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Panel approves update to surprise-billing reimbursement formula on narrow vote (5–4)
Summary
Senate Bill 512, which would change the method for calculating out-of-network provider reimbursements under New Mexico's Surprise Billing Protection Act and remove the law’s sunset, received a 5–4 do-pass recommendation after a brief hearing with the Office of Superintendent of Insurance.
Senator Lopez presented Senate Bill 512 to amend the Surprise Billing Protection Act by updating the method used to calculate provider reimbursements and removing the law’s sunset provision.
Brida(l) Nakiva, identified in the hearing as the life-and-health division director with the Office of Superintendent of Insurance, told the committee the current reimbursement methodology relies on 2017 data and SB 512 would make reimbursements consistent with current market trends while removing the sunset date.
The hearing was brief and no public opposition appeared in the room. Committee members who questioned the proposal did not oppose the concept but sought clarity on technical implementation. Senator Figueroa moved a do-pass recommendation and Senator Jaramillo seconded.
The committee recorded a 5–4 do-pass vote; the bill will be reported to the floor. Sponsors said the change would keep enforcement and reimbursement levels aligned with contemporary market data; no floor action had yet occurred at the time of the committee vote.
