Colorado 2022 Regular Session

Colorado House Bill HB1289 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. 22-0487.01 Jane Ritter x4342
1	8		HOUSE BILL 22-1289
2		-	BY REPRESENTATIVE(S) Gonzales-Gutierrez and McCluskie, Amabile,
3		-	Bacon, Benavidez, Bernett, Bird, Boesenecker, Caraveo, Cutter, Duran,
4		-	Esgar, Exum, Froelich, Herod, Hooton, Jodeh, Kennedy, Kipp, Lontine,
5		-	Michaelson Jenet, Mullica, Ortiz, Ricks, Roberts, Sirota, Snyder, Titone,
6		-	Valdez A., Weissman, Woodrow, Young, Daugherty, Lindsay, McCormick,
7		-	Valdez D.;
8		-	also SENATOR(S) Moreno and Fields, Bridges, Buckner, Danielson,
9		-	Donovan, Ginal, Gonzales, Hansen, Hinrichsen, Jaquez Lewis, Lee,
10		-	Pettersen, Priola, Rodriguez, Story, Winter, Zenzinger.
	9	+	House Committees Senate Committees
	10	+	Public & Behavioral Health & Human Services Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
11	13		C
12		-	ONCERNING IMPROVING ACCESS TO HEALTH BENEFITS FOR ECONOMICALLY
13		-	INSECURE
14		-	COLORADO FAMILIES BY ENHANCING PUBLIC HEALTH
15		-	PROGRAMS
16		-	, AND, IN CONNECTION THEREWITH , MAKING AN
17		-	APPROPRIATION
18		-	.
19		-
20		-	Be it enacted by the General Assembly of the State of Colorado:
21		-	SECTION 1. Legislative declaration. (1) The general assembly
22		-	finds and declares that:
23		-	(a) Health insurance coverage is an important social determinant of
24		-	health because it provides both access to the health-care system and
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. financial security. Access to quality prenatal care is one of the most
33		-	important determinants of birth outcomes and a primary strategy to reduce
34		-	infant and maternal mortality.
35		-	(b) The stress and challenges of pregnancy and parenting with
36		-	limited financial resources are contributing factors to a high rate of
37		-	depression. One in four low-income pregnant or postpartum individuals
38		-	experience depression in a given year.
39		-	(c) Insurance coverage improves health status and mental health,
40		-	while decreasing infant, child, and adult mortality rates. Medicaid and the
41		-	children's health insurance program (CHIP) are key supports for pregnant
42		-	people and new parents, as well as their children in the critical early years
43		-	of life.
44		-	(d) Research shows that medicaid coverage for children and
45		-	pregnant people is associated with improved health and well-being.
46		-	Children born to medicaid-covered or otherwise insured parents are more
47		-	likely to be born at a healthier birth weight and are at lower risk of infant
48		-	mortality than babies born to people who are uninsured. Medicaid and other
49		-	insurance coverage of pregnant people is also associated with a greater
50		-	likelihood of children finishing high school and college and having higher
51		-	incomes as adults.
52		-	(e) When parents have health insurance, their children are more
53		-	likely to be insured;
54		-	(f) In Colorado, Hispanic and Latina individuals of reproductive age
55		-	are three times more likely to be uninsured compared to their non-Hispanic
56		-	peers. Research indicates that chronic stress associated with being a racial
57		-	or ethnic minority in the United States is largely responsible for higher
58		-	preterm birth rates and constitutes an independent risk factor for preterm
59		-	delivery.
60		-	(g) Approximately twenty-four percent of all pregnancy-related
61		-	deaths occur between forty-three to three hundred sixty-five days after a
62		-	pregnancy ends. There is growing evidence that providing insurance
63		-	coverage for at least one year of postpartum care can reduce preventable
64		-	maternal deaths, particularly among Black persons and immigrant
65		-	populations. Expanding access to prenatal and postpartum care will
66		-	PAGE 2-HOUSE BILL 22-1289 decrease racial disparities in maternal and infant mortality.
67		-	(h) Prenatal care is cost effective. Studies have found that providing
68		-	prenatal care for low-income persons avoids costly infant complications and
69		-	infant death.
70		-	(2) The general assembly further finds that:
71		-	(a) All Colorado children deserve access to preventive and
72		-	life-saving health care. In Colorado, fourteen percent of uninsured children
73		-	are ineligible for medicaid or the children's basic health plan because of
74		-	their immigration status. Health insurance coverage is linked to improved
75		-	access to health-care services and increased use of preventive services.
76		-	(b) Without expansion of health-care coverage, immigrant parents
77		-	with children who are ineligible for coverage are more likely to put off
78		-	seeking critical treatment until it is an emergency. Educational success,
79		-	physical health, emotional support, and family strength are inseparable.
80		-	(c) The COVID-19 pandemic has disproportionately harmed
81		-	immigrant communities across the state, exposing the dual impacts of
82		-	racism and xenophobia on access to health care. Ineligibility for health-care
83		-	coverage has led many immigrants to forgo COVID-19 testing and
84		-	treatment, despite both being free.
85		-	(d) As Colorado seeks to address these inequities to build a more
86		-	inclusive state, it is essential to expand coverage to the communities that
87		-	have been most impacted and vulnerable before, during, and well after the
88		-	COVID-19 health crisis; and
89		-	(e) Expanding health-care coverage to all children, pregnant and
90		-	postpartum persons, regardless of immigration status, is fundamental to
91		-	ensuring health equity in Colorado, allowing all parents and children to
92		-	thrive.
93		-	SECTION 2. In Colorado Revised Statutes, 10-16-1205, add
94		-	(2)(d)(III) as follows:
95		-	10-16-1205. Health insurance affordability fee - special
96		-	assessment on hospitals - allocation of revenues.
97		-	PAGE 3-HOUSE BILL 22-1289 (2) (d) (III) NOTWITHSTANDING SUBSECTIONS (2)(d)(I) AND (2)(d)(II) OF
98		-	THIS SECTION
99		-	, IF THE APPROVAL OF THE DEMONSTRATION WAIVER RECEIVED
100		-	PURSUANT TO SECTION
101		-	25.5-4-503 (2) SETS CONDITIONS ON THE USE OF THE
102		-	MONEY RECEIVED
103		-	, THE ENTERPRISE SHALL ALLOCATE THE MONEY RECEIVED
104		-	PURSUANT TO SECTION
105		-	25.5-4-503 (2) AS SET FORTH IN THE APPROVAL. IF
106		-	THE APPROVAL DOES NOT SET CONDITIONS ON THE USE OF MONEY RECEIVED
107		-	,
108		-	THE ENTERPRISE SHALL ALLOCATE THE MONEY IN THE MANNER SET FORTH
109		-	IN SUBSECTIONS
110		-	(2)(d)(I) AND (2)(d)(II) OF THIS SECTION.
111		-	SECTION 3. In Colorado Revised Statutes, 10-16-1206, amend
112		-	(1)(e) and (1)(f); and add (1)(g) as follows:
113		-	10-16-1206. Health insurance affordability cash fund - creation.
114		-	(1) There is hereby created in the state treasury the health insurance
115		-	affordability cash fund. The fund consists of:
116		-	(e) Money that may be allocated to the fund pursuant to section
117		-	10-16-1308; and
118		-	(f) All interest and income derived from the deposit and investment
119		-	of money in the fund;
120		-	AND
121		-	(g) THE FEDERAL SHARE OF THE MEDICAL ASSISTANCE PAYMENTS
122		-	RECEIVED PURSUANT TO SECTION
123		-	25.5-4-503 (2).
124		-	SECTION 4. In Colorado Revised Statutes, 10-16-105.7, add
125		-	(3)(a)(II)(H) as follows:
126		-	10-16-105.7. Health benefit plan open enrollment periods -
127		-	special enrollment periods - rules. (3) (a) (II) A triggering event occurs
128		-	when:
	14	+	ONCERNING IMPROVING ACCESS TO HEALTH BENEFITS FOR101
	15	+	ECONOMICALLY INSECURE COLORADO FAMILIES BY ENHANCING102
	16	+	PUBLIC HEALTH
	17	+	PROGRAMS, AND, IN CONNECTION THEREWITH,103
	18	+	MAKING AN APPROPRIATION .104
	19	+	Bill Summary
	20	+	(Note: This summary applies to this bill as introduced and does
	21	+	not reflect any amendments that may be subsequently adopted. If this bill
	22	+	passes third reading in the house of introduction, a bill summary that
	23	+	applies to the reengrossed version of this bill will be available at
	24	+	http://leg.colorado.gov
	25	+	.)
	26	+	The bill makes the following changes to health insurance coverage
	27	+	for low-income pregnant people and children in low-income families:
	28	+	! Provides full health insurance coverage for Colorado
	29	+	SENATE
	30	+	3rd Reading Unamended
	31	+	May 5, 2022
	32	+	SENATE
	33	+	Amended 2nd Reading
	34	+	May 4, 2022
	35	+	HOUSE
	36	+	3rd Reading Unamended
	37	+	April 22, 2022
	38	+	HOUSE
	39	+	Amended 2nd Reading
	40	+	April 20, 2022
	41	+	HOUSE SPONSORSHIP
	42	+	Gonzales-Gutierrez and McCluskie, Amabile, Bacon, Benavidez, Bernett, Bird,
	43	+	Boesenecker, Caraveo, Cutter, Duran, Esgar, Exum, Froelich, Herod, Hooton, Jodeh,
	44	+	Kennedy, Kipp, Lontine, Michaelson Jenet, Mullica, Ortiz, Ricks, Roberts, Sirota, Snyder,
	45	+	Titone, Valdez A., Weissman, Woodrow, Young
	46	+	SENATE SPONSORSHIP
	47	+	Moreno and Fields, Bridges, Buckner, Danielson, Donovan, Ginal, Gonzales, Hansen,
	48	+	Hinrichsen, Jaquez Lewis, Lee, Pettersen, Priola, Rodriguez, Story, Winter, 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. pregnant people who would be eligible for medicaid and
	52	+	the children's basic health plan (CHIP) if not for their
	53	+	immigration status and continues that coverage for 12
	54	+	months postpartum at the CHIP federal matching rate;
	55	+	! Provides comprehensive health insurance coverage to all
	56	+	Colorado children who would be eligible for medicaid and
	57	+	CHIP if not for their immigration status;
	58	+	! Requires the state department of health care policy and
	59	+	financing to create an outreach and enrollment strategy for
	60	+	enrolling eligible groups into new coverage options;
	61	+	! Makes comprehensive lactation supports and supplies,
	62	+	including breast pumps, a covered benefit for perinatal
	63	+	people on medicaid and CHIP;
	64	+	! Draws down federal funds to improve perinatal and
	65	+	postpartum support and requires that priorities for the funds
	66	+	be determined through a stakeholder process;
	67	+	! Permanently authorizes an existing survey of birthing
	68	+	parents, run by the state department of public health and
	69	+	environment and increases the ability of the survey to
	70	+	collect and report on the experiences of birthing people of
	71	+	color in Colorado;
	72	+	! Creates a special enrollment period for health insurance
	73	+	coverage due to pregnancy so that an eligible person can
	74	+	sign up for insurance as soon as the person becomes
	75	+	pregnant; and
	76	+	! Improves the quality of health insurance coverage available
	77	+	through the health insurance affordability enterprise.
