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1 04, 2024

The Source Roundup: April 2024 Edition

Healthcare System Mergers and Investments Private Equity-Acquired Physician Practices and Market Penetration Increased Substantially, 2012-21 (Health Affairs) Ola Abdelhadi, Brent D. Fulton, Laura Alexander, and Richard M. Scheffler The awareness for private equity’s influence on the healthcare sector continues to grow and be quantified. Generally, there has been concern among parties in the health care system regarding the rate at which private equity firms have been acquiring physician practices, creating antitrust, quality, and pricing concerns within the broader health system. A new Health Affairs study estimated the local market share of private equity firms [...]

The Source Roundup: April 2024 Edition
11 03, 2024

HB 165

An act relating to pharmaceutical drugs; requiring Medicaid managed care organizations to reimburse community-based pharmacy providers for the full cost of prescription drugs plus a professional dispensing fee; requiring the health care authority department to conduct a study to determine and set a reasonable professional dispensing fee for pharmacy providers that provide services to medicaid recipients

HB 165
11 03, 2024

SB 14

An act relating to insurance; amending and enacting sections of the pharmacy benefits manager regulation act; adding new requirements for renewal of pharmacy benefits manager licenses; requiring disclosure of documents during an investigation; requiring transparency in pharmacy benefits reimbursement; providing for confidentiality; providing for changes in the reimbursement process; addressing the appeals process; requiring the provision of certain information upon request; requiring the inclusion of certain contract provisions; limiting charges to those itemized in a contract; addressing cost sharing; making an appropriation.

SB 14
11 03, 2024

SB 146

An act relating to hospitals; enacting a new section of the hospital funding act to provide affordable payment plans to patients under certain circumstances.

SB 146
20 02, 2024

HB 306

Relating to hospitals; requiring financial transparency reports from corporations doing business in New Mexico as hospitals or providers of management services for hospitals that seek the benefit of monetary caps on damages provided by New Mexico law; requiring the superintendent of insurance to publish reports; making an appropriation.

HB 306
20 02, 2024

HB 33

Relating to prescription drugs; enacting the prescription drug price transparency act to increase transparency across the prescription drug supply chain; requiring prescription drug manufacturers, pharmacy services administrative organizations, health insurers and pharmacy benefits managers to report prescription drug price trends to the superintendent of insurance; requiring the superintendent of insurance to collect and publicly report aggregate information on prescription drug price trends; prescribing civil penalties; making an appropriation.

HB 33
5 02, 2024

SB 15

Relating to insurance; enacting the health care consolidation oversight act; requiring review of proposed health care mergers, acquisitions and other material changes in control of health care entities, including health insurance entities; providing exceptions; granting the office of superintendent of insurance and the health care authority department the authority to review proposed transactions; providing for public comment and stakeholder advisory committees; authorizing the approval, disapproval or conditional approval of transactions; protecting confidentiality of trade secrets; assessing costs; providing post-transaction oversight; prescribing a penalty; declaring an emergency.

SB 15
5 02, 2024

SB 17

Relating to health care; enacting the health care delivery and access act; imposing on certain hospitals the health care delivery and access assessment; creating the health care delivery and access fund; creating the health care delivery and access medicaid-directed payment program; providing that revenue from the assessment be used as additional reimbursement to certain hospitals; providing a distribution to the health care delivery and access fund; providing that the tax administration act applies to and governs the health care delivery and access act; providing a delayed repeal; providing a contingent effective date; making an [...]

SB 17
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