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28 | 28 | | HOUSE BILL 400 |
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29 | 29 | | 57 |
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30 | 30 | | TH LEGISLATURE |
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31 | 31 | | - |
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33 | 33 | | STATE |
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34 | 34 | | |
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35 | 35 | | OF |
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36 | 36 | | |
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37 | 37 | | NEW |
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39 | 39 | | MEXICO |
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40 | 40 | | |
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41 | 41 | | - |
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42 | 42 | | FIRST SESSION |
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43 | 43 | | , |
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44 | 44 | | |
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45 | 45 | | 2025 |
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46 | 46 | | INTRODUCED BY |
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47 | 47 | | Mark Duncan and Rebecca Dow and Gail Armstrong |
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48 | 48 | | AN ACT |
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49 | 49 | | RELATING TO MEDICAID; REQUIRING THE HEALTH CARE AUTHORITY TO |
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50 | 50 | | CONDUCT COST STUDIES FOR EACH TYPE OF HEALTH CARE PROVIDER THAT |
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51 | 51 | | IS REIMBURSED BY MEDICAID. |
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52 | 52 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: |
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53 | 53 | | SECTION 1. A new section of the Public Assistance Act is |
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54 | 54 | | enacted to read: |
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55 | 55 | | "[NEW MATERIAL] COST STUDIES REQUIRED.-- |
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56 | 56 | | A. At least every three years, the authority shall |
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57 | 57 | | conduct cost studies for the purposes of determining the cost |
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58 | 58 | | of providing health care services for each type of health care |
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59 | 59 | | provider that is reimbursed by medicaid for providing services |
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60 | 60 | | to recipients. The cost studies shall include recommendations |
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61 | 61 | | for adequate reimbursement rates for each type of health care |
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62 | 62 | | provider reimbursed by medicaid based on: |
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63 | 63 | | .229201.1 underscored material = new |
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90 | 90 | | (1) the cost to provide competitive |
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91 | 91 | | compensation to health care providers; and |
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92 | 92 | | (2) recent and projected changes in costs due |
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93 | 93 | | to factors that include inflation and rising wages. |
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94 | 94 | | B. When the authority submits a budget request to |
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95 | 95 | | the legislature, the authority shall include the most recent |
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96 | 96 | | cost study performed for each type of health care provider that |
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97 | 97 | | is reimbursed by medicaid. |
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98 | 98 | | C. The authority shall not be required to perform |
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99 | 99 | | cost studies for every type of health care provider that is |
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100 | 100 | | reimbursed by medicaid in the same year, so long as a cost |
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101 | 101 | | study is conducted for each type of health care provider at |
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102 | 102 | | least every three years. |
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103 | 103 | | D. For the purposes of this section, "medicaid" |
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104 | 104 | | means the federal-state program administered by the authority |
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105 | 105 | | pursuant to Title 19 or Title 21 of the federal Social Security |
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106 | 106 | | Act." |
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107 | 107 | | - 2 - |
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108 | 108 | | .229201.1 |
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