The following are a selection of BHA and behavioral health reform publications and reports. Not seeing what you are looking for? Reach out to us for assistance!
BHA 2023-2025 Strategic Plan
The 2023-2025 Strategic Plan outlines the BHA's key priorities for the next three years. The plan explains the BHA’s creation, how the BHA works, priorities and key strategies, desired outcomes, and a visual roadmap representing how the BHA will achieve behavioral health care reform in Colorado.
In the next three years, the BHA desires a behavioral health system that is equitable and easy to access, meeting the needs of all people in Colorado. We strive to be an administration that represents our values of truth, equity, collaboration, community-informed practice, and generational impact.
This Equity Action Plan reflects the BHA’s bold vision for the behavioral health system while also acknowledging where we are and our needs as a new organization. The plan is therefore a mix of our overarching vision and aspirations for justice, equity, diversity, and inclusion, with initial action steps for building a robust foundation that integrates equity and co-creation into every piece of work that we do. We present action items across three levels: internally with all BHA staff, across state agencies, and with communities.
In fulfillment of the Behavioral Health Administration’s (BHA) commitments under §§ 27-50-101, C.R.S., et. seq., the BHA’s enacting statutes, and consistent with the BHA’s September 30, 2022, Behavioral Health Plan, the BHA Quality and Standard Division Staff (Staff) has prepared this grievance report regarding the development and progress of grievance receipt and response.
Development of Colorado’s Behavioral Health Workforce (2023)
As part of its strategic plan, BHA is executing an ambitious plan to strengthen the behavioral health workforce in Colorado. The Development of Colorado’s Behavioral Health Workforce report reviews BHA’s workforce efforts over the past year (2022-23), noting current status, progress toward goals, and next steps over the next two years (2023-25).
Investing in the Peer Support Workforce (2023)
One of the top priorities in the BHA’s workforce strategic plan is to expand and strengthen the peer support workforce throughout the state. The peer support model allows for tiered entry into the workforce, elevates lived experiences, and reduces traditional barriers to entering the workforce. View the Investing in the Peer Support Workforce report.
Strengthening the Behavioral Health Workforce in Colorado (2022)
The Behavioral Health Administration (BHA) released Strengthening the Behavioral Health Workforce in Colorado: An Approach to Community Partnership on Sept. 1, 2022. This strategic plan was developed in response to Senate Bill 22-181 and outlines the vision for strengthening the behavioral health workforce in Colorado to ensure we have a behavioral health system that offers meaningful, culturally relevant, and trusted services.
The purpose of the Colorado Law Enforcement Assisted Diversion (LEAD) Pilot Programs: Final Evaluation Report is to address the three following contracted evaluation questions.
1. Referral Factors - What are the factors impacting officers’ reasons for referring (or
not referring) individuals into the LEAD program?
2. Client Outcomes - What are the differences in client outcomes between LEAD program participants (engaged and non-engaged) and the control group? “Outcomes’’ include all of the following: re-arrest and recidivism, treatment, completion rates, subsequent conviction, psychosocial changes (e.g., quality of relationships, mental/physical health, stable housing, and economic/employment status).
3. Cost-Benefit Analysis - What are the differences in costs between LEAD program participants and the control group? “Costs” include all of the following: booking and prosecution costs, jail day(s), treatment, and prison incarceration.
The Children and Youth Mental Health Treatment Act Annual Report provides an overview of the Children and Youth Mental Health Treatment Act (C.R.S. 27-67); its revenue sources, services offered, program changes, and data available for State Fiscal Year 2022 (July 1, 2021 through June 30, 2022).
The development of this roadmap was funded by the Colorado Department of Human
Services, Office of Behavioral Health (OBH) in late 2021. The Criminal Justice Services
Team, formerly within the OBH Division of Community Behavioral Health, now within the
Behavioral Health Administration (BHA), provides program oversight, technical assistance,
and programmatic monitoring of services for individuals involved in the justice system. The
BHA, which launched in July 2022, is a cabinet-level agency housed within the Department
of Human Services, designed to be the single entity responsible for driving coordination
and collaboration across state agencies to address behavioral health needs. This
report uses OBH Criminal Justice Services Team to refer to work, funding, and program
administration that occurred prior to July 2022 and BHA Criminal Justice Services Team
to reflect the ongoing and future reforms to the behavioral health system in Colorado.
