Senate Bill 25-290 Introduced

A Bill for an Act

• Page 1, Line 101Concerning the creation of the provider stabilization fund

• Page 1, Line 102within the Colorado healthcare affordability and

• Page 1, Line 103sustainability enterprise to make provider

• Page 1, Line 104stabilization payments to eligible safety net providers

• Page 1, Line 105that serve low-income, uninsured populations in the

• Page 1, Line 106state, and, in connection therewith, maximizing federal

• Page 1, Line 107funds to support the operations of the enterprise.

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.)

The bill creates the provider stabilization fund within the Colorado healthcare affordability and sustainability enterprise (enterprise) to distribute provider stabilization payments to safety net providers who provide services to low-income, uninsured individuals on a sliding-fee schedule or at no cost. Provider stabilization payments will be distributed to eligible safety net providers based on the proportion of low-income, uninsured individuals that an individual provider serves in comparison to the total number of low-income, uninsured individuals served by all eligible safety net providers.

The bill directs the state treasurer to credit interest earnings on the principal in the unclaimed property trust fund to the provider stabilization fund as follows:

• $25 million for the 2025-26 state fiscal year;
• $20 million for the 2026-27 state fiscal year; and
• $15 million for the 2027-28 and subsequent state fiscal years.

The provider stabilization fund also consists of any money the general assembly appropriates, transfers, or credits to the fund and any gifts, grants, or donations the enterprise may receive for the fund. The bill directs the enterprise to leverage money in the provider stabilization fund to obtain federal matching money.

The bill establishes a provider stabilization fund enterprise support board to assist the enterprise in implementing and administering the provider stabilization fund. The enterprise's governing board is required to submit an annual report on the provider stabilization fund to specified committees, the governor, and the medical services board in the department of health care policy and financing.

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

• Page 2, Line 2SECTION 1.  Legislative declaration. (1)  The general assembly finds and determines that:

• Page 2, Line 3(a)  Medicaid, the program administered by the department of

• Page 2, Line 4health care policy and financing under the name "Health First Colorado",

• Page 2, Line 5is an essential public health coverage program that pays for health care for more than 1.2 million Coloradans;

• Page 2, Line 6(b)  Medicaid is also a critical component of Colorado's broader

• Page 2, Line 7health care system, with thousands of health care providers relying on

• Page 3, Line 1payments from medicaid to help sustain their businesses as they serve Coloradans;

• Page 3, Line 2(c)  Medicaid has a positive impact on Colorado's economy, as

• Page 3, Line 3evidenced by data from a 2016 report commissioned by the Colorado

• Page 3, Line 4Health Foundation showing that, after the medicaid program expansion

• Page 3, Line 5made possible by the federal "Patient Protection and Affordable Care

• Page 3, Line 6Act" and Senate Bill 13-200, the state's economy experienced an increase

• Page 3, Line 7in the state gross domestic product, an increase in jobs, an increase in annual household earnings, and an increase in general fund revenues;

• Page 3, Line 8(d)  During the public health emergency caused by the COVID-19

• Page 3, Line 9pandemic, the federal government allowed all people enrolled in medicaid

• Page 3, Line 10as of March 2020 to retain their benefits during the period of the public health emergency, which lasted until May 2023;

• Page 3, Line 11(e)  Following the public health emergency, the federal

• Page 3, Line 12government required the state to conduct eligibility redeterminations for all medicaid enrollees;

• Page 3, Line 13(f)  Before the eligibility redetermination, 1.8 million Coloradans

• Page 3, Line 14were enrolled in the state's medicaid program, and as of May 2024, the state's medicaid enrollment dropped by over 500,000 to 1.27 million;

• Page 3, Line 15(g)   From spring of 2023 to spring of 2024, Colorado health care

• Page 3, Line 16providers experienced significant increases in the demand for care from

• Page 3, Line 17uninsured Coloradans, suggesting that many Coloradans who lost medicaid eligibility became uninsured; and

• Page 3, Line 18(h)  The increased demand for uncompensated care has had

• Page 3, Line 19destabilizing financial effects on safety net providers, leading to reduced access to care for many Coloradans.

• Page 3, Line 20(2)  The general assembly therefore declares that it is:

• Page 4, Line 1(a)  Enacting the provider stabilization fund as a short-term solution intended to stabilize certain safety net providers; and

• Page 4, Line 2(b)  Committed to:

• Page 4, Line 3(I)  Protecting vital primary care safety net infrastructure in the state;

• Page 4, Line 4(II)  Ensuring Colorado communities can provide access to care for their residents; and

• Page 4, Line 5(III)  Working toward long-term sustainability for Colorado's health-care safety net.

