0001| HOUSE JOINT MEMORIAL 17 | 0002| 43rd legislature - STATE OF NEW MEXICO - first session, 1997 | 0003| INTRODUCED BY | 0004| TERRY T. MARQUARDT | 0005| | 0006| | 0007| | 0008| FOR THE HEALTH CARE REFORM COMMITTEE | 0009| | 0010| A JOINT MEMORIAL | 0011| REQUESTING THE NEW MEXICO HEALTH POLICY COMMISSION TO CONDUCT A | 0012| STUDY OF HEALTH PROFESSIONAL RECRUITMENT AND RETENTION | 0013| INITIATIVES, EXPLORE NEW DIRECTIONS THAT WILL REFINE EXISTING | 0014| PROGRAMS AND ENHANCE THE VALUE AND EFFECTIVENESS OF STATE- | 0015| FUNDED PROGRAMS FOR THE DELIVERY OF NEEDED HEALTH CARE | 0016| SERVICES. | 0017| | 0018| WHEREAS, access to adequate numbers of well-trained health | 0019| professionals is critically important to the state's health | 0020| care delivery system; and | 0021| WHEREAS, thirty-one of New Mexico's thirty-three counties | 0022| are designated as health professional shortage areas by the | 0023| federal government; and | 0024| WHEREAS, an inappropriate geographic mix or supply of | 0025| health professionals can increase health costs as well as | 0001| restrict access to needed services; and | 0002| WHEREAS, establishment of state-specific standards for | 0003| loan service repayment could assure targeting of health | 0004| professional resources to the areas of greatest need; and | 0005| WHEREAS, different publicly funded recruitment and | 0006| retention efforts have resulted in some duplicative | 0007| administrative functions and variable awards for similar | 0008| programs; and | 0009| WHEREAS, consistency in operation, consolidation of like | 0010| administrative functions and clarity in program purpose would | 0011| enhance the effectiveness of health professional recruitment | 0012| and retention efforts; and | 0013| WHEREAS, local rural communities are the direct | 0014| beneficiaries of recruitment and retention efforts, and they | 0015| may provide valuable insights into their unique needs; and | 0016| WHEREAS, perceived barriers exist that limit the selection | 0017| of rural areas of New Mexico by health professionals as | 0018| locations in which to practice, resulting in difficulty in | 0019| retaining health professionals, particularly for community- | 0020| based rural health clinics; and | 0021| WHEREAS, currently most health professionals in New Mexico | 0022| are trained out of state; and | 0023| WHEREAS, certain populations, such as the uninsured and | 0024| medicaid beneficiaries, are particularly vulnerable to lack of | 0025| available providers in a given geographic area; and | 0001| WHEREAS, an extensive network of two-year post-secondary | 0002| educational institutions currently exists in the state, | 0003| providing accessible and affordable avenues to more advanced | 0004| health professional education; and | 0005| WHEREAS, health professionals who are cross-trained to | 0006| perform a variety of direct patient care services may provide | 0007| rural communities with the ability to assure twenty-four hour | 0008| coverage for these services, improve the efficiency of the | 0009| delivery system and increase patient satisfaction; and | 0010| WHEREAS, health professionals who receive training in | 0011| their own home towns may be more inclined to remain there to | 0012| practice and would benefit from alternative approaches to | 0013| receiving health professional education; | 0014| NOW, THEREFORE, BE IT RESOLVED BY THE LEGISLATURE OF THE | 0015| STATE OF NEW MEXICO that the New Mexico health policy | 0016| commission work together with the department of health, the | 0017| university of New Mexico health sciences center and other | 0018| institutions that train health professionals and the commission | 0019| on higher education to plan, assess and make recommendations | 0020| regarding issues of recruitment and retention of health | 0021| professionals, including the following: | 0022| A. identification of state-specific standards for | 0023| loan repayment with service and alignment of recruitment and | 0024| retention efforts with state goals for the supply and | 0025| distribution of health professionals; | 0001| B. the establishment of consistent terms and awards | 0002| for similar health professional education programs; | 0003| C. the consolidation of administrative functions to | 0004| avoid duplication in health professional recruitment and | 0005| retention programs; | 0006| D. the incorporation of local communities and the | 0007| private sector into policy decisions regarding health | 0008| professional recruitment and retention efforts; | 0009| E. an assessment of perceived barriers to retention | 0010| of health professionals, especially in rural areas; an | 0011| evaluation of the effectiveness of existing initiatives; and | 0012| the development of specific strategies to remove barriers; | 0013| F. a comparison of the potential benefits of | 0014| recruitment of out-of-state students and state-funded education | 0015| and training efforts, to assess the cost effectiveness and | 0016| success of each approach; | 0017| G. the development of an appropriate mix of | 0018| incentives in exchange for service in underserved areas of the | 0019| state to help provide care to medicaid recipients, the | 0020| uninsured and other underserved populations; | 0021| H. identification of ways to ease articulation and | 0022| transfer of credits between institutions, especially between | 0023| two- and four-year health professional education programs; | 0024| I. an assessment of the feasibility and | 0025| effectiveness of cross-training of health professionals to | 0001| allow performance of a wider scope of services, including | 0002| effective training methods and possible changes to individual | 0003| licensing acts that may be required; and | 0004| J. consideration of modular or other non- | 0005| traditional education methods to encourage participation of | 0006| rural health professional candidates and meet the needs of | 0007| rural working health professionals; and | 0008| BE IT FURTHER RESOLVED that an interim report of | 0009| recommendations developed as a result of this cooperative | 0010| effort be presented to the New Mexico health policy commission | 0011| and the appropriate interim legislative committee by October | 0012| 15, 1997 and a final report be presented to the New Mexico | 0013| health policy commission and the appropriate interim | 0014| legislative committee by October 15, 1998; and | 0015| BE IT FURTHER RESOLVED that a copy of this memorial be | 0016| sent to the secretary of health, the vice president of the | 0017| university of New Mexico health sciences center, the chairman | 0018| of the New Mexico health policy commission and the executive | 0019| director of the commission on higher education. | 0020| - 5 - | 0021| | 0022| | 0023| | 0024| | 0025| | 0001| State of New Mexico | 0002| House of Representatives | 0003| | 0004| FORTY-THIRD LEGISLATURE | 0005| FIRST SESSION, 1997 | 0006| | 0007| | 0008| February 21, 1997 | 0009| | 0010| | 0011| Mr. Speaker: | 0012| | 0013| Your BUSINESS AND INDUSTRY COMMITTEE, to whom | 0014| has been referred | 0015| | 0016| HOUSE JOINT MEMORIAL 17 | 0017| | 0018| has had it under consideration and reports same with | 0019| recommendation that it DO PASS, and thence referred to the | 0020| APPROPRIATIONS AND FINANCE COMMITTEE. | 0021| | 0022| Respectfully submitted, | 0023| | 0024| | 0025| | 0001| | 0002| | 0003| Fred Luna, Chairman | 0004| | 0005| | 0006| Adopted Not Adopted | 0007| | 0008| (Chief Clerk) (Chief Clerk) | 0009| | 0010| Date | 0011| | 0012| The roll call vote was 8 For 0 Against | 0013| Yes: 8 | 0014| Excused: Getty, Gubbels, Hobbs, Rodella, Varela | 0015| Absent: None | 0016| | 0017| | 0018| G:\BILLTEXT\BILLW_97\HJ017 State of New Mexico | 0019| House of Representatives | 0020| | 0021| FORTY-THIRD LEGISLATURE | 0022| FIRST SESSION, 1997 | 0023| | 0024| | 0025| February 25, 1997 | 0001| | 0002| | 0003| Mr. Speaker: | 0004| | 0005| Your APPROPRIATIONS AND FINANCE COMMITTEE, to | 0006| whom has been referred | 0007| | 0008| HOUSE JOINT MEMORIAL 17 | 0009| | 0010| has had it under consideration and reports same with | 0011| recommendation that it DO PASS. | 0012| | 0013| Respectfully submitted, | 0014| | 0015| | 0016| | 0017| | 0018| | 0019| Max Coll, Chairman | 0020| | 0021| | 0022| Adopted Not Adopted | 0023| | 0024| (Chief Clerk) (Chief Clerk) | 0025| | 0001| Date | 0002| | 0003| The roll call vote was 13 For 0 Against | 0004| Yes: 13 | 0005| Excused: Heaton, Saavedra, Varela, Watchman | 0006| Absent: None | 0007| | 0008| | 0009| G:\BILLTEXT\BILLW_97\HJ017 | 0010| | 0011| FORTY-THIRD LEGISLATURE | 0012| FIRST SESSION, 1997 | 0013| | 0014| | 0015| March 14, 1997 | 0016| | 0017| Mr. President: | 0018| | 0019| Your PUBLIC AFFAIRS COMMITTEE, to whom has been | 0020| referred | 0021| | 0022| HOUSE JOINT MEMORIAL 17 | 0023| | 0024| has had it under consideration and reports same with | 0025| recommendation that it DO PASS. | 0001| | 0002| Respectfully submitted, | 0003| | 0004| | 0005| | 0006| | 0007| __________________________________ | 0008| Shannon Robinson, Chairman | 0009| | 0010| | 0011| | 0012| Adopted_______________________ Not | 0013| Adopted_______________________ | 0014| (Chief Clerk) (Chief Clerk) | 0015| | 0016| | 0017| | 0018| Date ________________________ | 0019| | 0020| | 0021| The roll call vote was 8 For 0 Against | 0022| Yes: 8 | 0023| No: 0 | 0024| Excused: Smith | 0025| Absent: None | 0001| | 0002| | 0003| HJ017PA1 |