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SPONSOR: |
Taylor, JP |
DATE TYPED: |
02/07/02 |
HB |
HJM 56 |
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SHORT TITLE: |
School-Based Health Care Programs |
SB |
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ANALYST: |
Dunbar |
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APPROPRIATION
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Appropriation
Contained |
Estimated
Additional Impact |
Recurring or Non-Rec |
Fund Affected |
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FY02 |
FY03 |
FY02 |
FY03 |
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$0.1 See Narrative |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Department of Health (DOH)
State Department of Education (SDE)
Health Policy Commission (HPC)
SUMMARY
Synopsis
of Bill
House Joint Memorial 56 introduced for
the Legislative Health Subcommittee, requests that the Department of Health
(DOH) and the State Department of Public Education (SDE) enter into a formal
agreement to delineate the fiscal and policy accountability for the creation
and maintenance of additional school-based clinics and health care programs.
The bill requests that the findings, recommendations, and agreements be presented
before an appropriate legislative committee by October 1, 2002.
Significant
Issues
The Department of Health (DOH), in collaboration with other state agencies, i.e. Children, Youth and Families (CYFD), Human Services Department (HSD) and the State Department of Education (SDE), currently provides funding for some school-based health centers (SBHC) in New Mexico. Not all SBHCs in New Mexico are funded by the DOH.
The Department of Health, Office of School Health has oversight for DOH contracted sites, including established standards for SBHC operation. Many requests for new SBHC start-ups are received, but current funding levels do not allow for expansion.
The scope of services provided by a school-based
health center is determined by local communities and not necessarily by local
school districts or state entities.
FISCAL IMPLICATIONS
There is no
national funding stream for SBHCs at this time. The Bureau of Primary Health
Care estimates the cost of running a fully operational SBHC is $220.0 per
year. State funding for the DOH
contracted SBHC sites comes from a number of state agencies including Human
Services Department and Children Youth and Families. A total of $ 705.0 supports the sixteen (16) Office of School
Health SBHCs and two new sites contracted with DOH’s Behavioral Health Services
Division.
ADMINISTRATIVE IMPLICATIONS
HJM
56 would require administrative support from the Department of Health, Office
of School Health, and may be accomplished with existing resources.
TECHNICAL ISSUES
The
term utilized nationally and statewide instead of “school-based clinics” is
“school-based health centers”.
During the
2001-2002 school year, the Department of Health and collaborating agencies partially
funded sixteen (16) school-based health center contracts, which provide
services to forty (40) schools. In
addition there are approximately twenty (20) sites that receive funding from a
variety of sources other than DOH, including the Federal Bureau of Primary
Health Care, Indian Health Service and local community sources. Currently, the Department of Health does not
provide oversight for these additional sites, and they are not required to
abide by DOH SBHC standards.
School-based health centers in New Mexico are a successful strategy for providing access to primary care and mental health and substance abuse services to students in rural and frontier areas of the State. Data from the 2000-2001 school year reveals that 8,095 patients received services and 20,427 visits were provided. Of the visits provided, 29% were in urban schools, 19% in frontier schools (located in counties with 6-10 people per square mile) and 52% in rural schools (located in counties with up to 100 people per square mile). The only health care access that some low-income children may have is through the school-based health clinics.
HJM 56 could be a catalyst for further
collaboration amongst agencies, increased accountability and unification of
school-based health center funding streams.
Include as collaborating agencies, the
Human Services Department and the Children, Youth and Families Department since
Medicaid plays a prominent role SBHC.
On Page 1, Line 13 and on Page 2, Line
13, replace the term “school based clinics” with “school-based health centers”.
[1]Begin typing on the * in replace mode. Do not add or delete spaces.