CS/SB 14 HEALTH CARE AUTHORITY

Sen Elizabeth "Liz" Stefanics

Actions: [2] SCC/SRC/SHPAC-SCC-germane-SRC [4] DP-SHPAC [6] DNP-CS/DP - PASSED/S (27-15) [9] HHHC/HAFC-HHHC [12] DP-HAFC [14] DP [15] PASSED/H (42-21) SGND BY GOV (Mar. 1) Ch. 39.

Scheduled: Not Scheduled

 SB14 provides a reorganization of various statutes requirements, divisions and departments that will be now under the Health Care Authority. This legislation is effective July 1, 2024..  

 Synopsis: SB 14 relates to executive reorganization by modifying, repealing, enacting and recompiling Sections of the NMSA 1978 to conform laws to the functions, powers and duties of the Health Care Authority and other state agencies affected by the creation of the Health Care Authority.

Analysis: Senate Bill 14 (SB14) makes modifications to statutes so that they may conform to the formation of the Health Care Authority. There is an effect on existing agencies, boards, grant programs, the Medicaid program and numerous other entities that will now be the responsibilities of the Health Care Authority and its Secretary.

The purpose of the Health Care Authority Act is to establish a single, unified department to administer laws and exercise functions relating to health facility licensure and health care purchasing and regulation.

the office of the Secretary of Health Care Authority is responsible for the Administration Division, the Information Technology Division, the Behavioral health services Division, the Developmental disabilities Division, the Health Improvement Division, the Medical Assistance Division, the State Health Benefits Division, and the Income Support Division.

The Secretary is responsible to the Governor for the operation of the Authority. It is the Secretary’s duty to manage all operations of the Authority and to administer and enforce the laws with which the 
The Secretary is responsible to the Governor for the operation of the Authority. It is the secretary’s duty to manage all operations of the Authority and to administer and enforce the laws with which the Secretary or the Authority is charged. 

Significant rewording of titles such as, Department, to the word, Authority are made as modifications to existing statute. Referenced here on are the functions that are now moved under the Health Care Authority. Those organizational units of the Authority and
the officers of those units specified by law shall have all
the powers and duties enumerated in the specific laws involved.
Here are the entities as enumerated by 149 Sections of SB14, affected by the Act, some of which are presented in outline form and others are supplemented with more detail. Here we go:
The Behavioral Health Services Division is now a Division of the Authority and no longer a department. 

The Medical Assistance Division is now under the Authority and must coordinate with the Health Insurance Exchange.
Two agencies are administratively attached to the Authority, they are the Commission on the Status of Women and the Group Benefits Committee as noted in SB14.

The Governor may appoint advisory committees such as with the Income Support Division and other committees they might choose to advise the Authority. 

The Authority is authorized to work with the Federal Government in reference to health care and human services programs.
The State Health Benefits Division is now under the Authority.  

The Group Self Insurance Fund is referenced and notes that a professional claims administrator will manage certain funds. Earlier reference was to an administrator position for this role. Money in the fund will now be appropriated to the Health Benefits Division of the Health Care Authority, Previously, this appropriation went to the Risk Management Division of the General Services Department. 

The Director of the State Benefits Division of the Health Care Authority is now to be a member of the Board of Directors of the Retiree Health Care Authority. One member of the Board is now the New Mexico Coalition of School Administrators, formally known as the Public-School Superintendents Association.

SB 14 expanded the definition of, consolidated purchasing, to now mean a single process for the procurement of and contracting for   
benefits by the publicly funded insurance agencies. The reference to contracting for benefits is new language. The State Health Benefits Division will now replace the Risk Management Division of the General Services Department. 

Under the Public Health Act, the reference to the Health Department is replaced by Health Care Authority  for the issuance of licenses to health care facilities. 

Responsibilities for the Behavioral Health Division are outlined including contracting for services and setting rules and regulations and substance abuse is also included in this area of responsibility.

The Medical Assistance Division will cooperate with the New Mexico Health Exchange to share information and assist with Medicaid enrollment. 
The Secretary will appoint Bureau Chiefs for each Division as the Secretary sees fit. 

