New Mexico 2025 Regular Session

New Mexico House Bill HB424 Compare Versions

Only one version of the bill is available at this time.

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28	28	HOUSE BILL 424
29	29	57
30	30	TH LEGISLATURE
31	31	-
32	32
33	33	STATE
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35	35	OF
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37	37	NEW
38	38
39	39	MEXICO
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42	42	FIRST SESSION
43	43	,
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45	45	2025
46	46	INTRODUCED BY
47	47	Rebecca Dow and Gail Armstrong
48	48	AN ACT
49	49	RELATING TO CHILDREN; ENACTING THE PREGNANCY AND FAMILY CARE
50	50	ACT TO PROVIDE FOR THE SCREENING OF PREGNANT PATIENTS FOR
51	51	SUBSTANCE USE DISORDER; PRIORITIZING TREATMENT FOR THOSE
52	52	PATIENTS, INCLUDING THE DEVELOPMENT OF FAMILY PLANS OF CARE TO
53	53	PROVIDE A RANGE OF SERVICES TO ADDRESS RELATED NEEDS; REQUIRING
54	54	THE DEPARTMENT OF HEALTH TO DEVELOP A SYSTEM, DISTINCT FROM THE
55	55	SYSTEM USED FOR REPORTING ALLEGATIONS OF CHILD ABUSE AND
56	56	NEGLECT, TO REQUIRE HEALTH CARE PROVIDERS TO NOTIFY THE
57	57	DEPARTMENT REGARDING THE BIRTH OF SUBSTANCE-EXPOSED INFANTS,
58	58	INCLUDING DISAGGREGATED, NON-PERSONAL IDENTIFYING INFORMATION;
59	59	REQUIRING HOSPITALS, BIRTHING CENTERS AND OTHER FACILITIES TO
60	60	PROVIDE ALL POSTPARTUM PATIENTS WITH INFORMATION REGARDING THE
61	61	DEVELOPMENT OF VOLUNTARY FAMILY CARE PLANS; REQUIRING THE
62	62	DEPARTMENT TO DEVELOP EDUCATIONAL AND TRAINING MATERIALS FOR
63	63	HEALTH CARE PROVIDERS AND OTHERS PROVIDING SERVICES TO PREGNANT
64	64	.229923.1 underscored material = new
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91	91	AND POSTPARTUM PATIENTS REGARDING FAMILY PLANS OF CARE;
92	92	ESTABLISHING STATEWIDE AND COUNTY ADVISORY COUNCILS TO PROVIDE
93	93	RECOMMENDATIONS TO THE DEPARTMENT RELATED TO THE IMPLEMENTATION
94	94	OF THE PREGNANCY AND FAMILY CARE ACT; PROVIDING FOR REPORTING;
95	95	REPEALING SECTIONS OF THE CHILDREN'S CODE.
96	96	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
97	97	SECTION 1. A new section of the Children's Code is
98	98	enacted to read:
99	99	"[NEW MATERIAL] SHORT TITLE.--This act may be cited as the
100	100	"Pregnancy and Family Care Act"."
101	101	SECTION 2. A new section of the Children's Code is
102	102	enacted to read:
103	103	"[NEW MATERIAL] DEFINITIONS.--As used in the Pregnancy and
104	104	Family Care Act:
105	105	A. "department" means the department of health;
106	106	B. "family care plan" means a plan created by a
107	107	health care provider or substance use disorder treatment
108	108	provider for a pregnant or postpartum patient, a substance-
109	109	exposed infant, a caregiver or a patient's family members to
110	110	provide a range of services to address substance use disorder
111	111	treatment, mental health issues, health care needs, parenting
112	112	skills, child development, education and other related needs;
113	113	C. "infant" means a child under the age of one
114	114	year;
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143	143	D. "substance-exposed infant" means an infant for
144	144	whom prenatal substance exposure is indicated and confirmed by
145	145	a health care provider; and
146	146	E. "substance use disorder" means a pattern of use
147	147	of alcohol, cannabis, hallucinogens, opioids, sedatives or
148	148	other drugs leading to clinical or functional impairment in
149	149	accordance with the definition in the most recent edition of
150	150	the Diagnostic and Statistical Manual of Mental Disorders ."
151	151	SECTION 3. A new section of the Children's Code is
152	152	enacted to read:
153	153	"[NEW MATERIAL] PRENATAL SCREENING FOR SUBSTANCE USE
154	154	DISORDERS--DEVELOPMENT OF FAMILY CARE PLANS.--
155	155	A. During the first visit with a pregnant patient,
156	156	a health care provider shall, with the consent of the patient,
157	157	conduct a written or verbal screening for substance use
158	158	disorder to determine whether an assessment is required.
