Senate Bill 25-093

NOTE: The governor signed this measure on 2/27/2025.

BY SENATOR(S) Bridges, Amabile, Kirkmeyer;

also REPRESENTATIVE(S) Bird, Sirota, Taggart, Bacon, Brown, Duran, English, Froelich, Garcia, Gilchrist, Hamrick, Jackson, Joseph, Lieder, Lindsay, Mabrey, Marshall, Ricks, Rutinel, Rydin, Stewart R., Story, Willford, Woodrow, Zokaie, McCluskie.

Concerning a supplemental appropriation to the department of health care policy and financing.

Be it enacted by the General Assembly of the State of Colorado:

SECTION 1.  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 2 of chapter 519, (HB 24-1430), amend Part VI as follows:

Section 2. Appropriation.

Part VI

DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

(1) EXECUTIVE DIRECTOR'S OFFICE

(A) General Administration

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Personal Services

73,781,839

72,759,160

(787.5 FTE)

(790.1 FTE)

Health, Life, and Dental

13,109,391

12,911,669

Short-term Disability

63,638

65,134

Paid Family and Medical Leave Insurance

363,855

Unfunded Liability Amortization Equalization Disbursement Payments

8,320,007

8,616,195

Salary Survey

1,900,577

2,734,825

Step Pay

834,248

PERA Direct Distribution

 1,448,480

Temporary Employees Related to Authorized Leave

5,978

Workers' Compensation

254,896

Operating Expenses

3,167,153

3,246,176

Legal Services

4,082,364

2,825,964

Administrative Law Judge Services

822,526

Payment to Risk Management and Property Funds

249,605

Leased Space

3,773,214

3,785,963

Payments to OIT

14,319,431

14,280,872

CORE Operations

35,330

General Professional Services and Special Projects

38,666,797

41,951,050

165,199,329

63,004,579

15,993,677a

3,611,144b

82,589,929(I)

167,191,926

63,019,599

15,928,774a

3,615,065b

84,628,488(I)

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 $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 Nursing 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 $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 24-22-117 (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 Service 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 25.5-5-308 (8)(a)(I), C.R.S.

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 and Economic Security Staff Development Center line item appropriation, $739,218 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security 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 with 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 Early 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.

(B) Information Technology Contracts and Projects

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Medicaid Management Information System Maintenance and Projects

106,565,411

18,005,144

9,361,274a

12,204b

79,186,789(I)

108,841,510

18,257,474

9,336,554a

81,235,278(I)

Colorado Benefits Management Systems, Operating and Contract Expenses2324

75,087,530

12,702,322(M)

6,890,173c

13,194,450e

42,300,585

78,602,108

13,136,265(M)

7,101,789c

13,892,091e

44,471,963

Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center2324

2,172,998

689,160(M)

383,151d

73b

1,100,614

Office of eHealth Innovations Operations

6,465,845

3,372,367

3,093,478(I)

(3.0 FTE)

All-Payer Claims Database

5,435,778

4,471,011

964,767(I)

195,727,562

201,518,239

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 Children'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 Section 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.

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.

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

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

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 Medical Program line item appropriation in the Other Medical Services division of this department.

(C) Eligibility Determinations and Client Services

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Contracts for Special Eligibility Determinations

12,039,555

1,134,071(M)

4,338,468a

6,567,016

County Administration

123,048,230

21,004,349(M)

26,624,750b

75,419,131

Medical Assistance Sites

1,531,968

402,984a

1,128,984(I)

Administrative Case Management

869,744

434,872(M)

434,872

Customer Outreach

3,461,519

1,394,139(M)

336,621a

1,730,759

Centralized Eligibility Vendor Contract Project

7,959,455

2,753,409a

5,206,046(I)

Connect for Health Colorado Eligibility Determinations

11,174,846

4,995,156c

6,179,690(I)

Eligibility Overflow Processing Center

1,904,677

285,320(M)

190,849a

1,428,508

Returned Mail Processing

3,298,808

985,808(M)

244,919d

111,942e

1,956,139

Income Verification Programs

11,341,713

1,741,440(M)

1,093,988a

8,506,285

Non-emergent Medical Transportation Broker

3,950,066

1,975,033(M)

1,975,033

176,630,515

180,580,581

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.

