Page 1 April 13, 2022 SB 22-189 Legislative Council Staff Nonpartisan Services for Colorado’s Legislature Fiscal Note Drafting Number: Prime Sponsors: LLS 22-0094 Sen. Danielson; Pettersen Date: Bill Status: Fiscal Analyst: April 13, 2022 Senate HHS Annie Scott | 303-866-5851 Annie.Scott@state.co.us Bill Topic: COLORADO GERIATRIC PROVIDER PIPELINE PROGRAM Summary of Fiscal Impact: ☐ State Revenue ☒ State Expenditure ☐ State Transfer ☐ TABOR Refund ☐ Local Government ☐ Statutory Public Entity The bill creates the Colorado Multidisciplinary Geriatric Provider Pipeline Program and the Geriatric Training Executive Advisory Committee to coordinate and expand geriatric training opportunities for clinical graduate students at the University of Colorado Anschutz Medical Campus. The bill increases state expenditures beginning in FY 2023-24. Appropriation Summary: No appropriation is required. Fiscal Note Status: The fiscal note reflects the introduced bill. Table 1 State Fiscal Impacts Under SB 22-189 Budget Year FY 2022-23 Out Year FY 2023-24 Revenue - - Expenditures General Fund - $1,176,637 Transfers - - Other Budget Impacts General Fund Reserve - $176,496 Page 2 April 13, 2022 SB 22-189 Summary of Legislation Beginning in FY 2023-24, the bill creates the Colorado Multidisciplinary Geriatric Provider Pipeline Program (program) and the Geriatric Training Executive Advisory Committee (advisory committee). Colorado Multidisciplinary Geriatric Provider Pipeline Program. The program is created in the University of Colorado Anschutz Medical Campus to coordinate and expand hands-on geriatric-focused training opportunities for clinical graduate students studying medicine, pharmacy, dentistry, nursing, psychology, and social work at participating institutions of higher education. The program is required to gather data including: the number of clinical graduate students from each participating institution; the number of clinical graduate students who graduate from the program; and post-graduation job placement information. Geriatric Training Executive Advisory Committee. The advisory committee is created to ensure that training in the program is consistent and collaborative across the university departments, participating institutions of higher education, and medical fields. It consists of the appointed program chair and representatives from the Schools of Medicine, Pharmacy, and Dental medicine, a nursing program, the Department of Psychology, and a social work program. The advisory committee is required to select two clinical graduate students per year from each of six fields of study to participate in the program's geriatric curriculum. The advisory committee, in collaboration with the participating institutions of higher education, will place clinical graduate students in geriatric clinical settings for hands-on experiential training. The committee is also required to: appoint a program chair; set the program's standards for training; collaborate with participating institutions of higher education to select clinical graduate students; analyze the required data; collaborate to improve program outcomes; and coordinate with program graduates around the training of program participants. By July 1, 2024, and annually thereafter, program data and recommendations must be submitted to the legislature. State Expenditures The bill increases state expenditures in the CU School of Medicine by $1,176,637 in FY 2023-24 from the General Fund. Expenditures are shown in Table 2 and detailed below. Page 3 April 13, 2022 SB 22-189 Table 2 Expenditures Under SB 22-189 FY 2022-23 FY 2023-24 CU School of Medicine Personal Services - $505,620 Program Costs - $210,800 Tuition Costs - $350,000 Operating Expenses - $3,300 Indirect Costs - $106,917 Total Cost - $1,176,637 Total FTE - 2.6 FTE CU School of Medicine. The CU School of Medicine requires staff and programmatic funding to support the program beginning in FY 2023-24. Staff. The CU School of Medicine requires funding for an assumed 2.6 FTE to train program participants. This includes 0.3 FTE from each of the schools of dental medicine, pharmacy, medicine, nursing, college of arts, letters and sciences, and public affairs, as well as 0.3 FTE to provide administrative assistance to the advisory committee and 0.3 FTE to evaluate program faculty. Costs also include required benefit costs and operating expenses. Program costs. Beginning in FY 2023-24, the CU School of Medicine will require funding for curriculum development, specialty staffing, in-service training, program evaluation tools, payments to training sites and website maintenance. These costs are estimated at $210,800. Tuition. Beginning in FY 2023-24, an estimated $350,000 in funding is required to cover a portion of tuition for the clinical graduate students in the program. 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 amount 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. Page 4 April 13, 2022 SB 22-189 State and Local Government Contacts Higher Education Information Technology 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.