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June 5, 2024 HB 24-1103
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Final Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0414
Rep. Amabile; Herod
Sen. Gonzales; Buckner
Date:
Bill Status:
Fiscal Analyst:
June 5, 2024
Signed into Law
Aaron Carpenter | 303-866-4918
aaron.carpenter@coleg.gov
Bill Topic: PROHIBITING TERM EXCITED DELIRIUM
Summary of
Fiscal Impact:
No fiscal impact. The bill prohibits the use of “excited delirium” in first responder
trainings, peace officer incident reports, and as the cause of death in death
certificates. The bill codifies current practice and is assessed as having no fiscal impact.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The final fiscal note reflects the enacted bill.
Summary of Legislation
The bill prohibits the use of the term “excited delirium” in first responder trainings, in peace
officer incident reports, and as the cause of death in death certificates. The bill defines “excited
delirium” as a term used to describe a person’s state of agitation, excitability, paranoia, extreme
aggression, physical violence, and apparent immunity to pain that is not listed in the most
recent version of the Diagnostic and Statistical Manual of Mental Disorders. The term also
includes excited delirium syndrome, hyperactive delirium, agitated delirium, and exhaustive
mania.
Background
On December 1, 2023, the Peace Officer Standards and Training (POST) Board voted to no
longer recognize the term “excited delirium” and to remove the term from all training
documents. In addition, the Colorado Department on Public Health and Environment (CDPHE)
reports that the term cannot be selected as a cause of death for the state’s Vital Records Office
Electronic Death Registration System, and has not been used on certification by coroners or
medical examiners since 2019.
Assessment of No Fiscal Impact
Based on the administrative actions issued by the POST Board and CDPHE outlined in the
Background section, the bill is codifying current practice; therefore, the bill has been assessed as
having no fiscal impact on state or local governments. Page 2
June 5, 2024 HB 24-1103
Effective Date
The bill was signed into law by the Governor on April 4, 2024, and takes effect on
August 7, 2024, assuming no referendum petition is filed.
State and Local Government Contacts
Counties County Coroners Higher Education
Law Natural Resources Public Health and Environment
Public Safety Revenue
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.