Senate Bill 25-093 Rerevised

A Bill for an Act

Page 1, Line 101Concerning a supplemental appropriation to the department
Page 1, Line 102of health care policy and financing.

Bill Summary

(Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov.)

Supplemental appropriations are made to the department of health care policy and financing.

Page 1, Line 1Be it enacted by the General Assembly of the State of Colorado:

Page 2, Line 1SECTION 1. Appropriation to the department of health care

Page 2, Line 2policy and financing for the fiscal year beginning July 1, 2024. In

Page 2, Line 3Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),

Page 2, Line 4amend Part VI as follows:

Page 2, Line 5Section 2. Appropriation.

Page 3, Line 1Part VI

Page 3, Line 2DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

Page 3, Line 3

Page 3, Line 4(1) EXECUTIVE DIRECTOR'S OFFICE

Page 3, Line 5(A) General Administration

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 3, Line 6Personal Services	~~73,781,839~~
Page 3, Line 7	72,759,160
Page 3, Line 8	~~(787.5 FTE)~~
Page 3, Line 9	(790.1 FTE)
Page 3, Line 10Health, Life, and Dental	~~13,109,391~~
Page 3, Line 11	12,911,669
Page 3, Line 12Short-term Disability	~~63,638~~
Page 3, Line 13	65,134
Page 4, Line 1Paid Family and Medical Page 4, Line 2Leave Insurance	363,855
Page 4, Line 3Unfunded Liability Page 4, Line 4Amortization Equalization Page 4, Line 5Disbursement Payments	~~8,320,007~~
Page 4, Line 6	8,616,195
Page 4, Line 7Salary Survey	~~1,900,577~~
Page 4, Line 8	2,734,825
Page 4, Line 9Step Pay	834,248
Page 4, Line 10PERA Direct Distribution	1,448,480
Page 4, Line 11Temporary Employees Page 4, Line 12Related to Authorized Leave	5,978
Page 4, Line 13Workers' Compensation	254,896
Page 4, Line 14Operating Expenses	~~3,167,153~~
Page 4, Line 15	3,246,176
Page 5, Line 1Legal Services	~~4,082,364~~
Page 5, Line 2	2,825,964
Page 5, Line 3Administrative Law Judge Page 5, Line 4Services	822,526
Page 5, Line 5Payment to Risk Page 5, Line 6Management and Property Page 5, Line 7Funds	249,605
Page 5, Line 8Leased Space	~~3,773,214~~
Page 5, Line 9	3,785,963
Page 5, Line 10Payments to OIT	~~14,319,431~~
Page 5, Line 11	14,280,872
Page 5, Line 12CORE Operations	35,330
Page 6, Line 1General Professional Page 6, Line 2Services and Special Page 6, Line 3Projects	~~38,666,797~~
Page 6, Line 4	41,951,050
Page 6, Line 5	~~165,199,329~~	~~63,004,579~~	~~15,993,677~~ ^a	~~3,611,144~~ ^b	~~82,589,929~~ ~~(I)~~
Page 6, Line 6	167,191,926	63,019,599	15,928,774^a	3,615,065^b	84,628,488(I)
Page 6, Line 7

Page 6, Line 8^a Of this amount, ~~$11,226,017~~ $11,707,663 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., ~~$3,374,736~~

Page 6, Line 9$2,821,013 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., ~~$399,498~~ $401,583 shall be from the Medicaid

Page 6, Line 10Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., ~~$277,402~~ $278,820 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., ~~$271,995~~

Page 6, Line 11$273,413 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., ~~$202,685~~ $203,686 shall be from the Primary Care Fund created in Section

Page 6, Line 1224-22-117 (2)(b)(I), C.R.S., ~~$131,615~~ $132,283 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., ~~$58,974~~ $59,308 shall be from the

Page 6, Line 13Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and ~~$50,755~~ $51,005 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section

Page 6, Line 1425.5-5-308 (8)(a)(I), C.R.S.

Page 7, Line 1^b Of this amount, $1,059,807 shall be from statewide indirect cost recoveries, ~~$1,042,916~~ $1,046,837 shall be transferred from the Department of Human Services from the Health Care

Page 7, Line 2and Economic Security Staff Development Center line item appropriation, $739,218 shall be transferred from the Colorado Benefits Management System, Health Care and Economic

Page 7, Line 3Security Staff Development Center line item appropriation in this department, $626,987 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts

Page 7, Line 4with State Institutions for Speciality Education Programs line item, $82,077 shall be from the Department of Personnel and Administration, $40,535 shall be from the Department of

Page 7, Line 5Early Childhood, and $19,604 shall be from the Department of Public Health and Environment from the Women, Infants, and Children Supplemental Food Grant line item.