• Page 4, Line 6SECTION 2.  In Colorado Revised Statutes, 25.5-4-402.4, amend

• Page 4, Line 7(2)(a), (2)(c) introductory portion, (2)(c)(V), (2)(e), (3)(a), (3)(d)(II),

• Page 4, Line 8(3)(d)(III), (3)(d)(V), (7)(d)(II), (7)(d)(IX), (7)(e) introductory portion,

• Page 4, Line 9and (7)(f)(I); and add (2)(b.5), (2)(c)(II.5), (2)(c)(V.3), (2)(d.3), (5.3), (6)(a)(IV), (7)(e)(III.3), and (9) as follows:

• Page 4, Line 1025.5-4-402.4.  Hospitals - healthcare affordability and

• Page 4, Line 11sustainability fee - Colorado healthcare affordability and

• Page 4, Line 12sustainability enterprise - federal waiver - fund created - reports -

• Page 4, Line 13rules - definitions - legislative declaration - repeal. (2)  Legislative declaration. The general assembly hereby finds and declares that:

• Page 4, Line 14(a)  The state and the providers of publicly funded medical

• Page 4, Line 15services, and hospitals and safety net providers in particular, share a common commitment to comprehensive health-care reform;

• Page 4, Line 16(b.5)  Additionally, safety net providers in the state incur

• Page 4, Line 17significant costs by providing services to a large portion of the

• Page 4, Line 18state's low-income, uninsured populations and individuals and

• Page 4, Line 19families enrolled in medicaid, medicare, or the children's basic

• Page 4, Line 20health plan;

• Page 5, Line 1(c)  This section is enacted as part of a comprehensive health-care

• Page 5, Line 2reform and is intended to provide the following services and benefits to hospitals, safety net providers, and individuals, as applicable:

• Page 5, Line 3(II.5)  Through provider stabilization payments, reducing

• Page 5, Line 4the underpayment to Colorado safety net providers

• Page 5, Line 5participating in medicaid, medicare, or the children's basic

• Page 5, Line 6health plan and providing compensation to safety net providers

• Page 5, Line 7that provide services to low-income, uninsured individuals on a sliding-fee schedule or for free;

• Page 5, Line 8(V)  Expanding and ensuring access to high-quality, affordable health care for low-income and uninsured populations; and

• Page 5, Line 9(V.3)  Distributing provider stabilization payments to

• Page 5, Line 10safety net providers in order to maintain the quality and

• Page 5, Line 11continuity of services delivered by safety net providers to

• Page 5, Line 12low-income, uninsured individuals and individuals and families

• Page 5, Line 13enrolled in medicaid, medicare, or the children's basic health plan; and

• Page 5, Line 14(d.3)  The Colorado healthcare affordability and

• Page 5, Line 15sustainability enterprise provides business services to safety net

• Page 5, Line 16providers when it allocates money in the provider stabilization

• Page 5, Line 17fund established in subsection (5.3) of this section and any

• Page 5, Line 18available federal matching money for provider stabilization

• Page 5, Line 19payments to eligible safety net providers to ensure those

• Page 5, Line 20providers can continue providing access to health-care services

• Page 5, Line 21for enrollees in medicaid, medicare, or the children's basic

• Page 5, Line 22health plan and to low-income, uninsured individuals in the

• Page 5, Line 23state;

• Page 6, Line 1(e)  It is necessary, appropriate, and in the best interest of the state

• Page 6, Line 2to acknowledge that by providing the business services specified in

• Page 6, Line 3subsections (2)(d)(I) and (2)(d)(II) subsections (2)(d) and (2)(d.3) of

• Page 6, Line 4this section, the Colorado healthcare affordability and sustainability

• Page 6, Line 5enterprise engages in an activity conducted in the pursuit of a benefit, gain, or livelihood and therefore operates as a business;

• Page 6, Line 6(3)  Colorado healthcare affordability and sustainability

• Page 6, Line 7enterprise. (a)  The Colorado healthcare affordability and sustainability

• Page 6, Line 8enterprise referred to in this section as the "enterprise", is created. The

• Page 6, Line 9enterprise is and operates as a government-owned business within the state department for the purpose of:

• Page 6, Line 10(I)  Charging and collecting the healthcare affordability and sustainability fee;

