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SENATE BILL 370
57
TH LEGISLATURE
-
STATE
OF
NEW
MEXICO
-
FIRST SESSION
,
2025
INTRODUCED BY
Katy M. Duhigg and Joseph Cervantes
AN ACT
RELATING TO HEALTH CARE; REQUIRING THE MEDICAID REIMBURSEMENT
RATE FOR OBSTETRICS OR GYNECOLOGY HEALTH CARE SERVICES TO
INCREASE BY TWO HUNDRED FIFTY PERCENT; MAKING AN APPROPRIATION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1. A new section of the Public Assistance Act is
enacted to read:
"[NEW MATERIAL] REIMBURSEMENT FOR OBSTETRICS OR GYNECOLOGY
SERVICES.--
A. The medicaid reimbursement rate for all
obstetrics or gynecology health care services that are covered
by the New Mexico medicaid program shall be at least two
hundred fifty percent of the medicare reimbursement rate for
the equivalent service.
B. Using the medicaid reimbursement rate for each
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obstetrics or gynecology health care service as of July 1, 2024
as a baseline for comparison:
(1) obstetrics or gynecology health care
services covered by medicaid, but not covered by medicare,
shall receive an increase in the medicaid reimbursement rate
proportional to the average percentage increase in
reimbursement that obstetrics or gynecology health care
services receive pursuant to Subsection A of this section; and
(2) all health care entities that receive
increases in medicaid reimbursement pursuant to this section
shall ensure that at least seventy-five percent of the increase
in reimbursement revenue is used to:
(a) provide increased compensation to
health care workers and other employees who interact directly
with patients; or
(b) hire additional health care workers
and other employees who interact directly with patients.
C. For the purposes of this section:
(1) "medicaid" means the federal-state program
administered by the authority pursuant to Title 19 or Title 21
of the federal Social Security Act; and
(2) "medicare" means coverage provided
pursuant to part A or part B of Title 18 of the federal Social
Security Act, as amended."
SECTION 2. APPROPRIATION.--Twelve million dollars
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($12,000,000) is appropriated from the general fund to the
health care authority for expenditure in fiscal year 2026 to
provide increased medicaid reimbursement for obstetrics or
gynecology health care services. Any unexpended or
unencumbered balance remaining at the end of fiscal year 2026
shall revert to the general fund.
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