HOUSE BILL 22-1173 BY REPRESENTATIVE(S) McCluskie, Herod, Ransom, Bacon, Bernett, Bird, Boesenecker, Cutter, Duran, Esgar, Exum, Hooton, Jodeh, Kipp, Lontine, Michaelson Jenet, Mullica, Ricks, Snyder, Titone, Valdez A., Woodrow, Young; also SENATOR(S) Moreno, Hansen, Rankin, Bridges, Buckner, Fenberg, Fields, Gonzales, Jaquez Lewis, Kolker, Pettersen, Story. C ONCERNING 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, 2021. In Session Laws of Colorado 2021, section 2 of chapter 504, (SB 21-205), amend Part V as follows: Section 2. Appropriation. NOTE: This bill has been prepared for the signatures of the appropriate legislative officers and the Governor. To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws. ________ Capital letters or bold & italic numbers indicate new material added to existing law; dashes through words or numbers indicate deletions from existing law and such material is not part of the act. APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ PART V DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (1) EXECUTIVE DIRECTOR'S OFFICE (A) General Administration Personal Services S ERVICES 12a 44,938,868 47,459,421 (541.4 FTE) (590.9 FTE) Health, Life, and Dental D ENTAL 12b 6,863,806 7,208,595 Short-term Disability D ISABILITY 12c 102,458 106,047 S.B. 04-257 Amortization Equalization Disbursement D ISBURSEMENT 12d 2,360,586 2,472,763 S.B. 06-235 Supplemental Amortization Equalization Disbursement D ISBURSEMENT 12e 2,360,586 2,472,763 Salary Survey 1,273,930 PERA Direct Distribution 1,077,009 Workers' Compensation 160,589 PAGE 2-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Operating Expenses E XPENSES 12f 2,600,669 2,873,637 Legal Services 1,172,759 Administrative Law Judge Services 807,180 Payment to Risk Management and Property Funds 173,686 Leased Space S PACE 12g 2,790,748 3,017,349 Capitol Complex Leased Space 651,086 Payments to OIT 8,470,924 8,174,764 CORE Operations 112,780 General Professional Services and Special Projects 13 P ROJECTS 13, 13a 20,596,523 51,453,397 96,514,187 36,013,200 10,655,931 a 2,392,563 b 47,452,493 (I) 130,667,755 27,732,713 a 64,529,279(I) PAGE 3-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ a Of this amount, $17,076,782 SHALL BE FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND CREATED IN S ECTION 25.5-6-1805 (1), C.R.S., $8,586,603 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $500,000 sha ll be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $381,983 shall be from the Me dicaid Nursing Facility Cash F und created in Section 25.5-6- 203 (2)(a), C.R.S., $267,397 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $257, 628 shall be from the Intellectual and Developmental Disab ilities Services Cash Fund created in Section 25.5-10-207 (1), C.R.S., $195,136 shall be from the Primary Care Fund cr eated in Section 24-22-117 (2)(b)(I), C.R.S., $166,355 shall be fro m the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $76,467 shall be from an intergovernmental transfer from the University of Colorado School of Medicine, $64,784 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $60,458 shall be from esta te recoveries,$51,310 shall be from the Colorado Autism Tre atment Fund created in Section 25.5-6-805 (1), C.R.S., and $47,810 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, $890,057 shall be from statewide indirect cost recoveries, $845,835 shall be transferred from the Colorado Ben efits Management System, Health Care and Economic Security Staff Development Center line item appropriation in this department, $435,291 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 $221,380 shall be transferred from the Department of H uman Services from the Health Care and Economic Security Staff Development Center line item appropriation. (B) Transfers to/from Other Departments Transfer to Department of Education for Public School Health Services 193,926 96,962(M) 96,964 Transfer from Department of Human Services for Nurse Home Visitor Program 3,010,0001,505,000 a 1,505,000(I) Transfer to Department of Local Affairs for Host Home Regulation 133,445 66,722(M) 66,723 Transfer to Department of Local Affairs for Home Modifications Benefit Administration 296,989 148,495(M) 148,494 PAGE 4-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Transfer to Department of Public Health and Environment for Facility Survey and Certification 8,507,461 3,163,819(M) 5,343,642 Transfer to Department of Public Health and Environment for Prenatal Statistical Information 5,887 2,944(M) 2,943 Transfer to Department of Regulatory Agencies for Nurse Aide Certification 324,041 147,369(M) 14,652 b 162,020 Transfer to Department of Regulatory Agencies for Regulation of Medicaid Transportation 103,503 66,00337,500(I) Transfer to Department of Regulatory Agencies for Reviews 3,750 1,875(M) 1,875 12,579,002 a This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion. b