SENATE BILL 661

44TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 1999

INTRODUCED BY

Linda M. Lopez





FOR THE LEGISLATIVE HEALTH AND HUMAN SERVICES COMMITTEE



AN ACT

RELATING TO PUBLIC ASSISTANCE; EXCLUDING COMMUNITY-BASED DEVELOPMENTAL DISABILITY PROGRAMS FROM THE MEDICAID MANAGED CARE PROGRAM; AMENDING A SECTION OF THE PUBLIC ASSISTANCE ACT; DECLARING AN EMERGENCY.



BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

Section 1. Section 27-2-12.6 NMSA 1978 (being Laws 1994, Chapter 62, Section 22) is amended to read:

"27-2-12.6. MEDICAID PAYMENTS--MANAGED CARE.--

A. Except as provided in Subsections C and D of this section, the department shall provide for a statewide, managed care system to provide cost-efficient, preventive, primary and acute care for medicaid recipients [by July 1, 1995].

B. The managed care system shall ensure:

(1) access to medically necessary services, particularly for medicaid recipients with chronic health problems;

(2) to the extent practicable, maintenance of the rural primary care delivery infrastructure;

(3) that the department's approach is consistent with national and state health care reform principles; and

(4) to the maximum extent possible, that medicaid-eligible individuals are not identified as such except as necessary for billing purposes.

C. The department may exclude from the provisions of this section nursing homes, [intermediate care facilities for the mentally retarded] medicaid in-home and community-based waiver services and residential and community-based mental health services for children with serious emotional disorders [from the provisions of this section].

D. The department shall exclude from the provisions of this section intermediate care facilities for the mentally retarded, developmental disability in-home and community-based medicaid waiver services, developmental disability early intervention services, developmental disability early intervention case management services and developmental disability services for children and adults."

Section 2. EMERGENCY.--It is necessary for the public peace, health and safety that this act take effect immediately.