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--- version:introduced version+++ version:(document, no version)@@ -1,86 +1,150 @@-HOUSE MEMORIAL 36+Fiscal impact reports (FIRs) are prepared by the Le gislative Finance Committee (LFC) for standing finance+committees of the Legislature. LFC does not assume responsibility for th e accuracy of these reports if they+are used for other purposes.-57th legislature - STATE OF NEW MEXICO - second session, 2026+F I S C A L I M P A C T R E P O R T-INTRODUCED BY+BILL NUMBER: House Memorial 36+SHORT TITLE: Nursing Shortage Task Force+SPONSOR: Cates/Roybal Caballero+LAST+UPDATE:+ ORIGINAL+DATE:-Kathleen Cates and Patricia Roybal Caballero+02/04/2026-A MEMORIAL+ANALYST: Rommel-REQUESTING THE BOARD OF NURSING TO CONVENE A TASK FORCE TO-ADDRESS THE NURSING SHORTAGE CRISIS.+ESTIMATED ADDITIONAL OPERATING BUDGET IMPACT*+(dollars in thousands)+Agency/Program FY26 FY27 FY28 3 Year+Total Cost+Recurring or+Nonrecurring+Fund+Affected+BON No fiscal+impact+Indeterminate+but minimal+No fiscal+impact Nonrecurring Other state+funds+Parentheses ( ) indicate expenditure decreases.+*Amounts reflect most recent analysis of this legislation.- WHEREAS, according to a study conducted by the workforce-solutions department in April 2025, there are nearly eighteen-thousand registered nurses, one thousand three hundred licensed-practical nurses and eight thousand three hundred advanced-practice nurses currently practicing in the state of New-Mexico; and+Sources of Information- WHEREAS, nursing is the largest sector of the health care-workforce, yet there is a critical shortage of nurses in the-state, which is taxing on the state's health care delivery-systems and on access to care for state residents; and+LFC Files- WHEREAS, this shortage is exacerbated by a gap in-education to meet workforce needs, and this gap is made clear-by the thousands of nursing job postings each month according-to the workforce solutions department; and+Agency or Agencies Providing Analysis- WHEREAS, even though appropriations in recent fiscal years-have been provided to fund additional nursing school slots and-faculty positions, rates of enrollment and degree completion in-nursing programs are not increasing as needed; and+Board of Nursing+Higher Education Department+University of New Mexico+New Mexico Independent Community Colleges- WHEREAS, approximately three thousand two hundred new-nurses need to graduate from nursing programs every year to-meet intended nurse staffing needs by 2032, but approximately-one thousand four hundred new nurses graduated in 2025;+SUMMARY- NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF-REPRESENTATIVES OF THE STATE OF NEW MEXICO that the board of-nursing be requested to create a task force to identify-barriers to increasing nursing graduation rates and employee-retention consisting of one member from each of the following-organizations:+Synopsis of House Memorial 36- A. nursing professional organizations, including-the New Mexico nurses association, the New Mexico nurse-practitioner council, the New Mexico organization of nurse-leaders and nursing unions;+House Memorial 36 (HM36) requests the New Mexico Bo ard of Nursing convene a+multidisciplinary task force to address the stat e’s nursing shortage. The task force would include+representatives from nursing pr ofessional organizations, hospita ls, nursing education programs,+post-secondary institutions, and li censed practical nurse programs. It is charged with identifying+barriers to nursing education expansion, enrol lment, graduation, and workforce retention, and+with developing recommendations to close the gap between current nursing graduate output and+projected workforce needs. The task force must report its findings and recommendations to the+interim Legislative Health and Human Services Committee and the Legislative Finance+Committee.- B. the New Mexico hospital association;+HM36 does not specify a date by which the report is to be submitted.+House Memorial 36 – Page 2- C. the New Mexico nursing education consortium;+FISCAL IMPLICATIONS- D. New Mexico colleges of nursing deans or-delegates;+Memorials do not contain appropriations and ar e not enforceable as state law. The study+requested in this memorial is within the normal operations of the agencies involved and is+unlikely to result in significant costs.- E. post-secondary educational institutions; and+SIGNIFICANT ISSUES- F. high school licensed practical nurse programs;-and+New Mexico continues to face a critical, chroni c shortage of health professionals across the+disciplines, particularly in rural areas. Thirty -two of 33 New Mexico counties are designated as+Health Professional Shortage Areas (HPSAs) in pr imary care, behavioral health, and/or dental+health. On average, New Mexico needs at least an additional 5,000 healthcare workers to address+current shortages. In December 2025, according to the Workforce Solutions Department, there+were 3,025 online job postings for nurses, the largest number of all postings tracked.