New Mexico 2025 Regular Session

New Mexico Senate Bill SB450 Compare Versions

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

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28	28	SENATE BILL 450
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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41	41	-
42	42	FIRST SESSION
43	43	,
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45	45	2025
46	46	INTRODUCED BY
47	47	Antoinette Sedillo Lopez
48	48	AN ACT
49	49	RELATING TO HEALTH CARE; ENACTING THE CORPORATE PRACTICE OF
50	50	MEDICINE ACT.
51	51	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
52	52	SECTION 1. [NEW MATERIAL] SHORT TITLE.--This act may be
53	53	cited as the "Corporate Practice of Medicine Act".
54	54	SECTION 2. [NEW MATERIAL] DEFINITIONS.--As used in the
55	55	Corporate Practice of Medicine Act:
56	56	A. "federally qualified health center" means a
57	57	health facility that the United States department of health and
58	58	human services has deemed to qualify for federal funds as a
59	59	federally qualified health center;
60	60	B. "health care entity" means a person that
61	61	provides or supports the provision of health care services to
62	62	patients in New Mexico, including a hospital, health care
63	63	.230863.2 underscored material = new
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90	90	provider, in-state or out-of-state telemedicine provider,
91	91	health care staffing company, health care provider
92	92	organization, health care facility, management services
93	93	organization or organization of health care providers or
94	94	facilities; provided that "health care entity" does not mean a
95	95	federally qualified health center or an independent health care
96	96	practice;
97	97	C. "health care facility" means a hospital or other
98	98	facility licensed by the health care authority to provide
99	99	health care services in a health care setting, including an
100	100	inpatient facility; health system consisting of one or more
101	101	health care entities that are jointly owned or managed;
102	102	ambulatory surgery or treatment center; residential treatment
103	103	center; diagnostic, laboratory or imaging center; freestanding
104	104	emergency facility's outpatient clinic or rehabilitation
105	105	facility; hospice center; long-term care facility; and other
106	106	therapeutic health setting; provided that "health care
107	107	facility" does not include an adult daycare facility,
108	108	freestanding birth center, child care facility or shelter care
109	109	home;
110	110	D. "health care provider" means a person certified,
111	111	registered, licensed or otherwise authorized pursuant to state
112	112	law to perform or provide health care services to individuals
113	113	in the state;
114	114	E. "health care services" means the care,
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143	143	prevention, diagnosis, treatment or relief of an illness,
144	144	injury, disease or other medical, dental, mental or behavioral
145	145	health or substance use disorder condition, including:
146	146	(1) inpatient, outpatient, habilitative,
147	147	rehabilitative, dental, palliative, home health, hospice or
148	148	mental or behavioral health services provided by a health care
149	149	entity; and
150	150	(2) retail and specialty pharmacy services,
151	151	including provision of drugs;
152	152	F. "health care staffing company" means a person
153	153	engaged in the business of providing, procuring for employment
154	154	or contracting health care personnel for a health care
155	155	facility; provided that "health care staffing company" does not
156	156	include an individual who independently provides the
157	157	individual's own services to a health care facility as an
158	158	employee or a contractor;
159	159	G. "hospital" means a hospital licensed by the
160	160	health care authority but does not include a state-owned
161	161	special hospital operated by the department of health;
162	162	H. "independent health care practice" means a
163	163	health care provider organization entirely owned or controlled
164	164	by one or more health care providers who are individuals and
165	165	who provide health care services through the health care
166	166	provider organization to patients in New Mexico;
167	167	I. "long-term care facility" means a nursing home
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196	196	licensed by the health care authority to provide intermediate
197	197	or skilled nursing care;
198	198	J. "management services organization" means a
199	199	person that contracts with a health care entity to perform or
200	200	provide personnel to perform all or substantially all of the
201	201	administrative or management services relating to supporting or