Page 7, Line 6

Page 7, Line 7(B) Information Technology Contracts and Projects

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 7, Line 8Medicaid Management Page 7, Line 9Information System Page 7, Line 10Maintenance and Projects	~~106,565,411~~	~~18,005,144~~	~~9,361,274~~ ^a	12,204^b	~~79,186,789~~ ~~(I)~~
Page 7, Line 11	108,841,510	18,257,474	9,336,554^a		81,235,278(I)
Page 7, Line 12Colorado Benefits Page 7, Line 13Management Systems, Page 7, Line 14Operating and Contract Page 7, Line 15Expenses²³²⁴	~~75,087,530~~	~~12,702,322~~ ~~(M)~~	~~6,890,173~~ ^c	~~13,194,450~~ ^e	~~42,300,585~~
Page 7, Line 16	78,602,108	13,136,265(M)	7,101,789^c	13,892,091^e	44,471,963
Page 8, Line 1Colorado Benefits Page 8, Line 2Management Systems, Page 8, Line 3Health Care and Economic Page 8, Line 4Security Staff Development Page 8, Line 5Center²³²⁴	2,172,998	689,160(M)	383,151^d	73^b	1,100,614
Page 8, Line 6Office of eHealth Page 8, Line 7Innovations Operations	6,465,845	3,372,367			3,093,478(I)
Page 8, Line 8		(3.0 FTE)
Page 8, Line 9All-Payer Claims Database	5,435,778	4,471,011			964,767(I)
Page 8, Line 10	~~195,727,562~~
Page 8, Line 11	201,518,239
Page 8, Line 12

Page 8, Line 13^a Of this amount, $7,509,458 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $1,229,195 shall be from the

Page 8, Line 14Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $597,901 shall be from the Department of Health Care Policy and Financing Cash Fund created in

Page 8, Line 15Section 25.5-1-109, ~~C.R.S., and $24,720 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1),~~ C.R.S.

Page 8, Line 16^b These amounts shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.

Page 9, Line 1^c Of this amount, ~~$6,406,647~~ $6,603,022 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and ~~$483,526~~

Page 9, Line 2$498,767 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.

Page 9, Line 3^d Of this amount, $362,040 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. and $21,111 shall be from the

Page 9, Line 4Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.

Page 9, Line 5^e Of this amount, ~~$13,192,793~~ $13,890,334 shall be transferred from the Department of Human Services and ~~$1,657~~ $1,757 shall be transferred from the Old Age Pension State

Page 9, Line 6Medical Program line item appropriation in the Other Medical Services division of this department.

Page 9, Line 7

Page 9, Line 8(C) Eligibility Determinations and Client Services

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 9, Line 9Contracts for Special Page 9, Line 10Eligibility Determinations	12,039,555	1,134,071(M)	4,338,468^a		6,567,016
Page 9, Line 11County Administration	123,048,230	21,004,349(M)	26,624,750^b		75,419,131
Page 9, Line 12Medical Assistance Sites	1,531,968		402,984^a		1,128,984(I)
Page 9, Line 13Administrative Case Page 9, Line 14Management	869,744	434,872(M)			434,872
Page 9, Line 15Customer Outreach	3,461,519	1,394,139(M)	336,621^a		1,730,759
Page 10, Line 1Centralized Eligibility Page 10, Line 2Vendor Contract Project	7,959,455		2,753,409^a		5,206,046(I)
Page 10, Line 3Connect for Health Page 10, Line 4Colorado Eligibility Page 10, Line 5Determinations	11,174,846		4,995,156^c		6,179,690(I)
Page 10, Line 6Eligibility Overflow Page 10, Line 7Processing Center	1,904,677	285,320(M)	190,849^a		1,428,508
Page 10, Line 8Returned Mail Processing	3,298,808	985,808(M)	244,919^d	111,942^e	1,956,139
Page 10, Line 9Income Verification Page 10, Line 10Programs	11,341,713	1,741,440(M)	1,093,988^a		8,506,285
Page 10, Line 11Non-emergent Medical Page 10, Line 12Transportation Broker	3,950,066	1,975,033(M)			1,975,033
Page 10, Line 13	~~176,630,515~~
Page 10, Line 14	180,580,581
Page 10, Line 15

Page 11, Line 1^a These amounts shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 11, Line 2^b Of this amount, $19,254,185(I) shall be from local funds and $7,370,565 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4

Page 11, Line 3(5)(a), C.R.S.

Page 11, Line 4^c This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for federal financial participation under the Medicaid program.

Page 11, Line 5^d Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $38,736 shall be from the

Page 11, Line 6Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.

Page 11, Line 7^e Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management System, Ongoing Expenses line item and $13 shall

Page 11, Line 8be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.

Page 11, Line 9

Page 11, Line 10(D) Utilization and Quality Review Contracts

Agency Name or Title

Item & Subtotal

Total

General Fund

General Fund Exempt

Cash Funds

Reappropriated Funds

Federal Funds

Page 11, Line 11Professional Services

Page 11, Line 12Contracts

29,644,825

7,910,405(M)

2,223,661^a

19,510,759

Page 11, Line 13

Page 12, Line 1^aOf this amount, $2,033,593 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult

Page 12, Line 2Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $64,443 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $36,875 shall be

Page 12, Line 3from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.