The Governor may appoint advisory committees to assist the Health Authority including the Income Support Division.

The Health Authority is authorized to cooperate with the federal government in health care and human services including financial matters and laws subject to appropriated state funds.

In a Section entitled, Definitions, the term entitled , publicly funded health care agency, means the:(1) state health benefits Division and the group benefits committee of the health care Authority ;(2)  retiree health care Authority ;(3)  public school insurance Authority ; and (4)  publicly funded health care program of any public school district with a student enrollment in excess of sixty thousand students. The General Service, Risk Management Division has been replaced.

Under powers and Authority of the Health Care Authority , it is responsible for supervising the health and hygiene of the people of the State of New Mexico and to evaluate and address community health problems. Also, to investigate, contain and control the causes of disease, especially epidemics. Numerous other duties and responsibilities are described in SB 14 including responsibilities that are considered important. 

On July 1, 2024, the following temporary modifications are made: function, employees money, records, equipment, and other property of the Department of Health pertaining to the Developmental Disabilities Support Division, Health Improvement Division, and Health Facilities Licensing Division and Certification Bureau are transferred from the Department of Health to the Health Care Authority.

Also, on July 1, 2024 the following temporary modifications are made: function, employees money, records, equipment, and other property of the Office of the Superintendent of Insurance pertaining to the Health Care Affordability Act are transferred to the Health Care Authority. The contractual obligations of the Office of the Superintendent of Insurance will now be the contractual obligation of the Health Care Authority.
In reference to handling of confidential information,  a Section now reads: The files and records of the Authority  giving identifying information about persons who have received or are receiving from the Authority  treatment, diagnostic services or preventive care for diseases, disabilities or physical injuries are confidential and are not open to inspection except: (1) where permitted by rule of the Authority ; (2) as provided in SubSection B of this Section; and (3) to the secretary or to an employee of the Authority  authorized by the secretary to obtain such information, but the information shall only be revealed for use in connection with a governmental function of the secretary or the authorized employee.
In another Section, the powers of the Authority  are described in regard to licensing of health facilities. There are numerous conversions of the term, Department, to Authority. The only modification is the removal of language pertaining to a children’s center not having to post a copy of their license in a conspicuous location. Apparently, posting will now apply. Another deletion pertains to child endangerment in a licensed child care facility. 
In regard to sanctioning of licensed facilities, financial penalties are now to be sent to  the current school fund as provided in Article 12, Section 4 of the Constitution of New Mexico.
Reporting requirements on the part of licensed hospitals, a long-term care facility or a primary care clinic shall provide information sufficient for the Authority to make a reasonable assessment based on clear and convincing evidence of its financial viability, sustainability and potential impact on health care access. Prior language listed the Superintendent.
Section 340B federal prescription drug price discount program participation is required of certain health facilities by the Authority.
Another Section refers to emergency licensing of rural hospitals allowing the hospitals to apply for funding as rural emergency hospitals. The terms Department is converted to read, Authority. 
Another Section refers to lay caregivers and the role of hospitals as required by the Authority to define the role of the caregiver and rules fo the hospital to follow. 
A Section is devoted to the requirements for hospitals to allow nurse practitioners to admit and discharge patients. The key reference is that the Authority licenses hospitals.
A Section is focused on the requirement of the Authority to provide staffing support for the Primary Care Council.
The Authority  is responsible for Methadone clinics. The federal government requires the state to approve the establishment of all new methadone clinics. To maintain compliance with the federal requirement, now the Authority will be responsible for their regulation.
In accordance with Authority rules, the Authority  shall certify any acute care hospital as a primary stroke center, comprehensive stroke center or acute stroke capable center if that hospital has been accredited by the joint commission or any other nationally recognized accrediting body as a primary stroke center, comprehensive stroke center or acute stroke capable center.
Assisted living facilities are licensed by the Authority and is listed in the definitions for a Section of law addressing disposal of belonging of a resident who has passed away. 
A Section points out that the Authority may take possession of a facility that is in receivership or is not licensed. A petition must be filed with the District Court. 
The Authority will be a member of the Interagency Behavioral Health Purchasing Collaborative consisting of the Secretaries of Health Care Authority ,  The Secretary will serves as chairman of the collaborative and will perform certain analysis for the Collaborative. 
A Section refers to the Behavioral Health Planning Council, of which there is to be a subcommittee on Medicaid services, chaired by the Secretary of the Health Care Authority.
As found in the Rural Primary Care Act, the Authority is to through the use of indices and other standards set by the Authority , that indicate sufficient primary health care is not being provided to the citizens of that area. 
