HB 25-1027
Fiscal Note
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
HB 25-1027: UPDATE DISEASE CONTROL STATUTES
Prime Sponsors:
Rep. Gilchrist; Brown
Sen. Daugherty
Published for: House Health & Human Services
Drafting number: LLS 25-0593
Fiscal Analyst:
Brendan Fung, 303-866-4781
brendan.fung@coleg.gov
Version: Initial Fiscal Note
Date: January 14, 2025
Fiscal note status: This fiscal note reflects the introduced bill.
Summary Information
Overview. The bill makes several changes to disease control statutes pertaining to the Colorado
Department of Public Health and Environment.
Types of impacts. The bill is projected to affect the following areas on an ongoing basis:
Minimal State Workload
Local Government
School Districts
Appropriations. No appropriation is required.
Table 1
State Fiscal Impacts
Type of Impact
Budget Year
FY 2025-26
Out Year
FY 2026-27
State Revenue $0 $0
State Expenditures $0 $0
Transferred Funds $0 $0
Change in TABOR Refunds $0 $0
Change in State FTE 0.0 FTE 0.0 FTE
Page 2
January 14, 2025 HB 25-1027
Summary of Legislation
The bill amends several disease control statutes governing the functions of the Colorado
Department of Public Health and Environment (CDPHE) specific to emergency preparedness,
school immunization, agency reporting, and Hepatitis C testing.
Emergency Preparedness
The bill repeals the Governor’s Expert Emergency Epidemic Response Committee (GEEERC),
which advises the Governor during public health threats, and establishes a departmental process
for developing, implementing, and deactivating crisis standards during public health
emergencies. In repealing the GEEERC, the bill also modifies emergency preparedness
procedures and reporting for other state entities. Additionally, the State Board of Health must
review and approve the internal emergency response and recovery plans every three years.
School Immunization
The bill makes several changes to student immunization requirements including:
repealing a provision allowing students without immunization to attend schools if they, or a
relevant guardian, request that local public health officials administer the immunization;
repealing the 14-day period for students with out-of-date immunizations to submit
documentation to schools before suspension or expulsion;
directing the Board to determine a compliance period of no less than 14 days;
extending reporting periods for schools to submit immunization and exemption rates to the
Department of Education (CDE) and Department of Human Services; and
repealing the requirement for school officials to notify CDPHE of student suspensions or
expulsions as a result of non-compliance with immunization requirements.
Reporting
The bill extends reporting dates for CDPHE to submit risk-adjusted health-facility date to the
General Assembly from July to September of each year.
Hepatitis C Testing
The bill repeals provisions for medical professionals who offer Hepatitis C screening or
diagnostic testing to certain patient populations and directs the Board to adopt testing
standards that align with the Federal Centers for Disease Control and Prevention. Page 3
January 14, 2025 HB 25-1027
State Expenditures
Beginning in FY 2025-26, the bill minimally impacts workload in CDPHE and several other
agencies. This workload is expected to be minimal and no change in appropriations is required.
Department of Public Health and Environment
In FY 2025-26, workload will minimally increase in the State Board of Health and several other
divisions in CDPHE to update emergency preparedness, school immunization, and infectious
disease screening rules, and to implement program changes. Following these changes,
workload in CDPHE will minimally decrease on an ongoing basis by streamlining program efforts
and public health initiatives.
Department of Education
In FY 2025-26, workload will minimally increase in CDE to modify school immunization rules, and
coordinate with CDPHE and school districts to implement new program procedures.
Department of Regulatory Agencies
Workload in the Department of Regulatory Agencies will minimally increase in FY 2025-26 to
conduct educational outreach to licensed medical professionals who offer Hepatitis C screenings
and diagnostic testing regarding new practice standards.
Department of Law
Beginning in FY 2025-26, state agencies may require legal services, provided by the Department
of Law, which can be accomplished within existing legal services appropriations. Legal counsel is
related to rulemaking, implementation, and a rise in claims brought against the state during an
emergency epidemic.
Other State Agencies
Workload in several state agencies may decrease beginning in FY 2025-26 from the elimination
of the GEEERC and committee member responsibilities, including the Department of Law, the
Department of Agricultures, the Department of Public Safety, and the Office of the Governor.
This workload is expected to be minimal and no change in appropriations is needed.
Local Government – School District
In FY 2025-26, workload may increase for local public health agencies to update disease control
materials and education. Additionally, workload may increase for school districts to coordinate
with CDE and CDPHE on new student immunization rules and practices. This workload is
expected to be minimal. Page 4
January 14, 2025 HB 25-1027
Effective Date
The bill takes effect upon signature of the Governor, or upon becoming law without his
signature.
State and Local Government Contacts
Education
Governor
Law
Local Affairs
Public Health and Environment
Public Safety
Regulatory Agencies
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.