The Behavioral Health Reform and Investment Act (SB3)

Director, New Mexico Health Care Authority, Behavioral Health Service Division and Executive Committee Chair
Nick Boukus

Nick Boukas is the Director of the Behavioral Health Services Division of the New Mexico Health Care Authority. He has held various public service roles in city, county, regional, and state government agencies, as well as national organizations. He has worked with the Centers for Disease Control and Prevention and other federal agencies on policy and program development.
Director Boukas has been a featured speaker at national and regional conferences, presenting on topics ranging from workforce development to community engagement.
Prior to his appointment in 2023, he worked at the New Mexico Department of Health, focusing on strengthening the behavioral health system to create a healthier New Mexico.
He holds a Master of Public Administration and resides in Santa Fe with his wife and dogs.

Cabinet Secretary of the New Mexico Health Care Authority
Kari Armijio

Ms. Kari Armijo, Cabinet Secretary of the New Mexico Health Care Authority, exemplifies a profound dedication to public service with over two decades of experience in the department.
Appointed by Governor Michelle Lujan Grisham in October 2023, Armijo spearheaded the transition from the Human Services Department to the New Mexico Health Care Authority. Under her leadership, the agency serves over half of New Mexico’s population, advancing policies that strengthen the state’s health care and safety-net system.
A lifelong New Mexican, Armijo was born and raised in Santa Fe, where she lives with
her husband and two teenage sons. Her career is defined by significant contributions to
health care policy, public service, and the management of care systems to improve the
health and well-being of all New Mexicans.

New Mexico’s Medicad Director
Dana Flannery

Dana Flannery, New Mexico’s Medicaid Director, is a public health policy expert with over 20 years of experience in Medicaid program design and behavioral health integration. She has overseen multibillion-dollar budgets, secured significant federal funding, and led innovative program design, crisis response, and integrated health care implementation.
As an International Coaching Federation credentialed coach, an alumna of the first cohort of CHCS’ Medicaid Pathways Program and the 2025 Medicaid Leadership Institute, Dana is committed to developing future leaders in public health through strategic mentorship and succession planning.

Administrative Office of the Courts (AOC) Director,
Karl Reifsteck

Karl W. Reifsteck, as Director of the Administrative Office of the Courts (AOC) in New Mexico, has been actively involved in judicial administration and system improvements.
His leadership has focused on court efficiency, behavioral health initiatives, and access to justice. He previously served as a judge for the 13th Judicial District Court of New Mexico, which covers Cibola, Sandoval, and Valencia counties, and was appointed to the bench by Governor Michelle Lujan Grisham in 2022.
Before his appointment to the AOC, Reifsteck served as Chief Administrator and Chief Counsel for the 13th Judicial District Court, where he had worked since 2012. His experience in court administration and legal counsel helped shape his approach to judicial leadership.
He began his legal career as a staff attorney for Law Access New Mexico after earning his J.D. from the University of New Mexico School of Law. He also holds a bachelor’s degree from the University of Notre Dame.

Dr. Stacey Cox

Dr. Stacy Cox has served as the Chief Executive Officer of the Center for Health Innovation at the New Mexico Public Health Institute since 2022. She operates her own consulting business and is actively involved in behavioral health policy and advocacy, particularly in rural communities.
Dr. Cox holds a Doctor of Philosophy in Psychology (PhD), Burnout, Developmental Trauma, and Recovery from Saybrook University.

Dr. Violette Cloud

Dr. Violet Cloud has extensive training in Behavioral Health, Criminal Law, and Federal Indian Law. They also have experience providing training and technical assistance to the courts. As an expert in the field, Dr. Cloud works with community members and criminal legal system partners to identify service gaps and to implement solutions.
A licensed attorney in the State of New Mexico, Dr. Cloud holds a Doctorate of Philosophy (Ph.D.) and a Juris Doctorate (J.D.) from the University of New Mexico.
Dr. Cloud is from the four corners region of the Southwest. They identify as a Native American, with relations to the Navajo Nation and the Southern Ute Tribe.

