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F I S C A L I M P A C T R E P O R T

SPONSOR:	Chavez		DATE TYPED:	1/27/00		HB	HJM 7
SHORT TITLE:		Cross - Border Agreement Study				SB
					ANALYST:		Dunbar

APPROPRIATION

Appropriation Contained

Estimated Additional Impact

Recurring

or Non-Rec

Fund

Affected

FY00

FY01

FY00

FY01

NFI

(Parenthesis ( ) Indicate Expenditure Decreases)

Relates to HB55 and HJM8

SOURCES OF INFORMATION

LFC files

Health Policy Commission

SUMMARY

Synopsis of Bill

HJM 7 requests that a study be performed by the US\Mexico Border Health Commission to examine the need for cross-border agreements related to fire protection, emergency medical services and public health and safety needs for the border region population of 11 million.

Significant Issues

HJM 7 mentions the grim health statistics of the border region and the need for increased public safety resources, including fire protection and emergency medical services. The bill requests that the study also consider legal, jurisdictional and liability issues.

RELATIONSHIP

Relates to HB 55 which appropriates $50,000 for Border Health Services and HJM 8 which requests Congress to provide federal impact aid for US communities along the US\Mexico border.

OTHER SUBSTANTIVE ISSUES

According to the Health Policy Commission the:

•US\Mexico border has divergent governments and approaches to public policies
• Border XXI Framework Document released in 1996 described 5 year objectives and

strategies for the border region

•Spread of communicable disease and adverse environmental conditions affecting health do not recognize international or state boundaries.

The Health Policy Commission notes that the consensus development and coordination of binational strategies to facilitate health care educational programs, immunization and prevention programs may not be achieved in opportune time if the bill is not enacted.

BD/njw