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

 

 

 

SPONSOR:

Knauer

 

DATE TYPED:

1/24/02

 

HB

72

 

SHORT TITLE:

Breast & Cervical Cancer Services

 

SB

 

 

 

ANALYST:

Dunbar

 

APPROPRIATION

 

Appropriation Contained

Estimated Additional Impact

Recurring

or Non-Rec

Fund

Affected

FY02

FY03

FY02

FY03

 

 

 

$1,600.0

 

 

Recurring

General Fund

 

 

 

$36.0

Recurring

General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

 

 

REVENUE

 

Estimated Revenue

Subsequent

Years Impact

Recurring

or Non-Rec

Fund

Affected

FY02

FY03

 

 

 

 

$7,289.0

 

Recurring

Federal Funds

 

$164.0

 

Recurring

Federal Funds

(Parenthesis ( ) Indicate Revenue Decreases)

 

SOURCES OF INFORMATION

 

Responses Received From

   

Human Services Department (HSD)

 

SUMMARY

 

     Synopsis of Bill

 

HB 72 appropriates $1,600.0 from the general fund to the Health Department to provide matching funds pursuant to the federal Breast and Cervical Cancer Prevention and Treatment Act of 2000 to provide Medicaid eligibility to uninsured women who are under age 65.


These women must be identified through the Centers for Disease Control and Prevention's National Breast and Cervical Cancer Early Detection program.  Moreover, to be eligible for this program a person must not have health insurance or be eligible for Medicaid.


  Significant Issues

 

Coverage includes cancer treatment, as well as the full range of Medicaid benefits. Program will assure access to timely treatment services and reduce mortality from cancer.

HSD’S Medical Assistance Division (MAD) and the Department of Health (DOH) report that up to 850 women would be eligible to participate in this program each year in New Mexico.

           

PERFORMANCE IMPLICATIONS

 

MAD has implemented performance measures that look at the percentage of women enrolled in New Mexico Medicaid who are receiving breast and cervical screens.

 

FISCAL IMPLICATIONS

 

The appropriation of  $1,600.0 contained in this bill is a recurring expense to the general fund. Any unexpended or unencumbered balance remaining at the end of FY 03 shall revert to the general fund. 

 

The federal fiscal participation (FFP) for this program is equal to the enhanced FFP for the State Children’s Health Insurance Program (SCHIP), currently about 82%.  The $1,600.0 would generate $7,289.0. in federal Medicaid dollars, for a total of approximately $8,889. 

 

ADMINISTRATIVE IMPLICATIONS

 

There is no mention of an appropriation for administrative start-up costs.  Implementation of a new Medicaid category would require programming changes to the Medicaid Management Information System (MMIS) and the Income Support Division on-line eligibility (ISD2) system, as well as policy promulgation and training costs. HSD estimated costs are $ 200.0.  The state share of such costs would be at the 82% FFP.

 

BD/njw


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