New Mexico 2025 Regular Session

New Mexico House Bill HB466 Compare Versions

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

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28	28	HOUSE BILL 466
29	29	57
30	30	TH LEGISLATURE
31	31	-
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33	33	STATE
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35	35	OF
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37	37	NEW
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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	Rod Montoya and Rebecca Dow and Harlan Vincent and Mark Duncan
48	48	and Andrea Reeb
49	49	AN ACT
50	50	RELATING TO CHILDREN; ENACTING THE HORMONE THERAPY AND PUBERTY
51	51	BLOCKER CHILD PROTECTION ACT; PROHIBITING CERTAIN MEDICAL
52	52	PROCEDURES FOR MINORS; PROHIBITING KNOWINGLY DISTRIBUTING
53	53	HORMONES OR PUBERTY BLOCKERS TO MINORS; REQUIRING PARENTAL
54	54	NOTIFICATION BY A HEALTH CARE PROVIDER OR A PUBLIC BODY IF A
55	55	MINOR TAKES GENDER-AFFIRMING ACTION; PROVIDING ENFORCEMENT AND
56	56	PENALTIES; PROVIDING A PRIVATE RIGHT OF ACTION; AMENDING THE
57	57	REPRODUCTIVE AND GENDER-AFFIRMING HEALTH CARE FREEDOM ACT;
58	58	REQUIRING PARENTAL NOTICE AND CONSENT FOR MINORS; ADDING
59	59	DEFINITIONS; REQUIRING PARENTAL NOTIFICATIONS; PROVIDING THAT A
60	60	PARENT OF A MINOR MAY BRING A CLAIM UNDER THAT ACT AGAINST A
61	61	PUBLIC BODY OR AN INDIVIDUAL; INCLUDING PARENTS AMONG THOSE
62	62	WITH A PRIVATE RIGHT OF ACTION UNDER THAT ACT; PROVIDING
63	63	PENALTIES FOR VIOLATION OF THAT ACT BY A LICENSED HEALTH CARE
64	64	PROVIDER; AMENDING THE REPRODUCTIVE AND GENDER-AFFIRMING HEALTH
65	65	.229385.2 underscored material = new
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92	92	CARE PROTECTION ACT; PROHIBITING THAT ACT'S APPLICABILITY TO
93	93	MINORS EXCEPT FOR REQUIRED PARENTAL NOTIFICATIONS AND CERTAIN
94	94	REPRODUCTIVE HEALTH CARE ACTIVITIES WITH PARENTAL CONSENT.
95	95	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
96	96	SECTION 1. A new section of Chapter 24 NMSA 1978 is
97	97	enacted to read:
98	98	"[NEW MATERIAL] SHORT TITLE.--Sections 1 through 8 of this
99	99	act may be cited as the "Hormone Therapy and Puberty Blocker
100	100	Child Protection Act"."
101	101	SECTION 2. A new section of Chapter 24 NMSA 1978 is
102	102	enacted to read:
103	103	"[NEW MATERIAL] DEFINITIONS.--As used in the Hormone
104	104	Therapy and Puberty Blocker Child Protection Act:
105	105	A. "congenital defect" means a physical or chemical
106	106	abnormality present in a minor that is inconsistent with the
107	107	normal development of a human being of the minor's sex,
108	108	including abnormalities caused by a medically verifiable
109	109	disorder of sex development, but does not include gender
110	110	dysphoria, gender identity disorder, gender incongruence or any
111	111	mental condition, disorder, disability or abnormality;
112	112	B. "gender-affirming action" means an act by a
113	113	minor that is intended to change that minor's sex or change how
114	114	others perceive the minor's sex, including the minor:
115	115	(1) using pronouns inconsistent with the
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144	144	minor's sex;
145	145	(2) changing the minor's name or asking to be
146	146	called by a name other than the minor's given name that, based
147	147	on generally accepted norms, is inconsistent with that minor's
148	148	sex; or
149	149	(3) requesting counseling, mental health or
150	150	medical services or the use of medical equipment in order to
151	151	support the minor's gender identity or desire to live or
152	152	present as a different sex;
153	153	C. "health care provider" means an individual or
154	154	entity licensed in this state to administer or provide health
155	155	care services;
156	156	D. "hormone" means an androgen or estrogen;
157	157	E. "medical procedure" means conduct including:
158	158	(1) surgically removing, modifying, altering
159	159	or entering into an individual's body tissue, cavities or
160	160	organs; or
161	161	(2) prescribing, administering or dispensing
162	162	any puberty blocker or hormone to an individual;
163	163	F. "minor" means an individual who is younger than
164	164	eighteen years of age but does not include an emancipated
165	165	minor;
166	166	G. "parent" means a biological, legal or adoptive
167	167	parent of a minor or the minor's legal guardian;
168	168	H. "parental notification" means a written document
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197	197	notifying a parent of a matter concerning that parent's minor
198	198	as required pursuant to the Hormone Therapy and Puberty Blocker
199	199	Child Protection Act prepared by a health care provider or a
200	200	public body and sent:
201	201	(1) in a manner that requires a signature
202	202	acknowledging receipt of the document; and
203	203	(2) to at least one parent of the minor;
204	204	I. "precocious puberty" means when a child's sexual
205	205	development begins before the typical age;
206	206	J. "puberty blocker" means a drug or device that,
207	207	when administered to a minor, suppresses the production of
208	208	hormones in the minor's body in order to stop, delay or
209	209	suppress pubertal development;
210	210	K. "public body" means a state or local government,
211	211	an advisory board, a commission, an agency or an entity created
212	212	by the constitution of New Mexico or a branch of government,
213	213	including a health care provider or entity acting on behalf of
214	214	or within the scope of the authority of a public body, that
215	215	receives public funding and includes political subdivisions,
216	216	special tax districts, school districts and institutions of
217	217	higher education; and
218	218	L. "sex" means an individual's immutable
219	219	characteristics of the human reproductive system that define
220	220	the individual as male or female, as determined by anatomy and
221	221	genetics existing in that individual at the time of birth."
