Colorado 2022 Regular Session

Colorado House Bill HB1247 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	Second Regular Session
	2	+	Seventy-third General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 22-0850.01 Jane Ritter x4342
1	8		HOUSE BILL 22-1247
2		-	BY REPRESENTATIVE(S) Herod and McCluskie, Ransom, Bernett, Bird,
3		-	Bockenfeld, Boesenecker, Caraveo, Cutter, Duran, Esgar, Exum, Froelich,
4		-	Gonzales-Gutierrez, Hooton, Jodeh, Kennedy, Kipp, Lindsay, Lontine,
5		-	McCormick, McLachlan, Michaelson Jenet, Mullica, Ricks, Soper, Titone,
6		-	Valdez A., Valdez D., Woodrow, Young;
7		-	also SENATOR(S) Hansen and Rankin, Moreno, Buckner, Cooke, Fields,
8		-	Ginal, Kirkmeyer, Lee, Liston, Pettersen, Priola, Smallwood, Story,
9		-	Woodward, Zenzinger.
	9	+	House Committees Senate Committees
	10	+	Public & Behavioral Health & Human Services Appropriations
	11	+	Appropriations
	12	+	A BILL FOR AN ACT
10	13		C
11		-	ONCERNING REQUIREMENTS FOR ADDITIONAL SUPPLEMENTAL PAYMENTS
12		-	FOR NURSING FACILITY PROVIDERS
13		-	, AND, IN CONNECTION THEREWITH,
14		-	MAKING AN APPROPRIATION.
15		-
16		-	Be it enacted by the General Assembly of the State of Colorado:
17		-	SECTION 1. In Colorado Revised Statutes, add 25.5-6-210 as
18		-	follows:
19		-	25.5-6-210. Additional supplemental payments - nursing
20		-	facilities - funding methodology - reporting requirement - rules -
	14	+	ONCERNING REQUIREMENTS FOR ADDITIONAL SUPPLEMENTAL101
	15	+	PAYMENTS FOR NURSING FACILITY PROVIDERS , AND, IN102
	16	+	CONNECTION THEREWITH , MAKING AN APPROPRIATION .103
	17	+	Bill Summary
	18	+	(Note: This summary applies to this bill as introduced and does
	19	+	not reflect any amendments that may be subsequently adopted. If this bill
	20	+	passes third reading in the house of introduction, a bill summary that
	21	+	applies to the reengrossed version of this bill will be available at
	22	+	http://leg.colorado.gov/
	23	+	.)
	24	+	Joint Budget Committee. The bill directs the department of
	25	+	health care policy and financing (department) to do the following, with
	26	+	respect to nursing facility providers (nursing facilities):
	27	+	! Issue additional supplemental payments as directed for the
	28	+	2021-22 state fiscal year;
	29	+	SENATE
	30	+	3rd Reading Unamended
	31	+	April 4, 2022
	32	+	SENATE
	33	+	2nd Reading Unamended
	34	+	April 1, 2022
	35	+	HOUSE
	36	+	3rd Reading Unamended
	37	+	March 17, 2022
	38	+	HOUSE
	39	+	Amended 2nd Reading
	40	+	March 16, 2022
	41	+	HOUSE SPONSORSHIP
	42	+	Herod and McCluskie, Ransom, Bernett, Bird, Bockenfeld, Boesenecker, Caraveo,
	43	+	Cutter, Duran, Esgar, Exum, Froelich, Gonzales-Gutierrez, Hooton, Jodeh, Kennedy, Kipp,
	44	+	Lindsay, Lontine, McCormick, McLachlan, Michaelson Jenet, Mullica, Ricks, Soper, Titone,
	45	+	Valdez A., Valdez D., Woodrow, Young
	46	+	SENATE SPONSORSHIP
	47	+	Hansen and Rankin, Moreno, Buckner, Cooke, Fields, Ginal, Kirkmeyer, Lee, Liston,
	48	+	Pettersen, Priola, Smallwood, Story, Woodward, Zenzinger
	49	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	50	+	Capital letters or bold & italic numbers indicate new material to be added to existing statute.
