Page 1
April 2, 2024 HB 24-1045
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Revised Fiscal Note
(replaces fiscal note dated February 16, 2024)
Drafting Number:
Prime Sponsors:
LLS 24-0314
Rep. Armagost; deGruy Kennedy
Sen. Mullica; Will
Date:
Bill Status:
Analyst:
April 2, 2024
House Appropriations
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: TREATMENT FOR SUBSTANCE USE DISORDERS
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☒ Transfer/Diversion
☐ TABOR Refund
☒ Local Government
☐ Statutory Public Entity
The bill creates and expands programs and services for substance use disorder
treatments. Beginning in FY 2024-25, the bill increases state and local revenue and
expenditures on an ongoing basis, it also diverts and transfers money between funds.
Appropriation
Summary:
For FY 2024-25, the bill requires an appropriation of $5.3 million to multiple state
agencies.
Fiscal Note
Status:
The revised fiscal note reflects the introduced bill, as amended by the House Health
and Human Services and Finance Committees. The bill was recommended by the
Opioid and Other Substance Use Disorders Study Committee.
Table 1
State Fiscal Impacts Under HB 24-1045
Budget Year
FY 2024-25
Out Year
FY 2025-26
Out Year
FY 2026-27
Out Year
FY 2027-28
Revenue - - - -
Expenditures General Fund $3,317,662 $3,175,963 $3,952,315 $22,988,625
Cash Funds $531,217 $553,096 $740,063 $356,836
Federal Funds $1,447,687 $4,042,874 $7,020,499 $63,065,490
Central Approp. $86,342 $125,547 $135,911 $98,468
Total Expenditures $5,382,908 $7,897,480 $11,848,788 $86,509,419
Total FTE 4.4 FTE 6.5 FTE 7.0 FTE 5.0 FTE
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April 2, 2024 HB 24-1045
Table 1
State Fiscal Impacts Under HB 24-1045 (Cont.)
Budget Year
FY 2024-25
Out Year
FY 2025-26
Out Year
FY 2026-27
Out Year
FY 2027-28
Transfers
1
General Fund ($200,000) ($200,000) ($150,000) ($150,000)
Cash Funds $200,000 $200,000 $150,000 $150,000
Net Transfers $0 $0 $0 $0
Diversions General Fund ($239,059) ($46,736) ($46,736) ($46,736)
Cash Funds $239,059 $46,736 $46,736 $46,736
Net Diversion $0 $0 $0 $0
Other Budget GF Reserve $497,649 $476,395 $592,847 $3,448,294
1
This transfer is made via an appropriation from the General Fund to the Child Abuse Prevention Trust Fund.
Summary of Legislation
The bill creates and expands programs and services for substance use disorder (SUD)
treatments. Specifically, the bill:
Expands Behavioral Health Diversion Programs. The bill appropriates $1 million, half to the
Department of Human Services (CDHS) and half to the Judicial Department, for use on district
attorney adult pretrial diversion programs.
Provides reentry services under Medicaid. The bill requires the Department of Health Care
Policy and Financing (HCPF) to provide the following reentry services to people immediately
before they are released from the Division of Youth Services (DYS) in the CDHS, a Department of
Corrections (DOC) facility, or a participating county jail:
medicated-assisted treatment (MAT) medications, via an opioid treatment program;
a 30 day supply of additional medications, if needed; and
case management services, which are assumed to include screening, brief intervention, and
care coordination services.
The bill specifies that:
pending federal authorization, HCPF will implement the new benefit on July 1, 2025, for
people in a DYS or a DOC facility and July 1, 2026, for people in county jail; and
HCPF will produce an annual report which will require tracking participants following release
and assessing the system.
Provides partial hospitalization services for SUD under Medicaid. The bill requires HCPF to
seek federal authorization to provide partial hospitalization services for SUD. Page 3
April 2, 2024 HB 24-1045
Expands the Colorado Child Abuse Prevention Trust Fund. The bill appropriates $150,000
annually and an additional $50,000 in the first two years from the General Fund to the Colorado
Child Abuse Prevention Trust Fund under the Department of Early Childhood (CDEC).