159	159	B. At any point during the treatment of a pregnant
160	160	patient, a health care provider may, with the consent of the
161	161	patient, conduct a follow-up screening for substance abuse
162	162	disorder.
163	163	C. If a health care provider determines through the
164	164	screening process that a pregnant patient may have a substance
165	165	use disorder, the health care provider shall conduct an
166	166	assessment to determine whether and which treatment or other
167	167	services are appropriate and refer the patient to another
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196	196	health care provider to conduct the assessment.
197	197	D. If a health care provider conducting an
198	198	assessment diagnoses a pregnant patient with an untreated
199	199	substance use disorder, the health care provider shall, with
200	200	the patient's consent, develop a family care plan."
201	201	SECTION 4. A new section of the Children's Code is
202	202	enacted to read:
203	203	"[NEW MATERIAL] SCREENING AND ASSESSING SUBSTANCE USE
204	204	DISORDER TREATMENT FOR PREGNANT OR POSTPARTUM PATIENTS.--
205	205	A. A pregnant or postpartum patient referred to a
206	206	substance use disorder treatment provider shall be given
207	207	priority for starting available treatment.
208	208	B. A substance use disorder treatment provider who
209	209	receives state or federal funds shall not refuse to treat a
210	210	patient because the patient is pregnant, postpartum or already
211	211	receiving medication for substance use disorder.
212	212	C. A pregnant or postpartum patient who is
213	213	incarcerated in a state correctional facility or county jail,
214	214	participating in a court-supervised program or on parole or
215	215	probation shall receive substance use disorder treatment or
216	216	continue to receive substance use disorder treatment as
217	217	recommended by the patient's health care provider.
218	218	D. A health care provider shall not directly bill a
219	219	pregnant or postpartum patient for any service related to
220	220	substance use disorder treatment who has insurance coverage,
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249	249	unless the health care provider receives a prior authorization
250	250	rejection, rejection for payment of a claim or denial of
251	251	coverage from the patient's insurer. A patient may, however,
252	252	pay a health care provider for services related to substance
253	253	use disorder at the patient's discretion."
254	254	SECTION 5. A new section of the Children's Code is
255	255	enacted to read:
256	256	"[NEW MATERIAL] NOTIFICATION REQUIREMENTS--PROCESS.--
257	257	A. No later than October 1, 2025, the department
258	258	shall establish a system, distinct from the one currently in
259	259	place at the children, youth and families department for
260	260	reporting alleged child abuse or neglect, requiring health care
261	261	providers who deliver or care for a substance-exposed infant to
262	262	simultaneously notify the department and the hospital, birthing
263	263	center or facility where the infant was delivered about the
264	264	birth of a substance-exposed infant, via an online portal or a
265	265	written form, as prescribed by department rule and consistent
266	266	with the requirements of the federal Child Abuse Prevention and
267	267	Treatment Act and the federal Comprehensive Addiction and
268	268	Recovery Act of 2016, which shall, at a minimum, include the
269	269	following disaggregated, non-personal identifying information:
270	270	(1) the zip code of the patient who gave birth
271	271	to the infant or, if unhoused, the facility where the birth
272	272	occurred;
273	273	(2) the race or ethnicity of the patient who
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302	302	gave birth to the infant;
303	303	(3) whether the birth was pre-term;
304	304	(4) the substances used by the patient who
305	305	gave birth to the infant and whether those substances were
306	306	provided by a health care provider;
307	307	(5) the substances affecting the infant;
308	308	(6) whether a family care plan had been
309	309	established for the patient before giving birth; and
310	310	(7) whether the health care provider who
311	311	provided the notification made a separate, concurrent report to
312	312	the children, youth and families department alleging child
313	313	abuse or neglect.
314	314	B. A hospital, birthing center or other facility
315	315	shall, before discharging any infant, provide to the patient, a
316	316	caregiver or a family member information regarding the
317	317	development of a family care plan, including instructions for
318	318	follow-up.
319	319	C. Beginning January 1, 2026, a hospital, birthing
320	320	center or other facility shall provide the department, each
321	321	quarter, with information regarding the number of patients who
322	322	have been provided information regarding the development of a
323	323	family care plan.