	78	+	Be it enacted by the General Assembly of the State of Colorado:1
	79	+	SECTION 1. Legislative declaration. (1) The general assembly2
	80	+	finds and declares that:3
	81	+	(a) Health insurance coverage is an important social determinant4
	82	+	of health because it provides both access to the health-care system and5
	83	+	financial security. Access to quality prenatal care is one of the most6
	84	+	important determinants of birth outcomes and a primary strategy to reduce7
	85	+	infant and maternal mortality.8
	86	+	(b) The stress and challenges of pregnancy and parenting with9
	87	+	limited financial resources are contributing factors to a high rate of10
	88	+	1289-2- depression. One in four low-income pregnant or postpartum individuals1
	89	+	experience depression in a given year.2
	90	+	(c) Insurance coverage improves health status and mental health,3
	91	+	while decreasing infant, child, and adult mortality rates. Medicaid and the4
	92	+	children's health insurance program (CHIP) are key supports for pregnant5
	93	+	people and new parents, as well as their children in the critical early years6
	94	+	of life.7
	95	+	(d) Research shows that medicaid coverage for children and8
	96	+	pregnant people is associated with improved health and well-being.9
	97	+	Children born to medicaid-covered or otherwise insured parents are more10
	98	+	likely to be born at a healthier birth weight and are at lower risk of infant11
	99	+	mortality than babies born to people who are uninsured. Medicaid and12
	100	+	other insurance coverage of pregnant people is also associated with a13
	101	+	greater likelihood of children finishing high school and college and14
	102	+	having higher incomes as adults.15
	103	+	(e) When parents have health insurance, their children are more16
	104	+	likely to be insured;17
	105	+	(f) In Colorado, Hispanic and Latina individuals of reproductive18
	106	+	age are three times more likely to be uninsured compared to their19
	107	+	non-Hispanic peers. Research indicates that chronic stress associated with20
	108	+	being a racial or ethnic minority in the United States is largely responsible21
	109	+	for higher preterm birth rates and constitutes an independent risk factor22
	110	+	for preterm delivery.23
	111	+	(g) Approximately twenty-four percent of all pregnancy-related24
	112	+	deaths occur between forty-three to three hundred sixty-five days after a25
	113	+	pregnancy ends. There is growing evidence that providing insurance26
	114	+	coverage for at least one year of postpartum care can reduce preventable27
	115	+	1289
	116	+	-3- maternal deaths, particularly among Black persons and immigrant1
	117	+	populations. Expanding access to prenatal and postpartum care will2
	118	+	decrease racial disparities in maternal and infant mortality.3
	119	+	(h) Prenatal care is cost effective. Studies have found that4
	120	+	providing prenatal care for low-income persons avoids costly infant5
	121	+	complications and infant death.6
	122	+	(2) The general assembly further finds that:7
	123	+	(a) All Colorado children deserve access to preventive and8
	124	+	life-saving health care. In Colorado, fourteen percent of uninsured9
	125	+	children are ineligible for medicaid or the children's basic health plan10
	126	+	because of their immigration status. Health insurance coverage is linked11
	127	+	to improved access to health-care services and increased use of preventive12
	128	+	services.13
	129	+	(b) Without expansion of health-care coverage, immigrant parents14
	130	+	with children who are ineligible for coverage are more likely to put off15
	131	+	seeking critical treatment until it is an emergency. Educational success,16
	132	+	physical health, emotional support, and family strength are inseparable.17
	133	+	(c) The COVID-19 pandemic has disproportionately harmed18
	134	+	immigrant communities across the state, exposing the dual impacts of19
	135	+	racism and xenophobia on access to health care. Ineligibility for20
	136	+	health-care coverage has led many immigrants to forgo COVID-19 testing21
	137	+	and treatment, despite both being free.22
	138	+	(d) As Colorado seeks to address these inequities to build a more23
	139	+	inclusive state, it is essential to expand coverage to the communities that24
	140	+	have been most impacted and vulnerable before, during, and well after the25
	141	+	COVID-19 health crisis; and26
	142	+	(e) Expanding health-care coverage to all children, pregnant and27
	143	+	1289
	144	+	-4- postpartum persons, regardless of immigration status, is fundamental to1
	145	+	ensuring health equity in Colorado, allowing all parents and children to2
	146	+	thrive.3
	147	+	SECTION 2. In Colorado Revised Statutes, 10-16-1205, add4
	148	+	(2)(d)(III) as follows:5
	149	+	10-16-1205. Health insurance affordability fee - special6
	150	+	assessment on hospitals - allocation of revenues. (2)7
	151	+	(d) (III) N
	152	+	OTWITHSTANDING SUBSECTIONS (2)(d)(I) AND (2)(d)(II) OF
	153	+	8
	154	+	THIS SECTION, IF THE APPROVAL OF THE DEMONSTRATION WAIVER9
	155	+	RECEIVED PURSUANT TO SECTION 25.5-4-503 (2) SETS CONDITIONS ON THE10
	156	+	USE OF THE MONEY RECEIVED , THE ENTERPRISE SHALL ALLOCATE THE11
	157	+	MONEY RECEIVED PURSUANT TO SECTION 25.5-4-503 (2) AS SET FORTH IN12
	158	+	THE APPROVAL. IF THE APPROVAL DOES NOT SET CONDITIONS ON THE USE13
	159	+	OF MONEY RECEIVED, THE ENTERPRISE SHALL ALLOCATE THE MONEY IN14
	160	+	THE MANNER SET FORTH IN SUBSECTIONS (2)(d)(I) AND (2)(d)(II) OF THIS15
	161	+	SECTION.16
	162	+	SECTION 3. In Colorado Revised Statutes, 10-16-1206, amend17
	163	+	(1)(e) and (1)(f); and add (1)(g) as follows:18
	164	+	10-16-1206. Health insurance affordability cash fund -19
	165	+	creation. (1) There is hereby created in the state treasury the health20
	166	+	insurance affordability cash fund. The fund consists of:21
	167	+	(e) Money that may be allocated to the fund pursuant to section22
	168	+	10-16-1308; and23
	169	+	(f) All interest and income derived from the deposit and24
	170	+	investment of money in the fund; AND25
	171	+	(g) THE FEDERAL SHARE OF THE MEDICAL ASSISTANCE PAYMENTS26
	172	+	RECEIVED PURSUANT TO SECTION 25.5-4-503 (2).27
	173	+	1289
	174	+	-5- SECTION 4. In Colorado Revised Statutes, 10-16-105.7, add1
	175	+	(3)(a)(II)(H) as follows:2
	176	+	10-16-105.7. Health benefit plan open enrollment periods -3
	177	+	special enrollment periods - rules. (3) (a) (II) A triggering event occurs4
	178	+	when:5
129	179		(H) B
130		-	EGINNING JANUARY 1, 2024, AN INDIVIDUAL WHO DOES NOT
131		-	HAVE EXISTING CREDITABLE COVERAGE RECEIVES CERTIFICATION FROM A
132		-	HEALTH
133		-	-CARE PROVIDER ACTING WITHIN THE PROVIDER 'S SCOPE OF
134		-	PRACTICE THAT THE INDIVIDUAL IS PREGNANT
135		-	. COVERAGE IS DEEMED
136		-	EFFECTIVE AS OF THE FIRST MONTH IN WHICH THE INDIVIDUAL RECEIVES
137		-	CERTIFICATION OF THE PREGNANCY
138		-	, UNLESS THE INDIVIDUAL ELECTS TO
139		-	HAVE COVERAGE EFFECTIVE ON THE FIRST DAY OF THE MONTH FOLLOWING
140		-	THE DATE THAT THE INDIVIDUAL MAKES A PLAN SELECTION
141		-	. ANY PERSON OR
142		-	PAGE 4-HOUSE BILL 22-1289 ENTITY ENROLLING AN INDIVIDUAL IN COVERAGE PURSUANT TO THIS SPECIAL
143		-	ENROLLMENT PERIOD SHALL PROVIDE A NOTICE
144		-	, DEVELOPED BY THE
145		-	DEPARTMENT THROUGH A STAKEHOLDER PROCESS
146		-	, TO THE INDIVIDUAL
147		-	REGARDING THE INDIVIDUAL
148		-	'S OPTION TO BEGIN COVERAGE EITHER
149		-	PROSPECTIVELY OR RETROACTIVELY AND THE FINANCIAL AND TAX
150		-	IMPLICATIONS OF THOSE OPTIONS
151		-	. THE NOTICE MUST BE IN, AT A MINIMUM,
	180	+	EGINNING JANUARY 1, 2024, AN INDIVIDUAL
	181	+	WHO DOES NOT6
	182	+	HAVE EXISTING CREDITABLE COVERAGE RECEIVES CERTIFICATION FROM A7
	183	+	HEALTH-CARE PROVIDER ACTING WITHIN THE PROVIDER 'S SCOPE OF8
	184	+	PRACTICE THAT THE INDIVIDUAL IS PREGNANT . COVERAGE IS DEEMED9
	185	+	EFFECTIVE AS OF THE FIRST MONTH IN WHICH THE INDIVIDUAL RECEIVES10
	186	+	CERTIFICATION OF THE PREGNANCY , UNLESS THE INDIVIDUAL ELECTS TO11
	187	+	HAVE COVERAGE EFFECTIVE ON THE FIRST DAY OF THE MONTH FOLLOWING12
	188	+	THE DATE THAT THE INDIVIDUAL MAKES A PLAN SELECTION . ANY PERSON13
	189	+	OR ENTITY ENROLLING AN INDIVIDUAL IN COVERAGE PURS UANT TO THIS14
	190	+	SPECIAL ENROLLMENT PERIOD SHALL PROVIDE A NOTICE , DEVELOPED BY15
	191	+	THE DEPARTMENT THROUGH A STAKEHOLDER PROCESS , TO THE16
	192	+	INDIVIDUAL REGARDING THE INDIVIDUAL 'S OPTION TO BEGIN COVERAGE17
	193	+	EITHER PROSPECTIVELY OR RETROACTIVELY AND THE FINANCIAL AND TAX18
	194	+	IMPLICATIONS OF THOSE OPTIONS. THE NOTICE MUST BE IN, AT A MINIMUM,19
152	195		E
153		-	NGLISH AND SPANISH.
154		-	SECTION 5. In Colorado Revised Statutes, 10-16-1207, repeal
155		-	(4)(c)(IV)(A); and add (4)(c.5) as follows:
156		-	10-16-1207. Health insurance affordability board - creation -
157		-	membership - powers and duties - subject to open meetings and public
158		-	records laws - commissioner rules. (4) The board is authorized to:
159		-	(c) Recommend, for approval and establishment by the
160		-	commissioner by rule:
161		-	(IV) The parameters for implementing the subsidies for
162		-	state-subsidized individual health coverage plans authorized by this part 12,
163		-	including:
164		-	(A) The coverage required under state-subsidized individual health
165		-	coverage plans, which coverage must maximize affordability for qualified
166		-	individuals and must include coverage for the lowest income group, as
167		-	determined by the board, that has no premium and provides benefits
168		-	actuarially equivalent to ninety percent of the full actuarial value of the
169		-	benefits provided under the plan; and
170		-	(c.5) FURTHER RECOMMEND , FOR APPROVAL AND ESTABLISHMENT
171		-	BY THE COMMISSIONER BY RULE
172		-	, ADDITIONAL PARAMETERS FOR
173		-	IMPLEMENTING THE SUBSIDIES FOR STATE
174		-	-SUBSIDIZED INDIVIDUAL HEALTH
175		-	COVERAGE PLANS AUTHORIZED BY THIS PART
176		-	12, INCLUDING THAT THE
177		-	COVERAGE REQUIRED PURSUANT TO STATE
178		-	-SUBSIDIZED INDIVIDUAL HEALTH
179		-	COVERAGE PLANS MUST
180		-	:
	196	+	NGLISH AND SPANISH.20
	197	+	SECTION 5.
