Text of NM HB 7 (2023)

Reproductive & Gender-affirming Health Care

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As introduced

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underscored material = new [bracketed material] = delete 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 HOUSE BILL 7 56TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 2023 INTRODUCED BY Linda Serrato and Charlotte Little and Kristina Ortez and Reena Szczepanski and Janelle Anyanonu AN ACT RELATING TO HEALTH; PROTECTING ACCESS TO REPRODUCTIVE AND GENDER-AFFIRMING HEALTH CARE; PROVIDING FOR ENFORCEMENT; IMPOSING PENALTIES; PRESCRIBING RELIEF. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: SECTION 1. A new section of Chapter 24 NMSA 1978 is enacted to read: "[NEW MATERIAL] SHORT TITLE.--This act may be cited as the "Reproductive and Gender-Affirming Health Care Freedom Act"." SECTION 2. A new section of Chapter 24 NMSA 1978 is enacted to read: "[NEW MATERIAL] DEFINITIONS.--As used in the Reproductive and Gender-Affirming Health Care Freedom Act: A. "gender-affirming health care" means psychological, behavioral, surgical, pharmaceutical and medical .223121.2 underscored material = new [bracketed material] = delete 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 care, services and supplies provided to support a person's gender identity; B. "public body" means a state or local government, an advisory board, a commission, an agency or an entity created by the constitution of New Mexico or any branch of government that receives public funding, including political subdivisions, special tax districts, school districts and institutions of higher education; and C. "reproductive health care" means psychological, behavioral, surgical, pharmaceutical and medical care, services and supplies that relate to the human reproductive system, including services related to: (1) preventing a pregnancy; (2) abortion; (3) managing a pregnancy loss; (4) prenatal, birth, perinatal and postpartum health; (5) managing perimenopause and menopause; (6) managing fertility; (7) treating cancers of the reproductive system; or (8) preventing or treating sexually transmitted infections." SECTION 3. A new section of Chapter 24 NMSA 1978 is enacted to read: .223121.2 - 2 - underscored material = new [bracketed material] = delete 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 "[NEW MATERIAL] PUBLIC BODY PROHIBITED ACTION.-- A. A public body or agent of a public body shall not discriminate against a person based on that person's use of or refusal to use reproductive health care services. B. A public body or agent of a public body shall not, directly or indirectly, deny, restrict or interfere with a person's ability to access or provide reproductive health care or gender-affirming health care within the medical standard of care. C. A public body or agent of a public body shall not, directly or indirectly, deprive, through prosecution, punishment or other means, a person's right to act or refrain from acting during the persons's pregnancy based on the potential, actual or perceived effect on the pregnancy. D. A public body or agent of a public body shall not impose or continue in effect any law, ordinance, policy or regulation that violates or conflicts with the provisions of the Reproductive and Gender-Affirming Health Care Freedom Act." SECTION 4. A new section of Chapter 24 NMSA 1978 is enacted to read: "[NEW MATERIAL] ENFORCEMENT--PENALTIES.-- A. The attorney general or a district attorney may institute a civil action in district court if the attorney general or district attorney has reasonable cause to believe that a violation has occurred or to prevent a violation of the .223121.2 - 3 - underscored material = new [bracketed material] = delete 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Reproductive and Gender-Affirming Health Care Freedom Act from occurring. B. In any action brought under Subsection A of this section, the court may award appropriate relief, including temporary, preliminary or permanent injunctive relief, compensatory damages, punitive damages, costs of suit or reasonable attorney fees. The damages provided in this subsection are not exclusive and shall be in addition to other types of relief available under other law. C. The court may assess a civil penalty for a violation of the Reproductive and Gender-Affirming Health Care Freedom Act in the amount of five thousand dollars ($5,000) or actual damages resulting from each violation, whichever is greater." SECTION 5. A new section of Chapter 24 NMSA 1978 is enacted to read: "[NEW MATERIAL] PRIVATE RIGHT OF ACTION.-- A. A person claiming to be aggrieved by a violation of the Reproductive and Gender-Affirming Health Care Freedom Act may maintain an action in district court for appropriate relief, including temporary, preliminary or permanent injunctive relief, compensatory damages or punitive damages. The damages provided in this section are in addition to other types of relief available under other law. B. In any action brought pursuant to Subsection A .223121.2 - 4 - underscored material = new [bracketed material] = delete 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 of this section, the court shall award a prevailing plaintiff reasonable attorney fees and costs to be paid by the defendant. C. In any action brought pursuant to Subsection A of this section, the court may assess a civil penalty for a violation of the Reproductive and Gender-Affirming Health Care Freedom Act in the amount of five thousand dollars ($5,000) or actual damages resulting from each violation, whichever is greater." SECTION 6. SEVERABILITY.--If any part or application of the Reproductive and Gender-Affirming Health Care Freedom Act is held invalid, the remainder or its application to other situations or persons shall not be affected. - 5 - .223121.2