324	324	D. A substance use disorder diagnosis or a prenatal
325	325	or postnatal toxicology test of the patient or the infant at
326	326	the time of birth showing the presence of a controlled
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355	355	substance, a prescription drug, a non-prescription drug,
356	356	alcohol or cannabis shall not, itself, be a sufficient basis to
357	357	require:
358	358	(1) a health care provider to make a report to
359	359	the children, youth and families department of alleged child
360	360	abuse or neglect;
361	361	(2) the children, youth and families
362	362	department to start an investigation of the patient or the
363	363	patient's family members for alleged child abuse or neglect;
364	364	(3) the children, youth and families
365	365	department to remove custody of the infant from the patient or
366	366	the patient's family members; or
367	367	(4) a law enforcement agency to start a
368	368	criminal investigation of the patient or the patient's family
369	369	members.
370	370	E. Nothing in this section shall prevent a health
371	371	care provider from making a report to the children, youth and
372	372	families department of alleged child abuse or neglect if
373	373	factors other than substance use by the patient giving birth to
374	374	the infant are present and may harmfully impact the health or
375	375	safety of the infant.
376	376	F. The notification required to be submitted to the
377	377	department pursuant to this section is confidential and not
378	378	subject to subpoena, discovery or disclosure pursuant to the
379	379	Inspection of Public Records Act.
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408	408	G. Nothing in the Pregnancy and Family Care Act
409	409	shall prevent an agency from obtaining identifying information
410	410	about a patient or a substance-exposed infant, with the consent
411	411	of the patient, for the purpose of collaborating with other
412	412	state agencies, health care providers or other entities for the
413	413	purpose of providing services to the patient, the infant, the
414	414	caregiver or family members pursuant to a family care plan."
415	415	SECTION 6. A new section of the Children's Code is
416	416	enacted to read:
417	417	"[NEW MATERIAL] FAMILY CARE PLANS--MANAGEMENT--
418	418	PARTICIPATION.--
419	419	A. A patient shall select a health care provider, a
420	420	substance use disorder treatment provider, a community health
421	421	worker or other person to manage the patient's family care
422	422	plan.
423	423	B. Participation in a family care plan by a
424	424	patient, a caregiver or a patient's family member shall be
425	425	voluntary. Refusal to participate in a family care plan shall
426	426	not be a sufficient basis to require:
427	427	(1) a person to make a report to the children,
428	428	youth and families department of alleged child abuse or
429	429	neglect;
430	430	(2) the children, youth and families
431	431	department to start an investigation of the patient, the
432	432	caregiver or the patient's family members for alleged child
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461	461	abuse or neglect;
462	462	(3) the children, youth and families
463	463	department to remove custody of the infant from the patient,
464	464	the caregiver or the patient's family members; or
465	465	(4) a law enforcement agency to start a
466	466	criminal investigation of the patient, the caregiver or the
467	467	patient's family members.
468	468	C. A patient who refuses to participate in a family
469	469	care plan or who terminates participation shall be able to
470	470	begin or resume participation at any time up to twelve months
471	471	after giving birth."
472	472	SECTION 7. A new section of the Children's Code is
473	473	enacted to read:
474	474	"[NEW MATERIAL] EDUCATION AND TRAINING MATERIALS FOR
475	475	SERVICE PROVIDERS AND INFORMATION FOR MEMBERS OF THE PUBLIC.--
476	476	A. The department, in collaboration with the
477	477	relevant state agencies and other stakeholders, shall create:
478	478	(1) educational and training materials to
479	479	support health care providers, substance use disorder
480	480	providers, first responders, law enforcement agencies and
481	481	others providing services to pregnant and postpartum patients
482	482	and substance-exposed infants, including information regarding:
483	483	(a) the notification requirements
484	484	pursuant to Section 5 of the Pregnancy and Family Care Act;
485	485	(b) distinguishing the circumstances
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514	514	that require making a report of alleged child abuse or neglect
515	515	to the children, youth and families department;
516	516	(c) the development and management
517	517	family care plans;
518	518	(d) promoting early intervention;
519	519	(e) approaches for reducing the stigma
520	520	associated with substance use disorder; and
521	521	(f) using trauma-informed techniques
522	522	when treating patients with substance use disorder; and
523	523	(2) educational materials for members of the
524	524	public who may become pregnant and have a substance use
525	525	disorder, including information regarding:
526	526	(a) the services available pursuant to
527	527	the Pregnancy and Family Care Act;
528	528	(b) the availability of contraceptives
529	529	and how to obtain them within their community;
530	530	(c) the prevention and treatment of
531	531	sexually transmitted infections; and
532	532	(d) the availability of services
533	533	providing harm reduction programs within their community.