202	202	facilitating the provision of health care services; and
203	203	K. "telemedicine provider" means a provider who
204	204	uses telecommunications and information technology to provide
205	205	clinical health care from a distance to evaluate, diagnose and
206	206	treat patients in real time or asynchronously.
207	207	SECTION 3. [NEW MATERIAL] PROHIBITIONS.--
208	208	A. A health care entity shall not indirectly or
209	209	directly interfere with, control or otherwise direct the
210	210	professional judgment or clinical decisions of a health care
211	211	provider.
212	212	B. A health care entity doing business in this
213	213	state shall not:
214	214	(1) interfere with the professional judgment
215	215	of a health care provider making health care decisions,
216	216	including any of the following:
217	217	(a) determining what diagnostic tests
218	218	are appropriate for a particular condition;
219	219	(b) determining the need for referrals
220	220	to, or consultation with, another licensed health care
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249	249	provider;
250	250	(c) being responsible for the ultimate
251	251	overall care of the patient, including treatment options
252	252	available to the patient; and
253	253	(d) determining how many patients a
254	254	health care provider shall see in a given time period; or
255	255	(2) exercise control over or be delegated the
256	256	power to do any of the following:
257	257	(a) own or otherwise determine the
258	258	content of patient medical records;
259	259	(b) select, hire or fire health care
260	260	providers, allied health staff or medical assistants based, in
261	261	whole or in part, on clinical competency or proficiency;
262	262	(c) set the parameters pursuant to which
263	263	a health care provider shall enter into contractual
264	264	relationships with third-party payers;
265	265	(d) set the parameters pursuant to which
266	266	a health care provider shall enter into contractual
267	267	relationships with other health care providers for the delivery
268	268	of care;
269	269	(e) make decisions regarding coding and
270	270	billing procedures for patient care services; and
271	271	(f) approve the selection of medical
272	272	equipment and medical supplies for a health care provider.
273	273	SECTION 4. [NEW MATERIAL] PRIVATE RIGHT OF ACTION--
274	274	.230863.2
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302	302	DAMAGES--ENFORCEMENT BY ATTORNEY GENERAL.--
303	303	A. A person who has suffered injury by reason of an
304	304	act or practice in violation of the Corporate Practice of
305	305	Medicine Act may sue in district court. Upon a showing that
306	306	the Corporate Practice of Medicine Act is being or has been
307	307	violated and a showing that the plaintiff has suffered injury,
308	308	the court may award damages, punitive damages and injunctive
309	309	relief and shall award the cost of the suit, including
310	310	reasonable attorney fees.
311	311	B. Whenever the attorney general has reasonable
312	312	belief that a person is engaging in or about to engage in an
313	313	act or practice in violation of the Corporate Practice of
314	314	Medicine Act and enforcement proceedings would be in the public
315	315	interest, the attorney general may bring an action in the name
316	316	of the state alleging violations of that act. An enforcement
317	317	action by the attorney general may be brought in the district
318	318	court of the county in which the person that allegedly is
319	319	engaging in or about to engage in an act or practice in
320	320	violation of the Corporate Practice of Medicine Act resides or
321	321	has its principal place of business or in the district court in
322	322	any county in which the person allegedly is engaging in, has
323	323	engaged in or is about to engage in an act or practice in
324	324	violation of the Corporate Practice of Medicine Act. In an
325	325	action filed by the attorney general pursuant to the Corporate
326	326	Practice of Medicine Act, the attorney general may petition the
327	327	.230863.2
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355	355	district court for temporary or permanent injunctive relief and
356	356	restitution. The attorney general acting on behalf of the
357	357	state shall not be required to post bond when seeking a
358	358	temporary or permanent injunction in an action brought pursuant
359	359	to this section.
360	360	C. The relief provided in this section is in
361	361	addition to remedies otherwise available pursuant to common law
362	362	or other New Mexico statutes.
363	363	SECTION 5. EFFECTIVE DATE.--The effective date of the
364	364	provisions of this act is July 1, 2025.
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