New Mexico 2025 Regular Session

New Mexico Senate Bill SB336 Compare Versions

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

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28	28	SENATE BILL 336
29	29	57TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 2025
30	30	INTRODUCED BY
31	31	Martin Hickey
32	32	AN ACT
33	33	RELATING TO PUBLIC ASSISTANCE; REQUIRING MEDICAID MANAGED CARE
34	34	ORGANIZATIONS TO HAVE A PROPORTIONAL AMOUNT OF MEDICAID
35	35	RECIPIENTS.
36	36	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
37	37	SECTION 1. Section 27-2-12.6 NMSA 1978 (being Laws 1994,
38	38	Chapter 62, Section 22, as amended) is amended to read:
39	39	"27-2-12.6. MEDICAID PAYMENTS--MANAGED CARE.--
40	40	A. The department shall provide for a statewide,
41	41	managed care system to provide cost-efficient, preventive,
42	42	primary and acute care for medicaid recipients by July 1, 1995.
43	43	B. The managed care system shall ensure:
44	44	(1) access to medically necessary services,
45	45	particularly for medicaid recipients with chronic health
46	46	problems;
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74	74	(2) to the extent practicable, maintenance of
75	75	the rural primary care delivery infrastructure;
76	76	(3) that the department's approach is
77	77	consistent with national and state health care reform
78	78	principles; [and]
79	79	(4) to the maximum extent possible, that
80	80	medicaid-eligible individuals are not identified as such except
81	81	as necessary for billing purposes; and
82	82	(5) that a proportional number of medicaid
83	83	recipients are balanced among the managed care organizations
84	84	contracted with the state to provide medical assistance to
85	85	medicaid recipients, including managed care organizations that
86	86	are newly contracted with the state .
87	87	C. The department may exclude nursing homes,
88	88	intermediate care facilities for individuals with developmental
89	89	or intellectual disabilities, medicaid in-home and community-
90	90	based waiver services and residential and community-based
91	91	mental health services for children with serious emotional
92	92	disorders from the provisions of this section."
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94	94	.230474.1