This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation. (C) Information Technology Contracts and Projects Medicaid Management Information System Maintenance and Projects P ROJECTS 13b 89,189,774 15,254,694 6,694,114 a 12,204 b 67,228,762 (I) 99,897,467 12,047,960 a 72,582,609(I) PAGE 5-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Colorado Benefits Management Systems, Operating and Contract Expenses 14, 15 47,868,322 10,862,506(M) 5,553,164 c 1,637 b 31,451,015 Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center 14 2,005,074 634,715(M) 354,194 d 73 b 1,016,092 Office of eHealth Innovations Operations 6,465,845 3,372,367 3,093,478(I) (3.0 FTE) All-Payer Claims Database 3,795,498 2,962,231833,267(I) 149,324,513 160,032,206 a Of this amount, $5,860,968 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., $5,353,846 SHALL BE FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND CREATED IN S ECTION 25.5-6-1805 (1), C.R.S., $711,203 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $121,943 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, 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, $5,096,032 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Sec tion 25.5-4-402.4 (5)(a), C.R.S., and $457,132 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, $333,908 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402. 4 (5)(a), C.R.S. and $20,286 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. (D) Eligibility Determinations and Client Services Contracts for Special Eligibility Determinations 5,890,755 1,129,071(M) 1,269,068 a 3,492,616 County Administration 103,297,536 15,285,529(M) 22,530,491 b 65,481,516 PAGE 6-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Medical Assistance Sites 1,531,968 402,984 c 1,128,984(I) Administrative Case Management 869,744 434,872(M) 434,872 Customer Outreach 3,461,071 1,393,915(M) 336,621 c 1,730,535 Centralized Eligibility Vendor Contract Project 5,053,644 1,745,342 c 3,308,302 (I) 6,332,292 2,384,666 c 3,947,626(I) Connect for Health Colorado Eligibility Determinations 9,653,251 3,798,350 d 5,854,901 (I) 11,919,481 5,345,159 d 6,574,322(I) Eligibility Overflow Processing Center 1,853,731 277,689(M) 185,744 c 1,390,298 Returned Mail Processing 3,298,808 985,808(M) 244,919 e 111,942 f 1,956,139 Work Number Verification 3,305,114 1,089,815(M) 545,013 c 1,670,286 138,215,622 141,760,500 a Of this amount, $1,264,068 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S. b Of this amount, $16,671,232(I) shall be from local funds and $5,859,259 shall be from the Healthcare Affordability and Sustain ability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. c These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. d This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. e 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. f Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, 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. PAGE 7-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (E) Utilization and Quality Review Contracts Professional Services Contracts 21,975,940 6,038,953(M) 1,503,937 a 14,433,050 a Of this amount, $1,376,366 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $36,875 shall be from the Me dicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., and $1,946 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. (F) Provider Audits and Services Professional Audit Contracts 5,122,382 1,858,780 (M) 622,963 a 2,640,639 4,972,382 1,809,280(M) 597,463 a 2,565,639 a Of this amount, $404,395 $378,895 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C .R.S., $103,160 shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C. R.S., and $102,988 shall be from the Children's Basic Health Pl an Trust created in Section 25.5-8-105 (1), C.R.S. and $12,420 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. (G) Recoveries and Recoupment Contract Costs Estate Recovery 700,000 350,000 a 350,000(I) Third-Party Liability Cost Avoidance Contract 16,787,286 5,539,804(M) 2,853,839 b 8,393,643 17,487,286 a This amount shall be from estate recoveries. b This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. (H) Indirect Cost Recoveries Indirect Cost Assessment 890,057 270,035 a 106,490 b 513,532(I) PAGE 8-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ a Of this amount, $221,205 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $15,184 shall be from the Medical Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $10,635 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $8,998 shall be from the Intellectual and Developmental Disabilities Services Cash F und created in Section 25.5-10- 207 (1), C.R.S., $7,838 shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $2,205 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $2,042 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., and $1,928 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Sectio n 25.5-5-308 (8)(a)(I), C.R.S. b Of this amount, $66,615 shall be from transferred from the Colorado Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item appropriation in this department, $22,605 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 $17,270 shall be transferred from the Department of Human Services from the Health Care and E conomic Security Staff Development Center line item appropriation. 