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February 7, 2022 HB 22-1191
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 22-0819
Rep. Herod; McCluskie
Sen. Moreno; Jaquez Lewis
Date:
Bill Status:
Fiscal Analyst:
February 7, 2022
House Appropriations
Erin Reynolds | 303-866-4146
Erin.Reynolds@state.co.us
Bill Topic: EXTENDING REPROD UCTIVE HEALTH-CARE PROG IMPLEMENTATION
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
This bill delays the implementation date for a reproductive health program for people
ineligible for Medicaid due to citizenship or immigration status by six months. It will
shift state expenditures from FY 2021-22 to FY 2022-23.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The fiscal note reflects the introduced bill, which was recommended by the Joint
Budget Committee as part of its FY 2021-22 supplemental budget package.
Summary of Legislation
The bill extends the date by which the Department of Health Care Policy and Financing must
implement a reproductive health program for people ineligible for Medicaid due to citizenship or
immigration status, from January 1, 2022, to July 1, 2022.
Background
Senate Bill 21-009 required the Department of Health Care Policy and Financing to administer a
reproductive health care program to certain individuals who are not eligible for coverage under
Medicaid only because of their citizenship or immigration status, beginning January 1, 2022. The
department received $1,335,388 General Fund in this current FY 2021-22 to make information
technology system modifications required by SB 21-009; however, these changes have been delayed
due to a backlog of other needed system changes.
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February 7, 2022 HB 22-1191
State Expenditures
The delay in implementing the reproductive health program is a result of multiple, high-priority
information technology updates with similar deadlines and not attributable to this bill, which is
aligning the statutory deadlines to the reality of the current implementation schedule. Any unspent
appropriations will revert to the General Fund and future changes in appropriations will be addressed
through the annual budget process.
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his signature.
State and Local Government Contacts
Health Care Policy and Financing Joint Budget Committee
The revenue and expenditure impacts in this fiscal note represent changes from current law under the bill for each
fiscal year. For additional information about fiscal notes, please visit: leg.colorado.gov/fiscalnotes.