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 (5)(a), C.R.S.

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.

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

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

(D) Utilization and Quality Review Contracts

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Professional Services Contracts

29,644,825

7,910,405(M)

2,223,661a

19,510,759

a Of 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 Dental 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 from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.

(E) Provider Audits and Services

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Professional Audit Contracts

4,135,919

1,598,629(M)

540,301a

1,996,989

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

(F) Recoveries and Recoupment Contract Costs

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Estate Recovery

1,165,841

582,920a

582,921(I)

Third-Party Liability Cost Avoidance Contract

8,838,738

2,916,784(M)

1,502,585b

4,419,369

10,004,579

a This amount shall be from estate recoveries.

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.

(G) Indirect Cost Recoveries

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Indirect Cost Assessment

1,059,807

276,775a

132,407b

650,625(I)

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

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 appropriation 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 Programs 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 appropriation.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

582,402,536

594,135,876

(2) MEDICAL SERVICES PREMIUMS

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Medical and Long-Term Care Services for Medicaid Eligible Individuals24a

11,926,618,728

2,324,935,891(M)

1,247,280,333

a

1,321,302,705b

120,304,766c

6,912,795,033

12,081,998,495

2,376,915,878(M)

1,399,855,214b

119,588,730c

6,938,358,340

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

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 $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., $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 Adult 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., $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, $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 the 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 state 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 Tobacco 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 be 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 Community-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), C.R.S.

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 line 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, $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 Other Medical Services division of this department.

(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Behavioral Health Capitation Payments

1,026,100,571

271,797,567(M)

78,964,399a

675,338,605

1,121,658,156

285,216,594(M)

94,140,516a

742,301,046

Behavioral Health Fee-for-service Payments

11,669,132

2,800,119(M)

692,425a

8,176,588

11,081,140

2,662,572(M)

657,348a

7,761,220

1,037,769,703

1,132,739,296

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 $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.

(4) OFFICE OF COMMUNITY LIVING

(A) Division of Intellectual and Developmental Disabilities

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(1) Administrative Costs

Personal Services

3,469,613

1,858,480(M)

1,611,133

(39.5 FTE)

Operating Expenses

356,510

202,136(M)

154,374

Community and Contract Management System

137,480

89,362(M)

48,118

Support Level Administration

58,350

28,920(M)

255a

29,175

4,021,953

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.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(2) Medicaid Programs25

Adult Comprehensive Services

838,089,305

869,579,190

Adult Supported Living Services

98,534,109

108,283,894

Children's Extensive Support Services

86,512,303

103,600,225

Children's Habilitation Residential Program

17,289,775

19,631,529

Case Management for People with Disabilities

142,555,236

141,229,744

1,182,980,728

579,906,496(M)

12,246,759a

590,827,473

1,242,324,582

589,165,988(M)

31,823,732a

621,334,862

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 $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 Community-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 (2)(a)(I), C.R.S.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(3) State-only Programs26

Family Support Services

11,251,415

State Supported Living Services

5,288,739

State Supported Living Services Case Management

5,153,827

Preventive Dental Hygiene27

71,103

21,765,084

21,765,084

1,208,767,765

1,268,111,619

(5) INDIGENT CARE PROGRAM

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Safety Net Provider Payments

226,610,308

113,305,154a

113,305,154(I)

Pediatric Specialty Hospital

13,455,012

6,727,506(M)

6,727,506

Appropriation from Tobacco Tax Cash Fund to the General Fund

291,034

291,034b

Primary Care Fund Program

49,079,682

6,500,000

18,175,554c

24,404,128(I)

Children's Basic Health Plan Administration

3,864,405

1,352,542d

2,511,863

Children's Basic Health Plan Medical and Dental Costs

269,980,786

43,594,551

291,034

e

50,672,690f

175,422,511

277,481,023

44,826,731

52,065,593f

180,297,665

563,281,227

570,781,464

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.

