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