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F I S C A L I M P A C T R E P O R T
SPONSOR Pinto
ORIGINAL DATE
LAST UPDATED
02/26/07
3/11/07 HB
SHORT TITLE Native American Diabetes Program Funding
SB SM 78
ANALYST Weber
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY07
FY08
NFI
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Human Services Department
Department of Health
SUMMARY
Synopsis of Bill
Senate Memorial 78 urges the Congress and the President of the United States to continue
funding the federal Indian Health Service’s Special Diabetes Program for Native Americans
beyond its expiration in federal fiscal year (FFY) 2008. The House of Representatives
recognizes the increasing number of diagnosed diabetes cases among Native Americans in New
Mexico and the continuing need for diabetes prevention and treatment within Native American
communities.
FISCAL IMPLICATIONS
No fiscal impacts noted.
SIGNIFICANT ISSUES
The Department of Health reports that the purpose of the Special Diabetes Program is to support
Native Americans in developing effective strategies for diabetes care and prevention within their
communities. Approaches include tribe-specific education systems and intertribal sharing of
pg_0002
Senate Memorial 78 – Page
2
successful diabetes prevention strategies. These partnerships include local, regional, and national
tribal diabetes organizations and federal and nonprofit agencies. Source:
http://www.cdc.gov/diabetes/projects/diabetes-wellness.htm
Native Americans are about 2.2 times more likely to have diagnosed diabetes than non-Hispanic
Whites of similar age. (Centers for Disease Control and Prevention 2005). Native American
adults in New Mexico have statistically higher rates of a key risk factor for type 2 diabetes:
overweight and obesity. These rates are 73.3% and 51.3% for Native American and White, non-
Hispanic adults, respectively (NM Behavioral Risk Factor Surveillance System).
Amongst NM
high school students, there are also marked disparities in rates of overweight; for Native
Americans, Hispanics and white non-Hispanics, the rates are 17.4%, 12.9% and 8.2%,
respectively.
Persons with diabetes are at risk for limb amputations, blindness, end-stage kidney disease and
cardiovascular disease. Children are at increasing risk for type 2 diabetes due to obesity, poor
nutrition, and lack of physical exercise.
Medical care and lost productivity for a person with diabetes averages over $13,000 per year,
totaling in excess of $1 billion a year for the state (Diabetes Care study).
MW/nt