New Mexico Code § 6-4-35

Medicaid trust fund
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A. The "medicaid trust fund" is created as a nonreverting fund in the state treasury.
The trust fund consists of distributions, appropriations, gifts, grants and donations.
Income from investment of the trust fund shall be credited to the trust fund. Money in
the trust fund shall be expended only as provided in this section.
B. The state investment officer shall invest money in the trust fund in accordance
with the prudent investor rule as set forth in Chapter 6, Article 8 NMSA 1978 and in
consultation with the health care authority.
C. The state investment officer shall report quarterly to the legislative finance
committee and the state investment council on the investments made pursuant to this
section. An annual report shall be submitted no later than October 1 of each year to the
legislative finance committee, the revenue stabilization and tax policy committee and
any other appropriate interim committees.
D. On July 1, 2029 and each July 1 thereafter, a distribution shall be made from the
trust fund to the state-supported medicaid fund in an amount equal to five percent of the
average of the year-end market values of the trust fund for the immediately preceding
three calendar years; provided that a distribution shall not be made until the balance of
the trust fund at the end of a fiscal year is at least five hundred million dollars
($500,000,000).
E. Money in the trust fund may be appropriated for any purpose if, in a fiscal year,
federal matching funds for the state medicaid program:
(1) decrease by at least seven and one-half percent from the previous fiscal
year; or
(2) are less than a one-to-one match with money appropriated by the
legislature for the program.
F. In fiscal years 2026 through 2029, money in the trust fund may be appropriated
to support the state medicaid program if a reduction in federal medicaid funding
received by the state will cause a reduction in coverage or benefits below the levels
provided as of the effective date of this 2025 act.
G. Money in the trust fund may be expended in the event that general fund
balances, including all authorized revenues and transfers to the general fund and
balances in the general fund operating reserve, the appropriation contingency fund, the
tax stabilization reserve and the early childhood education and care fund, will not meet
the level of appropriations authorized from the general fund for a fiscal year. In that
event, to avoid an unconstitutional deficit, the legislature may appropriate from the trust
fund to the general fund only in the amount necessary to meet general fund
appropriations for that fiscal year and only if the legislature has authorized transfers
from the appropriation contingency fund, the general fund operating reserve, the tax
stabilization reserve and the early childhood education and care fund that exhaust those
fund balances.
History: Laws 2025, ch. 113, § 1.

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