0001|                          HOUSE MEMORIAL 10
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0002|     43rd legislature - STATE OF NEW MEXICO - first session, 1997
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0003|                            INTRODUCED BY
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0004|                      NICK L. SALAZAR
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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|                              
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0010|                         A MEMORIAL
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0011| REQUESTING THE NEW MEXICO LEGISLATIVE COUNCIL TO DIRECT THE
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0012| APPROPRIATE INTERIM LEGISLATIVE COMMITTEE TO STUDY AND REVIEW
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0013|       ISSUES RELATED TO MANAGED CARE IN NEW MEXICO.
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0014|                              
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0015| WHEREAS, managed care is a system of financing and delivering
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0016| health care using a network of selected health care and service
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0017|                       providers; and
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0018| WHEREAS, there is insufficient data to prove that managed care
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0019| will reduce health, behavioral health or other service and
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0020|                     program costs; and
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0021| WHEREAS, there is little data to prove that managed care can
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0022| produce improved health care outcomes, particularly in the
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0023| areas of behavioral health, developmental disabilities and
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0024|                long-term care services; and
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0025| WHEREAS, the human services department plans to contract with
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0001| managed care organizations for delivering health care services
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0002|                to medicaid recipients; and
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0003| WHEREAS, most New Mexicans who depend on medicaid for their
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0004|  health care are poor, elderly, adults and children with
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0005| disabilities, pregnant women, adults and children with severe
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0006|  chronic health conditions and income-eligible adults and
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0007|  children with a need for mental health, substance abuse,
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0008| developmental disability and long-term care, and these are
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0009| vulnerable populations with few alternative resources; and
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0010| WHEREAS, New Mexicans who are provided with private health
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0011|    insurance through their employers or other means are
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0012|   increasingly being moved into managed care plans; and
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0013| WHEREAS, the state has collected little data about managed care
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0014| as it related to access, cost-effectiveness, quality, outcomes
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0015| and the impact on recipients and on the state's primary care
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0016| providers, community-based programs or the public education
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0017|                          system;
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0018| NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES
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0019| OF THE STATE OF NEW MEXICO that the New Mexico legislative
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0020|   council be requested to direct the appropriate interim
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0021|                 legislative committee to:
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0022| A.  determine if managed care is a cost-effective, quality-
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0023|           driven system of health care delivery;
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0024| B.  determine if a medicaid managed care system is the most
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0025| appropriate for delivery for health care, behavioral health,
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0001| developmental disability and long-term care services in New
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0002|                          Mexico;
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0003| C.  determine the costs of establishing managed care systems in
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0004| New Mexico, including whether costs of administering a managed
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0005| care plan diverts funding needed to provide direct care for
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0006|     health and community-based specialty services; and
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0007| D.  oversee development and refinement of licensing, quality
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0008| assurance, contracting and financial capacity standards for
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0009|   managed care organizations operating in the state; and
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0010| BE IT FURTHER RESOLVED that a copy of this memorial be sent to
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0011|     each member of the New Mexico legislative council.
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0012|                                                  State of New Mexico
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0013|                   House of Representatives
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0014|                               
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0015|                   FORTY-THIRD LEGISLATURE
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0016|                     FIRST SESSION, 1997
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0017|                               
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0018|                               
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0019|                        March 17, 1997
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0020|                               
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0021|                               
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0022|                         Mr. Speaker:
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0023|                               
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0024|     Your CONSUMER AND PUBLIC AFFAIRS COMMITTEE, to whom
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0025|                      has been referred
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0001|                               
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0002|                      HOUSE MEMORIAL 10
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0003|                               
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0004|   has had it under consideration and reports same with
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0005|   recommendation that it DO PASS.
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0006|   
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0007|                                 Respectfully submitted,
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0008|   
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0009|   
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0010|   
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0011|                                 <u>                                
</u>    |
<u></u>0012| <u>  
</u>    |
<u></u>0013| <u>                                </u>                             Gary King, Chairman
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0014|   
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0015|   
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0016|   Adopted <u>                    </u>     Not Adopted <u>                    
</u>    |
<u></u>0017| <u>   </u>
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0018|             (Chief Clerk)                       (Chief Clerk)
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0019|   
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0020|                        Date <u>            </u>
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0021|   
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0022|   The roll call vote was<u> 6 </u> For<u> 0 </u> Against
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0023|   Yes:      6
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0024|             Excused:  Johnson, Rios, Sandel, Vigil
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0025|             Absent:   None
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0001|   
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0002|   
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0003|   G:\BILLTEXT\BILLW_97\HM010
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