New Mexico 2026 Regular Session Status: Enacted 5 D cosponsors

HB 4 — HEALTH CARE AFFORDABILITY FUND DISTRIBUTIONS

Last action — Signed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 22, 2026. Enacted.

Signed by Governor Michelle Lujan Grisham (Democratic) on March 06, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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Prognosis

Advancing 60% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 5 sponsors

    5 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 D).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

82 added · 1 removed

Plain-language change summary

The updated bill, HB 4, includes a new requirement that any unspent money from the Behavioral Health Program Fund must go back to the Health Care Affordability Fund at the end of each fiscal year. This change aims to ensure that funding for affordable healthcare remains adequate by redirecting unused funds rather than allowing them to sit idle. This matters because it helps to enhance financial efficiency and ensures that resources are available for pressing health care needs.

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57TH LEGISLATURE -STATEOFNEWMEXICO- SECOND SESSION, 2026
AN ACT RELATING TO HEALTH CARE AFFORDABILITY;
ADJUSTING THE DISTRIBUTIONS TO THE HEALTH CARE AFFORDABILITY FUND AND THE BEHAVIORAL HEALTH PROGRAM FUND;
REQUIRING UNEXPENDED MONEY IN THE BEHAVIORAL HEALTH PROGRAM FUND TO REVERT TO THE HEALTH CARE AFFORDABILITY FUND AT THE END OF A FISCAL YEAR.
8 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1.
Section 7-1-6.69 NMSA 1978 (being Laws 2021, Chapter 136, Section 1, as amended) is amended to read:
"7-1-6.69.
DISTRIBUTION--HEALTH INSURANCE PREMIUM SURTAX--HEALTH CARE AFFORDABILITY FUND--BEHAVIORAL HEALTH PROGRAM FUND.-- A.
A distribution pursuant to Section 7-1-6.1 NMSA 1978 shall be made to the health care affordability fund in an amount equal to the following amounts of the net receipts attributable to the health insurance premium surtax;
provided that if the rate of the health insurance premium surtax is reduced pursuant to Subsection F of Section 7-40-3 NMSA 1978, no distribution pursuant to this section shall be made:
(1) beginning September 1, 2025 and prior to September 1, 2027, fifty-five percent;
(2) beginning September 1, 2027 and prior to September 1, 2028, eighty percent;
and (3) beginning September 1, 2028, ninety-five HAFC/HB 4/a Page 1 percent.
B.
Beginning September 1, 2028, a distribution pursuant to Section 7-1-6.1 NMSA 1978 shall be made to the behavioral health program fund in an amount equal to five percent of the net receipts attributable to the health insurance premium surtax;
provided that if the rate of the health insurance premium surtax is reduced pursuant to Subsection F of Section 7-40-3 NMSA 1978, no distribution pursuant to this section shall be made." SECTION 2.
Section 24A-3-6 NMSA 1978 (being Laws 2025, Chapter 2, Section 2) is amended to read:
"24A-3-6.
BEHAVIORAL HEALTH PROGRAM FUND.-- A.
The "behavioral health program fund" is created in the state treasury.
The fund consists of distributions, appropriations, gifts, grants, donations and income from investment of the fund.
The health care authority shall administer the fund.
Money in the fund is subject to appropriation by the legislature to provide money for services and programs related to behavioral health, including:
(1) mental health and substance misuse treatment, intervention and prevention;
(2) necessary infrastructure, technology and workforce supports that facilitate the delivery of behavioral health services and programs;
HAFC/HB 4/a Page 2 (3) matching funds for federal, local and private money and grants related to behavioral health services and programs;
(4) offsetting costs incurred to comply with federal requirements related to behavioral health services and programs;
and (5) implementation of regional behavioral health plans throughout the state.
B.
Expenditures from the fund shall be by warrant of the secretary of finance and administration pursuant to vouchers signed by the secretary of health care authority or the secretary's authorized representative.
Any unexpended balance remaining at the end of a fiscal year shall revert to the health care affordability fund." HAFC/HB 4/a Page 3 25
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Action History

  1. Signed

  2. House concurred in Senate amendments

  3. passed Senate

  4. DO PASS, as amended, committee report adopted

  5. Sent to Senate Finance Committee

  6. passed House

  7. DO NOT PASS, replaced with committee substitute

  8. DO PASS committee report adopted

  9. Sent to House Health & Human Services Committee & House Appropriations & Finance Committee

Sponsors

Sponsorship breakdown

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5 sponsors · 0 co-sponsors · 107 not signed on

Sponsors (5)

Co-sponsors (0)

None.

Not signed on (107)

107 members have not signed on to this bill.

Show all 107 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

finance healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 4?
HB 4 is sponsored by Anita Gonzales (Democrat), Roberto "Bobby" J. Gonzales (Democrat), Elizabeth "Liz" Thomson (Democrat), Reena Szczepanski (Democrat), and Joseph Franklin Hernandez (Democrat).
What is the current status of HB 4?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track HB 4?
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