Provides safety net provider application support services. The bill requires the BHA to
contract with an independent third-party to support providers seeking to become approved
BHA safety net providers.
Creates the Contingency Management Grant Program. The bill creates a grant program in
the BHA to support selected substance use disorder treatment programs.
Other changes. The bill makes several other changes as outlined below.
Places new reporting requirements on HCPF, the BHA, and the Department of Regulatory
Agencies (DORA).
Prohibits state-regulated insurance plans from applying a prior authorization requirement
for SUD treatment drugs based on dosage, and prohibits insurance from applying a different
reimbursement rate for SUD treatment drugs to pharmacists and take-home drugs.
Requires the BHA to promulgate rules around gaining a certificate as an addiction specialist
or technician.
Requires the various boards under the DORA and potentially the Department of Public
Health and Environment (CDPHE) to develop a statewide drug therapy protocol for
pharmacists to prescribe, dispense, and administer select MAT drugs.
Makes changes to the MAT expansion pilot program including making pharmacies eligible
for grants, removing the restriction on the number of counties that may be selected for
participation, expanding membership requirements for the board, and changing the
reporting requirements.
Requires the BHA to collect data on and review the admission criteria for withdrawal
management facilities.
Continues the Opioid and Other Substance Use Disorders Study Committee for the 2025
interim.
State Revenue
The bill impacts cash fund revenue to DORA every other year starting in FY 2024-25 by
increasing the number of pharmacists paying Prescription Drug Monitoring Program (PDMP)
licenses fees. However, any impact on overall revenue to the program is estimated to be
minimal, assuming fees are adjusted to align with PDMP costs. The bill may also reduce state
revenue from criminal fees and fines. These impacts are discussed below.
State regulated insurance plan requirements—fee impact on pharmacists. The bill amends
the practice of pharmacy to include exercising prescriptive authority for select FDA-approved
product or medication for opioid use disorder in accordance with federal law, if authorized
through a collaborative agreement. This will require participating pharmacists to register with
the PDMP to provide these services. The registration fee is currently $22 for a two-year license.
As there are approximately 10,000 licensed pharmacists in the state, revenue could increase by Page 4
April 2, 2024 HB 24-1045
up to $220,000. However, given that program costs are not affected by the bill, it is assumed
that DORA will adjust the PDMP registration fee so that overall revenue is held constant. Thus,
any increase in PDMP revenue is assumed to be minimal under the bill.
Behavioral Health Diversion Pilot program. The bill will minimally reduce state revenue from
criminal fees and fines credited to the Judicial Department if more individuals are diverted into
community-based treatment rather than being convicted of criminal offenses. Fine penalties for
most misdemeanors and petty offenses range from $50 to $5,000 depending on the offense.
Fees are also imposed for a variety of court-related costs, which vary based on the offense but
may include probation supervision. Revenue from criminal fees and fines is subject to TABOR.
Actual state revenue impact will depend on myriad factors and cannot be estimated.
State Transfers and Diversions
The bill transfers and diverts money between funds as outlined below.
State transfers. The bill requires the following transfer from the General Fund to the Child
Abuse Prevention Trust Fund in CDEC: $200,000 per year in FY 2024-25 and FY 2025-26, and
$150,000 per year starting in FY 2026-27 and future years. It is assumed that this transfer will
occur via an appropriation to the Child Abuse Prevention Trust Fund from the General Fund. Use
of these funds are described in the CDEC section of the State Expenditures section below.
State diversions. This bill diverts about $239,000 in FY 2024-25 and $47,000 in FY 2025-26 and
ongoing from the General Fund. This revenue diversion occurs because the bill increases costs in
the Department of Regulatory Agencies, Division of Insurance, which is funded with premium tax
revenue that would otherwise be credited to the General Fund.
