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February 17, 2022 SB 22-125
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 22-0778
Sen. Sonnenberg
Rep. Will
Date:
Bill Status:
Fiscal Analyst:
February 17, 2022
Senate SVMA
Annie Scott | 303-866-5851
Annie.Scott@state.co.us
Bill Topic: ALLOW RURAL PUBLIC HEALTH -CARE ENTITY COOPERATION
Summary of
Fiscal Impact:
☐ State Revenue
☐ State Expenditure
☐ State Transfer
☐ TABOR Refund
☒ Local Government
☒ Statutory Public Entity
The bill authorizes county public hospitals and health services districts, and their
respective affiliates, to engage in certain collaborative activities. The bill may decrease
local government and special district expenditures on an ongoing basis beginning in
the current FY 2021-22.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Summary of Legislation
The bill authorizes a public hospital board of trustees or a board of a health services district in rural
areas to engage its respective county public hospital or affiliate, or health service district or affiliate,
in certain activities that might be characterized as anticompetitive, result in a monopoly, or displace
competition, including:
joint ventures;
joint purchasing arrangements;
joint negotiations with physicians, hospitals, and payers;
leases; and
agreements that involve delivery system network creation or operation.
Entities engaging in these activities are immune from any liability under federal and state antitrust
law.
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February 17, 2022 SB 22-125
Local Governments and Special Districts
Certain county public hospitals and health services districts may experience cost savings due to
participation in the cooperative activities authorized in the bill.
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his signature.
State and Local Government Contacts
Counties Health Care Policy and Financing
Information Technology Law
Public Health and Environment Regulatory Agencies
Special Districts
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.