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250	250	SECTION 3. A new section of Chapter 24 NMSA 1978 is
251	251	enacted to read:
252	252	"[NEW MATERIAL] PROHIBITED CONDUCT--MEDICAL PROCEDURES
253	253	CONDUCTED ON MINORS.--
254	254	A. Except as provided in Subsection B or C of this
255	255	section, a health care provider or a public body shall not
256	256	knowingly perform or offer to perform on a minor, or administer
257	257	or offer to administer to a minor, a medical procedure if the
258	258	purpose of the performance or administration of the medical
259	259	procedure is to:
260	260	(1) enable the minor to identify with, or live
261	261	or present as, a purported identity inconsistent with that
262	262	minor's sex; or
263	263	(2) treat the minor's purported discomfort or
264	264	distress from a discordance between the minor's sex and the
265	265	minor's asserted or perceived identity.
266	266	B. It is not a violation of Subsection A of this
267	267	section if the performance or administration of the medical
268	268	procedure on the minor is to treat the minor's congenital
269	269	defect, precocious puberty, disease or physical injury.
270	270	C. It is not a violation of Subsection A of this
271	271	section if the performance or administration of the medical
272	272	procedure on the minor began prior to the effective date of the
273	273	Hormone Therapy and Puberty Blocker Child Protection Act and
274	274	the performance or administration of the medical procedure
275	275	.229385.2
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303	303	concludes on or before December 31, 2025; provided, however,
304	304	that:
305	305	(1) the health care provider or public body
306	306	treating the minor shall provide written certification that, in
307	307	the health care provider's medical judgment or the medical
308	308	judgment of the public body and based upon the facts known to
309	309	the health care provider or the public body at the time, ending
310	310	the medical procedure would be harmful to the minor. The
311	311	certification shall include the findings supporting the
312	312	certification and shall be included in the minor's medical
313	313	record; and
314	314	(2) the health care provider or public body
315	315	shall not perform or administer a subsequent medical procedure
316	316	that is different from the medical procedure performed prior to
317	317	the effective date of the Hormone Therapy and Puberty Blocker
318	318	Child Protection Act if the sole purpose of the subsequent
319	319	medical procedure is to:
320	320	(a) enable the minor to identify with,
321	321	or live or present as, a purported identity inconsistent with
322	322	the minor's sex; or
323	323	(b) treat purported discomfort or
324	324	distress from a discordance between the minor's sex and the
325	325	minor's asserted or perceived identity.
326	326	D. For purposes of this section, "disease" does not
327	327	include gender dysphoria, gender identity disorder, gender
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356	356	incongruence or any mental condition, disorder, disability or
357	357	abnormality.
358	358	E. It is not a defense to legal liability incurred
359	359	as a result of a violation of this section that the minor or a
360	360	parent of the minor consented to the medical procedure that
361	361	constitutes the violation.
362	362	F. This section supersedes any common law rule
363	363	regarding a minor's ability to consent to a medical procedure
364	364	that is performed or administered for the purpose of:
365	365	(1) enabling the minor to identify with, or
366	366	present or live as, a purported identity inconsistent with the
367	367	minor's sex; or
368	368	(2) treating purported discomfort or distress
369	369	from a discordance between the minor's sex and the minor's
370	370	perceived or asserted identity.
371	371	G. A minor upon whom a medical procedure pursuant
372	372	to Subsection A of this section is performed or administered
373	373	shall not be liable for violating the Hormone Therapy and
374	374	Puberty Blocker Child Protection Act.
375	375	H. Nothing in the Hormone Therapy and Puberty
376	376	Blocker Child Protection Act prohibits or restricts the
377	377	licensed practice of psychology, psychiatry, counseling or
378	378	social work in this state."
379	379	SECTION 4. A new section of Chapter 24 NMSA 1978 is
380	380	enacted to read:
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409	409	"[NEW MATERIAL] PROHIBITION--DISTRIBUTION OF HORMONES OR
410	410	PUBERTY BLOCKERS TO A MINOR.--An individual, a health care
411	411	provider or a public body shall not knowingly provide a hormone
412	412	or a puberty blocker to a minor if the provision of the hormone
413	413	or puberty blocker is not lawfully permitted pursuant to the
414	414	Hormone Therapy and Puberty Blocker Child Protection Act."
415	415	SECTION 5. A new section of Chapter 24 NMSA 1978 is
416	416	enacted to read:
417	417	"[NEW MATERIAL] GENDER-AFFIRMING ACTION BY MINOR--HEALTH
418	418	CARE PROVIDER OR PUBLIC BODY--PARENTAL NOTIFICATION
419	419	REQUIREMENT.--A health care provider or public body shall
420	420	provide parental notification to at least one parent of a minor
421	421	no later than seven calendar days after the health care
422	422	provider or public body observes or has reasonable cause to
423	423	believe that the parent's minor has taken a gender-affirming
424	424	action while in the presence of the health care provider or
425	425	while on the premises of the public body or while interacting
426	426	with individuals employed by or representing the health care
427	427	provider or public body."