• Page 6, Line 11(II)  Leveraging revenue from the healthcare affordability and

• Page 6, Line 12sustainability fee revenue and in the provider stabilization fund to obtain federal matching money; and

• Page 6, Line 13(III)  Utilizing and deploying:

• Page 6, Line 14(A)  The healthcare affordability and sustainability fee revenue and

• Page 6, Line 15federal matching money to provide the business services specified in

• Page 6, Line 16subsections (2)(d)(I) and (2)(d)(II) of this section to hospitals that pay the healthcare affordability and sustainability fee; and

• Page 6, Line 17(B)  Money in the provider stabilization fund and any

• Page 6, Line 18federal matching money to provide the business services

• Page 6, Line 19specified in subsection (2)(d.3of this section to eligible safety net providers in accordance with subsection (5.3) of this section.

• Page 6, Line 20(d)  The enterprise's primary powers and duties are:

• Page 6, Line 21(II)  To leverage revenue collected from the healthcare

• Page 7, Line 1affordability and sustainability fee revenue collected and money in the

• Page 7, Line 2provider stabilization fund to obtain federal matching money,

• Page 7, Line 3working with or through the state department and the state board to the extent required by federal law or otherwise necessary;

• Page 7, Line 4(III)  To expend:

• Page 7, Line 5(A)  Healthcare affordability and sustainability fee revenue,

• Page 7, Line 6matching federal money, and any other money from the healthcare

• Page 7, Line 7affordability and sustainability fee cash fund as specified in subsections (4) and (5) of this section; and

• Page 7, Line 8(B)  Money in the provider stabilization fund and any

• Page 7, Line 9matching federal money as specified in subsection (5.3) of this section.

• Page 7, Line 10(V)  To enter into agreements with the state department to the

• Page 7, Line 11extent necessary to collect and expend healthcare affordability and

• Page 7, Line 12sustainability fee revenue and to expend money in the provider stabilization fund;

• Page 7, Line 13(5.3)  Provider stabilization fund - provider stabilization

• Page 7, Line 14payments to eligible safety net providers - provider stabilization fund

• Page 7, Line 15enterprise support board - annual report. (a) Fund creation - use.

• Page 7, Line 16(I)  The provider stabilization fund is created in the state treasury. The provider stabilization fund consists of:

• Page 7, Line 17(A)  Money credited to the fund pursuant to section 38-13-801 (6);

• Page 7, Line 18(B)  Any other money the general assembly may appropriate, transfer, or credit to the fund; and

• Page 7, Line 19(C)  Any gifts, grants, or donations the enterprise may

• Page 7, Line 20receive from public or private sources for the provider stabilization fund.

• Page 8, Line 1(II)  The state treasurer shall credit all interest and

• Page 8, Line 2income derived from the deposit and investment of money in the

• Page 8, Line 3provider stabilization fund to the fund. The state treasurer

• Page 8, Line 4shall invest, as provided by law, any money in the fund not

• Page 8, Line 5expended for the purposes specified in this subsection (5.3).

• Page 8, Line 6Money in the fund must not be transferred to any other fund

• Page 8, Line 7and must not be used for any purpose other than the purposes specified in this subsection (5.3).

• Page 8, Line 8(III)  All money in the fund is subject to federal matching

• Page 8, Line 9as authorized under federal law and, subject to annual

• Page 8, Line 10appropriation by the general assembly, shall be expended by the

• Page 8, Line 11enterprise, in accordance with subsection (5.3)(b) of this section,

• Page 8, Line 12to distribute provider stabilization payments to safety net

• Page 8, Line 13providers determined eligible for payments in accordance with subsection (5.3)(c) of this section.

• Page 8, Line 14(IV)  The enterprise, in collaboration with the provider

• Page 8, Line 15stabilization fund enterprise support board, may seek, accept,

• Page 8, Line 16and expend gifts, grants, or donations from private or public

• Page 8, Line 17sources for the purposes of this subsection (5.3). The enterprise

• Page 8, Line 18shall transmit all money received through gifts, grants, or

• Page 8, Line 19donations to the state treasurer, who shall credit the money to the provider stabilization fund.

