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





SPONSOR: Feldman DATE TYPED: 1/31/00 HB
SHORT TITLE: Child & Adolescent Mental Health Services SB 92
ANALYST: Esquibel


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY00 FY01 FY00 FY01
$ 2,000.0 Recurring General Fund



(Parenthesis ( ) Indicate Expenditure Decreases)



Duplicates/Conflicts with/Companion to/Relates to



SOURCES OF INFORMATION



Department of Health

Human Services Department



SUMMARY



Synopsis of Bill



The bill appropriates $2,000.0 to provide expanded prevention and intervention mental health services statewide for children and adolescents. The services include early identification, evaluation, assessment, treatment, family involvement, case management and follow-up.



FISCAL IMPLICATIONS



The bill appropriates $2 million in general fund in FY01 to the Department of Health's office of school health.



The Human Services Department indicates SB92 potentially duplicates funds for Medicaid-eligible services for children, and is also appropriating general fund while not generating eligible federal matching dollars.



Medicaid-eligible children already receive the services provided for in the bill through the early and periodic screening, diagnosis and treatment (EPSDT) program. The number of uninsured children is decreasing in New Mexico due to the Medicaid enrollment of thousands of uninsured children through the state children's health insurance program (SCHIP).



Medicaid reimburses schools directly for case management and mental health services such as counseling, evaluation and therapy provided to children, their parents or multifamily groups.



Additionally, schools are currently required to provide early identification and treatment for all children through the Federal Individuals with Disabilities Education Act (IDEA). IDEA funds are provided to every state to cover services in the school that are identified in each child's Individual Education Plan (IEP) or Individual Family Service Plan (IFSP).



ADMINISTRATIVE IMPLICATIONS



The Department of Health indicates it would require funds for additional staff time to administer the provisions of the bill.



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