0001|                        SENATE BILL 294
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0002|     42ND LEGISLATURE - STATE OF NEW MEXICO - SECOND SESSION,
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0003|     1996
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0004|                         INTRODUCED BY
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0005|                         TITO D. CHAVEZ
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0006|     
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0007|                                
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0008|     
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0009|     
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0010|     
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0011|                             AN ACT
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0012|     RELATING TO INSURANCE; ENACTING A NEW SECTION OF THE NEW MEXICO
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0013|     INSURANCE CODE TO MANDATE FREEDOM OF CHOICE OF PRIMARY CARE
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0014|     PROVIDER.
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0015|     
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0016|     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
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0017|       Section 1.  A new section of the New Mexico Insurance Code,
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0018|     Section 59A-18-32 NMSA 1978, is enacted to read:
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0019|       "59A-18-32.  [<u>NEW MATERIAL</u>]  FREEDOM OF CHOICE OF PRIMARY
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0020|     CARE PROVIDER.--
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0021|            A.  If a policy allows a patient to see a licensed
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0022|     physician or osteopathic physician for diagnosis and treatment
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0023|     of a covered condition or complaint under coverage of his
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0024|     policy, that patient shall also be allowed under coverage of
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0025|     that policy the same freedom to choose any other class of
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0001|     primary care provider for diagnosis and treatment of that
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0002|     covered condition, regardless of the nomenclature used to
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0003|     describe the condition, complaint or service, if the diagnosis
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0004|     and treatment of the condition or complaint falls within the
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0005|     legal scope of practice of that primary care provider.  Nothing
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0006|     in this section shall be construed to prohibit the application
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0007|     of deductibles, co-insurance or co-payments, preferred provider
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0008|     requirements, cost-containment measures or quality assurance
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0009|     measures if they are applied to all classes of practitioners of
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0010|     the healing arts.  Freedom of choice and provider discrimination
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0011|     prohibition laws applicable to workers' compensation, health
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0012|     maintenance organizations, medicaid and nonprofit health care
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0013|     plans shall not be changed by this section, and this section
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0014|     shall not apply to medicaid, the Workers' Compensation Act, the
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0015|     Health Maintenance Organization Law and the Nonprofit Health
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0016|     Care Plan Law.
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0017|            B.  As used in this section, "primary care provider"
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0018|     means any physician holding a license or certificate authorized
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0019|     in Chapter 61, Article 4, 6, 10 or 14A NMSA 1978 authorizing the
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0020|     licensee to offer or undertake to diagnose, treat, operate on or
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0021|     prescribe for any human pain, injury, disease, deformity or
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0022|     physical or mental condition."
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0023|                              
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0024|           
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0025|   
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0001|                    FORTY-SECOND LEGISLATURE
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0002|                      SECOND SESSION, 1996
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0003|   
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0004|   
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0005|                                              FEBRUARY 1, 1996
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0006|   
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0007|   Mr. President:
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0008|   
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0009|     Your COMMITTEES' COMMITTEE, to whom has been referred
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0010|   
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0011|                           SENATE BILL 294
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0012|   
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0013|   has had it under consideration and finds same to be GERMANE, PURSUANT
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0014|   TO SENATE EXECUTIVE MESSAGE NUMBER TWENTY ONE, and thence referred to
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0015|   the PUBLIC AFFAIRS COMMITTEE.
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0016|   
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0017|                              Respectfully submitted,
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0018|   
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0019|   
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0020|   
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0021|   
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0022|                              __________________________________
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0023|                              SENATOR MANNY M. ARAGON, Chairman 
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0024|   
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0025|   
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0001|   
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0002|   Adopted_______________________ Not Adopted_______________________
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0003|             (Chief Clerk)                        (Chief Clerk)
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0004|   
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0005|   
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0006|                     Date ________________________
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0007|   
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0008|   
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0009|   
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0010|     S0294CC1
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0011|   
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0012|                      FORTY-SECOND LEGISLATURE
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0013|                        SECOND SESSION, 1996
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0014|   
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0015|   
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0016|                                                   February 5, 1996
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0017|   
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0018|   Mr. President:
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0019|   
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0020|     Your PUBLIC AFFAIRS COMMITTEE, to whom has been referred
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0021|   
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0022|                           SENATE BILL 294
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0023|   
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0024|   has had it under consideration and reports same with recommendation that
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0025|   it DO NOT PASS, but that
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0001|   
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0002|             SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR 
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0003|                             SENATE BILL 294
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0004| 
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0005|   DO PASS, and thence referred to the CORPORATIONS &
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0006|   TRANSPORTATION COMMITTEE.
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0007|   
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0008|                              Respectfully submitted,
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0009|   
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0010|   
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0011|   
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0012|                              __________________________________
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0013|                              Shannon Robinson, Chairman
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0014|   
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0015|   
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0016|   Adopted_______________________ Not Adopted_______________________
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0017|             (Chief Clerk)                          (Chief Clerk)
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0018|   
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0019|   
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0020|                     Date ________________________
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0021|   
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0022|   
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0023|   The roll call vote was <u>6 </u> For <u> 0</u> Against
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0024|   Yes:  6
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0025|   No:        0
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0001|   Excused:   Naranjo, E. Jennings
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0002|   Absent:    None
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0003|   
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0004|   
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0005|   S0294PA1
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0006|            SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR
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0007|                        SENATE BILL 294
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0008|     42nd legislature - STATE OF NEW MEXICO - second session, 1996
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0009|                                
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0010|     
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0011|     
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0012|                                
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0013|     
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0014|     
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0015|     
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0016|                             AN ACT
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0017|     RELATING TO INSURANCE; ENACTING A NEW SECTION OF THE NEW MEXICO
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0018|     INSURANCE CODE TO PROHIBIT DISCRIMINATION IN CHOICE OF PRIMARY
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0019|     CARE PROVIDER.
