[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6131693,"mediaKeyId","5727731-d762d28195d6cba2a4cb4fb5b575e89a","parentId",5727731,"title","State and advocates report doubling school‑based health access; highlight behavioral health and immunization work","audioSeconds",159,"startMs",4779000,"endMs",4938000,"viewUrl","/Search/View?dp=1&key=5727731-d762d28195d6cba2a4cb4fb5b575e89a&start=4779&end=4938","thumbnailUrl","https://assets.pipeline.soar.com/5727731-d762d28195d6cba2a4cb4fb5b575e89a/thumbnail_4779000.jpg","articleUrl","/articles/6131693/New-Mexico/State-and-advocates-report-doubling-schoolbased-health-access-highlight-behavioral-health-and-immunization-work","mediaUrl","https://secure.pipeline.soar.com/6131693-776e554c782406ec06fe4a839a997fae/orig.mp4?Expires=1770714521&Signature=Q62r4pTtLQtQMh~H~0DQLPDl9IeYni6m-2LfLEYw1AVi-RNZx4o2-4t0hyxBo~g7kOzGPfq4L3s8DR1De04WprW51Nyrwbs28DnKgePxCDeeZlPcPFsL3wnuiWUvTetsVmuHp6BDsYJbcD9wvQCb9O2c1U--F~jH35s6T0dL~zHuNW0043K-5aGoVYlaxcBNFPqbTUpVK~u5V4k~j6DW9sURkVMLfqgw8T4PSm98QWO-bADFeOteCT1ABRNl6~W74BfKiA2sdeyylRi03rxOhG-6Ns5dAkUvfSbNNJ1MqGKBqRvVMB1r8mnyGs6jmHx8-sbt9NTx4YoHktQkcYSimg__&Key-Pair-Id=KUT5TJCACFTXG","author","New Mexico Legislature","date","2025-06-26T00:00:00Z","article","Kristin Oreskovich, clinical operations manager for the New Mexico Department of Health school‑based health center program, and Nancy Rodriguez, executive director of the New Mexico Alliance for School Based Health Care, told the committee the state has more than doubled access to school‑based clinical services since 2018 and outlined priorities for continued growth.

Oreskovich said DOH funding supported 47 brick‑and‑mortar school‑based health centers in fiscal 2018 and 100 access points in FY25; 41 of the 100 are telehealth hub‑and‑spoke or mobile models. She said the department expects additional expansion and the program estimates about 60,000 visits for FY25, roughly 20,000 more visits than two years earlier.

Oreskovich cited a prior analysis matching school‑based health‑center use to educational outcomes that found students using a school‑based health center were 47% less likely to be chronically absent and more likely to graduate on time; she said DOH plans updated analyses for 2020–25 that will compare pre‑COVID, COVID and post‑COVID cohorts. \"Students who utilized a school based health center were 47 percent less likely to be chronically absent for school,\" Oreskovich told the committee.

Rodriguez and DOH described a multi‑pronged expansion strategy that includes a \"funnel\" model to bring feeder elementary and middle schools into networks supporting high school centers, telehealth and mobile services to reach rural areas, planning grants to prepare districts and operators, workforce development partnerships with nursing and medical training programs, community health worker (CHW) specialties and partnerships with APS and other large districts to pilot brick‑and‑mortar and mobile slots.

Presenters emphasized behavioral health and substance‑use prevention (SBIRT training and Medicaid billing for adolescent SBIRT), food and hygiene supports at centers, school immunization campaigns and a statewide overdose/vaping education partnership. Rodriguez said school‑based health centers frequently provide behavioral health services and that behavioral visits represent 35–40% of center activity.

Why it matters: presenters told legislators that school‑based health centers provide convenient primary and behavioral health care on campus, reduce barriers to care for students in underserved areas, and are associated with improved attendance and on‑time graduation in a multi‑year matched analysis. DOH and partners asked legislators to support continued funding for expansion, workforce development and integration with school nursing and district services.