• Page 8, Line 20(b) Provider stabilization payments. (I)  The enterprise, in

• Page 8, Line 21collaboration with the provider stabilization fund enterprise

• Page 8, Line 22support board, shall annually allocate money appropriated by

• Page 8, Line 23the general assembly from the provider stabilization fund as

• Page 9, Line 1provider stabilization payments to safety net providers in the

• Page 9, Line 2state who comply with the requirements of subsection (5.3)(c) of

• Page 9, Line 3this section and are determined to be eligible for a provider

• Page 9, Line 4stabilization payment. The enterprise shall allocate the

• Page 9, Line 5provider stabilization payments in amounts proportionate to the

• Page 9, Line 6number of low-income, uninsured individuals served by an

• Page 9, Line 7eligible safety net provider relative to the total number of

• Page 9, Line 8low-income, uninsured individuals served by all eligible safety net providers.

• Page 9, Line 9(II)  The enterprise, in consultation with the provider

• Page 9, Line 10stabilization fund enterprise support board, shall establish a

• Page 9, Line 11schedule for allocating the money appropriated from the

• Page 9, Line 12provider stabilization fund for eligible safety net providers.

• Page 9, Line 13The disbursement of money in the provider stabilization fund to

• Page 9, Line 14eligible safety net providers pursuant to this subsection (5.3) is

• Page 9, Line 15exempt from the provisions of the "Procurement Code", articles 101 to 112 of title 24.

• Page 9, Line 16(c) Provider eligibility. (I)  For a safety net provider to be

• Page 9, Line 17eligible for a provider stabilization payment pursuant to

• Page 9, Line 18subsection (5.3)(b) of this section, the safety net provider shall

• Page 9, Line 19provide sufficient information to the enterprise, as specified in

• Page 9, Line 20subsection (5.3)(c)(II) of this section, that the provider provides services to low-income, uninsured individuals:

• Page 9, Line 21(A)  At no cost; or

• (B)  On a sliding-fee schedule.

• Page 9, Line 22(II)  A safety net provider applying for a provider

• Page 9, Line 23stabilization payment shall annually submit to the enterprise

• Page 10, Line 1information that the enterprise, in consultation with the

• Page 10, Line 2provider stabilization fund enterprise support board, determines

• Page 10, Line 3necessary to establish the provider's eligibility for a provider

• Page 10, Line 4stabilization payment pursuant to subsection (5.3)(b) of this section. The safety net provider shall provide the following:

• Page 10, Line 5(A)  Information demonstrating that the provider is a

• Page 10, Line 6safety net provider as described in subsection (9)(h)(I), (9)(h)(II),

• Page 10, Line 7or (9)(h)(III) of this section or has a client caseload that satisfies the requirements of subsection (9)(h)(IV) of this section;

• Page 10, Line 8(B)  For a safety net provider described in subsection

• Page 10, Line 9(9)(h)(IV) of this section, the total number of patients served,

• Page 10, Line 10the number of low-income, uninsured individuals that the

• Page 10, Line 11provider served, and the number of enrollees in medicaid,

• Page 10, Line 12medicare, or the children's basic health plan that the provider served; and

• Page 10, Line 13(C)  Information to demonstrate that the provider

• Page 10, Line 14provides services in compliance with subsection (5.3)(c)(I)(A), (5.3)(c)(I)(B), or (5.3)(c)(I)(C) of this section, as applicable.

• Page 10, Line 15(III)  For purposes of this subsection (5.3)(c), the number of

• Page 10, Line 16patients served is the number of unduplicated users of health-care services and is not the number of visits by a patient.

• Page 10, Line 17(d) Provider stabilization fund enterprise support board.

• Page 10, Line 18(I)  The provider stabilization fund enterprise support board is

• Page 10, Line 19created within the enterprise to support the enterprise board

• Page 10, Line 20with the implementation of this subsection (5.3). The provider

• Page 10, Line 21stabilization fund enterprise support board consists of nine

• Page 10, Line 22members appointed by the governor as follows:

• Page 11, Line 1(A)  Five members who are eligible safety net providers or who represent associations of eligible safety net providers;

• Page 11, Line 2(B)  Three members who are low-income, uninsured

• Page 11, Line 3individuals who rely on safety net providers for health care or

• Page 11, Line 4who are representatives from Colorado-based consumer

• Page 11, Line 5advocacy organizations that work on safety net health-care matters; and

• Page 11, Line 6(C)  One member who is an employee of the state department.

• Page 11, Line 7(II) (A)  The governor shall make the initial appointments

• Page 11, Line 8to the provider stabilization fund enterprise support board as

• Page 11, Line 9soon as possible after the effective date of this subsection (5.3)(d), but no later than August 1, 2025.

• Page 11, Line 10(B)  Members of the provider stabilization fund enterprise

• Page 11, Line 11support board serve at the pleasure of the governor. The term of appointment is three years.