428	428	SECTION 6. A new section of Chapter 24 NMSA 1978 is
429	429	enacted to read:
430	430	"[NEW MATERIAL] PRIVATE RIGHT OF ACTION.--
431	431	A. Except as provided in Subsection B of this
432	432	section, a minor or the parent of a minor injured as a result
433	433	of a violation of the Hormone Therapy and Puberty Blocker Child
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462	462	Protection Act may bring a civil cause of action for
463	463	appropriate relief, including temporary, preliminary or
464	464	permanent injunctive relief, compensatory or punitive damages
465	465	and reasonable attorney fees, court costs and expenses, against
466	466	the health care provider or other person alleged to have
467	467	violated that act; provided, however, the parent of a minor
468	468	injured as a result of a violation of that act may not bring a
469	469	civil cause of action against a health care provider or another
470	470	person if the parent consented on behalf of the minor to the
471	471	action that constitutes the violation.
472	472	B. The parent or next of kin of a deceased minor
473	473	may bring a wrongful death action against a health care
474	474	provider, an individual or a public body alleged to have
475	475	violated the Hormone Therapy and Puberty Blocker Child
476	476	Protection Act if:
477	477	(1) the minor's death is the result of the
478	478	physical or emotional harm inflicted upon the minor as a result
479	479	of the violation; and
480	480	(2) the parent of the minor did not consent on
481	481	behalf of the minor to the conduct that constituted the
482	482	violation.
483	483	C. In an action brought against a health care
484	484	provider pursuant to this section, if the plaintiff prevails,
485	485	the plaintiff shall provide a certified copy of the final
486	486	judgment in favor of the plaintiff to the licensing authority
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515	515	responsible for the regulation of the health care provider's
516	516	license. Upon receipt of the certified final judgment in favor
517	517	of the plaintiff, pursuant to the provisions of the Uniform
518	518	Licensing Act, the licensing authority shall:
519	519	(1) issue a notice of contemplated action for
520	520	revocation of the health care provider's license if the final
521	521	judgment includes a finding that the health care provider
522	522	knowingly violated the Hormone Therapy and Puberty Blocker
523	523	Child Protection Act; or, if the final judgment does not
524	524	include a finding that the health care provider knowingly
525	525	violated that act, the licensing authority shall issue a notice
526	526	of contemplated action for suspension of the health care
527	527	provider's license for a period of up to two years; and
528	528	(2) send the health care provider a copy of
529	529	the notice of contemplated action along with information
530	530	regarding the process to file for a hearing before the
531	531	licensing authority to contest the contemplated action.
532	532	D. For purposes of this section, "compensatory
533	533	damages" may include:
534	534	(1) reasonable economic losses caused by the
535	535	emotional, mental or physical effects of the violation,
536	536	including:
537	537	(a) the cost of counseling,
538	538	hospitalization and any other medical expenses connected with
539	539	treating the harm caused by the violation;
540	540	.229385.2
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568	568	(b) any out-of-pocket costs of the minor
569	569	paid by the minor to the health care provider or public body
570	570	for the prohibited medical procedure; or
571	571	(c) any loss of income caused by the
572	572	violation; or
573	573	(2) noneconomic damages caused by the
574	574	violation, including psychological and emotional anguish.
575	575	E. An action commenced pursuant to the Hormone
576	576	Therapy and Puberty Blocker Child Protection Act shall be
577	577	brought:
578	578	(1) within thirty days from the date the minor
579	579	reaches eighteen years of age; or
580	580	(2) if the minor is deceased, within ten years
581	581	of the minor's death."
582	582	SECTION 7. A new section of Chapter 24 NMSA 1978 is
583	583	enacted to read:
584	584	"[NEW MATERIAL] ENFORCEMENT--PENALTIES.--
585	585	A. The attorney general or a district attorney may
586	586	institute a civil action in district court if the attorney
587	587	general or district attorney has reasonable cause to believe
588	588	that a violation has occurred or to prevent a violation of the
589	589	Hormone Therapy and Puberty Blocker Child Protection Act.
590	590	B. In any action brought pursuant to this section,
591	591	the court may award appropriate relief, including temporary,
592	592	preliminary or permanent injunctive relief. The court may
593	593	.229385.2
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621	621	assess a civil penalty for a violation of the Hormone Therapy
622	622	and Puberty Blocker Child Protection Act in the amount of five
623	623	thousand dollars ($5,000) or actual damages resulting from each
624	624	violation, whichever is greater."
625	625	SECTION 8. A new section of Chapter 24 NMSA 1978 is
626	626	enacted to read:
627	627	"[NEW MATERIAL] SEVERABILITY.--If any part or application
628	628	of the Hormone Therapy and Puberty Blocker Child Protection Act
629	629	is held invalid, the remainder of its application to other
630	630	situations or persons shall not be affected."