	198	+	In Colorado Revised Statutes, 10-16-1207, repeal21
	199	+	(4)(c)(IV)(A); and add (4)(c.5) as follows:22
	200	+	10-16-1207. Health insurance affordability board - creation -23
	201	+	membership - powers and duties - subject to open meetings and24
	202	+	public records laws - commissioner rules. (4) The board is authorized25
	203	+	to:26
	204	+	(c) Recommend, for approval and establishment by the27
	205	+	1289
	206	+	-6- commissioner by rule:1
	207	+	(IV) The parameters for implementing the subsidies for2
	208	+	state-subsidized individual health coverage plans authorized by this part3
	209	+	12, including:4
	210	+	(A) The coverage required under state-subsidized individual5
	211	+	health coverage plans, which coverage must maximize affordability for6
	212	+	qualified individuals and must include coverage for the lowest income7
	213	+	group, as determined by the board, that has no premium and provides8
	214	+	benefits actuarially equivalent to ninety percent of the full actuarial value9
	215	+	of the benefits provided under the plan; and10
	216	+	(c.5) F
	217	+	URTHER RECOMMEND , FOR APPROVAL AND ESTABLISHMENT11
	218	+	BY THE COMMISSIONER BY RULE , ADDITIONAL PARAMETERS FOR12
	219	+	IMPLEMENTING THE SUBSIDIES FOR STATE-SUBSIDIZED INDIVIDUAL HEALTH13
	220	+	COVERAGE PLANS AUTHORIZED BY THIS PART 12, INCLUDING THAT THE14
	221	+	COVERAGE REQUIRED PURSUANT TO STATE -SUBSIDIZED INDIVIDUAL15
	222	+	HEALTH COVERAGE PLANS MUST :16
181	223		(I) M
182		-	AXIMIZE AFFORDABILITY FOR QUALIFIED INDIVIDUALS ;
	224	+	AXIMIZE AFFORDABILITY FOR QUALIFIED INDIVIDUALS ;17
183	225		(II) C
184		-	OVER BENEFITS EQUIVALENT TO THOSE IN A QUALIFIED HEALTH
185		-	PLAN
186		-	; AND
187		-	PAGE 5-HOUSE BILL 22-1289 (III) FOR A PERSON WHO, AT THE TIME THE PERSON APPLIES FOR
188		-	STATE
189		-	-SUBSIDIZED COVERAGE, MEETS THE INCOME REQUIREMENTS TO
190		-	QUALIFY FOR EMERGENCY MEDICAL ASSISTANCE PURS UANT TO SECTION
191		-	25.5-5-103 AND WHO IS A QUALIFIED I NDIVIDUAL WHO MEETS THE
192		-	ELIGIBILITY CRITERIA ESTABLISHED IN RULE PURSUANT TO SUBSECTION
193		-	(4)(c)(IV) OF THIS SECTION, INCLUDE COVERAGE THAT:
	226	+	OVER BENEFITS EQUIVALENT TO THOSE IN A QUALIFIED18
	227	+	HEALTH PLAN; AND19
	228	+	(III) F
	229	+	OR A PERSON WHO, AT THE TIME THE PERSON APPLIES FOR20
	230	+	STATE-SUBSIDIZED COVERAGE, MEETS THE INCOME REQUIREMENTS TO21
	231	+	QUALIFY FOR EMERGENCY MEDICAL ASSISTANCE PURS UANT TO SECTION22
	232	+	25.5-5-103 AND WHO IS A QUALIFIED INDIVIDUAL WHO MEETS THE23
	233	+	ELIGIBILITY CRITERIA ESTABLISHED IN RULE PURSUANT TO SUBSECTION24
	234	+	(4)(c)(IV) OF THIS SECTION, INCLUDE COVERAGE THAT:25
194	235		(A) H
195		-	AS NO PREMIUM;
	236	+	AS NO PREMIUM;26
196	237		(B) H
197		-	AS AN ACTUARIAL VALUE OF NOT LESS THAN NINETY -FOUR
198		-	PERCENT
199		-	; AND
200		-	(C) TO THE EXTENT POSSIBLE WITH AVAILABLE FUNDING , INCLUDES
201		-	COST SHARING THAT IS FURTHER REDUCED FROM SUBSECTION
202		-	(4)(c.5)(III)(B) OF THIS SECTION SUCH THAT THE PLAN HAS CONSUMER COST
203		-	SHARING RESPONSIBILITIES FOR EMERGENCY SERVICES EQUIVALENT TO COST
204		-	SHARING RESPONSIBILITIES FOR EMERGENCY MEDICAL ASSISTANCE
205		-	PURSUANT TO SECTION
206		-	25.5-5-103.
207		-	SECTION 6. In Colorado Revised Statutes, 24-75-109, add (1)(a.7)
208		-	and (1)(a.8) as follows:
209		-	24-75-109. Controller may allow expenditures in excess of
210		-	appropriations - limitations - appropriations for subsequent fiscal year
211		-	restricted - repeal. (1) For the purpose of closing the state's books, and
212		-	subject to the provisions of this section, the controller may, on or after May
213		-	1 of any fiscal year and before the forty-fifth day after the close thereof,
214		-	upon approval of the governor, allow any department, institution, or agency
215		-	of the state, including any institution of higher education, to make an
216		-	expenditure in excess of the amount authorized by an item of appropriation
217		-	for such fiscal year if:
218		-	(a.7) T
219		-	HE OVEREXPENDITURE IS BY THE DEPARTMENT OF HEALTH
220		-	CARE POLICY AND FINANCING FOR THE STATE MEDICAL ASSISTANCE
221		-	PROGRAM
222		-	, ESTABLISHED PURSUANT TO SECTION 25.5-2-104; OR
223		-	(a.8) THE OVEREXPENDITURE IS BY THE DEPARTMENT OF HEALTH
224		-	CARE POLICY AND FINANCING FOR THE STATE CHILDREN
225		-	'S BASIC HEALTH
226		-	PLAN
227		-	, ESTABLISHED PURSUANT TO SECTION 25.5-2-105; OR
228		-	PAGE 6-HOUSE BILL 22-1289 SECTION 7. In Colorado Revised Statutes, 25-1.5-101, add (1)(cc)
229		-	as follows:
230		-	25-1.5-101. Powers and duties of department - laboratory cash
231		-	fund - report - dispensation of payments under contracts with grantees
232		-	- definitions - repeal. (1) The department has, in addition to all other
233		-	powers and duties imposed upon it by law, the powers and duties provided
234		-	in this section as follows:
	238	+	AS AN ACTUARIAL VALUE OF NOT LESS THAN NINETY -FOUR27
	239	+	1289
	240	+	-7- PERCENT; AND1
	241	+	(C) T
	242	+	O THE EXTENT POSSIBLE WITH AVAILABLE FUNDING ,2
	243	+	INCLUDES COST SHARING THAT IS FURTHER REDUCED FROM SUBSECTION3
	244	+	(4)(c.5)(III)(B)
	245	+	OF THIS SECTION SUCH THAT THE PLAN HAS CONSUMER4
	246	+	COST SHARING RESPONSIBILITIES FOR EMERGENCY SERVICES EQUIVALENT5
	247	+	TO COST SHARING RESPONSIBILITIES FOR EMERGENCY MEDICAL6
	248	+	ASSISTANCE PURSUANT TO SECTION 25.5-5-103.7
	249	+	SECTION 6. In Colorado Revised Statutes, 24-75-109, add8
	250	+	(1)(a.7) and (1)(a.8) as follows:9
	251	+	24-75-109. Controller may allow expenditures in excess of10
	252	+	appropriations - limitations - appropriations for subsequent fiscal11
	253	+	year restricted - repeal. (1) For the purpose of closing the state's books,12
	254	+	and subject to the provisions of this section, the controller may, on or13
	255	+	after May 1 of any fiscal year and before the forty-fifth day after the close14
	256	+	thereof, upon approval of the governor, allow any department, institution,15
	257	+	or agency of the state, including any institution of higher education, to16
	258	+	make an expenditure in excess of the amount authorized by an item of17
	259	+	appropriation for such fiscal year if:18
	260	+	(a.7) THE OVEREXPENDITURE IS BY THE DEPARTMENT OF HEALTH19
	261	+	CARE POLICY AND FINANCING FOR THE STATE MEDICAL ASSISTANCE20
	262	+	PROGRAM, ESTABLISHED PURSUANT TO SECTION 25.5-2-104; OR21
	263	+	(a.8) THE OVEREXPENDITURE IS BY THE DEPARTMENT OF HEALTH22
	264	+	CARE POLICY AND FINANCING FOR THE STATE CHILDREN'S BASIC HEALTH23
	265	+	PLAN, ESTABLISHED PURSUANT TO SECTION 25.5-2-105; OR24
	266	+	SECTION 7. In Colorado Revised Statutes, 25-1.5-101, add25
	267	+	(1)(cc) as follows:26
	268	+	25-1.5-101. Powers and duties of department - laboratory cash27
	269	+	1289
	270	+	-8- fund - report - dispensation of payments under contracts with1
	271	+	grantees - definitions - repeal. (1) The department has, in addition to all2
	272	+	other powers and duties imposed upon it by law, the powers and duties3
	273	+	provided in this section as follows:4
235	274		(cc) T
236		-	O CARRY OUT THE HEALTH SURVEY FOR BIRTHING ~~PARENTS~~
237		-	AND REPORTING REQUIREMENTS SET FORTH IN PART
238		-	~~7 OF THIS ARTICLE 1~~.5.
239		-	~~SECTION 8.~~ In Colorado Revised Statutes, add part 7 to ~~article 1.5~~
240		-	of title 25 as follows:
241		-	PART 7
242		-	HEALTH SURVEY FOR BIRTHING ~~PARENTS~~
	275	+	O CARRY OUT THE HEALTH SURVEY FOR BIRTHING PARENTS5
	276	+	AND REPORTING REQUIREMENTS SET FORTH IN PART 7 OF THIS ARTICLE 1.5.6
	277	+	SECTION 8.
	278	+	In Colorado Revised Statutes, add part 7 to article7
	279	+	1.5 of title 25 as follows:8
	280	+	PART 79
	281	+	HEALTH SURVEY FOR BIRTHING PARENTS10
243	282		25-1.5-701. Health survey for birthing parents. (1) B
	283	+	EGINNING11
	284	+	J
	285	+	ULY 1, 2022, THE DEPARTMENT SHALL BEGIN DEVELOPING A12
	286	+	METHODOLOGY AND BUILDING A HEALTH SURVEY FOR BIRTHING PARENTS ,13
	287	+	REFERRED TO IN THIS SECTION AS THE "SURVEY", TO GIVE PEOPLE WHO14
	288	+	HAVE GIVEN BIRTH THE OPPORTUNITY TO SHARE OPINIONS AND15
	289	+	EXPERIENCES DURING THE FIRST FEW YEARS OF THEIR BABIES ' LIVES. THE16
	290	+	PURPOSE OF THE SURVEY IS TO INFORM COLORADO POLICIES AND17
	291	+	PROGRAMS DESIGNED TO ADVANCE HEALTH EQUITY . AS PART OF THE18
	292	+	SURVEY, THE DEPARTMENT SHALL:19
	293	+	(a) I
	294	+	NVITE A STATEWIDE COHORT OF PEOPLE WHO HAVE RECENTLY20
	295	+	GIVEN BIRTH TO JOIN THE SURVEY;21
	296	+	(b) A
	297	+	NNUALLY AND UP UNTIL A SURVEY PARTICIPANT 'S CHILD'S22
	298	+	THIRD BIRTHDAY, PROVIDE TO EACH PARTICIPANT AT LEAST TWO BRIEF23
	299	+	ONLINE QUESTIONNAIRES ON A VARIETY OF HEALTH AND SOCIAL TOPICS ,24
	300	+	INCLUDING:25
	301	+	(I) H
	302	+	OW THE PARTICIPANT FEELS PHYSICALLY AND EMOTIONALLY26
	303	+	AFTER HAVING GIVEN BIRTH;27
	304	+	1289
	305	+	-9- (II) THE PARTICIPANT'S MENTAL HEALTH AND SUBSTANCE USE1
	306	+	BEFORE, DURING, AND AFTER PREGNANCY;2
	307	+	(III) T
	308	+	HE PARTICIPANT'S OPINIONS ON CHILDHOOD VACCINATIONS3
	309	+	AND OTHER IMPORTANT HEALTH DECISIONS ;4
	310	+	(IV) T
	311	+	HE PARTICIPANT'S ABILITY TO TAKE LEAVE FROM WORK ;5
	312	+	(V) T
	313	+	HE PARTICIPANT'S ABILITY TO FEED THE PARTICIPANT'S BABY6
	314	+	IN THE PARTICIPANT'S PREFERRED WAY;7
	315	+	(VI) T
	316	+	HE PARTICIPANT'S EXPERIENCES WITH DOCTORS AND OTHER8
	317	+	HEALTH-CARE WORKERS DURING AND AFTER PRE GNANCY , INCLUDING ANY9
	318	+	EXPERIENCES OF DISCRIMINATION; AND10
	319	+	(VII) T
	320	+	HE PARTICIPANT'S FAMILY'S ACCESS TO HEALTH CARE AND11
	321	+	HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH SERVICES AND ORAL12
	322	+	HEALTH SERVICES, AND OTHER RESOURCES NECESSARY FOR THE FAMILY13
	323	+	TO BE HAPPY AND HEALTHY.14
	324	+	(2) T
	325	+	HE SURVEY MUST BE DESIGNED TO OVERSAMPLE MEMBERS OF15
	326	+	GROUPS THAT COMPRISE A SMALL PERCENTAGE OF THE POPULATION AND16
	327	+	THAT DISPROPORTIONATELY EXPERIENCE HEALTH INEQUITIES , INCLUDING17
	328	+	A
	329	+	FRICAN AMERICANS AND NATIVE AMERICANS, SO THAT DATA ABOUT18
	330	+	THE EXPERIENCES OF THESE POPULATIONS CAN BE MADE PUBLIC .19
	331	+	P
	332	+	ARTICIPANT DATA ABOUT RACE, ETHNICITY, SEXUAL ORIENTATION, AND20
	333	+	GENDER IDENTITY MUST BE COLLECTED AND REPORTED IN A MANNER THAT21
	334	+	PROTECTS PERSONALLY IDENTIFYING INFORMATION .22
	335	+	SECTION 9.