• Page 11, Line 12(C)  Members of the provider stabilization fund enterprise

• Page 11, Line 13support board serve without compensation and without reimbursement for expenses.

• Page 11, Line 14(III)  The provider stabilization fund enterprise support

• Page 11, Line 15board shall elect a chair and vice-chair from among its provider

• Page 11, Line 16and consumer members and shall meet as necessary at the call

• Page 11, Line 17of the chair to perform its functions as specified in this subsection (5.3)(d).

• Page 11, Line 18(IV)  The provider stabilization fund enterprise support

• Page 11, Line 19board shall consult with the enterprise board, as well as the

• Page 11, Line 20state department and the state board as necessary, in

• Page 12, Line 1implementing this subsection (5.3), including assisting the

• Page 12, Line 2enterprise in administering and providing oversight of the provider stabilization fund.

• Page 12, Line 3(e) Provider stabilization fund report. (I)  Beginning

• Page 12, Line 4September 1, 2026, and by each September 1 thereafter, the

• Page 12, Line 5enterprise board shall prepare and submit an annual report concerning the provider stabilization fund to:

• Page 12, Line 6(A)  The health and human services committee of the house

• Page 12, Line 7of representatives and the health and human services committee of the senate, or their successor committees;

• Page 12, Line 8(B)  The joint budget committee;

• (C)  The governor; and

• Page 12, Line 9(D)  The state board.

• (II)  At a minimum, the report must include:

• Page 12, Line 10(A)  The number of low-income, uninsured individuals and

• Page 12, Line 11the number of medicaid, medicare, and children's basic health

• Page 12, Line 12plan enrollees served by eligible safety net providers that

• Page 12, Line 13received provider stabilization payments in the immediately preceding fiscal year;

• Page 12, Line 14(B)  The allocation of money to eligible safety net providers; and

• Page 12, Line 15(C)  Any other information that the enterprise board, in

• Page 12, Line 16consultation with the provider stabilization fund enterprise support board, deems necessary or appropriate.

• Page 12, Line 17(6) Appropriations. (a) (IV)  Provider stabilization payments

• Page 12, Line 18from the provider stabilization fund pursuant to subsection (5.3)

• Page 12, Line 19of this section are made to supplement, not supplant, general

• Page 13, Line 1fund appropriations to support safety net provider reimbursements.

• Page 13, Line 2(7)  Colorado healthcare affordability and sustainability

• Page 13, Line 3enterprise board. (d)  The enterprise board has, at a minimum, the following duties:

• Page 13, Line 4(II)  If requested by the health and human services committee of

• Page 13, Line 5the senate or the public health care and human services committee of the

• Page 13, Line 6house of representatives, or any successor committees, to consult with the

• Page 13, Line 7committees on any legislation that may impact the healthcare affordability

• Page 13, Line 8and sustainability fee, payments, or hospital reimbursements established pursuant to this section;

• Page 13, Line 9(IX)  To monitor the impact of the healthcare affordability and

• Page 13, Line 10sustainability fee and provider stabilization payments on the broader health-care marketplace;

• Page 13, Line 11(e)  On or before January 15, 2018, and on or before January 15 of

• Page 13, Line 12each year, thereafter the enterprise board shall submit a written report to

• Page 13, Line 13the health and human services committee of the senate and the public

• Page 13, Line 14health care and human services committee of the house of representatives,

• Page 13, Line 15or any successor committees, the joint budget committee of the general

• Page 13, Line 16assembly, the governor, and the state board. The report shall include, but need not be limited to:

• Page 13, Line 17(III.3)  An itemization of the total amount of provider

• Page 13, Line 18stabilization payments allocated to each eligible safety net provider;

• Page 13, Line 19(f) (I)  The enterprise is and the provider stabilization fund

• Page 13, Line 20enterprise support board are subject to the open meetings provisions

• Page 13, Line 21of the "Colorado Sunshine Act of 1972", contained in part 4 of article 6

• Page 14, Line 1of title 24, and the "Colorado Open Records Act", part 2 of article 72 of title 24.

• Page 14, Line 2(9)  Definitions.As used in this section, unless the context otherwise requires:

• Page 14, Line 3(a)  "Children's basic health plan" has the same meaning as set forth in section 25.5-8-103 (2).

• Page 14, Line 4(b)  "Eligible safety net provider" means a safety net

• Page 14, Line 5provider determined, pursuant to subsection (5.3)(c) of this section, to be eligible for a provider stabilization payment.

