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--- version:introduced version+++ version:(document, no version)@@ -1,106 +1,149 @@-HOUSE BILL 241+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 Bill 241+SHORT TITLE: Medical Malpractice Court Notices+SPONSOR: Lujan/Herndon/Szczepanski+LAST+UPDATE:+ ORIGINAL+DATE:-Tara L. Lujan and Pamelya Herndon and Reena Szczepanski+02/03/26-AN ACT+ANALYST: Rommel-RELATING TO PHYSICIANS; REQUIRING COURTS TO NOTIFY THE NEW-MEXICO MEDICAL BOARD WHEN PHYSICIANS ARE NAMED AS DEFENDANTS IN-MEDICAL MALPRACTICE CASES; EXTENDING THE PERIOD IN WHICH THE-NEW MEXICO MEDICAL BOARD MAY SUMMARILY SUSPEND LICENSEES;-REQUIRING THE NEW MEXICO MEDICAL BOARD TO POST CERTAIN-INFORMATION RELATING TO MEDICAL MALPRACTICE CLAIMS ON THE-BOARD'S WEBSITE.+ESTIMATED ADDITIONAL OPERATING BUDGET IMPACT*+(dollars in thousands)+Agency/Program FY26 FY27 FY28 3 Year+Total Cost+Recurring or+Nonrecurring+Fund+Affected+NMMB No fiscal impact $133.1 $135.2 $268.3 Recurring Other state+funds+AOC No fiscal impact Indeterminate+but minimal+Indeterminate+but minimal Recurring General Fund+Parentheses ( ) indicate expenditure decreases.+*Amounts reflect most recent analysis of this legislation.-BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:+Relates to House Bill 99- SECTION 1. Section 61-6-15.1 NMSA 1978 (being Laws 2008,-Chapter 74, Section 1) is amended to read:+Sources of Information- "61-6-15.1. SUMMARY SUSPENSION OR RESTRICTION OF-LICENSE.--+LFC Files- A. The board may summarily suspend or restrict a-license issued by the board without a hearing, simultaneously-with or at any time after the initiation of proceedings for a-hearing provided under the Uniform Licensing Act, if the board-finds that evidence in its possession indicates that the-licensee:+Agency or Agencies Providing Analysis- (1) poses a clear and immediate danger to the-public health and safety if the licensee continues to practice;+New Mexico Medical Board+Office of the Superintendent of Insurance+Administrative Office of the Courts- (2) has been adjudged mentally incompetent by-a final order or adjudication by a court of competent-jurisdiction; or+Agency or Agencies That Were Asked for Analysis but did not Respond+New Mexico Attorney General’s Office- (3) has pled guilty to or been found guilty of-any offense related to the practice of medicine or for any-violent criminal offense in this state or a substantially-equivalent criminal offense in another jurisdiction.+SUMMARY- B. A licensee is not required to comply with a-summary action until service has been made or the licensee has-actual knowledge of the order, whichever occurs first.+Synopsis of Choose an item.- C. A person whose license is suspended or-restricted under this section is entitled to a hearing by the-board pursuant to the Uniform Licensing Act within [fifteen]-thirty days from the date the licensee requests a hearing."+House Bill 241 (HB241) amends the Medical Practice Act, Sec tion 66-6-1 NMSA 1978 et. seq.+as follows:- SECTION 2. Section 61-6-16 NMSA 1978 (being Laws 1989,-Chapter 269, Section 12, as amended) is amended to read:+1) Section 61-6-15.1(C) NMSA 1978 (governing summary suspension or restriction of license):+provides that a person whose license is suspende d or restricted under this section is entitled+to a hearing by the New Mexico Medical Board (hereinafter “board”) pursuant to the+House Bill 241 – Page 2- "61-6-16. REPORTING OF MALPRACTICE CLAIMS, SETTLEMENTS-AND JUDGMENTS, PROFESSIONAL REVIEW ACTIONS AND ACCEPTANCE OF-SURRENDERED LICENSE--IMMUNITY FROM CIVIL DAMAGES--PENALTY.--+Uniform Licensing Act within 30 days, rather than 15, from the date the licensee requests a+hearing.- A. When a malpractice claim is filed in a court of-New Mexico, the court shall notify the board of any licensees-named as defendants in the lawsuit. The court shall notify the-board if a claim against a licensee is dismissed, or if a claim-is amended to no longer include a licensee as a defendant.+2) Section 61-6-16 NMSA 1978 (governing reporti ng of malpractice cla ims, settlements and+judgments, professional review actions and acceptance of su rrendered license, immunity+from civil damages and penalties): requires, when a malpractice claim is filed in a court of+New Mexico, the court to notify the board of any licensees named as defendants in the+lawsuit. Under HB241, the court is required to notify the board if a claim against a licensee is+dismissed, or if a claim is amended to no l onger include a licensee as a defendant. The bill+further requires a malpractice clam that results in at least $1 million in payments to be+reviewed by the board. Subsect ion D requires the board to maintain a database of all+notification reports made to the board pursuant to this section and specifies what the database+is to display, including all payments made by or on behalf of a licensee as a direct result of+the licensee’s care and any disciplinary actions taken against the licensee.