Senate Bill 25-226 Rerevised

A Bill for an Act

• Page 1, Line 101Concerning an extension of the renamed complementary and

• Page 1, Line 102integrative health program for a person with a

• Page 1, Line 103primary condition resulting in a total inability for

• Page 1, Line 104independent ambulation, and, in connection therewith,

• Page 1, Line 105making an appropriation.

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. There is a pilot program for complementary and alternative medicine for disabled people. The bill changes the name of the program to the "complementary and integrative medicine program". The bill extends the program and clarifies that the program covers persons with a primary condition of multiple sclerosis, a brain injury, spina bifida, muscular dystrophy, or cerebral palsy, when one of these diagnoses directly results in a total inability for independent ambulation.

The bill makes an appropriation.

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

• Page 2, Line 2SECTION 1.  In Colorado Revised Statutes, 25.5-6-1201, amend (1) as follows:

• Page 2, Line 325.5-6-1201.  Legislative declaration - repeal. (1)  The general

• Page 2, Line 4assembly finds that there may be a more effective way to deliver home-

• Page 2, Line 5and community-based services to the elderly, blind, and disabled; to

• Page 2, Line 6disabled,disabled children; and to persons with spinal chord injuries

• Page 2, Line 7who are eligible that allows for more self-direction in their care and a

• Page 2, Line 8cost savings to the state. The general assembly also finds that every

• Page 2, Line 9person who is currently receiving home- and community-based services

• Page 2, Line 10does not need the same level of supervision and care from a licensed

• Page 2, Line 11health-care professional in order to meet the person's care needs and

• Page 2, Line 12remain living in the community. The general assembly, therefore, declares

• Page 2, Line 13that it is beneficial to the elderly, blind, and disabled members of home-

• Page 2, Line 14and community-based services, to members of the disabled children care

• Page 2, Line 15program, and to members enrolled in the spinal cord injury waiver pilot

• Page 2, Line 16complementary and integrative health program for the state

• Page 2, Line 17department to develop a service that would allow the members to receive in-home support.

• Page 2, Line 18SECTION 2.  In Colorado Revised Statutes, amend 25.5-6-1301 as follows:

• Page 2, Line 1925.5-6-1301.  Legislative declaration. (1)  The general assembly finds that:

• Page 3, Line 1(a)  A person living with a spinal cord injury, multiple

• Page 3, Line 2sclerosis, a brain injury, spina bifida, muscular dystrophy, or

• Page 3, Line 3cerebral palsy could benefit from complementary and alternative

• Page 3, Line 4medicine integrative health such as chiropractic care, massage therapy, or acupuncture; and

• Page 3, Line 5(b)  Complementary and alternative medicine integrative

• Page 3, Line 6health could improve the quality of life and help reduce the need for

• Page 3, Line 7continuous or more expensive procedures, medications, and

• Page 3, Line 8hospitalizations for a an eligible person with a spinal cord injury and

• Page 3, Line 9could allow a an eligible person with a spinal cord injury to be employed.

• Page 3, Line 10SECTION 3.  In Colorado Revised Statutes, 25.5-6-1302, amend (1) and (3) as follows:

• Page 3, Line 1125.5-6-1302.  Definitions. As used in this part 13, unless the context otherwise requires:

• Page 3, Line 12(1)  "Complementary or alternative medicine integrative

• Page 3, Line 13health" means a form of diverse health-care services not provided for

• Page 3, Line 14under this article article 6 or article 4 or 5 of this title title 25.5 prior

• Page 3, Line 15to August 5, 2009, but authorized by the rules of the state board adopted

• Page 3, Line 16pursuant to section 25.5-6-1303 (4). The medicine health is limited to

• Page 3, Line 17chiropractic care, massage therapy, and acupuncture performed by licensed or certified providers.