Page 12, Line 4

Page 12, Line 5

Page 12, Line 6(E) Provider Audits and Services

Agency Name or Title	Item & Subtotal	Total	General Fund	General Fund Exempt	Cash Funds	Reappropriated Funds	Federal Funds
Page 12, Line 7Professional Audit Contracts	4,135,919		1,598,629(M)		540,301^a		1,996,989
Page 12, Line 8

Page 12, Line 9^a Of this amount, $378,895 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $102,988 shall be from the

Page 12, Line 10Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420

Page 12, Line 11shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.

Page 12, Line 12

Page 12, Line 13(F) Recoveries and Recoupment Contract Costs

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Federal Funds
Page 12, Line 14Estate Recovery	1,165,841		582,920^a	582,921(I)
Page 13, Line 1Third-Party Liability Cost Page 13, Line 2Avoidance Contract	8,838,738	2,916,784(M)	1,502,585^b	4,419,369
Page 13, Line 3	10,004,579
Page 13, Line 4

Page 13, Line 5^aThis amount shall be from estate recoveries.

Page 13, Line 6^b This amount shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 13, Line 7

Page 13, Line 8(G) Indirect Cost Recoveries

Agency Name or Title	Item & Subtotal	Total	General Fund	General Fund Exempt	Cash Funds	Reappropriated Funds	Federal Funds
Page 13, Line 9Indirect Cost Assessment	1,059,807				276,775^a	132,407^b	650,625(I)
Page 13, Line 10

Page 13, Line 11^aOf this amount, $236,726 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $16,994 shall be from the Medical

Page 13, Line 12Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $10,711 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $7,916 shall be from

Page 13, Line 13the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $2,491 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $1,937 shall be

Page 13, Line 14from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S.

Page 14, Line 1^b Of this amount, $88,839 shall be from transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Development Center line item

Page 14, Line 2appropriation in this department, $24,709 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education

Page 14, Line 3Programs line item, and $18,859 shall be transferred from the Department of Human Services from the Health Care and Economic Security Staff Development Center line item

Page 14, Line 4appropriation.

Page 14, Line 5

Agency Name or Title	Item & Subtotal	Total	General Fund	General Fund Exempt	Cash Funds	Reappropriated Funds	Federal Funds
Page 14, Line 6		~~582,402,536~~
Page 14, Line 7		594,135,876
Page 14, Line 8

Page 14, Line 9(2) MEDICAL SERVICES PREMIUMS

Agency Name or Title	Total	General Fund	General Fund Exempt	Cash Funds	Reappropriated Funds	Federal Funds
Page 14, Line 10Medical and Long-Term Page 14, Line 11Care Services for Medicaid Page 14, Line 12Eligible Individuals^24a	~~11,926,618,728~~	~~2,324,935,891~~ ~~(M)~~	1,247,280,333^a	~~1,321,302,705~~ ^b	~~120,304,766~~ ^c	~~6,912,795,033~~
Page 14, Line 13	12,081,998,495	2,376,915,878(M)		1,399,855,214^b	119,588,730^c	6,938,358,340
Page 14, Line 14

Agency Name or Title

Item & Subtotal

Total

General Fund

General Fund Exempt

Cash Funds

Reappropriated Funds

Federal Funds

Page 14, Line 10Medical and Long-Term

Page 14, Line 11Care Services for Medicaid

Page 14, Line 12Eligible Individuals^24a

~~11,926,618,728~~

~~2,324,935,891~~ ~~(M)~~

1,247,280,333^a

~~1,321,302,705~~ ^b

~~120,304,766~~ ^c

~~6,912,795,033~~

Page 14, Line 13

12,081,998,495

2,376,915,878(M)

1,399,855,214^b

119,588,730^c

6,938,358,340

Page 14, Line 14

Page 14, Line 15^a This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.

Page 15, Line 1^b Of this amount, ~~$1,007,592,475~~ $1,062,923,207 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., ~~$76,250,120~~

Page 15, Line 2$76,010,738 shall be from recoveries and recoupments, ~~$55,980,209~~ $58,197,249 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.,

Page 15, Line 3~~$49,874,704~~ $54,010,364 represents public funds certified as expenditures incurred by public emergency medical transportation providers, ~~$45,112,663~~ $52,400,466 shall be from the

Page 15, Line 4Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., ~~$44,625,211~~ $46,929,200 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S.,

Page 15, Line 5$24,736,077 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the Medicaid program,

Page 15, Line 6~~$13,322,439~~ $20,376,822 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., ~~$1,455,170~~ $1,491,000 shall be from

Page 15, Line 7the Tobacco Tax Cash Fund created in section 24-22-117 (1)(a), C.R.S., and meets the requirement to appropriate a portion of the revenues collected from the imposition of additional

Page 15, Line 8state cigarette and tobacco taxes to the Old Age Pension program for health related purposes pursuant to Section 21 of Article X of the State Constitution, $857,151 shall be from the

Page 15, Line 9Tobacco Education Programs Fund created in Section 24-22-117 (2)(c)(I), C.R.S., $700,000 shall be from an intergovernmental transfer from Denver Health, ~~$596,026~~ $550,798 shall

Page 15, Line 10be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., $471,682 shall be from the ARPA Home- and

Page 15, Line 11Community-Based Services Account created in Section 25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II),

Page 15, Line 12C.R.S.

