0001| SENATE BILL 868 | 0002| 43rd legislature - STATE OF NEW MEXICO - first session, 1997 | 0003| INTRODUCED BY | 0004| DON KIDD | 0005| | 0006| | 0007| | 0008| | 0009| | 0010| AN ACT | 0011| RELATING TO PUBLIC ASSISTANCE; AMENDING SECTIONS OF THE PUBLIC | 0012| ASSISTANCE ACT TO EXCLUDE PHARMACEUTICAL SERVICES AND SUPPLIES | 0013| FROM THE MEDICAID MANAGED CARE SYSTEM. | 0014| | 0015| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: | 0016| Section 1. Section 27-2-1 NMSA 1978 (being Laws 1973, | 0017| Chapter 376, Section 1) is amended to read: | 0018| "27-2-1. SHORT TITLE.--Sections [1 through 20 of this | 0019| act and Sections 13-1-9, 13-1-10, 13-1-12, 13-1-13, 13-1-17, | 0020| 13-1-18, 13-1-18.1, 13-1-19, 13-1-20, 13-1-20.1, 13-1-21, | 0021| 13-1-22, 13-1-27, 13-1-27.2, 13-1-27.3, 13-1-27.4, 13-1-28, | 0022| 13-1-28.6, 13-1-29, 13-1-30, 13-1-34, 13-1-35, 13-1-37, 13-1- | 0023| 39, 13-1-40, 13-1-41 and 13-1-42 NMSA 1953] 27-2-1 through | 0024| 27-2-36 NMSA 1978 may be cited as the "Public Assistance | 0025| Act"." | 0001| Section 2. Section 27-2-12.6 NMSA 1978 (being Laws 1994, | 0002| Chapter 62, Section 22) is amended to read: | 0003| "27-2-12.6. MEDICAID PAYMENTS--MANAGED CARE.-- | 0004| A. The department shall provide for a statewide | 0005| managed care system to provide cost-efficient, preventive, | 0006| primary and acute care for medicaid recipients by July 1, 1995. | 0007| B. The managed care system shall ensure: | 0008| (1) access to medically necessary services, | 0009| particularly for medicaid recipients with chronic health | 0010| problems; | 0011| (2) to the extent practicable, maintenance of | 0012| the rural primary care delivery infrastructure; | 0013| (3) that the department's approach is | 0014| consistent with national and state health care reform | 0015| principles; and | 0016| (4) to the maximum extent possible, that | 0017| medicaid-eligible individuals are not identified as such except | 0018| as necessary for billing purposes. | 0019| C. The department may exclude nursing homes, | 0020| intermediate care facilities for the mentally retarded, | 0021| medicaid in-home and community-based waiver services and | 0022| residential and community-based mental health services for | 0023| children with serious emotional disorders from the provisions | 0024| of this section. | 0025| D. The department shall exclude pharmaceutical | 0001| services and supplies from the provisions of this section." | 0002|  | 0003| | 0004| FORTY-THIRD LEGISLATURE | 0005| FIRST SESSION, 1997 | 0006| | 0007| | 0008| February 26, 1997 | 0009| | 0010| Mr. President: | 0011| | 0012| Your CORPORATIONS & TRANSPORTATION COMMITTEE, to whom | 0013| has been referred | 0014| | 0015| SENATE BILL 868 | 0016| | 0017| has had it under consideration and reports same WITHOUT | 0018| RECOMMENDATION, and thence referred to the PUBLIC AFFAIRS | 0019| COMMITTEE. | 0020| | 0021| Respectfully submitted, | 0022| | 0023| | 0024| | 0025| __________________________________ | 0001| Roman M. Maes, III, Chairman | 0002| | 0003| | 0004| Adopted_______________________ Not Adopted_______________________ | 0005| (Chief Clerk) (Chief Clerk) | 0006| | 0007| | 0008| Date ________________________ | 0009| | 0010| | 0011| The roll call vote was 5 For 3 Against | 0012| Yes: 5 | 0013| No: Robinson, Wilson, Maes | 0014| Excused: Fidel, McKibben | 0015| Absent: None | 0016| | 0017| | 0018| | 0019| S0868CT1 | 0020| |