House Committee of Reference Report
Committee on Health & Human Services
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August 21, 2025
After consideration on the merits, the Committee recommends the following:
HB25B-1006be amended as follows, and as so amended, be referred to the Committee on Appropriations with favorable recommendation:
Page 1, Line 1Amend printed bill, page 5, line 17, after "add" insert "(4.5) and".
Page 1, Line 2Page 6, after line 13 insert:
Page 1, Line 3"(4.5) Prior to making any final recommendation pursuant
Page 1, Line 4to subsection (4) of this section regarding plans, coverage, and
Page 1, Line 5the number of eligible slots, the board shall seek input and
Page 1, Line 6recommendations from individuals directly affected by
Page 1, Line 7programs funded by the enterprise and shall discuss any input
Page 1, Line 8and recommendations received at a board meeting held in
Page 1, Line 9accordance with subsection (6) of this section. The board shall
Page 1, Line 10provide opportunities for individuals to provide input and
Page 1, Line 11recommendations in English and Spanish.".
Page 1, Line 12Page 8, line 5, strike "10-16-1209" and substitute "10-16-1209,
Page 1, Line 1310-16-1210, and 10-16-1211".
Page 1, Line 14Page 9, after line 9 insert:
Page 1, Line 15"10-16-1210. Regulatory agenda - division review of regulation
Page 1, Line 16- repeal. (1) (a) The division shall conduct a review of regulation
Page 1, Line 174-2-76, concerning the health insurance affordability fee
Page 1, Line 18assessment and collection process, codified in 3 CCR 702-4, in
Page 1, Line 19accordance with section 24-4-103.3. The department of
Page 1, Line 20regulatory agencies shall include the division's review of
Page 1, Line 21regulation 4-2-76 in its departmental regulatory agenda that
Page 1, Line 22the department submits to the staff of the legislative council in
Page 1, Line 23accordance with section 2-7-203 (4) by November 1, 2026. The
Page 2, Line 1health and human services committees of the house of
Page 2, Line 2representatives and the senate are the applicable committees of
Page 2, Line 3reference to which the staff of the legislative council shall
Page 2, Line 4distribute the review of regulation 4-2-76.
Page 2, Line 5(b) The division shall make a presentation of its review, as
Page 2, Line 6part of the departmental presentations to the committees in
Page 2, Line 7accordance with section 2-7-203, in the 2027 regular legislative
Page 2, Line 8session.
Page 2, Line 9(2) This section is repealed, effective July 1, 2027.
Page 2, Line 1010-16-1211. Performance audit of the enterprise - repeal.
Page 2, Line 11(1) By December 31, 2027, the state auditor shall complete a
Page 2, Line 12performance audit of the enterprise. In conducting the audit, the
Page 2, Line 13state auditor shall:
Page 2, Line 14(a) Determine whether the enterprise and the board are in
Page 2, Line 15compliance with the purpose and responsibilities of the
Page 2, Line 16enterprise and the board as specified in sections 10-16-1202,
Page 2, Line 1710-16-1204, 10-16-1205, and 10-16-1207;
Page 2, Line 18(b) Specify, for each year since the creation of the
Page 2, Line 19enterprise:
Page 2, Line 20(I) The annual revenue deposited in the fund from:
Page 2, Line 21(A) The fee collected from carriers pursuant to section
Page 2, Line 2210-16-1205 (1)(a)(I);
Page 2, Line 23(B) The special assessments collected from hospitals
Page 2, Line 24pursuant to section 10-16-1205 (1)(a)(II);
Page 2, Line 25(C) Premium tax revenues deposited in the fund pursuant
Page 2, Line 26to section 10-3-209 (4)(a)(III) before its repeal on July 1, 2025;
Page 2, Line 27(D) Money allocated to the fund pursuant to section
Page 2, Line 2810-16-1308;
Page 2, Line 29(E) The federal share of the medical assistance payments
Page 2, Line 30received pursuant to section 25.5-4-503 (2);
