New Mexico’s Risk Management Faces Funding Crisis Amid Rising Claims

February 10, 2025

The Risk Management Division of New Mexico’s state government is grappling with severe financial difficulties due to a significant shortfall in its settlement fund. This fund is designed to cover settlements resulting from legal claims against various state agencies. The challenges, causes, proposed solutions, and legislative actions related to this issue are examined in detail.

Financial Shortfall and Projected Liabilities

The Deficit and Its Impact

At the core of the problem is a $3.9 million deficit in the settlement fund, with a projected liability of $87.9 million for future claims. The Risk Management Division, operating under the General Services Department, insures 130 state agencies against various claims, including personal injuries and civil rights violations. Over recent years, the fund has been strained by an increasing number of claims, particularly from New Mexico’s child welfare and corrections departments. These claims have overwhelmed the fund, stretching its resources to the breaking point and forcing state officials to confront the reality of a system ill-prepared to handle such demands.

Increasing Claims and Large Settlements

Several large settlements have significantly impacted the fund. The average number of claims filed against the state has doubled in the last four years to 2,350 annually. As of May 2024, the fund had only enough cash to cover 16% of the anticipated payouts, falling short by about $145 million. Last year, the Legislature authorized a $20 million transfer to the Public Liability Fund and allowed additional transfers from state agencies. However, this measure was insufficient to stabilize the fund, leading to the current predicament. The sharply rising numbers of legal claims, many involving severe allegations and substantial financial penalties, have left state agencies scrambling to meet their obligations without the necessary resources.

Legislative Measures and Proposed Solutions

Raising Insurance Premiums

The Legislative Finance Committee’s report highlighted that raising insurance premiums across most state agencies and seeking additional state funding are crucial steps to address the fund’s deficit. The government insurer plans to increase rates by $10 million to nearly $33.7 million and is requesting a $17 million allocation from lawmakers to bolster the fund’s reserves. However, independent legislative analysis suggests that state laws are not adequately structured to manage escalating settlement costs, a burden that typically falls on individual agencies. This inadequacy means that despite the proposed increases in premium payments and additional allocations, these measures may merely serve as temporary solutions rather than long-term fixes.

Impact on State Agencies

Joseph Simon, a Legislative Finance Committee analyst, noted that insurance premiums are set to rise for approximately 74% of the state’s 130 agencies. Departments with significant settlement histories, such as the New Mexico Corrections Department, New Mexico State University, the Children, Youth and Families Department, the University of New Mexico, and UNM Hospital, will experience the highest premium increases. Even agencies with minimal claims history are seeing substantial percentage increases in their liability premiums, leading to concerns about fairness and effectiveness. This situation creates a difficult balancing act for state officials, who must ensure the sustainability of the fund while also considering the financial strain on agencies that may have limited resources.

Legislative Response to the Funding Crisis

Senate Bill 182 and Senate Bill 220

The legislative response to the funding crisis includes Senate Bill 182, which aimed to cap settlement payments but was tabled by the Senate Judiciary Committee. Meanwhile, Senate Bill 220, which mandates continued publication of settlement data within 30 days of settlement and requires the formation of a review team for incidents involving death or serious injury, was approved by the committee and is progressing to the Senate Finance Committee. These legislative measures reveal a willingness to tackle the crisis head-on, though they also underscore the complexity of managing the varied and often competing interests of state agencies, legal requirements, and victims seeking justice.

Enhancing Legal Capacity

To address the root causes of the rising claims, Acting General Services Secretary Anna Silva announced that the agency is doubling the number of attorneys and holding meetings with agencies that generate the majority of claims. These steps aim to ensure that leadership is aware of and can act on pending settlements. Additionally, a dedicated team will focus on agencies with high claim rates, such as the Children Youth and Families Department, which settled $18 million across 12 cases in 2024 alone. These settlements often stem from historical cases of severe injuries or deaths of children in state custody. By increasing legal resources and fostering better communication among high-claim departments, the state hopes to minimize future liabilities and regain control over spiraling costs.

Systemic Issues and Structural Reforms

The Need for Structural Reforms

The article emphasizes the systemic issues contributing to the fund’s deficit. The design of the risk management system itself has been called into question, with State Senator Pat Woods remarking that “the system is broke.” This sentiment echoes the broader consensus that while individual agencies are not at fault, the structural and legal frameworks governing the fund need reform to prevent future shortfalls. A fragmented and reactive approach has characterized the state’s management of legal liabilities, often exacerbating existing financial vulnerabilities and creating an unsustainable fiscal trajectory.

Proposed Solutions and Legal Strategy

Part of the proposed solution involves not only increasing premiums and obtaining additional funding but also enhancing the legal capacity within the Risk Management Division. By increasing the number of attorneys, the division aims to better manage and defend against claims, reducing the reliance on settlements as the default resolution mechanism. This strategy hopes to transition from being an “open checkbook” to a more discerning and proactive legal strategy. Introducing rigorous criteria for settling claims and improving internal processes could potentially yield significant cost savings, both directly through reduced payouts and indirectly by deterring frivolous claims.

Escalating Costs and Frequency of Claims

Financial Pressures and Vulnerabilities

The overarching trend highlighted in the article is the escalating cost and frequency of legal claims against state agencies. This trend has placed unprecedented pressure on the public liability fund, revealing significant vulnerabilities in the state’s approach to risk management and financial planning for legal settlements. The consensus among state officials and legislators is that without structural changes and increased funding, the fund’s solvency will remain in jeopardy. Persistently underfunded settlement obligations risk severely impairing the state’s ability to meet its legal and financial commitments.

Balancing Fiscal Needs and Systemic Reforms

The Risk Management Division of New Mexico’s state government is currently facing serious financial challenges due to a substantial deficit in its settlement fund. This fund is intended to cover settlements from legal claims directed at different state agencies. The financial strain results from increased claims and rising costs, which have outpaced the available financial resources. Legislators and officials are now exploring several solutions to address this issue. Proposed solutions include increasing the budget allocation for the fund, seeking alternative funding sources, and implementing stringent cost-control measures. Additionally, legislative actions are being considered to ensure the fund’s long-term sustainability. These measures aim to stabilize the division’s finances, ensuring it can adequately meet future claims and maintain its operational effectiveness. The situation underscores the urgent need for thorough examination and strategic planning to restore financial stability and confidence in the system meant to handle legal claims against state agencies.

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