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F I S C A L I M P A C T R E P O R T
SPONSOR Jennings
ORIGINAL DATE
LAST UPDATED
2/7/06
HB
SHORT TITLE Expand UNM Dental Residency Program
SB 264
ANALYST Lewis
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
250.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
Related to
HB172 (Develop Dental Hygiene Programs)
Related to SB 83 (Dental Hygiene Programs)
Related to SB 85 (Expand NM Pre-Dental Clubs)
Related to SB 180 (Increase Dental Education Slots)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Higher Education Department (HED)
Department of Health (DOH)
Health Policy Commission (HPC)
SUMMARY
Synopsis of Bill
Senate Bill 264, with emergency clause, appropriates $250,000 from the general fund to the
Board of Regents of the University of New Mexico for expenditure in fiscal years 2006 and 2007
to expand a dental residency program to sites outside Bernalillo County.
FISCAL IMPLICATIONS
The appropriation of $250,000 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
Senate Bill 264 Ė Page
2
As of 2/7/06 the SFC substitute for SB 415 includes
$100,000 to increase the dental residency
program at UNM.
According to the Higher Education Department, anticipated future costs for the program expan-
sion are $500,000 to $600,000. Some revenues would be general by clinical activities and the
Graduation Medical Education (GME) fund allocated through the Medicare/Medicaid programs.
ENMU-Roswell requested $126,500 for the program expansion through HEDís Research, Public
Service, and Special Programs Request. The program is not recommended by HED for expan-
sion at this time.
SIGNIFICANT ISSUES
According to the Health Policy Commission (HPC),
this expansion of the UNMís General Den-
tistry Residency Program was recommended and endorsed by the Governorís Oral Health Coun-
cil and is based in part on recommendations of the 2003 Dental Education Summit report.
According to the Higher Education Department (HED),
New Mexico ranks 49th among states in
the number of dentists per 1,000 people; and nearly 1/3 of the 1,074 dentists licensed in New
Mexico have out-of-state addresses or are over the age of 65. In addition, there is a concentration
of dentists and dental hygienists in Bernalillo County and a shortage of dentists and dental hy-
gienists in rural areas. Thirty-three of New Mexicoís counties are designated as Federal Health
Professions Shortage areas.
HED notes that, for the last two years, the Eastern New Mexico University-Roswell (ENMU-
Roswell) Division of Health and the University of New Mexico (UNM) Health Sciences Center
Administration and Dental Hygiene Program have worked to develop a distance education pro-
gram to create a Bachelorís Degree in Dental Hygiene in Roswell. There is currently a shortage
of dental hygienists in southeastern New Mexico; and in the near future there will also be a
shortage of dentists. At least five Roswell dentists plan to retire within the next five years.
According to the HED, this billís expansion of the Dental Residency Program will build upon the
existing relationship between ENMU-Roswell and UNM. The collaboration extends beyond the
two institutions to include the State of New Mexico Department of Health Rehabilitation Center
as well as local dentists and organizations. The residency program expansion would be a 1 plus 2
program. Students would take their first year of study at UNM and then transfer to Roswell. It is
anticipated that of the five residents currently in the program, two to three would continue for a
second year in Roswell.
HED adds that UNM's Division of Dental Services, created in 1999, offers a post-doctorate in
Advanced Education in General Dentistry Residency. This program is partially funded by a
three-year federal Health Resources and Services Administration (HRSA) grant and provides a
concentrated experience for dentists beyond classes to practice public health dentistry and work
with rural, underserved populations. The program has resulted in attracting five general dentistry
residents to New Mexico, four of whom have stayed in the state, three of whom work in non-
profit clinics.
ML/nt