631	631	SECTION 9. Section 24-34-2 NMSA 1978 (being Laws 2023,
632	632	Chapter 11, Section 2) is amended to read:
633	633	"24-34-2. DEFINITIONS.--As used in the Reproductive and
634	634	Gender-Affirming Health Care Freedom Act:
635	635	A. "adult" means an individual who is eighteen
636	636	years of age or older;
637	637	B. "emancipated minor" means an individual who is
638	638	sixteen years of age or older who:
639	639	(1) has entered into a valid marriage;
640	640	(2) is on active duty with any of the armed
641	641	services in the United States; or
642	642	(3) has received a declaration of emancipation
643	643	pursuant to the Emancipation of Minors Act;
644	644	[A.] C. "gender-affirming health care" means
645	645	psychological, behavioral, surgical, pharmaceutical and medical
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674	674	care, services and supplies provided to support [a person's ] an
675	675	adult's or emancipated minor's gender identity;
676	676	D. "health care provider" means an individual or
677	677	entity licensed in this state to administer or provide health
678	678	care services;
679	679	E. "minor" means an individual who is younger than
680	680	eighteen years of age;
681	681	F. "parent" means a biological, legal or adoptive
682	682	father or mother or legal guardian of another person;
683	683	G. "parental consent" means a notarized written
684	684	document that is signed by at least one parent of a minor and
685	685	provides permission for a public body to:
686	686	(1) engage or meet with, contact or speak to
687	687	or provide information to the minor regarding reproductive
688	688	health care; or
689	689	(2) provide the minor with access to
690	690	reproductive health care;
691	691	H. "parental notification" means a written document
692	692	notifying a parent of a matter concerning that parent's minor
693	693	as required pursuant to the Reproductive and Gender-Affirming
694	694	Health Care Freedom Act that is prepared by a health care
695	695	provider or a public body and is sent:
696	696	(1) in a manner that requires a signature
697	697	acknowledging receipt of the document; and
698	698	(2) to at least one parent of the minor;
699	699	.229385.2
700	700	- 13 - underscored material = new
701	701	[bracketed material] = delete
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725	725	24
726	726	25
727	727	[B.] I. "public body" means a state or local
728	728	government, an advisory board, a commission, an agency or an
729	729	entity created by the constitution of New Mexico or any branch
730	730	of government, including an individual or entity acting on
731	731	behalf of or within the scope of the authority of a public
732	732	body, that receives public funding [including ] and includes
733	733	political subdivisions, special tax districts, school districts
734	734	and institutions of higher education; and
735	735	[C.] J. "reproductive health care" means
736	736	psychological, behavioral, surgical, pharmaceutical and medical
737	737	care, services and supplies that relate to the human
738	738	reproductive system [including ] but does not include gender-
739	739	affirming health care. "Reproductive health care" services
740	740	include services related to:
741	741	(1) preventing a pregnancy;
742	742	(2) abortion;
743	743	(3) managing a pregnancy loss;
744	744	(4) prenatal, birth, perinatal and postpartum
745	745	health;
746	746	(5) managing perimenopause and menopause;
747	747	(6) managing fertility;
748	748	(7) treating cancers of the reproductive
749	749	system; or
750	750	(8) preventing or treating sexually
751	751	transmitted infections."
752	752	.229385.2
753	753	- 14 - underscored material = new
754	754	[bracketed material] = delete
755	755	1
756	756	2
757	757	3
758	758	4
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779	779	25
780	780	SECTION 10. Section 24-34-3 NMSA 1978 (being Laws 2023,
781	781	Chapter 11, Section 3) is amended to read:
782	782	"24-34-3. PUBLIC BODY PROHIBITED ACTION--MINORS--PARENTAL
783	783	NOTIFICATION AND CONSENT .--
784	784	A. A public body [or an entity or individual acting
785	785	on behalf of or within the scope of the authority of a public
786	786	body] shall not discriminate against a [person ] health care
787	787	provider, an adult or an emancipated minor based on that
788	788	[person's] health care provider's, adult's or emancipated
789	789	minor's use of or refusal to use reproductive health care or
790	790	gender-affirming health care services.
791	791	B. A public body [or an entity or individual acting
792	792	on behalf of or within the scope of the authority of a public
793	793	body] shall not deny, restrict or interfere with a [person's ]
794	794	health care provider's, an adult's or an emancipated minor's
795	795	ability to access or provide reproductive health care or
796	796	gender-affirming health care within the medical standard of
797	797	care.
798	798	C. A public body [or an entity or individual acting
799	799	on behalf of or within the scope of the authority of a public
800	800	body] shall not deprive, through prosecution, punishment or
801	801	other means, [a person's ] an adult's or an emancipated minor's
802	802	ability to act or refrain from acting during the [person's ]
803	803	adult's or emancipated minor's pregnancy based on the
804	804	potential, actual or perceived effect on the pregnancy.
805	805	.229385.2
806	806	- 15 - underscored material = new
807	807	[bracketed material] = delete
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809	809	2
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829	829	22
830	830	23
831	831	24
832	832	25
833	833	D. A public body [or an entity or individual acting
834	834	on behalf of or within the scope of the authority of a public
835	835	body] shall not impose or continue in effect any law,
836	836	ordinance, policy or regulation that violates or conflicts with
837	837	the provisions of the Reproductive and Gender-Affirming Health
838	838	Care Freedom Act.
839	839	E. A health care provider or a public body shall:
840	840	(1) provide parental notification to at least
841	841	one parent of a minor before engaging or meeting with,
842	842	contacting or speaking to or providing information to the minor
843	843	regarding the use of or access to reproductive health care; and
844	844	(2) obtain parental consent at least fourteen
845	845	days prior to engaging or meeting with, contacting or speaking
846	846	to or providing information to the minor regarding the use of
847	847	or access to reproductive health care.
848	848	F. A health care provider or a public body:
849	849	(1) shall not provide gender-affirming health
850	850	care to a minor;
851	851	(2) shall not engage or meet with, contact or
852	852	speak to or provide information to a minor regarding the use of
853	853	or access to gender-affirming health care; and
854	854	(3) if contacted by a minor seeking
855	855	information about or access to gender-affirming health care,
856	856	shall, within seven calendar days from the initial date of
857	857	contact with the minor, provide parental notification to at
858	858	.229385.2
859	859	- 16 - underscored material = new
860	860	[bracketed material] = delete
861	861	1
862	862	2
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886	886	least one parent of the minor advising the parent that the
887	887	minor was seeking information about or access to gender-
888	888	affirming health care.
