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April 4, 2022 HB 22-1251
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 22-0199
Rep. Roberts
Sen. Bridges
Date:
Bill Status:
Fiscal Analyst:
April 4, 2022
House Health & Insurance
Annie Scott | 303-866-5851
Annie.Scott@state.co.us
Bill Topic: CARDIAC ARREST MANAGEMENT
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
This bill creates the Office of Sudden Cardiac Arrest Management in the Department
of Public Health and Environment to promote the use of public access defibrillators
and coordinate the collection of sudden cardiac arrest data. The bill increases state
expenditures and may increase revenue beginning in FY 2022-23.
Appropriation
Summary:
For FY 2022-23, the bill requires an appropriation of $200,000 to the Department of
Public Health and Environment.
Fiscal Note
Status:
The preliminary fiscal note is provided pursuant to Joint Rule 22(b) (2) and reflects
strike-below Amendment L.001. Due to time constraints, this analysis is preliminary
and will be updated following further review and any additional information received.
Table 1
State Fiscal Impacts Under HB 22-1251
Budget Year
FY 2022-23
Out Year
FY 2023-24
Revenue - -
Expenditures General Fund $200,000 $200,000
Transfers - -
Other Budget Impacts General Fund Reserve $30,000 $30,000
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April 4, 2022 HB 22-1251
Summary of Legislation
The bill creates the Office of Sudden Cardiac Arrest Management (office) in the Department of Public
Health and Environment (CDPHE). The office is required to:
coordinate and collect sudden cardiac arrest data;
implement an outreach campaign to raise awareness about sudden cardiac arrest and the use of
public access defibrillators, and provide education about life-saving actions;
maintain a list of training and education programs offered in the state that teach skills including
cardiopulmonary resuscitation and the use of a defibrillator; and
coordinate data submissions concerning the location of public access defibrillators.
In addition, the office may acquire, analyze, and oversee sudden cardiac arrest data, release reports
generated from the data, and share the data with emergency response and research entities, as well as
sudden cardiac arrest and automated external defibrillator registries.
The Board of Health is authorized to promulgate rules related to the work of the office.
Beginning in FY 2022-23, the General Assembly is required to appropriate $200,000 annually from the
General Fund to the CDPHE to implement the bill, and the CDPHE is allowed to seek, accept, and
expend gifts, grants, and donations.
State Revenue
The bill potentially increases state revenue to the CDPHE from gifts, grants, or donations; however,
no sources have been identified at this time. Gifts, grants, and donations are exempt from TABOR
revenue limits.
State Expenditures
The bill increases state expenditures in the Department of Public Health and Environment by $200,000
in FY 2022-23 and FY 2023-24 from the General Fund.
Staffing costs. Beginning in FY 2022-23, the CDPHE will require at least 1.0 FTE of a data manager to
oversee and manage the data generated under the bill, and to prepare and release data and reports to
appropriate entities.
Automatic external defibrillator registry subscription. Beginning in FY 2022-23, the CDPHE will
incur an annual registration fee to provide Colorado residents access to a national automatic external
defibrillator registry. These costs are estimated at $40,000 annually.
Public information campaign costs. Beginning in FY 2022-23, the CDPHE will implement an
outreach campaign to raise awareness about occurrence and treatment of sudden cardiac arrest, and
public access defibrillators. It is assumed that the CDPHE will utilize radio as well as digital materials,
with an estimated annual cost of $60,000.
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April 4, 2022 HB 22-1251
Rulemaking. In FY 2022-23, the CDPHE may require legal services to support rulemaking, provided
by the Department of Law, which can be accomplished within existing appropriations
Technology costs. The CDPHE may incur technology costs to receive, manage, and analyze the data
generated under the bill. This preliminary fiscal note assumes that CDPHE has data systems in place
that can accommodate the collection and analysis of cardiac arrest data, and will be updated if more
information is provided on technology needs.
Other Budget Impacts
General Fund reserve. Under current law, an amount equal to 15 percent of General Fund
appropriations must be set aside in the General Fund statutory reserve beginning in FY 2022-23. Based
on this fiscal note, the bill is expected to increase the amount of General Fund held in reserve by the
amounts shown in Table 1, which will decrease the amount of General Fund available for other
purposes.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming no
referendum petition is filed.
State Appropriations
For FY 2022-23, the bill requires an appropriation of $200,000 from the General Fund to the
Department of Public Health and Environment.
State and Local Government Contacts
Information Technology Public Health and Environment
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.