442,108,989 490,365,128 (2) MEDICAL SERVICES PREMIUMS Medical and Long-Term Care Services for Medicaid Eligible Individuals I NDIVIDUALS 15a 10,003,435,624 1,595,590,299 (M) 865,284,199 a 1,137,856,496 b 93,549,998 c 6,311,154,632 9,874,916,611 1,493,249,682(M) 1,176,323,220 b 92,814,399 c 6,247,245,111 a This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. PAGE 9-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ b Of this amount, $842,130,412 $860,482,154 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a ), C.R.S.,$72,663,833 $76,033,048 shall be from recoveries and recoupments, $62,174,980 $62,393,703 shall be from the Health Care Expansio n Fund created in Section 24-22-117 (2)(a)(I), C.R.S., $55,009,785 $52,674,382 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $27, 436,097 SHALL BE FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND CREATED IN S ECTION 25.5-6-1805 (1), C.R.S., $29,571,304 $24,352,104 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $29,346,986 $30,459,249 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 26,495,300 $21,592,068 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for f ederal financial participation under the Medicaid program, $11,488,599 shall be from an intergovernmental transfer from the University of Colorado School of Medicine, $2,545,187 $3,391,977 shall be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3)(b), C.R.S., $2,027,445 $1,996,170 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 O ld Age Pension program for health related purposes pursuant to Section 21 of Article X of the State Constitution, $1,541,757 $1,491,308 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $1,103,297 $774,750 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., $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 H ealth, 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, $82,509,561 $81,808,761 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item, $9,882,263 $9,847,464 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Se rvices division of this department, and $1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Servi ces division of this department. (3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS Behavioral Health Capitation Payments 983,572,421 227,833,272 (M) 69,037,834 a 686,701,315 1,082,206,910 241,687,254(M) 77,960,445 a 762,559,211 Behavioral Health Fee-for-service Payments 15,151,534 2,923,821 (M) 1,037,775 a 11,189,938 16,852,110 3,103,619(M) 839,837 a 12,908,654 998,723,955 1,099,059,020 a Of these amounts, $70,040,257 $78,770,052 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S. and $35,352 $30,230 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. PAGE 10-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (4) OFFICE OF COMMUNITY LIVING (A) Division of Intellectual and Developmental Disabilities (1) Administrative Costs Personal Services 3,469,613 1,603,367(M) 255,113 a 1,611,133 (37.5 FTE) Operating Expenses 281,510 112,261(M) 52,375 a 116,874 Community and Contract Management System 137,480 89,362(M) 48,118 Support Level Administration 59,984 29,658(M) 255 b 30,071 3,948,587 a These amounts shall be from the Intellectual and Developmenta l Disabilities Services Cash Fund created in Section 25.5-10-207 (1), C.R.S. b This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. (2) Medicaid Programs 16 Adult Comprehensive Services S ERVICES 16a 587,780,599 624,532,652 Adult Supported Living Services S ERVICES 16b 76,430,552 83,936,285 Children’s Extensive Support Services S ERVICES 16c 36,844,096 41,540,014 Children's Habilitation Residential Program P ROGRAM 16d 9,328,155 11,737,177 PAGE 11-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Case Management for People with Disabilities D ISABILITIES 16e 98,633,608 91,780,356 809,017,010 318,982,389 a 7,080,904 b 482,953,717 853,526,484 296,941,695 a 48,367,922 b 508,216,867 a Of this amount, the (M) notation applies to $315,933,602. $294,430,036. b Of this amount, $23,522,777 SHALL BE FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND CREATED IN S ECTION 25.5-6-1805 (1), C.R.S. $6,280,903 $5,716,149 shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., $80 0,000 $19,128,995 shall be from the Intellectual and Developmental Disabilities Services Cash Fund created in Sectio n 25.5-10-207 (1), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S. (3) State-only Programs 17 Family Support Services 7,679,672 State Supported Living Services 10,174,870 