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SPONSOR: |
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DATE TYPED: |
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HB |
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SHORT TITLE: |
Traumatic Brain Injury Awarness |
SB |
362 |
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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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$300.0 |
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Recurring
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GF |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Duplicates HB 404
Relates to SB 155
Responses
Received From
Department
of Health (DOH)
Health
Policy Commission (HPC)
SUMMARY
Synopsis of Bill
Senate
Bill 362 appropriates $300,000 from the general fund to the Department of
Health (DOH), Long Term Services Division (LTSD) for expenditure in fiscal year
2004 to provide continuing support for public education and advocacy training
for traumatic brain injury (TBI) and its associated demands and costs. The bill indicates that funds may be used as
matching for federal resources.
Significant Issues
The
frequency of traumatic brain injury in the
The
general population and persons with a traumatic brain injury have few education
or resource avenues in
There
are 10 providers under contract with the Department of Health to provide
services for traumatic brain injury.
Eligibility criteria for services include that an individual must be a
resident of the State, must have their diagnosis verified by a doctor and must
reside outside of an institution or be in the process of
institutionalization.
Services
to individuals with traumatic brain injury include: homemaker/companion,
personal services, in-home respite, nursing, speech therapy, occupational and
physical therapy, assistive-device training, prescription drugs and emergency
living expenses.
FISCAL IMPLICATIONS
The appropriation of
$300.0 contained in this bill is a recurring expense to the general fund. Any
unencumbered or unexpended balance of the appropriation would revert to the
General Fund.
The
language in the bill supports "matching federal' funds for the HRSA
grant. The current HRSA grant is for
$200,000 with a
ADMINISTRATIVE IMPLICATIONS
Administration
implications should be minimal. It would
increase the funding to the LTSD, TBI Program.
Activities could be provided under contracts administered by LTSD.
DUPLICATION, RELATIONSHIP
Duplicates HB
404.
Relates
to SB 155, which calls for a liquor excise tax that would direct money to the
DOH for brain injury education, awareness, and matching for a TBI waiver.
TECHNICAL ISSUES
The
language in the bill supports "matching federal' funds for the HRSA
grant. The current HRSA grant is for
$200,000 with a
OTHER SUBSTANTIVE ISSUES
The
medical community and the general population are ill informed about the affects
of traumatic brain injury (TBI) and often have unrealistic expectations for
person who have had a TBI. Persons with
a traumatic brain injury, family, friends and employers often have high
expectation for complete recovery once the injured person's outward wounds have
healed.
Recovery is
usually very slow. Changes in personality, learning capacity and human
potential are profound. Cognitive and
behavioral effects often appear years after the injury worsen with aging. TBI is appropriately called the "silent
disability" because its effects are often not noticable. Therefore, it is important to increase public
awareness of TBI so affected individuals obtain treatment and services.
Nationally
80,000 to 90,000 persons experience the onset of long-term or life long
disability associated with TBI each year.
§
In the
§
Head injury is a recognized health problem
with many long-term effects for the injured, their families, and the community
in NM.
§
Centers for Disease Control and
Prevention (CDC) data indicate that about 1745 persons were hospitalized with a
TBI in NM in 2001.
§
NM Trauma admission data for 1996-1997
documented 2774 head injuries in the two years. Of these 927 were mild to
moderate head injuries.
§
Medical costs for a relatively mild TBI
are estimated at $150,000 per case for the first year.
§
The cost of TBI in NM in 1995 was
estimated at $152 million for deaths and $128 million for non-fatal cases.
§
The
leading causes of TBI are vehicle crashes, primarily crashes involving motor
vehicles, bicycles, pedestrians, and recreational vehicles.
§
Males
are twice as likely as females to sustain a TBI
§
People
between the ages of 15-24 years and over age 75 are the age groups at highest
risk for TBI.
People
with traumatic brain injury usually need extensive rehabilitation and home
based support. By the time the injured have spent months of recovery in an
institutional setting and are able to return home, they have often lost their
means of making a living, their home, their insurance coverage and their
support resources; and have not yet qualified for services under payor sources like Medicaid or a Medicaid waiver.
Delete
in line 19 “obtaining matching”
Insert in
line 19 following the word support “for supplementing”