889	889	[E.] G. Nothing in the Reproductive and Gender-
890	890	Affirming Health Care Freedom Act shall be construed to require
891	891	a health care provider [or entity ] to provide care:
892	892	(1) that the health care provider [or entity ]
893	893	does not otherwise provide or have a duty to provide under
894	894	state or federal law;
895	895	(2) when the provision of service is against
896	896	the medical judgment of the treating health care provider while
897	897	acting within the standard of care; or
898	898	(3) when an [individual ] adult or emancipated
899	899	minor does not provide payment or a source of payment for the
900	900	service when it is required in the ordinary course of business,
901	901	unless the health care provider has a duty to provide services
902	902	under state or federal law, regardless of the ability to pay.
903	903	[F.] H. Nothing in the Reproductive and Gender-
904	904	Affirming Health Care Freedom Act shall be construed to require
905	905	a managed care organization or health insurance company to
906	906	cover claims that are not otherwise required to be covered by
907	907	the terms and conditions of an insurance contract, managed care
908	908	contract or state or federal law."
909	909	SECTION 11. Section 24-34-4 NMSA 1978 (being Laws 2023,
910	910	Chapter 11, Section 4) is amended to read:
911	911	.229385.2
912	912	- 17 - underscored material = new
913	913	[bracketed material] = delete
914	914	1
915	915	2
916	916	3
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934	934	21
935	935	22
936	936	23
937	937	24
938	938	25
939	939	"24-34-4. ENFORCEMENT--PENALTIES.--
940	940	A. The attorney general or a district attorney may
941	941	institute a civil action in district court if the attorney
942	942	general or district attorney has reasonable cause to believe
943	943	that a violation has occurred or to prevent a violation of the
944	944	Reproductive and Gender-Affirming Health Care Freedom Act from
945	945	occurring.
946	946	B. In any action brought under Subsection A of this
947	947	section, the court may award appropriate relief, including
948	948	temporary, preliminary or permanent injunctive relief. The
949	949	court may assess a civil penalty for a violation of the
950	950	Reproductive and Gender-Affirming Health Care Freedom Act in
951	951	the amount of five thousand dollars ($5,000) or actual damages
952	952	resulting from each violation, whichever is greater.
953	953	C. Claims pursuant to the Reproductive and Gender-
954	954	Affirming Health Care Freedom Act may be brought against public
955	955	bodies [and entities acting in the course and scope of
956	956	authority of a public body ], but not against an individual,
957	957	except that a parent of a minor may bring a claim against any
958	958	health care provider for violation of that act ."
959	959	SECTION 12. Section 24-34-5 NMSA 1978 (being Laws 2023,
960	960	Chapter 11, Section 5) is amended to read:
961	961	"24-34-5. PRIVATE RIGHT OF ACTION.--
962	962	A. A person, including a parent of a minor ,
963	963	claiming to be aggrieved by a violation of the Reproductive and
964	964	.229385.2
965	965	- 18 - underscored material = new
966	966	[bracketed material] = delete
967	967	1
968	968	2
969	969	3
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971	971	5
972	972	6
973	973	7
974	974	8
975	975	9
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977	977	11
978	978	12
979	979	13
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986	986	20
987	987	21
988	988	22
989	989	23
990	990	24
991	991	25
992	992	Gender-Affirming Health Care Freedom Act may maintain an action
993	993	in district court for appropriate relief, including temporary,
994	994	preliminary or permanent injunctive relief, compensatory
995	995	damages or punitive damages, or the sum of five thousand
996	996	dollars ($5,000) for each violation of the Reproductive and
997	997	Gender-Affirming Health Care Freedom Act, whichever is greater.
998	998	B. In any action brought pursuant to [Subsection A
999	999	of] this section, the court shall award a prevailing plaintiff
1000	1000	reasonable attorney fees and costs to be paid by the defendant.
1001	1001	C. Claims pursuant to the Reproductive and Gender-
1002	1002	Affirming Health Care Freedom Act may be brought against public
1003	1003	bodies [and entities acting in the course and scope of
1004	1004	authority of a public body ], but not against an individual,
1005	1005	except that a parent of a minor may bring a claim against any
1006	1006	health care provider.
1007	1007	D. In an action brought against a health care
1008	1008	provider pursuant to Subsection C of this section by a parent
1009	1009	of a minor, if the plaintiff prevails, the plaintiff shall
1010	1010	provide a certified copy of the final judgment in favor of the
1011	1011	plaintiff to the licensing authority responsible for the
1012	1012	regulation of the health care provider's license. Upon receipt
1013	1013	of the certified final judgment in favor of the plaintiff,
1014	1014	pursuant to the requirements of the Uniform Licensing Act, the
1015	1015	licensing authority shall:
1016	1016	(1) issue a notice of contemplated action for
1017	1017	.229385.2
1018	1018	- 19 - underscored material = new
1019	1019	[bracketed material] = delete
1020	1020	1
1021	1021	2
1022	1022	3
1023	1023	4
1024	1024	5
1025	1025	6
1026	1026	7
1027	1027	8
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1029	1029	10
1030	1030	11
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1042	1042	23
1043	1043	24
1044	1044	25
1045	1045	revocation of the health care provider's license if final
1046	1046	judgment includes a finding of gross negligence or willful or
1047	1047	egregious misconduct, or if the final judgment does not include
1048	1048	a finding of gross negligence or willful or egregious
1049	1049	misconduct, the licensing authority shall issue a notice of
1050	1050	contemplated action for suspension of the health care
1051	1051	provider's license for a period of up to two years; and
1052	1052	(2) send the health care provider a copy of
1053	1053	the notice of contemplated action along with the information
1054	1054	regarding the process to file for a hearing before the
1055	1055	licensing authority to contest the contemplated action ."
