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April 24, 2024 HB 24-1456
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Revised Fiscal Note
(replaces fiscal note dated April 19, 2024)
Drafting Number:
Prime Sponsors:
LLS 24-1158
Rep. Marvin
Sen. Michaelson Jenet
Date:
Bill Status:
Fiscal Analyst:
April 24, 2024
House Second Reading
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: INCREASE SYPHILIS TESTING DURING PREGNANCY
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☐ State Transfer
☒ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill requires the Department of Public Health and Environment to promulgate
rules concerning syphilis testing for pregnant patients. The bill minimally increases
workload on an ongoing basis.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The revised fiscal note reflects the introduced bill as amended by the House Health
and Human Services Committee.
Summary of Legislation
Current law requires health care providers to test pregnant patients for syphilis at the first
prenatal care visit, unless the patient refuses. The bill requires CDPHE to adopt rules regarding
syphilis testing by January 1, 2025, and to update these rules every three years.
Background and Assumptions
On April 18, 2024 the Department of Public Health and Environment CDPHE issued Public Health
Order (PHO) 24-01, which mandates additional syphilis testing during a third trimester prenatal
care visit and during delivery. The fiscal note assumes that CDPHE will not raise requirements
beyond this level as a result of the bill.
State Expenditures
Workload will minimally increase in CDPHE to promulgate rules every three years concerning
syphilis testing of pregnant patients. This workload is absorbable within current resources.
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April 24, 2024 HB 24-1456
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his signature.
State and Local Government Contacts
Health Care Policy and Financing 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.