- BE IT FURTHER RESOLVED that the task force be requested to-report findings and recommendations to the appropriate interim-legislative committee that addresses health and human services-and the legislative finance committee and that the report+The Board of Nursing indicates it can convene stakeholders and lead the task force.++UNM notes:++The University of New Mexico College of Nu rsing (UNM CON) supports the intent of+HM36 and agrees New Mexico needs a coor dinated strategy to address the nursing+workforce shortage. UNM CON has alread y expanded enrollment and deployed state+investments to grow programs (e.g., underg raduate honors, Freshm an Direct Entry,+Accelerated BSN programs) and remains co mmitted to continued growth. UNM CON+admissions have increased by over 112 percent from Fiscal Year 2015, growing from 322+to 684, demonstrating strong commitment to addressing the New Mexico’s nursing+workforce shortage++The Higher Education Department (HED) notes:++The Legislature has appropriated funding throu gh Research and Public Service Projects+(RPSPs) to support nursing prog rams statewide. Starting in Fiscal Year 2027 (FY27),+nursing RPSPs have been rolled into the higher education institutions' instructional and+general (I&G) base funding. However, th e long-term impact of sustained RPSP+investments on nursing program capacity and graduate output remains unclear.++HM36 requests that the Board of Nursing conve ne and manage a broad, multi-sector task+force focused on nursing education capacity, workforce retention, and expansion of+higher education programs. Wh ile the Board of Nursing plays an important role in+licensure and regulation, many of the issues identified in the memorial, including faculty+compensation, program capacit y, and academic credentiali ng, pathways fall primarily+within the purview of higher education institu tions, state higher education agencies, and+institutional governing boards. Clear delineation of roles and coordinati on mechanisms+may be necessary to ensure recommendations are actionable.++The memorial also states that, despite r ecent appropriations to expand nursing education+capacity, enrollment and degree completion in nursing programs are not increasing at the+House Memorial 36 – Page 3++rate needed to meet workforce demand. Howe ver, recent findings from NMHED’s New+Mexico Endowment Funding for Educatio n and Health Workforce Programs:+Institutional Survey Report suggest a more nua nced picture. Institutions reported that+endowment funding for nursing facu lty support was relatively successful, but persistent+challenges remain in recruiting and retaining qualified faculty.++New Mexico Independent Community Colleges (NMICC) comments:++… Areas not addressed in the HM36 but wh ich could provide valuable informationinclude:+• Utilizing the framework established by HM36, examining each nursing licensure+type on its own. For example, nurses with an associate degree or bachelor degree+license have the same scope of pract ice. Licensed practical nurses have a+narrower scope of practice. In New Me xico nurse practitioners provide care+independently.+• Successfully passing the appropriate nursing licensure exam is required in order+to be licensed. An examination of passage rates should be included.+• Upon successful completion of an i ndividual’s nursing education, they may+chose not to practice. The study could examine the barriers to entering New+Mexico’s nursing workforce.- A. barriers to employment retention;+OTHER SUBSTANTIVE ISSUES- B. barriers to nursing educational slot expansion;+HED further notes:- C. barriers to nursing school enrollment and-retention; and+Nursing workforce shortages are immediate, but nursing education is a multi-year+pipeline. Even with the successful expans ion of program capacity, increases in the+number of licensed nurses would not be rea lized for several years. Policymakers may+wish to consider how task force recommendations align with both short-term workforce+needs and long-term pipeline development. Further, HM36 focuses on statewide supply,+but workforce shortages are often most acute in rural and frontier areas. Even if overall+graduate numbers increase, geographic mald istribution may persis t without targeted+incentives, clinical partners hips, or rural training pathways. Addressing where nurses+practice, in addition to how many graduate, may be an important component of long-term+workforce planning.- D. recommendations to improve the nursing-educational gap to address nursing workforce needs; and-- BE IT FURTHER RESOLVED that copies of this memorial be-transmitted to the board of nursing, the appropriate interim-legislative committee that addresses health and human services-and the director of the legislative finance committee.--- 3 -+HLR/cf
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