0001|                          SENATE MEMORIAL 8
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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|                             CYNTHIA NAVA
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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
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0016|     delivering health care using a network of selected health care
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0017|     and service providers; and
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0018|          WHEREAS, there is insufficient data to prove that managed
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0019|     care 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
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0022|     can 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
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0001|     with managed care organizations for delivering health care
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0002|     services to medicaid recipients; and
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0003|          WHEREAS, most New Mexicans who depend on medicaid for
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0004|     their 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
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0014|     care as it related to access, cost-effectiveness, quality,
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0015|     outcomes and the impact on recipients and on the state's
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0016|     primary care providers, community-based programs or the public
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0017|     education system;
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0018|          NOW, THEREFORE, BE IT RESOLVED BY THE SENATE OF THE STATE
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0019|     OF NEW MEXICO that the New Mexico legislative council be
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0020|     requested to direct the appropriate interim legislative
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0021|     committee to:
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0022|               A.  determine if managed care is a cost-effective,
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0023|     quality-driven system of health care delivery;
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0024|               B.  determine if a medicaid managed care system is
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0025|     the most appropriate for delivery for health care, behavioral
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0001|     health, developmental disability and long-term care services in
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0002|     New Mexico;
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0003|               C.  determine the costs of establishing managed care
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0004|     systems in New Mexico, including whether costs of administering
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0005|     a managed care plan diverts funding needed to provide direct
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0006|     care for health and community-based specialty services; and
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0007|               D.  oversee development and refinement of licensing,
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0008|     quality assurance, contracting and financial capacity standards
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0009|     for managed care organizations operating in the state; and
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0010|          BE IT FURTHER RESOLVED that a copy of this memorial be
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0011|     sent to each member of the New Mexico legislative council.
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0012|                                    
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0013|   
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0014|                      FORTY-THIRD LEGISLATURE
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0015|                        FIRST SESSION, 1997
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0016|   
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0017|   
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0018|                                                  March 11, 1997
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0019|   
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0020|   Mr. President:
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0021|   
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0022|       Your RULES COMMITTEE, to whom has been referred
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0023|   
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0024|                         SENATE MEMORIAL 8
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0025|   
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0001|   has had it under consideration and reports same with
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0002|   recommendation that it DO PASS.
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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|   __________________________________
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0010|                                Gloria Howes, Chairman 
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0011|   
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0012|   
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0013|   
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0014|   Adopted_______________________   Not
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0015|   Adopted_______________________
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0016|             (Chief Clerk)                          (Chief Clerk)
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0017|   
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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> 5 </u> For <u> 0 </u> Against
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0024|           Yes:    5
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0025|           No:     0
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0001|                Excused:     Aragon
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0002|                Abstain:     Adair, Gorham
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0003|   
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0004|   
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0005|   SM008RU1
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