0001| SENATE JOINT MEMORIAL 50 | 0002| 42ND LEGISLATURE - STATE OF NEW MEXICO - SECOND SESSION, | 0003| 1996 | 0004| INTRODUCED BY | 0005| JANICE D. PASTER | 0006| | 0007| | 0008| | 0009| | 0010| | 0011| A JOINT MEMORIAL | 0012| REQUESTING THE HUMAN SERVICES DEPARTMENT TO REVIEW, WITH FULL | 0013| PUBLIC INVOLVEMENT, THE FULL ARRAY OF SERVICES AND MEDICAL | 0014| BENEFITS PROVIDED IN THE MEDICAID PROGRAM AND REQUESTING THE NEW | 0015| MEXICO HEALTH POLICY COMMISSION TO ESTABLISH A SUBCOMMITTEE TO | 0016| REVIEW MEDICAL BENEFITS FOR THE MEDICAID PROGRAM. | 0017| | 0018| WHEREAS, the federal government is expected to make major | 0019| changes to the medicaid program that will have a direct effect | 0020| on the New Mexico medicaid program; and | 0021| WHEREAS, federal changes to the medicaid program may | 0022| include giving more flexibility to states to determine medicaid | 0023| reimbursement rates, eligibility standards and benefit design | 0024| packages; and | 0025| WHEREAS, congress is expected to place a cap on the annual | 0001| growth in the medicaid program or place a cap on per capita | 0002| spending in the program, which will limit the amount of federal | 0003| dollars for New Mexico's medicaid program; and | 0004| WHEREAS, while congress is projecting a cap on medicaid | 0005| growth that is between seven and nine percent, the New Mexico | 0006| human services department reports that the state's medicaid | 0007| program is growing each year at a rate between ten and twelve | 0008| percent; and | 0009| WHEREAS, the expected cap on annual growth in the medicaid | 0010| program at the federal level, compared to the growth in medicaid | 0011| in New Mexico, will create a significant shortfall in federal | 0012| dollars to the state; and | 0013| WHEREAS, the state executive and legislative branches must | 0014| respond to changes occurring in the medicaid program at the | 0015| federal level, as well as the potential shortfall in federal | 0016| dollars to the New Mexico medicaid program; and | 0017| WHEREAS, the human services department must review the full | 0018| array of services and medical benefits in the state medicaid | 0019| program to address the shortfall in federal dollars, the level | 0020| of growth in the medicaid program and the anticipated | 0021| flexibility in medicaid program design; and | 0022| WHEREAS, a review of services and medical benefits in the | 0023| medicaid program needs to include a full opportunity for broad | 0024| public input prior to proposed revisions to the program; and | 0025| WHEREAS, the legislature needs to give prior approval to | 0001| significant changes in covered services or eligibility before | 0002| the human services department proposes revisions to the medicaid | 0003| program; | 0004| NOW, THEREFORE, BE IT RESOLVED BY THE LEGISLATURE OF THE | 0005| STATE OF NEW MEXICO that the human services department, in | 0006| consultation with other state agencies using medicaid funds, | 0007| conduct a review that considers the full array of services and | 0008| medical benefits provided in the medicaid program and the | 0009| allocation of state and federal funds for the program, | 0010| including: | 0011| A. the development, through a broad-based public | 0012| process, of a consensus on values to guide medicaid spending and | 0013| medicaid resource allocation taking into consideration all | 0014| medicaid services, including: | 0015| (1) medical benefits; | 0016| (2) nursing facilities and home- and community-based services; | 0017| (3) institutional and home- and community-based | 0018| care for the developmentally disabled, the chronically mentally | 0019| ill or emotionally disturbed and the treatment of alcohol- and | 0020| drug-dependent persons; | 0021| (4) other categories of service; | 0022| B. an analysis of the impact to other health | 0023| services of the recommended changes to the medicaid program | 0024| including: | 0025| (1) the costs incurred by the state, county | 0001| indigent funds and private insurance providers and policy | 0002| holders; | 0003| (2) the costs of uncompensated care incurred by | 0004| providers; | 0005| (3) use of emergency care; | 0006| (4) the care received by persons affected by | 0007| proposed changes in services, eligibility criteria or the | 0008| imposition of co-payment requirements; | 0009| (5) the care received by special needs | 0010| populations and persons with terminal or progressive illnesses; | 0011| and | 0012| (6) rural health care infrastructure and | 0013| provider participation in the medicaid program; | 0014| C. a consideration of options to contain health care | 0015| costs and expand medicaid coverage to persons without health | 0016| insurance; | 0017| D. the development and utilization of a public | 0018| review process that includes a series of public hearings and | 0019| seeks testimony and information from a wide range of interested | 0020| persons, including legislative