Senate Bill 25-229 Introduced

A Bill for an Act

• Page 1, Line 101Concerning medicaid reimbursement for community health

• Page 1, Line 102workers, and, in connection therewith, making an

• Page 1, Line 103appropriation.

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/.)

Joint Budget Committee. Under current law, community health workers may be reimbursed through the Colorado medical assistance program as long as the community health worker appears on the voluntary competency-based community health worker registry verifying that the community health worker completed state-approved training and credentialing requirements.

The bill eliminates reimbursement for community health workers under the Colorado medical assistance program.

• Page 2, Line 1Be it enacted by the General Assembly of the State of Colorado:

• Page 2, Line 2SECTION 1.  In Colorado Revised Statutes, 25-20.5-112, amend (2); and repeal (3) as follows:

• Page 2, Line 325-20.5-112.  Voluntary competency-based community health

• Page 2, Line 4worker registry - requirements - rules - definition. (2)  A community

• Page 2, Line 5health worker must complete a state-approved training program that

• Page 2, Line 6meets credentialing requirements based on competency statements that

• Page 2, Line 7represent generalist entry-level core competencies for unlicensed

• Page 2, Line 8community health workers and must may be listed on the department's

• Page 2, Line 9voluntary competency-based community health worker registry. in order

• Page 2, Line 10to be reimbursed through the state medical assistance program for

• Page 2, Line 11providing community health worker covered services to a medicaid member.

• Page 2, Line 12(3)  Participation in the voluntary competency-based community

• Page 2, Line 13health worker registry is not required for community health workers who do not seek reimbursement through medicaid.

• Page 2, Line 14SECTION 2.  In Colorado Revised Statutes, repeal 25.5-5-334.

• Page 2, Line 15SECTION 3.  Appropriation - adjustments to 2025 long bill.

• Page 2, Line 16(1)  To implement this act, general fund appropriations made in the

• Page 2, Line 17annual general appropriation act for the 2025-26 state fiscal year to the

• Page 2, Line 18department of health care policy and financing and the related FTE are decreased as follows:

• Page 2, Line 19Executive director's office, general administration

• Page 2, Line 20Personal services$49,123 (1.0 FTE)

• Health, life, and dental$5,500

• Page 3, Line 1Short-term disability$69

• Paid family and medical leave insurance$195

• Page 3, Line 2Unfunded liability amortization equalization

• disbursement payments$4,346

• Page 3, Line 3Operating expenses$675

• Page 3, Line 4Executive director's office, information technology contractsand projects

• Page 3, Line 5Medicaid management information system

• maintenance and projects$18,000

• Page 3, Line 6(2)  The decreases of appropriations in subsection (1) of this

• Page 3, Line 7section are based on the assumption that the anticipated amount of federal

• Page 3, Line 8funds received for the 2025-26 state fiscal year by the department of health care policy and financing will decrease by:

• Page 3, Line 9Executive director's office, general administration

• Personal services$49,123

• Page 3, Line 10Health, life, and dental$5,500

• Short-term disability$70

• Page 3, Line 11Paid family and medical leave insurance$196

• Unfunded liability amortization equalization

• Page 3, Line 12disbursement payments$4,347

• Operating expenses$675

• Page 3, Line 13Executive director's office, information technology contracts and projects

• Page 3, Line 14Medicaid management information system

• maintenance and projects$162,000

• Page 3, Line 15(3)  To implement this act, appropriations made in the annual

• Page 4, Line 1general appropriation act for the 2025-26 state fiscal year to the

• Page 4, Line 2department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals are adjusted as follows:

• Page 4, Line 3(a)  The general fund appropriation is decreased by $2,729,115,

• Page 4, Line 4which is subject to the "(M)" notation as defined in the annual general appropriation act for the same fiscal year; and

• Page 4, Line 5(b)  The cash funds appropriation from the healthcare affordability

• Page 4, Line 6and sustainability fee cash fund created in section 25.5-4-402.4 (5)(a), C.R.S., is decreased by $685,499.

• Page 4, Line 7(4)  The decreases of appropriations in subsection (3) of this

• Page 4, Line 8section are based on the assumption that the anticipated amount of federal

• Page 4, Line 9funds received for the 2025-26 state fiscal year by the department of

• Page 4, Line 10health care policy and financing for medical and long-term care services for Medicaid-eligible individuals will decrease by $8,012,075.

• Page 4, Line 11SECTION 4.  Safety clause. The general assembly finds,

• Page 4, Line 12determines, and declares that this act is necessary for the immediate

• Page 4, Line 13preservation of the public peace, health, or safety or for appropriations for

• Page 4, Line 14the support and maintenance of the departments of the state and state institutions.