Page 15, Line 13^c Of this amount, $107,671,715 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education Programs

Page 15, Line 14line item, ~~$9,969,877~~ $9,253,841 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department,

Page 15, Line 15$1,505,000 shall be from the Department of Early Childhood from the Home Visiting line item, and $1,158,174 shall be transferred from Public School Health Services line item in the

Page 15, Line 16Other Medical Services division of this department.

Page 16, Line 1

Page 16, Line 2(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS

Agency Name or Title	Item & Subtotal	Total	General Fund	Cash Funds	Federal Funds
Page 16, Line 3Behavioral Health Page 16, Line 4Capitation Payments	~~1,026,100,571~~		~~271,797,567~~ ~~(M)~~	~~78,964,399~~ ^a	~~675,338,605~~
Page 16, Line 5	1,121,658,156		285,216,594(M)	94,140,516^a	742,301,046
Page 16, Line 6Behavioral Health Page 16, Line 7Fee-for-service Payments	~~11,669,132~~		~~2,800,119~~ ~~(M)~~	~~692,425~~ ^a	~~8,176,588~~
Page 16, Line 8	11,081,140		2,662,572(M)	657,348^a	7,761,220
Page 16, Line 9		~~1,037,769,703~~
Page 16, Line 10		1,132,739,296
Page 16, Line 11

Page 16, Line 12^a Of these amounts, ~~$79,622,905~~ $94,761,737 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and ~~$33,919~~

Page 16, Line 13$36,127 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S.

Page 16, Line 14

Page 16, Line 15

Page 17, Line 1

Page 17, Line 2(4) OFFICE OF COMMUNITY LIVING

Page 17, Line 3(A) Division of Intellectual and Developmental Disabilities

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Federal Funds
Page 17, Line 4(1) Administrative Costs
Page 17, Line 5Personal Services	3,469,613	1,858,480(M)		1,611,133
Page 17, Line 6	(39.5 FTE)
Page 17, Line 7Operating Expenses	356,510	202,136(M)		154,374
Page 17, Line 8Community and Contract Page 17, Line 9Management System	137,480	89,362(M)		48,118
Page 17, Line 10Support Level Page 17, Line 11Administration	58,350	28,920(M)	255^a	29,175
Page 17, Line 12	4,021,953
Page 17, Line 13

Page 17, Line 14^a This amount shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 17, Line 15

Page 18, Line 1

Page 18, Line 2

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Federal Funds
Page 18, Line 3(2) Medicaid Programs²⁵
Page 18, Line 4Adult Comprehensive Page 18, Line 5Services	~~838,089,305~~
Page 18, Line 6	869,579,190
Page 18, Line 7Adult Supported Living Page 18, Line 8Services	~~98,534,109~~
Page 18, Line 9	108,283,894
Page 18, Line 10Children's Extensive Page 18, Line 11Support Services	~~86,512,303~~
Page 18, Line 12	103,600,225
Page 18, Line 13Children's Habilitation Page 18, Line 14Residential Program	~~17,289,775~~
Page 18, Line 15	19,631,529
Page 19, Line 1Case Management for Page 19, Line 2People with Disabilities	~~142,555,236~~
Page 19, Line 3	141,229,744
Page 19, Line 4	~~1,182,980,728~~	~~579,906,496~~ ~~(M)~~	~~12,246,759~~ ^a	~~590,827,473~~
Page 19, Line 5	1,242,324,582	589,165,988(M)	31,823,732^a	621,334,862
Page 19, Line 6

Page 19, Line 7^a Of this amount, ~~$11,345,824~~ $24,125,350 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., ~~$900,934~~

Page 19, Line 8$7,337,438 shall be from the Home- and Community-Based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $360,943 shall be from the ARPA Home- and

Page 19, Line 9Community-Based Services Account created in Section 25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117

Page 19, Line 10(2)(a)(I), C.R.S.

