HB 343 New Mexico House · 2025 Regular Session

CYFD PLANS OF SAFE CARE FOR CERTAIN CHILDREN

HB 343 requires hospitals and birthing centers to create written "Plans of Safe Care" for newborns affected by prenatal substance exposure (e.g., drugs or alcohol in utero). These plans must be shared with the child’s doctor, a care coordinator (if insured), and the parent/guardian at discharge, outlining needed services like substance use treatment, mental health support, or early intervention. The bill updates reporting rules to ensure hospitals share data about these cases with the Children, Youth and Families Department without triggering child abuse investigations. It directly affects hospitals, newborns with prenatal exposure, and their families by coordinating healthcare and social services post-discharge.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Governor
Introduced Feb 7, 2025 Last action Jun 3, 2025
Maddy AI version diff · 1 comparison

What changed between versions

introduced version HC substitute · 8 edits
MODERATE
This bill moves a substance-exposed newborn care program from the Children, Youth and Families Department to the Department of Health and updates related definitions and procedures. It creates new roles like 'CARA navigators' to coordinate care, requires hospitals to create written 'plans of safe care' before discharge, and establishes specific rules for data reporting and training while protecting providers from liability. The changes aim to improve coordination between health care providers, families, and social services to ensure the safety of newborns exposed to substances in utero.
Scope change
The program was moved from the Children, Youth and Families Department to the Department of Health, and the definition of 'substance-exposed newborn' was expanded to include infants under one year of age.
SCOPE

The program was moved from the Children, Youth and Families Department to the Department of Health.

DEFINITION

New definitions were added including 'CARA navigator' (a professional who coordinates care), 'plan of safe care' (a written safety plan for substance-exposed newborns), and 'active efforts' (a higher standard of conduct than reasonable efforts).

The definition of 'substance-exposed newborn' was expanded to include any infant under one year of age affected by prenatal exposure to controlled substances, drugs, or alcohol.

REQUIREMENT

Hospitals and birthing facilities must create a written plan of safe care before discharging a substance-exposed newborn and send it to the primary care physician, Department of Health, and the family.

New roles were created for 'CARA navigators' to conduct home visits and 'care coordinators' to monitor implementation of care plans after discharge.

New requirements mandate training for health care providers and social workers on assessing when to report abuse versus creating a plan of safe care, and on avoiding stigma and bias.

TIMELINE

The bill sets a deadline of January 1, 2026, for the Department of Health to develop rules for monitoring compliance and evaluating outcomes of plans of safe care.

ENFORCEMENT

The bill provides immunity from civil or criminal liability for individuals and agencies implementing plans of safe care, provided actions are not grossly negligent or involve willful misconduct.

Floor votes · House Mar 15, 2025

How they voted

620
Passed · 4 other
Total votes 66
Mar 15, 2025
D Democratic40
36 Yea 4
90% Yea
R Republican26
26 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
3
Committee
2
Mar 16, 2025
Introduced
Sent to Senate Judiciary Committee
upper
Mar 15, 2025
Lower · Passed
passed House
lower
Mar 7, 2025
Lower · Passed
DO PASS, as amended, committee report adopted
lower
Feb 26, 2025
Lower · Passed
DO NOT PASS, replaced with committee substitute
lower
Feb 7, 2025
Introduced
Sent to House Health & Human Services Committee & House Government, Elections and Indian Affairs Committee
lower
5 primary · 0 co-sponsors

Sponsors