Page 2, Line 31(F) Any revenue collected from revenue bonds pursuant
Page 2, Line 32to section 10-16-1204 (1)(b)(II);
Page 2, Line 33(G) Interest and income derived from the deposit and
Page 2, Line 34investment of money in the fund; and
Page 2, Line 35(H) Any gifts, grants, or donations received from private
Page 2, Line 36or public sources;
Page 2, Line 37(II) The annual expenditures from the fund for the
Page 2, Line 38purposes specified in section 10-16-1205 (1)(b), indicating the
Page 2, Line 39amounts expended in each year for each of the following
Page 2, Line 40purposes and the amount of such expenditures that was paid
Page 2, Line 41from revenues described in subsections (1)(b)(I)(D) and (1)(b)(I)(E)
Page 2, Line 42of this section:
Page 2, Line 43(A) To provide funding for the reinsurance program;
Page 3, Line 1(B) To provide payments to carriers to increase the
Page 3, Line 2affordability of health insurance on the individual market for
Page 3, Line 3Coloradans who receive the premium tax credit;
Page 3, Line 4(C) To provide subsidies for state-subsidized individual
Page 3, Line 5health coverage plans purchased by qualified individuals;
Page 3, Line 6(D) To pay the enterprise's actual administrative costs to
Page 3, Line 7implement and administer this part 12; and
Page 3, Line 8(E) To pay the costs of consumer enrollment, outreach,
Page 3, Line 9and education activities regarding health-care coverage; and
Page 3, Line 10(III) The amount of revenues allocated or otherwise
Page 3, Line 11designated for a purpose specified in section 10-16-1205 (1)(b)
Page 3, Line 12that the enterprise did not encumber or expend;
Page 3, Line 13(c) With regard to the allocation of revenues to the
Page 3, Line 14reinsurance program:
Page 3, Line 15(I) Determine, for each year since the enterprise
Page 3, Line 16collected or received revenues, whether the enterprise
Page 3, Line 17allocated to the reinsurance program cash fund the maximum
Page 3, Line 18allowable amount of revenues as specified in section 10-16-1205
Page 3, Line 19(2); and
Page 3, Line 20(II) For any year in which the enterprise did not allocate
Page 3, Line 21the maximum allowable amount of revenues to the reinsurance
Page 3, Line 22program, analyze:
Page 3, Line 23(A) The enterprise's and the division's rationale for not
Page 3, Line 24allocating the maximum allowable amount of revenues to the
Page 3, Line 25reinsurance program; and
Page 3, Line 26(B) The impact of that decision on the affordability relief
Page 3, Line 27provided to consumers in the individual market and the ability
Page 3, Line 28of the enterprise to fund other programs authorized in this part
Page 3, Line 2912;
Page 3, Line 30(d) Determine whether the enterprise's current and
Page 3, Line 31projected revenues are sufficient for the enterprise to
Page 3, Line 32efficiently and effectively fulfill its duties and responsibilities
Page 3, Line 33as specified in this part 12; and
Page 3, Line 34(e) Determine the significance of federal funding on the
Page 3, Line 35ability of the enterprise to efficiently and effectively fulfill its
Page 3, Line 36duties and responsibilities as specified in this part 12.
Page 3, Line 37(2) Upon completion of the performance audit required by
Page 3, Line 38subsection (1) of this section, the state auditor shall submit a
Page 3, Line 39written report about the performance audit to the legislative
Page 3, Line 40audit committee and to the health and human services
Page 3, Line 41committees of the senate and the house of representatives.
Page 3, Line 42(3) This section is repealed, effective December 31, 2028.".
Page 3, Line 43
Page 4, Line 1Strike "beyond the 2025 calendar" and substitute "for the 2026
Page 4, Line 2plan" on: Page 8, lines 12 and 13; and Page 10, lines 26 and 27.
Page 4, Line 3Strike "beyond December 31, 2025," and substitute "for the 2026 plan
Page 4, Line 4year" on: Page 8, lines 23 and 24; and Page 11, line 11.