- [A.] B. All entities that make payments under a-policy of insurance, self-insurance or otherwise in settlement-or satisfaction of a judgment in a medical malpractice action-or claim, hospitals, health care entities and professional-review bodies shall report to the board all payments relating-to malpractice actions or claims arising in New Mexico that-involve a licensee and that are paid as a direct result of the-licensee's care, all appropriate professional review actions of-licensees and the acceptance or surrender of clinical-privileges by a licensee while under investigation or in lieu-of an investigation. For the purposes of this section, the-meaning of these terms shall be as contained in Section 431 of-the federal Health Care Quality Improvement Act of 1986, 42-USCA Section 11151.+This bill does not contain an effective date and, as a result, would go into effect 90 days after the+Legislature adjourns, which is May 20, 2026.- C. A malpractice claim that results in at least one-million dollars ($1,000,000) in payments shall be reviewed by-the board.+FISCAL IMPLICATIONS- D. The board shall maintain a database of all-notification reports made to the board pursuant to this-section. The database shall be posted on the board's website-and shall display all active malpractice claims against a-licensee, all payments made by or on behalf of a licensee as a-direct result of the licensee's care and any disciplinary-actions taken against the licensee.+The New Mexico Medical Board (NMMB) would re quire additional legal staffing to comply+with the legislation. The board may experience a dditional costs associated with administrating+the provisions of HB241. The board has noted in creased legal services costs pursuant to its+statutory duties in recent fiscal years. For FY27, the board requested $100 thousand additional+budget adjustment auth ority to address increased costs of contractual legal services. This+authority is included in the HAFC substitute for House Bill 2, the General Appropriation Act.- [B.] E. The hospitals required to report under this-section, health care entities or professional review bodies-that provide such information in good faith shall not be-subject to suit for civil damages as a result of providing the-information.+NMMB further notes:- [C.] F. A hospital, health care entity or-professional review body failing to comply with the reporting-requirements provided in this section shall be subject to civil-penalty not to exceed ten thousand dollars ($10,000)."+Implementation would require si gnificant increase in [staffi ng], including professional+staff (i.e., attorneys) to analyze notifications from courts, conduct claim reviews, manage+data accuracy, respond to inquiries, and a ddress disputes. New positions may include+attorneys, investigators, and administrative s upport. Specialty-specific clinical reviewers+and professionals may be required for comple x cases, increasing personnel or contractual+costs.-- 4 -+AOC notes that additional fisc al impact on the judiciary woul d be related to the court’s+notification to the New Mexico Medical Board, which should be minor. New laws, amendments+to existing laws and new hearings have the pote ntial to increase caseloads in the courts, thus+requiring additional resources to handle the increase.++SIGNIFICANT ISSUES++OSI notes that Section 2 obligates the board to review any malpr actice claim that results in at+least $1 million in payments. Most settlement agreements contain a c onfidentiality provision+which prohibits the parties from disclosing the financial terms of the settlement. This practice+could frustrate the effectiveness of the proposed legislation.++House Bill 241 – Page 3++The proposed legislation would br ing the NMMB in line with other states’ medical licensing+laws, as well as the practices encouraged by th e Federation of State Me dical Boards, to publish+on individual licensees’ pubic-fa cing profiles including each licensee’s exposure to medical+malpractice claims.++NMMB further notes:++The New Mexico Medical Malpractice Act, Section 41-5-27, NMSA 1978, already+requires reporting of “judgments” arising under that Act. At this time, the NMMB is not+receiving reports from the courts as appear to be required by this statute. For that reason,+the NMMB recently sent a lett er to all New Mexico Distri ct Court Clerk’s Offices and+the Administrative Office of the Courts reques ting that New Mexico state courts comply+with the requirements of this statute.++ADMINISTRATIVE IMPLICATIONS++NMMB notes the following:++Under the proposed legislation, the New Mexi co Medical Board would be required to+promulgate and amend rules in order to incorporate the changes made by HB241.+Automatic review of qualifying claims may significantly increase the Medical Board’s+workload. Without additional staffing, fundin g, or access to specialt y-specific clinical+expertise, the Board ma y experience delays or backlogs . This could reduce the Board’s+ability to prioritize complaints involving ongoing or systemic risks to patient safety.++HB241 requires the Medical Board to implement and maintain a database of malpractice+claim notifications and outcomes. This raises concerns regarding data standardization,+verification, and accuracy, particularly where information is reported by multiple entities,+including insurers, ho spitals, and licensees. The proposal does not establish procedures+for correcting errors, updati ng case status, or removing di smissed claims, nor does it+identify mechanisms for resolving disputed information.++CONFLICT, DUPLICATION, COMPANIONSHIP, RELATIONSHIP++Relates to House Bill 99, which proposes several changes to the Medical Malpractice Act.++HLR/cf /ct
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