Page 19, Line 11

Agency Name or Title	Item & Subtotal	Total	General Fund
Page 19, Line 12(3) State-only Programs²⁶
Page 19, Line 13Family Support Services	11,251,415
Page 19, Line 14State Supported Living Page 19, Line 15Services	5,288,739
Page 20, Line 1State Supported Living Page 20, Line 2Services Case Management	5,153,827
Page 20, Line 3Preventive Dental Hygiene²⁷	71,103
Page 20, Line 4	21,765,084		21,765,084
Page 20, Line 5
Page 20, Line 6		~~1,208,767,765~~
Page 20, Line 7		1,268,111,619
Page 20, Line 8

Page 20, Line 9(5) INDIGENT CARE PROGRAM

Agency Name or Title	Item & Subtotal	Total	General Fund	General Fund Exempt	Cash Funds	Federal Funds
Page 20, Line 10Safety Net Provider Page 20, Line 11Payments	226,610,308				113,305,154^a	113,305,154(I)
Page 20, Line 12Pediatric Specialty Hospital	13,455,012		6,727,506(M)			6,727,506
Page 20, Line 13Appropriation from Page 20, Line 14Tobacco Tax Cash Fund to Page 20, Line 15the General Fund	291,034				291,034^b
Page 21, Line 1Primary Care Fund Program	49,079,682		6,500,000		18,175,554^c	24,404,128(I)
Page 21, Line 2Children's Basic Health Plan Page 21, Line 3Administration	3,864,405				1,352,542^d	2,511,863
Page 21, Line 4Children's Basic Health Plan Page 21, Line 5Medical and Dental Costs	~~269,980,786~~		~~43,594,551~~	291,034^e	~~50,672,690~~ ^f	~~175,422,511~~
Page 21, Line 6	277,481,023		44,826,731		52,065,593^f	180,297,665
Page 21, Line 7		~~563,281,227~~
Page 21, Line 8		570,781,464
Page 21, Line 9

Page 21, Line 10^a This amount shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 21, Line 11^b This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially meets the requirement to appropriate a portion of the

Page 21, Line 12revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 of Article X of the State Constitution.

Page 21, Line 13^c This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.

Page 21, Line 14^d Of this amount, $1,347,131 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,411 shall be from the Healthcare Affordability and

Page 21, Line 15Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 22, Line 1^e This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B.5), C.R.S., and is not subject to the statutory limitation on General Fund

Page 22, Line 2appropriations imposed by Section 24-75-201.1, C.R.S.

Page 22, Line 3^f Of this amount, ~~$39,601,864~~ $39,515,304 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., ~~$10,547,675~~

Page 22, Line 4$12,027,625 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., ~~$423,150~~ $422,663 shall be from the Colorado Immunization Fund created

Page 22, Line 5in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S.

Page 22, Line 6

Page 22, Line 7

Page 22, Line 8(6) OTHER MEDICAL SERVICES

Agency Name or Title	Item & Subtotal	Total	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 22, Line 9Old Age Pension State Page 22, Line 10Medical Program	10,000,000			10,000,000^a
Page 22, Line 11Senior Dental Program	3,990,358		3,962,510	27,848^b
Page 22, Line 12Commission on Family Page 22, Line 13Medicine Residency Page 22, Line 14Training Programs	9,490,170		4,520,085(M)		225,000^c	4,745,085
Page 23, Line 1Medicare Modernization Page 23, Line 2Act State Contribution Page 23, Line 3Payment	~~244,659,612~~		~~244,659,612~~
Page 23, Line 4	241,755,970		241,755,970
Page 23, Line 5Public School Health Page 23, Line 6Services Contract Page 23, Line 7Administration	2,000,000		1,000,000(M)			1,000,000
Page 23, Line 8Public School Health Page 23, Line 9Services	~~202,111,227~~			~~100,427,269~~ ^d		~~101,683,958~~ ~~(I)~~
Page 23, Line 10	219,752,395			109,260,099^d		110,492,296(I)
Page 23, Line 11Screening, Brief Page 23, Line 12Intervention, and Referral to Page 23, Line 13Treatment Training Grant Page 23, Line 14Program²⁸	1,500,000			1,500,000^e
Page 24, Line 1Reproductive Health Care Page 24, Line 2for Individuals Not Eligible Page 24, Line 3for Medicaid	3,614,490		3,614,490
Page 24, Line 4~~State-only Payments for~~ Page 24, Line 5~~Home- and~~ Page 24, Line 6~~Community-Based Services~~	~~842,626~~			~~842,626~~ ^f
Page 24, Line 7	~~(6.2 FTE)~~
Page 24, Line 8Health Benefits for Page 24, Line 9~~Colorado~~ Children ~~and~~ Page 24, Line 10~~Pregnant Persons~~ Lacking Page 24, Line 11Access Due to Page 24, Line 12Immigration Status	~~2,102,665~~		~~2,102,665~~
Page 24, Line 13	16,037,803		16,037,803
Page 24, Line 14		~~480,311,148~~
Page 24, Line 15		508,141,186
Page 24, Line 16

Page 25, Line 1^a This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S.

Page 25, Line 2^b This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S.

Page 25, Line 3^c This amount shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education Programs line item.

Page 25, Line 4^d This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educational services that are eligible for federal financial participation

Page 25, Line 5under Medicaid.

