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February 15, 2024 HB 24-1253
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0566
Rep. English; Holtorf
Sen. Ginal
Date:
Bill Status:
Fiscal Analyst:
February 15, 2024
House Health & Human Services
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: SUNSET REGULATION OF RESPIRATORY THERAPY
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
Sunset bill. The bill continues the regulation of respiratory therapy, which is
scheduled for repeal on September 1, 2024. State fiscal impacts include the
continuation of the program’s current revenue and expenditures. Changes to the
program under the bill have minimal workload impact. The program is continued
through September 1, 2035.
Appropriation
Summary:
No appropriations is required.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Table 1
State Fiscal Impacts Under HB 24-1253
New Impacts
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures - -
Continuing Impacts
Revenue Cash Funds - $155,415
Expenditures Cash Funds - $79,866
Continuing FTE - 0.3 FTE
Transfers - -
Other Budget Impacts TABOR Refunds - $155,415
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Table 1 shows the new impacts resulting from changes to the program under the bill, and the continuing impacts
from extending the program beyond its current repeal date. Because the bill continues a program with minor
changes, the new impacts are minimal and not quantified. The continuing program impacts will end if the bill is not
passed and the program is allowed to repeal. Page 2
February 15, 2024 HB 24-1253
Summary of Legislation
The bill continues the regulation of respiratory therapists for 11 years from September 1, 2024,
to September 1, 2035. The bill also:
expands the definition of respiratory therapy to make physician assistants subject to the
same requirements as physicians; and
narrows the exemption for uncredentialed polysomnographic technologists to practice
under the supervision.
Background
Respiratory therapy has been regulated in Colorado since 2008. There are currently
approximately 5,000 licensed massage therapists in Colorado. The full sunset report and
recommendations on the profession can be found here.
Continuing Program Impacts
Based on the 2022 sunset report, DORA is expected to have revenue of $155,415 and
expenditures of $79,866 to administer the respiratory therapy program in FY 2025-26, with lower
revenue in alternating years that reflects the two-year license renewal schedule. If this bill is
enacted, these impacts will continue for the program starting in FY 2025-26. This continuing
revenue is subject to the TABOR. If this bill is not enacted, the program will end on
September 1, 2024, followed by a wind-down period, and state revenue and expenditures will
decrease starting in FY 2025-26 by the amounts shown in Table 1.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed.
State and Local Government Contacts
Law 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.