Fiscal impact reports (FIRs) are prepared by the Legislative Finance Committee (LFC) for standing finance committees of the Legislature. LFC does not assume responsibility for the accuracy of these reports if they are used for other purposes. F I S C A L I M P A C T R E P O R T SPONSOR Torres-Velásquez/Thomson/Hochman- Vigil /Romero, GA. LAST UPDATED ORIGINAL DATE 3/18/2025 SHORT TITLE Study Autobiographical Storytelling Treatment BILL NUMBER House Memorial 61 ANALYST Mercer-Garcia ESTIMATED ADDITIONAL OPERATING BUDGET IMPACT* (dollars in thousands) Agency/Program FY25 FY26 FY27 3 Year Total Cost Recurring or Nonrecurring Fund Affected CYFD Indeterminate but minimal Indeterminate but minimal Indeterminate but minimal Indeterminate but minimal Recurring General Fund Parentheses ( ) indicate expenditure decreases. *Amounts reflect most recent analysis of this legislation. Relates to House Bill 345 Sources of Information LFC Files National Institutes of Health Agency Analysis was Solicited but Not Received From Children, Youth and Families Department (CYFD) Health Care Authority (HCA) SUMMARY Synopsis of House Memorial 61 House Memorial 61 notes the role that autobiographical storytelling or narrative therapy can play as a trauma-informed strategy and requests the Children, Youth and Families Department collaborate with speech language-pathologists and licensed behavioral mental health care providers familiar with trauma and trauma-informed practices to provide language development training and workshops for families and caseworkers. The memorial also requests the agency assist children in developing autobiographical stories and designed experiences for families that use autobiographical storytelling to process traumatic events. This bill does not contain an effective date and, as a result, would go into effect 90 days after the Legislature adjourns if enacted, or June 20, 2025. FISCAL IMPLICATIONS The memorial does not contain an appropriation. CYFD could likely absorb additional costs associated with delivering the training and workshops for families within the existing Behavioral Health Services Division budget, as actual expenditures in FY24 totaled $46 million and were roughly $3.7 million below budgeted levels. House Memorial 61 – Page 2 In addition, CYFD received a Government Results and Opportunity appropriation totaling $1.5 million during the 2024 Legislative session to provide trauma-informed training to staff and foster families. This appropriation is available through FY27 and has no reported expenditures to date. These funds could also be used to implement the trauma-informed approach proposed in the memorial. SIGNIFICANT ISSUES The Behavioral Health Services Division is responsible for providing coordination and management of behavioral health policy, programs, and services for all children in New Mexico, not just the children who are in foster care. The majority of behavioral health services for children in New Mexico are paid for through Medicaid, which is administered by the Health Care Authority. The National Institute of Health notes clinicians working with families who have been impacted by trauma can use family storytelling to aid healing. The American Psychological Association reports Narrative Exposure Therapy, a form of psychotherapy, is a treatment for complex and multiple forms of trauma, including post-traumatic stress disorder. While the memorial does not specify a specific form of psychotherapy, it requests CYFD work with clinicians to provide opportunities for children and families to process trauma through autobiographical storytelling. ADMINISTRATIVE IMPLICATIONS CYFD has experienced challenges with hiring clinicians and other positions within the agency, as noted in the fiscal implications section. The bill would request CYFD to provide new and additional children’s behavioral health services, which could be inhibited by capacity constraints within the agency. CONFLICT, DUPLICATION, COMPANIONSHIP, RELATIONSHIP Relates to House Bill 345, which would require CYFD to provide the Child and Adolescent needs and Strengths (CANS) trauma assessment within 45 days of placing a child into foster care. TECHNICAL ISSUES The memorial does not outline a timeline by which CYFD should initiate and complete requested activities or any request for outcome reporting. RMG/hj