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standing finance committees of the NM Legislature. The LFC does not assume
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Previously issued FIRs and attachments may also be obtained from the LFC
in
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SPONSOR |
Taylor, JP |
DATE TYPED |
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HB |
93/aHGUAC/aSPAC |
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SHORT
TITLE |
Develop Comprehensive Strategic Health Plan |
SB |
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ANALYST |
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APPROPRIATION
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Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
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FY04 |
FY05 |
FY04 |
FY05 |
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Indeterminate |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Duplicates SB 34
LFC Files
Response
Received From
Department
of Health (DOH)
SUMMARY
Synopsis of SPAC
Amendment
The
Senate Public Affairs Committee amendment inserts “pharmaceutical
manufacturers” as a participant in the development of
a comprehensive strategic plan for health. The
amendment corresponds to the language in the duplicate SB34.
Synopsis of HGUAC
Amendment
The
House Government Urban Affairs Committee Amendments provides for the following
changes in the bill:
q
Includes managed care organizations,
major insurers in the state, the HSD, the CYFD, the State Agency on Aging as
participants in the development of the plan. Reference “Amendments” below.
SB34, duplicate to HB 93, amended in SPAC, included pharmaceutical
manufacturers as participants in the development of the plan.
q
Expands
the definition of areas to be addressed in the plan to allow for health disparities
that exist for different population groups. Reference “Amendments” below.
q
Expands the definition on providing
information on a continuum of care model that includes “public health services”
and “emergency medical services”. Reference “Amendments” below.
q
Provides for planning on public health
emergencies. Reference “Amendments” below.
Synopsis
of Original Bill
House
Bill 93 adds a new section to the Department of Health (DOH) Act to require DOH
to develop a comprehensive strategic plan for health in collaboration with the
Health Policy Commission, other state agencies, the legislature, health care
providers, consumer and patient advocates, health care financing organizations,
tribal governments and other stakeholders. The plan would emphasize prevention,
personal responsibility, access and quality.
The
planning process is to ensure the inclusion of public participation and public
input and that geographic representation is achieved. The plan is to be published by
Significant
Issues
HB93 is part
of the Governor’s 4-Point Health Care Reform Agenda and supports the work completed
to date by the Secretaries of Health, Human Services, Children, Youth & Families
and Aging & Long Term Services as a result of the town hall meetings.
In
October 2003, the Steering Committee of the Governor’s Task Force on Health
Care Coverage and Access recommended the state develop and implement a comprehensive
statewide health care plan that includes strategies to increase access, educate
the public, utilize existing resources and develop the state’s health
professional workforce. HB93 would implement this recommendation in law and
provides a clear process and accountability for strategic health planning in
Comprehensive
planning across the public and private sectors has the potential to improve performance
of the entire health system and its component agencies, organizations, and
individuals.
Human Services
Department (HSD), Children, Youth and Families Department, and Aging and Long-Term
Care Department are not specifically named as participating in the development
of the Plan. Also, insurers and Managed
Care entities are not specifically included among those to be consulted in
developing the Plan. (Reference
Amendments Below)
A completion date of
NM
Health Policy Commission administers the Health Information and Alliance Act as
well as the Hospital Inpatient Discharge Database (HIDD). The HPC purpose is to plan and monitor
implementation of the state’s health policy, obtain and evaluate information
regarding the availability and accessibility of health services. Therefore, the
concept of the bill aligns with the statutory duties of the NM Health Policy
Commission. The bill assigns major
responsibility to the Health Department for the plan and HPC appears to be a
minor player. It seems that the DOH is
undertaking more of the responsibilities for these types of activities and perhaps
the mission of the HPC needs to be re-evaluated
FISCAL IMPLICATIONS
HB93
contains no appropriation. However, DOH is fully committed to accomplishing the
statewide comprehensive health plan utilizing existing human and financial
resources.
Data
and development of health status and systems indicators will require additional
resources to assure that the needed data sets are identified and, if not
currently in place or complete, be developed. The state will need to invest in establishing
additional central or state level data systems, such as the collection of
surveillance data for ambulatory health care services and those delivered by
hospital emergency departments and other primary care providers throughout
ADMINISTRATIVE
IMPLICATIONS
The
development, implementation and sustainability of a statewide comprehensive
health plan as envisioned in HB93 will require no new fiscal and/or
programmatic resources for DOH. However, other state agencies have expressed some moderate administrative
implications in terms of additional staff time requirements.
OTHER SUBSTANTIVE
ISSUES
New
Mexicans rank low in access to health care; 20.7% are uninsured, one-third of
children and adults living 100% to 200% below the poverty level are also
uninsured. Regardless of insurance coverage or lack thereof, 62% of insured
adults and 29% of uninsured adults report having unmet health care needs.
The
comprehensiveness of the proposed strategic plan in HB93 supports the DOH to
address the individual, community and systems related issues that affect the
health and well being of our citizens.
Opportunities
exist to coordinate statewide planning activities to meet both short term and
long-term goals.
AMENDMENTS
HSD, CYFD and ALTCD suggest
the following amendments for consideration:
Page
2, Line 5 add: Human Services Department, Children, Youth
and Families Department and the Aging and Long-term Care Department, other
state agencies, the State’s Managed Care Organizations, and the State’s major
insurers as participants in the development of the Plan in
Page 2, Section C.
DOH suggests the
following amendments for consideration:
Page 3, Line 2-4, change to:
(2) the diseases, injuries and risk factors for
physical, behavioral and oral health that have the greatest impact in causing illness and death in the state,
with special attention to and recognition of the disparities that currently
exist for different population groups;
Page 4, after Line 14 and before Section 2,
add: (13)
planning and response to public health emergencies such as bioterrorism,
pandemic flu, disease outbreaks and other situations that will require a
coordinated response by the health care system.
POSSIBLE QUESTIONS
Why isn’t HPC the key agency in this endeavor?
BD/yr:lg