NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature. The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.
Only the most recent FIR version, excluding attachments, is available on the Intranet. Previously issued FIRs and attachments may be obtained from the LFC office in Suite 101 of the State Capitol Building North.
SPONSOR: | Lujan | DATE TYPED: | 03/6/01 | HB | CS 94/aHJC | ||
SHORT TITLE: | Health Services Gross Receipts Deduction | SB | |||||
ANALYST: | Eaton |
Subsequent
Years Impact |
Recurring
or Non-Rec |
Fund
Affected | ||
FY01 | FY02 | |||
$ (244.0) | $ (265.0) | Recurring | General Fund | |
$ (193.0) | $ (210.0) | Recurring | Local Govt. |
(Parenthesis ( ) Indicate Revenue Decreases)
SOURCES OF INFORMATION
Taxation and Revenue Department (TRD)
SUMMARY
Synopsis of the HJC Amendment
In section five, which specifies responsibilities of CYFD, the phrase "to determine if the infant has been abused or neglected" was deleted. Determining if abuse or neglect has occurred is a requirement of the act Abuse and Neglect Act.
Synopsis of Original Bill
This bill amends a section of the gross receipts and compensating tax act to provide for a deduction of gross receipts from payments by third party administrators of the federal TRICARE program (10 U.S.C. 1072 (7)). TRICARE is a managed care health insurance similar to the state's SALUD program for Medicaid recipients, or various managed care private insurance programs. Three types of Tricare are available to active duty military, military retirees and their families. Roughly 3.9% of the state's population is covered by TRICARE.
FISCAL IMPLICATIONS
The Taxation and Revenue Department estimates that this bill's full year impact will reduce general fund revenue by $265.0 and local government revenues by $210.0. TRD adds that if more practitioners such as nurses, dentists, podiatrists and other licensed health care practitioners participate in TRICARE the bill would increase the general fund and local government impact by about 74%.
OTHER SUBSTANTIVE ISSUES
The following table of costs was provided by TRD.
TRICARE Prime | TRICARE Extra | TRICARE Standard (Standard CHAMPUS) | |
Annual Deductible Individual/Family | None | $150/$300 | $150/$300 |
Annual Enrollment
Fees Individual/Family |
$230/$460 | None | None |
Civilian Provider
copays: Outpatient Visit Emergency Care Mental Health Visit |
$12 $30 $25 |
20% of negotiated fee |
25% of allowable charges |
Civilian Inpatient Cost Share |
$11 per day ($25 minimum) |
$250 per day or 25% of hospital billed charges; plus 20% professional fees |
$390 per day or 25% of hospital billed charges; plus 25% of professional fees |
Civilian Inpatient Mental Health | $40 per day | 20% of institutional and professional charges | $144/day or 25% of institutional and professional charges |
JBE/ar/njw