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





SPONSOR: Garcia, MP DATE TYPED: 1/25/00 HB 84
SHORT TITLE: Adult Home Daycare Services SB
ANALYST: Esquibel

APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY00 FY01 FY00 FY01
$50.0* $ 0.0 Recurring General Fund



*These funds would be available in FY00 and FY01.



(Parenthesis ( ) Indicate Expenditure Decreases)



Relates to SB118



SOURCES OF INFORMATION



Developmental Disabilities Planning Council

Human Services Department

Health Policy Commission did not respond

State Agency on Aging

Department of Health



SUMMARY



Synopsis of Bill



The bill appropriates $50.0 to support a program offering personal care, home management, transportation, household maintenance, case management and advocacy services to elderly and disabled low-income persons at risk of institutionalization, abuse, neglect or exploitation in the south valley of Bernalillo county.



Significant Issues



The NM Medicaid program offers personal care services throughout the state to disabled and elderly individuals who meet a nursing facility level of care and who are currently on Medicaid.



The Human Services Department indicates the State Agency on Aging services should be provided to those low-income persons who do not qualify for the Medicaid personal care option or for other home and community-based options available under the Medicaid program.



FISCAL IMPLICATIONS



The bill appropriates $50.0 in general fund in FY00 and FY01 to the State Agency on Aging.



The bill does not specify if these funds should be used to leverage federal Medicaid funds.



The Department of Health indicates the services proposed in this bill are already provided through the Children, Youth and Families Department through its Adult Protective Services Division, and by the Human Services Department through its Medicaid program.



Additionally, the Department of Health indicates leveraging the $50.0 appropriation contained in the bill to match the Medicaid waiver personal care funds would purchase about 3,700 hours of services. If individuals received 250 hours per year of in-home personal care, this funding could serve about 15 individuals. A $50.0 appropriation to one part of the state serves to further fragment the long-term care delivery system that is needed statewide.



CONFLICT/DUPLICATION/COMPANIONSHIP/RELATIONSHIP



This bill relates to SB118 which also provides $50.0 for home and community-based services in Bernalillo county.



TECHNICAL ISSUES



The bill does not specify the number of people who could be served and if the funds could be used to leverage Medicaid revenue.



The Human Services Department suggests an amendment to add language that states that the low-income persons must be ineligible for Medicaid personal care services or other Medicaid home and community-based services.



RAE/njw