To the extent funds are made available for the purposes of the Rural Primary Health Care Act, the Authority  is authorized to: A. provide for a program to recruit and retain health care personnel in health care underserved areas; B. develop plans for and coordinate the efforts of other public and private entities assisting in the provision of primary health care services through eligible programs; C. provide for technical assistance to eligible programs in the areas of administrative and financial management, clinical services, outreach and planning. Other responsibilities are included in this Section. 
Another Section points out that the Health Care Authority is responsible for complying with the State Rules Act. 
A Section points to the Rural Health Care Delivery Fund of which the Authority  will now administer the Fund and the appropriation for that purpose is now to the Authority .
The health care Authority shall adopt rules to administer and implement the provisions of the Primary Care Capital Funding Act, including providing for: the determination of rural or other health care underserved areas of the state in which eligible entities may receive loans or contracts for services from the fund.
The Section also states that such other requirements are deemed necessary by the health care Authority to ensure that the state receives the primary care services for which the legislature appropriates money and that protect the state's interest in a project. This is primarily a name change from Department to Authority. 
It is required in another Section of SB14, that the Mortgage Finance Authority and the Health Care Authority  enter into a joint powers agreement, This is substituted name change from Department to Health Care Authority . This was for the purpose of contracting for health care services rather that granting a loan to these providers.
Another Section in the Act, states that the, Interagency Committee on Long-term Care, was created and the Authority  is a member of the Committee. Numerous other Departments of the state are represented on the Committee. 
The Long-Term Care Facility Dementia Training Act was passed, and the Authority is now responsible for its mandates. Long Term Care Facilities are to develop training programs for dementia and the Authority is to review and approve of them or seek remedies if the plan of education is not sufficient for approval.
Graduate Medical Education Expansion Grant Program Act is the responsibility of the Health Care Authority for promulgating rules and procedures for awarding funds and providing approval by the Secretary or their designee. The Graduate Medical Education Expansion Review Board shall consist of nine members who are appointed by the Authority , formally the Department. 
In another Section of SB14, referring to the Prescription Drug Importation Act which creates the Prescription Drug Importation Advisory Board , all of which are the responsibility of the Secretary of the Health Care Authority . The Secretary also serves as the Chairman of the Advisory Committee. 
Another Section points broadly at the powers granted to the Health Care Authority. Only some are included here but the statutes state: The Health Care Authority is an agency of the state and shall at all times be under the exclusive control of this state. The management and control of the health care Authority is vested in the secretary of health care Authority . Formally the Human Services Department held this role. 
In another Section pertaining to management of welfare programs the Section states that: the health care Authority shall be charged with the administration of all the welfare activities of the state as provided in Chapter 27 NMSA 1978, except as otherwise provided for by law. The health care Authority  shall, except as otherwise provided by law: administer old age assistance and temporary assistance to needy families. The reference to needy families is new language in SB14. 
Other new language provides that the Authority may establish regional offices of the Authority  to cover such territory as it sees fit. 
A Section provides that the Authority formally the Human Services Department may provide reimbursement to certain rural hospitals for using empty acute care beds for intermediate care and skilled nursing care, as defined in federal statutes and regulations.
The Health Care Authority is responsible for a State Case Registry. This relates to child support enforcement. This requires coordination between the Authority and the Court system, including data matching with the financial institutions. 
The Authority is responsible for rules and regulations for administration of the Brain Injury Services Fund. The authority shall coordinate with and seek advice from the Brain Injury Advisory Council to ensure that the Statewide Brain Injury Services Program is appropriate for persons with brain injuries.
The Authority, formally the Human Services Department, is responsible for the Shelter Care Supplement fund and Authority is authorized to determine eligibility, compute payment, make payments and otherwise administer the shelter care supplement program. 
Section of SB14 refers to the roles of the Authority in Long Term Care Facilities compliance which formally was the responsibility of the Human Services Department. The Authority shall impose a hold on state Medicaid payments to a long-term care facility thirty days after the Authority makes an on-site visit and a long-term care facility is not in substantial compliance with the standards or conditions of participation promulgated by the United States Department of Health and Human Services pursuant to which the facility is a party to a Medicaid provider agreement.
A Section regarding Crises Triage Centers the Authority is responsible for reimbursement in accordance with federal law, the Secretary shall adopt and promulgate rules to establish a reimbursement rate for services provided to recipients of state medical assistance at a crisis triage center.
 These Centers are also licensed by the Authority.
In regard to incarcerated persons, the Authority according to another Section made part of this Act, is responsible for assisting in enrolling eligible inmates in Medicaid. Existing language states: Incarceration shall not be a basis to deny or terminate eligibility for Medicaid.

