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February 9, 2024 SB 24-042
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Revised Fiscal Note
(replaces fiscal note dated January 25, 2024)
Drafting Number:
Prime Sponsors:
LLS 24-0065
Sen. Buckner; Fields
Rep. English
Date:
Bill Status:
Fiscal Analyst:
February 9, 2024
Senate Appropriations
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 $448,520 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 $448,520 $448,313
Centrally Appropriated $6,988 $8,734
Total Expenditures $455,508 $457,047
Total FTE 0.4 FTE 0.5 FTE
Transfers - -
Other Budget Impacts General Fund Reserve $67,278 $67,247
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February 9, 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 solicit and administer contracts with organizations for the
program. 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 The program is repealed July 1, 2030.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 $450,000 per year, paid from
the General Fund. It also minimally increases workload for the Department of Higher Education
and Department of Law. 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
Capital Outlay $6,670 -
Contracts with Organizations $416,000 $416,000
Centrally Appropriated Costs
1
$6,976 $8,719
Total Cost $455,508 $457,047
Total FTE 0.4 FTE 0.5 FTE
1
Centrally appropriated costs are not included in the bill's appropriation.
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February 9, 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 organizations to implement the program.
Staff. The CDPHE requires 0.5 FTE to provide fiscal and administrative oversight of the
program, including procuring and managing contracts with organizations. Staff costs are
prorated the first year for a September 1, 2024, start date.
Contracts with organizations. The CDPHE is assumed to require $416,000 annually to
contract with community-based nonprofit organizations that will provide the outreach and
services outlined in the bill. The fiscal note assumes CDPHE will contract with two
organizations, and each organization will provide 2,080 hours of the services listed in Table 3
at an average cost of $100 per hour. These funding levels and service offerings are
assumptions only; actual funding will be determined by the General Assembly, and service
provision will be adjusted accordingly.
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.
Department of Law. Workload will minimally increase for the department to provide general
counsel and rulemaking support to the CDPHE. This 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
February 9, 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 $448,520 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.