	51	+	Dashes through the words indicate deletions from existing statute. ! Establish reporting and result tracking requirements
	52	+	necessary to administer additional supplemental funding;
	53	+	! Pursue federal matching funds to reduce the state share of
	54	+	costs to the maximum amount possible; and
	55	+	! Engage with stakeholders to produce a report including
	56	+	ways to improve methodology, practices regarding care and
	57	+	services to compassionate release individuals from the
	58	+	department of corrections, and funding for nursing
	59	+	facilities. The department shall submit the report to the
	60	+	joint budget committee and committees of the general
	61	+	assembly on or before November 1, 2022.
	62	+	The bill grants the department authority to promulgate rules as
	63	+	necessary for implementation of the payments and their supporting
	64	+	requirements.
	65	+	The supplemental payments and their supporting requirements are
	66	+	repealed, effective July 1, 2023.
	67	+	Be it enacted by the General Assembly of the State of Colorado:1
	68	+	SECTION 1. In Colorado Revised Statutes, add 25.5-6-210 as2
	69	+	follows:3
	70	+	25.5-6-210. Additional supplemental payments - nursing4
	71	+	facilities - funding methodology - reporting requirement - rules -5
21	72		repeal. (1) N
22		-	OTWITHSTANDING ANY OTHER PROVISION OF LAW TO THE
23		-	CONTRARY AND SUBJECT TO AVAILABLE APPROPRIATIONS
24		-	, FOR THE
25		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
26		-	officers and the Governor. To determine whether the Governor has signed the bill
27		-	or taken other action on it, please consult the legislative status sheet, the legislative
28		-	history, or the Session Laws.
29		-	________
30		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
31		-	through words or numbers indicate deletions from existing law and such material is not part of
32		-	the act. PURPOSES OF REIMBURSING A MEDICAID -CERTIFIED CLASS I NURSING
33		-	FACILITY PROVIDER
34		-	, THE STATE DEPARTMENT SHALL ISSUE ADDITIONAL
35		-	SUPPLEMENTAL PAYMENTS TO NURSING FACILITY PROVIDERS THAT MEET THE
36		-	REQUIREMENTS OUTLINED IN THIS SECTION AND THE STATE DEPARTMENT
37		-	'S
38		-	SUBSEQUENT REGULATION AS FOLLOWS
39		-	:
	73	+	OTWITHSTANDING ANY OTHER PROVISION OF LAW TO THE6
	74	+	CONTRARY AND SUBJECT TO AVAILABLE APPROPRIATIONS , FOR THE7
	75	+	PURPOSES OF REIMBURSING A MEDICAID -CERTIFIED CLASS I NURSING8
	76	+	FACILITY PROVIDER, THE STATE DEPARTMENT
	77	+	SHALL ISSUE ADDITIONAL9
	78	+	SUPPLEMENTAL PAYMENTS TO NURSING FACILITY PROVIDERS THAT MEET10
	79	+	THE REQUIREMENTS OUTLINED IN THIS SECTION AND THE STATE11
	80	+	DEPARTMENT'S SUBSEQUENT REGULATION AS FOLLOWS :12
40	81		(a) F
41		-	OR THE 2021-22 STATE FISCAL YEAR, FUNDS APPROPRIATED BY
42		-	THE GENERAL ASSEMBLY ARE FOR THE PURPOSES OF SUPPORTING NURSING
43		-	FACILITY PROVIDERS EXPERIENCING INCREASED STAFFING COSTS RESULTING
44		-	FROM THE
45		-	COVID-19 PANDEMIC, NURSING FACILITY PROVIDERS WITH HIGH
46		-	MEDICAID UTILIZATION RATES
47		-	, OR NURSING FACILITY PROVIDERS CURRENTLY
48		-	SERVING INDIVIDUALS WITH COMPLEX NEEDS
49		-	.
	82	+	OR THE 2021-22 STATE FISCAL YEAR, FUNDS APPROPRIATED13
	83	+	BY THE GENERAL ASSEMBLY ARE FOR THE PURPOSES OF SUPPORTING14
	84	+	NURSING FACILITY PROVIDERS EXPERIENCING INCREASED STAFFING COSTS15
	85	+	RESULTING FROM THE COVID-19 PANDEMIC, NURSING FACILITY16
	86	+	1247-2- PROVIDERS WITH HIGH MEDICAID UTILIZATION RATES , OR NURSING1
	87	+	FACILITY PROVIDERS CURRENTLY SERVING INDIVIDUALS WITH COMPLEX2
	88	+	NEEDS.3
50	89		(b) P
51		-	AYMENTS MADE IN ADDITION TO THOSE SPECIFIED IN
52		-	SUBSECTION
53		-	(1)(a) OF THIS SECTION MAY ALSO BE MADE TO NURSING
54		-	FACILITY PROVIDERS THAT ACCEPT NEW ADMISSIONS OF
55		-	MEDICAID
56		-	-ENROLLMENT INDIVIDUALS WITH COMPLEX NEEDS .
