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

SPONSOR Begaye

DATE TYPED 1/25/05

HB 80

SHORT TITLE Farmington Behavioral Health Services

SB

ANALYST Collard

APPROPRIATION

Appropriation Contained Estimated Additional Impact Recurring

or Non-Rec

Fund

Affected

FY05

FY06

FY05

FY06

$200.0

Recurring General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

SOURCES OF INFORMATION

LFC Files

Responses Received From

Department of Health (DOH)

No Response Received From

Department of Finance and Administration (DFA)

SUMMARY

Synopsis of Bill

House Bill 80 appropriates $200 thousand from the general fund to the Department of Finance

and Administration for the purpose of contracting in FY05 and FY06 with the City of Farming-

ton for behavioral health care services to individuals who have substance abuse problems. Any

unencumbered balance at the end of FY06 will revert to the general fund. The bill contains an

emergency clause.

FISCAL IMPLICATIONS

The appropriation of $200 thousand contained in this bill is a recurring expense to the general

fund due to loss of federal Health Resources and Services Administration Grant (HRSA) fund-

ing. Any unexpended or unencumbered balance remaining at the end of FY06 shall revert to the

general fund.

House Bill 80 -- Page 2

OTHER SUBSTANTIVE ISSUES

The Department of Health notes the Farmington area has a high incidence of substance abuse,

especially among the Native American population.

There is an existing program, Totah, administered through the City of Farmington that provides

services to Native Americans. The funding to Totah by a federal HRSA grant is no longer avail-

able.

Substance abuse services in the Farmington area are currently provided through the Region 1

Regional Care Coordinator, Presbyterian Medical Services, and the Navajo Nation Department

of Behavioral Health. The City of Farmington’s Totah program collaborates with the Region 1

Regional Care Coordinator, the Navajo Nation Department of Behavioral Health and the

Na’nizhoozhi Center.

Additional substance abuse services to individuals in the Farmington area would enlarge the ser-

vice capacity and possibly offer a wider choice of providers and/or services to the population.

ALTERNATIVES

DOH suggests, rather than appropriate funds to DFA, consider providing the funds to the Behav-

ioral Health Purchasing Collaborative, headed out of the Human Services Department. The col-

laborative would then be responsible for contracting with community programs, like those in the

Farmington area. The infrastructure is in place through the Behavioral Health Purchasing Col-

laborative to identify, develop, administer and monitor the services funded with this allocation.

KBC/lg