Senate Bill 25-093 Engrossed

A Bill for an Act

Page 1, Line 101Concerning a supplemental appropriation to the department
Page 1, Line 102of health care policy and financing.

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.)

Supplemental appropriations are made to the department of health care policy and financing.

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

Page 2, Line 1SECTION 1. Appropriation to the department of health care

Page 2, Line 2policy and financing for the fiscal year beginning July 1, 2024. In

Page 2, Line 3Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),

Page 2, Line 4amend Part VI as follows:

Page 2, Line 5Section 2. Appropriation.

Page 3, Line 1Part VI

Page 3, Line 2DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

Page 3, Line 3

Page 3, Line 4(1) EXECUTIVE DIRECTOR'S OFFICE

Page 3, Line 5(A) General Administration

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 3, Line 6Personal Services	~~73,781,839~~
Page 3, Line 7	72,759,160
Page 3, Line 8	~~(787.5 FTE)~~
Page 3, Line 9	(790.1 FTE)
Page 3, Line 10Health, Life, and Dental	~~13,109,391~~
Page 3, Line 11	12,911,669
Page 3, Line 12Short-term Disability	~~63,638~~
Page 3, Line 13	65,134
Page 4, Line 1Paid Family and Medical Page 4, Line 2Leave Insurance	363,855
Page 4, Line 3Unfunded Liability Page 4, Line 4Amortization Equalization Page 4, Line 5Disbursement Payments	~~8,320,007~~
Page 4, Line 6	8,616,195
Page 4, Line 7Salary Survey	~~1,900,577~~
Page 4, Line 8	2,734,825
Page 4, Line 9Step Pay	834,248
Page 4, Line 10PERA Direct Distribution	1,448,480
Page 4, Line 11Temporary Employees Page 4, Line 12Related to Authorized Leave	5,978
Page 4, Line 13Workers' Compensation	254,896
Page 4, Line 14Operating Expenses	~~3,167,153~~
Page 4, Line 15	3,246,176
Page 5, Line 1Legal Services	~~4,082,364~~
Page 5, Line 2	2,825,964
Page 5, Line 3Administrative Law Judge Page 5, Line 4Services	822,526
Page 5, Line 5Payment to Risk Page 5, Line 6Management and Property Page 5, Line 7Funds	249,605
Page 5, Line 8Leased Space	~~3,773,214~~
Page 5, Line 9	3,785,963
Page 5, Line 10Payments to OIT	~~14,319,431~~
Page 5, Line 11	14,280,872
Page 5, Line 12CORE Operations	35,330
Page 6, Line 1General Professional Page 6, Line 2Services and Special Page 6, Line 3Projects	~~38,666,797~~
Page 6, Line 4	41,951,050
Page 6, Line 5	~~165,199,329~~	~~63,004,579~~	~~15,993,677~~ ^a	~~3,611,144~~ ^b	~~82,589,929~~ ~~(I)~~
Page 6, Line 6	167,191,926	63,019,599	15,928,774^a	3,615,065^b	84,628,488(I)
Page 6, Line 7

Page 6, Line 8^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~~

Page 6, Line 9$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

Page 6, Line 10Nursing 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~~

Page 6, Line 11$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

Page 6, Line 1224-22-117 (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

Page 6, Line 13Service 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

Page 6, Line 1425.5-5-308 (8)(a)(I), C.R.S.

Page 7, Line 1^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

Page 7, Line 2and Economic Security Staff Development Center line item appropriation, $739,218 shall be transferred from the Colorado Benefits Management System, Health Care and Economic

Page 7, Line 3Security 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

Page 7, Line 4with 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

Page 7, Line 5Early 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.

