0001| HOUSE BILL 396
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0002| 43RD LEGISLATURE - STATE OF NEW MEXICO - SECOND SESSION, 1998
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0003| INTRODUCED BY
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0004| EDWARD C. SANDOVAL
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0005|
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0006|
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0007|
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0008| FOR THE HEALTH AND WELFARE REFORM COMMITTEE
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0009|
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0010|
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0011| AN ACT
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0012| RELATING TO PUBLIC ASSISTANCE; EXCLUDING COMMUNITY-BASED
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0013| DEVELOPMENTAL DISABILITY PROGRAMS FROM THE MEDICAID MANAGED
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0014| CARE PROGRAM; AMENDING A SECTION OF THE PUBLIC ASSISTANCE ACT;
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0015| MAKING AN APPROPRIATION.
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0016|
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0017| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
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0018| Section 1. Section 27-2-12.6 NMSA 1978 (being Laws 1994,
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0019| Chapter 62, Section 22) is amended to read:
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0020| "27-2-12.6. MEDICAID PAYMENTS--MANAGED CARE.--
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0021| A. Except as provided in Subsection D of this
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0022| section, the department shall provide for a statewide,
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0023| managed care system to provide cost-efficient, preventive,
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0024| primary and acute care for medicaid recipients by July 1,
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0025| 1995.
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0001| B. The managed care system shall ensure:
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0002| (1) access to medically necessary services,
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0003| particularly for medicaid recipients with chronic health
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0004| problems;
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0005| (2) to the extent practicable, maintenance of
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0006| the rural primary care delivery infrastructure;
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0007| (3) that the department's approach is
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0008| consistent with national and state health care reform
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0009| principles; and
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0010| (4) to the maximum extent possible, that
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0011| medicaid-eligible individuals are not identified as such
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0012| except as necessary for billing purposes.
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0013| C. The department may from the provisions of this
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0014| section exclude nursing homes, [intermediate care facilities
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for the mentally retarded,] medicaid in-home and
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0016| community-based waiver services and residential and
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0017| community-based mental health services for children with
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0018| serious emotional disorders [from the provisions of this
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section].
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0020| D. The department shall exclude from the
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0021| provisions of this section intermediate care facilities for
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0022| the mentally retarded, developmental disability in-home and
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0023| community-based medicaid waiver services, developmental
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0024| disability early intervention services, development disability
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0025| early intervention case management services and development
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0001| disability state general fund services for children and
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0002| adults."
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0003| Section 2. APPROPRIATION.--Twenty-five thousand dollars
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0004| ($25,000) is appropriated from the general fund to the human
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0005| services department for expenditure in fiscal year 1999 for
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0006| the purpose of contracting with a statewide developmental
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0007| disabilities community provider association located in
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0008| Bernalillo county to conduct and complete, prior to the 1999
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0009| legislative session, an assessment of community-based
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0010| developmental disability managed care programs operated in
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0011| other states. Any unexpended or unencumbered balance
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0012| remaining at the end of fiscal year 1999 shall revert to the
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0013| general fund.
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0014|
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