State Supported Living Services Case Management 2,475,277 Preventive Dental Hygiene 66,460 Supported Employment Provider and Certification Reimbursement 303,158 Supported Employment Pilot Program 575,000 21,274,437 19,407,847 1,866,590 a 19,332,833 1,941,604 a a This amount shall be from the Intellectual and Developmenta l Disabilities Services Cash Fund created in Section 25.5-10-207 (1 ), C.R.S. PAGE 12-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 834,240,034 878,749,508 (5) INDIGENT CARE PROGRAM Safety Net Provider Payments 257,909,481 119,466,874 a 138,442,607 (I) 227,071,084 79,321,378 a 147,749,706(I) Pediatric Specialty Hospital 10,764,010 5,048,321 (M) 5,715,689 4,714,637(M) 6,049,373 Appropriation from Tobacco Tax Cash Fund to the General Fund 420,001 420,001 b Primary Care Fund Program 25,373,115 25,373,115 c Children's Basic Health Plan Administration 5,033,274 1,652,424 (H) d 3,380,850 5,147,447 1,688,662(H) d 3,458,785 Children's Basic Health Plan Medical and Dental Costs 170,754,875 20,639,364 420,001 e 35,628,900 (H) f 114,066,610 161,976,673 15,288,255 37,883,046(H) f 108,385,371 470,254,756 430,752,330 a This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. b This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. c This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. d Of this amount, $1,645,814 $1,682,052 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8- 105 (1), C.R.S., and $6,610 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. PAGE 13-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ e This amount shall be from General Fund Exempt pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject to the st atutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. f Of this amount, $23,844,726 $25,606,238 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $11,316,598 $11,810,207 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $367,575 $366,600 shall be from the Colorado Immunization Fund created in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, $1 shall be from the Health Care Expansion Fun d created in Section 24-22-117 (2)(a)(I), C.R.S. (6) OTHER MEDICAL SERVICES Old Age Pension State Medical Program 10,000,000 10,000,000 a Senior Dental Program 3,990,358 3,962,510 27,848 b Commission on Family Medicine Residency Training Programs 9,400,725 4,197,890 (M) 211,050 c 4,991,785 3,920,418(M) 197,100 c 5,283,207 Medicare Modernization Act State Contribution Payment 193,398,121 193,398,121 197,201,203 197,201,203 Public School Health Services Contract Administration 2,000,000 1,000,000(M) 1,000,000 Public School Health Services 167,386,604 79,454,838 d 87,931,766 (I) 74,208,965 d 93,177,639(I) Screening, Brief Intervention, and Referral to Treatment Training Grant Program 18 750,000 750,000 e PAGE 14-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ A MERICAN R ESCUE P LAN A CT H OME - AND C OMMUNITY - BASED S ERVICES S TATE - ONLY P ROGRAMS 18a 13,260,976 13,260,976 f (4.0 FTE) 386,925,808 403,989,866 a This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. b This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. c This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item. d This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation under Medicaid. e This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. f T HIS AMOUNT SHALL BE FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND CREATED IN S ECTION 25.5-6-1805 (1), C.R.S. (7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS (A) Executive Director's Office - Medicaid Funding 19 14,794,888 7,397,445(M) 7,397,443 (B) Office of Information Technology Services - Medicaid Funding Regional Centers Electronic Health Record System 680,382 340,191(M) 340,191 (C) Division of Child Welfare - Medicaid Funding Administration 65,019 32,509(M) 32,510 PAGE 15-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Child Welfare Services 13,421,808 6,294,828 (M) 7,126,980 5,878,752(M) 7,543,056 13,486,827 (D) Office of Early Childhood - Medicaid Funding Division of Community and Family Support, Early Intervention Services 7,968,022 3,737,003 (M) 4,231,019 3,489,993(M) 4,478,029 (E) Office of Self Sufficiency - Medicaid Funding Systematic Alien Verification for Eligibility 28,307 14,153(M) 14,154 (F) Office of Behavioral Health - Medicaid Funding Community Behavioral Health Administration 514,476 257,238(M) 257,238 Children and Youth Mental Health Treatment Act 128,478 60,256 (M) 68,222 56,274(M) 72,204 High Risk Pregnant Women Program 1,865,775 875,048 (M) 990,727 817,210(M) 1,048,565 Mental Health Institutes 8,219,072 3,854,745 (M) 4,364,327 3,599,955(M) 4,619,117 10,727,801 PAGE 16-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (G) Services for People with Disabilities - Medicaid Funding Regional Centers 54,771,068 23,798,727 (M) 1,888,903 a 29,083,438 22,100,825(M) 30,781,340 Regional Center Depreciation and Annual