SB 25-193
Fiscal Note
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
SB 25-193: SUNSET PRIMARY CARE PAYMENT REFORM COLLABORATIVE
Prime Sponsors:
Sen. Ball; Mullica
Rep. Garcia Sander; McCormick
Published for: Senate Health & Human Services
Drafting number: LLS 25-0406
Fiscal Analyst:
Kristine McLaughlin, 303-866-4776
kristine.mclaughlin@coleg.gov
Version: Initial Fiscal Note
Date: March 12, 2025
Fiscal note status: The fiscal note reflects the introduced bill.
Summary Information
Overview. The bill continues the regulation of Primary Care Payment Reform Collaborative, which is
scheduled to repeal on September 1, 2025. The program is continued through September 1, 2032.
Types of impacts. The bill only has impacts from continuing an existing program scheduled to repeal,
which will extend existing fiscal impacts through FY 2032-33 in the following areas:
State Expenditures State Diversions
Appropriations. No appropriation is required.
Table 1
Continuation of Current State Fiscal Impacts
Type of Impact
1
Budget Year
FY 2025-26
Out Year
FY 2026-27
State Revenue $0 $0
State Expenditures $0 $50,000
Diverted Funds $0 $50,000
Change in TABOR Refunds $0 $0
Change in State FTE $0 0.3 FTE
1
These impacts result from continuing a program scheduled to repeal and reflect the extension of
current spending levels, as well as current diversion of funds from the General Fund. Fund sources for
these impacts are shown in the tables below.
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March 12, 2025 SB 25-193
Table 1A
Continuing State Expenditures
Fund Source
Budget Year
FY 2025-26
Out Year
FY 2026-27
General Fund $0 $0
Cash Funds $0 $50,000
Federal Funds $0 $0
Centrally Appropriated $0 $0
Total Expenditures $0 $50,000
Total FTE 0.0 FTE 0.3 FTE
Table 1B
Continuing State Diversions
Fund Source
Budget Year
FY 2025-26
Out Year
FY 2026-27
General Fund $0 -$50,000
Cash Funds $0 $50,000
Net Transfer $0 $0
Summary of Legislation
The bill continues the Primary Care Payment Reform Collaborative (the collaborative) by the
Department of Regulatory agencies (DORA) for seven years, extending the program’s repeal
date from September 1, 2025, to September 1, 2032.
Continuing Program Impacts
Based on the Sunset Review of the collaborative, DORA is expected to have expenditures of
$50,000 and 0.3 FTE to operate the collaborative, paid from the Division of Insurance Cash Fund.
If this bill is enacted, current expenditures will continue for the program starting in FY 2026-27.
In addition, by extending the collaborative, the bill continues a diversion of $50,000 per year
from the General Fund to the Division of Insurance Cash Fund. This revenue diversion occurs
because the bill increases costs in the Division of Insurance in DORA, which is funded with
premium tax revenue that would otherwise be credited to the General Fund. Page 3
March 12, 2025 SB 25-193
If this bill is not enacted, the program will end one year after its repeal date on
September 1, 2026, following a wind-down period. If allowed to repeal, state expenditures and
diversions will decrease starting in FY 2026-27 by the amounts shown in Table 1.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed.
State and Local Government Contacts
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.