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House committee advances range of health, privacy and credentialing bills; key votes split on data privacy

2380943 · February 24, 2025
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Summary

A House committee on [date of meeting recorded in transcript] advanced several bills on health privacy, credentialing and rural health programs during a single hearing, approving a contested privacy measure on a 5–4 vote and moving others with wider bipartisan margins.

A House committee on [date of meeting recorded in transcript] advanced several bills on health privacy, credentialing and rural health programs during a single hearing, approving a contested privacy measure on a 5–4 vote and moving others with wider bipartisan margins.

The most closely divided action was on House Bill 430, the Health Data Protection Privacy Act, which sponsors said would extend consent-based controls and deletion rights to health data held by apps, data brokers and other non-HIPAA entities. The committee voted to give HB 430 a “do pass” recommendation by a 5–4 margin; supporters described the bill as a way to fill gaps left by federal law and protect reproductive and gender‑affirming care, while technology and industry witnesses said the measure was overly broad and infeasible as written.

Why it matters: The bills together address how personal health data and provider access are governed in New Mexico — affecting patients seeking reproductive or gender‑affirming care, children in state custody, independent clinicians who seek hospital privileges and the state’s ability to recruit clinicians to rural areas.

What the committee did (high‑level) - Approved HB 430 (Health Data Protection Privacy Act) on a 5–4 vote after extensive public testimony for and against the bill. Supporters included civil‑rights and health‑advocacy groups; opponents included technology trade groups and privacy coalitions that called the measure overbroad and operationally unworkable. The measure is now recommended for further committee review. - Advanced a CYFD‑related bill (sponsored by Representative Anaya) intended to require the Children, Youth and Families Department to check for and safeguard federal benefits owed to children in state custody; the committee gave that bill a do‑pass recommendation (motion recorded and seconded; committee reported a favorable vote in the hearing transcript). - Sent a substitute of HB 370, the Health Care Professionals Credentialing Act, forward unanimously (10–0). Sponsors said the substitute clarifies credentialing authority language and prevents hospitals from denying privileges to community clinicians for economic reasons unrelated to qualifications. - Advanced HB 373, an update to the Uniform Parentage Act that includes gender‑neutral parentage language and revised assisted‑reproduction provisions, on a 7–2 vote; supporters asked for technical cleanups before the bill moves to judiciary committee. - Advanced a statutory change to designate the state’s not‑for‑profit health information exchange as the state’s health data utility (House Bill 389) on a 7–2 vote; proponents said the change positions New Mexico to participate in federal programs that expect a statewide data utility. - Approved an appropriation measure (House Bill 393) to provide $5 million from the general fund to the New Mexico Health Service Corps for recruitment and retention of clinicians in rural and underserved areas; the committee reported a unanimous 9–0 do‑pass recommendation.

Selected details, questions and testimony - HB 430 (Health Data Protection Privacy Act): Representative Saranana, sponsor, said the bill would require companies outside HIPAA’s scope to explain how they collect, use and share health data, restrict uses beyond the requested service and obtain clear consent before sharing data. Supporters included the ACLU of New Mexico, Equality New Mexico, Native advocacy groups and health‑care providers who said the rules would protect survivors and vulnerable patients. Tech industry groups including TechNet and the State Privacy and Security Coalition called the measure overly broad — citing examples such as consent requirements for ordinary retail transactions or social media photos — and urged narrower, interoperable statutory approaches. The transcript records significant back‑and‑forth with committee members about definitions (for example, how “health data” and location data would be defined and whether the bill’s private right of action would create enforcement risks). The committee approved HB 430 5–4.

- CYFD benefits bill (Representative Anaya): The bill would require CYFD to confirm whether federal benefits (for example, Social Security survivor or disability benefits) are available to children in custody and to ensure those benefits are preserved for the child rather than retained by the department. Disability Rights New Mexico and child‑welfare advocates testified that CYFD has sometimes been the representative payee and that benefits later reverted to the Social Security Administration rather than following the child; witnesses said earlier directives had expired and that statutory language would codify those policy protections. The committee recorded a do‑pass motion and reported the measure favorably.

- HB 370 (Health Care Professionals Credentialing Act): Representative Gallegos introduced the bill and the committee considered a negotiated substitute. Sponsors and witnesses said the substitute clarifies that the credentialing authority — the hospital’s credentialing committee and medical executive committee — may require compliance with bylaws and proof of competence but may not deny privileges for reasons such as economic competition, advertising, referrals or membership in a particular professional society. Doctor Philip Shields described local impacts after a hospital terminated privileges for several community clinicians; proponents said the bill protects independent practices and patient access. The committee approved the substitute 10–0.

- HB 373 (Uniform Parentage Act update): Representative Herndon introduced an updated Uniform Parentage Act that uses gender‑neutral language for parentage, clarifies assisted‑reproduction rules and (in a revised Article 9) addresses donor‑conceived persons’ rights to genetic information. Family‑law experts and national advocates generally supported the parentage clarifications but several witnesses asked the committee to consider amending or striking portions of the new Article 9; sponsors indicated they would work on language before judiciary review. The committee recorded a 7–2 do‑pass vote.

- HB 389 (Health data utility designation): Testimony from Terry Stewart, president and CEO of the state’s not‑for‑profit health information exchange (HIE), explained that designating the HIE as the state’s health data utility would align state statute with federal guidance and make New Mexico eligible to reuse existing infrastructure for a state‑level data utility. Committee members asked about governance, privacy and how county or agency data sources would be integrated. The committee voted to advance the bill 7–2.

- HB 393 (New Mexico Health Service Corps appropriation): Sponsors asked for $5 million from the general fund to support recruitment and retention of clinicians serving rural and underserved populations through the department’s Primary Care Bureau and the state Health Service Corps. Witnesses from community health centers and dental associations described workforce shortages in rural counties; the committee advanced the appropriation 9–0.

Votes at a glance (committee recorded outcomes from the hearing transcript) - HB 430, Health Data Protection Privacy Act — do pass recommendation: 5 yes, 4 no (committee roll call recorded in transcript) - CYFD federal‑benefits bill (sponsor: Representative Anaya) — do pass recommendation (motion recorded; favorable vote reported in transcript) - HB 370 substitute, Health Care Professionals Credentialing Act — do pass: 10 yes, 0 no - HB 373, Uniform Parentage Act update — do pass: 7 yes, 2 no - HB 389, designate HIE as state health data utility — do pass: 7 yes, 2 no - HB 393, appropriation to New Mexico Health Service Corps ($5,000,000 GF) — do pass: 9 yes, 0 no - HB 303 (amendment adopted; motion to return bill with amendment and reported: committee recorded a 5–3 favorable vote on a due‑pass motion)

What’s next: Each bill advanced by the committee will proceed to the next stage recorded in the hearing process (the transcript shows bills being recommended for further committee review or for placement on subsequent calendars). Sponsors and witnesses told the committee they will propose technical clarifications on several measures before judiciary review.

Sources and attribution: This article is based on the committee hearing transcript and on testimony recorded in the public hearing (sponsors, expert witnesses and organizational representatives are credited in the speaker list). Direct quotes in this article are attributed to speakers who appeared in the transcript; other statements summarize the hearing record without extrapolation.

Ending: Committee discussion underscored competing priorities — patient privacy and public‑safety concerns, operational feasibility for industry, and local access to care — and several sponsors said they will pursue targeted amendments before the bills reach subsequent committees.