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.





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





SPONSOR: Marquardt DATE TYPED: 03/09/01 HB HJM 81
SHORT TITLE: Study Publicly funded Health Care Agency SB
ANALYST: Carrillo


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY01 FY02 FY01 FY02
Unknown



(Parenthesis ( ) Indicate Expenditure Decreases)



Duplicates/Relates to Appropriation in The General Appropriation Act





SOURCES OF INFORMATION



General Services Department

Public School Insurance Authority

Retiree Health Care Authority

Health Policy Commission



SUMMARY



Synopsis of Bill



House Joint Memorial requests the Legislative Finance Committee (LFC) study certain aspects of the operations of the publicly funded health care agency (Interagency Task Force -- ITF). The ITF members are: Risk Management Division (RMD); New Mexico Public School Insurance Authority (PSIA); Retiree Health Care Authority (RHCA); and the Albuquerque Public Schools (APS). The emphasis of the study is on the adequacy of coverage in relation to costs for all forms of benefits offered the various constituent memberships. The study should include a recommendation on whether the respective constituent members should be subject to the Patient Protection Act and the mental health parity statutes. The study is to be presented to the Legislative Council and the Legislative Health and Human Services Committee at their November 2002 meetings.









Significant Issues



According to the ITF member agencies, the request for proposals (RFPs) solicited competitive bids on all products, including dental benefits. The publicly funded agencies who participated in consolidated purchasing have voluntarily undertaken to bring their plans into compliance with the Patient Protection Act and mental health parity statutes. There is no publicly funded health care agency, but rather a cooperative group of four agencies who have entered into a joint powers agreement while retaining their individual identities.



RHCA staff comments the agency does not yet use performance-based budgeting; however, they expect the results of the proposed study to show that given the fiscal restraints, the program is offering the highest level benefits for the least expense, in support of our agency program (providing high-quality, comprehensive group health insurance to eligible retirees and dependents).



The PSIA staff notes the introductory statements have been previously addressed in the ITF's response to the Attorney General's report. (Note: The Attorney General's report and the ITF's response are available in the LFC office.)



FISCAL IMPLICATIONS



It is unknown at this time if LFC will require assistance from consultants or the need to purchase publications or reports.



CONFLICT/DUPLICATION/COMPANIONSHIP/RELATIONSHIP



HJM 81 relates to HB 878, Consolidated Purchasing.



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