New Mexico legislation · 2026 Regular Session
New Mexico HB136: HEALTH INSURANCE CREDENTIALING
Status: Failed, January 22, 2026
What the bill says
An act relating to insurance; requiring the health care authority to establish a centralized credentialing application process, including a time frame for medicaid managed care providers to load information on credentialed providers into their provider payment systems.
From the introduced text, January 22, 2026:
AN ACT RELATING TO INSURANCE; REQUIRING THE HEALTH CARE AUTHORITY TO ESTABLISH A CENTRALIZED CREDENTIALING APPLICATION PROCESS, INCLUDING A TIME FRAME FOR MEDICAID MANAGED CARE PROVIDERS TO LOAD INFORMATION ON CREDENTIALED PROVIDERS INTO THEIR PROVIDER PAYMENT SYSTEMS. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: SECTION 1. Section 27-2-12.12 NMSA 1978 (being Laws 2003, Chapter 235, Section 4) is amended to read: "27-2-12.12. [HUMAN SERVICES DEPARTMENT] HEALTH CARE AUTHORITY--[MANAGED CARE CONTRACT] CREDENTIALING PROVISIONS.-- A. No later than January 1, 2027, the [human services department] authority shall [negotiate with medicaid contractors to ensure that the contractors' credentialing requirements are coordinated with other credentialing processes .232424.4 wen = lairetam derocsrednu eteled = ]lairetam detekcarb[ required of] establish a centralized credentialing application process for individual providers. Under the centralized credentialing application process, individual providers shall only be required to submit a credentialing application to the authority. Each medicaid managed care contractor shall rely upon the application submitted to the authority to make credentialing decisions. B. When an individual provider submits a credentialing application to the authority, a medicaid managed care contractor or a medicaid managed care contractor's agent shall: (1) assess and verify the qualifications of a provider applying to become a participating provider within thirty calendar days of receipt of a complete credentialing application and issue a decision …
Sponsors
- Kathleen Cates (D, HD-044) · primary sponsor
- Elizabeth "Liz" Thomson (D, HD-024)
- Elizabeth "Liz" Stefanics (D, SD-039)
Latest actions
- : Not Printed
- : Action Postponed Indefinitely
Subjects: INSURANCE, HEALTH & HEALTH FACILITIES
Common questions
- What is HB136?
- HB136 is a bill in the New Mexico Legislature (2026 Regular Session): HEALTH INSURANCE CREDENTIALING.
- What does HB136 do?
- In its own words: An act relating to insurance; requiring the health care authority to establish a centralized credentialing application process, including a time frame for medicaid managed care providers to load information on credentialed providers into their provider payment systems.
- What is the status of HB136?
- Failed as of January 22, 2026. Latest action: Not Printed (January 22, 2026).
- Who sponsored HB136?
- Kathleen Cates (D, HD-044), with 2 co-sponsors.
- Where is the official record for HB136?
- On the New Mexico Legislature website: https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legType=B&legNo=136&year=26
Source: official New Mexico record. Tracked by Delilah, AI for legislation across all 50 states and Congress.