Page 25, Line 6^e This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.

Page 25, Line 7^f ~~This amount shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S.~~

Page 25, Line 8

Page 25, Line 9(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS

Agency Name or Title	Item & Subtotal	General Fund	Federal Funds
Page 25, Line 10(A) Early Childhood
Page 25, Line 11Transfer to Department of Page 25, Line 12Early Childhood for Early Page 25, Line 13Intervention	9,940,111	4,970,056(M)	4,970,055
Page 25, Line 14
Page 25, Line 15
Page 26, Line 1(B) Education
Page 26, Line 2Public School Health Page 26, Line 3Services	208,269	104,135(M)	104,134
Page 26, Line 4
Page 26, Line 5(C) Human Services
Page 26, Line 6(1) Executive Director's Page 26, Line 7Office²⁹	17,003,357	8,501,679(M)	8,501,678
Page 26, Line 8

Page 26, Line 9(2) Office of Children, Youth and Families

Agency Name or Title	Item & Subtotal	General Fund	Federal Funds
Page 26, Line 10Child Welfare Page 26, Line 11Administration	350,837	144,774(M)	206,063
Page 26, Line 12Child Welfare Services	14,383,230	7,191,615(M)	7,191,615
Page 26, Line 13Division of Youth Services	681,446	340,724(M)	340,722
Page 26, Line 14	15,415,513
Page 26, Line 15

Page 27, Line 1(3) Office of Economic Security

Agency Name or Title

Item & Subtotal

Total

General Fund

General Fund Exempt

Cash Funds

Reappropriated Funds

Federal Funds

Page 27, Line 2Systematic Alien

Page 27, Line 3Verification for Eligibility

80,345

40,173(M)

40,172

Page 27, Line 4

Page 27, Line 5(4) Behavioral Health Administration

Agency Name or Title	Item & Subtotal	General Fund	Federal Funds
Page 27, Line 6Community Behavioral Page 27, Line 7Health Administration	552,950	276,475(M)	276,475
Page 27, Line 8Children and Youth Mental Page 27, Line 9Health Treatment Act	137,680	68,840(M)	68,840
Page 27, Line 10	690,630
Page 27, Line 11
Page 27, Line 12(5) Office of Behavioral Page 27, Line 13Health
Page 27, Line 14Mental Health Institutes	8,320,198	4,160,099(M)	4,160,099
Page 28, Line 1Mental Health Page 28, Line 2Transitional Living Page 28, Line 3Homes	2,582,515	1,291,257(M)	1,291,258
Page 28, Line 4	10,902,713
Page 28, Line 5

Page 28, Line 6(6) Office of Adults, Aging and Disability Services

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Federal Funds
Page 28, Line 7Administration	505,357	252,679(M)		252,678
Page 28, Line 8Regional Centers for People Page 28, Line 9with Developmental Page 28, Line 10Disabilities	58,276,921	27,249,558(M)	1,888,903^a	29,138,460
Page 28, Line 11Community Services for the Page 28, Line 12Elderly	1,001,800	500,900(M)		500,900
Page 28, Line 13	59,784,078
Page 28, Line 14

Page 28, Line 15^a This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.

Page 29, Line 1

Agency Name or Title	Item & Subtotal	General Fund	Federal Funds
Page 29, Line 2(7) Other
Page 29, Line 3Federal Medicaid Indirect Page 29, Line 4Cost Reimbursement for Page 29, Line 5Department of Human Page 29, Line 6Services Programs	~~500,000~~		~~500,000~~ ^a
Page 29, Line 7	6,865,134		6,865,134^a
Page 29, Line 8Department of Human Page 29, Line 9Services Indirect Cost Page 29, Line 10Assessment	~~23,614,388~~	~~11,807,194~~ ~~(M)~~	~~11,807,194~~
Page 29, Line 11	16,969,736	8,484,868(M)	8,484,868
Page 29, Line 12	~~24,114,388~~
Page 29, Line 13	23,834,870
Page 29, Line 14

Page 29, Line 15^a This amount reflects estimated Medicaid federal indirect cost reimbursements for Department of Human Services programs and is shown for informational purposes only.

Page 30, Line 1

Agency Name or Title	Item & Subtotal	General Fund	Federal Funds
Page 30, Line 2(D) Local Affairs
Page 30, Line 3Home Modifications Benefit Page 30, Line 4Administration	313,881	156,941(M)	156,940
Page 30, Line 5Host Home Regulation	321,053	160,527(M)	160,526
Page 30, Line 6	634,934
Page 30, Line 7

Page 30, Line 8(E) Public Health and Environment

Agency Name or Title	Item & Subtotal	General Fund	Reappropriated Funds	Federal Funds
Page 30, Line 9Facility Survey and Page 30, Line 10Certification	9,236,101	3,842,035(M)		5,394,066
Page 30, Line 11Prenatal Statistical Page 30, Line 12Information	6,196	3,098(M)		3,098
Page 30, Line 13	9,242,297
Page 30, Line 14
Page 30, Line 15
Page 31, Line 1(F) Regulatory Agencies
Page 31, Line 2Nurse Aide Certification	324,041	147,369(M)	14,652^a	162,020
Page 31, Line 3Sunset Reviews	3,750	1,875(M)		1,875
Page 31, Line 4	327,791
Page 31, Line 5

Page 31, Line 6^a This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Policy and Financing line item appropriation.

