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
Rep. Feret
Published for: House Health & Human Services
Drafting number: LLS 25-0124
Fiscal Analyst:
Shukria Maktabi, 303-866-4720
shukria.maktabi@coleg.gov
Version: First Revised Note
Date: April 3, 2025
Fiscal note status: This revised fiscal note reflects the reengrossed 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:
Minimal State Workload
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
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April 3, 2025 SB 25-166
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.
By September 1, 2025, the Department of Health Care Policy and Financing (HCPF) and the
Colorado Healthcare Affordability and Sustainability Enterprise must consult with the
Department of Public Health and Environment (CDPHE) and other stakeholders to develop the
workplace violence metric, determine funding opportunities, and provide legislative
recommendations. HCPF must include a progress report on this work during its 2026 SMART Act
hearing, and the Colorado Healthcare Affordability and Sustainability Enterprise board must
include legislative recommendations in its annual legislative reporting due January 15, 2027.
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 CDPHE. Hospitals with fewer than 100 beds are exempt from these
reporting requirements.
State Expenditures
The bill minimally increases workload in HCPF and CDPHE beginning in FY 2025-26, as discussed
below.
Department of Health Care Policy and Financing
Beginning in FY 2025-26, workload will increase for HCPF to consult with stakeholders, conduct
research, and develop recommendations related to the workplace violence metric. Workload will
also increase to perform ongoing policy verification for hospitals. This workload can be
accomplished within existing resources.
Department of Public Health and Environment
In FY 2025-26, workload will minimally increase for CDPHE staff to help in developing the
workplace violence metric. This workload is expected to be minimal and can be accomplished
within existing resources.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed.
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April 3, 2025 SB 25-166
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.