Cooperation with the federal government is required of the Authority and a number of titled statutes are written in this Section. Particularly with the federal Social Security Act. Compliance with federal law is required in another Section.
The Authority shall act as the custodian of funds for the purposes they were intended for from the federal government. A specific reference to the Social Security Act is made in this Section. 
A Section on funeral expenses provides a person living in a nursing home or an intermediate care facility, the payment for whose care is made in whole or in part pursuant to Title 19 of the federal Social Security Act; funeral expenses up to two hundred dollars ($200) shall be paid by the Income Support Division of the Authority  if the deceased's available resources, as defined by rule of the Division, are insufficient to pay the funeral expenses, the persons legally responsible for the support of the deceased are unable to pay the funeral expenses and no other person will undertake to pay those expenses. 
In another Section in SB14, the Authority is designated as the single state agency for the enforcement of child and spousal support obligations pursuant to Title 4-D of the federal Social Security Act. 
The Authority in cases where the Authority  has provided cash assistance to children in a household, the court shall award judgment in favor of the Authority  and against the noncustodial parents of the children for child support, calculated pursuant to Section 40-4-11.1 NMSA 1978, for all months in which the children received cash assistance benefits.
To make disbursements and distributions pursuant, the, health care Authority reimbursement suspense fund,  is created in the state treasury. When pursuing a claim arising under Section 27-2-23 or 27-2-28 NMSA 1978, , see below the description of this statute,  in addition to other available alternatives, the Authority  may contract with a person to represent the Authority  on a contingent fee basis. 
Section 27-2-23 as sited above,  pertains to the recovery of medical assistance payments made by the Department of Human Services (DHS) from third parties who are legally liable for such payments.   The Department of Human Services is now replaced with the Health Care Authority.
In a related Section in this Act, the proceeds of judicial proceedings under Chapter 27, Article 2 NMSA 1978, meaning any proceeds of judgments or settlements shall be retained by the Authority for its authorized activities and required reimbursements to the federal government.
Another  Section in SB14,  requires a duty to cooperate amongst agencies such as: all State, County and Municipal Agencies, Departments, Bureaus and Divisions shall cooperate in the location of absent parents who are not fulfilling their obligation to support their children and shall on request supply the Authority  with all information on hand relative to the location, social security number, income and property of such absent parents.
The Authority shall only use such information to enforce support liability.
All State, County and Municipal Agencies, Departments, Bureaus and Divisions shall cooperate in the location of absent parents who are not fulfilling their obligation to support their children and shall on request supply the Authority with all information on hand relative to the location, social security number, income and property of such absent parents.
The Authority shall use such information only for the purpose of enforcing the support liability of such absent parents and shall not use the information or disclose it for any other purpose.
The Indigent Catastrophic Illness Hospital Funding Act was created in another Section where money in the fund is managed by the Authority to reimburse hospitals for eligible claims. 
The Medicaid Estate Recovery Act empowers the Authority to recover medical assistance payments, and recovery means amounts paid by the department as medical assistance pursuant to Title 19 of the Social Security Act.
 