State Expenditures
The bill impacts state expenditures in at least eight state agencies on an ongoing basis,
including the Judicial Department, CDHS, HCPF, DOC, BHA, CDEC, DORA, and the Legislative
Department. It will increase expenditures in all but one of the agencies, DOC, until at least
FY 2027-28. In FY 2024-25, the majority of these costs are from the General Fund with a
significant portion from federal funds and the remainder from the following cash funds: the
Healthcare Affordability and Sustainability Cash Fund, the Colorado Child Abuse Prevention
Trust Fund, and the Division of Insurance Cash Fund. In FY 2027-28, expenditures will
significantly increase as a result of increased expenditures in HCPF, which will be primarily
funded from federal funds with a large portion paid from the General Fund. Costs are shown in
Table 3 and discussed below.
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April 2, 2024 HB 24-1045
Table 3
Expenditures Under HB 24-1045
FY 2024-25 FY 2025-26 FY 2026-27 FY 2027-28
Judicial Department
Grant Program $500,000 - - -
County Jail Reentry Services - - - ($4,903,555)
Judicial Subtotal $500,000 $0 $0 ($4,903,555)
General Fund $500,000 - - -
Cash Funds - - - ($4,903,555)
Department of Human Services
Grant Program $500,000 - - -
CDHS Subtotal $500,000 - - -
General Fund $500,000 - - -
Department of Health Care Policy and Financing
Personal Services $235,125 $338,244 $401,589 $324,595
Operating Expenses $3,456 $5,120 $6,400 $5,120
Capital Outlay Costs $20,010 $6,670 $6,670 -
Reentry Services—State Facilities - $3,989,322 $7,978,516 $7,978,516
Reentry Services—County Jail - - - $76,345,778
Reentry Services Systems Costs $677,194 $237,510 $241,310 -
Partial Hospitalization Costs $6,400,000 $6,400,000 $6,400,000 $6,400,000
Partial Hospitalization Savings ($5,374,500) ($5,374,500) ($5,374,500) ($5,374,500)
Centrally Appropriated Costs
1
$55,349 $81,052 $99,326 $79,773
FTE – Personal Services 2.7 FTE 4.0 FTE 5.0 FTE 4.0 FTE
HCPF Subtotal $2,016,634 $5,683,419 $9,759,311 $85,759,282
General Fund $413,853 $1,243,702 $2,086,729 $17,540,934
Cash Funds $99,703 $315,790 $552,758 $5,073,085
Federal Funds $1,447,687 $4,042,874 $7,020,499 $63,065,490
Centrally Appropriated Costs $55,349 $81,052 $99,326 $79,773
Department of Corrections
State Facility Reentry Services - ($5,280,000) ($5,280,000) ($5,280,000)
DOC Subtotal $0 ($5,280,000) ($5,280,000) ($5,280,000)
General Fund - ($5,280,000) ($5,280,000) ($5,280,000)
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April 2, 2024 HB 24-1045
Table 3
Expenditures Under HB 24-1045 (Cont.)
FY 2024-25 FY 2025-26 FY 2026-27 FY 2027-28
Behavioral Health Administration
Personal Services $93,268 $108,666 $108,666 $38,497
Operating Expenses $1,664 $1,920 $1,920 $640
Capital Outlay Costs $13,340 - - -
County Jail Reentry Services - - - ($6,544,903)
Application Support Services $500,000 $500,000 $500,000 $500,000
Contingency Management Grant Costs $1,250,000 $1,250,000 $1,250,000
Opioid Treatment Workgroup $26,550 $8,850 - -
Withdrawal Facility Data Management $18,945 $5,000 $5,000 $5,000
Centrally Appropriated Costs
1
$23,449 $27,155 $27,155 $9,265
FTE – Personal Services 1.3 FTE 1.5 FTE 1.5 FTE 0.5 FTE
BHA Subtotal $1,927,215 $1,901,591 $1,892,741 ($5,991,502)
General Fund $1,903,767 $1,874,436 $1,865,586 ($6,000,766)
Centrally Appropriated Costs $23,499 $27,155 $27,155 $9,265
Various Agencies
Reentry Services Reinvestment - $5,280,000 $5,280,000 $16,728,458
Various Agency Subtotal - $5,280,000 $5,280,000 $16,728,458
General Fund - $5,280,000 $5,280,000 $16,728,458
Department of Early Childhood
Child Care Task Force for SUD Treatment $50,000 $50,000 - -
Prenatal Substance Exposure Initiatives $150,000 $150,000 $150,000 $150,000
CDEC Subtotal $200,000 $200,000 $150,000 $150,000
Cash Funds $200,000 $200,000 $150,000 $150,000
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April 2, 2024 HB 24-1045
Table 3
Expenditures Under HB 24-1045 (Cont.)
