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SPONSOR: |
Griego |
DATE TYPED: |
02/05/02 |
HB |
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SHORT TITLE: |
Santa Fe Substance Abuse Treatment Services |
SB |
315 |
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ANALYST: |
Wilson |
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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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$500.0 |
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Recurring |
General Fund |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Relates
to SB 269
Department of Health (DOH)
SUMMARY
Synopsis
of Bill
Senate Bill 315 appropriates $500.0 from the general fund to
the Department of Health for expenditure in fiscal year 2003 as follows:
(1)$250.0 for treatment of “mental health and co-occurring disorders”
associated with alcohol and substance abuse in Santa Fe County; (2) $250.0 to
develop a drug and alcohol detoxification facility in Santa Fe County.
Significant
Issues
There are several facilities in Santa Fe County that provide
treatment for individuals with mental health and co-occurring substance abuse
disorders. There is also a collaboration
of approximately thirty agencies led by Santa Fe County, The Care
Connection. This effort is to create a
more coordinated system of care and divert people from the emergency rooms and
the court system. The goal is to create
a centralized assessment and treatment center.
DOH
notes that the legislation could create duplication of effort by multiple state
agencies, reinforcing the history of insufficient
planning of substance abuse services in Santa Fe County. Also, the language does not reference the
regional care coordination structure in place across New Mexico for substance
abuse and mental health funding.
FISCAL IMPLICATIONS
The appropriation of
$500.0 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.
ADMINISTRATIVE IMPLICATIONS
DOH reports that the language in SB 315 lacks sufficient
guidance to obtain a complete view of administrative impact on the
department. However, in part, the
intent appears to be the development of a new detox facility. This would require significant time, planning
and procurement efforts on the part of Department of Health, Behavioral Health
Services Division and the Region Two Regional Care Coordinator.
CONFLICT/DUPLICATION/COMPANIONSHIP/RELATIONSHIP
SB 315 relates to SB269, which would allocate $150,000 for
short-term detox services for a facility in Santa Fe County.
OTHER SUBSTANTIVE ISSUES
DOH
recognizes the need for funding of substance abuse treatment programs, which is
clearly demonstrated in the review of data on indicators of alcohol and drug
abuse in New Mexico. New Mexico ranks among the highest in the nation on
measures of substance abuse. For example, from CDC Wonder, the rate of illicit
drug overdose death rates for New Mexico in 1997 is 14.7, compared to the
national average in 1997 of 6.2.
DOH has concerns about SB 315, in that it could contribute to poor planning, duplication, and reoccurring costs. The DOH is in the process of completing a statewide Substance Abuse and Mental Health Services Gap Analysis. All substance abuse and mental health service allocations should be made consistent with the findings of the analysis.
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