The New Mexico Legislature's House Health and Human Services Committee convened on February 26, 2025, to discuss significant amendments to legislation aimed at supporting families affected by substance use disorders. The meeting focused on enhancing the "plan of safe care," which is designed to provide comprehensive support for families, particularly those with newborns exposed to substances.

The committee began by outlining the proposed changes, which emphasize prenatal support and the connection of families to essential services, including home visiting programs and substance use disorder treatment. The amendments require the Children, Youth and Families Department (CYFD) to be notified if families refuse recommended services, potentially triggering investigations if there is an immediate risk to a child.

Several stakeholders voiced their support for the bill, highlighting the need for reform to improve outcomes for children and families. Mike, representing the New Mexico Child First Network, expressed gratitude for the bill's amendments, emphasizing the importance of a healthcare approach. Barbara Yell, a social worker and director of a nonprofit for foster families, echoed this sentiment, advocating for the bill's passage to address systemic issues within the current framework.

Jeremy Martinez, a kinship guardian, raised concerns about the failures of existing plans and called for a complete overhaul of the system to ensure better support for families stepping up for substance-exposed children. He stressed the need for accountability within CYFD and adherence to established policies.

Committee members engaged in discussions about the roles of care navigators and coordinators, clarifying that the Department of Health would lead these efforts, ensuring families receive necessary services. Representatives expressed appreciation for the bill's focus on the family unit, not just the child, and the inclusion of prenatal considerations.

The committee also addressed the importance of training for healthcare providers and social workers involved in implementing the plan of safe care. Questions were raised about the adequacy of current practices and the need for consistent oversight to ensure compliance across hospitals.

As the meeting progressed, representatives highlighted the urgency of addressing the crisis of substance-exposed newborns, with a commitment to having the program operational by January 1, 2026. The committee concluded with a call for public comment on the forthcoming rules, ensuring community input in the legislative process.

Overall, the meeting underscored a collective effort to reform the state's approach to supporting families impacted by substance use disorders, with a focus on improving safety and outcomes for vulnerable children.