Colorado 2022 Regular Session

Colorado House Bill HB1173 Latest Draft

Bill / Enrolled Version Filed 02/22/2022

                            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