Healthcare (Children's Health)

This House Memorial (HM 35) requests New Mexico's Health Care Authority to develop a Medicaid state plan amendment creating a pediatric palliative care benefit. It would allow children with serious, complex, or life-limiting conditions to receive supportive palliative care - including pain management, family support, and 24/7 nurse access - alongside curative treatments, without requiring a shift to hospice care. The benefit would be modeled on a 2024 UNM study, including specific quality measures and payment structures for providers. This would directly affect families of medically complex children in New Mexico who currently face barriers to accessing coordinated care under existing Medicaid rules.

This bill (SM 2) requests New Mexico's Health Care Authority to create a Medicaid benefit for pediatric palliative care, directly affecting children with serious, complex, or life-limiting illnesses and their families. It would allow these children to receive palliative care - managing pain, symptoms, and emotional support - while continuing curative treatments, unlike current hospice rules that require a terminal prognosis. The request includes specific provisions for coordinated care, 24/7 nurse access, and quality standards based on a UNM-developed model. Studies cited show similar programs improve quality of life, reduce hospital visits, and can save Medicaid costs.

HB 202 requires New Mexico's Children, Youth and Families Department, Health Care Authority, Department of Health, and other state agencies to create a written agreement with the Office of Child Advocate for sharing specific data and system access. The bill mandates that this agreement include security protocols, audit logging, breach plans, and compliance with federal privacy laws like HIPAA and FERPA. It also establishes a working group to develop the agreement by October 2026 and appropriates $75,000 to the Office of Child Advocate for technical support. The law directly affects the Office of Child Advocate and the listed state agencies by structuring how they share sensitive child-related information.

SB 184 creates a new "Children's Behavioral Health Services Division" within New Mexico's Health Care Authority, transferring oversight of children's behavioral health services from the Children, Youth and Families Department. This reorganization directly affects children receiving behavioral health services, as well as the two state departments managing these programs. The bill's key mechanism is the formal transfer of operational responsibility for mental health and substance abuse services for children in department custody to the Health Care Authority's new division. It does not create new services but reassigns existing program management to improve coordination under the Health Care Authority.