Officials invited legislators to site visits and grand‑opening events for new centers scheduled this fall and asked committee members to consider operational barriers such as capital projects and workforce shortages when planning further expansion.","mediaType","Video","parentTitle","Legislative Health and Human Services Committee Jun 26, 2025 1:02 PM - 4:12 PM","oneSentenceSummary","DOH and the New Mexico Alliance for School Based Health Care reported that funded access points for school‑based health centers rose from 47 in FY2018 to 100 in FY25 and outlined plans to expand services, especially behavioral health and telehealth for rural students.","taxTitle","Legislative Health & Human Services, Interim, Committees, Legislative, New Mexico","taxId",65389,"location","New Mexico","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6131698,"Santa Fe County describes jail-based MOUD, reentry and settlement-funded programs",137,387000,524000,"/Search/View?dp=1&key=5727731-d762d28195d6cba2a4cb4fb5b575e89a&start=387&end=524","https://assets.pipeline.soar.com/5727731-d762d28195d6cba2a4cb4fb5b575e89a/thumbnail_387000.jpg","/articles/6131698/New-Mexico/Santa-Fe-County-describes-jail-based-MOUD-reentry-and-settlement-funded-programs","https://secure.pipeline.soar.com/6131698-05b48fb0ed051ba0de83bb50273c6cbb/orig.mp4?Expires=1770714521&Signature=MOBkGmIKK7XmW3l4J9RW9PB4RdANvG2NgwmV2Wd8W7G-2zGjgJeAo2uMQ5-Mb5D88oEnNA778RW4fBnpw6y9gf7tSSGC8jAgee~rz6n~s-3NAxE6uZTLdCsRTexSd3m5JkMOIbejk1wStMqm-O5OAcgcKrsGsWdo~3mzOP~nPHbCkPf3nuRZNFEmp72JOyS2wt-13bg3SjXTHRng6xpWUiggbQEJGHCCO6j~xIKt4829J1qMD45~hVOAY1smS-uJL9LsnX~WdnEf39z~OuvxlEXamAI6Ro08Y7i3SOczg9jxVZvRnuAlomAQ1G4FsvCrMHHa0ZdMgq0tXwbpKgbt6A__&Key-Pair-Id=KUT5TJCACFTXG","Derek Williams, warden of the Santa Fe County Adult Detention Facility, told the committee that intake urine drug screens show high levels of polysubstance use and fentanyl among people booked into custody, and described how the county is using opioid settlement funds to expand in‑custody treatment and reentry supports.

Williams said Santa Fe County screened 8,532 people in one quarter and that 87% of those tested positive for at least one drug; 67% tested positive for two or more substances and 48% of positives included fentanyl. \"That really tells us something that we already know,\" Williams told the committee, summarizing the county’s intake testing data.

The county has used settlement proceeds and other grants to fund a licensed five‑week Matrix sobriety program, jail-based medication for opioid use disorder (MOUD) with a dedicated licensed nurse practitioner, reentry specialists in each housing unit, peer support workers provided through Presbyterian Medical Services, reentry fairs that connect graduates to community partners while they are still in custody, recovery housing contracts (RISE House) and workforce partnerships (Innovate and Educate). Williams said 63% of inmates who complete the Matrix program have not returned to custody based on the county’s tracking data.

Rebecca Granger, the county’s nurse practitioner, described early experience with long‑acting injectable buprenorphine (Sublocade) and said the county is participating in a corrections sample program to support continuity and the high medication cost. \"The medication is fairly new, and we are participating in a corrections sample program,\" Granger said, adding that the injection costs about $2,000 per dose and that continuation after release is a priority.

Anne Ryan, Santa Fe County community services director, said county planning and regional collaboration have included SIMS mapping and participation in behavioral health regional planning under the state bills referenced by legislators. Williams described planned expansion of reentry facilities and a dedicated wing to support transitions similar to Bernalillo County’s reentry center.

Why it matters: the county’s data and program descriptions show how local officials are directing settlement and grant dollars into jail‑based treatment, peer support, reentry housing and employment pathways. Legislators pressed the county on eligibility, use of funds after release, and how settlement monies relate to broader workforce and behavioral‑health initiatives.