Adjustments 691,725 324,420 (M) 367,305 302,976(M) 388,749 55,462,793 a This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. (H) Adult Assistance Programs, Community Services for the Elderly - Medicaid Funding1,001,800 500,900(M) 500,900 (I) Division of Youth Services - Medicaid Funding1,161,560 557,302 (M) 604,258 770,196 337,346(M) 432,850 (J) Other Federal Medicaid Indirect Cost Reimbursement for Department of Human Services Programs 500,000500,000(I) a PAGE 17-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Department of Human Services Indirect Cost Assessment 17,863,051 8,931,526(M) 8,931,525 18,363,051 a This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only. 123,675,431 123,284,067 TOTALS PART V (HEALTH CARE POLICY AND FINANCING) 20 $13,259,364,597 $2,558,622,911 $865,704,200 a $1,551,766,954 b $97,905,609 $8,185,364,923 c $13,301,116,530 $2,443,072,685 $1,635,071,635 b $97,156,060 $8,260,111,950 c a Of this amount, $865,284,199 shall be from the General Fund Exempt Account created in Section 24-77- 103.6 (2), C.R.S., and $420,001 shall be General Fund Exempt pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $420,001 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. b Of this amount, $16,671,232 contains an (I) notation. c Of this amount, $358,180,592 $396,522,942 contains an (I) notation. FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 12a D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , P ERSONAL S ERVICES -- O F THIS APPROPRIATION , THE $1,260,277 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . PAGE 18-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 12b D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , H EALTH , L IFE , AND D ENTAL -- O F THIS APPROPRIATION , THE $172,394 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 12c D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , S HORT - TERM D ISABILITY -- O F THIS APPROPRIATION , THE $1,794 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 12d D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , S.B. 04-257 A MORTIZATION E QUALIZATION D ISBURSEMENT -- O F THIS APPROPRIATION , THE $56,088 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 12e D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , S.B. 06-235 S UPPLEMENTAL A MORTIZATION E QUALIZATION D ISBURSEMENT -- O F THIS APPROPRIATION , THE $56,088 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 12f D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , O PERATING E XPENSES -- O F THIS APPROPRIATION , THE $136,484 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 12g D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , L EASED S PACE -- O F THIS APPROPRIATION , THE $113,300 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 13 Department of Health Care Policy and Financing, Executive Dir ector's Office, General Administration, General Professional Ser vices and Special Projects -- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by Section 25.5-6-806 (2)(c)(I), C.R.S. It is the General Assembly's intent that the Department also use the $62,000 total funds t o evaluate the new behavioral therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. 13a D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , G ENERAL A DMINISTRATION , G ENERAL P ROFESSIONAL S ERVICES AND S PECIAL P ROJECTS -- O F THIS APPROPRIATION , THE $15,280,357 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . PAGE 19-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 13b D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , E XECUTIVE D IRECTOR 'S O FFICE , I NFORMATION T ECHNOLOGY C ONTRACTS AND P ROJECTS , M EDICAID M ANAGEMENT I NFORMATION S YSTEM M AINTENANCE AND P ROJECTS -- O F THIS APPROPRIATION , THE $5,353,846 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 14 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- In addition to the transfer authority provid ed in Section 24-75-108, C.R.S., the Department is authorized to 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 tot al 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. 15 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management Systems, Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- Of this appropriat ion, $2,500,000 remains available for expenditure until the close of the 2022-23 state fiscal year. 15a D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , M EDICAL S ERVICES P REMIUMS , M EDICAL AND L ONG -T ERM C ARE S ERVICES FOR M EDICAID E LIGIBLE I NDIVIDUALS -- O F THIS APPROPRIATION , THE $27,436,097 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 16 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs - It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or Medicaid Programs. 