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July 17, 2024 HB 24-1217
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Final Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0029
Rep. Amabile; Ricks
Sen. Mullica
Date:
Bill Status:
Fiscal Analyst:
July 17, 2024
Signed into Law
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 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 includes an appropriation of $50,604 to the Behavioral Health
Administration in the Department of Human Services.
Fiscal Note
Status:
The final fiscal note reflects the enacted bill.
Table 1
State Fiscal Impacts Under HB 24-1217
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures General Fund $50,604 $23,702
Centrally Appropriated $3,706 $1,853
Total Expenditures $54,310 $25,555
Total FTE 0.3 FTE 0.2 FTE
Transfers - -
Other Budget Impacts General Fund Reserve $7,591 $3,555
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July 17, 2024 HB 24-1217
Summary of Legislation
The bill requires the Behavioral Health Administration (BHA) to create a friends and family input
form 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 and make the form available by
July 1, 2025.
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 $54,000 in FY 2024-25 and $26,000 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 $15,399 $7,699
Legal Services $32,005 $16,003
Translation Services $3,200 -
Centrally Appropriated Costs
1
$3,706 $1,853
FTE – Personal Services 0.2 FTE 0.1 FTE
FTE – Legal Services 0.1 FTE 0.1 FTE
Total Cost $54,310 $25,555
Total FTE 0.3 FTE 0.2 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 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.
Staff. The BHA requires 0.2 FTE in the first year and 0.1 FTE ongoing 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.
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July 17, 2024 HB 24-1217
Legal services. The BHA requires 250 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 the forms into four 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
This bill was signed into law by the Governor and took effect on May 28, 2024.
State Appropriations
For FY 2024-25, the bill requires and includes a General Fund appropriation of $50,604 to the
Behavioral Health Administration and 0.2 FTE. Of this amount, $32,005 is reappropriated to
Department of Law with an additional 0.1 FTE.
State and Local Government Contacts
Behavioral Health Administration Corrections District Attorneys
Health Care Policy and Financing Governor Human Services
Judicial Law Public Health and Environment
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.