FY 2024-25 FY 2025-26 FY 2026-27 FY 2027-28
Department of Regulatory Agencies
Personal Services $29,332 $36,665 $36,665 $36,665
Operating Expenses $512 $640 $640 $640
Capital Outlay Costs $6,670 - - -
Network Adequacy Report $195,000 - - -
Centrally Appropriated Costs
1
$7,544 $9,431 $9,431 $9,431
FTE – Personal Services 0.4 FTE 0.5 FTE 0.5 FTE 0.5 FTE
DORA Subtotal $239,059 $46,736 $46,736 $46,736
Cash Funds $231,514 $37,305 $37,305 $37,305
Centrally Appropriated Costs $7,544 $9,431 $9,431 $9,431
Legislative Department
Personal Services - $36,361 - -
Operating Expenses - $640 - -
Capital Outlay Costs - $6,670 - -
Member Per Diem - $6,713 - -
Travel Reimbursement - $7,440 - -
Centrally Appropriated Costs
1
- $7,910 - -
FTE – Personal Services - 0.5 FTE - -
Legislative Subtotal $0 $65,734 $0 $0
General Fund - $57,825 - -
Centrally Appropriated Costs - $7,910 - -
Grand Total $5,382,908 $7,897,480 $11,848,788 $86,509,420
Total General Fund $3,317,662 $3,175,963 $3,952,315 $22,988,625
Total Cash Funds $531,217 $553,096 $740,063 $356,836
Total Federal Funds $1,447,687 $4,042,874 $7,020,499 $63,065,490
Total Centrally Appropriated Costs $86,342 $125,547 $135,911 $98,468
Total FTE 4.4 FTE 6.5 FTE 7.0 FTE 5.0 FTE
1
Centrally appropriated costs are not included in the bill's appropriation.
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April 2, 2024 HB 24-1045
Judicial Department
The Judicial Department is responsible for implementing the Behavioral Health Diversion Pilot
Program, which is assumed to begin July 1, 2024, and repeals June 30, 2028. Additionally, the
Judicial Department will have cost savings resulting from the reentry services provided by HCPF.
Behavioral Health Diversion Pilot Program. The bill appropriates $500,000 to the Judicial
Department, for use on district attorney adult pretrial diversion programs Based on previous
grants, the Department will distribute $100,000 to five districts. Workload will minimally increase
to distribute the extra funds; this can be accomplished within existing resources.
Reentry services. The Judicial Department partially funds the reentry services provided by the
BHA. These costs will be offset by reentry services provided by HCPF for the county jail
population beginning in FY 2027-28.
Department of Human Services
The bill appropriates $500,000 to CDHS, for use on district attorney adult pretrial diversion
programs. Similar to the Judicial Department, it assumed that CDHS will distribute the full
amount to five districts in FY 2024-25 only.
Department of Health Care Policy and Financing vc
The bill requires HCPF to provide two new services: reentry services and partial hospitalization
services.
Reentry services. The bill requires HCPF to provide reentry services, pending federal approval.
SB 22-196 instructed HCPF to study the impact of providing these services. The following
estimates were based on the preliminary findings of the study. This service will also affect the
reinvestment plan, DOC, BHA, and the Judicial Department as discussed below in other sections.
State incarcerated population. Serving the state incarcerated population immediately prior
to release is estimated as the equivalent of serving about 1,400 members year-round at an
annual cost of around $6,000. Because the work of requesting federal approval cannot begin
until after the bill is passed, the fiscal note assumes that HCPF cannot meet the
implementation date specified in the bill and that implementation will begin no sooner than
January 1, 2026.