Other Sections in SB14 where the term Authority has replaced the original term of Department and the responsibilities have been transferred to the Authority include:
The Pharmaceutical Supplemental Rebate Act.
The Average Manufacturer Price filing report.
Unlawful disclosures: relating to contractor, employees releasing information.
Special Medical Needs Act.
Safety Net Care Pool Fund
Administration of Low-Income Assistance Act.
Persons Eligible for Utility Assistance.
Utility Assistance Supplement Program Established: allows distribution to eligible recipients by the Authority .
Utility Service Procedures to Follow Prior to Service Discontinuation: establishes winter period where utilities cannot be shut off for non-payment.
Low Income Water, Sewer and Solid Waste Service Assistance Act.
Authority Cooperation: Subject to state and federal statutes and rules governing the sharing of confidential information.
Program Demonstrations: requires cooperation of the Authority and the Ageing and Long-Term Services Department. Administering demonstration programs. 
The County Supported Medicaid Fund
Medicaid Provider and Managed Care Act. Definitions are provided in this Section. 
Medicaid False Claims Act
Development Disabilities Council
Developmental Disabilities Act
Development Disabilities Council: created in accordance with the federal Developmental Disabilities Assistance and Bill of Rights Act. Secretary of Authority is a member of the Council.
Childcare Facilities, Imminent Danger, New material related to the Abuse and Neglect Act. 
Mental Health and Developmental Disabilities Code: Behavioral Health Services Division now under the Health Care Authority.
New Mexico Health Insurance Exchange: created as nonprofit public corporation. The Secretary of Health Care Authority is a member of the thirteen-member Board of Directors for the Exchange.
The Health Care Affordability Fund. The Authority shall administer the funds. 
Health Care Affordability Plan: allows the Authority to modify rules and regulations.
Easy Enrollment Act: Authority offers Medicaid as insurance source to tax filing applicants.
Health Care Authority Duties: relates to Easy Enrollment Act: Using tax payer relevant information to determine eligibility for health coverage programs by the Health Care Authority.
The effective date of the provisions of this Act is July 1, 2024. 




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 Committee Substitute February 02,2024 in SHPAC
SHPACcs/SB14 The Senate Health and Public Affairs Committee has modified the original SB 14 with a Committee Substitute, enacts multiple changes in functions and responsibilities of the Health Care Authority Department. The name, Department, has been dropped so the name will be the Health Care Authority. Transfers of functions and responsibilities have been transferred from the Office of the Superintendent of Insurance, the General Services Department, and the Department of Health. 
Many sections have been modified to reflect the change from the Human Services Department to the Health Care Authority. Agency names have been deleted and replaced with the Health Care Authority. 


The Secretary is responsible to the Governor for the operation of the Authority. It is the secretary’s duty to manage all operations of the Authority and to administer and enforce the laws with which the Secretary or the Authority is charged. 
Section 20 replaces an earlier Section and now makes reference to the Health Information Act. 
A new Section 22, 23, 24, and 25 creates the Health Care Code, which sites the powers of the HCA to license facilities, enter into agreements, bring action in court for the enforcement of laws and rules pertaining to the authority's powers and duties and enter into joint powers agreements. New language is provided in Section 26 regarding licensure, appeals and hearings. 
New language regarding intermediate sanctions is found in Section 27. It states: Upon a determination that a health facility is not in compliance with any licensing requirement of the authority, the authority, subject to the provisions of this Section and Section 24A-1-5 NMSA 1978, may: (1) impose any intermediate sanction established by rule, including but not limited to: (a) a directed plan of correction; (b) facility monitors; (c) denial of payment for new Medicaid admissions to the facility; (d) temporary management or receivership; and (e) restricted admissions; (2) assess a civil monetary penalty, with interest, for each day the facility is or was out of compliance. Civil monetary penalties shall not exceed a total of five thousand dollars ($5,000) per day. Penalties and interest amounts assessed under this paragraph and recovered on behalf of the state shall be remitted to the state treasurer and deposited to the credit of the current school fund. The civil monetary penalties contained in this paragraph are cumulative and may be imposed in addition to any other fines or penalties provided by law; and (3) with respect to health facilities other than childcare centers or facilities, proceed pursuant to the Health Facility Receivership Act. 

