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January 31, 2024 HB 24-1075
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0190
Rep. McCormick; Boesenecker
Sen. Marchman; Jaquez Lewis
Date:
Bill Status:
Fiscal Analyst:
January 31, 2024
House Health & Human Services
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: ANALYSIS OF UNIVERSAL HEALTH -CARE PAYMENT SYSTEM
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill requires the Colorado School of Public Health, with assistance from a task
force, to create a report on model legislation for a universal single-payer health care
system. The bill increases state expenditures through FY 2025-26.
Appropriation
Summary:
For FY 2024-25, the bill requires appropriations of $428,533 to various state agencies.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Table 1
State Fiscal Impacts Under HB 24-1075
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures General Fund $428,533 $11,215
Transfers - -
Other Budget Impacts General Fund Reserve $64,280 $1,682
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January 31, 2024 HB 24-1075
Summary of Legislation
The bill requires the School of Public Health at the University of Colorado (CU) to acquire model
legislation developed by a nonprofit to enact a universal single-payer healthcare system. By
October 1, 2025, the school must produce a report on the model legislation that:
analyzes costs;
identifies potential revenue sources to cover the costs;
analyzes connections to federal law; and
confirms that the legislation will have desired results.
The bill creates a task force under the Department of Health Care Policy and Financing (HCPF) to
assist the university in its report that will meet at least six times. The task force consists of
representatives of the General Assembly, various state agencies, and members of various
stakeholder groups. Non-legislative members of the task force serve without compensation, but
may be reimbursed for actual and necessary expenses.
CU may seek, accept, and expend gifts, grants, or donations for the purpose of conduction the
analysis. The bill repeals December 1, 2026.
State Revenue
The bill potentially increases state revenue to the CU 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 General Fund expenditures in multiple state agencies, including: at CU by
about $406,000 in FY 2024-25, to be spent through FY 2025-26; in HCPF by about $13,500 in
FY 2024-25 and $7,000 in FY 2025-26; and in the Legislative Department by about $4,000 in
FY 2024-25 and $2,000 in FY 2025-26. Expenditures are shown in Table 2 and detailed below.
Table 2
Expenditures Under HB 24-1075
FY 2024-25 FY 2025-26
School of Public Health, University of Colorado
Researcher Compensation $247,143 -
Research Assistant Compensation $98,959 -
Actuarial Analysis Contract $10,000 -
Data Software Fee
$50,000 -
CU Subtotal $406,102 - Page 3
January 31, 2024 HB 24-1075
Table 2
Expenditures Under HB 24-1075 (Cont.)
FY 2024-25 FY 2025-26
Department of Health Care Policy and Financing
Meeting Facilitation $13,329 $6,664
HCPF Subtotal $13,329 $6,664
Legislative Department
Legislator Reimbursement $3,774 $1,887
Legislative Department Subtotal $3,774 $1,887
Total $428,533 $11,215
University of Colorado. CU will produce the report by October 1, 2025. Costs include:
Researcher compensation. Researchers at the university will analyze the legislation and
produce the report between July 2024 and October 2025. It is assumed that the equivalent
of 1 FTE will work the entire time, though that work is expected to be spread across
5 distinct employees. Costs are based off of those employee’s current salaries.
Research assistant compensation. One research assistant will work full time between
July 2024 and October 2025.
Actuarial analysis contract. The university will contract with an actuary at $400 per hour
for 25 hours.
Data software fee. The university requires $50,000 to license health care data.
Department of Healthcare Policy and Financing. The fiscal note assumes that the task force
will meet four times in FY 2024-25 and two times in FY 2025-26. HCPF will cover meeting costs,
including reimbursing task force members who incur actual and necessary expenses and hiring a
venue and a catering company for a total of about $3,300 per meeting.
Legislative Department. The four legislators on the task force are eligible for per diem
compensation and travel reimbursement for meetings that occur outside of the legislative
session. This note assumes that all of the six meetings will be held outside of session and that
two of six will be held in FY 2025-26.
Other state agencies. Other state agencies that serve on the task force will have a minimal
workload increase. No change in appropriations is required.
Governor's Office. Workload will minimally increase for the Governor’s Office of Boards and
Commissions to make the required appointment under the bill. This work can be accomplished
within existing appropriations. Page 4
January 31, 2024 HB 24-1075
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his
signature.
State Appropriations
For FY 2024-25, the bill requires the following General Fund appropriations:
$406,102 to the Department of Higher Education for use by the Board of Regents of the
University of Colorado to be further appropriated through FY 2025-26;
$13,329 to the Department of Health Care Policy and Financing; and
$3,774 to the Legislative Department.
State and Local Government Contacts
Connect for Health Colorado Governor Higher Education
Legislative Council Staff Human Services Regulatory Agencies
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 the General Assembly website.