County staff said the opioid settlement funds the county receives have been applied primarily to in‑custody treatment and reentry programming, but reentry teams also work to connect people to external education, employment and social services that are funded from other local, state or private sources.","Santa Fe County presented jail testing data showing high rates of drug positivity on intake, described an in‑custody MAT (MOUD) program, a five‑week Matrix sobriety curriculum, reentry fairs, partnerships for recovery housing and plans to expand reentry/detox capacity using opioid settlement funds.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6131703,"State outlines permitted uses, audits and enforcement for opioid settlement funds",0,2516000,"/Search/View?dp=1&key=5727731-d762d28195d6cba2a4cb4fb5b575e89a&start=2516&end=2516","https://assets.pipeline.soar.com/5727731-d762d28195d6cba2a4cb4fb5b575e89a/thumbnail_2516000.jpg","/articles/6131703/New-Mexico/State-outlines-permitted-uses-audits-and-enforcement-for-opioid-settlement-funds","https://secure.pipeline.soar.com/6131703-7a44e54fdc68a216f6cb369e3c1fed95/orig.mp4?Expires=1770714521&Signature=O4LE-G5jKnQiJcUhN8jqwkpChTaArHnwqAhEk2h6zuEc8QZ5eLv31t~CnAGerTKEitBdf-3evnQ8-bR6EsFyz3~b8MdPL9uRYuvp4ubMC6dO-5u2BkJGJidyBqCtSEBgjTp1vrwvtL7iU0zF3I56vne~71maDJF~NzmHNC47qjQrWqbAB2L2328Az1~SkCr6Ya-PaCTsvRtqWg14fJas0dzGMGJNS8JvLoyW6cpCwWg9hQJ9Ws-ipeHbfWcx6r5JXqMQnTZ7tYUzJzVgJupbsvQF8LEzUanv7ZO5BKT-YmVrMo~DgPXZVu8j~ED6ccxOMnVReXzNPKLFAxX1NOH~4Q__&Key-Pair-Id=KUT5TJCACFTXG","Joanne Mead, general counsel for the New Mexico Department of Justice, told the Legislative Health & Human Services Committee that the state has settled multiple opioid-related actions and that those settlement agreements specify allowable uses and enforcement tools.

Mead said the agreements generally authorize ‘‘abatement’’ spending to reduce opioid harms and listed core strategies included in most settlements — naloxone, medication-assisted treatment, treatment for neonatal abstinence syndrome, warm handoffs to recovery services, syringe service programs, justice‑system treatment, prevention and data collection.

The New Mexico settlements include both independent, state-filed agreements and national multistate settlements handled through national administrators, Mead said. She identified BrownGreer as the settlement administrator handling the Mallinckrodt national settlement and said most national distributor settlements are overseen by a bipartisan multistate advisory committee. \"All the settlements have general terms around what the settlement monies can be used for. Mostly, it's referred to as abatement,\" Mead said.

Mead described the New Mexico opioid allocation agreement, under which local governments receive 55% of settlement proceeds and the state receives 45%. The allocation agreement requires local governments and the state to create separate funds for abatement receipts, limits use to the approved abatement categories, and makes those funds subject to annual audit under the New Mexico State Audit Act, she said.

Mead added that the Department of Justice’s role includes enforcing injunctive provisions and other non‑monetary settlement requirements in addition to monitoring payments, and that some settlements offer product remedies in lieu of cash when allowed by the agreement.

Why it matters: committee members pressed on whether settlement funds can support non‑public entities and how the funds relate to broader behavioral‑health planning under recent legislation. Mead and other presenters clarified the allocation and auditing requirements that govern use of the monies and described enforcement responsibility for compliance by defendants and audit oversight of recipients.