The Secretary shall adopt and promulgate rules specifying the criteria for imposition of any intermediate sanction and civil monetary penalty. The criteria shall provide for more severe sanctions for a violation that results in any abuse, neglect or exploitation of residents, clients or patients as defined in the rules or that places one or more residents, clients, or patients of a health facility at substantial risk of serious physical or mental harm.
There is additional language for Section 27, however, the language on intermediate sanctions was not found in the original SB 14. 
Section 30 provides that penalties are to be deposited in the General Fund. 
Section 31 provides that the HCA is responsible for inspecting rural hospitals and no longer to the Department of Health. 

The Health Care Authority is responsible for a State Case Registry. This relates to child support enforcement. This requires coordination between the Authority and the Court system, including data matching with the financial institutions. Language can be found in Section 64. 
The Authority is responsible for rules and regulations for administration of the Brain Injury Services Fund. The authority shall coordinate with and seek advice from the Brain Injury Advisory Council to ensure that the Statewide Brain Injury Services Program is appropriate for persons with brain injuries.
The Authority, formally the Human Services Department, is responsible for the Shelter Care Supplement Fund and Authority is authorized to determine eligibility, compute payment, make payments and otherwise administer the shelter care supplement program. 
Section of SB14 refers to the roles of the Authority in Long Term Care Facilities compliance which formally was the responsibility of the Human Services Department. The Authority shall impose a hold on state Medicaid payments to a long-term care facility thirty days after the Authority makes an on-site visit and a long-term care facility is not in substantial compliance with the standards or conditions of participation promulgated by the United States Department of Health and Human Services pursuant to which the facility is a party to a Medicaid provider agreement.
A Section regarding Crises Triage Centers the Authority is responsible for reimbursement in accordance with federal law, the Secretary shall adopt and promulgate rules to establish a reimbursement rate for services provided to recipients of state medical assistance at a crisis triage center.
 These Centers are also licensed by the Authority.
In regard to incarcerated persons, the Authority according to another Section made part of this Act, is responsible for assisting in enrolling eligible inmates in Medicaid. Existing language states: Incarceration shall not be a basis to deny or terminate eligibility for Medicaid.
Cooperation with the federal government is required of the Authority and a number of titled statutes are written in this Section. Particularly with the federal Social Security Act. Compliance with federal law is required in another Section.
The Authority shall act as the custodian of funds for the purposes they were intended for from the federal government. A specific reference to the Social Security Act is made in this Section. 
A Section on funeral expenses provides a person living in a nursing home or an intermediate care facility, the payment for whose care is made in whole or in part pursuant to Title 19 of the federal Social Security Act; funeral expenses up to two hundred dollars ($200) shall be paid by the Income Support Division of the Authority  if the deceased's available resources, as defined by rule of the Division, are insufficient to pay the funeral expenses, the persons legally responsible for the support of the deceased are unable to pay the funeral expenses and no other person will undertake to pay those expenses. 
In another Section in SB14, the Authority is designated as the single state agency for the enforcement of child and spousal support obligations pursuant to Title 4-D of the federal Social Security Act. 
The Authority in cases where the Authority  has provided cash assistance to children in a household, the court shall award judgment in favor of the Authority  and against the noncustodial parents of the children for child support, calculated pursuant to Section 40-4-11.1 NMSA 1978, for all months in which the children received cash assistance benefits.
To make disbursements and distributions pursuant, the, health care Authority reimbursement suspense fund, is created in the state treasury. When pursuing a claim arising under Section 27-2-23 or 27-2-28 NMSA 1978, , see below the description of this statute,  in addition to other available alternatives, the Authority  may contract with a person to represent the Authority  on a contingent fee basis. 
Section 27-2-23 as sited above,  pertains to the recovery of medical assistance payments made by the Department of Human Services (DHS) from third parties who are legally liable for such payments.   The Department of Human Services is now replaced with the Health Care Authority.
