SB 25-166
Fiscal Note
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
SB 25-166: HEALTH-CARE WORKPLACE VIOLENCE INCENTIVE PAYMENTS
Prime Sponsors:
Sen. Mullica
Published for: Senate Health & Human Services
Drafting number: LLS 25-0124
Fiscal Analyst:
Shukria Maktabi, 303-866-4720
shukria.maktabi@coleg.gov
Version: Initial Fiscal Note
Date: March 24, 2025
Fiscal note status: The fiscal note reflects the introduced bill.
Summary Information
Overview. The bill requires quality incentive payments to hospitals to include performance metrics related
to workplace violence.
Types of impacts. The bill is projected to affect the following areas on an ongoing basis:
State Expenditures
Appropriations. For FY 2025-26, the bill requires an appropriation of $261,274 to the Department of
Health Care Policy and Financing.
Table 1
State Fiscal Impacts
Type of Impact
1
Budget Year
FY 2025-26
Out Year
FY 2026-27
State Revenue $0 $0
State Expenditures $264,807 $0
Transferred Funds $0 $0
Change in TABOR Refunds $0 $0
Change in State FTE 0.2 FTE 0.0 FTE
1
Fund sources for these impacts are shown in the tables below. Page 2
March 24, 2025 SB 25-166
Table 1A
State Expenditures
Fund Source
Budget Year
FY 2025-26
Out Year
FY 2026-27
General Fund $0 $0
Cash Funds $130,637 $0
Federal Funds $130,637 $0
Centrally Appropriated $3,533 $0
Total Expenditures $264,807 $0
Total FTE 0.2 FTE 0.0 FTE
Summary of Legislation
Currently, hospitals receive quality incentive payments from the Healthcare Affordability and
Sustainability Enterprise based on their performance in improving health care outcomes. The bill
requires incentive payments to include a performance metric related to workplace violence in
hospital settings.
The Department of Health Care Policy and Financing (HCPF) must convene a stakeholder group
to develop the metric, determine funding opportunities, and provide legislative
recommendations by February 1, 2026.
Starting July 1, 2026, and annually thereafter, HCPF must assess whether each hospital has
adopted a policy to address workplace violence and submitted required reports on incidences of
violence against staff to the Department of Public Health and Environment.
State Expenditures
The bill increases state expenditures in HCPF by $265,000 in FY 2025-26 only. These costs, paid
from the Healthcare Affordability and Sustainability Fee Cash Fund and federal funds, are
summarized in Table 2 and discussed below.
Page 3
March 24, 2025 SB 25-166
Table 2
State Expenditures
Department of Health Care Policy and Financing
Cost Component
Budget Year
FY 2025-26
Out Year
FY 2026-27
Personal Services $11,274 $0
Contract Facilitator $250,000 $0
Centrally Appropriated Costs $3,533 $0
Total Costs $264,807 $0
Total FTE 0.2 FTE 0.0 FTE
Department of Health Care Policy and Financing
The department will have staff and contracting costs to implement the bill.
Staff
In FY 2025-26 only, HCPF requires 0.2 FTE to solicit and manage the facilitator contract, and
provide administrative support for the stakeholder convenings as needed. Starting in
FY 2026-27, workload will increase to perform ongoing policy verification for hospitals. The fiscal
note assumes that existing staff that currently manage quality incentive payments can absorb
this workload.
Contract Facilitator
In FY 2025-26 only, HCPF requires one-time funding of $250,000 to contract for a facilitator. The
facilitator will convene the stakeholder group, including organizing meetings, developing
meeting materials, conducting research, and developing recommendations.
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 may include
employee insurance, supplemental employee retirement payments, leased space, and indirect
cost assessments, are shown in the expenditure table above.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed. Page 4
March 24, 2025 SB 25-166
State Appropriations
For FY 2025-26, the bill requires an appropriation of $261,274 to the Department of Health Care
Policy and Financing, paid equally from the Healthcare Affordability and Sustainability Fee Cash
Fund and federal funds, and 0.2 FTE.
Departmental Difference
HCPF estimates an additional $30,000 and 0.4 FTE is required in FY 2025-26 to provide
administrative support for the stakeholder convenings, including coordinating meeting logistics
and overseeing the facilitator. The fiscal note assumes less staff support is required as the
facilitator is expected to handle most of the responsibilities related to the stakeholder group.
State and Local Government Contacts
Health Care Policy and Financing
Human Services
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.