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F I S C A L I M P A C T R E P O R T
SPONSOR Sandoval
ORIGINAL DATE
LAST UPDATED
2/4/06
HB 814
SHORT TITLE Bernalillo Disabilities Services
SB
ANALYST Lewis
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
50.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
Relates to HB 813 (
Services for Persons with Disabilities)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
Developmental Disabilities Planning Council (DDPC)
Human Services Department (HSD)
SUMMARY
Synopsis of Bill
House Bill 814 appropriates $50,000 from the general fund to the Department of Health to con-
tract with
a nonprofit organization that provides services to persons with developmental disabili-
ties, including a Prader-Willi program, for services in Bernalillo County to assist persons with
disabilities to access their communities.
FISCAL IMPLICATIONS
The appropriation of $50,000 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.
pg_0002
House Bill 814 Ė Page
2
SIGNIFICANT ISSUES
According the billís sponsor, the appropriation is intended to support services provided to per-
sons with disabilities by ARCA,
a private nonprofit organization founded in 1957 by parents de-
siring community-based services for their family members with mental retardation and other de-
velopmental disabilities.
According to ARCAís web site at
http://www.arc-a.org/index.htm
ARCA
operates more than
100 residences in the community and serves more than 400 individuals each year. The mission of
ARCAís Prader-Willi Syndrome (PWS) Project is to identify individuals with PWS or PWS-like
conditions and to assist these individuals and their families in finding services that will promote
their health and allow them to choose and achieve their life goals and fully experience commu-
nity life.
The University of Michigan Health Systemís Prader-Willi home page describes Prader-Willi
syndrome as a genetic syndrome that affects one in every 12,000-15,000 people of both sexes
and all races and ethnic groups. It is caused by a disorder of chromosome 15. The major features
of Prader-Willi are obesity, cognitive impairment, behavior problems, poor muscle tone, and less
than normal sex hormones. The major health concerns for people with Prader-Willi are severe
obesity and obesity-related problems such as diabetes, high blood pressure, chronic venous insuf-
ficiency (leading to ulcers in legs and feet), cellulites and hypoventilation; strabismus (crossed
eyes); scoliosis; early osteoporosis; sleep disturbances and sleep apnea; bedwetting; and dental
problems, including soft tooth enamel, thick saliva, poor oral hygiene and teeth grinding. There
is no cure for PWS at this time, though there are lots of health problems that need to be treated.
With early diagnosis and a proactive approach, these kidsí health, growth, and development can
thrive. (
http://www.med.umich.edu/1libr/yourchild/praders.htm
)
The Department of Health (DOH) notes that DOH is required by the state procurement code to
complete the RFP process for contract funding in the amount of $50,000. HB 813 is not part of
the DOH executive budget request.
The Developmental Disabilities Planning Council (DDPC), observing that this bill appears to be
intended to provide funding to a specific organization, questions how many persons would be
served; what services would be provided; and whether the funding will be used to help reduce
the waiting list of over 3,400 people waiting for DD waiver services.
ADMINISTRATIVE IMPLICATIONS
The DOH notes that administrative implication for the department would include staff time to
conduct RFPs, execute a contact and monitor the implementation and completion of the contract.
ALTERNATIVES
The DDPC suggests that,
instead of funding specific developmental disability (DD) providers,
these funds could be used to help offset the list of persons across the state on the Central Registry
who are waiting for DD services.
ML/nt