This report contains the Behavioral Health Administration’s (BHA’s) early conceptualization of what it means to be the lead steward of a people-first vision for whole-person health in Colorado. As you read the General Assembly Report, 2022 Behavioral Health Plan, we hope you can sense our excitement to prove ourselves trustworthy as the people’s agency; called for by the people of our state and working to bring the people’s vision to life. Because we believe that every person in our state deserves to experience whole-person health, we envision a world in which behavioral health services are accessible, meaningful, and trusted.
The Plan for the Creation of the Behavioral Health Administration (BHA) was submitted to Colorado Legislature on November 1, 2021. This plan provides much more detail on how the BHA is expected to operate. It covers the functions of the BHA, as well as how an aligned, strategic approach will advance accountability and transparency. Read the Executive Summary, available in English and Spanish.
This report provides an overview of the Colorado Department of Human Services, Office of Behavioral Health’s progress in implementing House Bill 21-1258, Rapid Mental Health Response for Colorado Youth, pursuant to CRS 27-60-109 (2)(5) for state Fiscal Year 2021-22.
Utilizing the Behavioral Health Task Force six pillars and 19 recommendations and the considerations posed by the Co-Occurring Disabilities and Behavioral Health Workgroup participants, the Steering Committee identified actionable recommendations to improve access to behavioral health care for people with disabilities and co-occurring behavioral health conditions, to include marginalized communities. Click here for their recommendations.
The Behavioral Health Workforce Development Workgroup was tasked with identifying both short-term and long-term solutions to address the workforce shortage. A culturally responsive and diverse behavioral health workforce is needed to deliver high-quality healthcare access to all Coloradans. Click here for their recommendations.
On April 8, 2019, Gov. Jared Polis directed the Colorado Department of Human Services to spearhead Colorado’s Behavioral Health Task Force. The mission of the task force was to evaluate and set the roadmap to improve the current behavioral health system in the state. In September 2020, the task force released its blueprint, as well as several other reports, that outline our vision for reform. Click here for the Task Force’s full report.
Lee en español: Plan de acción para la reforma
- 2020 Behavioral Health Needs Assessment
- Senate Bill 19-222: Comprehensive Plan to Strengthen and Expand the Behavioral Health Safety Net System
- Colorado's Statewide Strategic Plan for Primary Prevention of Substance Abuse: 2019-2024
- Colorado's Statewide Strategic Plan for Substance Use Disorder Recovery: 2020-2025
- Maternal Mortality in Colorado 2014-2016 (published July 2020)
- Part One: Prenatal Substance Use and Improving Family Health
- 2021-2025 Colorado Maternal & Child Health Needs Assessment
- Postpartum Behavioral Health in Colorado (February 2021)
In May 2020, Governor Polis asked the Behavioral Health Task Force to establish the COVID-19 Special Assignment Committee. The Committee was tasked with creating an interim report that highlights the short- and long-term impacts of COVID-19 on the behavioral health system, including access to behavioral health services, especially for vulnerable and underserved populations; and evaluate the behavioral health crisis response in Colorado to COVID-19 and provide recommendations for the Behavioral Health Task Force’s Blueprint on improvements to behavioral health services for response during any potential future crisis. Click here to read the full report.
Lee en español: Informe del Comité Especial sobre la Pandemia de COVID-19
This Behavioral Health Criminal Justice Roadmap builds on Colorado’s successes to date. It strengthens Colorado’s ongoing commitments to evidence-based deflection and diversion programs. It highlights the BHA’s opportunity to promote cross-system collaboration to build upon expertise from groups such as the Mental Health Disorders in the Criminal Justice System Task Force.
The information gathered for the Synar report can help states describe and analyze substate needs for program enhancements. These data can also be used to report to the state legislature and other state and local organizations on progress made to date in enforcing youth and young adult tobacco access laws when aggregated statistical data from state Synar reports can demonstrate to the Secretary the national progress in reducing youth and young adult tobacco access problems.
Additional Behavioral Health Reports
Pew Charitable Trusts Policy Academy 2021-2022
Office of the Behavioral Health Ombudsman of Colorado
Behavioral Health Facility Licensing Task Force
Bridges Project Final Grant Reports — Prepared by Omni
The Youth and Family Bridges Project through the Office of Behavioral Health served 551 Colorado adolescents and transition-age youth with substance use disorders, including those with co-occurring mental health disorders, from September 2013 to August 2017.
