HB 269 — HEALTH CARE AUTHORITY VISIT VERIFICATION

HOUSEAN BILLACT 269RELATING 57THTO LEGISLATUREHEALTH -CARE; STATEOFNEWMEXICO- FIRST SESSION, 2025 INTRODUCED BY Gail Armstrong This document may incorporate amendments proposed by a committee, but not yet adopted, as well as amendments that have been adopted during the current legislative session.

TheREQUIRING documentTHE isHEALTH aCARE toolAUTHORITY toTO showIMPLEMENT amendmentsAN inOPEN contextELECTRONIC andVISIT cannotVERIFICATION beSYSTEM usedTHAT forIS theCOMPLIANT purposeWITH ofFEDERAL addingLAW. amendments to legislation.

h6 ANBE ACTIT gENACTED oBY RELATINGTHE TOLEGISLATURE HEALTHOF CARE;THE STATE OF NEW MEXICO:

REQUIRINGSECTION THE1. HEALTH CARE AUTHORITY TO t hr g e i k IMPLEMENT AN OPEN ELECTRONIC VISIT VERIFICATION SYSTEM THAT IS h r i s COMPLIANT WITH FEDERAL LAW HHHCº ;

DECLARINGA ANnew EMERGENCY»HHHCsection hof ,the t,Health .Care Code is enacted to read:

e"OPEN uELECTRONIC gVISIT eVERIFICATION bSYSTEM.-- lA. e e h n d d i = = o h BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

l ] b ,d i a º e SECTION 1.

A new section of the Health Care Code is r i = r t e w d m a n o enacted to read:

d m :

b e d s º o t n = .229025.3AIC February 17, 2025 (4:24pm) s k m e e a n e d r e l u [ A d "[NEW MATERIAL] OPEN ELECTRONIC VISIT VERIFICATION SYSTEM.-- A.

h (d) the location of service delivery;

g o t hr (e) the person providing the service;

gHB e269/a/woec iPage k1 and h r i s (f) the time the service begins and h , t, ends;

e u g e b l e e h (3) "medicaid recipient" means a person whom n d d i = = o h the authority has determined to be eligible to receive l ] b ,d i a º e medicaid-related services in the state;

and r(4) i"provider" =means ra tperson eor wany dlegal mor acommercial nentity olicensed (4)or "provider"certified meansto aprovide personhome health care or anypersonal legalcare orservices dto mmedicaid :recipients.

b e d s º o t n = .229025.3AIC February 17, 2025 (4:24pm) s k m e - 2 - e a n e d r e l u [ A d commercial entity licensed or certified to provide home health care or personal care services to medicaid recipients.

h C.

To implement the provisions of this section, theHB g269/a/woec oPage t2 hrthe authority shall:

g e i k (1) adopt an aggregator system that is in h r i s compliance with state and federal law;

h , t, (2) provide guidance to providers on e u g e b l e e h acceptable electronic visit verification systems and how to n d d i = = o h interface with the aggregator system;

and l ] b ,d i a º e (3) adopt rules necessary for administration r i = r t e w d m a n o of this section, including:

d(a) mspecific :standards for the aggregator system;

b e d s º o t n = .229025.3AIC February 17, 2025 (4:24pm) s k m e - 3 - e a n e d r e l u [ A d (a) specific standards for the aggregator system;

and (d) requirements for providers." HHHCº SECTION 2.

EMERGENCY.--ItEFFECTIVE isDATE.--The necessaryeffective fordate of the publicprovisions peace,of health and safety that this act takeis effectJanuary immediately.»HHHC1, HHHCºSECTION2026. 2.

EFFECTIVEHB DATE.--The269/a/woec effectivePage date3 of25 the provisions of this act is January 1, 2026.»HHHC - 4 - h u » r t h g e l i h r i s h , e h t u g e b l e e , gh n d d i = = o h l ] b ,d i a º r e r = t e w d m a n o d m :

b r e t º o t n = .229025.3AIC February 17, 2025 (4:24pm) s k m e e a n e d r e l u [ A d