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SPONSOR: |
Thompson |
DATE TYPED: |
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HB |
HJM 52/aHFl#1 |
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SHORT TITLE: |
Track Brain Injury Information |
SB |
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ANALYST: |
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APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
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FY03 |
FY04 |
FY03 |
FY04 |
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See Narrative |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Relates to SB155, SB 392, SB 406,
SB 479, HB 404
Responses
Received From
Department
of Health (DOH)
Health
Policy Commission (HPC)
Development
Disabilities Planning Council (DDPC)
Human
Services Department (HSD)
SUMMARY
These amendments address the concern of the
NMSHTD pertaining to costs associated with the implementation of the
program. By changing the language,
NMSHTD indicates that there will be no cost associated with the project.
Synopsis of Original Bill
House
Joint Memorial 52 requests that the Department of Health lead a cooperative
effort to develop a system to track the incidence of non-fatal injuries and
disability, conduct public hearings and develop a plan to address the Long-Term
Care needs of persons with brain injury in New Mexico, to include the State
Highway and Transportation Department, the Human Services Department, the
Health Policy Commission, the University of NM Health Sciences Center, and
other relevant state agencies and statewide associations.
HJM
52 would require the Department of Health to compile the injury data and make
annual reports to the legislature. The Department of Health Long Term Services
Division would be required to 1) conduct statewide public hearings to gain
input from the brain injury community, 2) develop a plan to address the Long
Term Care needs of persons with brain injury in NM and 3) consider the
viability of a Medicaid waiver to meet the needs of persons with brain injury.
HJM 52 would also require the
Significant
Issues
TBI
is a significant public health concern. The Centers for Disease Control &
Prevention (CDC) data indicate that in 2001, approximately 1,745 New Mexicans
were hospitalized with a TBI. The cost
of TBI in NM was estimated at $128 million for non-fatal injuries in 1995.
Current data
systems do not provide adequate data on non-fatal injuries in NM and their consequences
for planning, prevention and intervention strategies. Various projects are
currently addressing and trying to build non-fatal injury data collection
systems for NM. These efforts are in various stages of development but few can
provide the statewide and cost data required in HJM 52 at this time. The timing
of HJM 52, according to DOH, would divert energies currently being spent on
building the needed data systems to fulfill the requirements of this
legislation. If this legislation were offered one year later, the state
agencies and their community partners would be in a better position to a)
respond to the requirements, b) take advantage of this legislation to identify
the gaps at that point in time and to build a plan to fill them.
FISCAL IMPLICATIONS
The bill does not contain an appropriation. The most significant fiscal impact would occur in the NMSHTD. Passage of the bill may result in the following increased costs (estimated) to the NMSHTD, which could also adversely affect other programs.
1. Development of a data collection system 15,000
2. Purchase data collection system
hardware/software 35,000
3. Development of the study and report 15,000
subtotal 65,000
4. Maintenance of data collection system 7,000
5. Training data collection personnel 15,000
6. Data collection & entry 30,000
7. Study—conduct, analysis and delivery 50,000
8. Delivery of annual report 10,000
9. Two (2) Full Time Employees 140,000
subtotal 252,000
GRAND TOTAL $317,000
ADMINISTRATIVE IMPLICATIONS
At least
1 additional full time employee would be needed in the Office of
Epidemiology/Injury Epidemiology Unit to adequately meet the requirements of
HJM 52 regarding data collection
NMSHTD indicates that the bill would have short-term negative administrative impact during the development of the data collection system. The long-term impact in the continual gathering, monitoring, and analyzing of data and delivery of annual study and report, would require, at minimum, one full employee or contractor.
HJM
52 would require the New Mexico Department of Health and other
agencies to conduct information collection and planning activities that must be
reported out by October 2003. This timetable does not allow enough time for the
agencies to organize and accomplish the tasks.
RELATIONSHIP
Relates to:
SB 155, which appropriates $38 million through an alcohol
excise tax to be used in part to provide match for federal funds for a
Traumatic Brain Injury (TBI) waiver, for better training of trauma healthcare
professionals and to support additions of trauma centers to other hospitals in
NM.
HB 404, which appropriates $300,000 for TBI awareness,
advocacy and education services to continue efforts started by the 3 year grant
from Health Resources Services Administration (HRSA) to LTSD.
SB 406, which appropriates $330,000 to expand independent
living services to 7 un-served rural counties in NM and increase services at
existing centers for independent living.
These services would be available to persons with TBI.
SB 392, which requires Medicaid to establish a self-directed
option within the Disabled and Elderly Waiver and the Developmental Disability
Waiver. Both waivers serve people with
TBI.
SB 479, which adds permanent impairment due to brain injury
to the Workers’ Compensation Act.
OTHER SUBSTANTIVE ISSUES
DOH
reports that HJM 52 does not reflect
the data collection sources for non-fatal injury that are currently under
development, for example the Trauma Registry, the Prehospital
Data Collection System (PDCS) for EMS run reporting, and the Emergency
Department-Firearm Injury Surveillance System (ED-NMFISS), or the kinds of
resources that these systems require to become fully functional.
Moreover,
DOH says that HJM 52 does not
reflect current long-term planning and interagency cooperation, which include:
a.
Calling together of an interagency work
group to increase data access and joint analysis for the Hospital Inpatient
Discharge Data.
b.
Drafting of an Injury Prevention
Strategic Plan and as a subsection of it an Injury Data Strategic Plan to
identify the goals and tasks involved to generate particularly non-fatal injury
data at both state and at least county level.
c.
Discussions with Native American tribes
and health provider institutions on how their injury data can be included and
should be analyzed.
The need for
regular reporting of non-fatal injuries has been discussed at the staff level
within NMDOH/Public Health Division/Office of Epidemiology and Injury Prevention
and EMS Bureau. Resources are being sought to plan and begin to produce such
reports, and if they become available report development would be implemented.
Traumatic brain injuries (TBI) are one of the
most common type of injuries likely to cause death or permanent disability, yet
public awareness of the causes, prevention strategies and costs is very
low. According to the
HPC reports that:
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