- Bridges Project Policy Assessment-In addition to providing direct service, the Bridges Project focused on policy development to create and/or improve policies around financing, workforce, or other areas in the youth substance use disorder/co-occurring mental health treatment landscape. OMNI Institute conducted several key informant interviews with stakeholders including state agencies, a mental health provider, an advocacy organization, recovery support service organization, and a parent representative. This qualitative policy assessment presents the findings from the key informant interviews and how Colorado can change the policy landscape and create future opportunities for youth and young adult with substance use/co-occurring mental health disorders.
- Bridges Project Grant-End Report-Bridges used the evidence-based practice known as the Adolescent Community Reinforcement Approach. A total of 335 (61 percent) youth completed both an intake and follow-up survey by the end of the grant for outcome analyses. The proportion of clients abstinent from all substance use increased significantly from intake to follow-up. The Grant-End Report presents all outcomes from intake to follow-up.
Circle Program — WICHE Report
Circle Program: Effectiveness and Operational Scenarios September 2016
Colorado Behavioral Health Care System Needs Analysis - WICHE Report
The intent of the study was to identify and assess existing state and community resources and to recommend strategic future planning, taking into account the many constituent variables associated with the changing behavioral health care system. The Western Interstate Commission for Higher Education Mental Health Program (WICHE), in partnership with the National Association of State Mental Health Program Directors Research Institute (NRI) and Advocates for Human Potential (AHP), formed a team of Colorado and national behavioral health experts to complete this study for OBH. The Colorado OBH Needs Analysis: Current Status, Strategic Positioning, and Future Planning study began in August 2014 and concluded with the final report submission in April 2015. During this time, the project team worked on the 17 specific tasks that were part of the study. This report contains the findings from these tasks ordered by subject-matter relatedness as illustrated in the table below.
Reports Concerning Strengthening Colorado's Behavioral Health Crisis System (Senate Bill 17-207)
The Transportation Pilot Program (TPP) was initiated in February 2018 at the Center for Mental Health in Montrose, Colorado. The second site, San Luis Valley Behavioral Health Group received funding in April 2018. The purpose of the TPP is to provide comprehensive and secure transportation for individuals placed on a 72-hour treatment and evaluation hold across the region. Individuals who met specifications pursuant to C.R.S. 27-65-105 (1)(a)(1.5), and individuals on a voluntary mental-health-hold status, who necessitate a higher level of care pursuant to Article 65 of Title 27 also qualify to receive secure transport. This report contains the findings of an evaluation of the TPP, and looks at the program's effectiveness and efficiency, as well as access to and satisfaction with the program.
The second year of the TPP evaluation began in July 2019. The evaluation expanded upon the first year and focused on areas identified in the FY2019 report:
- Funding and reimbursement
- How do programs leverage their reimbursement (e.g., what services are provided with transportation funding)?
- What other ways are providers funding their program?
- Quality and efficiency of services
- What type of transport is provided (e.g., to/from 72-hour treatment, detox, home)?
- How do program operations impact the quality and efficiency of client services (e.g., capacity to see new clients, quality of care, appointment timeliness and availability)?
- How long do clients and law enforcement wait before secure transport is available?
- Best practices
- How do the pilot sites and other state programs compare in terms of their transportation protocols (e.g., services provided by operation type [subcontract or in-house service provision], what works/does not work)?
Report provides a brief overview on the status of Colorado Crisis Services expansions. Senate Bill 17-207, which was signed by Gov. John Hickenlooper in May 2017, provided $7.1 million to the Office of Behavioral Health (OBH) in the Colorado Department of Human Services (CDHS) to expand the crisis system and better equip law enforcement to respond to individuals in mental health crisis. In addition, the Long Bill allocated $2.6 million for Law Enforcement-Assisted Diversion (LEAD) pilots to assist law enforcement with redirecting individuals to community-based services instead of jail.
- Expansion of the Colorado Crisis System Report (C.R.S. 27-60-103 (6) (b)) November 1, 2017
Report provides a brief overview on the status of Colorado Crisis Services expansions. Senate Bill 17-207, which was signed by Gov. John Hickenlooper in May 2017, provided $7.1 million to the Office of Behavioral Health (OBH) in the Colorado Department of Human Services to expand the crisis system and better equip law enforcement to respond to individuals in mental health crisis. In addition, the Long Bill allocated $2.6 million for Law Enforcement Assisted Diversion (LEAD) pilots to assist law enforcement with redirecting individuals to community-based services instead of jail.
