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April 20, 2024 HB 24-1459
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-1166
Rep. Herod
Sen. Buckner
Date:
Bill Status:
Fiscal Analyst:
April 20, 2024
House Judiciary
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: BIRTH EQUITY
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill places requirements concerning labor and delivery and postpartum
nourishment on healthcare and detention facilities. The bill increases state workload
on a one-time basis.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Summary of Legislation
The bill removes exceptions to the prohibition on state and local detention facilities restraining
pregnant inmates in the time around labor and delivery and extends the prohibition through
postpartum recovery. The bill also requires detention facilities and CDHS facilities to create a
system to deliver milk pumped by the parent in their custody to their newborns.
The bill requires health care facilities to develop a process for receiving patients during or after
labor from non-health care facilities that allows them to collect relevant information, including
from family members, doulas, or a health-care provider.
State Expenditures
Workload will minimally increase in the Department of Corrections (DOC) and the Department
of Human Services (CDHS) to promulgate rules around the new requirements for pregnant or
postpartum parents in their custody. Because the number of pregnant people in custody is
small, implementation workload is expected to be minimal.
Workload will minimally increase for the Department of Public Health and Environment (CDPHE)
to promulgate rules around the new requirements for hospitals. The fiscal note assumes that
hospitals will comply with the rules and no enforcement action will be necessary. Page 2
April 20, 2024 HB 24-1459
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his
signature.
Departmental Difference
The Department of Human Services estimates that the bill will require $17,680 from the General
Fund to stock eight Division of Youth Services (DYS) facilities with the necessary equipment to
pump and store breast milk. The fiscal note assumes that the existing equipment can be shared
or new equipment can be purchased as the need arises and within existing resources.
State and Local Government Contacts
Corrections Human Services Judicial
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.