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January 20, 2023 SB 23-031
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 23-0005
Sen. Danielson; Cutter
Date:
Bill Status:
Fiscal Analyst:
January 20, 2023
Senate Health & Human Services
Anna Gerstle | 303-866-4375
anna.gerstle@coleg.gov
Bill Topic: IMPROVE HEALTH-CARE ACCESS FOR OLDER COLORADANS
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill creates the Colorado Multidisciplinary Health Care Provider Access Training
Program at the University of Colorado Anschutz Medical Campus to provide clinical
training opportunities in geriatric medicine for graduate students. The bill increases
state expenditures on an ongoing basis.
Appropriation
Summary:
For FY 2023-24, the bill requires an appropriation of $784,269 to the Department of
Higher Education, for the University of Colorado.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Table 1
State Fiscal Impacts Under SB 23-031
Budget Year
FY 2023-24
Out Year
FY 2024-25
Revenue - -
Expenditures General Fund $784,269 $1,949,697
Transfers - -
Other Budget Impacts General Fund Reserve $117,640 $292,455
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January 20, 2023 SB 23-031
Summary of Legislation
Beginning in FY 2024-25, the bill creates the Colorado Multidisciplinary Health Care Provider Access
Training Program (program) and Advisory Committee.
Colorado Multidisciplinary Heath Care Provider Access Training Program. The program is created
in the University of Colorado (CU) Anschutz Medical Campus to develop and implement training
opportunities in geriatric medicine for two clinical graduate students in each of the following fields of
study:
advanced practice provider;
dentistry;
medicine;
nursing;
occupational therapy;
osteopathic medicine;
pharmacy;
physical therapy;
psychology;
social work; and
speech language pathology.
The bill encourages the program to provide annual training for students, faculty, and health care
providers to review patient-centered geriatric approaches, technologies, and processes. Students who
complete the program receive a certificate, and a letter authorizing the student to become a trainer
in other parts of the state. The bill requires the Department of Higher Education to enter into a
fee-for-service contract with CU to fund the program, and specifies data collection and reporting
requirements.
Advisory Committee. The advisory committee is required to ensure training is consistent across
departments, institutions of higher education, and health care communities; set standards for training;
work with institutions of higher education to select students; build a network of geriatric clinicians;
improve placement of students in clinical training; and coordinate with graduates to train future
students. It consists of the program chair and representatives from programs for each field of study
and must meet by July 1, 2023.
State Expenditures
The bill increases state expenditures in the CU School of Medicine by $784,269 in FY 2023-24, and by
$1.9 million in FY 2024-25, paid from the General Fund. Expenditures are detailed below and shown
in Table 2.
CU School of Medicine. The CU School of Medicine requires staff and programmatic funding to
support the program. Costs in FY 2023-24 are to develop and establish the program, with full
implementation beginning in FY 2024-25.
Staff. The CU School of Medicine requires funding for an estimated 3.3 FTE to train program
participants, including 0.3 FTE for each of the fields of study. Staff is also required to provide
administrative support, oversee training, support the committee, and evaluate the program.
Staffing costs are prorated in FY 2023-24 based on assumed start dates, and include indirect costs.
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January 20, 2023 SB 23-031
Program costs. Beginning in FY 2023-24, CU will require funding for curriculum development,
specialty staffing, training, program evaluations, clinical site coordination, and website
maintenance, as well as standard operating expenses.
Tuition coverage. Beginning in FY 2024-25, tuition costs of $606,320 are required to cover a
portion of tuition for two clinical graduate students in each field of study.
Table 2
Expenditures Under SB 23-031
FY 2023-24 FY 2024-25
CU School of Medicine
Personal Services $578,828 $1,024,143
Program Costs $134,143 $141,989
Tuition Coverage - $606,320
Indirect Costs $71,297 $177,245
Total Cost $784,269 $1,949,697
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. 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, decreasing the amount of General Fund available for other purposes.
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his signature.
State Appropriations
For FY 2023-24, the bill requires a General Fund appropriation of $784,269 to the Department of Higher
Education for a fee-for-service contract with the governing board of the University of Colorado.
State and Local Government Contacts
Higher Education
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.