	336	+	In Colorado Revised Statutes, 25.5-2-103, amend23
	337	+	(1)(b) as follows:24
	338	+	25.5-2-103. Reproductive health-care program - report - rules25
	339	+	- definitions. (1) As used in this section, unless the context otherwise26
	340	+	requires:27
	341	+	1289
	342	+	-10- (b) "Eligible individual" means an individual with reproductive1
	343	+	capacity, regardless of gender, citizenship, or immigration status, who2
	344	+	would be eligible to enroll in the medical assistance program, except that3
	345	+	the individual is not a citizen of the United States and is not considered4
	346	+	an eligible noncitizen pursuant to 8 U.S.C. secs. 1611 and 1612 and5
	347	+	section 25.5-5-101 (2)(b) AS DESCRIBED IN SECTION 25.5-4-103 (13) BUT6
	348	+	IS NOT ELIGIBLE DUE SOLELY TO THE INDIVIDUAL'S IMMIGRATION STATUS,7
	349	+	AND WHO IS NOT ELIGIBLE FOR, OR DECLINES TO ENROLL IN, STATE8
	350	+	MEDICAL ASSISTANCE, AS DESCRIBED IN SECTION 25.5-2-104.9
	351	+	SECTION 10. In Colorado Revised Statutes, add 25.5-2-104 and10
	352	+	25.5-2-105 as follows:11
	353	+	25.5-2-104. State-funded health and medical care.12
	354	+	(1) B
244	355		EGINNING
245		-	JULY 1, 2022, THE DEPARTMENT SHALL BEGIN DEVELOPING A METHODOLOGY
246		-	AND BUILDING A HEALTH SURVEY FOR BIRTHING PARENTS
247		-	, REFERRED TO IN
248		-	THIS SECTION AS THE
249		-	"SURVEY", TO GIVE PEOPLE WHO HAVE GIVEN BIRTH
250		-	THE OPPORTUNITY TO SHARE OPINIONS AND EXPERIENCES DURING THE FIRST
251		-	FEW YEARS OF THEIR BABIES
252		-	' LIVES. THE PURPOSE OF THE SURVEY IS TO
253		-	INFORM
254		-	COLORADO POLICIES AND PROGRAMS DESIGNED TO ADVANCE
255		-	HEALTH EQUITY
256		-	. AS PART OF THE SURVEY, THE DEPARTMENT SHALL:
257		-	(a) I
258		-	NVITE A STATEWIDE COHORT OF PEOPLE WHO HAVE RECENTLY
259		-	GIVEN BIRTH TO JOIN THE SURVEY
260		-	;
	356	+	NO LATER THAN JANUARY 1, 2025, THERE IS CREATED THE13
	357	+	STATE MEDICAL ASSISTANCE PROGRAM REFERRED TO IN THIS SECTION AS14
	358	+	"
	359	+	STATE MEDICAL ASSISTANCE". STATE MEDICAL ASSISTANCE INCLUDES15
	360	+	ALL BENEFITS AND SERVICES AT THE SAME COST TO THE BENEFICIARY AS16
	361	+	ARE OFFERED PURSUANT TO THE MEDICAL ASSISTANCE PROGRAM DEFINED17
	362	+	IN SECTION 25.5-4-103 (13), SUCH THAT, TO THE MAXIMUM EXTENT18
	363	+	POSSIBLE, ELIGIBLE INDIVIDUALS MUST NOT BE ABLE TO TELL THAT THE19
	364	+	PERSON IS ENROLLED IN A DIFFERENT PROGRAM FROM MEDICAL20
	365	+	ASSISTANCE PURSUANT TO SECTION 25.5-4-103 (13).21
	366	+	(2) A
	367	+	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS22
	368	+	ELIGIBLE TO RECEIVE STATE MEDICAL ASSISTANCE IF THE CHILD WOULD BE23
	369	+	ELIGIBLE FOR MEDICAL ASSISTANCE AS DEFINED IN SECTION 25.5-4-10324
	370	+	(13)
	371	+	BUT IS NOT ELIGIBLE DUE SOLELY TO THE CHILD 'S IMMIGRATION25
	372	+	STATUS.26
	373	+	(3) A
	374	+	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS27
	375	+	1289
	376	+	-11- PRESUMPTIVELY ELIGIBLE FOR STATE MEDICAL ASSISTANCE AND WILL1
	377	+	RECEIVE SERVICES SPECIFIED BY STATE LAW ONLY IF A PARENT OR LEGAL2
	378	+	GUARDIAN OF THE CHILD DECLARES ALL PERTINENT INFORMATION3
	379	+	RELATING TO THE CRITERIA OF INCOME AND ASSETS OF THE CHILD 'S4
	380	+	FAMILY.5
	381	+	(4) S
	382	+	TATE MEDICAL ASSISTANCE MUST BE FUNDED BY STATE6
	383	+	FUNDS ONLY, EXCEPT TO THE EXTENT FEDERAL FUNDS ARE MADE7
	384	+	AVAILABLE THROUGH EXPRESS WRITTEN AUTHORIZATION THROUGH A8
	385	+	FEDERAL WAIVER, STATE PLAN AMENDMENT , OR OTHERWISE, BY THE9
	386	+	CENTERS FOR MEDICARE AND MEDICAID SERVICES .10
	387	+	(5) T
	388	+	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY11
	389	+	FEDERAL APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL12
	390	+	PARTICIPATION IN IMPLEMENTING THIS SECTION .13
	391	+	(6) T
	392	+	O THE MAXIMUM EXTENT ALLOWABLE UNDER FEDERAL LAW ,14
	393	+	THE STATE DEPARTMENT SHALL , USING APPROPRIATE FUNDING, USE THE15
	394	+	SAME INFRASTRUCTURE AND PROVIDER NETWORK TO DELIVER STATE16
	395	+	MEDICAL ASSISTANCE AS IT DOES TO DELIVER MEDICAL ASSISTANCE AS17
	396	+	DEFINED IN SECTION 25.5-4-103 (13).18
	397	+	(7) T
	398	+	HIS SECTION CONSTITUTES STATE AUTHORITY WITHIN THE19
	399	+	MEANING OF 8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON JANUARY20
	400	+	1,
	401	+	2022.21
	402	+	(8) (a) DURING ITS 2024 PRESENTATION TO THE JOINT BUDGET22
	403	+	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE23
	404	+	HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE24
	405	+	HEALTH AND INSURANCE COMMI TTEE OF THE HOUSE OF REPRESENTATIVES,25
	406	+	OR ANY SUCCESSOR COMMITTEES , AT THE HEARING HELD PURSUANT TO26
	407	+	SECTION 2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR27
	408	+	1289
	409	+	-12- ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT (SMART)1
	410	+	GOVERNMENT ACT", THE STATE DEPARTMENT SHALL REPORT ON ITS2
	411	+	PLANS AND PROGRESS IN IMPLEMENTING STATE MEDICAL ASSISTANCE .3
	412	+	(b) BEGINNING JANUARY 1, 2026, AND CONTINUING EVERY4
	413	+	JANUARY THEREAFTER, THE STATE DEPARTMENT, IN ITS PRESENTATION TO5
	414	+	THE JOINT BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS6
	415	+	PRESENTATION TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE7
	416	+	SENATE AND THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF8
	417	+	REPRESENTATIVES, OR ANY SUCCESSOR COMMITTEES , AT THE HEARING9
	418	+	HELD PURSUANT TO SECTION 2-7-203 (2)(a) OF THE "STATE10
	419	+	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT11
	420	+	(SMART) GOVERNMENT ACT", SHALL REPORT ON THE COST SAVINGS AND12
	421	+	HEALTH IMPROVEMENTS ASSOCIATED WITH STATE MEDICAL ASSISTANCE.13
	422	+	25.5-2-105. State children's basic health plan. (1) B
	423	+	EGINNING14 NO LATER THAN JANUARY 1, 2025, THERE IS CREATED THE STATE15
	424	+	CHILDREN'S BASIC HEALTH PLAN. THE STATE CHILDREN'S BASIC HEALTH16
	425	+	PLAN INCLUDES ALL BENEFITS AND SERVICES , AT THE SAME COST TO THE17
	426	+	BENEFICIARY, AS ARE OFFERED PURSUANT TO THE CHILDREN 'S BASIC18
	427	+	HEALTH PLAN IN SECTION 25.5-8-107, SUCH THAT, TO THE MAXIMUM19
	428	+	EXTENT POSSIBLE, ELIGIBLE INDIVIDUALS MUST NOT BE ABLE TO TELL20
	429	+	THAT THEY ARE ENROLLED IN A DIFFERENT PROGRAM FROM THE PLAN21
	430	+	DESCRIBED IN SECTION 25.5-8-107.22
	431	+	(2) A
	432	+	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS23
	433	+	ELIGIBLE TO RECEIVE THE STATE CHILDREN'S BASIC HEALTH PLAN IF THE24
	434	+	CHILD WOULD BE ELIGIBLE FOR THE CHILDREN 'S BASIC HEALTH PLAN AS25
	435	+	DESCRIBED IN 25.5-8-107, BUT IS NOT ELIGIBLE DUE SOLELY TO THE26
	436	+	CHILD'S IMMIGRATION STATUS.27
	437	+	1289
	438	+	-13- (3) A CHILD WHO LESS THAN NI NETEEN YEARS OF AGE IS1
	439	+	PRESUMPTIVELY ELIGIBLE FOR THE STATE CHILDREN 'S BASIC HEALTH PLAN2
	440	+	AND WILL RECEIVE SERVICES SPECIFIED BY STATE LAW ONLY IF A PARENT3
	441	+	OR LEGAL GUARDIAN OF THE CHILD DECLARES ALL PERTINENT4
	442	+	INFORMATION RELATING TO THE CRITERIA OF INCOME AND ASSETS OF THE5
	443	+	CHILD'S FAMILY.6
	444	+	(4) T
	445	+	HE STATE CHILDREN'S BASIC HEALTH PLAN MUST BE FUNDED7
	446	+	BY STATE FUNDS ONLY, EXCEPT TO THE EXTENT FEDERAL FUNDS ARE8
	447	+	MADE AVAILABLE THROUGH EXPRESS WRITTEN AUTHORIZATION THROUGH9
	448	+	A FEDERAL WAIVER, STATE PLAN AMENDMENT , OR OTHERWISE, BY THE10
	449	+	CENTERS FOR MEDICARE AND MEDICAID SERVICES .11
	450	+	(5) T
	451	+	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY12
	452	+	FEDERAL APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL13
	453	+	PARTICIPATION IN IMPLEMENTING THIS SECTION .14
	454	+	(6) T
	455	+	O THE MAXIMUM EXTENT ALLOWABLE UNDER FEDERAL LAW ,15
	456	+	THE STATE DEPARTMENT SHALL , USING APPROPRIATE FUNDING, USE THE16
	457	+	SAME INFRASTRUCTURE AND PROVIDER NETWORK TO DELIVER THE STATE 'S17
	458	+	CHILDREN'S BASIC HEALTH PLAN AS IT DOES TO DELIVER THE CHILDREN 'S18
	459	+	BASIC HEALTH PLAN DESCRIBED IN SECTION 25.5-8-107.19
	460	+	(7) T
	461	+	HIS SECTION CONSTITUTES STATE AUTHORITY WITHIN THE20
	462	+	MEANING OF 8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON JANUARY21
	463	+	1,
	464	+	2022.22
	465	+	(8) (a) DURING ITS 2024 PRESENTATION TO THE JOINT BUDGET23
	466	+	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE24
	467	+	HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE25
	468	+	HEALTH AND INSURANCE COMMI TTEE OF THE HOUSE OF REPRESENTATIVES,26
	469	+	OR ANY SUCCESSOR COMMITTEES, AT THE HEARING HELD PURSUANT TO27
	470	+	1289
	471	+	-14- SECTION 2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR1
	472	+	ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT (SMART)2
	473	+	GOVERNMENT ACT", THE STATE DEPARTMENT SHALL REPORT ON ITS3
	474	+	PLANS AND PROGRESS IN IMPLEMENTING THE STATE BASIC HEALTH PLAN.4
	475	+	(b) BEGINNING JANUARY 1, 2026, AND CONTINUING EVERY5
	476	+	JANUARY THEREAFTER, THE STATE DEPARTMENT, IN ITS PRESENTATION TO6
	477	+	THE JOINT BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS7
	478	+	PRESENTATION TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE8
	479	+	SENATE AND THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF9
	480	+	REPRESENTATIVES, OR ANY SUCCESSOR COMMITTEES, AT THE HEARING10
	481	+	HELD PURSUANT TO SECTION 2-7-203 (2)(a) OF THE "STATE11