	90	+	AYMENTS MADE IN ADDITION TO THOSE SPECIFIED IN4
	91	+	SUBSECTION (1)(a) OF THIS SECTION MAY ALSO BE MADE TO NURSING5
	92	+	FACILITY PROVIDERS THAT ACCEPT NEW ADMISSIONS OF6
	93	+	MEDICAID-ENROLLMENT INDIVIDUALS WITH COMPLEX NEEDS .7
57	94		(2) T
58		-	HE STATE DEPARTMENT SHALL ESTABLISH REPORTING AND
59		-	RESULT TRACKING REQUIREMENTS NECESSARY TO ADMINISTER THE FUNDING
60		-	OUTLINED IN THIS SECTION
61		-	. THE STATE DEPARTMENT MAY DENY OR RECOUP
62		-	FUNDING FROM NURSING FACILITY PROVIDERS THAT ARE NONCOMPLIANT
63		-	WITH REPORTING REQUIREMENTS OR IF FUNDING IS USED FOR PURPOSES
64		-	OUTSIDE THE INTENT OF SUPPORTING AND STABILIZING NURSING FACILITY
65		-	PROVIDERS THAT ARE MEDICAID PROVIDERS
66		-	.
	95	+	HE STATE DEPARTMENT SHALL ESTABLISH REPORTING AND8
	96	+	RESULT TRACKING REQUIREMENTS NECESSARY TO ADMINISTER THE9
	97	+	FUNDING OUTLINED IN THIS SECTION. THE STATE DEPARTMENT MAY DENY10
	98	+	OR RECOUP FUNDING FROM NURSING FACILITY PROVIDERS THAT ARE11
	99	+	NONCOMPLIANT WITH REPORTING REQUIREMENTS OR IF FUNDING IS USED12
	100	+	FOR PURPOSES OUTSIDE THE INTENT OF SUPPORTING AND STABILIZING13
	101	+	NURSING FACILITY PROVIDERS THAT ARE MEDICAID PROVIDERS .14
67	102		(3) T
68		-	HE STATE DEPARTMENT SHALL EVALUATE PROVIDER OUTCOMES ,
69		-	INCLUDING CHANGES IN CAPACITY , ASSOCIATED WITH THE PAYMENT OF
70		-	SUPPLEMENTAL MONEY TO NURSING FACILITY PROVIDERS
71		-	. THE STATE
72		-	DEPARTMENT SHALL UTILIZE NURSING FACILITY PROVIDERS
73		-	' FINANCIAL
74		-	STATEMENTS AND LABOR AND WAGE RECORDS TO EVALUATE THE RESULTS
75		-	OF PAYMENTS
76		-	.
	103	+	HE STATE DEPARTMENT SHALL EVALUATE PROVIDER15
	104	+	OUTCOMES, INCLUDING CHANGES IN CAPACITY , ASSOCIATED WITH THE16
	105	+	PAYMENT OF SUPPLEMENTAL MONEY TO NURSING FACILITY PROVIDERS .17
	106	+	T
	107	+	HE STATE DEPARTMENT SHALL UTILIZE NURSING FACILITY PROVIDERS '18
	108	+	FINANCIAL STATEMENTS AND LABOR AND WAGE RECORDS TO EVALUATE19
	109	+	THE RESULTS OF PAYMENTS.20
77	110		(4) (a) T
78		-	HE STATE DEPARTMENT SHALL PURSUE FEDERAL MATCHING
79		-	FUNDS
80		-	. IF FEDERAL MATCHING FUNDS ARE UNAVAILABLE FOR ANY REASON ,
81		-	PAYMENTS OUTLINED IN THIS SECTION MAY BE REDUCED OR RESTRICTED ,
82		-	SUBJECT TO AVAILABLE FUNDING.