Gerald P. “Jerry” Ortiz y Pino

Gerald P. “Jerry” Ortiz y Pino is an American politician and social worker serving as a member of the New Mexico Senate, where he has represented the 12th district since 2005. Born and raised in Santa Fe, New Mexico, he is one of six siblings. Ortiz y Pino earned a Bachelor of Arts degree in Latin American studies from the University of New Mexico and later obtained a Master of Social Work from Tulane University.
Throughout his political career, Ortiz y Pino has been an advocate for various causes.
He succeeded Richard M. Romero, a fellow Democrat, and has run for re-election unopposed in 2008, 2012, and 2016. Additionally, he wrote a recurring column for the Weekly Alibi, an alternative publication in Albuquerque. Notably, Ortiz y Pino has been a strong proponent of cannabis legalization in New Mexico.

BH Region 1 – Santa Fe County*:
Anticipated Entity; 30-day extension- Tribal Engagement
SB3 – Joint Letter from LAC RAC and SFC Regarding Regional Planning and Stakeholder Meeting
Letter from Santa Fe County Manager to First Behavioral Health Region Tribal and Local Government Leaders Concerning SB 3 Accountable Entity
LOC Santa Fe County
LOS Pueblo de San Ildefonso
LOS Pueblo of Pojoaque
LOS Pueblo of Nambé
LOS City of Española
LOS City of Santa Fe

BH Region 2 – Bernalillo County
Pending Sandia Pueblo Meeting 10/2
Bern Co Letter of Commitment
BH Region 2 Application

BH Region 3 – Dona Ana County
IGA In process
BH Region 3 Application
LOC

BH Region 4 – Guadalupe County
BH Region 4 Application
LOI Guadalupe County
LOS San Miguel County
LOS Mora County

BH Region 5 – Eddy County
IGA In process
BH Region 5 Application
LOS

BH Region 6 – Luna County
IGA In process
BH Region 6 Application
LOS Fort Sill
LOS Grant County
LOS Hidalgo

BH Region 7 – Socorro County
IGA In process
BH Region 7 Application
LOS Catron County
LOS Alamo Navajo School Board
LOS Torrance County
LOS Sierra County

BH Region 8 – Taos County
Pending Tribal Engagement
BH Region 8 Application
LOS Taos Pueblo
LOS Union County
LOS Colfax County

BH Region 9 – Curry County
IGA In process
BH Region 9 Application
Budget
Resolution

BH Region 10 – Pending

BH Region 11 – NW Council of Government
Pending Tribal Engagement
BH Region 11 Application
LOS Pueblo of Zuni

BH Region 12 – Lincoln County
Pending Tribal Engagement
BH Region 12 Application
LOI- Lincoln
LOS Otero County

BH Region 13 – Cibola County
Pending Tribal Engagement
BH Region 13 Application
LOS Grants
LOS Milan
LOS Cibola County Health Council
LOS Valencia County

To learn more about Early Access Funding, please visit Health Care Authority’s webpage:
https://www.hca.nm.gov/about_the_department/behavioral-health-reform/

LOCATION

Behavioral Health Reform and Investment Act Executive Committee Meeting
Friday, December 4, 2026, | 2:00 p.m. to 5:00 p.m.
Location: New Mexico Health Care Authority’s Behavioral Health Services Division
37 Plaza La Prensa, Santa Fe, NM 87507

LOCATION

Behavioral Health Reform and Investment Act Executive Committee Meeting
Wednesday, September 2, 2026 | 1:00 p.m. to 5:00 p.m.
Location: New Mexico State Capitol
490 Old Santa Fe Trail, Santa Fe, NM  87501, Room 322

Join virtually:
https://us02web.zoom.us/j/81308801928?pwd=cuIkGgcQdO0vXwzs6BpHTfucAFFMNk.1

