Rep. Reena Szczepanski

Maddy summaryHB 244, the Hospital Price Transparency Act, requires all New Mexico hospitals to publicly display standard pricing for services on their websites in machine-readable format and either a list of 300+ shoppable services or a price estimator tool. This directly affects hospitals (both public and private) and patients who may face debt collection for services provided during non-compliance periods. Hospitals violating the law cannot pursue collection actions for affected services, and patients can use the hospital’s non-compliance as an affirmative defense in debt collection cases. The Health Care Authority will enforce compliance through website audits, complaint processes, and requiring corrective action plans for violations.

Maddy summaryHB 210 allocates $4.813 million from the general fund to the Health Care Authority for fiscal year 2027. It directly provides healthcare facilities (like hospitals and clinics) with subsidized subscriptions to New Mexico's state-designated Health Information Exchange (HIE), encouraging them to share patient health data electronically. The bill’s key mechanism is covering the cost of HIE subscriptions for participating facilities, aiming to improve data sharing across providers. Any unspent funds at year-end would revert to the general fund. This is a funding measure, not a policy change to patient care standards.

Maddy summaryHB 173 creates New Mexico's Dementia Care Specialist Program within the Aging and Long-Term Services Department. The program employs or contracts dementia care specialists to provide direct support to individuals with dementia and their caregivers, including cognitive assessments, early detection assistance, caregiver education, and training for healthcare providers. It requires the department to collaborate with health agencies, tribal nations, and community organizations to deliver culturally appropriate services, with a $1 million appropriation for fiscal years 2027-2029. The department must report annually on specialist distribution, services provided, outcomes (like reduced hospitalizations), and cost savings by 2029. This bill directly affects New Mexico residents living with dementia and their families, aiming to improve care coordination and reduce caregiver stress through structured support services.

Maddy summarySB 55 increases New Mexico's income tax credit for solar energy installations to 30% of the cost (up from 10%), with a maximum annual credit of $15,000 per taxpayer. It applies directly to homeowners, businesses, and agricultural operations that install qualifying solar thermal or photovoltaic systems in New Mexico. Taxpayers can transfer their unused credit to another taxpayer, and the state will cap total annual credits at $30 million to prevent overspending. The bill takes effect for tax years beginning January 1, 2026, and expires for tax years ending before 2032.

Maddy summaryHB 172, the Safe Staffing Act, sets mandatory minimum nurse-to-patient ratios for hospitals across New Mexico, directly affecting all hospitals providing inpatient care (including critical access hospitals) and their nursing staff. Key provisions require specific ratios, such as one nurse per two patients in intensive care units, one nurse per four patients in emergency departments over a 12-hour shift, and one nurse per patient during active labor in delivery units. The bill creates a statewide staffing advisory committee with nurse and hospital staff representation to help develop enforcement rules, and authorizes administrative penalties for noncompliance. These changes aim to standardize staffing based on unit type and patient needs, applying uniformly to all covered hospitals.

Maddy summaryHB 127 requires the New Mexico Medical Board to grant expedited licenses to physicians already licensed in other U.S. states, territories, or foreign countries who meet all other licensing criteria. It also mandates the creation of a public registry for out-of-state telehealth providers, requiring them to maintain active licenses elsewhere, carry professional liability insurance, and avoid physical offices or in-state patient interactions in New Mexico. The bill directly affects out-of-state physicians seeking to practice medicine or provide telehealth services in New Mexico, and imposes new administrative duties on the Medical Board. Key provisions include standardized application requirements for the registry, public disclosure of provider details, and mandatory reporting of disciplinary actions against their out-of-state licenses. The bill repeals an outdated section of existing law to implement these changes.

Maddy summaryHB 124 creates a New Americans Division within New Mexico's Workforce Solutions Department to support immigrants and refugees in the state's workforce. The division will help with job training, streamline license recognition for internationally trained professionals, and connect businesses with immigrant talent. It must report annually on its activities and refugee resettlement impacts, with an initial report due December 2026. This bill directly affects non-citizen residents and refugee resettlement programs in New Mexico.

Maddy summaryHB 306 prohibits hospitals from charging patients facility fees for preventive care, vaccinations, and telehealth services starting January 1, 2027. It exempts critical access hospitals, rural sole community hospitals, and emergency department services (both hospital-based and freestanding). The bill requires hospitals to notify patients about potential facility fees before appointments and during care, display bilingual signage, and provide itemized bills showing these charges. Hospitals must also report facility fee data to the state's All-Payer Claims Database for transparency and analysis.

Maddy summarySB 101 repeals a delayed repeal of New Mexico's Health Care Delivery and Access Act (enacted in 2024). It specifically removes Section 13 of Laws 2024, Chapter 41, which had postponed the original act's repeal. This action restores the full provisions of the Health Care Delivery and Access Act, meaning it directly affects healthcare providers and patients covered under the original legislation. The bill does not change the act's content but ensures it remains in effect without further delay.

Maddy summarySB 20 would change how health insurers and pharmacy benefits managers handle prior authorization for prescription drugs in New Mexico. It prohibits requiring prior authorization for medications treating serious mental illnesses (such as schizophrenia, depression, or bipolar disorder), ensuring patients can access these drugs without delays. For drugs managing chronic conditions (like diabetes or high blood pressure), the bill limits prior authorization reviews to once every three years instead of more frequent checks. The law also requires the state insurance office to standardize the process, create a uniform form for requests, and monitor compliance to prevent unnecessary delays in care.