	111	+	HE STATE DEPARTMENT SHALL PURSUE FEDERAL21
	112	+	MATCHING FUNDS. IF FEDERAL MATCHING FUNDS ARE UNAVAILABLE FOR22
	113	+	ANY REASON, PAYMENTS OUTLINED IN THIS SECTION MAY BE REDUCED OR23
	114	+	RESTRICTED, SUBJECT TO AVAILABLE FUNDING.24
83	115		(b) F
84		-	OR THE PURPOSES OF FEDERAL UPPER PAYMENT ~~LIMIT~~
85		-	CALCULATIONS
86		-	~~, THE STATE DEPARTMENT SHALL PURSUE FEDERAL MATCHING~~
87		-	~~PAGE 2-HOUSE BILL 22-~~1247 ~~FUNDS FOR PAYMENTS MADE PURSUANT TO THIS SECTION BUT ONLY AFTER~~
88		-	SECURING FEDERAL MATCHING FUNDS FOR ~~PAYMENTS OUTLINED IN SECTIONS~~
89		-	25.5-6-203 (2) AND 25.5-6-208.
	116	+	OR THE PURPOSES OF FEDERAL UPPER PAYMENT LIMIT25
	117	+	CALCULATIONS, THE STATE DEPARTMENT SHALL PURSUE FEDERAL26
	118	+	MATCHING FUNDS FOR PAYMENTS MADE PURSUANT TO THIS SECTION BUT27
	119	+	1247
	120	+	-3- ONLY AFTER SECURING FEDERAL MATCHING FUNDS FOR PAYMENTS1
	121	+	OUTLINED IN SECTIONS 25.5-6-203 (2) AND 25.5-6-208.2
90	122		(5) (a) S
91		-	UPPLEMENTAL PAYMENTS MADE TO NURSING FACILITY
92		-	PROVIDERS PURSUANT TO THIS SECTION MUST BE D ETERMINED BASED ON THE
93		-	MOST RECENT AVAILABLE DATA
94		-	.
	123	+	UPPLEMENTAL PAYMENTS MADE TO NURSING FACILITY3
	124	+	PROVIDERS PURSUANT TO THIS SECT ION MUST BE DETERMINED BASED ON4
	125	+	THE MOST RECENT AVAILABLE DATA .5
95	126		(b) P
96		-	URSUANT TO RULES PROMULGATED BY THE ~~STATE DEPARTMENT ,~~
97		-	PAYMENTS RECEIVED PURSUANT TO THIS SECTION MUST ~~BE REPORTED AS~~
98		-	~~REVENUE ON THE ANNUAL COST REPORT WHEN CALCULATING NURSING~~
99		-	~~FACILITY PROVIDER PER DIEM REIMBURSEMENT~~ AS ~~DIRECTED BY~~ THE ~~STATE~~
100		-	~~DEPARTMENT~~
101		-	.
	127	+	URSUANT TO RULES PROMULGATED BY THE STATE6
	128	+	DEPARTMENT, PAYMENTS RECEIVED PURSUANT TO THIS SECTION MUST
	129	+	BE7
	130	+	REPORTED AS REVENUE ON THE ANNUAL COST REPORT WHEN8
	131	+	CALCULATING NURSING FACILITY PROVIDER PER DIEM REIMBURSEMENT AS9
	132	+	DIRECTED BY THE STATE DEPARTMENT .10
102	133		(6) T
103		-	O RECEIVE AN ADDITIONAL PAYMENT PURS UANT TO SUBSECTION
104		-	(1)(b) OF THIS SECTION, A NURSING FACILITY PROVIDER SHALL WORK WITH
105		-	A HOSPITAL TO FACILITATE THE TIMELY DISCHARGE OF MEDICAID MEMBERS
106		-	FROM THE HOSPITAL INTO THE NURSING FACILITY
107		-	, SERVE MEDICAID
108		-	MEMBERS WITH COMPLEX NEEDS
109		-	, OR ACCEPT COMPASSIONATE RELEASE
110		-	INDIVIDUALS FROM THE DEPARTMENT OF CORRECTIONS
111		-	.
