House Committee of Reference Report

Committee on Appropriations

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April 8, 2025

After consideration on the merits, the Committee recommends the following:

SB25-229     be amended as follows, and as so amended, be referred to the Committee of the Whole with favorable recommendation:

Page 1, Line 1Amend reengrossed bill, strike everything below the enacting clause and

Page 1, Line 2substitute:

Page 1, Line 3"SECTION 1.  In Colorado Revised Statutes, 25-20.5-112, amend

Page 1, Line 4(2); and repeal (3) as follows:

Page 1, Line 525-20.5-112.  Voluntary competency-based community health

Page 1, Line 6worker registry - requirements - rules - definition. (2)  A community

Page 1, Line 7health worker must complete a state-approved training program that

Page 1, Line 8meets credentialing requirements based on competency statements that

Page 1, Line 9represent generalist entry-level core competencies for unlicensed

Page 1, Line 10community health workers and must may be listed on the department's

Page 1, Line 11voluntary competency-based community health worker registry. in order

Page 1, Line 12to be reimbursed through the state medical assistance program for

Page 1, Line 13providing community health worker covered services to a medicaid

Page 1, Line 14member.

Page 1, Line 15(3)  Participation in the voluntary competency-based community

Page 1, Line 16health worker registry is not required for community health workers who

Page 1, Line 17do not seek reimbursement through medicaid.

Page 1, Line 18SECTION 2.  In Colorado Revised Statutes, repeal 25.5-5-334.

Page 1, Line 19SECTION 3.  Appropriation - adjustments to 2025 long bill.

Page 1, Line 20(1)  To implement this act, general fund appropriations made in the

Page 1, Line 21annual general appropriation act for the 2025-26 state fiscal year to the

Page 1, Line 22department of health care policy and financing and the related FTE are

Page 1, Line 23decreased as follows:

Page 1, Line 24Executive director's office, general administration

Page 1, Line 25Personal services$49,123 (1.0 FTE)

Page 1, Line 26Health, life, and dental$5,500

Page 1, Line 27Short-term disability$69

Page 2, Line 1Paid family and medical leave insurance$195

Page 2, Line 2Unfunded liability amortization equalization

Page 2, Line 3disbursement payments$4,346

Page 2, Line 4Operating expenses$675

Page 2, Line 5Executive director's office, information technology contracts

Page 2, Line 6and projects

Page 2, Line 7Medicaid management information system

Page 2, Line 8maintenance and projects$18,000

Page 2, Line 9(2)  The decreases of appropriations in subsection (1) of this

Page 2, Line 10section are based on the assumption that the anticipated amount of federal

Page 2, Line 11funds received for the 2025-26 state fiscal year by the department of

Page 2, Line 12health care policy and financing will decrease by:

Page 2, Line 13Executive director's office, general administration

Page 2, Line 14Personal services$49,123

Page 2, Line 15Health, life, and dental$5,500

Page 2, Line 16Short-term disability$70

Page 2, Line 17Paid family and medical leave insurance$196

Page 2, Line 18Unfunded liability amortization equalization

Page 2, Line 19disbursement payments$4,347

Page 2, Line 20Operating expenses$675

Page 2, Line 21Executive director's office, information technology contracts

Page 2, Line 22and projects

Page 2, Line 23Medicaid management information system

Page 2, Line 24maintenance and projects$162,000

Page 2, Line 25(3)  To implement this act, appropriations made in the annual

Page 2, Line 26general appropriation act for the 2025-26 state fiscal year to the

Page 2, Line 27department of health care policy and financing for medical and long-term

Page 2, Line 28care services for Medicaid-eligible individuals are adjusted as follows:

Page 2, Line 29(a)  The general fund appropriation is decreased by $2,729,115,

Page 2, Line 30which is subject to the "(M)" notation as defined in the annual general

Page 2, Line 31appropriation act for the same fiscal year; and

Page 2, Line 32(b)  The cash funds appropriation from the healthcare affordability

Page 2, Line 33and sustainability fee cash fund created in section 25.5-4-402.4 (5)(a),

Page 2, Line 34C.R.S., is decreased by $685,499.

Page 2, Line 35(4)  The decreases of appropriations in subsection (3) of this

Page 2, Line 36section are based on the assumption that the anticipated amount of federal

Page 2, Line 37funds received for the 2025-26 state fiscal year by the department of

Page 2, Line 38health care policy and financing for medical and long-term care services

Page 2, Line 39for Medicaid-eligible individuals will decrease by $8,012,075.

Page 2, Line 40SECTION 4.  Safety clause. The general assembly finds,

Page 2, Line 41determines, and declares that this act is necessary for the immediate

Page 2, Line 42preservation of the public peace, health, or safety or for appropriations for

Page 3, Line 1the support and maintenance of the departments of the state and state

Page 3, Line 2institutions.".

Page 3, Line 3Page 1, line 102, strike "workers." and substitute "workers, and, in

Page 3, Line 4connection therewith, reducing an appropriation.".