Page 1
January 25, 2024 SB 24-042
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-0065
Sen. Buckner; Fields
Rep. English
Date:
Bill Status:
Fiscal Analyst:
January 25, 2024
Senate Health & Human Services
Shukria Maktabi | 303-866-4720
shukria.maktabi@coleg.gov
Bill Topic: SICKLE CELL DISEASE COMMUNITY OUTREACH & SERVICES
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill creates a program that provides outreach and support services to individuals
with sickle cell disease. The bill increases state expenditures from FY 2024-25 to
FY 2029-30.
Appropriation
Summary:
For FY 2024-25, the bill requires an appropriation of $505,850 to the Department of
Public Health and Environment.
Fiscal Note
Status:
The fiscal note reflects the introduced bill.
Table 1
State Fiscal Impacts Under SB 24-042
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures General Fund $505,850 $512,313
Centrally Appropriated $6,976 $8,719
Total Expenditures $512,826 $521,032
Total FTE 0.4 FTE 0.5 FTE
Transfers - -
Other Budget Impacts General Fund Reserve $75,878 $76,847
Page 2
January 25, 2024 SB 24-042
Summary of Legislation
The bill creates the Arie P. Taylor Sickle Cell Disease Outreach Program in the Department of
Public Health and Environment (CDPHE). The CDPHE will contract with one or more nonprofit
organizations to deliver outreach and support services to individuals with sickle cell disease.
By January 1, 2025, CDPHE must contract a third-party administrator to solicit applications for
the program, present the qualified applicants to CDPHE, and administer the contracts. The bill
outlines the criteria for the contracted organization(s) and the types of outreach and services
that can be provided. The CDPHE may consult with the Colorado Sickle Cell Treatment and
Research Center to determine if additional services should be included. The CDPHE must
provide reports prepared by the contracted organization(s) to the General Assembly. The
program is repealed July 1, 2030.
Assumptions
The bill does not specify the funding available to the CDPHE to provide for the contracted
services delivered by the program, which is at the discretion of the General Assembly. The fiscal
note assumes $416,000 will be made available annually for the services offered by the program.
State Expenditures
Beginning FY 2024-25 and continuing through the duration of the program until FY 2029-30, the
bill increases state expenditures in the CDPHE by approximately $520,000 per year, paid from
the General Fund. It also minimally increases workload for the Department of Higher Education.
Expenditures are shown in Table 2 and described below.
Table 2
Expenditures Under SB 24-042
FY 2024-25 FY 2025-26
Department of Public Health and Environment
Personal Services $25,338 $31,673
Operating Expenses $512 $640
Third-Party Administrator $64,000 $64,000
Contracts with Organizations $416,000 $416,000
Centrally Appropriated Costs
1
$6,976 $8,719
Total Cost $512,826 $521,032
Total FTE 0.4 FTE 0.5 FTE
1
Centrally appropriated costs are not included in the bill's appropriation.
Page 3
January 25, 2024 SB 24-042
Department of Public Health and Environment. From FY 2024-25 to FY 2029-30, the CDHPE
requires staff and contracts with third-party entities to implement the program.
Staff. The CDPHE requires 0.5 FTE to procure and manage the contract for the third-party
administrator and provide continued fiscal oversight of the program and contracts with
organizations. Staff costs are prorated the first year for a September 1, 2024, start date.
Third-party administrator. The CDPHE requires an annual contract with a third-party
administrator to manage the program including soliciting organizations, reviewing and
selecting organizations, and collecting data and preparing reports on the program with the
organizations. The administrator contract is estimated to require 320 hours (about 2 weeks)
annually at a rate of $200 per hour.
Contracts with organizations. The fiscal note assumes CDPHE will contract with two
organizations at a rate of $100 per hour. To fund the equivalent of one FTE’s worth of work
at each organization would require $416,000 annually.
Table 3
Contract Service Provision
Outreach and Support Services Provided Hours per year
Informal counseling and guidance 500
Support for locating and accessing services 500
Outreach to individuals and families 200
Peer support and referrals 400
Advocacy 100
Referrals for screening
200
Additional services identified by the CDPHE 100
Reporting to the CDPHE 80
Total 2080 Hours
University of Colorado, School of Medicine. Workload will increase for the Colorado Sickle
Cell Treatment and Research Center to assist the CDHPE in determining effective sickle cell
services and supports. This workload is minimal and can be accommodated 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. Page 4
January 25, 2024 SB 24-042
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 $505,850 to the Department of
Public Health and Environment, and 0.4 FTE.
State and Local Government Contacts
Higher Education Law 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.