	134	+	O RECEIVE AN ADDITIONAL PAYMENT PURSUANT TO11
	135	+	SUBSECTION (1)(b) OF THIS SECTION, A NURSING FACILITY PROVIDER12 SHALL WORK WITH A HOSPITAL TO FACILITATE THE TIMELY DISCHARGE OF13
	136	+	MEDICAID MEMBERS FROM THE HOSPITAL INTO THE NURSING FACILITY,14
	137	+	SERVE MEDICAID MEMBERS WITH COMPLEX NEEDS, OR ACCEPT15
	138	+	COMPASSIONATE RELEASE INDIVIDUALS FROM THE DEPARTMENT OF16
	139	+	CORRECTIONS.17
112	140		(7) O
113		-	N OR BEFORE NOVEMBER 1, 2022, THE STATE DEPARTMENT
114		-	SHALL ENGAGE WITH STAKEHOLDERS AND SUBMIT A REPORT AND
115		-	RECOMMENDATIONS TO THE JOINT BUDGET COMMITTEE
116		-	, THE HEALTH AND
117		-	HUMAN SERVICES COMMITTEE OF THE SENATE
118		-	, AND THE PUBLIC AND
119		-	BEHAVIORAL HEALTH AND HUMAN SERV ICES COMMITTEE OF THE HOUSE OF
120		-	REPRESENTATIVES
121		-	, OR ANY SUCCESSOR COMMITTEES , CONCERNING
122		-	SUGGESTED CHANGES FOR PERMANENTLY CHANGING MEDICAID NURSING
123		-	FACILITY PROVIDER REIMBURSEMENT POLICY IN
124		-	COLORADO TO PRIORITIZE
125		-	QUALITY
126		-	, SUSTAINABILITY, AND SOUND FISCAL STEWARDSHIP TO AVOID
127		-	FURTHER ONE
128		-	-TIME CASH INFUSIONS. THE REPORT MUST INCLUDE CHANGES
129		-	THAT CAN BE MADE TO AFFIRM A NURSING FACILITY PROVIDER
130		-	'S
131		-	COMMITMENT TO ACCOUNTABILITY AND MUST INCLUDE
132		-	, AT A MINIMUM:
	141	+	N OR BEFORE NOVEMBER 1, 2022, THE STATE DEPARTMENT18
	142	+	SHALL ENGAGE WITH STAKEHOLDERS AND SUBMIT A REPORT AND19
	143	+	RECOMMENDATIONS TO THE JOINT BUDGET COMMITTEE , THE HEALTH AND20
	144	+	HUMAN SERVICES COMMITTEE OF THE SENATE , AND THE PUBLIC AND21
	145	+	BEHAVIORAL HEALTH AND HUMAN SERVICES COMMITTEE OF THE HOUSE OF22
	146	+	REPRESENTATIVES, OR ANY SUCCESSOR COMMITTEES , CONCERNING23
	147	+	SUGGESTED CHANGES FOR PERMANENTLY CHANGING MEDICAID NURSING24
	148	+	FACILITY PROVIDER REIMBURSEMENT POLICY IN COLORADO TO PRIORITIZE25
	149	+	QUALITY, SUSTAINABILITY, AND SOUND FISCAL STEWARDSHIP TO AVOID26
	150	+	FURTHER ONE-TIME CASH INFUSIONS. THE REPORT MUST INCLUDE27
	151	+	1247
	152	+	-4- CHANGES THAT CAN BE MADE TO AFFIRM A NURSING FACILITY PROVIDER 'S1
	153	+	COMMITMENT TO ACCOUNTABILITY AND MUST INCLUDE , AT A MINIMUM:2
133	154		(a) I
134		-	NFECTION CONTROL AND CULTURE CHANGE PRACTICES ,
135		-	INCLUDING:
	155	+	NFECTION CONTROL AND CULTURE CHANGE PRACTICES ,3
	156	+	INCLUDING:4
136	157		(I) S
137		-	INGLE OCCUPANCY ROOMS ;
	158	+	INGLE OCCUPANCY ROOMS ;5
138	159		(II) S
139		-	MALLER FACILITY MODELS; AND
140		-	PAGE 3-HOUSE BILL 22-1247 (III) INNOVATIVE FACILITY MODELS;
	160	+	MALLER FACILITY MODELS; AND6
	161	+	(III) I
	162	+	NNOVATIVE FACILITY MODELS;7
141	163		(b) B
142		-	EHAVIORAL HEALTH NEEDS ;
	164	+	EHAVIORAL HEALTH NEEDS ;8
143	165		(c) P
144		-	RACTICES REGARDING INDIVIDUALS WHO HAVE COMPLEX NEEDS