	482	+	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT12
	483	+	(SMART) GOVERNMENT ACT", SHALL REPORT ON THE COST SAVINGS AND13
	484	+	HEALTH IMPROVEMENTS ASSOCIATED WITH THE STATE BASIC HEALTH14
	485	+	PLAN.15
	486	+	SECTION 11. In Colorado Revised Statutes, 25.5-4-103, amend16
	487	+	(10) as follows:17
	488	+	25.5-4-103. Definitions. As used in this article 4 and articles 518
	489	+	and 6 of this title 25.5, unless the context otherwise requires:19
	490	+	(10) "Legal immigrant" "LAWFULLY RESIDING" means an20
	491	+	individual who is not a citizen or national of the United States and who21
	492	+	was lawfully admitted to the United States by the immigration and22
	493	+	naturalization service, or any successor agency, as an actual or23
	494	+	prospective permanent resident or whose extended physical presence in24
	495	+	the United States is known to and allowed by the immigration and25
	496	+	naturalization service, or any successor agency.26
	497	+	SECTION 12. In Colorado Revised Statutes, 25.5-4-201, amend27
	498	+	1289
	499	+	-15- (1) as follows:1
	500	+	25.5-4-201. Cash system of accounting - financial2
	501	+	administration of medical services premiums - medical programs3
	502	+	administered by department of human services - federal4
	503	+	contributions - rules. (1) The state department shall utilize the cash5
	504	+	system of accounting, as enunciated by the governmental accounting6
	505	+	standards board, regardless of the source of revenues involved, for all7
	506	+	activities of the state department relating to the financial administration8
	507	+	of any nonadministrative expenditure that qualifies for federal financial9
	508	+	participation under Title XIX of the federal "Social Security Act", AND10
	509	+	FOR THE ADMINISTRATION OF THE STATE-FUNDED HEALTH AND MEDICAL11
	510	+	CARE PROGRAM, CREATED PURSUANT TO SECTION 25.5-2-104, AND FOR12
	511	+	THE STATE CHILDREN'S BASIC HEALTH PLAN, CREATED PURSUANT TO13
	512	+	SECTION 25.5-2-105, except for expenditures under the program for the14
	513	+	medically indigent, article 3 of this title TITLE 25.5.15
	514	+	SECTION 13. In Colorado Revised Statutes, 25.5-4-301, amend16
	515	+	(13) as follows:17
	516	+	25.5-4-301. Recoveries - overpayments - penalties - interest -18
	517	+	adjustments - liens - review or audit procedures. (13) To the extent19
	518	+	allowable under federal law, the state department shall recover from a20
	519	+	legal immigrant's THE sponsor OF A LAWFULLY RESIDING INDIVIDUAL all21
	520	+	medical assistance paid on behalf of a THE sponsored legal immigrant22
	521	+	LAWFULLY RESIDING INDIVIDUAL who is enrolled in the medical assistance23
	522	+	program.24
	523	+	SECTION 14. In Colorado Revised Statutes, amend 25.5-4-50325
	524	+	as follows:26
	525	+	25.5-4-503. Waiver applications - authorization. (1) The state27
	526	+	1289
	527	+	-16- department is authorized to apply for health insurance flexibility and1
	528	+	accountability waivers that will enable the state to add more flexibility to2
	529	+	Colorado's medicaid program and that will result in a cost-effective3
	530	+	method of providing health-care services to Coloradans.4
	531	+	(2) T
	532	+	HE STATE DEPARTMENT SHALL PURSUE AND , IF APPROVED,5
	533	+	IMPLEMENT A DEMONSTRATION WAIVER THAT AUTHORIZES THE STATE TO6
	534	+	USE FEDERAL MEDICAL ASSISTANCE PAYMENTS AUTHORIZED PURSUANT TO7
	535	+	SECTION 1903(v) OF THE FEDERAL "SOCIAL SECURITY ACT", AS AMENDED,8
	536	+	IN COORDINATION WITH THE DIVISION OF INSURANCE TO ENHANCE OR9
	537	+	EXPAND A STATE-SUBSIDIZED INDIVIDUAL HEALTH COVERAGE PLAN AS10
	538	+	DEFINED IN SECTION 10-16-1203 (15) AND, ONLY IF NEEDED TO MAXIMIZE11
	539	+	FEDERAL FINANCIAL PARTICIPATION, FOR COLORADANS RECEIVING STATE12
	540	+	MEDICAL ASSISTANCE PURSUANT TO SECTION 25.5-2-104 OR 25.5-5-20113
	541	+	(6). TO THE EXTENT SUCH FEDERAL FUNDS ARE USED TO ENHANCE OR14
	542	+	EXPAND A STATE-SUBSIDIZED INDIVIDUAL HEALTH COVERAGE PLAN, AS15
	543	+	DEFINED IN SECTION 10-16-1203 (15), THE HEALTH INSURANCE16
	544	+	AFFORDABILITY ENTERPRISE CREATED PURSUANT TO SECTION 10-16-120417
	545	+	MUST RECEIVE, DEPOSIT INTO THE HEALTH INSURANCE AFFORDABILITY18
	546	+	CASH FUND CREATED IN SECTION 10-16-1206, AND ALLOCATE THE19
	547	+	FEDERAL SHARE OF THE MEDICAL ASSISTANCE PAYMENTS PURSUANT TO20
	548	+	SECTION 10-16-1205 (2), SUBJECT TO ANY CONDITIONS SET FORTH IN THE21
	549	+	APPROVAL OF THE WAIVER.22
	550	+	SECTION 15. In Colorado Revised Statutes, 25.5-5-101, amend23
	551	+	(3) as follows:24
	552	+	25.5-5-101. Mandatory provisions - eligible groups.25
	553	+	(3) Notwithstanding any other provision of this article and articles 4 and26
	554	+	6 of this title TITLE 25.5, as a condition of eligibility for medical27
	555	+	1289
	556	+	-17- assistance under this article ARTICLE 5 and articles 4 and 6 of this title1
	557	+	TITLE 25.5, a legal immigrant PERSON WHO IS LAWFULLY RESIDING IN THE2
	558	+	STATE shall agree to refrain from executing an affidavit of support for the3
	559	+	purpose of sponsoring an alien on or after July 1, 1997, under rules4
	560	+	promulgated by the immigration and naturalization service, or any5
	561	+	successor agency, during the pendency of such legal immigrant's THE6
	562	+	LAWFULLY RESIDING PERSON'S receipt of medical assistance. Nothing in7
	563	+	this subsection (3) shall be construed to affect a legal immigrant's8
	564	+	AFFECTS A LAWFULLY RESIDING PERSON'S eligibility for medical assistance9
	565	+	under this article PURSUANT TO THIS ARTICLE 5 and articles 4 and 6 of this10
	566	+	title TITLE 25.5 based upon such legal immigrant's THE LAWFULLY11
	567	+	RESIDING PERSON'S responsibilities under an affidavit of support entered12
	568	+	into before July 1, 1997.13
	569	+	SECTION 16. In Colorado Revised Statutes, 25.5-5-201, amend14
	570	+	(3), (4) and (4.5)(a); and add (6) as follows:15
	571	+	25.5-5-201. Optional provisions - optional groups. (3) A legal16
	572	+	immigrant LAWFULLY RESIDING PERSON who is receiving medicaid17
	573	+	nursing facility care or home- and community-based services on July 1,18
	574	+	1997, shall MUST continue to receive such services as long as he or she19
	575	+	THE PERSON meets the eligibility requirements other than citizen status.20
	576	+	State general funds may be used to reimburse such care in the event that21
	577	+	federal financial participation is not available.22
	578	+	(4) A pregnant legal immigrant shall be PERSON WHO IS LAWFULLY23
	579	+	RESIDING IS eligible to receive prenatal and medical services for labor and24
	580	+	delivery as long as she MEDICAL ASSISTANCE AS LONG AS THE INDIVIDUAL25
	581	+	meets eligibility requirements other than
	582	+	THOSE RELATED TO citizen OR26
	583	+	IMMIGRATION status. State general funds may be used to reimburse such27
	584	+	1289
	585	+	-18- care in the event that federal financial participation is not available.1
	586	+	(4.5) (a) Subject to the receipt of federal financial participation,2
	587	+	to the maximum extent allowed under federal law, a person who was3
	588	+	eligible for all pregnancy-related and postpartum services under the4
	589	+	medical assistance program for the sixty days following the pregnancy5
	590	+	remains continuously eligible for all services under the medical assistance6
	591	+	program for the twelve-month postpartum period.7
	592	+	(6) (a) B
	593	+	EGINNING
	594	+	NO LATER THAN JANUARY 1, 2025, A PREGNANT8
	595	+	PERSON WHO IS NOT A CITIZEN AND WHO IS NOT ELIGIBLE FOR MEDICAL9
	596	+	ASSISTANCE PURSUANT TO SUBSECTION (4) OF THIS SECTION IS ELIGIBLE TO10
	597	+	RECEIVE MEDICAL ASSISTANCE PURSUANT TO THIS SUBSECTION (6)(a) IF11
	598	+	THE INDIVIDUAL MEETS THE ELIGIBILITY REQUIREMENTS OTHER THAN12
	599	+	THOSE RELATED TO CITIZENSHIP AND IMMIGRATION STATUS .13
261	600		(b) A
262		-	NNUALLY AND UP UNTIL A SURVEY PARTICIPANT 'S CHILD'S
263		-	THIRD BIRTHDAY
264		-	, PROVIDE TO EACH PARTICIPANT AT LEAST TWO BRIEF
265		-	ONLINE QUESTIONNAIRES ON A VARIETY OF HEALTH AND SOCIAL TOPICS
266		-	,
267		-	INCLUDING:
268		-	(I) H
269		-	OW THE PARTICIPANT FEELS PHYSICALLY AND EMOTIONALLY
270		-	AFTER HAVING GIVEN BIRTH
271		-	;
272		-	(II) T
273		-	HE PARTICIPANT'S MENTAL HEALTH AND SUBSTANCE USE
274		-	BEFORE
275		-	, DURING, AND AFTER PREGNANCY;
276		-	PAGE 7-HOUSE BILL 22-1289 (III) THE PARTICIPANT'S OPINIONS ON CHILDHOOD VACCINATIONS
277		-	AND OTHER IMPORTANT HEALTH DECISIONS
278		-	;
279		-	(IV) T
280		-	HE PARTICIPANT'S ABILITY TO TAKE LEAVE FROM WORK ;
281		-	(V) T
282		-	HE PARTICIPANT'S ABILITY TO FEED THE PARTICIPANT'S BABY
283		-	IN THE PARTICIPANT
284		-	'S PREFERRED WAY;
285		-	(VI) T
286		-	HE PARTICIPANT'S EXPERIENCES WITH DOCTORS AND OTHER
287		-	HEALTH
288		-	-CARE WORKERS DURING AND AFTER PREGNANCY , INCLUDING ANY
289		-	EXPERIENCES OF DISCRIMINATION
290		-	; AND
291		-	(VII) THE PARTICIPANT'S FAMILY'S ACCESS TO HEALTH CARE AND
292		-	HEALTH SERVICES
293		-	, INCLUDING BEHAVIORAL HEALTH SERVICES AND ORAL
294		-	HEALTH SERVICES
295		-	, AND OTHER RESOURCES NECESSARY FOR THE FAMILY TO
296		-	BE HAPPY AND HEALTHY
297		-	.
