Page 1 May 23, 2022 HB 22-1191 Legislative Council Staff Nonpartisan Services for Colorado’s Legislature Final Fiscal Note Drafting Number: Prime Sponsors: LLS 22-0819 Rep. Herod; McCluskie Sen. Moreno; Jaquez Lewis Date: Bill Status: Fiscal Analyst: May 23, 2022 Signed into Law 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 Budget package bill. 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 final fiscal note reflects the enacted 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. Page 2 May 23, 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 was signed into law by the Governor and took effect March 7, 2022. 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.