HB 117 New Mexico House · 2025 Regular Session

DEATH CERTIFICATE BY PHYSICIAN ASSISTANT

HB 117 allows physician assistants (PAs) to certify the cause of death on a death certificate when they were the treating provider for the patient's illness or condition, without requiring physician approval. This directly affects PAs, hospitals, and medical facilities by expanding their authority under New Mexico’s death certification rules (amending Section 24-14-20 NMSA 1978). The key change explicitly adds PAs to the list of authorized certifiers alongside physicians and nurse practitioners, removing the prior need for physician oversight in such cases. It does not alter existing timeframes for filing death certificates or medical investigation procedures. The bill became law after being signed in April 2025.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Feb 2025
Senate Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Jan 17, 2025 Signed Apr 9, 2025
Maddy AI version diff · 1 comparison

What changed between versions

introduced version Final Version · 8 edits
MODERATE
This bill expands who can legally certify deaths in New Mexico by explicitly adding physician assistants to the list of authorized medical professionals. It also clarifies who can pronounce death in nursing homes and hospitals, and establishes procedures for investigating deaths without medical attendance or with uncertain causes.
Scope change
The bill's scope expanded from only physicians and nurse practitioners to include physician assistants and their associates in death certification processes.
ELIGIBILITY

Physician assistants are now explicitly authorized to complete and sign death certificates alongside physicians and nurse practitioners.

Associate physicians, associate nurse practitioners, and associate physician assistants can complete death certifications with approval from their supervising professionals.

Chief medical officers of institutions and physicians who performed autopsies can now certify deaths under specific conditions.

Registered nurses in nursing homes and hospices can pronounce death for residents, and hospital registered nurses can pronounce death for patients.

REQUIREMENT

New procedures require deaths without medical attendance or occurring more than 365 days after last medical contact to be referred to the state medical investigator.

When physicians, physician assistants, or nurse practitioners cannot determine cause of death from medical history, cases must be referred to the state medical investigator.

TIMELINE

Amended death certificates based on anatomical observations must be filed within 30 days of autopsy completion.

DEFINITION

New definitions were added for 'hospital', 'nurse practitioner', and 'nursing home' to clarify which facilities and personnel are covered under the act.

Floor votes · Senate Mar 21, 2025 · House Feb 22, 2025

How they voted

380
Passed · 2 other
Total votes 40
Mar 21, 2025
D Democratic24
24 Yea
100% Yea
R Republican16
14 Yea 2
87% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
11
Key actions
8
Committee
4
Apr 9, 2025
Signed into law
Signed
executive
Mar 22, 2025
Executive · Passed
House concurred in Senate amendments
executive
Mar 21, 2025
Upper · Passed
passed Senate
upper
Mar 20, 2025
Upper · Passed
DO PASS committee report adopted
upper
Mar 17, 2025
Upper · Passed
DO PASS, as amended, committee report adopted
upper
Feb 22, 2025
Introduced
Sent to Senate Health and Public Affairs Committee & Senate Judiciary Committee
upper
Feb 22, 2025
Lower · Passed
passed House
lower
Feb 18, 2025
Lower · Passed
DO PASS committee report adopted
lower
Feb 4, 2025
Lower · Passed
DO PASS, as amended, committee report adopted
lower
Jan 27, 2025
Introduced
Sent to House Health & Human Services Committee & House Government, Elections and Indian Affairs Committee
lower
Jan 17, 2025
Introduced
Sent to House Pre-file
lower
4 primary · 0 co-sponsors

Sponsors