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 revenues 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.

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

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

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 appropriations imposed by Section 24-75-201.1, C.R.S.

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 $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 in 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.

(6) OTHER MEDICAL SERVICES

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Old Age Pension State Medical Program

10,000,000

10,000,000a

Senior Dental Program

3,990,358

3,962,510

27,848b

Commission on Family Medicine Residency Training Programs

9,490,170

4,520,085(M)

225,000c

4,745,085

Medicare Modernization Act State Contribution Payment

244,659,612

244,659,612

241,755,970

241,755,970

Public School Health Services Contract Administration

2,000,000

1,000,000(M)

1,000,000

Public School Health Services

202,111,227

100,427,269d

101,683,958(I)

219,752,395

109,260,099d

110,492,296(I)

Screening, Brief Intervention, and Referral to Treatment Training Grant Program28

1,500,000

1,500,000e

Reproductive Health Care for Individuals Not Eligible for Medicaid

3,614,490

3,614,490

State-only Payments for Home- and Community-Based Services

842,626

842,626f

(6.2 FTE)

Health Benefits for Colorado Children and Pregnant PersonsLacking Access Due to Immigration Status

2,102,665

2,102,665

16,037,803

16,037,803

480,311,148

508,141,186

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.

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.

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.

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 under Medicaid.

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

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.

(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(A) Early Childhood

Transfer to Department of Early Childhood for Early Intervention

9,940,111

4,970,056(M)

4,970,055

(B) Education

Public School Health Services

208,269

104,135(M)

104,134

(C) Human Services

(1) Executive Director's Office29

17,003,357

8,501,679(M)

8,501,678

(2) Office of Children, Youth and Families

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Child Welfare Administration

350,837

144,774(M)

206,063

Child Welfare Services

14,383,230

7,191,615(M)

7,191,615

Division of Youth Services

681,446

340,724(M)

340,722

15,415,513

(3) Office of Economic Security

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Systematic Alien Verification for Eligibility

80,345

40,173(M)

40,172

(4) Behavioral Health Administration

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Community Behavioral Health Administration

552,950

276,475(M)

276,475

Children and Youth Mental Health Treatment Act

137,680

68,840(M)

68,840

690,630

(5) Office of Behavioral Health

Mental Health Institutes

8,320,198

4,160,099(M)

4,160,099

Mental Health Transitional Living Homes

2,582,515

1,291,257(M)

1,291,258

10,902,713

(6) Office of Adults, Aging and Disability Services

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Administration

505,357

252,679(M)

252,678

Regional Centers for People with Developmental Disabilities

58,276,921

27,249,558(M)

1,888,903a

29,138,460

Community Services for the Elderly

1,001,800

500,900(M)

500,900

59,784,078

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

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(7) Other

Federal Medicaid Indirect Cost Reimbursement for Department of Human Services Programs

500,000

500,000a

6,865,134

6,865,134a

Department of Human Services Indirect Cost Assessment

23,614,388

11,807,194(M)

11,807,194

16,969,736

8,484,868(M)

8,484,868

24,114,388

23,834,870

a This amount reflects estimated Medicaid federal indirect cost reimbursements for Department of Human Services programs and is shown for informational purposes only.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(D) Local Affairs

Home Modifications Benefit Administration

313,881

156,941(M)

156,940

Host Home Regulation

321,053

160,527(M)

160,526

634,934

(E) Public Health and Environment

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

Facility Survey and Certification

9,236,101

3,842,035(M)

5,394,066

Prenatal Statistical Information

6,196

3,098(M)

3,098

9,242,297

(F) Regulatory Agencies

Nurse Aide Certification

324,041

147,369(M)

14,652a

162,020

Sunset Reviews

3,750

1,875(M)

1,875

327,791

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.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

(G) Revenue

Hospital Tax Exemptions

100,000

50,000a

50,000

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.

