NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature.  The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.



Only the most recent FIR version, excluding attachments, is available on the Intranet. Previously issued FIRs and attachments may be obtained from the LFC office in Suite 101 of the State Capitol Building North.





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





SPONSOR: Picraux DATE TYPED: 02/11/01 HB 492
SHORT TITLE: Home Health Care Gross Receipts Deduction SB
ANALYST: Eaton


REVENUE



Estimated Revenue
Subsequent

Years Impact

Recurring

or Non-Rec

Fund

Affected

FY01 FY02
$ (92.0) $ (100.0) Recurring General Fund
$ (72.0) $ (79.0) Recurring Local Govt.



(Parenthesis ( ) Indicate Revenue Decreases)



Duplicates Senate Bill 347



SOURCES OF INFORMATION



Taxation and Revenue Department (TRD)

Health Policy Commission (HPC)



SUMMARY



Synopsis of Bill



This bill adds "home health agency" to the GRT deduction when the payment is received from the U.S. Government under the Medicare B program. This proposal joins last year's expansion to hospice receipts from Medicare. A home health agency must be licensed by the Department of Health and certified by the federal Health Care Financing Administration (HCFA).



FISCAL IMPLICATIONS



The Taxation and Revenue Department (TRD) estimate the full year impact will decrease general fund revenue by $100.0. Local Government revenues are anticipated to decrease by $79.0.



These impacts are primarily based on 1997 Economic Census of New Mexico, combined with a detailed analysis of gross receipts tax returns. The census reports 125 taxable establishments, with 3,469 employees and $116.8M in sales. An additional 31 establishments, with 1,668 employees and (possibly) $74.2M in sales are listed in the not-for-profit sector. Many ancillary services, including home health and nursing homes reported a decline in Medicare reimbursements from 1997 through 1999. This was a result of a deal cut in 1997's federal Balanced Budget Act of 1997 (BBA). Subsequent legislation has relaxed the provisions of BBA and testimony indicates a return to traditional levels of funding for nursing homes and home health agencies is likely. Accordingly, this estimate uses $116.8M for the base and 41.7% as the Medicare portion.



ADMINISTRATIVE IMPLICATIONS



Minimal.



JBE/njw:ar