County jail population. Compared to the state prison population, the county jail population
is much larger and less consistent; it is estimated as the equivalent of serving about
14,000 members at an annual cost of around $5,500. Given the logistics of serving this large
and variable population, many of whom are incarcerated for brief periods of time, the fiscal
note assumes that HCPF cannot meet the implementation date specified in the bill and that
implementation will begin no sooner than FY 2027-28.
Staff. HCPF will need 5.0 FTE to oversee the program. As with previous complex waivers,
2.0 FTE ongoing and 1.0 term-limited FTE are required to oversee the waiver process,
conduct stakeholder and provider outreach, and manage the ongoing benefit once Page 9
April 2, 2024 HB 24-1045
approved by the federal government. The other 2.0 FTE will be dedicated to the unique data
issues related to this population and their high turnover rate. Of this staff, 1.0 FTE will not
start until a year before county jail implementation.
Systems costs. HCPF will need to hire a contractor to make the systems changes required to
provide services to a new population. It is estimated to require about 5,000 hours in FY
2024-25 and 2,000 hours annually until FY 2026-27.
Partial hospitalization services. The bill instructs HCPF to provide partial hospitalization
services. These are classified as level 2.5 services on the system used by HCPF and its SUD
treatment providers, the American Society of Addiction Medicine (ASAM) level of care criteria.
Providing level 2.5 services will drive a cost increase that will be partially offset by a reduction in
utilization of higher level services. The bill specifies that services must be implemented no later
than July 1, 2026; however, given that implementation of these services can begin July, 1, 2024,
this earlier implementation date is assumed.
Costs. Based on utilization of other levels of care, it is assumed that 2,000 members would
benefit from level 2.5 services, which would provide 10 days of partial hospitalization
annually. Managed Care Organizations (MCEs) assessed the per member per day cost at
$320.
Savings. The HCPF portion of the per member per day rate for level 3.1 services is $190 and
3.5 is $425. The savings shown above assumes that all level 3.1 clients could substitute level
2.5 services for up to 6 days and all level 3.5 clients could substitute for up to 3.5 days. It
should be noted that the room and board portion of the level 3.1 rate is paid by the BHA. By
reducing the demand from Medicaid clients, the BHA will be able to service more
non-Medicaid clients, assuming funding for the BHA program remains constant.
Department of Corrections
The DOC provides health care services to their incarcerated population. Costs for these services
will be partially offset by the reentry services for state incarcerated populations provided by
HCPF under the bill. When providing health care services for the total length of incarceration,
DOC costs are estimated to be $132 million per year. It is assumed that the availability of
services through HCPF will offset no more than 4 percent of these DOC costs, resulting in a
decrease in DOC expenditures of an estimated $5.28 million per year starting in FY 2025-26.
Behavioral Health Administration
The Behavioral Health Administration will have a reduction in costs as a result of HCPF’s reentry
services program and increased costs to provide the following services.
Reentry services. The BHA currently provides select reentry services to the county jail
population at a cost of $25 million annually. It is assumed that HCPF will offset 70 percent of
these costs after the county jail portion of their reentry services is implemented. About
40 percent of the BHA’s program is funded through the Correction Treatment Cash Fund. This
portion of the savings can be seen under the Judicial Department section. Page 10
April 2, 2024 HB 24-1045
Withdrawal Management Facilities. Beginning July 1, 2025, the bill requires the BHA to collect
data on admittance denials at withdrawal management facilities. Beginning January 1, 2025 the
BHA will approve the facilities’ admission criteria.
$19,000 in FY 2024-25 and $5,000 annually thereafter is required for systems changes for the
data collection.
0.5 FTE is required to analyze the data and annually review admission criteria for the
approximately 50 facilities in Colorado. First year costs are prorated for the January 1 start
date. Standard operating and capital outlay expenses are included.
