The New Mexico House of Representatives convened on February 22, 2025, to discuss a significant legislative proposal concerning the scope of practice for optometrists. The primary focus of the meeting was a bill that would allow optometrists to perform certain surgical procedures, a move that has sparked considerable debate among lawmakers.

During the discussions, representatives highlighted the existing training and qualifications of optometrists compared to ophthalmologists. One speaker noted that while optometrists have held prescription rights for topical and oral medications for decades, the training for surgical procedures differs significantly. Ophthalmologists, who are medical doctors, undergo extensive residency training ranging from 16,000 to 22,000 hours, while optometrists would require a 32-hour course to perform specific procedures, raising concerns about the adequacy of their training.

Supporters of the bill pointed to data from other states that have allowed optometrists to perform similar procedures, indicating no measurable increase in complications. They argued that the training optometrists receive, even if less extensive than that of ophthalmologists, has proven effective in practice. The discussion also touched on the potential benefits of expanding optometrists' roles, particularly in rural areas where access to healthcare is limited.

Opponents expressed concerns about patient safety and the potential lowering of care standards. They argued that the data supporting the bill comes from optometry boards rather than medical boards, which typically oversee surgical practices. This raised questions about the reliability of the data and the accountability of optometrists performing surgeries.

The meeting also addressed the broader context of healthcare access in New Mexico, with some representatives noting the ongoing shortage of medical professionals in the state. They emphasized the importance of retaining qualified practitioners and the potential impact of the bill on their decision to remain in New Mexico.

As the debate continued, an amendment to the bill was proposed, which aimed to clarify certain aspects of the legislation. The outcome of this meeting could have significant implications for the future of optometry and patient care in New Mexico, as lawmakers weigh the balance between expanding access to services and ensuring patient safety.