HB 306 New Mexico House · 2026 Regular Session

PROHIBIT CERTAIN HEALTH CARE FACILITY FEES

HB 306 prohibits hospitals from charging patients facility fees for preventive care, vaccinations, and telehealth services starting January 1, 2027. It exempts critical access hospitals, rural sole community hospitals, and emergency department services (both hospital-based and freestanding). The bill requires hospitals to notify patients about potential facility fees before appointments and during care, display bilingual signage, and provide itemized bills showing these charges. Hospitals must also report facility fee data to the state's All-Payer Claims Database for transparency and analysis.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Feb 2026
Signed into Law
Mar 2026
Introduced Feb 4, 2026 Signed Mar 6, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

HC substitute Final Version · 6 edits
MODERATE
This bill prohibits hospitals from charging facility fees for routine preventive care, vaccinations, and telehealth services, while requiring clear disclosure of fees to patients. The changes expand protections for uninsured patients and improve billing transparency.
Scope change
The bill now applies to all hospitals and health systems beginning January 1, 2027, with exceptions for inpatient care, emergency departments, freestanding emergency departments, and rural hospital clinics.
REQUIREMENT

Hospitals must disclose facility fees to patients when scheduling appointments and at the time of service, including information about whether insurance covers the fee.

Hospitals must post visible signs in English and Spanish explaining when facility fees may or may not be charged.

DEFINITION

New definitions for 'campus', 'facility fee', 'freestanding emergency department', 'health facility', 'health system', 'hospital', 'preventive health care service', 'rural', and 'telehealth'.

ELIGIBILITY

Uninsured patients are exempt from facility fees if they receive services that would otherwise incur such fees.

SCOPE

Prohibits facility fees for preventive care, vaccinations, and telehealth services provided in outpatient settings.

Facility fees remain allowed for inpatient care, emergency department services, freestanding emergency departments, and rural hospital clinics.

Floor votes · Senate Feb 19, 2026 · House Feb 14, 2026

How they voted

350
Passed · 3 other
Total votes 38
Feb 19, 2026
D Democratic22
20 Yea 2
90% Yea
R Republican16
15 Yea 1
93% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
6
Committee
3
Mar 6, 2026
Signed into law
Signed
executive
Feb 19, 2026
Upper · Passed
passed Senate
upper
Feb 18, 2026
Upper · Passed
DO PASS committee report adopted
upper
Feb 15, 2026
Introduced
Sent to Senate Tax, Business and Transportation Committee
upper
Feb 14, 2026
Lower · Passed
passed House
lower
Feb 11, 2026
Lower · Passed
DO NOT PASS, replaced with committee substitute
lower
Feb 9, 2026
Lower · Passed
DO PASS committee report adopted
lower
Feb 4, 2026
Introduced
Sent to House Consumer & Public Affairs Committee & House Health & Human Services Committee
lower
2 primary · 0 co-sponsors

Sponsors