Application support services. The bill requires the BHA to provide application support services
to providers seeking to become behavioral health safety net providers. Based on previous
contracts for provider technical support, this will require an annual $500,000 contract. The bill
specifies that services must be implemented no later than July 1, 2025. Because implementation
can begin July, 1, 2024, that implementation date is assumed
Contingency management grant program. The bill creates the Contingency Management
Grant Program. It is assumed that program will distribute $1.25 million in grants annually. Based
on past grant programs, this is estimated to require 1.0 FTE. Implementation will begin
July 1, 2024. Per the bill, the program ends July 1, 2027.
Opioid Treatment Workgroup. The BHA is responsible for convening the Opioid Treatment
Workgroup. It is assumed that they will meet once a month from October 2024 through
September 2025 and the BHA will cover meeting costs, including hiring a meeting facilitator to
organize discussions, a venue, and a catering company for a total of about $3,000 per meeting.
Fetal alcohol spectrum disorder. Workload will minimally increase for the BHA to seek out grants
to provide fetal alcohol spectrum disorder services. As the BHA receives grants, the BHA will
expend the received funds but these amounts are unknown at this time.
Reinvestment of Reentry Services Savings
As a condition of receiving federal funding for the reentry services, the Centers for Medicare and
Medicaid Services (CMS) has mandated that states reinvest savings that result from the
availability of federal funding in initiatives that increase access to or improve the quality of
health care services for individuals who are incarcerated, soon-to-be released, or recently
released from incarceration. As a result, it is assumed that the savings incurred in the DOC, BHA,
and Judicial Department from expanded reentry services under Medicaid will require a
corresponding increase in state funding elsewhere. HCPF will include a reinvestment plan in the
application for the federal waiver. Page 32-33 of the CMS letter provides more detail on which
kinds of initiatives might be included and those that do not qualify. The reinvestment plan may
increase expenditures in HCPF, DOC, the BHA, and the Judicial Department but at this time the
exact impact on individual agencies is not known. The amounts appropriated to each
department will be determined through the reinvestment plan and adjusted for through the Page 11
April 2, 2024 HB 24-1045
annual budget process. The total appropriation will equal the reentry services savings described
above.
Department of Early Childhood
As described in the State Transfers section above, the bill requires appropriations from the
General Fund to the Colorado Child Abuse Prevention Trust Fund to support initiatives to reduce
prenatal substance exposure ($150,000 per year starting in FY 2024-25) and to convene a
stakeholder taskforce on identify strategies for increasing access to child care for families
seeking substance use disorder treatment and recovery services ($50,000 per year in FY 2024-25
and FY 2025-26 only). It is assumed that annual spending from the trust fund will equal the
annual amount moved into the fund for these purposes.
Department of Regulatory Agencies
The bill requires DORA to produce a one-time report, and to oversee and enforce several
changes to state-regulated insurance plans. Costs are paid from the Division of Insurance Cash
Fund
Reporting requirements. The required report will require DORA to use 650 hours of contracted
services at a rate $300 per hour. The contractor will analyze the impact of department rules and
extraneous factors on the network adequacy of SUD treatments. The fiscal note assumes that
DORA will pay out the contract in FY 2024-25 and the contractor will provide the report in
FY 2025-26.
Insurance plan regulation. DORA requires 0.5 FTE to implement, ensure compliance, and
respond to complaints. The bill amends the practice of pharmacy to include exercising
prescriptive authority for any FDA-approved product or medication for opioid use disorder in
accordance with federal law, if authorized through a collaborative agreement. Additionally, this
bill requires the State Board of Pharmacy, the Colorado Medical Board, and the State Board of
Nursing to develop a protocol for pharmacists to prescribe, dispense, and administer medicated
assisted treatment.
Legislative Department
The Legislative Department will have costs in FY 2025-26 only to continue the Opioid and Other
Substance Use Disorder Study Committee for an additional year. The standard costs include
support staff in the Legislative Department, as well as member per diem and travel
reimbursement costs for the 10 committee members for 6 meetings to the General Assembly.