1056	1056	SECTION 13. Section 24-35-2 NMSA 1978 (being Laws 2023,
1057	1057	Chapter 167, Section 2) is amended to read:
1058	1058	"24-35-2. DEFINITIONS.--As used in the Reproductive and
1059	1059	Gender-Affirming Health Care Protection Act:
1060	1060	A. "adult" means an individual who is eighteen
1061	1061	years of age or older;
1062	1062	B. "emancipated minor" means an individual who is
1063	1063	sixteen years of age or older who:
1064	1064	(1) has entered into a valid marriage;
1065	1065	(2) is on active duty with any of the armed
1066	1066	services in the United States; or
1067	1067	(3) has received a declaration of emancipation
1068	1068	pursuant to the Emancipation of Minors Act;
1069	1069	[A.] C. "gender-affirming health care" means
1070	1070	.229385.2
1071	1071	- 20 - underscored material = new
1072	1072	[bracketed material] = delete
1073	1073	1
1074	1074	2
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1077	1077	5
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1092	1092	20
1093	1093	21
1094	1094	22
1095	1095	23
1096	1096	24
1097	1097	25
1098	1098	psychological, behavioral, surgical, pharmaceutical and medical
1099	1099	care, services and supplies provided to support an individual's
1100	1100	gender identity;
1101	1101	D. "health care provider" means an individual or
1102	1102	entity licensed to administer or provide health care services
1103	1103	in this state pursuant to Chapter 61 NMSA 1978 by a board,
1104	1104	commission or agency that administers a profession or
1105	1105	occupation that is licensed to administer or provide health
1106	1106	care or health-care-related services;
1107	1107	E. "minor" means a child who is younger than
1108	1108	eighteen years of age and is not an emancipated minor;
1109	1109	F. "minor with parental consent" means a child who
1110	1110	is younger than eighteen years of age and whose parent has
1111	1111	provided a public body or health care provider with a notarized
1112	1112	written document signed by at least one parent of the minor
1113	1113	that provides permission to a public body or a health care
1114	1114	provider to:
1115	1115	(1) engage or meet with, contact or speak or
1116	1116	provide information to the minor regarding a reproductive
1117	1117	health care activity; or
1118	1118	(2) provide the minor with access to a
1119	1119	reproductive health care activity;
1120	1120	G. "parent" means a biological, legal or adoptive
1121	1121	parent of a minor or the minor's legal guardian;
1122	1122	[B.] H. "protected health care activity" means:
1123	1123	.229385.2
1124	1124	- 21 - underscored material = new
1125	1125	[bracketed material] = delete
1126	1126	1
1127	1127	2
1128	1128	3
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1130	1130	5
1131	1131	6
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1150	1150	25
1151	1151	(1) an adult, an emancipated minor or a health
1152	1152	care provider seeking access to, providing or receiving
1153	1153	reproductive health care or gender-affirming health care; or
1154	1154	(2) assisting an [individual ] adult, an
1155	1155	emancipated minor or a health care provider who is seeking
1156	1156	access to, receiving or providing reproductive health care or
1157	1157	gender-affirming health care, including providing:
1158	1158	(a) information;
1159	1159	(b) transportation;
1160	1160	(c) lodging; or
1161	1161	(d) material support;
1162	1162	[C.] I. "public body" means a state or local
1163	1163	government, an advisory board, a commission, an agency or an
1164	1164	entity created by the constitution of New Mexico or a branch of
1165	1165	government, including a health care provider or an entity
1166	1166	acting on behalf of or within the scope of the authority of a
1167	1167	public body, that receives public funding [including ] and
1168	1168	includes political subdivisions, special tax districts, school
1169	1169	districts and institutions of higher education; [and ]
1170	1170	[D.] J. "reproductive health care" means
1171	1171	psychological, behavioral, surgical, pharmaceutical and medical
1172	1172	care, services and supplies that relate to the human
1173	1173	reproductive system [including ] but does not include
1174	1174	gender-affirming health care services. "Reproductive health
1175	1175	care" services include services related to:
1176	1176	.229385.2
1177	1177	- 22 - underscored material = new
1178	1178	[bracketed material] = delete
1179	1179	1
1180	1180	2
1181	1181	3
1182	1182	4
1183	1183	5
1184	1184	6
1185	1185	7
1186	1186	8
1187	1187	9
1188	1188	10
1189	1189	11
1190	1190	12
1191	1191	13
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1199	1199	21
1200	1200	22
1201	1201	23
1202	1202	24
1203	1203	25
1204	1204	(1) preventing a pregnancy;
1205	1205	(2) abortion;
1206	1206	(3) managing a pregnancy loss;
1207	1207	(4) prenatal, birth, perinatal and postpartum
1208	1208	health;
1209	1209	(5) managing perimenopause and menopause;
1210	1210	(6) managing infertility;
1211	1211	(7) treating cancers of the reproductive
1212	1212	system; or
1213	1213	(8) preventing sexually transmitted
1214	1214	infections; and
1215	1215	K. "sex" means an individual's immutable
1216	1216	characteristics of the human reproductive system that define
1217	1217	the individual as male or female, as determined by anatomy and
1218	1218	genetics existing in that individual at the time of birth ."
1219	1219	SECTION 14. Section 24-35-3 NMSA 1978 (being Laws 2023,
1220	1220	Chapter 167, Section 3) is amended to read:
1221	1221	"24-35-3. PUBLIC BODY--PROHIBITED RELEASE OF INFORMATION
1222	1222	RELATED TO A PROTECTED HEALTH CARE ACTIVITY.--
1223	1223	A. A public body [or an individual or entity acting
1224	1224	on behalf of or within the scope of the authority of a public
1225	1225	body] shall not release information or use resources available
1226	1226	to it in furtherance of a foreign investigation or proceeding
1227	1227	that seeks to impose civil or criminal liability or
1228	1228	professional disciplinary action upon an [individual ] adult, an
1229	1229	.229385.2
1230	1230	- 23 - underscored material = new
1231	1231	[bracketed material] = delete
1232	1232	1
1233	1233	2
1234	1234	3
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1254	1254	23
1255	1255	24
1256	1256	25
1257	1257	emancipated minor or [entity] a health care provider for
1258	1258	engaging in a protected health care activity.