145		-	REQUIRING HOSPITAL DISCHARGE
146		-	;
	166	+	RACTICES REGARDING INDIVIDUALS WHO HAVE COMPLEX9
	167	+	NEEDS REQUIRING HOSPITAL DISCHARGE ;10
147	168		(d) P
148		-	RACTICES REGARDING CARE AND SERVICES ~~TO COMPASSIONATE~~
149		-	RELEASE INDIVIDUALS FROM THE DEPARTMENT ~~OF CORRECTIONS~~
150		-	;
	169	+	RACTICES REGARDING CARE AND SERVICES TO11
	170	+	COMPASSIONATE RELEASE INDIVIDUALS FROM THE DEPARTMENT OF12
	171	+	CORRECTIONS;13
151	172		(e) O
152		-	PTIONS FOR DIVERSIFIED FUNDING STREAMS TO ENSURE
153		-	CONTINUITY OF SERVICES
154		-	;
	173	+	PTIONS FOR DIVERSIFIED FUNDING STREAMS TO ENSURE14
	174	+	CONTINUITY OF SERVICES;15
155	175		(f) C
156		-	OMPETITIVE STAFFING PRACTICES;
	176	+	OMPETITIVE STAFFING PRACTICES;16
157	177		(g) T
158		-	HE TIMELINE AND COSTS ASSOCIATED WITH IMPLEMENTING THE
159		-	RECOMMENDED CHANGES
160		-	, INCLUDING THE IMPACT ON NURSING FACILITY
161		-	PROVIDER RATES
162		-	; AND
163		-	(h) IDENTIFICATION OF THE AMOUNT OF SUPPLEMENTAL PAYMENTS
164		-	TO EACH NURSING FACILITY PROVIDER AND THE OUTCOME EVALUATION
165		-	REQUIRED PURSUANT TO SUBSECTION
166		-	(3) OF THIS SECTION.
	178	+	HE TIMELINE AND COSTS ASSOCIATED WITH IMPLEMENTING17
	179	+	THE RECOMMENDED CHANGES , INCLUDING THE IMPACT ON NURSING18
	180	+	FACILITY PROVIDER RATES; AND19
	181	+	(h) I
	182	+	DENTIFICATION OF THE AMOUNT OF SUPPLEMENTAL PAYMENTS20
	183	+	TO EACH NURSING FACILITY PROVIDER AND THE OUTCOME EVALUATION21
	184	+	REQUIRED PURSUANT TO SUBSECTION (3) OF THIS SECTION.22
167	185		(8) T
168		-	HE STATE DEPARTMENT SHALL MEET WITH THE FOLLOWING
169		-	STAKEHOLDERS
170		-	, AT A MINIMUM, TO SEEK INPUT ON ANY PROPOSED
171		-	REIMBURSEMENT METHODOLOGY CHANGES AND REPORT AS REQUIRED BY
172		-	THIS SECTION
173		-	:
	186	+	HE STATE DEPARTMENT SHALL MEET WITH THE FOLLOWING23
	187	+	STAKEHOLDERS, AT A MINIMUM, TO SEEK INPUT ON ANY PROPOSED24
	188	+	REIMBURSEMENT METHODOLOGY CHANGES AND REPORT AS REQUIRED BY25
	189	+	THIS SECTION:26
174	190		(a) A
175		-	REPRESENTATIVE FROM AN URBAN NURSING ~~FACILITY~~
176		-	~~PROVIDER~~
177		-	;
	191	+	REPRESENTATIVE FROM AN URBAN NURSING FACILITY27
	192	+	1247
	193	+	-5- PROVIDER;1
178	194		(b) A
179		-	REPRESENTATIVE FROM A RURAL NURSING FACILITY PROVIDER ;
	195	+	REPRESENTATIVE FROM A RURAL NURSING FACILITY2
	196	+	PROVIDER;3
180	197		(c) A
181		-	REPRESENTATIVE FROM A NURSING FACILITY TRADE
182		-	ORGANIZATION
183		-	;
	198	+	REPRESENTATIVE FROM A NURSING FACILITY TRADE4
	199	+	ORGANIZATION;5
184	200		(d) A
185		-	REPRESENTATIVE FROM A NURSING FACILITY WITH A ~~HIGH~~
186		-	MEDICAID UTILIZATION RATE
187		-	~~; AND~~
188		-	~~(e) A~~ REPRESENTATIVE FROM A NURSING FACILITY THAT ~~SERVES~~
189		-	~~PAGE 4-HOUSE BILL 22-1247~~ INDIVIDUALS WITH COMPLEX NEEDS .