534	534	B. The department shall make the educational
535	535	materials created pursuant to Paragraph (2) of Subsection A of
536	536	this section available by:
537	537	(1) posting the educational materials on the
538	538	department's website; and
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567	567	(2) providing the educational materials, at no
568	568	cost, to entities that provide services to people who have
569	569	substance use disorders or are pregnant, postpartum or
570	570	parenting."
571	571	SECTION 8. A new section of the Children's Code is
572	572	enacted to read:
573	573	"[NEW MATERIAL] STATEWIDE PERINATAL ADVISORY COUNCIL--
574	574	MEMBERSHIP--APPOINTMENT--DUTIES.--
575	575	A. The "statewide perinatal advisory council" is
576	576	established and is administratively attached to the department.
577	577	B. The statewide perinatal advisory council shall
578	578	hold the first meeting no later than September 1, 2025 and
579	579	thereafter shall meet at least quarterly at the call of the
580	580	chair.
581	581	C. The statewide perinatal advisory council
582	582	consists of fifteen members who shall be residents of the state
583	583	and appointed by and serve at the pleasure of the secretary of
584	584	health.
585	585	D. Members shall include:
586	586	(1) the secretary of health or the secretary's
587	587	designee, who shall serve as chair of the council;
588	588	(2) the secretary of children, youth and
589	589	families or the secretary's designee;
590	590	(3) the secretary of early childhood education
591	591	and care or the secretary's designee;
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620	620	(4) the secretary of health care authority or
621	621	the secretary's designee;
622	622	(5) a representative of the administrative
623	623	office of the courts;
624	624	(6) a representative of law enforcement
625	625	officers; and
626	626	(7) nine members from diverse linguistic and
627	627	cultural backgrounds and varied geographic regions, at least
628	628	six of whom shall be providers of services related to treating
629	629	pregnant and postpartum patients for substance use disorder and
630	630	promoting positive pregnancy- and postpartum-related health
631	631	outcomes, and at least three of whom shall be parents with
632	632	lived experience regarding substance use disorder appointed by
633	633	the secretary.
634	634	E. The secretary of health shall endeavor to
635	635	appoint members from underserved communities.
636	636	F. Non-state employee members may receive per diem
637	637	and mileage pursuant to the Per Diem and Mileage Act.
638	638	G. The secretary of health shall adopt and
639	639	promulgate rules for the conduct of meetings.
640	640	H. Members appointed pursuant to Paragraphs (5)
641	641	through (7) of Subsection E of this section shall be appointed
642	642	to serve an initial two-year term. A member vacancy shall be
643	643	filled in the same manner as the original appointment, and the
644	644	newly appointed individual shall serve out the remainder of the
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673	673	term.
674	674	I. No later than September 1, 2026, and annually
675	675	thereafter, the statewide perinatal advisory council shall
676	676	provide a report to the department containing information and
677	677	recommendations regarding perinatal substance use disorder,
678	678	including:
679	679	(1) models that emphasize coordination of
680	680	substance use disorder treatment services with other services
681	681	that address health care, child welfare and child development
682	682	needs;
683	683	(2) improvement of coordinated responses by
684	684	state agencies, including workforce development in underserved
685	685	areas;
686	686	(3) racial or ethnic disparities regarding
687	687	access to substance use disorder treatment, involvement with
688	688	the criminal justice system and involvement with child
689	689	protective services;
690	690	(4) promotion of the distribution of the
691	691	educational and training materials developed pursuant to
692	692	Section 7 of the Pregnancy and Family Care Act;
693	693	(5) communication with policymakers at the
694	694	state and federal levels regarding the prevention and treatment
695	695	needs of pregnant and postpartum patients with substance use
696	696	disorder and the patients' children;
697	697	(6) allocation of resources where needed;
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726	726	(7) coordination with the local councils
727	727	established pursuant to Section 9 of the Pregnancy and Family
728	728	Care Act to address the perinatal substance use disorder issues
729	729	in each county; and
730	730	(8) any other duties determined by the
731	731	department."
732	732	SECTION 9. A new section of the Children's Code is
733	733	enacted to read:
734	734	"[NEW MATERIAL] COUNTY PERINATAL ADVISORY COUNCILS--
735	735	MEMBERSHIP--APPOINTMENT--DUTIES.--
736	736	A. The department, in conjunction with each board
737	737	of county commissioners or tribal leadership, shall establish
738	738	county perinatal coordinating councils for each county, or
739	739	group of counties where resources are limited.
740	740	B. Each county perinatal coordinating council shall
741	741	hold its first meeting no later than September 1, 2025, and
742	742	thereafter shall meet at least quarterly at the call of the
743	743	chair.