1259	1259	B. A public body [or an individual or entity acting
1260	1260	on behalf of or within the scope of the authority of a public
1261	1261	body] that receives a request for information related to a
1262	1262	protected health care activity shall notify the [individual ]
1263	1263	adult, emancipated minor or [entity] health care provider that
1264	1264	is the subject of the information request and shall move to
1265	1265	modify or quash the subpoena to prevent the release of
1266	1266	protected health care activity information. Any request for
1267	1267	information related to a protected health care activity shall
1268	1268	be made in writing.
1269	1269	C. The provisions of this section shall not apply
1270	1270	if the [individual] adult, emancipated minor or [entity] health
1271	1271	care provider that is the subject of the investigation or
1272	1272	proceeding provides affirmative written consent to release the
1273	1273	requested information.
1274	1274	D. A public body that receives a request for
1275	1275	information related to the reproductive health care activities
1276	1276	of a minor with parental consent:
1277	1277	(1) shall not release information or use
1278	1278	resources available to the public body in furtherance of a
1279	1279	foreign investigation or proceeding that seeks to impose civil
1280	1280	or criminal liability upon a minor with parental consent for
1281	1281	engaging in reproductive health care activities;
1282	1282	.229385.2
1283	1283	- 24 - underscored material = new
1284	1284	[bracketed material] = delete
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1310	1310	(2) shall notify in writing within seven
1311	1311	calendar days of receiving the request for information at least
1312	1312	one parent of the minor with parental consent who is the
1313	1313	subject of the request; and
1314	1314	(3) shall as soon as practicable move to quash
1315	1315	the subpoena to prevent the release of the minor with parental
1316	1316	consent's reproductive health care activity.
1317	1317	[D.] E. This section shall not apply to an
1318	1318	investigation or proceeding in which the conduct subject to
1319	1319	potential liability would be subject to liability under the
1320	1320	laws of this state."
1321	1321	SECTION 15. Section 24-35-4 NMSA 1978 (being Laws 2023,
1322	1322	Chapter 167, Section 4) is amended to read:
1323	1323	"24-35-4. FOREIGN SUBPOENAS AND SUMMONSES.--
1324	1324	A. A party shall not submit a foreign subpoena or
1325	1325	summons for discovery or a witness to provide testimony related
1326	1326	to an interstate investigation or proceeding that seeks to
1327	1327	impose civil or criminal liability or professional disciplinary
1328	1328	action related to a protected health care activity unless the
1329	1329	requesting party submits an attestation, signed under the
1330	1330	penalty of perjury, that the foreign subpoena or summons
1331	1331	relates to an out-of-state action for which the same claim
1332	1332	exists under the laws of this state.
1333	1333	B. An [individual] adult, an emancipated minor, a
1334	1334	minor with parental consent or the parent of a minor with
1335	1335	.229385.2
1336	1336	- 25 - underscored material = new
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1363	1363	parental consent or [entity] a health care provider served with
1364	1364	a subpoena that is in violation of this section shall notify
1365	1365	the issuing court and the moving party of the defect and shall
1366	1366	not comply with the subpoena until the defect is cured by order
1367	1367	of the issuing court.
1368	1368	C. A party that omits or submits a false
1369	1369	attestation pursuant to this section shall be subject to the
1370	1370	jurisdiction of the courts of this state in a suit for damages,
1371	1371	penalties or both arising out of the omission or false
1372	1372	attestation. A court shall assess a statutory penalty of ten
1373	1373	thousand dollars ($10,000) per violation if the court finds the
1374	1374	omission or false attestation was made intentionally,
1375	1375	knowingly, willingly or recklessly."
1376	1376	SECTION 16. Section 24-35-5 NMSA 1978 (being Laws 2023,
1377	1377	Chapter 167, Section 5) is amended to read:
1378	1378	"24-35-5. ABUSIVE LITIGATION--INTERFERENCE WITH A
1379	1379	PROTECTED HEALTH CARE ACTIVITY--CIVIL ACTIONS.--
1380	1380	A. For purposes of this section, "abusive
1381	1381	litigation" means legal action initiated to deter, prevent,
1382	1382	sanction or penalize an individual or entity for engaging in a
1383	1383	protected health care activity by initiating a legal action in
1384	1384	another state where civil or criminal liability is based on
1385	1385	engaging in a protected health care activity in this state or
1386	1386	attempting to enforce an order or judgment issued in connection
1387	1387	with such legal action.
1388	1388	.229385.2
1389	1389	- 26 - underscored material = new
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1416	1416	B. An [individual] adult, an emancipated minor, a
1417	1417	minor with parental consent or [entity] a health care provider
1418	1418	claiming to be aggrieved by abusive litigation may file an
1419	1419	action in district court and seek relief pursuant to Section [8
1420	1420	of the Reproductive and Gender-Affirming Health Care Protection
1421	1421	Act] 24-35-8 NMSA 1978, as well as the amount of a judgment
1422	1422	issued in connection with the abusive litigation.
1423	1423	C. This section shall not apply to a lawsuit or
1424	1424	judgment entered in another state that is based on conduct for
1425	1425	which a cause of action exists under the laws of New Mexico."