Colorado Ignition Interlock Evaluation Report
Colorado Ignition Interlock Evaluation Report, January 2019 — Contains findings from a study evaluating the impacts of Colorado's ignition interlock program on impaired driving.
Competency Restoration Services
- A Profile of the State of Colorado's Competency Restoration Services: Title 27, Article 60 (C.R.S. 27-60-105(5)) January 1, 2022
- A Profile of the State of Colorado's Competency Restoration Services: Title 27, Article 60 (C.R.S. 27-60-105 (5)) January 1, 2021
- A Profile of the State of Colorado's Competency Restoration Services: Title 27, Article 60 (C.R.S. 27-60-105 (5)) January 1, 2020
- A Profile of the State of Colorado's Competency Restoration Services: Title 27, Article 60 (C.R.S. 27-60-105 (5)) January 1, 2019
The report provide san overview of the Office of Behavioral Health's (OBH) provision of competency restoration services and OBH efforts toward the coordination of competency restoration services with other existing programs pursuant to C.R.S. 27-60-105. The report highlights data regarding the number of individuals ordered to competency restoration services, the average time frame for beginning and ending such services, the types of settings in which competency restoration services are provided, and the outcomes of such services.
Controlled Substance Diversion Prevention and Control Report
The Office of Behavioral Health produces an annual report summarizing the yearly data and activities for the controlled substance diversion prevention and control program. OBH rule defines diversion as the transfer of any controlled substance from a licit to an illicit channel of distribution or use. This could also be interpreted as taking a medication that is not prescribed. CDHS is required to make recommendations for improving control and prevention of controlled substance diversion and track the number of diversion instances across the state.
People with behavioral health conditions may find themselves involved with law enforcement if their symptoms trigger a need for services. Law enforcement officers may arrest a suspect or take them to a hospital, rather than refer them to a community-based behavioral health program, because officers don't have enough training or resources.
The co-responder model pairs law enforcement officers with a behavioral health provider to respond to calls for service.
The Office of Behavioral Health provides funding in 25 counties to implement Co-Responder Programs. In 2020, OBH contracted with the Colorado Health Institute (CHI) to evaluate eight of the state's Co-Responder Programs.
- The Value of Partnership: How Colorado's Co-Responder Programs Enhance Access to Behavioral Health Care August 2021
- Responding to Behavioral Health Needs: An (Interim) Evaluation of the Colorado Office of Behavioral Health's Co-Responder Program June 2020
The Costs and Effectiveness of Substance Use Disorder Programs (Forfeiture Dollars Annual Report)
- Annual Accounting of Forfeited Property Legislative Report FY 2019-20
- Annual Accounting of Forfeited Property Legislative Report FY 2018-19
- The Costs and Effectiveness of Substance Use Disorder Programs, Annual Accounting of Forfeited Property Dollars Report FY 2016-17
This report provides a brief overview on the costs and effectiveness of alcohol and drug abuse programs for the individuals who received substance use services, the actual cost of serving these individuals and the outcomes related to substance use treatment services.
Culturally Informed and Inclusive Report
- A Summary of Awareness, Knowledge, Adoption, and Implementation of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care at Colorado Office of Behavioral Health. August 2016
- The Colorado Office of Behavioral Health: 2015 Behavioral Health Equity Report Executive Summary August 2015
- 2015 Behavioral Health Equity Report. Colorado Office of Behavioral Health. August 2015
Children and Youth Mental Health Treatment Act
- CYMHTA FY 2019-20 Annual Report. – Provides a brief overview of the Children and Youth Mental Health Treatment Act (C.R.S. 27-67) and its revenue sources, services offered, program changes and available data.
Drug Trends Report
- Colorado Drug Trends August 2021
- Colorado Drug Trends August 2020
- Colorado Drug Trends August 2019
- Colorado Drug Trends August 2018
The Office of Behavioral Health prepares a report annually that analyzes treatment admissions for OBH-licensed facilities. The report focuses on treatment admissions for alcohol, marijuana, cocaine, methamphetamine, heroin, and prescription opioids.
