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April 26, 2024 HB 24-1075
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Revised Fiscal Note
(replaces fiscal note dated February 20, 2024)
Drafting Number:
Prime Sponsors:
LLS 24-0190
Rep. McCormick; Boesenecker
Sen. Marchman; Jaquez Lewis
Date:
Bill Status:
Fiscal Analyst:
April 26, 2024
Senate Second Reading
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 $241,182 to multiple state agencies.
This amount does not include HCPF costs which have already been appropriated.
Fiscal Note
Status:
The revised fiscal note reflects the reengrossed bill.
Table 1
State Fiscal Impacts Under HB 24-1075
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures General Fund $241,182 $115,367
Transfers - -
Other Budget Impacts General Fund Reserve $36,117 $17,305
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April 26, 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
December 31, 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;
evaluated the feasibility of other models; and
confirms that the legislation will have desired results.
CU may use an actuarial consultant and the newly created task force to help produce the report.
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 four 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.
State Expenditures
The bill increases state General Fund expenditures in multiple state agencies, including: at CU by
about $241,000 in FY 2024-25 and $115,000 in FY 2025-26 and in the Legislative Department by
about $488 in FY 2024-25 only. 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 $164,762 $82,381
Research Assistant Compensation $65,973 $32,986
Actuarial Analysis Contract $10,000 -
CU Subtotal $240,735 $115,367
Legislative Department
Legislator Reimbursement $488 -
Legislative Department Subtotal $488 -
Total $291,223 $115,367
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April 26, 2024 HB 24-1075
University of Colorado. CU will produce the report by December 31, 2025. Costs include:
Researcher compensation. Researchers at the university will analyze the legislation and
produce the report between July 2024 and December 2025. It is assumed that the equivalent
of 0.9 FTE will work the entire time, though that work is expected to be spread across
5 distinct employees. Costs are based off of those employees’ current salaries.
Research assistant compensation. One research assistant will work almost full time
between July 2024 and December 2025.
Actuarial analysis contract. The university will contract with an actuary at $400 per hour for
25 hours.
Grant funding. CU is expected to seek a grant in the amount of $50,000 from HCPF to
access their database.
Department of Healthcare Policy and Financing. Workload will increase in HCPF to facilitate
the meetings. Since the meetings are virtual, no appropriation is required. Funding for the
aforementioned grant program has already been appropriated.
Legislative Department. The four legislators on the task force are eligible for per diem
compensation for meetings that occur outside of the legislative session. This note assumes that
both meetings will be held outside of session in FY 2024-25.
Governor's Office and other state agencies. Workload will minimally increase for the
Governor’s Office of Boards and Commissions to make the required appointment under the bill.
Other state agencies that serve on the task force will have a minimal workload increase. No
change in appropriations is required.
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 and includes the following General Fund appropriations:
$240,735 to the Department of Higher Education for use by the Board of Regents of the
University of Colorado; and
$488 to the Legislative Department.
State and Local Government Contacts
Connect for Health Colorado Governor Health Care Policy and Financing
Higher Education Human Services Legislative Council Staff
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.