRONIC VISIT VERIFICATION SYSTEM THAT IS
	51	+	COMPLIANT WITH FEDERAL LAW; DECLARING AN EMERGENCY.
32	52		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
33	53		SECTION 1. A new section of the Health Care Code is
34	54		enacted to read:
35		-	"OPEN ELECTRONIC VISIT VERIFICATION SYSTEM.--
	55	+	"[NEW MATERIAL] OPEN ELECTRONIC VISIT VERIFICATION
	56	+	SYSTEM.--
36	57		A. For the purposes of this section:
37	58		(1) "aggregator system" means a centralized,
38		-	state-approved system designed to collect and store
39		-	electronic visit verification data from various service
40		-	providers that is compatible with each provider's chosen
41		-	electronic visit verification system;
42		-	(2) "electronic visit verification system"
43		-	means a system that verifies the provision of personal care
44		-	and home health services and includes, at a minimum, the
45		-	following information as required under the federal 21st
46		-	Century Cures Act:
47		-	(a) the type of service performed;
48		-	(b) the person receiving the service;
49		-	(c) the date of the service;
50		-	(d) the location of service delivery;
51		-	(e) the person providing the service; HB 269/a/woec
52		-	Page 2
	59	+	state-approved system designed to collect and store electronic
	60	+	visit verification data from various service providers that is
	61	+	compatible with each provider's chosen electronic visit
	62	+	verification system;
	63	+	.229025.3 underscored material = new
	64	+	[bracketed material] = delete
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	90	+	(2) "electronic visit verification system"
	91	+	means a system that verifies the provision of personal care and
	92	+	home health services and includes, at a minimum, the following
	93	+	information as required under the federal 21st Century Cures
	94	+	Act:
	95	+	(a) the type of service performed;
	96	+	(b) the person receiving the service;
	97	+	(c) the date of the service;
	98	+	(d) the location of service delivery;
	99	+	(e) the person providing the service;
78	100		and
79	101		(f) the time the service begins and
80	102		ends;
81	103		(3) "medicaid recipient" means a person whom
82	104		the authority has determined to be eligible to receive
83	105		medicaid-related services in the state; and
84		-	(4) "provider" means a person or any legal
85		-	or commercial entity licensed or certified to provide home
86		-	~~health~~ care or personal care services to medicaid recipients.
	106	+	(4) "provider" means a person or any legal or
	107	+	commercial entity licensed or certified to provide home health
	108	+	care or personal care services to medicaid recipients.
87	109		B. The authority shall adopt an open electronic
88	110		visit verification system that:
89	111		(1) allows providers to choose to use any
90	112		electronic visit verification system that meets the
91	113		requirements of the federal 21st Century Cures Act; and
92	114		(2) uses a centralized aggregator system to
93		-	collect and report electronic visit verification data from
94		-	all provider systems for submission to the federal centers
95		-	for medicare and medicaid services. The aggregator system
96		-	shall be:
97		-	(a) interoperable with all electronic
98		-	visit verification systems used by providers in the state;
99		-	and
100		-	(b) capable of collecting and storing
101		-	all data required by the federal 21st Century Cures Act.
102		-	C. To implement the provisions of this section, HB 269/a/woec
103		-	Page 3
	115	+	.229025.3
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129		-	the authority shall:
	143	+	collect and report electronic visit verification data from all
	144	+	provider systems for submission to the federal centers for
	145	+	medicare and medicaid services. The aggregator system shall
	146	+	be:
	147	+	(a) interoperable with all electronic
	148	+	visit verification systems used by providers in the state; and
	149	+	(b) capable of collecting and storing
	150	+	all data required by the federal 21st Century Cures Act.
	151	+	C. To implement the provisions of this section, the
	152	+	authority shall:
130	153		(1) adopt an aggregator system that is in
131	154		compliance with state and federal law;
132	155		(2) provide guidance to providers on
133	156		acceptable electronic visit verification systems and how to
134	157		interface with the aggregator system; and
135	158		(3) adopt rules necessary for administration
136	159		of this section, including:
137	160		(a) specific standards for the
138	161		aggregator system;
139	162		(b) procedures for ongoing monitoring,
140		-	auditing and reporting of electronic visit verification data
141		-	to ensure compliance with federal law;
	163	+	auditing and reporting of electronic visit verification data to
	164	+	ensure compliance with federal law;
142	165		(c) data privacy protections; and
143	166		(d) requirements for providers."
144		-	SECTION 2. EFFECTIVE DATE.--The effective date of the
145		-	provisions of this act is January 1, 2026.
	167	+	SECTION 2. EMERGENCY.--It is necessary for the public
	168	+	.229025.3
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	196	+	peace, health and safety that this act take effect immediately.
	197	+	- 4 -
	198	+	.229025.3