Evaluation of Intensive Residential Substance Use Disorder Treatment Provided through Managed Service Organizations
Statewide Evaluation of the Effectiveness of Intensive Residential Substance Use Disorder Treatment Provided through Managed Service Organizations Fiscal Year 2019 December 2018
- Short version
- Full version
Pursuant to 27-80-107.5(6)(c), C.R.S., this report evaluates whether the Medicaid behavioral health benefit should be expanded to include intensive residential treatment for substance use disorders. The report contains a literature review, key informant interviews, State data analysis, and recommendations.
Gambling Addiction Program Reports
Gambling Addiction Program Strategic Plan March 2020
This strategic plan addresses problem gambling in Colorado in compliance with Colorado Revised Statutes 44-30-1301(1)(b).
Gambling Addiction Program Report Fiscal Year 2020-21, January 2022
This report provides a brief overview of the Gambling Addiction Program and how it supports individual applicants seeking national certification for gambling addiction counseling and organizations serving uninsured and underinsured clients. Services reimbursed by private insurance or Medicaid are not represented in this report.
High-Risk Families Cash Fund Report
This report provides a brief overview of the High-Risk Families Cash Fund (Cash Fund) for Fiscal Year (FY) 2020-2021, and includes:
- A summary of expenditures from the fund made by the department;
- The impact of the expenditures in increasing services for high-risk families; and
- Any recommendations to strengthen and improve access to services and services provided with money from the fund.
- A Profile of the State of Colorado's Rapid Mental Health Response for Colorado Youth Annual Report FY 2021-22
Jail Based Behavioral Health Services Reports
Involuntary Mental Health Commitment Reports and Fact Sheets
Menu of Behavioral Health Screening Tools for Children and Perinatal Individuals (SB 19-195)
The Office of Behavioral Health (OBH) contracted the Colorado Health Institute to create a menu of screening tools for identifying behavioral health issues among children ages 0 to 26 and in perinatal individuals. This work is mandated by Senate Bill 19-195, which requires OBH to "select developmentally appropriate and culturally competent statewide behavioral health standardized screening tools for primary care providers, which may be made available electronically for health care professionals."
Opioid State Policy Analysis Report
This analysis outlines some of the types of opioid and other substance use disorder legislation that have been proposed and passed in other states, case studies in success, and Colorado's progress.
Prescription Drug Abuse Prevention: A Colorado Community Reference
The Office of Behavioral Health and the Colorado Consortium for Prescription Drug Abuse Prevention have released Prescription Drug Abuse Prevention: A Colorado Community Reference. The new online guide is intended to provide local communities, groups, and organizations engaging in efforts to prevent the misuse and abuse of prescription drugs with a compilation of resources, practices, and tools to enhance existing work or to develop new strategies and programs to address Colorado's opioid crisis. June 2019
Profile of the State of Colorado's Plan to Enhance Substance Use Disorder Services (SB16-202)
Senate Bill 16-202, passed in June 2016, requires the Managed Service Organizations and the Office of Behavioral Health to complete a set of reports highlighting the community need for substance use services and the action plan for addressing unmet needs.
State Fiscal Year 2020
State Fiscal Year 2019
View the Fiscal Year 19 expenditure report:
Senate Bill 16-202 Expenditures Report All MSOs FINAL FY 2019
View each region's annual report on of how the funds in the expenditure report were spent:
Signal Behavioral Health (Sub-State Planning Areas 1, 2 and 4)
AspenPointe (Sub-State Planning Area 3)
West Slope Casa (Sub-State Planning Areas 5 and 6)
Mental Health Partners (Sub-State Planning Area 7)
State Fiscal Years 2016-2018
View each region's community action plan:
Signal Behavioral Health (Sub-State Planning Areas 1, 2 and 4)
AspenPointe (Sub-State Planning Area 3)
West Slope Casa (Sub-State Planning Areas 5 and 6)
Mental Health Partners (Sub-State Planning Area 7)
View the Fiscal Year 17-18expenditure report:
FY1718 SB202 Supported Substance Use Disorder Programs Year-End Report
View the Needs Assessment summarizing the general needs and gaps related to specific populations, funding priorities, and promising practices for SUD services across the state and within the seven MSO regions.