Meeting ID: 813 0880 1928
Passcode: 340917

MEETING MATERIALS

July 9, 2026: Public Notice — Special Meeting | English
July 9, 2026: Aviso Pública Enmendado— Reunión Extraordinaria | Español
July 9, 2026: Agenda
July 9, 20226: AOC Tribal Plan History
July 9, 2026: Meeting Minutes 

PUBLIC  NOTICE — SPECIAL MEETING

Behavioral Health Reform and Investment Act Executive Committee Meeting
Thursday, July 9, 2026, | 9:00 a.m. to 12:00 p.m.
Location: New Mexico Health Care Authority’s Behavioral Health Services Division
37 Plaza La Prensa, Santa Fe, NM 87507

The New Mexico Health Care Authority and the Administrative Office of the Courts announce the second special meeting of the Executive Committee established under the Behavioral Health Reform and Investment Act (Senate Bill 3). This Committee oversees the ongoing implementation of SB3 (2025), including statewide coordination, regional planning, and progress toward building a stronger behavioral health system. It brings together leaders from all three branches of government, along with community partners, to support a more responsive and equitable system of care. Public participation is encouraged as we continue this work on behalf of all New Mexicans.

Public participation is encouraged as we work together to build a stronger, more equitable behavioral health system for all New Mexicans.

Join via Zoom
Topic: BHEC Special Meeting
Time: July 9, 2026 at 9:00 a.m. Mountain Time (US and Canada)

Join via Zoom
https://us02web.zoom.us/j/82407426549?pwd=jwvdsPvAqVblk6rftmzwSzHhaqQ8K5.1

Meeting ID: 824 0742 6549
Passcode: 349791

One tap mobile:

NOTICE TO PEOPLE WITH DISABILITIES: If you are an individual with a disability who is in need of a reader, amplifier, qualified sign language interpreter or any other form of auxiliary aid or service to attend or participate in the hearing or meeting, please contact Lisa Noriega at lisa.noriega@hca.nm.gov at least one week prior to the meeting or as soon as possible. Public documents, including the agenda and minutes, can be provided in various accessible formats. Contact Lisa Noreiga at lisa.noriega@hca.nm.gov if a summary or other type of accessible format is needed.

MEETING MATERIALS

• • May 29, 2026: Public Notice — Special Meeting | English
  • May 29, 2026: Aviso De Reunión Pública — Reunión Extraordinaria | Espanol
  • May 29, 2026: Agenda
  • May 29, 2026: Meeting Minutes
  • Presentation: Administrative Office of the Courts
  • Presentation: New Mexico Health Care Authority’s Behavioral Health Services Division

PUBLIC  NOTICE — SPECIAL MEETING

Behavioral Health Reform and Investment Act Executive Committee Meeting
Friday, May 29, 2026, | 9:30 a.m. to 12:30 p.m.
Location: New Mexico Health Care Authority’s Behavioral Health Services Division
37 Plaza La Prensa, Santa Fe, NM 87507

The New Mexico Health Care Authority and the Administrative Office of the Courts announce a special meeting of the Executive Committee established under the Behavioral Health Reform and Investment Act (Senate Bill 3). This Committee oversees the ongoing implementation of SB3 (2025), including statewide coordination, regional planning, and progress toward building a stronger behavioral health system. It brings together leaders from all three branches of government, along with community partners, to support a more responsive and equitable system of care. Public participation is encouraged as we continue this work on behalf of all New Mexicans.

Public participation is encouraged as we work together to build a stronger, more equitable behavioral health system for all New Mexicans.

