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F I S C A L I M P A C T R E P O R T
SPONSOR Rodriguez
ORIGINAL DATE
LAST UPDATED
2-6-06
HB
SHORT TITLE UNM Hepatitis C ECHO Program
SB 378
ANALYST Collard
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
$2,000.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
Relates to Appropriation in the General Appropriation Act
ESTIMATED ADDITIONAL OPERATING BUDGET IMPACT (dollars in thousands)
FY06
FY07
FY08 3 Year
Total Cost
Recurring
or Non-Rec
Fund
Affected
Total
$143.0 $143.0
$286.0 Recurring General
Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
SUMMARY
Synopsis of Bill
Senate Bill 378 appropriates $2 million from the general fund to DOH for the purpose of funding
the hepatitis C Extension for Community Health Outcomes (ECHO) program at the University of
New Mexico (UNM).
FISCAL IMPLICATIONS
The appropriation of $2 million contained in this bill is a recurring expense to the general fund.
Any unexpended or unencumbered balance remaining at the end of FY07 shall revert to the gen-
eral fund.
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Senate Bill 378 Page
2
SIGNIFICANT ISSUES
DOH indicates New Mexico ranks first in the nation for its death rate due to chronic liver disease
and cirrhosis, which is often the result of chronic hepatitis C infection. Conservative estimates
suggest that as many as 32,000 people in the state are infected with hepatitis C, but recent data
analysis from the Epidemiology and Response Division suggests that the figure could be signifi-
cantly higher.
ECHO directs telehealth clinical consultation to rural primary care centers enabling them to pro-
vide hepatitis C disease management and treatment to uninsured persons in their home communi-
ties. This expands access to services beyond the urban center of Albuquerque and that of the in-
sured population.
The expanded support proposed by this bill for ECHO would increase the number of rural pri-
mary care providers trained to provide hepatitis C chronic disease management and to oversee
the treatment of uninsured patients.
ADMINISTRATIVE IMPLICATIONS
DOH indicates adequate monitoring and evaluation of the project would require one additional
FTE plus one FTE for the surveillance team to monitor current cases plus new hepatitis C pa-
tients that are identified through the ECHO Program. Costs necessary for this program expan-
sion would include $60 thousand average per FTE (2 FTE) for a total of approximately $120
thousand, plus $23 thousand for office and storage space, computers, software licensing, etc.
RELATIONSHIP
The General Appropriation Act of 2006, as adopted by the House Appropriations and Finance
Committee, includes $1.1 million for the ECHO project at UNM.
KBC/mt