The "Fair Pricing for Routine Medical Care Act" aims to enhance transparency and fairness in healthcare billing practices in New Mexico. Starting January 1, 2027, the bill prohibits health care providers and health systems from charging facility fees for preventive health care services, vaccination services, and telehealth services provided in outpatient settings. However, exceptions are made for critical access hospitals, sole community hospitals in rural areas, and community clinics affiliated with these hospitals. The bill also mandates that health care providers notify patients about potential facility fees at the time of appointment scheduling and service delivery, and requires clear signage in both English and Spanish regarding these fees.

Additionally, the bill establishes requirements for billing transparency, including the provision of standardized bills that itemize charges and specify any facility fees. Hospitals and health systems that charge facility fees must report detailed data related to these fees to the all-payer claims database, including the frequency and total amount charged, as well as the most common billing codes associated with facility fees. This legislation seeks to protect patients from unexpected charges and ensure they are well-informed about the costs of their healthcare services.