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HOUSE BILL 400
57
TH LEGISLATURE
-
STATE
OF
NEW
MEXICO
-
FIRST SESSION
,
2025
INTRODUCED BY
Mark Duncan and Rebecca Dow and Gail Armstrong
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.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1. A new section of the Public Assistance Act is
enacted to read:
"[NEW MATERIAL] COST STUDIES REQUIRED.--
A. At least every three years, the authority shall
conduct cost studies for the purposes of determining the cost
of providing health care services for each type of health care
provider that is reimbursed by medicaid for providing services
to recipients. The cost studies shall include recommendations
for adequate reimbursement rates for each type of health care
provider reimbursed by medicaid based on:
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(1) the cost to provide competitive
compensation to health care providers; and
(2) recent and projected changes in costs due
to factors that include inflation and rising wages.
B. When the authority submits a budget request to
the legislature, the authority shall include the most recent
cost study performed for each type of health care provider that
is reimbursed by medicaid.
C. The authority shall not be required to perform
cost studies for every type of health care provider that is
reimbursed by medicaid in the same year, so long as a cost
study is conducted for each type of health care provider at
least every three years.
D. For the purposes of this section, "medicaid"
means the federal-state program administered by the authority
pursuant to Title 19 or Title 21 of the federal Social Security
Act."
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