Healthcare (Long-Term Care)

This memorial (HM 31) requests New Mexico's Health Care Authority to reevaluate its rule limiting home health agencies to serving patients within 100 miles of their licensed location. The current rule creates barriers for rural, frontier, and tribal communities - especially those facing geographic isolation and workforce shortages - by restricting agency service areas. The memorial asks the Authority to align home health service rules with existing personal care services policies, which allow broader service areas, to improve access to medically necessary home care. It specifically prioritizes communities impacted by radiation exposure (e.g., uranium miners) and those on Navajo Nation lands. As a memorial, it does not change law but urges regulatory review to address access gaps.

SB 140 sets minimum Medicaid reimbursement rates for personal care services in New Mexico: $23.50 per hour for consumer-delegated services (where the agency manages care) and $19.78 per hour for consumer-directed services (where recipients control care). It requires providers receiving Medicaid funds to spend at least 70% of that reimbursement on direct care worker costs, including wages, benefits, training, and supervision. The bill also appropriates $51.4 million from the general fund for fiscal year 2027 to implement these changes. This directly affects personal care service agencies contracted with Medicaid to provide in-home care for individuals needing assistance with daily living activities.