Join via Zoom
Topic: BHEC Special Meeting
Time: May 29, 2026 10:00 a.m. Mountain Time (US and Canada)

Join via Zoom
https://us02web.zoom.us/j/81045462105?pwd=xGIYLIME0IaYrr0zLEgTCXGKEou36z.1

Meeting ID: 810 4546 2105
Passcode: 362501

One tap mobile:
+16694449171,,81045462105#,,,,*362501# US
+16699006833,,81045462105#,,,,*362501# US (San Jose)

The next Behavioral Health Reform and Investment Act Executive Committee Meeting will take place on April 23, 2026 from 1:00 p.m. to 3:00 p.m. at the New Mexico Health Care Authority, Behavioral Health Services Division. Address: 37 Plaza La Prensa, Santa Fe, NM  87507

MEETING MATERIALS

• April 23, 2026—Public Meeting Notice | English
• April 23, 2026—Aviso Enmendado De Reunión Pública
• April 23, 2026—Agenda
• April 23, 2026—Minutes

PUBLIC MEETING NOTICE

Behavioral Health Reform and Investment Act Executive Committee Meeting
Thursday, April 23, 2026, | 1:00 p.m. to 3:00 p.m.
Location: New Mexico Health Care Authority’s Behavioral Health Services Division
37 Plaza La Prensa, Santa Fe, NM 87507

The New Mexico Health Care Authority and the Administrative Office of the Courts announce the fifth meeting of the Executive Committee established under the Behavioral Health Reform and Investment Act (Senate Bill 3). The Committee continues to shape the structure, cadence, and regional implementation of this landmark legislation, bringing together all three branches of government and community stakeholders to transform behavioral health services statewide. Public participation is encouraged as we work together to build a stronger, more equitable behavioral health system for all New Mexicans.

Public participation is encouraged as we work together to build a stronger, more equitable behavioral health system for all New Mexicans.

Join via Zoom
Topic: BHEC Meeting- April 2026
Time: Apr 23, 2026 01:00 PM Mountain Time (US and Canada)

Join Zoom Meeting
https://us02web.zoom.us/j/83349469890?pwd=yiaopdLcAMs4iTscqygQBg49LKUcKZ.1

Meeting ID: 833 4946 9890
Passcode: 622858

—

One tap mobile
+12532050468,,83349469890#,,,,*622858# US
+12532158782,,83349469890#,,,,*622858# US (Tacoma)

Join instructions
https://us02web.zoom.us/meetings/83349469890/invitations?signature=T2nc7TMHHqWY-VdVZHuhkdoUxh26hen4hS4gOQP6mz0

NOTICE TO PEOPLE WITH DISABILITIES: If you are an individual with a disability who is in need of a reader, amplifier, qualified sign language interpreter or any other form of auxiliary aid or service to attend or participate in the hearing or meeting, please contact Lisa Noriega at lisa.noriega@hca.nm.gov at least one week prior to the meeting or as soon as possible. Public documents, including the agenda and minutes, can be provided in various accessible formats. Contact Lisa Noreiga at lisa.noriega@hca.nm.gov if a summary or other type of accessible format is needed.

Meeting Materials:

• Public Meeting Notice
• Public Meeting Notice – Spanish
• Agenda
• Meeting Minutes

Meeting Materials:

• Public Notice English
• Public Notice Spanish
• Agenda
• Meeting Minutes
• HCA Presentation
• AOC Presentation
• Consolidated Timeline

Meeting Materials:

• Health Care Authority Updates
• Health Care Authority Early Access Funding
• Administrative Office of the Courts Presentation
• University of NM Health Sciences Center Regional Workshop Presentation

Meeting materials:

• SB2 Funding in 2025 General Appropriation Act Table
• The NM Behavioral Health Reform Investment Act Location Map
• The Enhanced Sequential Intercept Model (E-SIM):  New Mexico’s Public Health Approach to Mapping the Behavioral Health System presented by Esperanza Lucero & Annette Crisanti, PhD
• Strategic Vision for Behavioral Health Services

Behavioral Health Reform and Investment Act Executive Committee Meeting Minutes – June 26, 2025