16a D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O FFICE OF C OMMUNITY L IVING , D IVISION OF I NTELLECTUAL AND D EVELOPMENTAL D ISABILITIES , M EDICAID P ROGRAMS , A DULT C OMPREHENSIVE W AIVER S ERVICES -- O F THIS APPROPRIATION , THE $17,098,856 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 16b D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O FFICE OF C OMMUNITY L IVING , D IVISION OF I NTELLECTUAL AND D EVELOPMENTAL D ISABILITIES , M EDICAID P ROGRAMS , A DULT S UPPORTED L IVING W AIVER S ERVICES -- O F THIS APPROPRIATION , THE $3,381,600 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . PAGE 20-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 16c D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O FFICE OF C OMMUNITY L IVING , D IVISION OF I NTELLECTUAL AND D EVELOPMENTAL D ISABILITIES , M EDICAID P ROGRAMS , C HILDREN 'S E XTENSIVE S UPPORT S ERVICES -- O F THIS APPROPRIATION , THE $2,192,450 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 16d D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O FFICE OF C OMMUNITY L IVING , D IVISION OF I NTELLECTUAL AND D EVELOPMENTAL D ISABILITIES , M EDICAID P ROGRAMS , C HILDREN 'S H ABILITATION R ESIDENTIAL P ROGRAM -- O F THIS APPROPRIATION , THE $1,664 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 16e D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O FFICE OF C OMMUNITY L IVING , D IVISION OF I NTELLECTUAL AND D EVELOPMENTAL D ISABILITIES , M EDICAID P ROGRAMS , C ASE MANAGEMENT FOR P EOPLE WITH D ISABILITIES -- O F THIS APPROPRIATION , THE $848,207 CASH FUNDS APPROPRIATED FROM THE H OME - AND C OMMUNITY - BASED S ERVICES I MPROVEMENT F UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 17 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs - It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or State-only Programs. 18 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program -- It is the General Assembly's intent that this appropriation be used to sustain the grant program for screening, brief interv ention, 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 requirement s set forth in that section. 18a D EPARTMENT OF H EALTH C ARE P OLICY AND F INANCING , O THER M EDICAL S ERVICES , A MERICAN R ESCUE P LAN A CT H OME - AND C OMMUNITY - BASED S ERVICES S TATE - ONLY P ROGRAMS -- T HIS APPROPRIATION REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE 2023-24 STATE FISCAL YEAR . 19 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation between the Depart ment of Health Care Policy and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to 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. PAGE 21-HOUSE BILL 22-1173 APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 20 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for administrative costs and family medicine residency placements asso ciated with care provided by the faculty of the health scienc es 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 $81,709,561, to the Department of Health Care Policy a nd Financing pursuant to Section 23-18-304(1)(c), C.R.S. If permission is discontinued, or is granted for a lesser amount, the Department of Higher Educ ation shall transfer any portion of the $81,709,561 that is not transferred to the Department of Health Care Policy and Financing to the Regents of the Universi ty of Colorado. In addition, it is assumed that the University of Colorado School of Medici ne will use clinical revenues to make an intergovernmental transf er in the amount approved, up to $11,668,599 to the Department of Health Care Policy and Financing, including up to $180,000 for actual administrative cos ts. PAGE 22-HOUSE BILL 22-1173 SECTION 2. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2020. (1) For the 2020-21 state fiscal year, $887,397 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 V of section 2 of chapter 326 (HB 20-1360), Session Laws of Colorado 2020, as follows: (a) $150,021 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for behavioral health capitation payments; (b) $206,066 from the general fund for behavioral health fee-for-service payments; (c) $50,955 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for behavioral health fee-for-service payments; and (d) $480,355 from the healthcare affordability and sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for children's basic health plan medical and dental costs. (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 2021-22 state fiscal year for the amounts and items of appropriation listed in this section are released. PAGE 23-HOUSE BILL 22-1173 SECTION 3. Safety clause. The general assembly hereby finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, and safety. ____________________________ ____________________________ Alec Garnett Steve Fenberg SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Robin Jones Cindi L. Markwell CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ (Date and Time) _________________________________________ Jared S. Polis GOVERNOR OF THE STATE OF COLORADO PAGE 24-HOUSE BILL 22-1173