	601	+	PREGNANT PERSON WHO IS ELIGIBLE FOR MEDICAL14
	602	+	ASSISTANCE PURSUANT TO THIS SUBSECTION (6) REMAINS CONTINUOUSLY15
	603	+	ELIGIBLE FOR ALL MEDICAL SERVICES PURSUANT TO THE MEDICAL16
	604	+	ASSISTANCE PROGRAM FOR THE TWELVE -MONTH POSTPARTUM
	605	+	PERIOD, SO17
	606	+	LONG AS ELIGIBILITY REMAINS IN EFFECT PURSUANT TO SUBSECTION18
	607	+	(4.5)(a) OF THIS SECTION.19
	608	+	(c) T
	609	+	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY20
	610	+	FEDERAL APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL21
	611	+	PARTICIPATION IN IMPLEMENTING THIS SUBSECTION (6). BENEFITS FOR22
	612	+	SERVICES OBTAINED PURSUANT TO THIS SUBSECTION (6) MUST BE23
	613	+	PROVIDED WITH ONLY STATE FUNDS IF FEDERAL FINANCIAL PARTICIPATION24
	614	+	IS UNAVAILABLE FOR SUCH SERVICES.25 (d) (I) DURING ITS 2024 PRESENTATION TO THE JOINT BUDGET26
	615	+	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE27
	616	+	1289
	617	+	-19- HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE1
	618	+	HEALTH AND INSURANCE COMMI TTEE OF THE HOUSE OF REPRESENTATIVES,2
	619	+	OR ANY SUCCESSOR COMMITTEES, AT THE HEARING HELD PURSUANT TO3
	620	+	SECTION 2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR4
	621	+	ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT (SMART)5
	622	+	GOVERNMENT ACT", THE STATE DEPARTMENT SHALL REPORT ON ITS6
	623	+	PLANS AND PROGRESS IN IMPLEMENTING THE COVERAGE EXPANSION7
	624	+	CREATED PURSUANT TO THIS SUBSECTION (6).8
	625	+	(II) BEGINNING JANUARY 1, 2026, AND CONTINUING EVERY9
	626	+	JANUARY THEREAFTER, THE STATE DEPARTMENT, IN ITS PRESENTATION TO10
	627	+	THE JOINT BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS11
	628	+	PRESENTATION TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE12
	629	+	SENATE AND THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF13
	630	+	REPRESENTATIVES, OR ANY SUCCESSOR COMMITTEES, AT THE HEARING14
	631	+	HELD PURSUANT TO SECTION 2-7-203 (2)(a) OF THE "STATE15
	632	+	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT16
	633	+	(SMART) GOVERNMENT ACT", SHALL REPORT ON THE COST SAVINGS AND17
	634	+	HEALTH IMPROVEMENTS ASSOCIATED WITH THE COVERAGE EXPANSION18
	635	+	CREATED PURSUANT TO THIS SUBSECTION (6).19
	636	+	SECTION 17. In Colorado Revised Statutes, 25.5-5-202, add20
	637	+	(1)(y) as follows:21
	638	+	25.5-5-202. Basic services for the categorically needy - optional22
	639	+	services. (1) Subject to the provisions of subsection (2) of this section,23
	640	+	the following are services for which federal financial participation is24
	641	+	available and that Colorado has selected to provide as optional services25
	642	+	under the medical assistance program:26
	643	+	(y) F
	644	+	OR ANY PERINATAL PERSON , COMPREHENSIVE LACTATION27
	645	+	1289
	646	+	-20- SUPPORT SERVICES, LACTATION SUPPLIES AND EQUIPMENT , AND1
	647	+	MAINTENANCE OF MULTI-USER LOANED EQUIPMENT. AN INDIVIDUAL2
	648	+	TRAINED IN ADVANCED LACTATION SUPPORT SHALL PROVIDE THE3
	649	+	LACTATION SUPPORT SERVICES. LACTATION EQUIPMENT MUST INCLUDE A4
	650	+	SINGLE-USER DOUBLE ELECTRIC BREAST PUMP , PUMP PARTS AND PUMP5
	651	+	COLLECTION KIT, AND ACCESS TO A LOANED MULTI-USER HOSPITAL GRADE6
	652	+	ELECTRIC BREAST PUMP ALONG WITH A COMPATIBLE INDIVIDUAL7
	653	+	COLLECTION KIT. INDIVIDUALS MUST HAVE ACCESS TO SINGLE-USER8
	654	+	LACTATION SUPPLIES AND EQUIPMENT PRIOR TO DELIVERY. ACCESS TO9
	655	+	MULTI-USER LOANED BREAST PUMPS SHALL BE AUTHORIZED BY A10
	656	+	HEALTH-CARE PROVIDER. ACCESS TO MULTI-USER LOANED BREAST PUMPS11
	657	+	IS PRIORITIZED FOR INDIVIDUALS WITH PREMATURE, MEDICALLY FRAGILE,12
	658	+	LOW BIRTH WEIGHT INFANTS , AND WITH LACTATION COMPLICATIONS.13
	659	+	INDIVIDUALS CANNOT BE REQUIRED TO ENROLL IN SEPARATE OR14
	660	+	ADDITIONAL PROGRAMS IN ORDER TO RECEIVE COVERED LACTATION15
	661	+	EQUIPMENT OR LACTATION SUPPORT SERVICES .16
	662	+	SECTION 18. In Colorado Revised Statutes, 25.5-5-204, amend17
	663	+	(2) and (2.5) as follows:18
	664	+	25.5-5-204. Presumptive eligibility - pregnant person -19
	665	+	children - long-term care - state plan. (2) (a) A pregnant woman shall20
	666	+	be PERSON IS presumptively eligible for the medical assistance program21
	667	+	and shall receive services specified by federal law only if the woman22
	668	+	PERSON declares all pertinent information relating to the criteria of23
	669	+	income, assets, and status AND, ONLY IF NECESSARY TO ADMINISTER24
	670	+	REIMBURSEMENT FOR SERVICES , STATUS.25
	671	+	(b) A woman shall declare her immigration status unless the26
	672	+	general assembly provides funding for prenatal care services for27
	673	+	1289
	674	+	-21- undocumented residents.1
	675	+	(2.5) A child under the age of eighteen years shall be LESS THAN2
	676	+	NINETEEN YEARS OF AGE IS presumptively eligible for the medical3
	677	+	assistance program and shall receive services specified by federal law4
	678	+	only if a parent or legal guardian of the child declares all pertinent5
	679	+	information relating to the criteria of income, assets, and status AND,6
	680	+	ONLY IF NECESSARY TO ADMINISTER REIMBURSEMENT FOR SERVICES ,7
	681	+	STATUS of the child's family.8
	682	+	SECTION 19. In Colorado Revised Statutes, add 25.5-6-115 as9
	683	+	follows:10
	684	+	25.5-6-115. Notification of federal immigration consequences.11
	685	+	T
	686	+	HE STATE DEPARTMENT SHALL CONSULT WITH STAKEHOLDERS ,12
	687	+	INCLUDING PEOPLE WITH LIVED EXPERIENCE , IMMIGRANTS RIGHTS13
	688	+	ADVOCATES, HEALTH-CARE ADVOCATES, AND IMMIGRATION LAWYERS, TO14
	689	+	PROVIDE CLEAR AND ACCURATE INFORMATION AND REFERRALS15
	690	+	REGARDING CURRENT PUBLIC CHARGE POLICIES .16
	691	+	SECTION 20.
	692	+	In Colorado Revised Statutes, 25.5-8-103, amend17
	693	+	(4)(a)(I) and (4)(b)(I) as follows:18
	694	+	25.5-8-103. Definitions. As used in this article 8, unless the19
	695	+	context otherwise requires:20
	696	+	(4) "Eligible person" means:21
	697	+	(a) (I) A person who is less than nineteen years of age,
	698	+	WHO IS A22
	699	+	CITIZEN OR MEETS THE IMMIGRATION STATUS REQUIREMENTS SET FORTH23
	700	+	IN SECTION 25.5-8-109 (6) OR 25.5-8-109 (7), whose family income does24
	701	+	not exceed two hundred fifty percent of the federal poverty line, adjusted25
	702	+	for family size,
	703	+	AND WHO IS NOT ELIGIBLE FOR MEDICAL ASSISTANCE26
	704	+	PURSUANT TO ARTICLES 4, 5, AND 6 OF THIS TITLE 25.5.27
	705	+	1289
	706	+	-22- (b) (I) A pregnant woman PERSON WHO IS A CITIZEN OR MEETS THE1
	707	+	IMMIGRATION STATUS REQUIREMENTS SET FORTH IN SECTION 25.5-8-1092
	708	+	(6)
	709	+	OR 25.5-8-109 (7), whose family income does not exceed two hundred3
	710	+	fifty percent of the federal poverty line, adjusted for family size, and who4
	711	+	is not eligible for medicaid
	712	+	MEDICAL ASSISTANCE PURSUANT TO ARTICLES5
	713	+	4,
	714	+	5, AND 6 OF THIS TITLE 25.5.6
	715	+	SECTION 21.