	201	+	REPRESENTATIVE FROM A NURSING FACILITY WITH A HIGH6
	202	+	MEDICAID UTILIZATION RATE; AND7
	203	+	(e) A
	204	+	REPRESENTATIVE FROM A NURSING FACILITY THAT SERVES8
	205	+	INDIVIDUALS WITH COMPLEX NEEDS .9
190	206		(9) T
191		-	HE STATE BOARD SHALL PROMULGATE ANY RULES NECESSARY
192		-	TO IMPLEMENT THIS SECTION
193		-	.
	207	+	HE STATE BOARD SHALL PROMULGATE ANY RULES NECESSARY10
	208	+	TO IMPLEMENT THIS SECTION.11
194	209		(10) T
195		-	HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2023.
196		-	SECTION 2. Appropriation. (1) For the 2021-22 state fiscal year,
197		-	$17,000,500 is appropriated to the department of health care policy and
198		-	financing for use by medical services premiums. This appropriation is from
199		-	the general fund and is subject to the "(M)" notation as defined in the
200		-	annual general appropriation act for the same fiscal year. To implement this
201		-	act, the department may use this appropriation for medical and long-term
202		-	care services for Medicaid-eligible individuals.
203		-	(2) For the 2021-22 state fiscal year, the general assembly
204		-	anticipates that the department of health care policy and financing will
205		-	receive $10,000,500 in federal funds to implement this act. The
206		-	appropriation in subsection (1) of this section is based on the assumption
207		-	that the department will receive this amount of federal funds to be used for
208		-	medical and long-term care services for Medicaid-eligible individuals.
209		-	(3) Any money appropriated in subsection (1) of this section not
210		-	expended prior to July 1, 2022, is further appropriated to the department for
211		-	the 2022-23 state fiscal year for the same purpose.
212		-	SECTION 3. Safety clause. The general assembly hereby finds,
213		-	PAGE 5-HOUSE BILL 22-1247 determines, and declares that this act is necessary for the immediate
214		-	preservation of the public peace, health, or safety.
215		-	____________________________ ____________________________
216		-	Alec Garnett Steve Fenberg
217		-	SPEAKER OF THE HOUSE PRESIDENT OF
218		-	OF REPRESENTATIVES THE SENATE
219		-	____________________________ ____________________________
220		-	Robin Jones Cindi L. Markwell
221		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
222		-	OF REPRESENTATIVES THE SENATE
223		-	APPROVED________________________________________
224		-	(Date and Time)
225		-	_________________________________________
226		-	Jared S. Polis
227		-	GOVERNOR OF THE STATE OF COLORADO
228		-	PAGE 6-HOUSE BILL 22-1247
	210	+	HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2023.12
	211	+	SECTION 2. Appropriation. (1) For the 2021-22 state fiscal13
	212	+	year, $17,000,500 is appropriated to the department of health care policy14
	213	+	and financing for use by medical services premiums. This appropriation15
	214	+	is from the general fund and is subject to the "(M)" notation as defined in16
	215	+	the annual general appropriation act for the same fiscal year. To17
	216	+	implement this act, the department may use this appropriation for medical18
	217	+	and long-term care services for Medicaid-eligible individuals.19
	218	+	(2) For the 2021-22 state fiscal year, the general assembly20
	219	+	anticipates that the department of health care policy and financing will21
	220	+	receive $10,000,500 in federal funds to implement this act. The22
	221	+	appropriation in subsection (1) of this section is based on the assumption23
	222	+	that the department will receive this amount of federal funds to be used24
	223	+	for medical and long-term care services for Medicaid-eligible individuals.25
	224	+	(3) Any money appropriated in subsection (1) of this section not26
	225	+	expended prior to July 1, 2022, is further appropriated to the department27
	226	+	1247
	227	+	-6- for the 2022-23 state fiscal year for the same purpose.1
	228	+	SECTION 3. Safety clause. The general assembly hereby finds,2
	229	+	determines, and declares that this act is necessary for the immediate3
	230	+	preservation of the public peace, health, or safety.4
	231	+	1247
	232	+	-7-