and executive representatives; | 0021| advocates for senior citizens, handicapped persons, mental | 0022| health consumers, low-income individuals and medicaid | 0023| recipients; and providers or potential providers of services for | 0024| the medicaid program; and | 0025| E. the use of committees of advisory groups as | 0001| deemed necessary or appropriate to conduct a review of the | 0002| medicaid program for the purpose of making recommendations to | 0003| the human services department regarding changes to services and | 0004| medical benefits in the medicaid program; provided that the | 0005| membership of any committee or advisory group reflect the | 0006| ethnic, economic and geographic diversity of New Mexico; and | 0007| BE IT FURTHER RESOLVED that the human services department | 0008| work with the New Mexico health policy commission to establish a | 0009| subcommittee to review medical benefits for the medicaid | 0010| program. The commission, in overseeing the work of the | 0011| subcommittee, and the subcommittee are requested to: | 0012| A. participate in the public review process | 0013| developed by the department; | 0014| B. recommend to the department the array of medical | 0015| benefits for the medicaid program. The subcommittee is strongly | 0016| recommended to accord priority attention to providing basic | 0017| preventive and primary care medical benefits to all persons | 0018| eligible for medicaid assistance taking into account special | 0019| needs populations and persons with terminal illness. The | 0020| advantages of each medical benefit to the population to be | 0021| served by the medicaid program needs to be described; | 0022| C. consider eligibility criteria for medical | 0023| benefits for medicaid recipients; and | 0024| D. consider patient co-payments and appropriate | 0025| reimbursement rates for medical benefits for providers and plans | 0001| that serve medicaid recipients; and | 0002| BE IT FURTHER RESOLVED that the human services department | 0003| consider and incorporate, where appropriate, the opinions | 0004| expressed in the public review process, as well as the | 0005| recommendations of committees, advisory groups and the medical | 0006| benefits subcommittee prior to reporting to the appropriate | 0007| interim legislative committee; and | 0008| BE IT FURTHER RESOLVED that the human services department's | 0009| completed review of services, benefits and the allocation of | 0010| funds for the medicaid program be reported to the appropriate | 0011| interim legislative committee before the department makes | 0012| changes to the medicaid program; and | 0013| BE IT FURTHER RESOLVED that the conclusions of the human | 0014| services department be reported to the appropriate interim | 0015| legislative committee by October 1, 1997 and be revised by | 0016| October 1, 1998 on the department's review of the | 0017| recommendations concerning services, benefits and the allocation | 0018| of funds for the medicaid program; and | 0019| BE IT FURTHER RESOLVED that copies of this memorial be sent | 0020| to the secretary of human services and the director of the New | 0021| Mexico health policy commission for distribution to | 0022| commissioners. | 0023|  | 0024| | 0025| FORTY-SECOND LEGISLATURE | 0001| SECOND SESSION, 1996 | 0002| | 0003| | 0004| February 3, 1996 | 0005| | 0006| Mr. President: | 0007| | 0008| Your RULES COMMITTEE, to whom has been referred | 0009| | 0010| SENATE JOINT MEMORIAL 50 | 0011| | 0012| has had it under consideration and reports same with | 0013| recommendation that it DO PASS. | 0014| | 0015| Respectfully submitted, | 0016| | 0017| | 0018| | 0019| __________________________________ | 0020| Gloria Howes, Chairman | 0021| | 0022| | 0023| | 0024| Adopted_______________________ Not Adopted_______________________ | 0025| (Chief Clerk) (Chief Clerk) | 0001| | 0002| | 0003| | 0004| Date ________________________ | 0005| | 0006| | 0007| The roll call vote was 6 For 0 Against | 0008| Yes: 6 | 0009| No: 0 | 0010| Excused: EJennings, Wray, Donisthorpe | 0011| Absent: 0 | 0012| | 0013| | 0014| SJ050RU1 | 0015| State of New Mexico | 0016| House of Representatives | 0017| | 0018| FORTY-SECOND LEGISLATURE | 0019| SECOND SESSION, 1996 | 0020| | 0021| | 0022| February 13, 1996 | 0023| | 0024| | 0025| Mr. Speaker: | 0001| | 0002| Your BUSINESS AND INDUSTRY COMMITTEE, to whom has | 0003| been referred | 0004| | 0005| SENATE JOINT MEMORIAL 50 | 0006| | 0007| has had it under consideration and reports same with | 0008| recommendation that it DO PASS. | 0009| | 0010| Respectfully submitted, | 0011| | 0012| | 0013| | 0014| | 0015| Fred Luna, Chairman | 0016| | 0017| | 0018| Adopted Not Adopted | 0019| | 0020| (Chief Clerk) (Chief Clerk) | 0021| | 0022| Date | 0023| | 0024| The roll call vote was 7 For 0 Against | 0025| Yes: 7 | 0001| Excused: Alwin, Gubbels, Olguin, J. G. Taylor, Varela | 0002| Absent: None | 0003| | 0004| | 0005| | 0006| SJ050BI1 |