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F I S C A L I M P A C T R E P O R T
SPONSOR Altamirano
DATE TYPED 3/6/05
HB
SHORT TITLE State Library Prostate Cancer Section
SB 475
ANALYST Hadwiger
APPROPRIATION
(in $000s)
Appropriation Contained Estimated Additional Impact Recurring
or Non-Rec
Fund
Affected
FY05
FY06
FY05
FY06
$30.0
Non-Recurring General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Cultural Affairs Department (DCA)
Department of Health (DOH)
SUMMARY
Synopsis of Bill
Senate Bill 475 appropriates $30,000 from the general fund to Cultural Affairs Department
(DCA) for the purpose of developing within the state library system a prostate cancer reference
section.
Significant Issues
The Department of Health (DOH) indicated that prostate cancer is the most commonly diagnosed
cancer among all race/ethnic groups in New Mexico, and it is the second leading cause of cancer
death among New Mexican men. Unlike some other cancers where clinical trials have demon-
strated a decrease in mortality through early detection, there is no scientific consensus on
whether screening and treatment of early stage prostate cancer reduces mortality. Since prostate
cancer diagnostic procedures and treatments commonly cause serious side effects, there is no
consensus that the potential benefits outweigh the harms of screening and treatment. Public and
professional education is imperative for men to receive objective information about the potential
benefits and harms of screening and treatment to assist them in making informed decisions.
pg_0002
Senate Bill 475 -- Page 2
DOH noted that, in 2002, Senate Joint Memorial 8 directed the DOH to convene a task force of
healthcare professionals to develop a report on the burden of prostate cancer in New Mexico; the
status of prevention and early detection for prostate cancer; the controversy over screening and
treatment of prostate cancer; and survivorship issues. The task force made the following rec-
ommendations to the legislature in November 2002: “Education, both public and professional, is
needed in New Mexico regarding prostate cancer. Education and related services should be pro-
vided to: 1) increase public and professional understanding of prostate cancer; 2) assess the risks
and benefits of routine screening; 3) help men make appropriate personal choices regarding
screening and treatment; 4) help men and their families access prostate cancer support services;
5) monitor research on prostate cancer screening; and 6) use science to guide policy, research,
screening and treatment decisions.”
According to DCA, SB475 builds on existing projects at the State Library. The initiative put
forth in this legislation complements two existing health information projects at the State Library
related to Diabetes and Breast Cancer. With this funding, staff would be prepared to use the
models of those two projects to implement the proposed Prostate Cancer Reference Section.
FISCAL IMPLICATIONS
The appropriation of $30,000 contained in this bill is a non-recurring expense to the general
fund. Any unexpended or unencumbered balance remaining at the end of FY06 would revert to
the general fund.
ADMINISTRATIVE IMPLICATIONS
DCA did not anticipate any difficulties to administer these funds. That agency would collaborate
with UNM Health Center Library staff in researching the materials for the proposed Prostate
Cancer Reference Section.
DH/yr