Page 1
July 23, 2024 SB 24-223
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Final Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-1150
Sen. Fenberg; Gardner
Rep. Synder
Date:
Bill Status:
Fiscal Analyst:
July 23, 2024
Signed into Law
Shukria Maktabi | 303-866-4720
shukria.maktabi@coleg.gov
Bill Topic: LICENSING FOR CLINICS THAT PROVIDE FERTILITY SERVICES
Summary of
Fiscal Impact:
☒ State Revenue
☒ State Expenditure
☒ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
The bill makes changes to the licensing requirements for gamete agencies, gamete
banks, and fertility clinics. The bill increases state expenditures and requires state
transfers beginning in FY 2025-26.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The final fiscal note reflects the enacted bill.
Table 1
State Fiscal Impacts Under SB 24-223
Budget Year
FY 2024-25
Out Year
FY 2025-26
Revenue - -
Expenditures Cash Funds - $125,000
Total Expenditures - $125,000
Transfers
1
General Fund - ($125,000)
Cash Funds - $125,000
Net Transfer - $0
Other Budget Impacts General Fund Reserve - $18,750
1
This transfer is made via an appropriation from the General Fund.
Page 2
July 23, 2024 SB 24-223
Summary of Legislation
Gamete agencies, gamete banks, and fertility clinics are required to be licensed by the
Department of Public Health and Environment (CDPHE) beginning January 1, 2025. The bill
extends the deadline to become licensed to July 1, 2025; extends the deadline for rulemaking by
the department to January 1, 2025; requires licensees to submit documentation that shows
compliance with licensing requirements initially and upon license renewal; and authorizes the
CDPHE to perform on-site inspections or investigations of complaints of clinics located outside
of Colorado, subject to available appropriations. Finally, the bill appropriates $125,000 annually
from the General Fund to the Gamete Agency, Gamete Bank, or Fertility Clinic Fund beginning in
FY 2025-26.
Background
Senate Bill 22-224 required gamete banks and fertility clinics to become licensed by the State
Board of Health in the CDPHE. The bill appropriated funding from the General Fund to the
CDPHE to implement the regulation in the first two years (FY 2022-23 and FY 2023-24), with
costs in FY 2024-25 and beyond expected to be partially paid from the Gamete Agency, Gamete
Bank, and Fertility Clinic Fund once fees for these facilities were established. The amount of
annual fee revenue expected to be collected beginning in FY 2024-25 as a result of the
January 1, 2025 licensing deadline was $22,500.
State Revenue
By moving the licensing deadline from January 1, 2025 to July 1, 2025, some state revenue from
licensing fees on gamete banks and fertility clinics may be shifted from FY 2024-25 to
FY 2025-26. The total revenue is not expected to change due to this bill. These fees are subject
to TABOR.
State Transfer
Beginning in FY 2025-26, the bill transfers $125,000 annually from the General Fund to the
Gamete Agency, Gamete Bank, or Fertility Clinic Fund. These annual transfers occur via
appropriations to the fund from the General Fund.
State Expenditures
The bill increases state expenditures in the CDPHE by $125,000 annually beginning in
FY 2025-26, paid from the Gamete Agency, Gamete Bank, or Fertility Clinic Fund. Funding will be
used to implement licensing for gamete banks and fertility clinics, including staff costs and costs
for ensuring compliance, processing licenses, and providing technical assistance and education.
Page 3
July 23, 2024 SB 24-223
Effective Date
This bill was signed into law by the Governor and took effect on May 22, 2024.
State and Local Government Contacts
Public Health and Environment Legislative Council Staff
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.