In a related Section in this Act, the proceeds of judicial proceedings under Chapter 27, Article 2 NMSA 1978, meaning any proceeds of judgments or settlements shall be retained by the Authority for its authorized activities and required reimbursements to the federal government.
Another  Section in SB14,  requires a duty to cooperate amongst agencies such as: all State, County and Municipal Agencies, Departments, Bureaus and Divisions shall cooperate in the location of absent parents who are not fulfilling their obligation to support their children and shall on request supply the Authority  with all information on hand relative to the location, social security number, income and property of such absent parents.
The Authority shall only use such information to enforce support liability.
All State, County and Municipal Agencies, Departments, Bureaus and Divisions shall cooperate in the location of absent parents who are not fulfilling their obligation to support their children and shall on request supply the Authority with all information on hand relative to the location, social security number, income and property of such absent parents.
The Authority shall use such information only for the purpose of enforcing the support liability of such absent parents and shall not use the information or disclose it for any other purpose.
The Indigent Catastrophic Illness Hospital Funding Act was created in another Section where money in the fund is managed by the Authority to reimburse hospitals for eligible claims. 
The Medicaid Estate Recovery Act empowers the Authority to recover medical assistance payments, and recovery means amounts paid by the department as medical assistance pursuant to Title 19 of the Social Security Act. 
Other Sections in SB14 where the term Authority has replaced the original term of Department and the responsibilities have been transferred to the Authority include:
The Pharmaceutical Supplemental Rebate Act.
The Average Manufacturer Price filing report.
Unlawful disclosures: relating to contractor, employees releasing information.
Special Medical Needs Act.
Safety Net Care Pool Fund
Administration of Low-Income Assistance Act.
Persons Eligible for Utility Assistance.
Utility Assistance Supplement Program Established: allows distribution to eligible recipients by the Authority .
Utility Service Procedures to Follow Prior to Service Discontinuation: establishes winter period where utilities cannot be shut off for non-payment.
Low Income Water, Sewer and Solid Waste Service Assistance Act.
Authority Cooperation: Subject to state and federal statutes and rules governing the sharing of confidential information.
Program Demonstrations: requires cooperation of the Authority and the Ageing and Long-Term Services Department. Administering demonstration programs. 
The County Supported Medicaid Fund
Medicaid Provider and Managed Care Act. Definitions are provided in this Section. 
Medicaid False Claims Act
Development Disabilities Council
Developmental Disabilities Act
Development Disabilities Council: created in accordance with the federal Developmental Disabilities Assistance and Bill of Rights Act. Secretary of Authority is a member of the Council.
Childcare Facilities, Imminent Danger, New material related to the Abuse and Neglect Act. 
Mental Health and Developmental Disabilities Code: Behavioral Health Services Division now under the Health Care Authority.
New Mexico Health Insurance Exchange: created as nonprofit public corporation. The Secretary of Health Care Authority is a member of the thirteen-member Board of Directors for the Exchange.
The Health Care Affordability Fund. The Authority shall administer the funds. 
Health Care Affordability Plan: allows the Authority to modify rules and regulations.
Easy Enrollment Act: Authority offers Medicaid as insurance source to tax filing applicants.
Health Care Authority Duties: relates to Easy Enrollment Act: Using tax payer relevant information to determine eligibility for health coverage programs by the Health Care Authority.
Section 131 states that As of July 1, 2024, the following temporary modifications are made: function, employees money, records, equipment, and other property of the Department of Health pertaining to the Developmental Disabilities Support Division, Health Improvement Division, and Health Facilities Licensing Division and Certification Bureau are transferred from the Department of Health to the Health Care Authority.
Also, under Section 131, as of July 1, 2024, the following temporary modifications are made: function, employees money, records, equipment, and other property of the Department of Health pertaining to the Developmental Disabilities Support Division, Health Improvement Division, and Health Facilities Licensing Division and Certification Bureau are transferred from the Department of Health to the Health Care Authority.

The effective date of this Act is July 1, 2024.