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F I S C A L I M P A C T R E P O R T
SPONSOR Balderas
ORIGINAL DATE
LAST UPDATED
2-4-06
HB 619
SHORT TITLE Mora County Ambulance Services
SB
ANALYST Hadwiger
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
$60.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Finance and Administration (DFA)
Department of Health (DOH)
SUMMARY
Synopsis of Bill
House Bill 619 appropriates $60 thousand from the general fund to the Local Government Divi-
sion (LGD) of the Department of Finance and Administration (DFA) in FY07 to contract for
ambulance services in Mora County.
FISCAL IMPLICATIONS
The appropriation of $60 thousand contained in this bill is a recurring expense to the general
fund. Any unexpended or unencumbered balance remaining at the end of FY07 would revert to
the general fund.
SIGNIFICANT ISSUES
DFA noted that Mora County Ambulance Service is funded annually from the State of New
Mexico from EMS funds. The director of emergency services applies for funds each year, which
are allocated based on the needs of each department. The appropriation in HB619 will be used
for operational costs of the Mora County Ambulance Service. Mora County has eight emer-
pg_0002
House Bill 619 Page 2
gency medical technicians who are volunteers. In that capacity, they are required to answer
emergency calls and participate in ambulance runs. They're paid a minimal amount of compen-
sation for working in 6-hour shifts in addition to mileage and per diem for each ambulance run
made. This appropriation will assist with the operational costs associated with the volunteer
EMT's.
DOH added that the agency has designated Mora County as one of the most underserved, rural/
frontier regions of the state in terms of health care delivery, services and need. Within New Mex-
ico Emergency Medical Services Region I (14 counties of northern and northwestern New Mex-
ico) Mora County and the Interstate 25 Corridor (including San Miguel and Catron Counties) is
considered the area with the highest need for maintaining and developing EMS training, person-
nel and infrastructure. Vehicle crashes are the third leading cause of death in Mora County and
account for a major portion of the over 320 EMS responses that occur there annually. Resi-
dences are spread out and personal transportation is limited for some families. The ambulance
service is a critical safety net for both residents and tourists. The ambulance service which
serves Mora Valley is certified by the Public Regulation Commission as a Basic Life Support
ambulance service, but occasionally they provide more advanced (EMT-Intermediate) level of
response. They have a physician medical director, EMS service director and a training coordina-
tor. They respond when dispatched for all medical and traumatic health emergencies within the
Village of Mora and all of western Mora County.
ADMINISTRATIVE IMPLICATIONS
DFA indicated Mora County will be the fiscal agent of this appropriation. Mora County officials
indicate the County supports this project and has the capacity to administer this appropriation.
This appropriation will be administered by LGD/DFA, who has the capacity to fund and monitor
the project.
TECHNICAL ISSUES
DOH noted that an appropriation has been made for the past few years to Mora County to con-
tract for ambulance services. These funds have historically been administered by DOH rather
than DFA.
OTHER SUBSTANTIVE ISSUES
DFA explained Mora County has a memorandum of understanding (MOU) in place with DFA
for budget and financial oversight. The purpose of the MOU is for the Local Government Divi-
sion to provide the County with assistance to determine financial and budget solutions to past
and current budget deficits. The MOU outlines several conservational measures for the County
to practice, to improve its financial status. The County is practicing budgetary cutbacks, as well
as seeking governmental financial assistance. One of the most extreme of the budgetary cut-
backs has been the reduction in work force. County employees' have had their work week cut
from 40 to 32 hours and elected officials' salaries have been cut by 20%. LGD is aware of the
ongoing financial hardships within Mora County and supports any financial assistance provided,
including this appropriation.
DH/mt