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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
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