Page 31, Line 7

Agency Name or Title	Item & Subtotal	Cash Funds	Federal Funds
Page 31, Line 8(G) Revenue
Page 31, Line 9Hospital Tax Exemptions	100,000	50,000^a	50,000
Page 31, Line 10

Page 31, Line 11^a This amount shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.

Page 31, Line 12

Agency Name or Title	Total	General Fund	General Fund Exempt	Cash Funds	Reappropriated Funds	Federal Funds
Page 31, Line 13	~~145,861,911~~
Page 31, Line 14	148,164,908
Page 31, Line 15
Page 32, Line 1
Page 32, Line 2TOTALS PART VI
Page 32, Line 3(HEALTH CARE Page 32, Line 4POLICY AND Page 32, Line 5FINANCING)³⁰	~~$15,945,013,018~~	~~$3,731,636,620~~	$1,247,571,367^a	~~$1,790,475,824~~ ^b	~~$137,606,638~~	~~$9,037,722,569~~ ^c
Page 32, Line 6	$16,304,072,844	$3,819,066,512		$1,913,251,446^b	$137,592,164	$9,186,591,355^c
Page 32, Line 7

Page 32, Line 8^a Of this amount, $1,247,280,333 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $291,034 shall be General Fund Exempt pursuant

Page 32, Line 9to Section 24-22-117 (1)(c)(I)(B.5), C.R.S. Said $291,034 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S.

Page 32, Line 10^b Of this amount, $19,254,185 contains an (I) notation.

Page 32, Line 11^c Of this amount, ~~$423,795,205~~ $438,736,989 contains an (I) notation.

Page 32, Line 12

Page 32, Line 13Footnotes: The following statements are referenced to the numbered footnotes throughout section 2.

Page 32, Line 14

Page 32, Line 15²³Department of Health Care Policy and Financing, Executive Director's Office, Information Technology Contracts and Projects, Colorado Benefits Management

Page 32, Line 16Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- In

Page 33, Line 1addition to the transfer authority provided in Section 24-75-108, C.R.S., the Department may transfer up to 5.0 percent of the total appropriations within the

Page 33, Line 2line items designated with this footnote. The Department is also authorized to transfer up to 5.0 percent of the total appropriations within the line items

Page 33, Line 3designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado

Page 33, Line 4Benefits Management System subsection.

Page 33, Line 5

Page 33, Line 6²⁴Department of Health Care Policy and Financing, Executive Director's Office, Information Technology Contracts and Projects, Colorado Benefits Management

Page 33, Line 7Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- Of

Page 33, Line 8this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year.

Page 33, Line 9

Page 33, Line 10^24aDepartment of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eligible Individuals --

Page 33, Line 11This appropriation includes $12,676 total funds, including $6,338 General Fund, for the purpose of increasing provider rates for maternal care to $800 for

Page 33, Line 12billing code S0199, $1,000 for billing code 59840, and $1,600 for billing code 59841.

Page 33, Line 13

Page 33, Line 14²⁵Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, Medicaid Programs

Page 33, Line 15-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs.

Page 33, Line 16

Page 33, Line 17²⁶Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, State-only Programs

Page 34, Line 1-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for State-only Programs.

Page 34, Line 2

Page 34, Line 3²⁷Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, State-only Programs,

Page 34, Line 4Preventive Dental Hygiene -- It is the General Assembly's intent that this appropriation be used to provide special dental services for persons with intellectual

Page 34, Line 5and developmental disabilities.

Page 34, Line 6

Page 34, Line 7²⁸Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatment Training Grant Program

Page 34, Line 8-- It is the General Assembly's intent that this appropriation be used to sustain the grant program for screening, brief intervention, and referral to treatment

Page 34, Line 9for individuals at risk of substance abuse that is authorized in Section 25.5-5-208, C.R.S., in accordance with the requirements set forth in that section.

Page 34, Line 10

Page 34, Line 11²⁹Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's

Page 34, Line 12Office -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department of Human Services,

Page 34, Line 13Executive Director's Office, General Administration. As such, the appropriation contains amounts that correspond to centralized appropriation amounts in

Page 34, Line 14the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized

Page 34, Line 15appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation between the Department of Health

Page 34, Line 16Care Policy and Financing and the Department of Human Services, the Department of Health Care Policy and Financing may make line item transfers out

Page 34, Line 17of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the centralized

Page 35, Line 1appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services.