Agency Name or Title Item & Subtotal Total General Fund General Fund Exempt Cash Funds Reappropriated Funds Federal Funds

145,861,911

148,164,908

TOTALS PART VI

(HEALTH CARE POLICY AND FINANCING)30

$15,945,013,018

$3,731,636,620

$1,247,571,367

a

$1,790,475,824b

$137,606,638

$9,037,722,569c

$16,304,072,844

$3,819,066,512

$1,913,251,446b

$137,592,164

$9,186,591,355c

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 to 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.

b Of this amount, $19,254,185 contains an (I) notation.

c Of this amount, $423,795,205 $438,736,989 contains an (I) notation.

Footnotes: The following statements are referenced to the numbered footnotes throughout section 2.

23Department of Health Care Policy and Financing, Executive Director's Office, Information Technology Contracts and Projects, Colorado Benefits Management Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- In addition 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 line 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 designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado Benefits Management System subsection.

24Department of Health Care Policy and Financing, Executive Director's Office, Information Technology Contracts and Projects, Colorado Benefits Management Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year.

24aDepartment of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eligible Individuals -- This appropriation includes $12,676 total funds, including $6,338 General Fund, for the purpose of increasing provider rates for maternal care to $800 for billing code S0199, $1,000 for billing code 59840, and $1,600 for billing code 59841.

25Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, Medicaid Programs -- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs.

26Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, State-only Programs -- 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.

27Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabilities, State-only Programs, Preventive Dental Hygiene -- It is the General Assembly's intent that this appropriation be used to provide special dental services for persons with intellectual and developmental disabilities.

28Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatment Training Grant Program -- 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 for 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.

29Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's Office -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department of Human Services, Executive Director's Office, General Administration. As such, the appropriation contains amounts that correspond to centralized appropriation amounts in the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation between the Department of Health Care Policy and Financing and the Department of Human Services, the Department of Health Care Policy and Financing may make line item transfers out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services.

30Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee-for-service Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; Governing Boards, Regents of the University of Colorado -- The Department of Higher Education shall transfer $900,000 to the Department of Health Care Policy and Financing for administrative costs and family medicine residency placements associated with care provided by the faculty of the health sciences center campus at the University of Colorado that are 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 of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Department of Higher Education shall transfer the amount approved, up to $107,671,715, to the Department of Health Care Policy and Financing pursuant to Section 23-18-4(1)(c), C.R.S. If 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 transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado.

SECTION 2. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2023.

(1)  For the 2023-24 state fiscal year, $223,689,786 is appropriated to the department of health care policy and financing and is for the payment of overexpenditures of line item appropriations contained in Part VI of section 2 of chapter 474 (SB 23-214), Session Laws of Colorado 2023, as follows:

(a)  $147,622,287 from the general fund for medical and long-term care services for Medicaid eligible individuals;

(b)  $56,508,359 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for medical and long-term care services for Medicaid eligible individuals;

(c)  $6,179,122 from the general fund, for adult comprehensive services;

(d)  $1,266,250 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult supported living services;

(e)  $460,535 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case management for people with disabilities;

(f)  $10,995,438 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for safety net provider payments; and

(g)  $657,795 from the primary care fund created in Section 24-22-117 (2)(b)(I), C.R.S., for the primary care fund program;

(2)  In accordance with section 24-75-109 (4)(a), C.R.S., all restrictions on funds for the department of health care policy and financing for the 2024-25 state fiscal year for the amounts and items of appropriation listed in this section are released.

SECTION 3. Safety clause.The general assembly finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, or safety or for appropriations for the support and maintenance of the departments of the state and state institutions.

Signed By: James Rashad Coleman, Sr., President of the Senate

Signed By: Julie McCluskie, Speaker of the House of Representatives

Signed By: Esther van Mourik, Secretary of the Senate

Signed By: Vanessa Reilly, Chief Clerk of the House of Representatives

Signed By: Jared S. Polis, Governor of the State of Colorado