1426	1426	SECTION 17. Section 24-35-6 NMSA 1978 (being Laws 2023,
1427	1427	Chapter 167, Section 6) is amended to read:
1428	1428	"24-35-6. HEIGHTENED PROTECTION FOR ELECTRONICALLY
1429	1429	TRANSMITTED INFORMATION RELATED TO A PROTECTED HEALTH CARE
1430	1430	ACTIVITY.--
1431	1431	A. For purposes of this section, "third party"
1432	1432	means an individual or entity who transmits information related
1433	1433	to a protected health care activity, in the normal course of
1434	1434	business, in an electronic format. "Third party" does not mean
1435	1435	a covered entity or business associate as defined by the
1436	1436	federal Health Insurance Portability and Accountability Act of
1437	1437	1996 and related regulations.
1438	1438	B. It shall be a violation of the Reproductive and
1439	1439	Gender-Affirming Health Care Protection Act to request from a
1440	1440	third party, or for a third party to transmit, information
1441	1441	.229385.2
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1469	1469	related to [an individual's ] any protected health care activity
1470	1470	of an adult, an emancipated minor or [entity's protected health
1471	1471	care activity] a health care provider or information related to
1472	1472	the reproductive health care activity of a minor with parental
1473	1473	consent with the intent to:
1474	1474	(1) harass, humiliate or intimidate that
1475	1475	[individual] adult, emancipated minor, minor with parental
1476	1476	consent or [entity] health care provider ;
1477	1477	(2) incite another to harass, humiliate or
1478	1478	intimidate that [individual ] adult, emancipated minor, minor
1479	1479	with parental consent or [entity] health care provider ;
1480	1480	(3) cause that [individual ] adult, emancipated
1481	1481	minor, minor with parental consent or health care provider to
1482	1482	reasonably fear for [that individual's own or family members' ]
1483	1483	the safety of:
1484	1484	(a) that adult or that adult's family;
1485	1485	(b) that emancipated minor or that
1486	1486	emancipated minor's family;
1487	1487	(c) that minor with parental consent or
1488	1488	the family of that minor with parental consent; or
1489	1489	(d) that health care provider or that
1490	1490	health care provider's family ;
1491	1491	(4) cause that [individual ] adult, emancipated
1492	1492	minor, minor with parental consent or health care provider to
1493	1493	suffer unwanted physical contact or injury;
1494	1494	.229385.2
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1522	1522	(5) cause that [individual ] adult, emancipated
1523	1523	minor, minor with parental consent or health care provider to
1524	1524	suffer substantial emotional distress; [or ]
1525	1525	(6) deter, prevent, sanction or penalize an
1526	1526	[individual] adult, an emancipated minor or [entity] a health
1527	1527	care provider for engaging in a protected health care activity;
1528	1528	or
1529	1529	(7) deter, prevent, sanction or penalize a
1530	1530	minor with parental consent or the parent of that minor for the
1531	1531	minor engaging in a reproductive health care activity .
1532	1532	C. This section shall not apply to a lawsuit or
1533	1533	judgment entered in another state that is based on conduct for
1534	1534	which a cause of action exists under the laws of New Mexico."
1535	1535	SECTION 18. Section 24-35-8 NMSA 1978 (being Laws 2023,
1536	1536	Chapter 167, Section 8) is amended to read:
1537	1537	"24-35-8. PRIVATE RIGHT OF ACTION.--
1538	1538	A. An [individual] adult, an emancipated minor, a
1539	1539	minor with parental consent or that minor's parent or [entity]
1540	1540	a health care provider claiming to be aggrieved by a violation
1541	1541	of the Reproductive and Gender-Affirming Health Care Protection
1542	1542	Act may file an action in district court for appropriate
1543	1543	relief, including temporary, preliminary or permanent
1544	1544	injunctive relief, compensatory damages or punitive damages, or
1545	1545	for the sum of ten thousand dollars ($10,000) per violation,
1546	1546	whichever is greater. Claims may be brought against a public
1547	1547	.229385.2
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1575	1575	body or third party that intentionally, knowingly, willingly or
1576	1576	recklessly released information related to a protected health
1577	1577	care activity.
1578	1578	B. In an action brought against a health care
1579	1579	provider pursuant to this section by a parent of a minor, if
1580	1580	the plaintiff prevails, the plaintiff shall provide a certified
1581	1581	copy of the final judgment in favor of the plaintiff to the
1582	1582	licensing authority responsible for the regulation of the
1583	1583	health care provider's license. Upon receipt of the certified
1584	1584	final judgment in favor of the plaintiff, pursuant to the
1585	1585	requirements of the Uniform Licensing Act, the licensing
1586	1586	authority shall:
1587	1587	(1) issue a notice of contemplated action for
1588	1588	revocation of the health care provider's license if the final
1589	1589	judgment includes a finding of gross negligence, knowingly
1590	1590	violating or willful or egregious misconduct, or if the final
1591	1591	judgment does not include a finding of gross negligence,
1592	1592	knowingly violating or willful or egregious misconduct, issue a
1593	1593	notice of contemplated action for suspension of the health care
1594	1594	provider's license for a period of up to two years; and
1595	1595	(2) send the health care provider a copy of
1596	1596	the notice of contemplated action along with the information
1597	1597	regarding the process to file for a hearing before the
1598	1598	licensing authority to contest the contemplated action.
1599	1599	[B.] C. In an action brought pursuant to
1600	1600	.229385.2
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1628	1628	[Subsection A of] this section, the district court shall award
1629	1629	a prevailing plaintiff reasonable attorney fees and costs."
1630	1630	SECTION 19. EFFECTIVE DATE.--The effective date of the
1631	1631	provisions of this act is July 1, 2025.
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