Mead stood for questions after her overview; legislators then questioned DOJ, county jail and health department presenters about how counties and state agencies plan to use funds for local programs and coordination with the state behavioral health planning effort.","New Mexico Department of Justice and state officials described settlement terms, approved uses for abatement funds and the state-local allocation agreement that splits proceeds; DOJ said it enforces compliance and the State Auditor will audit spending.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6131689,"Legislative evaluators find HCAF revenue has exceeded current subsidy demand; recommend clearer performance targets",491,8644000,9135000,"/Search/View?dp=1&key=5727731-d762d28195d6cba2a4cb4fb5b575e89a&start=8644&end=9135","https://assets.pipeline.soar.com/5727731-d762d28195d6cba2a4cb4fb5b575e89a/thumbnail_8644000.jpg","/articles/6131689/New-Mexico/Legislative-evaluators-find-HCAF-revenue-has-exceeded-current-subsidy-demand-recommend-clearer-performance-targets","https://secure.pipeline.soar.com/6131689-4aaa26237fd14cf0e58e4be1fce21916/orig.mp4?Expires=1770714521&Signature=WOFk08wEI2X~2d98xu4Gm3zCBNswwnZd3oQ-ZSQc-Mv~ncHpvMrcMhuh2xpClc6RX4yuJUZuPMDdZ-vMQbl6lavnBRRNcm5Qr3qhVvju~djXuz3Ofu7NTVXozvlOo9TD43UVyHkmgi6c23PIXmWXAJBWvWL6ynq9dQasXxHsQs-FgUIbEVvzK95sie9BAqzNyiAXnHc6ephDn~lp4ictdrHyt1ahIekua8UdPMm1UAenUl2BNzbYpHdiwofnrBEAIL3OJURwZuBknj4-zYGePgVGMueJMmRnWEewcF-Q7~X1b0uR2-gy7enTZ06xTYXbdyIIjToKLQhRIddDhfip2g__&Key-Pair-Id=KUT5TJCACFTXG","Matthew Goodlon, program evaluator for the Legislative Finance Committee, presented a legislatively required evaluation of the Health Care Affordability Fund (HCAF) established by 2021 legislation. The evaluation found that surtax revenues have substantially exceeded subsidy expenditures so far, and recommended clearer performance measures and multi‑year targets.

Goodlon summarized how the premium surtax and related premium tax flow into state revenue and the HCAF: for every $100 in premiums, about $6.76 is collected in tax and surtax (approximately $3 premium tax and $3.75 surtax) and a legislatively set share of the surtax is distributed to the HCAF. He said that figure and the HCAF balance led to a large FY24 beginning balance and a sizable carryover into FY25.

The evaluation’s principal findings included that HCAF appropriations have exceeded demand to date and that HCA should develop explicit five‑year uninsurance‑rate performance targets and additional measures that track program reach and fiscal performance. The report noted the HCA has implemented three subsidy programs: small business premium relief, marketplace affordability subsidies, and a coverage expansion program that remains to be launched for specific populations (including planned options for undocumented residents); actuaries estimate first‑year costs for the coverage expansion program in a range depending on rate assumptions.

Goodlon and HCA officials flagged an important federal policy risk: enhanced federal marketplace subsidies are set to expire at the end of the calendar year absent congressional action. The report modeled that if enhanced federal subsidies end, per‑member costs for state subsidies could rise materially (a presenter estimated average subsidy costs could increase from about $45 per member per month to roughly $130), and enrollment and state costs could change substantially. Goodlon recommended that the legislature require HCA to set explicit targets for reducing uninsurance and link surtax distribution shares to those targets.

Alex Castillo Smith, deputy secretary at the Health Care Authority, said HCA largely agreed with the report’s recommendations and emphasized the agency’s intent to align HCAF spending with performance measures and to leverage federal funds where available. Smith also warned that possible federal changes and provider‑tax discussions at the federal level could alter state fiscal dynamics and that HCA will monitor Washington actions closely.

Why it matters: the HCAF evaluation gives lawmakers a fiscal view of a new revenue stream created to subsidize premiums and expand coverage. The findings call for clearer performance goals and an explicit approach to adjusting HCAF distributions if federal subsidies or program demand change.

The committee heard that HCAF has funded marketplace subsidies, small business assistance and other health initiatives, and that lawmakers will need to decide how to balance carryover, ongoing subsidy needs and potential new coverage expansions.","The Legislative Finance Committee reported that the Health Care Affordability Fund has accumulated large carryover balances because appropriations have outpaced program demand; the evaluation recommends specific multi‑year performance targets, linking shares of the surtax to targets, and preparing for federal subsidy changes.","actionData","errors"]

Article not found

State and advocates report doubling school‑based health access; highlight behavioral health and immunization work

Santa Fe County describes jail-based MOUD, reentry and settlement-funded programs

State outlines permitted uses, audits and enforcement for opioid settlement funds

Legislative evaluators find HCAF revenue has exceeded current subsidy demand; recommend clearer performance targets