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F I S C A L I M P A C T R E P O R T
SPONSOR Ezzell
ORIGINAL DATE
LAST UPDATED
2/8/06
HB 574
SHORT TITLE Dexter & Hagerman-Area School Health Services
SB
ANALYST Earp
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
$100.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
Health Policy Commission (HPC)
Public Education Department (PED)
Higher Education Department (HED)
SUMMARY
Synopsis of Bill
House Bill 574 appropriates $100,000 from the general fund to the Board of Regents of Eastern
New Mexico University for the Roswell branch campus to provide school-based health services
to the Dexter, Hagerman and Lake Arthur schools.
FISCAL IMPLICATIONS
The appropriation of $100,000 contained in this bill is a recurring expense to the general fund.
Any unexpended or unencumbered balance remaining at the end of fiscal year 2007 shall revert
to the general fund. The bill contains the Emergency Clause; therefore, funds could be available
for use in fiscal year 2006.
According to information provided through HED and DOH, this funding is needed for increased
operational support of services to the Dexter, Hagerman, and Lake Arthur Schools. This funding
would include coordination, nurse practitioner salary, supplies, gasoline for a mobile van that
would be used to deliver services, and employment of a full-time assistant/coordinator for at
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House Bill 574 Page
2
least one year, until Medicaid billing for eligible children is sufficient to support the primary care
portion of the program.
SIGNIFICANT ISSUES
This proposal was not included among the special program funding requests submitted ENMU to
the Higher Education Department (HED) for review. Consequently, this proposal has not been
included in the HED fiscal year 2007 funding recommendations to the Legislature.
ADMINISTRATIVE IMPLICATIONS
ENMU-Roswell is currently administering programs providing the services to be funded via this
legislation. No significant additional impact is anticipated.
OTHER SUBSTANTIVE ISSUES
Information provided by ENMU Roswell through HED states that an innovative partnership in
Chaves County is beginning to address the huge issues of health care access for children in this
rural part of New Mexico. Through this partnership that includes ENMU-Roswell, Roswell In-
dependent School District, and Pecos Valley Educational Cooperative, some school-based health
services are being provided in Roswell, Dexter, Hagerman, and Lake Arthur. This program pro-
vides services in a coordinated plan and allows allied health students from ENMU-Roswell to
work with professional staff delivering the care. ENMU-Roswell employs a full-time nurse prac-
titioner who provides the primary care for these locations involving access for more than 10,000
children for a total provider time of 16 hours weekly. Total number of children served is ap-
proximate 350 per month.
PED reports that:
According to the PED school fact sheets, the total percent of students receiving free
and reduced lunch in Dexter is 74.6 percent, Hagerman 83.1 percent and Lake Arthur
85.1 percent, indicating that these are high-poverty areas.
The three school districts each have a school nurse and share a nurse practitioner who
provides school-based services. Superintendent Steve Starkey of Hagerman stated that
the three districts (Lake Arthur, Dexter and Hagerman) share a nurse practitioner who
comes to each school about one full day a week.
The schools are Medicaid providers through the regional educational cooperative cen-
ter.
DKE/mt