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0020|     
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0021|     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
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0022|       Section 1.  A new section of the New Mexico Insurance Code,
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0023|     Section 59A-18-32 NMSA 1978, is enacted to read:
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0024|       "59A-18-32.  [<u>NEW MATERIAL</u>]  CHOICE OF PRIMARY CARE
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0025|     PROVIDER--DISCRIMINATION PROHIBITED.--
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0001|            A.  If a policy allows a person to see a licensed
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0002|     physician for diagnosis and treatment of a covered condition or
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0003|     complaint, that person shall not be discriminated against by
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0004|     being prohibited from having the freedom to choose a physician
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0005|     from any other class of primary care providers for diagnosis and
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0006|     treatment of that covered condition or complaint regardless of
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0007|     the nomenclature used to describe the condition, complaint,
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0008|     treatment or service, if the diagnosis and treatment of the
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0009|     condition or complaint falls within the legal scope of practice
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0010|     of that primary care provider.  Nothing in this section shall
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0011|     restrict or prohibit the policy issuer from having the freedom
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0012|     to choose the application of deductibles, co-insurance or co-payments, preferred provider requirements, cost containment
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0013|     measures or quality assurance measures if such measures are
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0014|     applied equally to all classes of primary care providers.  The
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0015|     provisions of this section do not modify or amend freedom of
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0016|     choice and provider discrimination prohibition laws applicable
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0017|     to workers' compensation, health maintenance organizations,
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0018|     medicaid and nonprofit health care plans.
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0019|            B.  As used in this section, a "primary care provider"
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0020|     means any physician licensed under Chapter 61, Article 6, 10 or
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0021|     14A NMSA 1978 authorizing the licensee to offer or undertake to
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0022|     diagnose, prevent, treat, operate on or prescribe for any human
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0023|     pain, injury, disease, deformity, physical or mental condition."
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0024|                                       
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0025|   
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0001|                      FORTY-SECOND LEGISLATURE             SB 294/a
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0002|                        SECOND SESSION, 1996
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0003|   
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0004|   
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0005|                                                   February 9, 1996
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0006|   
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0007|   Mr. President:
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0008|   
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0009|     Your CORPORATIONS & TRANSPORTATION COMMITTEE, to whom
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0010|   has been referred
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0011|   
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0012|           SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR
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0013|                           SENATE BILL 294
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0014|   
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0015|   has had it under consideration and reports same with recommendation
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0016|   that it DO PASS, amended as follows:
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0017|   
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0018|      1.  On page 2, line 9, strike "The" and strike lines 10
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0019|   through 13 in their entirety and insert in lieu thereof:
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0020|   
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0021|   "Freedom of choice and provider discrimination prohibition laws
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0022|   applicable to workers' compensation, health maintenance
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0023|   organizations, medicaid and nonprofit health care plans are not
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0024|   modified or amended by this section, and this section shall not apply
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0025|   to medicaid, the Workers' Compensation Act, the Health Maintenance
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0001|   Organization Law or the Nonprofit Health Care Plan Law.".
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0002|   
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0003|   
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0004|                  Respectfully submitted,
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0005|   
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0006|   
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0007|   
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0008|                  __________________________________
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0009|                  Roman M. Maes, III, Chairman 
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0010|   
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0011|   
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0012|   
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0013|   Adopted_______________________ Not Adopted_______________________
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0014|             (Chief Clerk)                          (Chief Clerk)
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0015|   
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0016|   
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0017|                     Date ________________________
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0018|   
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0019|   
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0020|   
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0021|   
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0022|   
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0023|   
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0024|   
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0025|   
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0001|   
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0002|   
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0003|   The roll call vote was <u> 5 </u> For <u> 0 </u> Against
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0004|   Yes:  5
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0005|   No:     0
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0006|   Excused:   Kidd, Maloof, McKibben, Reagan
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0007|   Absent: None
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0008|   
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0009|   
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0010|   S0294CT1                                               .111963.1
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0011|   
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0012|   
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0013|                             State of New Mexico
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0014|                      House of Representatives
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0015|   
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0016|                      FORTY-SECOND LEGISLATURE
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0017|                        SECOND SESSION, 1996
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0018|   
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0019|   
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0020|                                                  February 14, 1996
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0021|   
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0022|   
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0023|   Mr. Speaker:
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0024|   
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0025|    Your BUSINESS AND INDUSTRY COMMITTEE, to whom has
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0001|   been referred
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0002|   
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0003|           SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR
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0004|                           SENATE BILL 294
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0005|                                   
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0006|   has had it under consideration and reports same WITHOUT
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0007|   RECOMMENDATION, amended as follows:
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0008|   
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0009|    1.   On page 2, line 15, after "physician" insert "or certified
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0010|   nurse practitioner".
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0011|   
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0012|    2.   On page 2, line 16, before "6" insert "3,4".
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0013|   
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0014|                             Respectfully submitted,
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0015|   
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0016|   
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0017|   
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0018|                             <u>                                 
</u>    |
<u></u>0019| <u>  </u>                              Fred Luna, Chairman
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0020|   
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0021|   
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0022|   Adopted <u>                    </u> Not Adopted <u>                      </u>
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0023|         (Chief Clerk)                       (Chief Clerk)

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0024|   
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0025|                         Date <u>            </u>
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0001|   
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0002|   The roll call vote was<u> 9 </u> For<u> 2 </u> Against
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0003|   Yes:       9
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0004|   No:        Hobbs, Macko
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0005|   Excused:   Alwin
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0006|   Absent:    None
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0007|   
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0008|   
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0009|                                                                   
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0010|   S0294BI1
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0011|   
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