	716	+	In Colorado Revised Statutes, 25.5-8-107, repeal7
	717	+	(1)(b); and add (1)(a)(V) and (1)(i) as follows:8
	718	+	25.5-8-107. Duties of the department - schedule of services -9
	719	+	premiums - copayments - subsidies - purchase of childhood10
	720	+	immunizations. (1) In addition to any other duties pursuant to this article11
	721	+	8, the department has the following duties:12
	722	+	(a) (V) I
	723	+	N ADDITION TO THE ITEMS SPECIFIED IN SUBSECTIONS13
	724	+	(1)(a)(I), (1)(a)(II),
	725	+	AND (1)(a)(III) OF THIS SECTION, AND ANY14
	726	+	ADDITIONAL ITEMS APPROVED BY THE MEDICAL SERVICES BOARD , THE15
	727	+	MEDICAL SERVICES BOARD SHALL INCLUDE , FOR ALL PERINATAL PEOPLE,16
	728	+	COMPREHENSIVE LACTATION SUPPORT SERVICES ,
	729	+	LACTATION SUPPLIES17
	730	+	AND EQUIPMENT, AND MAINTENANCE OF MULTI-USER LOANED EQUIPMENT.18
	731	+	AN INDIVIDUAL TRAINED IN ADVANCED LACTATION SUPPORT SHALL19
	732	+	PROVIDE THE LACTATION SUPPORT SERVICES. LACTATION EQUIPMENT20
	733	+	MUST INCLUDE A SINGLE-USER DOUBLE ELECTRIC BREAST PUMP , PUMP21
	734	+	PARTS AND PUMP COLLECTION KIT, AND ACCESS TO A LOANED MULTI-USER22
	735	+	HOSPITAL GRADE ELECTRIC BREAST PUMP ALONG WITH A COMPATIBLE23
	736	+	INDIVIDUAL COLLECTION KIT. INDIVIDUALS MUST HAVE ACCESS TO24
	737	+	SINGLE-USER LACTATION SUPPLIES AND EQUIPMENT PRIOR TO DELIVERY.25
	738	+	ACCESS TO MULTI-USER LOANED BREAST PUMPS SHALL BE AUTHORIZED BY26
	739	+	A HEALTH-CARE PROVIDER. ACCESS TO MULTI-USER LOANED BREAST27
	740	+	1289
	741	+	-23- PUMPS IS PRIORITIZED FOR INDIVIDUALS WITH PREMATURE, MEDICALLY1
	742	+	FRAGILE, LOW BIRTH WEIGHT INFANTS , AND WITH LACTATION2
	743	+	COMPLICATIONS. INDIVIDUALS CANNOT BE REQUIRED TO ENROLL IN3
	744	+	SEPARATE OR ADDITIONAL PROGRAMS IN ORDER TO RECEIVE COVERED4
	745	+	LACTATION EQUIPMENT OR LACTATION SUPPORT SERVICES .5
	746	+	(b) To design and implement a system of cost sharing with6
	747	+	enrollees using an annual enrollment fee that is based on a sliding fee7
	748	+	scale. The sliding fee scale shall be developed based on the enrollee's8
	749	+	family income; except that no enrollment fee shall be assessed against an9
	750	+	enrollee whose family income is at or below one hundred fifty percent of10
	751	+	the federal poverty line and no enrollment fee shall be assessed against an11
	752	+	enrollee who is a pregnant woman. As permitted by federal and state law,12
	753	+	enrollees in the plan may use funds from a medical savings account to pay13
	754	+	the annual enrollment fee. On or before November 1 of each year, the14
	755	+	department shall submit for approval to the joint budget committee its15
	756	+	annual proposal for cost sharing for the plan based upon a family's16
	757	+	income.17
	758	+	(i) (I) T
	759	+	HE DEPARTMENT SHALL DEVELOP AND IMPLEMENT AN18
	760	+	OUTREACH STRATEGY FOR COLORADANS WHO BECOME ELIGIBLE FOR19
	761	+	HEALTH COVERAGE PURSUANT TO SECTION 25.5-2-104, 25.5-2-105,20
	762	+	25.5-5-201
	763	+	(6), OR 25.5-8-109 (7). THE STATE DEPARTMENT SHALL WORK21
	764	+	WITH STAKEHOLDERS TO DEVELOP AN OUTREACH STRATEGY THAT22
	765	+	INCLUDES:23
	766	+	(A) F
	767	+	UNDING FOR COMMUNITY -BASED ORGANIZATIONS TO24
	768	+	PARTNER WITH THE DEPARTMENT ON OUTREACH ;25
	769	+	(B) A
	770	+	METHOD FOR PROVIDING INFORMATION RELATED TO26
	771	+	ELIGIBILITY AND ENROLLMENT THAT CAN BE PROVIDED TO NONPROFIT27
	772	+	1289
	773	+	-24- PARTNERS, SCHOOL DISTRICTS, AND CHARTER SCHOOLS FOR OUTREACH1
	774	+	PURPOSES; AND2
	775	+	(C) A
	776	+	T A MINIMUM, PROVIDING INFORMATION RELATED TO3
	777	+	ELIGIBILITY AND COVERAGE IN ENGLISH, SPANISH, AND IN EACH4
	778	+	LANGUAGE SPOKEN BY AT LEAST TWO -AND-ONE-HALF PERCENT OF THE5
	779	+	POPULATION OF ANY COUNTY WHO SPEAK ENGLISH LESS THAN VERY WELL,6
	780	+	AS DEFINED BY THE UNITED STATES BUREAU OF THE CENSUS AMERICAN7
	781	+	COMMUNITY SURVEY , AND WHO SPEAK THE MINORITY LANGUAGE AT8
	782	+	HOME;9
	783	+	(II)
	784	+	APPROXIMATELY TWELVE AND TWENTY -FOUR MONTHS AFTER10
	785	+	IMPLEMENTATION OF THE STRATEGY REQUIRED PURSUANT TO SUBSECTION11
	786	+	(1)(i)(I)
	787	+	OF THIS SECTION, THE DEPARTMENT SHALL CONVENE12
	788	+	STAKEHOLDERS, INCLUDING DIRECTLY IMPACTED INDIVIDUALS , SERVICE13
	789	+	PROVIDERS, AND ADVOCACY ORGANIZATIONS THAT ARE DIVERSE WITH14
	790	+	REGARD TO RACE , ETHNICITY, IMMIGRATION STATUS , SEXUAL15
	791	+	ORIENTATION, AND GENDER IDENTITY AND WHO ARE AFFECTED BY HIGHER16
	792	+	RATES OF HEALTH DISPARITIES AND INEQUITIES. THE DEPARTMENT SHALL17
	793	+	REPORT ON THE OUTREACH AND ENROLLMENT STRATEGY OUTCOMES ,18
	794	+	INCLUDING ENROLLMENT OF ELIGIBLE PERSONS INTO THESE PROGRAMS19
	795	+	COMPARED TO THOSE PERSONS WHO ARE ELIGIBLE FOR COVERAGE , BUT20
	796	+	NOT ENROLLED.21
	797	+	22
	798	+	SECTION 22. In Colorado Revised Statutes, 25.5-8-109, amend23
	799	+	(5.5)(a) and (6); and add (7) as follows:24
	800	+	25.5-8-109. Eligibility - children - pregnant women - repeal.25
	801	+	(5.5) (a) Subject to the receipt of federal financial participation, to the26
	802	+	maximum extent allowed under federal law, a person who was eligible for27
	803	+	1289
	804	+	-25- the plan while pregnant and who remains eligible for all1
	805	+	pregnancy-related and postpartum services under the plan for the sixty2
	806	+	days following the pregnancy remains continuously eligible for all3
	807	+	services under the plan for the twelve-month postpartum period.4
	808	+	(6) (a) Notwithstanding any other provision of law, but subject to5
	809	+	the availability of sufficient appropriations and the receipt of federal6
	810	+	financial participation, the department may SHALL provide benefits under7
	811	+	this article PURSUANT TO THIS ARTICLE 8 to a pregnant woman who is a8
	812	+	qualified alien PERSON WHO IS LAWFULLY RESIDING , AS DEFINED IN9
	813	+	SECTION 25.5-4-103 (10), and a child under LESS THAN nineteen years of10
	814	+	age, who is a qualified alien WHO IS LAWFULLY RESIDING, so long as such11
	815	+	woman PREGNANT PERSON or child meets eligibility criteria other than12
	816	+	citizenship OTHER THAN THOSE RELATED TO CITIZENSHIP OR IMMIGRATION13
	817	+	STATUS.14
	818	+	(7) (a) B
	819	+	EGINNING
	820	+	NO LATER THAN JANUARY 1, 2025,15
	821	+	NOTWITHSTANDING ANY OTHER PROVISION OF LAW , THE DEPARTMENT16
	822	+	SHALL PROVIDE BENEFITS PURSUANT TO THIS ARTICLE 8 TO A PREGNANT17
	823	+	PERSON WHO IS NOT A CITIZEN AND IS NOT ELIGIBLE PURSUANT TO18
	824	+	SUBSECTION (6) OF THIS SECTION, SO LONG AS THE PREGNANT PERSON19
	825	+	MEETS THE ELIGIBILITY CRITERIA OTHER THAN THOSE RELATED TO20
	826	+	CITIZENSHIP OR IMMIGRATION STATUS . ELIGIBILITY PURSUANT TO THIS21
	827	+	SECTION EXTENDS CONTINUOUSLY THROUGH THE TWELVE -MONTH22
	828	+	POSTPARTUM PERIOD, SO LONG AS ELIGIBILITY REMAINS IN EFFECT23
	829	+	PURSUANT TO SUBSECTION (5.5)(a) OF THIS SECTION.24
	830	+	(b) T
	831	+	HE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL25
	832	+	APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL26
	833	+	PARTICIPATION IN IMPLEMENTING THIS SUBSECTION (7).27
	834	+	1289
	835	+	-26- (c) (I) DURING ITS 2024 PRESENTATION TO THE JOINT BUDGET1
	836	+	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE2
	837	+	HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE3
	838	+	HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES,4
	839	+	OR ANY SUCCESSOR COMMITTEES , AT THE HEARING HELD PURSUANT TO5
	840	+	SECTION 2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR6
	841	+	ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT (SMART)7
	842	+	GOVERNMENT ACT", THE STATE DEPARTMENT SHALL REPORT ON ITS8
	843	+	PLANS AND PROGRESS IN IMPLEMENTING THE COVERAGE EXPANSION9
	844	+	CREATED PURSUANT TO THIS SUBSECTION (7).10
	845	+	(II) BEGINNING JANUARY 1, 2026, AND CONTINUING EVERY11
	846	+	JANUARY THEREAFTER, THE STATE DEPARTMENT, IN ITS PRESENTATION TO12
	847	+	THE JOINT BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS13
	848	+	PRESENTATION TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE14
	849	+	SENATE AND THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF15
	850	+	REPRESENTATIVES, OR ANY SUCCESSOR COMMITTEES, AT THE HEARING16
	851	+	HELD PURSUANT TO SECTION 2-7-203 (2)(a) OF THE "STATE17
	852	+	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT18
	853	+	(SMART) GOVERNMENT ACT", SHALL REPORT ON THE COST SAVINGS AND19
	854	+	HEALTH IMPROVEMENTS ASSOCIATED WITH THE COVERAGE EXPANSION20
	855	+	CREATED PURSUANT TO THIS SUBSECTION (7).21
	856	+	(d) T
	857	+	HIS SUBSECTION (7) CONSTITUTES STATE AUTHORITY WITHIN22
	858	+	THE MEANING OF 8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON23
	859	+	J
	860	+	ANUARY 1, 2022.24
	861	+	SECTION 23.
	862	+	In Colorado Revised Statutes, add 25.5-8-109.325
	863	+	as follows:26
	864	+	25.5-8-109.3. Health services initiatives. (1) T
	865	+	O THE EXTENT27
	866	+	1289
	867	+	-27- FEDERAL FINANCIAL PARTICIPATION IS AVAILABLE , THE DEPARTMENT1
	868	+	SHALL DESIGN AND IMPLEMENT HEALTH SERVICE INITIATIVES PURSUANT2
	869	+	TO SECTION 2105(a)(1)(D)(ii) OF THE FEDERAL "SOCIAL SECURITY ACT",3
	870	+	AS AMENDED, TO PROVIDE FUNDING FOR CONTINUOUS ENROLLMENT FOR4
	871	+	THE TWELVE-MONTH POSTPARTUM PERIOD FOR A PERSON WHO IS5
	872	+	ENROLLED IN HEALTH-CARE COVERAGE PURSUANT TO SECTION 25.5-5-2016
	873	+	(6)
	874	+	OR 25.5-8-109 (7).7
298	875		(2) T
299		-	HE SURVEY MUST BE DESIGNED TO OVERSAMPLE MEMBERS OF
300		-	GROUPS THAT COMPRISE A SMALL PERCENTAGE OF THE POPULATION AND
301		-	THAT DISPROPORTIONATELY EXPERIENCE HEALTH INEQUITIES
302		-	, INCLUDING
303		-	AFRICAN AMERICANS AND NATIVE AMERICANS, SO THAT DATA ABOUT THE
304		-	EXPERIENCES OF THESE POPULATIONS CAN BE MADE PUBLIC
305		-	. PARTICIPANT
306		-	DATA ABOUT RACE
307		-	, ETHNICITY, SEXUAL ORIENTATION , AND GENDER
308		-	IDENTITY MUST BE COLLECTED AND REPORTED IN A MANNER THAT PROTECTS
309		-	PERSONALLY IDENTIFYING INFORMATION
310		-	.
