On March 22, 2025, the New Mexico House of Representatives introduced House Bill 36, a significant legislative proposal aimed at amending the Optometry Act. The bill, sponsored by Representative Dayan Hochman-Vigil, seeks to expand the scope of practice for optometrists and enhance the powers and duties of the Board of Optometry.

The primary purpose of House Bill 36 is to modernize the practice of optometry in New Mexico. Key provisions include the introduction of new definitions related to the practice of optometry, which would allow optometrists to utilize a broader range of diagnostic tools and methods. This includes the use of advanced technologies such as autorefractors and automated testing devices, as well as the authority to prescribe and administer medications for diagnosing visual defects and eye conditions.

The bill has sparked notable discussions among lawmakers and stakeholders in the healthcare community. Proponents argue that expanding the scope of practice for optometrists will improve access to eye care services, particularly in underserved areas of the state. They emphasize that allowing optometrists to prescribe medications can alleviate the burden on ophthalmologists and enhance patient care.

However, the bill has also faced opposition. Critics express concerns about the potential for overreach in the optometry field, arguing that it may compromise patient safety if optometrists are granted too many responsibilities traditionally held by ophthalmologists. Some have called for more stringent regulations to ensure that optometrists are adequately trained to handle the expanded scope of practice.

The implications of House Bill 36 extend beyond the immediate changes to the Optometry Act. Economically, the bill could lead to increased competition in the eye care market, potentially lowering costs for consumers. Socially, it may improve access to essential eye care services, particularly for rural populations who may have limited access to ophthalmologists.

As the legislative process unfolds, experts suggest that the outcome of House Bill 36 could set a precedent for similar reforms in other states, reflecting a growing trend towards expanding the roles of non-physician healthcare providers. The bill is expected to be debated further in the coming weeks, with potential amendments and discussions on its impact on patient care and safety.

In summary, House Bill 36 represents a pivotal moment for the optometry profession in New Mexico, with the potential to reshape the landscape of eye care in the state. The ongoing discussions will determine its fate and the future of optometry practice in New Mexico.