As enrolled or final

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HB 7/a Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 AN ACT RELATING TO HEALTH; PROTECTING ACCESS TO REPRODUCTIVE AND GENDER-AFFIRMING HEALTH CARE; PROVIDING FOR ENFORCEMENT; IMPOSING PENALTIES; PRESCRIBING RELIEF. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: SECTION 1. A new section of Chapter 24 NMSA 1978 is enacted to read: "SHORT TITLE.--This act may be cited as the "Reproductive and Gender-Affirming Health Care Freedom Act"." SECTION 2. A new section of Chapter 24 NMSA 1978 is enacted to read: "DEFINITIONS.--As used in the Reproductive and Gender- Affirming Health Care Freedom Act: A. "gender-affirming health care" means psychological, behavioral, surgical, pharmaceutical and medical care, services and supplies provided to support a person's gender identity; B. "public body" means a state or local government, an advisory board, a commission, an agency or an entity created by the constitution of New Mexico or any branch of government that receives public funding, including political subdivisions, special tax districts, school districts and institutions of higher education; and C. "reproductive health care" means psychological, HB 7/a Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 behavioral, surgical, pharmaceutical and medical care, services and supplies that relate to the human reproductive system, including services related to: (1) preventing a pregnancy; (2) abortion; (3) managing a pregnancy loss; (4) prenatal, birth, perinatal and postpartum health; (5) managing perimenopause and menopause; (6) managing fertility; (7) treating cancers of the reproductive system; or (8) preventing or treating sexually transmitted infections." SECTION 3. A new section of Chapter 24 NMSA 1978 is enacted to read: "PUBLIC BODY PROHIBITED ACTION.-- A. A public body or an entity or individual acting on behalf of or within the scope of the authority of a public body shall not discriminate against a person based on that person's use of or refusal to use reproductive health care or gender-affirming health care services. B. A public body or an entity or individual acting on behalf of or within the scope of the authority of a public body shall not deny, restrict or interfere with a person's HB 7/a Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ability to access or provide reproductive health care or gender-affirming health care within the medical standard of care. C. A public body or an entity or individual acting on behalf of or within the scope of the authority of a public body shall not deprive, through prosecution, punishment or other means, a person's ability to act or refrain from acting during the person's pregnancy based on the potential, actual or perceived effect on the pregnancy. D. A public body or an entity or individual acting on behalf of or within the scope of the authority of a public body shall not impose or continue in effect any law, ordinance, policy or regulation that violates or conflicts with the provisions of the Reproductive and Gender-Affirming Health Care Freedom Act. E. Nothing in the Reproductive and Gender-Affirming Health Care Freedom Act shall be construed to require a health care provider or entity to provide care: (1) that the health care provider or entity does not otherwise provide or have a duty to provide under state or federal law; (2) when the provision of service is against the medical judgment of the treating health care provider while acting within the standard of care; or (3) when an individual does not provide HB 7/a Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 payment or a source of payment for the service when it is required in the ordinary course of business, unless the health care provider has a duty to provide services under state or federal law, regardless of the ability to pay. F. Nothing in the Reproductive and Gender-Affirming Health Care Freedom Act shall be construed to require a managed care organization or health insurance company to cover claims that are not otherwise required to be covered by the terms and conditions of an insurance contract, managed care contract or state or federal law." SECTION 4. A new section of Chapter 24 NMSA 1978 is enacted to read: "ENFORCEMENT--PENALTIES.-- A. The attorney general or a district attorney may institute a civil action in district court if the attorney general or district attorney has reasonable cause to believe that a violation has occurred or to prevent a violation of the Reproductive and Gender-Affirming Health Care Freedom Act from occurring. B. In any action brought under Subsection A of this section, the court may award appropriate relief, including temporary, preliminary or permanent injunctive relief. The court may assess a civil penalty for a violation of the Reproductive and Gender-Affirming Health Care Freedom Act in the amount of five thousand dollars ($5,000) or actual HB 7/a Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 damages resulting from each violation, whichever is greater. C. Claims pursuant to the Reproductive and Gender- Affirming Health Care Freedom Act may be brought against public bodies and entities acting in the course and scope of authority of a public body, but not against an individual." SECTION 5. A new section of Chapter 24 NMSA 1978 is enacted to read: "PRIVATE RIGHT OF ACTION.-- A. A person claiming to be aggrieved by a violation of the Reproductive and Gender-Affirming Health Care Freedom Act may maintain an action in district court for appropriate relief, including temporary, preliminary or permanent injunctive relief, compensatory damages or punitive damages, or the sum of five thousand dollars ($5,000) for each violation of the Reproductive and Gender-Affirming Health Care Freedom Act, whichever is greater. B. In any action brought pursuant to Subsection A of this section, the court shall award a prevailing plaintiff reasonable attorney fees and costs to be paid by the defendant. C. Claims pursuant to the Reproductive and Gender- Affirming Health Care Freedom Act may be brought against public bodies and entities acting in the course and scope of authority of a public body, but not against an individual."