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F I S C A L I M P A C T R E P O R T

SPONSOR Trujillo

DATE TYPED 2-2-05

HB 390

SHORT TITLE Statewide Info and Referral Task Force Program

SB

ANALYST Collard

APPROPRIATION

Appropriation Contained Estimated Additional Impact Recurring

or Non-Rec

Fund

Affected

FY05

FY06

FY05

FY06

$300.0

Recurring General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

Duplicates SB 317

Relates to SB 206

SOURCES OF INFORMATION

LFC Files

Responses Received From

Developmental Disabilities Planning Council (DDPC)

Department of Health (DOH)

Human Services Department (HSD)

Aging and Long-Term Services Department (ALTSD)

Children, Youth and Families Department (CYFD)

General Services Department (GSD)

SUMMARY

Synopsis of Bill

House Bill 390 appropriates $300 thousand from the general fund to DDPC for the purpose of

establishing a statewide “211” information and referral system for health and human services in

FY05 and FY06. The appropriation will be used to establish a task force to develop a compre-

hensive implementation plan and develop and implement five “211” information and referral

centers in the state. This bill contains and emergency clause.

Significant Issues

HSD notes the $300 thousand appropriation will be added to over $700 thousand that has been

contributed toward a statewide information and referral system by United Way agencies across

the state. Currently, 1.1 million people have access to the “211” information and referral system

House Bill 390 -- Page 2

in limited areas across the state. The appropriation allows the system to expand into additional

communities. The appropriation also allows existing communities to expand the hours of opera-

tions to seven days a week and twelve hours a day.

Additionally, federal legislation is proposed that, if passed, would match the total public and pri-

vate partnership funding on a one-to-one basis. If received, a federal match of $1 million may be

recognized to even further expand the “211” network.

As noted in the LFC budget write-up for DDPC, “The first governor's performance review sug-

gested implementing a statewide 2-1-1 network in New Mexico. According to the review, "2-1-

1 is the national abbreviated dialing code for free access to health and human services informa-

tion for referrals, and could replace most of the existing toll-free 800 numbers maintained by

New Mexico health and human services agencies." The review placed DDPC in charge of the

implementation. To date, DDPC is coordinating with other health and human services agencies,

such as the Public Education Department - Special Education Division, the Children, Youth, and

Families Department, the Department of Health, and the Office of Workforce Training and De-

velopment, to fund and administer the network. Currently, DDPC has negotiated approximately

$72.5 thousand from these agencies. The review calls for the elimination of 30 percent of the

existing health and human services toll-free phone lines by FY08.”

DOH notes considerations would be needed to accommodate callers who do not speak English.

Additionally, a 24-hour nurse health access telephone advice line has been proposed and the

“211” information and referral program could provide to or receive referrals from the nurse

health advice line.

PERFORMANCE IMPLICATIONS

DDPC notes the “211” system is a governor’s performance review initiative with specific per-

formance indicators including: number of New Mexicans with access to the “211” system, num-

ber of calls, caller satisfaction, reduction of non appropriate calls to existing state 1-800 lines.

Without this funding, DDPC indicates the performance outcomes will not be met.

FISCAL IMPLICATIONS

The appropriation of $300 thousand contained in this bill is a recurring expense to the general

fund. Any unexpended or unencumbered balance remaining at the end of FY06 shall revert to the

general fund.

DDPC indicates the “211” system has been supported through small amounts of federal grant

dollars from DOH, CYFD, HSD, DDPC, and the Public Education Department. The United

Ways have contributed over $700 thousand this year alone. The funds from the various state

agencies are a one-time allocation. Without state funding, the public/private partnership will dis-

solve and this program will be lost. With a reccurring allocation of $300 thousand combined

with the United Way funds and the possible federal match of $1 million, the state will be able to

provide this single point of entry to state and non-state services.

ALTSD notes each individual information and referral program operates its own database of ser-

vices. Moving to a statewide network of information may require additional funding beyond the

cost of establishing the task force, creating a statewide plan and establishing the five proposed

centers.

House Bill 390 -- Page 3

ADMINISTRATIVE IMPLICATIONS

DDPC indicates the agency has been working with ALTSD to either maintain the program at

DDPC or move it to ALTSD. Either agency will absorb the administrative cost over and above

the operational cost covered in this bill

CYFD notes the department will continue to work with the statewide “211” project to facilitate

coordination with the CYFD Statewide Central Intake (SCI) referral system. Coordination be-

tween “211” and SCI is critical to assure that emergency calls are properly screened and referred

to SCI or law enforcement. When implemented, the “211” project is expected to alleviate SCI

from managing approximately 40 thousand annual calls for information and referrals not related

to child and adult abuse or neglect or foster parenting.

DUPLICATION, RELATIONSHIP

House Bill 390 duplicates Senate Bill 317.

Additionally, the bill relates to a plethora of introduced bills, such as Senate Bill 206 which

would appropriate $600 thousand from the general fund to DOH for expenditure in fiscal years

2005 and 2006 to contract with a statewide consortium of safety net providers and to establish a

twenty-four-hour nurse health access telephone advice line. All lines should be connected to the

“211” system.

TECHNICAL ISSUES

ALTSD notes Senate Bill 422, which passed in 2003, created the Information and Referral Task

Force with an appropriation of $150 thousand for fiscal years 2003 and 2004. The current bill

requests establishment of the task force and development a comprehensive implementation plan.

The partnership with private entities such as United Way, who has led the nationwide “211” ini-

tiative, should be clarified. Similarly, the request for monies to develop five “211” centers must

be clarified as to whether the funding will go to new communities, or is intended for the estab-

lishment and growth of the existing “211” programs.

CYFD notes a statewide “211” planning committee is already established and has been adminis-

tered through DDPC since 2002. An implementation plan was developed by the committee in

September 2004. If the bill intends to fund development of a revised plan, the planning process

and implementation of five centers are unlikely to occur within a single funding year.

HSD notes the bill fails to provide specific guidelines concerning how the appropriation is to be

used, other than a vague instruction to develop a statewide “211” information and referral sys-

tem. The bill does not specify the purpose of the statewide system, who will benefit from the sys-

tem, how it is to be set up and by whom, who will operate the system, who will administer it,

who will control the content of the system, etc. Under the bill as drafted, the DDPC has the au-

thority to develop any type of it system it chooses and operate that system as it sees fit.

OTHER SUBSTANTIVE ISSUES

DDPC states the “211” system is accessible by phone, internet and walk-in services. State agen-

cies can use “211” to find resources when developing plans under the various state services. For

example, a person seeking employment may also need child care, and the case manager can use

the “211” system to identify the needed resource to complete the plan and allow the individual to

enter employment.

House Bill 390 -- Page 4

DOH indicates “211” telephone systems have been approved by the New Mexico Public Regula-

tion Commission. The “211” system can be accessed via computer, telephone, or through 5 cen-

ters. Seventy percent (70%) of the calls received currently by the 1-800 numbers are not appro-

priate to the agency called. The “211” system works on a 2 call maximum required to get to the

desired agency. The system expects to service 2,000 projected calls for FY05.

Additionally, DOH notes operators on the “211” information and referral system triage calls

from the general public and connect the caller to appropriate government and private sector

agencies. The “211” information and referral system is intended to reduce the number of calls a

state resident needs to make in order to be connected with the appropriate agency or agencies for

help. It is also intended to reduce the number of inappropriate calls public and private resources

receive each year. A comprehensive “211” system would also be useful to agencies coordinating

ancillary supports (state, local and private) for their clients. Passage of this bill would be helpful

in drawing down federal matching funds.

KBC/lg