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February 22, 2024 HB 24-1217
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0029
Rep. Amabile
Date:
Bill Status:
Fiscal Analyst:
February 22, 2024
House Health & Human Services
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: SHARING OF PATIENT HEALTH -CARE INFORMATION
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill requires the Behavioral Health Administration to create a universal behavioral
health consent form and friends and family input form and to convene a workgroup
to study a centralized consent repository. The bill increases state expenditures on an
ongoing basis.
Appropriation
Summary:
For FY 2024-25, the bill requires an appropriation of $230,739 to the Behavioral Health
Administration in the Department of Human Services.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Table 1
State Fiscal Impacts Under HB 24-1217
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures General Fund $230,739 $151,885
Centrally Appropriated $16,677 $18,530
Total Expenditures $247,416 $170,415
Total FTE 1.5 FTE 1.3 FTE
Transfers - -
Other Budget Impacts General Fund Reserve $34,611 $22,783
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February 22, 2024 HB 24-1217
Summary of Legislation
The bill requires the Behavioral Health Administration (BHA) to create a universal behavioral
health consent form and friends and family input form to allow patients to authorize treatment
for up to two years and to allow a patient’s family and friends to supply relevant information.
The bill requires the BHA to solicit feedback from stakeholder and legal experts. The family input
form must be available by July 1, 2025. No date is specified for the universal behavioral health
consent form.
The bill also convenes a workgroup in the Governor’s Office to study a centralized consent
repository and produce a report by January 1, 2026. Members must include various stakeholders
and department representatives.
State Expenditures
The bill increases state expenditures in the BHA by $247,000 in FY 2024-25 and $170,000
annually thereafter, paid from the General Fund. Expenditures are shown in Table 2 and detailed
below. Additionally, the bill increases workload for the Governor’s Office and other agencies.
Table 2
Expenditures Under HB 24-1217
FY 2024-25 FY 2025-26
Behavioral Health Administration
Personal Services $69,294 $76,994
Operating Expenses $1,152 $1,280
Capital Outlay Costs $6,670 -
Legal Services $147,223 $73,611
Translation Services $6,400 -
Centrally Appropriated Costs
1
$16,677 $18,530
FTE – Personal Services 0.9 FTE 1.0 FTE
FTE – Legal Services 0.6 FTE 0.3 FTE
Total Cost $247,416 $170,415
Total FTE 1.5 FTE 1.3 FTE
1
Centrally appropriated costs are not included in the bill's appropriation.
Behavioral Health Administration. The BHA requires staff, legal services, and translation
services to create and operate a universal behavioral health consent form and friends and family
input form. Based on the BHA’s experience with other inter-organization forms, this work is
expected to be ongoing to update forms as needed and facilitate their use. These costs are
detailed below. Page 3
February 22, 2024 HB 24-1217
Staff. The BHA requires 1.0 FTE to conduct the stakeholder engagement process, create and
update the forms, and provide guidance to providers on how to collect and use forms. Staff
support for this process is necessary given that it is a new area of concern involving a large
number of stakeholders. Costs are prorated to an August 2024 start date.
Legal services. The BHA requires 1,150 hours of legal services in FY 2024-25 and half those
hours in future years to ensure that the family input process aligns with federal regulation
concerning health information and help answer organization questions about the form.
Legal services are provided by the Department of Law at a rate of $128.02 per hour.
Translation services. The BHA will translate each of the two forms into 4 languages. This
work is done through a contract for $0.16 per word. It is assumed that each form will be
5,000 words. Costs to update the translations will be negotiated and the BHA will request
additional funds as needed through the annual budget process.
Governor’s Office. Workload will increase in the Governor’s office to study a centralized
consent repository and produce a report by January 1, 2026. Since the bill does not allow for
member compensation and assuming that there will be fewer than 10 members, this work can
be accomplished within existing resources.
Other agencies. Workload will increase in other agencies including the Department of
Corrections, the Department of Health Care Policy and Financing, and the Department of Public
Health and Environment to participate in the stakeholder engagement process and adapt
procedures to accept the forms. This work can be accomplished within existing resources.
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 insurance and supplemental employee retirement payments, are
shown in Table 2.
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 a General Fund appropriation of $230,739 to the Behavioral
Health Administration and 0.9 FTE. Of this amount, $147,223 is reappropriated to Department of
Law with an additional 0.6 FTE.
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February 22, 2024 HB 24-1217
State and Local Government Contacts
Behavioral Health Administration Corrections District Attorneys
Health Care Policy and Financing Governor Human Services
Judicial Law Regulatory Agencies
Public Health and Environment
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.