• Page 3, Line 18(3)  "Pilot program" "Program" means the pilot program

• Page 3, Line 19authorized pursuant to section 25.5-6-1303 to allow an eligible person

• Page 3, Line 20with a disability to receive complementary and alternative medicine

• Page 3, Line 21integrative health.

• Page 4, Line 1SECTION 4.  In Colorado Revised Statutes, 25.5-6-1303, amend

• Page 4, Line 2(1)(a), (2)(a), (2)(b) introductory portion, (2)(b)(II), (2)(b)(III), (2)(d), (3), and (4); and repeal (2)(c), (5), and (7) as follows:

• Page 4, Line 325.5-6-1303.  Complementary or integrative health - rules.

• Page 4, Line 4(1) (a)  The general assembly authorizes the state department to

• Page 4, Line 5implement continue operations of a pilot program that would allow an

• Page 4, Line 6eligible person with a disability to receive complementary or alternative

• Page 4, Line 7medicine integrative health to the extent authorized by federal

• Page 4, Line 8waiver. The pilot program may begin no later than January 1, 2012. The

• Page 4, Line 9state department shall design and implement the pilot program with input

• Page 4, Line 10from an advisory committee that must include, but need not be limited to,

• Page 4, Line 11persons with spinal cord injuries who are receiving complementary or

• Page 4, Line 12alternative medicine. The state department may seek any federal waivers that may be necessary to implement this part 13.

• Page 4, Line 13(2) (a)  The purpose of the pilot program is to expand the choice

• Page 4, Line 14of therapies available to eligible persons with disabilities to study the

• Page 4, Line 15success of complementary and alternative medicine, and to produce an

• Page 4, Line 16overall cost savings for the state compared to the estimated expenditures

• Page 4, Line 17that would have otherwise been spent for the same persons with spinal cord injuries absent the pilot program.

• Page 4, Line 18(b)  In order to qualify and to remain eligible for the pilot program authorized by this section, a person shall must:

• Page 4, Line 19(II)  Be willing to participate in the pilot program;

• Page 4, Line 20(III)  Demonstrate a current need, as further defined in rule by the

• Page 4, Line 21state board, for complementary or alternative medicine integrative health; and

• Page 4, Line 22(c)  The state department shall implement subsection (2)(b) of this section no later than July 1, 2022.

• Page 5, Line 1(d)  The pilot program is available to all eligible individuals in Colorado.

• Page 5, Line 2(3)  The state department shall develop the accountability

• Page 5, Line 3requirements for the pilot program necessary to safeguard the use of

• Page 5, Line 4public moneys money and to promote effective and efficient service delivery.

• Page 5, Line 5(4)  The state board shall adopt rules as necessary for the implementation and administration of the pilot program.

• Page 5, Line 6(5)  The state department shall cause to be conducted an

• Page 5, Line 7independent evaluation of the pilot program to be completed no later than

• Page 5, Line 8January 1, 2025. The state department shall provide a report of the

• Page 5, Line 9evaluation to the health and human services committee of the senate and

• Page 5, Line 10the public health care and human services committee of the house of

• Page 5, Line 11representatives, or any successor committees. The report on the evaluation must include the following:

• Page 5, Line 12(a)  The number of eligible persons with disabilities participating in the pilot program;

• Page 5, Line 13(b)  The cost-effectiveness of the pilot program;

• Page 5, Line 14(c)  Feedback from members and the state department concerning the progress and success of the pilot program;

• Page 5, Line 15(d)  Any changes to the health status or health outcomes of the persons participating in the pilot program;

• Page 5, Line 16(e)  Other information relevant to the success and problems of the pilot program; and

• Page 5, Line 17(f)  Recommendations concerning the feasibility of continuing the

• Page 5, Line 18pilot program beyond the pilot stage and changes, if any, that are needed.

• Page 6, Line 1(7)  Unless the state department receives sufficient appropriations,

• Page 6, Line 2the state department is not required to seek federal approval or implement the pilot program.