Centrally Appropriated Costs
Pursuant to a Joint Budget Committee policy, certain costs associated with this bill are
addressed through the annual budget process and centrally appropriated in the Long Bill or
supplemental appropriations bills, rather than in this bill. These costs, which include employee Page 12
April 2, 2024 HB 24-1045
insurance and supplemental employee retirement payments, are shown in Table 3 for all
affected departments.
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.
Local Government
Behavioral Health Diversion Pilot program. The program affects local governments in several
ways, as described below. The exact impact to any particular jurisdiction will depend on the
amount of work required to develop the local redirection program and the number of
individuals who participate in it:
District attorneys. The bill increases district attorney workload to participate in the
development of the pilot programs and to handle more diversion cases. It is assumed that
these costs will be reimbursed through the grant program. Because it is not known how
many individuals will be diverted into community-based treatment in lieu of the criminal
justice system, these impacts have not been estimated.
Denver County Court. For misdemeanors and petty offenses committed in Denver County,
criminal fine and court fee revenue is collected by Denver County Court, and probation
supervision is provided by the court. To the extent that this bill results in more individuals
diverted out of the criminal justice system, revenue and workload will decrease. Because the
court has discretion when sentencing misdemeanors and petty offenses, the precise
reduction to Denver County has not been estimated. Please refer to the State Revenue
section above for information about fine penalty ranges and court fees.
County jails. Under current law, a court may sentence an offender to jail for a class 1 petty
offense and most misdemeanors. The range of the term of incarceration generally ranges
from 0 to 18 months. This bill may result in fewer individuals being convicted of these
offenses and sentenced to a term of incarceration in county jail. Because the courts have the
discretion of incarceration or imposing a fine, the precise impact at the local level cannot be
determined. Estimated costs to house an offender in a county jail vary.
Reentry services. County jails will be impacted by the reentry services program provided by
HCPF starting in FY 2027-28. Costs may decrease if the program funds efforts currently funded
at the county level but these savings will have to be reinvested as part of the reinvestment plan.
Workload will increase as a result of the licensing requirements of the program and costs may
increase in the event a county jail is not issued a license and has to contract with another facility.
Page 13
April 2, 2024 HB 24-1045
Technical Note
The fiscal note assumes that lines 8 and 9 of amendment L.019 are intended to undo L.010 in its
entirety and nothing else, and that subsequent amendments will correct the technical errors
associated with L.019. If subsequent amendments are not passed, the fiscal note will be lowered
to remove the Contingency Management Grant Program.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed, except for Section 20 which takes effect July 1, 2025.
State Appropriations
For FY 2024-25 the bill requires appropriations totaling $5,296,566 to multiple state agencies as
described below.
Judicial Department. The bill includes a General Fund appropriation of $500,000 to the
Judicial Department.
Department of Human Services. The bill includes a General Fund appropriation of
$500,000 to CDHS.
Department of Health Care Policy and Financing. The bill requires an appropriation of
$1,961,285 and 2.7 FTE to HCPF, paid from the following funds:
$413,895 from the General Fund;
$99,703 from the Healthcare Affordability and Sustainability Cash Fund; and
$1,447,687 from federal funds.
Behavioral Health Administration. The bill requires a General Fund appropriation of
$1,903,767 the BHA in the Department of Human Services and 1.3 FTE.
Department of Early Childhood. The bill requires an appropriation of $200,000 from the
General Fund to the Child Abuse Prevention Trust Fund, to be further appropriated to the
Department of Early Childhood.
Department of Regulatory Agencies. The bill requires an appropriation of $231,514 from
the Division of Insurance Cash Fund to DORA and 0.4 FTE.
Page 14
April 2, 2024 HB 24-1045
State and Local Government Contacts
Behavioral Health Administration Connect for Health Colorado Corrections
Denver County Courts County Clerks Counties
District Attorneys Early Childhood Governor
Health Care Policy and Financing Higher Education Human Services
Information Technology Judicial Labor
Law Personnel Public Defender
Public Health and Environment Public Safety Regulatory Agencies
Revenue Sheriffs Legislative Council Staff
Legislative Legal Services
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.