NOTE:  As provided in LFC policy, this report is intended only 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 for other purposes.

 

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

 

 

 

SPONSOR:

Beam

 

DATE TYPED:

02/20/03

 

HB

525

 

SHORT TITLE:

Community-Based Cancer Patient Support

 

SB

 

 

 

ANALYST:

Wilson

 

APPROPRIATION

 

Appropriation Contained

Estimated Additional Impact

Recurring

or Non-Rec

Fund

Affected

FY03

FY04

FY03

FY04

 

 

 

 

 

$275.0

Recurring

General Fund

 

REVENUE

 

Estimated Revenue

Subsequent

Years Impact

Recurring

or Non-Rec

Fund

Affected

FY03

FY04

 

 

 

 

 

See Narrative

Recurring

Federal/Private

(Parenthesis ( ) Indicate Revenue Decreases)

 

Relates to HB 144

Duplicates SB 191

 

SOURCES OF INFORMATION

 

Responses Received From

Department of Health (DOH)

 

SUMMARY

 

     Synopsis of Bill

 

House Bill 525 appropriates $275,000 from the general fund to the Department of Health to provide for comprehensive community-based cancer patient support services for cancer patients with any type of cancer.  Services include education, patient library service, one-to-one matching with cancer veterans, survivorship support groups and an annual statewide survivorship conference.

 

 

 

 

     Significant Issues

 

This year an estimated 7,400 new cases of cancer will be diagnosed in New Mexico. Approximately 40,000 people in the state are currently living with cancer. For every one person living through cancer, there is an average of four other people-spouses, family, caregivers or significant others-who are also affected by the diagnosis.  Therefore, as many as 160,000 people in New Mexico may need cancer support services. 

 

Cancer survivor support services in New Mexico are typically provided through non-profit organizations formed from the “grass-roots” efforts of cancer survivors, who want to assist others through the emotional, physical, and psychological challenges of cancer.  Survivor support organizations provide outreach services that include one-on-one and peer support, lending libraries, and education on all aspects of cancer survivorship, from dealing with the psychosocial aspects of a cancer diagnosis such as fear, anger, grief and loss, to navigating complicated medical, legal and governmental systems.

 

DOH currently contracts for cancer patient and survivor support services in the amount of $172,500 with services available primarily in the Albuquerque metropolitan area.

 

FISCAL IMPLICATIONS

 

The appropriation of $275.0 contained in this bill is a recurring expense to the general fund. Any unexpended or unencumbered balance remaining at the end of fiscal year 2004 shall revert to the general fund.

 

A portion of these funds can be applied to the required state match for the Centers for Disease (CDC) Control and Prevention funded Breast and Cervical Cancer Early Detection Program (B&CC) if needed. Currently DOH is using private funds to match the CDC federal grant which is roughly a three to one match. The private matching funds are in-kind contributions.  When a provider agrees to accept the Medicaid rate rather than the Medicare rate, the difference is counted toward the state’s match.

 

ADMINISTRATIVE IMPLICATIONS

 

DOH will execute and monitor the contracts and could conduct these functions with existing resources.

 

RELATIONSHIP/DUPLICATION

 

Relates to HB 144 that appropriates tobacco settlement program funds for the implementation of a comprehensive cancer control plan and prostrate cancer prevention services.

 

Duplicates SB 191.

 

OTHER SUBSTANTIVE ISSUES

 

Cancer is the second leading cause of death in the state. Approximately one in every five deaths is caused by cancer.  Although cancer is still the second leading cause of death, cancer survival rates have been steadily increasing over the last five years.  As survival rates improve, the need increases for psychosocial support to assist cancer patients with the emotional consequences of diagnosis, treatment and interpersonal relationships affected by the disease. 

 

Research has shown that group support improves the quality of life for cancer patients and may prolong life. Overall, the literature shows social and peer-group support diminishes the sense of isolation, identifies unmet needs, enhances control over events and provides help in dealing with families and health care personnel, in accepting losses and changed roles.   A supportive social environment promotes well-being and can protect persons from the deleterious effects of stressful life events such as cancer.  Support may come from naturally occurring networks such as family and friends, or survivors may seek support from peer survivor support groups or health professionals

 

Since the majority of support service organizations rely on limited funding and are located in Albuquerque, cancer survivors in rural areas of the state are underserved.  The funding in this bill will allow services to be expanded to rural areas of New Mexico, thus reducing identified inequities of cancer support services, improving access to information on available treatment options, reducing the emotional burden of invasive therapy and subsequent recovery, and improving overall patient and family education and quality of life. The target population for the B&CC Program is in rural underserved areas. Increased support services would further awareness of the new Medicaid treatment option for women diagnosed with breast or cervical cancer through the B&CC Program.

 

DW/prr