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F I S C A L I M P A C T R E P O R T
SPONSOR Papen
ORIGINAL DATE
LAST UPDATED
1/25/06
HB
SHORT TITLE Dona Ana County Indigent Prenatal Care
SB 193
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)
Relates to SB 77 (
Dona Ana Uncompensated Prenatal Care)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
Health Policy Commission (HPC)
SUMMARY
Synopsis of Bill
Senate Bill 193 appropriates $1,200,000 from the general fund to the Department of Health for
expenditure in fiscal year 2007 to support prenatal health care for indigent women provided by
physicians and certified nurse midwives 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
Citing a 1999 New Mexico Pregnancy Risk Assessment and Monitoring System (NM PRAMS)
Surveillance Report, the Department of Health (DOH) reports that:
pg_0002
Senate Bill 193 Page
2
17.8% of mothers who had a live birth in Dona Ana County had late or no prenatal care;
5.2% had an unknown level of care; and
only 50% of Dona Ana County mothers had the recommended level of care.
Inadequate use of prenatal care has been linked with increased risk for poor health of the infant
including low birth weight and prematurity, infant mortality and maternal mortality.
ADMINISTRATIVE IMPLICATIONS
According to DOH the SB 193 appropriation would require that DOH staff negotiate, execute
and monitor additional provider agreements.
WHAT WILL BE THE CONSEQUENCES OF NOT ENACTING THIS BILL
The Health Policy Commission (HPC) notes that uninsured, low-income women will continue to
lack adequate prenatal health care placing their babies and themselves at high risk for poor health
outcomes.
ML/nt