• Page 6, Line 3SECTION 5.  In Colorado Revised Statutes, amend 25.5-6-1304 as follows:

• Page 6, Line 4 25.5-6-1304.  Repeal of part. This part 13 is repealed, effective September 1, 2025 September 1, 2030.

• Page 6, Line 5SECTION 6.  In Colorado Revised Statutes, 25.5-6-1403, amend (4) as follows:

• Page 6, Line 625.5-6-1403.  Waivers and amendments. (4)  The state

• Page 6, Line 7department shall seek federal authorization to implement a medicaid

• Page 6, Line 8buy-in program for adults who are eligible to receive home- and

• Page 6, Line 9community-based services pursuant to the supported living services

• Page 6, Line 10waiver; the developmental disabilities waiver or its successor, part 4 of

• Page 6, Line 11this article 6; the persons with brain injury waiver, part 7 of this article 6;

• Page 6, Line 12and the spinal cord injury waiver pilot complementary and

• Page 6, Line 13integrative health program, part 13 of this article 6. The state

• Page 6, Line 14department shall prepare and submit any requests necessary for federal

• Page 6, Line 15approval not later than January 1, 2023, and shall implement the medicaid

• Page 6, Line 16buy-in program pursuant to this subsection (4) not later than three months after receiving federal approval.

• Page 6, Line 17SECTION 7.  Appropriation. (1)  For the 2025-26 state fiscal

• Page 6, Line 18year, $66,637 is appropriated to the department of health care policy and

• Page 6, Line 19financing for use by the executive director's office. This appropriation is

• Page 6, Line 20from the general fund. To implement this act, the office may use this appropriation as follows:

• Page 6, Line 21(a)  $65,487 for personal services, which amount is based on an assumption that the office will require an additional 2.0 FTE; and

• Page 7, Line 1(b)  $1,150 for operating expenses.

• Page 7, Line 2(2)  For the 2025-26 state fiscal year, the general assembly

• Page 7, Line 3anticipates that the department of health care policy and financing will

• Page 7, Line 4receive $66,637 in federal funds to implement this act, which amount is

• Page 7, Line 5subject to the "(I)" notation as defined in the annual general appropriation

• Page 7, Line 6act for the same fiscal year. The appropriation in subsection (1) of this

• Page 7, Line 7section is based on the assumption that the department will receive this amount of federal funds to be used as follows:

• Page 7, Line 8(a)  $65,487 for personal services; and

• (b)  $1,150 for operating.

• Page 7, Line 9(3)  For the 2025-26 state fiscal year, $1,214,019 is appropriated

• Page 7, Line 10to the department of health care policy and financing. This appropriation

• Page 7, Line 11is from the general fund, which is subject to the "(M)" notation as defined

• Page 7, Line 12in the annual general appropriation act for the same fiscal year. To

• Page 7, Line 13implement this act, the department may use this appropriation for medical and long-term care services for medicaid eligible individuals.

• Page 7, Line 14(4)  For the 2025-26 state fiscal year, the general assembly

• Page 7, Line 15anticipates that the department of health care policy and financing will

• Page 7, Line 16receive $1,214,019 in federal funds for medical and long-term care

• Page 7, Line 17services for medicaid eligible individuals to implement this act. The

• Page 7, Line 18appropriation in subsection (3) of this section is based on the assumption that the department will receive this amount of federal funds.

• Page 7, Line 19SECTION 8.  Act subject to petition - effective date. This act

• Page 7, Line 20takes effect at 12:01 a.m. on the day following the expiration of the

• Page 7, Line 21ninety-day period after final adjournment of the general assembly; except

• Page 7, Line 22that, if a referendum petition is filed pursuant to section 1 (3) of article V

• Page 8, Line 1of the state constitution against this act or an item, section, or part of this

• Page 8, Line 2act within such period, then the act, item, section, or part will not take

• Page 8, Line 3effect unless approved by the people at the general election to be held in

• Page 8, Line 4November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.