Bridging the Divide: Addressing Colorado\'s Substance Use Disorder Needs February 2017
Residential Substance Use Treatment for Pregnant and Parenting Women and their Children: A Colorado Implementation Guide
Substance Use Treatment for Pregnant and Parenting Women and their Children Implementation Guide: A Colorado Implementation Guide- This resource is for Colorado providers seeking to implement, expand or enhance the residential substance use treatment services offered for pregnant and parenting women and their children. It covers the ways that typical treatment for substance use disorders should be modified to address the needs of pregnant and parenting women. It also details expected start-up expenses, provides budget considerations and presents a description of funding streams that can be useful to starting a program in Colorado. It further contains sample policies, schedules and program descriptions that can be tailored to specific settings and offers lessons learned from other providers who have embarked on this important and challenging work.
Safety Net System: Comprehensive Plan to Strengthen and Expand the Behavioral Health Safety Net System (SB 19-222)
This document outlines the key goals and steps required to close the gaps in the current delivery system and ensure that individuals with the most difficult-to-treat mental health disorders receive services. Read the executive summary and the full plan.
State Targeted Response to the Opioid Crisis Needs Assessment Report
This needs assessment was prepared on behalf of the Office of Behavioral Health (OBH) in the Colorado Department of Human Services (DHS) under the State Targeted Response (STR) to the Opioid Crisis grant program. The assessment identifies areas where opioid misuse and its harms are most prevalent, existing activities and funding sources that address the opioid crisis and gaps in the existing system to be addressed in the strategic plan.
Statewide Strategic Plan for Primary Prevention of Substance Abuse: 2019-2024
Putting Prevention Science to Work: Statewide Strategic Plan for Primary Prevention of Substance Abuse, 2019-2024 December 2018
The Office of Behavioral Health retained Colorado Health Institute (CHI) to conduct a statewide needs assessment of substance use primary prevention. The goal of the assessment is to help OBH and other statewide funders better use their resources to strengthen Colorado's substance use prevention programming.
- Colorado Health Institute's Making the Wise Investment Statewide Needs Assessment of Primary Prevention for Substance Abuse Report Page
The Office of Behavioral Health undertook a needs assessment and planning process in 2017-18 that has produced this Statewide Strategic Plan for Primary Prevention. OBH retained the Colorado Health Institute to conduct the needs assessment and aid in the strategic planning process. The plan aims to strengthen the prevention system in place in Colorado by coordinating funders and the efforts they support. It outlines distinct, coordinated roles for prevention funders to play to best support and strengthen the system.
Making the Wise Investment Statewide Needs Assessment of Primary Prevention for Substance Abuse February 2018
Statewide Strategic Plan for Substance Use Disorder Recovery: 2020-2025
Colorado's Statewide Strategic Plan for Substance Use Disorder Recovery: 2020-2025 (August 2019)
In House Bill 18-1003, the General Assembly tasked the Colorado Consortium for Prescription Drug Abuse Prevention to assess the state's recovery needs and create a strategic plan to address them. This plan - funded through the Office of Behavioral Health and created in partnership with the state's leaders in behavioral health and with hundreds of people in recovery - fulfills that mandate. It sets forth a vision of a system of care in Colorado that supports people who have struggled with addiction throughout their lives, and that vision will guide us as we focus on next steps to improve recovery resources for Coloradans.
Supported Substance Use Disorder Programs
In accordance with27-80-107.5(5)(a) C.R.S., designated managed service organizations must submit an annual report to the Colorado Department of Human Services, Office of Behavioral Health, the Joint Budget Committee, the Health and Human Services Committee in the Senate, and the Public Health Care and Human Services Committee of the House of Representatives regarding the amount and purpose of actual expenditures made using money from the marijuana tax cash fund in the previous state fiscal year.
- Annual SYNAR Report (Colorado, 42. U.S.C. 300x-26 OMB No 0930-0222, Federal Fiscal Year 2022. DRAFT.
- Annual SYNAR Report (Colorado, 42 U.S.C. 300x-26 OMB No 0930-0222, Federal Fiscal Year 2020. January 2020
- Annual SYNAR Report (Colorado, 42 U.S.C. 300x-26 OMB No 0930-0222, Federal Fiscal Year 2019. November 2018
- Annual SYNAR Report (Colorado), 42 U.S.C. 300x-26 OMB No 0930-0222, Federal Fiscal Year 2018. October 2017
42 U.S.C 300x-26 requires each state to submit an annual report of its progress in meeting requirements of the Department of Health and Human Services about the sale/distribution of tobacco products to individuals under age 18 as a provision federal Block Grant funding.