744	744	C. Each county perinatal coordinating council
745	745	shall, to the extent possible, consist of members who are
746	746	residents of the county or group of counties who provide
747	747	services to residents of the county and shall serve at the
748	748	pleasure of the chair.
749	749	D. Members shall include:
750	750	(1) a member of the board of county
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779	779	commissioners or tribal leadership, appointed by the secretary,
780	780	who shall serve as the chair;
781	781	(2) a representative from the county's
782	782	department of health office or a member of the county health
783	783	council or tribal health council, appointed by the director of
784	784	the office or the secretary;
785	785	(3) a representative from the county's
786	786	children, youth and families department office, appointed by
787	787	the secretary of children, youth and families;
788	788	(4) a person with knowledge of prenatal and
789	789	child health services available in the county, appointed by the
790	790	director of the county's department of health office or the
791	791	secretary;
792	792	(5) a person with knowledge of outreach and
793	793	intervention services available in the county, appointed by the
794	794	director of the county's department of health office;
795	795	(6) a person with knowledge of early
796	796	intervention services available in the county, appointed by the
797	797	director of the county's early childhood and education and care
798	798	department office or the secretary of early childhood education
799	799	and care;
800	800	(7) a substance use disorder treatment
801	801	provider with experience treating pregnant patients with
802	802	substance use disorder in the county, appointed by the New
803	803	Mexico medical board;
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832	832	(8) a representative from a community
833	833	organization in the county that focuses on equitable access to
834	834	health care, appointed by the chair;
835	835	(9) a parent residing in the county with lived
836	836	experience of substance use disorder while pregnant, appointed
837	837	by the director of the county's department of health office or
838	838	the secretary; and
839	839	(10) a county law enforcement officer or
840	840	district attorney, appointed by the county law enforcement
841	841	agency or district attorney.
842	842	E. Members of county perinatal coordinating
843	843	councils shall serve an initial two-year term. In the event of
844	844	a vacancy in council membership, the vacancy shall be filled
845	845	in the same manner as the original appointment, and the newly
846	846	appointed individual shall serve out the remainder of the term.
847	847	F. Non-state employee members may receive per diem
848	848	and mileage pursuant to the Per Diem and Mileage Act.
849	849	G. The chair of the council shall adopt and
850	850	promulgate rules for the conduct of meetings.
851	851	H. All members shall be appointed to serve an
852	852	initial two-year term. A member vacancy shall be filled in the
853	853	same manner as the original appointment, and the newly
854	854	appointed individual shall serve out the remainder of the term.
855	855	I. No later than July 1, 2026 and annually
856	856	thereafter, each county perinatal advisory council shall
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885	885	provide a report to the statewide perinatal advisory council
886	886	containing information about the perinatal substance use
887	887	disorder problem in the county or counties served by the
888	888	council, including recommendations regarding:
889	889	(1) models for new coordinated responses by
890	890	state agencies, including workforce development in underserved
891	891	areas;
892	892	(2) the impact of racial or ethnic disparities
893	893	regarding access to substance use disorder treatment,
894	894	involvement with the criminal justice system and involvement
895	895	with child protective services;
896	896	(3) the distribution within the county of the
897	897	educational and training materials developed pursuant to
898	898	Section 7 of the Pregnancy and Family Care Act;
899	899	(4) communication with policymakers at the
900	900	state and federal levels regarding the prevention and treatment
901	901	needs of pregnant and postpartum patients with substance use
902	902	disorder and their children;
903	903	(5) allocation of additional resources where
904	904	needed;
905	905	(6) collaboration and coordination with the
906	906	statewide perinatal advisory council established pursuant to
907	907	Section 8 of the Pregnancy and Family Care Act to address the
908	908	perinatal substance use disorder issues in the county; and
909	909	(7) any other duties determined by the chair."
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938	938	SECTION 10. A new section of the Children's Code is
939	939	enacted to read:
940	940	"[NEW MATERIAL] REPORTING.--No later than November 1, 2026
941	941	and annually thereafter, the department shall provide a report
942	942	to the legislative finance committee, the interim legislative
943	943	health and human services committee, the interim legislative
944	944	committee that studies courts, corrections and justice and the
945	945	governor containing information and recommendations regarding
946	946	perinatal substance use disorder."
947	947	SECTION 11. REPEAL.--Sections 32A-3A-13 and 32A-3A-14
948	948	NMSA 1978 (being Laws 2019, Chapter 190, Sections 3 and 4) are
949	949	repealed.
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