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

SPONSOR King

DATE TYPED 3-10-05

HB 1012

SHORT TITLE Maternal and Child Health Programs

SB

ANALYST Collard

APPROPRIATION

Appropriation Contained Estimated Additional Impact Recurring

or Non-Rec

Fund

Affected

FY05

FY06

FY05

FY06

$3,300.0

Recurring General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

Duplicates Appropriation in the General Appropriation Act

SOURCES OF INFORMATION

LFC Files

Responses Received From

Department of Health (DOH)

SUMMARY

Synopsis of Bill

House Bill 1012 appropriates $3.3 million from the general fund to DOH for the purpose of ade-

quately funding maternal and child health programs.

Significant Issues

DOH notes health councils have partnered with DOH in designing and delivering prevention

programs and services. The councils use a common model of community building, capacity

building, assessing, coordinating, planning, evaluating and, when deemed necessary, providing

direct services to communities.

DOH uses the County Maternal and Child Health (CMCH) Plan

Act as a guideline for basic required council structure and function.

DOH also indicates the appropriation in the bill would be used to ensure local oversight and co-

ordination of all community health services and issues that are founded on issues related specifi-

cally to women and children.

House Bill 1012 -- Page 2

FISCAL IMPLICATIONS

The appropriation of $3.3 million 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 gen-

eral fund.

The House Appropriations and Finance Committee recommendation for DOH’s FY06 operating

budget, also adopted by the Senate Finance Committee, contains $3.3 million for the health

councils.

ADMINISTRATIVE IMPLICATIONS

DOH indicates it is staffed adequately to administer this appropriation.

DUPLICATION

House Bill 1012 duplicates an appropriation in the General Appropriation Act to DOH.

OTHER SUBSTANTIVE ISSUES

DOH states the purpose of the CMCH Plan Act is to encourage the development of comprehen-

sive community-based maternal and child services to meet the needs of childbearing women and

their families and improve the long-term health of New Mexicans. DOH assists health councils

to organize in response to each jurisdiction’s unique needs and resources and priorities identified

in the comprehensive health plans.

Health councils are a vital community voice regarding health needs and solutions for the well

being of New Mexico’s women, children and their families by providing support through activi-

ties such as:

.

Prenatal case management (Low birth weight babies)

.

Promotora/Community Health Workers (lay health workers)

.

Home visitation (prenatal and post partum – 3 years)

.

Teen pregnancy prevention

.

Prenatal/Perinatal health education

.

Breast feeding education and support

.

Transportation for women and children to health related services (non Medicaid eligible)

.

Substance abuse/Prevention and education

.

Pharmacy and dental services for non Medicaid eligible women and children

.

Clinical services for non Medicaid eligible women and children

.

Clinical Laboratory services for non Medicaid eligible women and children

.

Behavioral and Mental health services

Adequate financial support is required to continue these activities and assist health councils to be

efficient and effective. DOH indicates effective health councils address multiple issues and the

needs of diverse stakeholders; take responsibility for positive changes in health status; encourage

agencies and organizations to align their work to achieve community goals; focus on understand-

ing the needs of the community and building infrastructure to meet those needs; encourage agen-

cies to understand interdependency and work to reduce redundancy and fill gaps; conduct com-

House Bill 1012 -- Page 3

prehensive health planning within a defined jurisdiction; and evaluate community health im-

provement (CHI) work and makes improvements based on evidence-based evaluation results.

Due to their well-established structure, health councils are active participants and, in many in-

stances, leaders in the formation of local collaboratives for the Behavioral Health Redesign. In

addition, health councils provide an avenue for other community collaborations across depart-

ments and agencies such as Environmental Epidemiology and Emergency Preparedness.

KBC/lg:yr