Page 35, Line 2

Page 35, Line 3³⁰Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee-for-service Contracts

Page 35, Line 4with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; Governing Boards, Regents of the University of

Page 35, Line 5Colorado -- The Department of Higher Education shall transfer $900,000 to the Department of Health Care Policy and Financing for administrative costs and

Page 35, Line 6family medicine residency placements associated with care provided by the faculty of the health sciences center campus at the University of Colorado that

Page 35, Line 7are eligible for payment pursuant to Section 25.5-4-401, C.R.S. If the federal Centers for Medicare and Medicaid services continues to allow the Department

Page 35, Line 8of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Department of Higher Education

Page 35, Line 9shall transfer the amount approved, up to $107,671,715, to the Department of Health Care Policy and Financing pursuant to Section 23-18-304(1)(c), C.R.S.

Page 35, Line 10If permission is discontinued, or is granted for a lesser amount, the Department of Higher Education shall transfer any portion of the $107,671,715 that is not

Page 35, Line 11transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado.

Page 36, Line 1SECTION 2. Appropriation to the department of health care

Page 36, Line 2policy and financing for the fiscal year beginning July 1, 2023.

Page 36, Line 3(1) For the 2023-24 state fiscal year, $223,689,786 is appropriated to the

Page 36, Line 4department of health care policy and financing and is for the payment of

Page 36, Line 5overexpenditures of line item appropriations contained in Part VI of

Page 36, Line 6section 2 of chapter 474 (SB 23-214), Session Laws of Colorado 2023,

Page 36, Line 7as follows:

Page 36, Line 8(a) $147,622,287 from the general fund for medical and long-term

Page 36, Line 9care services for Medicaid eligible individuals;

Page 36, Line 10(b) $56,508,359 from the healthcare affordability and

Page 36, Line 11sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,

Page 36, Line 12for medical and long-term care services for Medicaid eligible individuals;

Page 36, Line 13(c) $6,179,122 from the general fund, for adult comprehensive

Page 36, Line 14services;

Page 36, Line 15(d) $1,266,250 from the healthcare affordability and sustainability

Page 36, Line 16fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult

Page 36, Line 17supported living services;

Page 36, Line 18(e) $460,535 from the healthcare affordability and sustainability

Page 36, Line 19fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case

Page 36, Line 20management for people with disabilities;

Page 36, Line 21(f) $10,995,438 from the healthcare affordability and

Page 36, Line 22sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,

Page 36, Line 23for safety net provider payments; and

Page 36, Line 24(g) $657,795 from the primary care fund created in Section

Page 36, Line 2524-22-117 (2)(b)(I), C.R.S., for the primary care fund program;

Page 36, Line 26(2) In accordance with section 24-75-109 (4)(a), C.R.S., all

Page 36, Line 27restrictions on funds for the department of health care policy and

Page 36, Line 28financing for the 2024-25 state fiscal year for the amounts and items of

Page 37, Line 1appropriation listed in this section are released.

Page 37, Line 2SECTION 3. Safety clause. The general assembly finds,

Page 37, Line 3determines, and declares that this act is necessary for the immediate

Page 37, Line 4preservation of the public peace, health, or safety or for appropriations for

Page 37, Line 5the support and maintenance of the departments of the state and state

Page 37, Line 6institutions.

Senate Bill 25-093 Rerevised

Senate Sponsorship

House Sponsorship

This Version Includes All Amendments Adopted in the Second House

Senate Committees

House Committees

A Bill for an Act

Bill Summary

Page 3, Line 1Part VI

Page 3, Line 2DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

Page 3, Line 4(1) EXECUTIVE DIRECTOR'S OFFICE

Page 3, Line 5(A) General Administration

Page 7, Line 7(B) Information Technology Contracts and Projects

Page 9, Line 8(C) Eligibility Determinations and Client Services

Page 11, Line 10(D) Utilization and Quality Review Contracts

Page 12, Line 6(E) Provider Audits and Services

Page 12, Line 13(F) Recoveries and Recoupment Contract Costs

Page 13, Line 8(G) Indirect Cost Recoveries

Page 14, Line 9(2) MEDICAL SERVICES PREMIUMS

Page 16, Line 2(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS

Page 17, Line 2(4) OFFICE OF COMMUNITY LIVING

Page 17, Line 3(A) Division of Intellectual and Developmental Disabilities

Page 20, Line 9(5) INDIGENT CARE PROGRAM

Page 22, Line 8(6) OTHER MEDICAL SERVICES

Page 25, Line 9(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS

Page 26, Line 9(2) Office of Children, Youth and Families

Page 27, Line 1(3) Office of Economic Security

Page 27, Line 5(4) Behavioral Health Administration

Page 28, Line 6(6) Office of Adults, Aging and Disability Services

Page 30, Line 8(E) Public Health and Environment

Page 32, Line 13Footnotes: The following statements are referenced to the numbered footnotes throughout section 2.