• Page 14, Line 6(c)  "Enterprise" means the Colorado healthcare

• Page 14, Line 7affordability and sustainability enterprise created in subsection (3) of this section.

• Page 14, Line 8(d)  "Enterprise board" means the Colorado healthcare

• Page 14, Line 9affordability and sustainability enterprise board created in subsection (7) of this section.

• Page 14, Line 10(e)  "Low-income, uninsured individual" means an individual:

• Page 14, Line 11(I)  Receiving services from a safety net provider;

• Page 14, Line 12(II)  Whose annual household income is at or below two hundred percent of the federal poverty guideline;

• Page 14, Line 13(III)  Who is not enrolled in medicaid, medicare, or the children's basic health plan; and

• Page 14, Line 14(IV)  For whom a third party is not paying or reimbursing

• Page 14, Line 15the safety net provider for all or a portion of the amount charged for the services provided to the individual.

• Page 14, Line 16(f)  "Medicaid" means a medical assistance program under

• Page 14, Line 17articles 4 to 6 of this title 25.5.

• Page 15, Line 1(g)  "Medicare" means the "Health Insurance for the Aged

• Page 15, Line 2Act", title XVIII of the federal "Social Security Act", as amended.

• Page 15, Line 3(h)  "Safety net provider" means:

• Page 15, Line 4(I)  A comprehensive community behavioral health provider, as defined in section 27-50-101 (11);

• Page 15, Line 5(II)  A rural health clinic, as defined in 42 U.S.C. sec. 1395x (aa)(2);

• Page 15, Line 6(III)  A federally qualified health center, as defined in 42 U.S.C. sec. 1395x (aa)(4); or

• Page 15, Line 7(IV)  A health-care provider that is delivering primary

• Page 15, Line 8care services and at least fifty percent of whose client

• Page 15, Line 9caseload is individuals who are enrolled in medicaid, medicare,

• Page 15, Line 10or the children's basic health plan or who are low-income,

• Page 15, Line 11uninsured individuals, or any combination of such enrollees or low-income, uninsured individuals.

• Page 15, Line 12SECTION 3.  In Colorado Revised Statutes, 38-13-801, amend (1)(c); and add (2)(e) and (6) as follows:

• Page 15, Line 1338-13-801.  Unclaimed property trust fund - creation -

• Page 15, Line 14payments - interest - appropriations - records - rules. (1) (c)  Except

• Page 15, Line 15as provided in subsection (6) of this section, all interest derived from

• Page 15, Line 16the deposit and investment of money in the trust fund shall be credited to

• Page 15, Line 17the trust fund. Such interest is not fiscal year spending of the

• Page 15, Line 18state for purposes of section 20 of article X of the state constitution.

• Page 15, Line 19(2) (e)  Interest credited, as required by subsection (6) of

• Page 15, Line 20this section, to the provider stabilization fund created in

• Page 16, Line 1section 25.5-4-402.4 (5.3)(a) does not constitute fiscal year

• Page 16, Line 2spending of the state for purposes of section 20 of article X of the state constitution.

• Page 16, Line 3(6)  The state treasurer shall credit interest derived from

• Page 16, Line 4the deposit and investment of money in the unclaimed property

• Page 16, Line 5trust fund to the provider stabilization fund created in section 25.5-4-402.4 (5.3)(a) as follows:

• Page 16, Line 6(a)  On July 1, 2025, twenty-five million dollars;

• (b)  On July 1, 2026, twenty million dollars; and

• Page 16, Line 7(c)  On July 1, 2027, and on July 1 of each state fiscal year thereafter, fifteen million dollars.

• Page 16, Line 8SECTION 4.  Effective date. (1)  Except as otherwise provided in this section, this act takes effect upon passage.

• Page 16, Line 9(2)  Section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S., enacted in section

• Page 16, Line 102 of this act, and section 3 of this act take effect only if Bill 25-

• Page 16, Line 11becomes law, in which case section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S.,

• Page 16, Line 12enacted in section 2 of this act, and section 3 of this act take effect upon

• Page 16, Line 13passage of this act or on the effective date of Bill 25- , whichever is later.

• Page 16, Line 14SECTION 5.  Safety clause. The general assembly finds,

• Page 16, Line 15determines, and declares that this act is necessary for the immediate

• Page 16, Line 16preservation of the public peace, health, or safety or for appropriations for

• Page 16, Line 17the support and maintenance of the departments of the state and state institutions.