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SPONSOR |
Lopez |
DATE TYPED |
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HB |
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SHORT
TITLE |
Develop Comprehensive Strategic Health Plan |
SB |
34/aSPAC |
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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 HB 93
LFC Files
Response
Received From
Department
of Health (DOH)
SUMMARY
Synopsis of SPAC Amendment
The
Senate Public Affairs Committee Amendments provides for the following changes
to the bill:
q
Includes pharmaceutical manufacturers as
participants in the development of the plan.
This amendment was not included in the HGUAC amendments of the duplicate HB 93.
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.
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
Senate
Bill 34 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
SB34 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 that 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. SB34 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
SB34
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 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 SB34 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 SB34 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/lg