Fiscal impact reports (FIRs) are prepared by the Legislative Finance Committee (LFC) for standing finance committees of the Legislature. LFC does not assume responsibility for the accuracy of these reports if they are used for other purposes. F I S C A L I M P A C T R E P O R T SPONSOR Torres-Velásquez/Stefanics/Herndon LAST UPDATED ORIGINAL DATE 2/27/25 SHORT TITLE Protections for Safe Harbor Nurses BILL NUMBER House Bill 465 ANALYST Klundt ESTIMATED ADDITIONAL OPERATING BUDGET IMPACT* (dollars in thousands) Agency/Program FY25 FY26 FY27 3 Year Total Cost Recurring or Nonrecurring Fund Affected No fiscal impact No fiscal impact Parentheses ( ) indicate expenditure decreases. *Amounts reflect most recent analysis of this legislation. Sources of Information LFC Files Agency Analysis Received From Board of Nursing New Mexico Office of the Attorney General (NMAG) SUMMARY House Bill 465 (HB465) proposes protections for nurses who invoke “safe harbor.” The bill amends Section 61-3A-3 NMSA 1978, allowing nurses to invoke safe harbor if they believe an assignment exceeds their competencies or if they question the medical reasonableness of another provider’s order. It mandates that health care facilities establish a process for nurses to invoke safe harbor, including notifying supervisors, documenting the invocation, conducting post- occurrence reviews (which now must inquire about any perceived retaliation), and documenting resolutions. Importantly, the bill prohibits health care facilities and their personnel from retaliating against nurses who make a good faith request for safe harbor. FISCAL IMPLICATIONS No fiscal impact identified. SIGNIFICANT ISSUES At least five states have similar safe harbor protection for nurses while other states rely on whistle blower laws. The levels of protection and enforcement vary widely for these states. The New Mexico Office of the Attorney General noted the bill may consider defining the term “bully” or “bullying” or incorporating the definition located in Section 22-35-2 NMSA 1978. KK/rl/SR