SB 1 New Mexico Senate · 2025 First Special Session

HEALTH CARE GRANTS & STABILIZATION

SB 1 creates a $50 million fund to provide grants to rural health care providers and facilities in high-need areas, specifically targeting those serving Medicaid patients in counties with under 100,000 residents or designated Health Professional Shortage Areas. The bill allows grants to cover operating losses for existing services at risk of closure or reduction, not for new facilities or construction. Providers must be Medicaid-licensed, demonstrate verified financial need, and commit to continued service during the grant period. The fund is nonreverting, meaning unspent money carries forward, and the bill takes immediate effect as an emergency measure.
Bill status signed all 5 stages cleared
Introduction
Oct 2025
Committee Review
Oct 2025
Senate Passage
Oct 2025
House Passage
Oct 2025
Signed into Law
Oct 2025
Introduced Oct 1, 2025 Signed Oct 7, 2025
Maddy AI version diff · 1 comparison

What changed between versions

introduced version Final Version · 7 edits
MODERATE
This bill amends the Rural Health Care Delivery Fund to expand grant eligibility for rural health care providers and facilities in high-needs areas. The changes clarify fund administration, broaden grant purposes to include stabilizing services at risk of closure, and add detailed definitions for terms like 'rural health care facility' and 'operating losses'.
Scope change
The bill's scope expanded to explicitly include grants for stabilizing existing health care services that are at risk of reduction or closure, in addition to covering operating losses and start-up costs.
ELIGIBILITY

Added eligibility for grants to stabilize existing health care services when those services are at risk of reduction or closure.

DEFINITION

Added detailed definitions for 'rural health care facility' and 'rural health care provider' that specify service locations in counties with 100,000 or fewer residents, high-needs geographic health professional shortage areas, or tribally operated facilities.

Added definition for 'operating losses' as the projected difference between recognized revenue and allowable costs for a grant request period.

REQUIREMENT

Added requirement that grant recipients must provide adequate cost data based on an approved method of cost finding using accrual accounting and verified through claims review.

Added requirement that grant award amounts be reconciled by the authority to audited operating losses after the close of the grant period.

Added commitment requirements for rural health care providers receiving grants, including a period of operation equivalent to the number of years grants are awarded and active service to medicaid recipients throughout the grant period.

FISCAL

Clarified that the fund is created as a nonreverting fund in the state treasury consisting of appropriations, gifts, grants, donations, income from investment, and other revenue credited to the fund.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
7
Key actions
5
Committee
2
Oct 7, 2025
Signed into law
Signed
executive
Oct 2, 2025
Lower · Passed
DO PASS committee report adopted
lower
Oct 2, 2025
Lower · Passed
passed House
lower
Oct 1, 2025
Introduced
Sent to Senate Finance Committee
upper
Oct 1, 2025
Upper · Passed
DO PASS, as amended, committee report adopted
upper
Oct 1, 2025
Upper · Passed
passed Senate
upper
Oct 1, 2025
Introduced
Sent to House Health & Human Services Committee
lower
4 primary · 0 co-sponsors

Sponsors