Senate Committee of Reference Report

Committee on Appropriations

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April 1, 2025

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

SB25-270 be amended as follows, and as so amended, be referred to the Committee of the Whole with favorable recommendation:

Page 1, Line 1Amend printed bill, page 59, after line 14 insert:

Page 2, Line 1"SECTION 18. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2024. In Session Laws of Colorado 2024, section

Page 2, Line 22 of chapter 519, (HB 24-1430), amend Part VI (2) and (7)(C)(6), as Part VI (2) and the affected totals are amended by section 1 of SB 25-093, as follows:

Page 2, Line 3Section 2. Appropriation.

Page 2, Line 4PART VI
Page 2, Line 5DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

Page 2, Line 7(2) MEDICAL SERVICES PREMIUMS
Page 2, Line 8Medical and Long-Term Page 2, Line 9Care Services for Medicaid Page 2, Line 10Eligible Individuals^24a		12,081,998,495	2,376,915,878	(M)	1,247,280,333	^a	1,399,855,214	^b	119,588,730	^c	6,938,358,340

Page 2, Line 12^a This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.
Page 2, Line 13^b Of this amount, $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., $76,010,738 shall be from Page 2, Line 14recoveries and recoupments, ~~$58,197,249~~ $48,415,351 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $54,010,364 represents public Page 3, Line 1funds certified as expenditures incurred by public emergency medical transportation providers, $52,400,466 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), Page 3, Line 2C.R.S., $46,929,200 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S., $24,736,077 represents public funds certified as expenditures incurred Page 3, Line 3by public hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $20,376,822 shall be from the Home- and Community-based Services Page 3, Line 4Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $9,781,898 shall be from the Healthcare Affordability and Sustainability nursing facility provider fee Page 3, Line 5cash fund created in Section 25.5-4-402.4 (5.5)(a), C.R.S., $1,491,000 shall be from the Tobacco Tax Cash Fund created in section 24-22-117 (1)(a), C.R.S., and meets the Page 3, Line 6requirement to appropriate a portion of the revenues collected from the imposition of additional state cigarette and tobacco taxes to the Old Age Pension program for health related Page 3, Line 7purposes pursuant to Section 21 of Article X of the State Constitution, $857,151 shall be from the Tobacco Education Programs Fund created in Section 24-22-117 (2)(c)(I), C.R.S., Page 3, Line 8$700,000 shall be from an intergovernmental transfer from Denver Health, $550,798 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section Page 3, Line 925.5-5-308 (8)(a)(I), C.R.S., $471,682 shall be from the ARPA Home- and Community-Based Services Account created in Section 25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $200,460 shall Page 3, Line 10be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
Page 3, Line 11^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 Page 3, Line 12Programs line item, $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 Page 3, Line 13department, $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 Page 3, Line 14line item in the Other Medical Services division of this department.

Page 4, Line 2(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS
Page 4, Line 3(C) Human Services
Page 4, Line 4(6) Office of Adults, Aging and Disability Services
Page 4, Line 5Administration	505,357		252,679	(M)							252,678
Page 4, Line 6Regional Centers for People Page 4, Line 7with Developmental Page 4, Line 8Disabilities	58,276,921		27,249,558	(M)			1,888,903	^a			29,138,460
Page 4, Line 9Community Services for the Page 4, Line 10Elderly	1,001,800		500,900	(M)							500,900
	59,784,078

Page 4, Line 13^a ~~This~~ Of this amount $1,530,432 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $358,471 shall be from the Healthcare Page 4, Line 14Affordability and Sustainability Intermediate Care Facility Cash Fund created in Section 25.5-4-402.4 (5.7)(a), C.R.S.


Page 5, Line 2TOTALS PART VI
Page 5, Line 3(HEALTH CARE Page 5, Line 4POLICY AND Page 5, Line 5FINANCING)³⁰		$16,304,072,844	$3,819,066,512		$1,247,571,367	^a	$1,913,251,446	^b	$137,592,164		$9,186,591,355	^c

Page 5, Line 7^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 5, Line 8to 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 5, Line 9^b Of this amount, $19,254,185 contains an (I) notation.
Page 5, Line 10^c Of this amount, $438,736,989 contains an (I) notation.".

Page 5, Line 11

Page 6, Line 1Renumber succeeding sections accordingly.

Page 6, Line 2Strike "this Senate Bill 25-___" and substitute "Senate Bill 25-270"

Page 6, Line 3on: Page 8, line 17; Page 9, line 8; and Page 21, lines 19, 25, and 27.