Page 7, Line 6

Page 7, Line 7(B) Information Technology Contracts and Projects

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 7, Line 8Medicaid Management Page 7, Line 9Information System Page 7, Line 10Maintenance and Projects	~~106,565,411~~	~~18,005,144~~	~~9,361,274~~ ^a	12,204^b	~~79,186,789~~ ~~(I)~~
Page 7, Line 11	108,841,510	18,257,474	9,336,554^a		81,235,278(I)
Page 7, Line 12Colorado Benefits Page 7, Line 13Management Systems, Page 7, Line 14Operating and Contract Page 7, Line 15Expenses²³²⁴	~~75,087,530~~	~~12,702,322~~ ~~(M)~~	~~6,890,173~~ ^c	~~13,194,450~~ ^e	~~42,300,585~~
Page 7, Line 16	78,602,108	13,136,265(M)	7,101,789^c	13,892,091^e	44,471,963
Page 8, Line 1Colorado Benefits Page 8, Line 2Management Systems, Page 8, Line 3Health Care and Economic Page 8, Line 4Security Staff Development Page 8, Line 5Center²³²⁴	2,172,998	689,160(M)	383,151^d	73^b	1,100,614
Page 8, Line 6Office of eHealth Page 8, Line 7Innovations Operations	6,465,845	3,372,367			3,093,478(I)
Page 8, Line 8		(3.0 FTE)
Page 8, Line 9All-Payer Claims Database	5,435,778	4,471,011			964,767(I)
Page 8, Line 10	~~195,727,562~~
Page 8, Line 11	201,518,239
Page 8, Line 12

Page 8, Line 13^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

Page 8, Line 14Children'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

Page 8, Line 15Section 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.

Page 8, Line 16^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.

Page 9, Line 1^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~~

Page 9, Line 2$498,767 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.

Page 9, Line 3^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

Page 9, Line 4Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.

Page 9, Line 5^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

Page 9, Line 6Medical Program line item appropriation in the Other Medical Services division of this department.

Page 9, Line 7

Page 9, Line 8(C) Eligibility Determinations and Client Services

Agency Name or Title	Item & Subtotal	General Fund	Cash Funds	Reappropriated Funds	Federal Funds
Page 9, Line 9Contracts for Special Page 9, Line 10Eligibility Determinations	12,039,555	1,134,071(M)	4,338,468^a		6,567,016
Page 9, Line 11County Administration	123,048,230	21,004,349(M)	26,624,750^b		75,419,131
Page 9, Line 12Medical Assistance Sites	1,531,968		402,984^a		1,128,984(I)
Page 9, Line 13Administrative Case Page 9, Line 14Management	869,744	434,872(M)			434,872
Page 9, Line 15Customer Outreach	3,461,519	1,394,139(M)	336,621^a		1,730,759
Page 10, Line 1Centralized Eligibility Page 10, Line 2Vendor Contract Project	7,959,455		2,753,409^a		5,206,046(I)
Page 10, Line 3Connect for Health Page 10, Line 4Colorado Eligibility Page 10, Line 5Determinations	11,174,846		4,995,156^c		6,179,690(I)
Page 10, Line 6Eligibility Overflow Page 10, Line 7Processing Center	1,904,677	285,320(M)	190,849^a		1,428,508
Page 10, Line 8Returned Mail Processing	3,298,808	985,808(M)	244,919^d	111,942^e	1,956,139
Page 10, Line 9Income Verification Page 10, Line 10Programs	11,341,713	1,741,440(M)	1,093,988^a		8,506,285
Page 10, Line 11Non-emergent Medical Page 10, Line 12Transportation Broker	3,950,066	1,975,033(M)			1,975,033
Page 10, Line 13	~~176,630,515~~
Page 10, Line 14	180,580,581
Page 10, Line 15

Page 11, Line 1^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.

Page 11, Line 2^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

Page 11, Line 3(5)(a), C.R.S.

Page 11, Line 4^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.

Senate Bill 25-093 Engrossed

Senate Sponsorship

House Sponsorship

This Version Includes All Amendments Adopted on Second Reading in the House of Introduction

Senate Committees

House Committees