New Mexico 2025 Regular Session

New Mexico House Bill HB55 Compare Versions

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

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28	28	HOUSE BILL 55
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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39	39	MEXICO
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41	41	-
42	42	FIRST SESSION
43	43	,
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45	45	2025
46	46	INTRODUCED BY
47	47	Pamelya Herndon
48	48	FOR THE LEGISLATIVE HEALTH AND HUMAN SERVICES COMMITTEE
49	49	AN ACT
50	50	RELATING TO LABOR; REQUIRING THE HEALTH CARE AUTHORITY TO SET A
51	51	MINIMUM MEDICAID FEE SCHEDULE FOR REIMBURSING PERSONAL CARE
52	52	SERVICES; REQUIRING AT LEAST SEVENTY PERCENT OF MEDICAID
53	53	REIMBURSEMENT FOR PERSONAL CARE SERVICES TO BE USED FOR
54	54	COMPENSATING DIRECT CARE WORKERS; MAKING AN APPROPRIATION.
55	55	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
56	56	SECTION 1. A new section of the Public Assistance Act is
57	57	enacted to read:
58	58	"[NEW MATERIAL] MEDICAID REIMBURSEMENT FOR PERSONAL CARE
59	59	SERVICES.--
60	60	A. For the purposes of this section:
61	61	(1) "compensation" means all payments and
62	62	benefits provided to direct care workers, including:
63	63	(a) salary, wages, overtime pay and
64	64	.229094.2 underscored material = new
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91	91	other remunerations;
92	92	(b) health, dental, life and disability
93	93	insurance;
94	94	(c) paid leave, retirement benefits and
95	95	tuition reimbursement; and
96	96	(d) the employer share of payroll taxes;
97	97	(2) "direct care worker" means a non-
98	98	administrative employee of a personal care services provider
99	99	agency who spends the majority of the employee's work hours
100	100	providing personal care services;
101	101	(3) "medicaid" means the medical assistance
102	102	program established pursuant to Title 19 of the federal act and
103	103	regulations issued pursuant to that act;
104	104	(4) "personal care services" means services
105	105	provided to an individual to assist with activities of daily
106	106	living; and
107	107	(5) "personal care services provider agency"
108	108	means an entity that:
109	109	(a) has entered into a medicaid provider
110	110	participation agreement with the medical assistance division of
111	111	the authority and: 1) is contracted with a managed care
112	112	organization to provide personal care services to medicaid
113	113	recipients; or 2) provides personal care services to medicaid
114	114	recipients through fee-for-service arrangements;
115	115	(b) is reimbursed for personal care
116	116	.229094.2
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144	144	services provided to individuals covered by medicaid; and
145	145	(c) employs direct care workers to
146	146	provide personal care services to individuals covered by
147	147	medicaid.
148	148	B. The authority shall implement a minimum medicaid
149	149	fee schedule for personal care services that requires managed
150	150	care organizations and fee-for-service arrangements to
151	151	reimburse personal care services provider agencies at least
152	152	twenty-three dollars fifty cents ($23.50) per hour for
153	153	providing personal care services.
154	154	C. A personal care services provider agency that
155	155	receives medicaid reimbursement for providing personal care
156	156	services shall use at least seventy percent of the medicaid
157	157	reimbursement as compensation to direct care workers for
158	158	furnishing their services.
159	159	D. Before calculating the minimum amount of
160	160	medicaid reimbursement that a personal care services provider
161	161	agency is required to use to compensate direct care workers,
162	162	the costs of providing training, travel and personal protective
163	163	equipment to direct care workers shall be deducted from the
164	164	total amount of medicaid reimbursement that the personal care
165	165	services provider agency receives."
166	166	SECTION 2. APPROPRIATION.--Twenty million eight hundred
167	167	thousand dollars ($20,800,000) is appropriated from the general
168	168	fund to the health care authority for expenditure in fiscal
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197	197	year 2026 to update the medicaid personal care services fee
198	198	schedule and increase medicaid reimbursement for personal care
199	199	services pursuant to Section 1 of this act. Any unexpended or
200	200	unencumbered balance remaining at the end of fiscal year 2026
201	201	shall revert to the general fund.
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203	203	.229094.2