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F I S C A L I M P A C T R E P O R T
SPONSOR SPAC
ORIGINAL DATE
LAST UPDATED
1/25/06
1/31/06 HB
SHORT TITLE Dona Ana Uncompensated Perinatal Care
SB 77 & 193/SPACS
ANALYST Lewis
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
1,200.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
Health Policy Commission (HPC)
Human Services Department (HSD)
SUMMARY
Synopsis of Bill
The Senate Public Affairs Committee substitute for Senate Bills 77 and 193 appropriates
$1,200,000 from the general fund to the Department of Health for fiscal year 2007 to provide
payment for perinatal health care services provided by physicians and certified nurse midwives
for indigent women in Dona Ana County.
FISCAL IMPLICATIONS
The appropriation of $1,200,000 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.
SIGNIFICANT ISSUES
According to the Department of Health (DOH), perinatal services include care before and after
birth. An estimated 19.1% of mothers who had a live birth in Dona Ana County in 2004 had low
or no prenatal care (i.e. less than 5 prenatal visits during pregnancy). Inadequate prenatal care
pg_0002
Senate Bills 77 & 193/SPACS Page 2
has been linked with increased risk for poor health of the infant, including low birth weight and
prematurity, infant mortality, as well as maternal mortality.
The appropriation in SB
77 & 193/SPACCS
is not, however, part of the DOH executive budget
request.
The Health Policy Commission (HPC) cites statistics from a variety of sources showing that:
28.1% of women in New Mexico are uninsured; and that
between 1992 and 2002, the rate of preterm infants in New Mexico increased nearly 19%.
According to the Human Services Department (HSD), this bill does not specifically identify the
target population, and may overlap with current Medicaid program coverage.
WHAT WILL BE THE CONSEQUENCES OF NOT ENACTING THIS BILL
According to the HPC, low income and uninsured women in Dona Ana County may not have
access to perinatal services and would place their babies at high risks for preterm birth and/or
poor health outcomes.
HSD agrees that low-income women who are not covered by Medicaid, and may not receive fi-
nancial support for perinatal services, will be discouraged from seeking perinatal services, which
may result in more high-risk pregnancies and higher morbidity rates.
ML/yr