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

SPONSOR Garcia, MH

ORIGINAL DATE

LAST UPDATED

2-1-06

HB 431

SHORT TITLE

DONA ANA MEDICAL RECORD-KEEPING

SOFTWARE

SB

ANALYST Hadwiger

APPROPRIATION (dollars in thousands)

Appropriation

Recurring

or Non-Rec

Fund

Affected

FY06

FY07

$206.1

Non-Rec

General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

SOURCES OF INFORMATION

LFC Files

Responses Received From

Department of Finance and Administration (DFA)

SUMMARY

Synopsis of Bill

House Bill 431 appropriates $206.1 thousand from the general fund to the Local Government

Division (LGD) of the Department of Finance and Administration (DFA) in FY07 for electronic

medical record-keeping computer software for Dona Ana County.

FISCAL IMPLICATIONS

The appropriation of $206.1 thousand contained in this bill is a non-recurring expense to the

general fund. Any unexpended or unencumbered balance remaining at the end of FY07 would

revert to the general fund.

DFA noted that the funds requested are not sufficient to cover all costs in phase one of the pro-

ject.

SIGNIFICANT ISSUES

DFA pointed out that the Dona Ana County Health and Human Services Department (DAHHS),

stated the department offers a continuum of care through coordination, resource development

House Bill 431 – Page 2

and provision of services in order to improve the quality of life in Dona Ana County. The crea-

tion of DAHHS in 2001 marked an extraordinary step toward developing a strong collaborative

in effectively integrating resources and services. Currently, four divisions comprise DAHHS:

South Central NM Prevention Coalition, Health Care Division, Maternal and Child Health Divi-

sion, DWI Division and Community Outreach Division. The County currently administers four

health related programs involved in broad community health improvements. DFA noted that a

collaborative electronic medical record keeping computer software would be the first phase in

linking providers into a single system. The system would help implement and sustain an elec-

tronic health care management information system to: 1) implement an integrated community

health care delivery system to coordinate health care access and services for uninsured and un-

derinsured county residents, 2) develop coordinated systems of care for uninsured and underin-

sured residents with chronic care conditions, and 3) enhance access to and standardize entitle-

ment and insurance programs eligibility processes throughout the county health care system.

ADMINISTRATIVE IMPLICATIONS

LGD/DFA and Dona Ana County will enter into a grant agreement for services associated with

electronic medical record keeping computer software.

DH/nt