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F I S C A L I M P A C T R E P O R T
SPONSOR Bandy
ORIGINAL DATE
LAST UPDATED
2/14/07
2/16/07 HB 688
SHORT TITLE Health Care Practitioner Gross Receipts
SB
ANALYST Schardin
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY07
FY08
(4,694.7)
Recurring
General Fund
(11,640.3)
Recurring
Federal Funds
(Parenthesis ( ) Indicate Expenditure Decreases)
REVENUE (dollars in thousands)
Estimated Revenue
Recurring
or Non-Rec
Fund
Affected
FY07
FY08
FY09
($54,450.0)
Recurring General Fund
(Parenthesis ( ) Indicate Revenue Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Taxation and Revenue Department (TRD)
SUMMARY
Synopsis of Bill
House Bill 688 expands the gross receipts tax deduction for medical service providers listed in
Section 7-9-93 NMSA 1978 that was enacted in 2004. Under current law, that deduction applies
to receipts of health care practitioners from payments by a managed health care provider or
health care insurer for commercial contract services or Medicare Part C. Receipts from fee-for-
service payments are not eligible. The bill make the deduction apply to any receipts of a health
care practitioner for health services, including fee-for-service payments.
The effective date of these provisions will be July 1, 2007.
pg_0002
House Bill 688 – Page
2
FISCAL IMPLICATIONS
TRD reports that taxable gross receipts of all physicians eligible for expanded gross receipts tax
deduction in this bill will be about $825 million in FY08. At a statewide average tax rate of 6.6
percent, the bill will reduce gross receipts tax collections by about $54,450.0 thousand. Because
Section 7-9-93 holds local governments harmless from the deduction, the entire fiscal impact
will be to the general fund.
TRD estimates that about 30 percent of the $54,450.0 thousand in gross receipts tax reduction, or
$16,335 thousand, will be attributable to receipts paid by Medicaid. Therefore, the bill will
reduce Medicaid appropriations by $16,335 thousand. It is estimated that 71.26 percent of that
appropriation reduction will be from federal funds and the remaining 28.74 percent will be from
the general fund.
ADMINISTRATIVE IMPLICATIONS
TRD reports the bill will make record-keeping easier for taxpayers. They will still need to
separately report their medical services deduction from other deductions such as Medicare Part B
in Section 7-9-77.1 but they will not have to determine which insurance payments qualify for the
deduction.
SS/csd