311		-	SECTION 9. In Colorado Revised Statutes, 25.5-2-103, amend
312		-	(1)(b) as follows:
313		-	25.5-2-103. Reproductive health-care program - report - rules
314		-	- definitions. (1) As used in this section, unless the context otherwise
315		-	requires:
316		-	(b) "Eligible individual" means an individual with reproductive
317		-	capacity, regardless of gender, citizenship, or immigration status,
318		-	who
319		-	would be eligible to enroll in the medical assistance program, except that
320		-	the individual is not a citizen of the United States and is not considered an
321		-	eligible noncitizen pursuant to 8 U.S.C. secs. 1611 and 1612 and section
322		-	25.5-5-101 (2)(b) AS DESCRIBED IN SECTION 25.5-4-103 (13) BUT IS NOT
323		-	ELIGIBLE DUE SOLELY TO THE INDIVIDUAL
324		-	'S IMMIGRATION STATUS, AND WHO
325		-	PAGE 8-HOUSE BILL 22-1289 IS NOT ELIGIBLE FOR, OR DECLINES TO ENROLL IN , STATE MEDICAL
326		-	ASSISTANCE
327		-	, AS DESCRIBED IN SECTION 25.5-2-104.
328		-	SECTION 10. In Colorado Revised Statutes, add 25.5-2-104 and
329		-	25.5-2-105 as follows:
330		-	25.5-2-104. State-funded health and medical care. (1) B
331		-	EGINNING
332		-	NO LATER THAN
333		-	JANUARY 1, 2025, THERE IS CREATED THE STATE MEDICAL
334		-	ASSISTANCE PROGRAM REFERRED TO IN THIS SECTION AS
335		-	"STATE MEDICAL
336		-	ASSISTANCE
337		-	". STATE MEDICAL ASSISTANCE INCLUDES ALL BENEFITS AND
338		-	SERVICES AT THE SAME COST TO THE BENEFICIARY AS ARE OFFERED
339		-	PURSUANT TO THE MEDICAL ASSISTANCE PROGRAM DEFINED IN SECTION
340		-	25.5-4-103 (13), SUCH THAT, TO THE MAXIMUM EXTENT POSSIBLE, ELIGIBLE
341		-	INDIVIDUALS MUST NOT BE ABLE TO TELL THAT THE PERSON IS ENROLLED IN
342		-	A DIFFERENT PROGRAM FROM MEDICAL ASSISTANCE PURSUANT TO SECTION
343		-	25.5-4-103 (13).
344		-	(2) A
345		-	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS ELIGIBLE
346		-	TO RECEIVE STATE MEDICAL ASSISTANCE IF THE CHILD WOULD BE ELIGIBLE
347		-	FOR MEDICAL ASSISTANCE AS DEFINED IN SECTION
348		-	25.5-4-103 (13) BUT IS
349		-	NOT ELIGIBLE DUE SOLELY TO THE CHILD
350		-	'S IMMIGRATION STATUS.
351		-	(3) A
352		-	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS
353		-	PRESUMPTIVELY ELIGIBLE FOR STATE MEDICAL ASSISTANCE AND WILL
354		-	RECEIVE SERVICES SPECIFIED BY STATE LAW ONLY IF A PARENT OR LEGAL
355		-	GUARDIAN OF THE CHILD DECLARES ALL PERTINENT INFORMATION RELATING
356		-	TO THE CRITERIA OF INCOME AND ASSETS OF THE CHILD
357		-	'S FAMILY.
358		-	(4) S
359		-	TATE MEDICAL ASSISTANCE MUST BE FUNDED BY STATE FUNDS
360		-	ONLY
361		-	, EXCEPT TO THE EXTENT FEDERAL FUNDS ARE MADE AVAILABLE
362		-	THROUGH EXPRESS WRITTEN AUTHORIZATION THR OUGH A FEDERAL WAIVER
363		-	,
364		-	STATE PLAN AMENDMENT , OR OTHERWISE, BY THE CENTERS FOR MEDICARE
365		-	AND MEDICAID SERVICES
366		-	.
367		-	(5) T
368		-	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL
369		-	APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FI NANCIAL
370		-	PARTICIPATION IN IMPLEMENTING THIS SECTION
371		-	.
372		-	(6) T
373		-	O THE MAXIMUM EXTENT ALLOWABLE UNDER FEDERAL LAW ,
374		-	THE STATE DEPARTMENT SHALL , USING APPROPRIATE FUNDING, USE THE
375		-	PAGE 9-HOUSE BILL 22-1289 SAME INFRASTRUCTURE AND PROVIDER NETWORK TO DELIVER STATE
376		-	MEDICAL ASSISTANCE AS IT DOES TO DELIVER MEDICAL ASSISTANCE AS
377		-	DEFINED IN SECTION
378		-	25.5-4-103 (13).
379		-	(7) T
380		-	HIS SECTION CONSTITUTES STATE AUTHORITY WITHIN THE
381		-	MEANING OF
382		-	8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON JANUARY 1,
383		-	2022.
384		-	(8) (a) D
385		-	URING ITS 2024 PRESENTATION TO THE JOINT BUDGET
386		-	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE
387		-	HEALTH AND HUMAN SERVICES COMMI TTEE OF THE SENATE AND THE HEALTH
388		-	AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
389		-	, OR ANY
390		-	SUCCESSOR COMMITTEES
391		-	, AT THE HEARING HELD PURSUANT TO SECTION
392		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
393		-	R
394		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", THE STATE
395		-	DEPARTMENT SHALL REPORT ON ITS PLANS AND PROGRESS IN IMPLEMENTING
396		-	STATE MEDICAL ASSISTANCE
397		-	.
398		-	(b) B
399		-	EGINNING JANUARY 1, 2026, AND CONTINUING EVERY JANUARY
400		-	THEREAFTER
401		-	, THE STATE DEPARTMENT, IN ITS PRESENTATION TO THE JOINT
402		-	BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION
403		-	TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE
404		-	HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
405		-	,
406		-	OR ANY SUCCESSOR COMMITTEES , AT THE HEARING HELD PURSUANT TO
407		-	SECTION
408		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
409		-	R
410		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", SHALL
411		-	REPORT ON THE COST SAVINGS AND HEALTH IMPROVEMENTS ASSOCIATED
412		-	WITH STATE MEDICAL ASSISTANCE
413		-	.
414		-	25.5-2-105. State children's basic health plan. (1) B
415		-	EGINNING NO
416		-	LATER THAN
417		-	JANUARY 1, 2025, THERE IS CREATED THE STATE CHILDREN 'S
418		-	BASIC HEALTH PLAN
419		-	. THE STATE CHILDREN'S BASIC HEALTH PLAN INCLUDES
420		-	ALL BENEFITS AND SERVICES
421		-	, AT THE SAME COST TO THE BENEFICIARY, AS
422		-	ARE OFFERED PURSUANT TO THE CHILDREN
423		-	'S BASIC HEALTH PLAN IN SECTION
424		-	25.5-8-107, SUCH THAT, TO THE MAXIMUM EXTENT POSSIBLE , ELIGIBLE
425		-	INDIVIDUALS MUST NOT BE ABLE TO TELL THAT THEY ARE ENROLLED IN A
426		-	DIFFERENT PROGRAM FROM THE PLAN DESCRIBED IN SECTION
427		-	25.5-8-107.
428		-	(2) A
429		-	CHILD WHO IS LESS THAN NINETEEN YEARS OF AGE IS ELIGIBLE
430		-	TO RECEIVE THE STATE CHILDREN
431		-	'S BASIC HEALTH PLAN IF THE CHILD WOULD
432		-	PAGE 10-HOUSE BILL 22-1289 BE ELIGIBLE FOR THE CHILDREN'S BASIC HEALTH PLAN AS DESCRIBED IN
433		-	25.5-8-107, BUT IS NOT ELIGIBLE DUE SOLELY TO THE CHILD'S IMMIGRATION
434		-	STATUS
435		-	.
436		-	(3) A
437		-	CHILD WHO LESS THAN NI NETEEN YEARS OF AGE IS
438		-	PRESUMPTIVELY ELIGIBLE FOR THE STATE CHILDREN
439		-	'S BASIC HEALTH PLAN
440		-	AND WILL RECEIVE SERVICES SPECIFIED BY STATE LAW ONLY IF A PARENT OR
441		-	LEGAL GUARDIAN OF THE CHILD DECLARES ALL PERTINENT INFORMATION
442		-	RELATING TO THE CRITERIA OF INCOME AND ASSETS OF THE CHILD
443		-	'S FAMILY.
444		-	(4) T
445		-	HE STATE CHILDREN'S BASIC HEALTH PLAN MUST BE FUNDED BY
446		-	STATE FUNDS ONLY
447		-	, EXCEPT TO THE EXTENT FEDERAL FUNDS ARE MADE
448		-	AVAILABLE THROUGH EXPRESS WRITTEN AUTHORIZATION THROUGH A
449		-	FEDERAL WAIVER
450		-	, STATE PLAN AMENDMENT , OR OTHERWISE, BY THE
451		-	CENTERS FOR MEDICARE AND MEDICAID SERVICES
452		-	.
453		-	(5) T
454		-	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL
455		-	APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL
456		-	PARTICIPATION IN IMPLEMENTING THIS SECTION
457		-	.
458		-	(6) T
459		-	O THE MAXIMUM EXTENT ALLOWABLE UNDER FEDERAL LAW ,
460		-	THE STATE DEPARTMENT SHALL , USING APPROPRIATE FUNDING, USE THE
461		-	SAME INFRASTRUCTURE AND PROVIDER NETWORK TO DELIVER THE STATE
462		-	'S
463		-	CHILDREN
464		-	'S BASIC HEALTH PLAN AS IT DOES TO DELIVER THE CHILDREN 'S
465		-	BASIC HEALTH PLAN DESCRIBED IN SECTION
466		-	25.5-8-107.
467		-	(7) T
468		-	HIS SECTION CONSTITUTES STATE AUTHORITY WITHIN THE
469		-	MEANING OF
470		-	8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON JANUARY 1,
471		-	2022.
472		-	(8) (a) D
473		-	URING ITS 2024 PRESENTATION TO THE JOINT BUDGET
474		-	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE
475		-	HEALTH AND HUMAN SERVICES COMMI TTEE OF THE SENATE AND THE HEALTH
476		-	AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
477		-	, OR ANY
478		-	SUCCESSOR COMMITTEES
479		-	, AT THE HEARING HELD PURSUANT TO SECTION
480		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
481		-	R
482		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", THE STATE
483		-	DEPARTMENT SHALL REPORT ON ITS PLANS AND PROGRESS IN IMPLEMENTING
484		-	THE STATE BASIC HEALTH PLAN
485		-	.
486		-	PAGE 11-HOUSE BILL 22-1289 (b) BEGINNING JANUARY 1, 2026, AND CONTINUING EVERY JANUARY
487		-	THEREAFTER
488		-	, THE STATE DEPARTMENT, IN ITS PRESENTATION TO THE JOINT
489		-	BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION
490		-	TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE
491		-	HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
492		-	,
493		-	OR ANY SUCCESSOR COMMI TTEES , AT THE HEARING HELD PURSUANT TO
494		-	SECTION
495		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
496		-	R
497		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", SHALL
498		-	REPORT ON THE COST SAVINGS AND HEALTH IMPROVEMENTS ASSOCIATED
499		-	WITH THE STATE BASIC HEALTH PLAN
500		-	.
501		-	SECTION 11. In Colorado Revised Statutes, 25.5-4-103, amend
502		-	(10) as follows:
503		-	25.5-4-103. Definitions. As used in this article 4 and articles 5 and
504		-	6 of this title 25.5, unless the context otherwise requires:
505		-	(10) "Legal immigrant"
506		-	"LAWFULLY RESIDING" means an individual
507		-	who is not a citizen or national of the United States and who was lawfully
508		-	admitted to the United States by the immigration and naturalization service,
509		-	or any successor agency, as an actual or prospective permanent resident or
510		-	whose extended physical presence in the United States is known to and
511		-	allowed by the immigration and naturalization service, or any successor
512		-	agency.
513		-	SECTION 12. In Colorado Revised Statutes, 25.5-4-201, amend
514		-	(1) as follows:
515		-	25.5-4-201. Cash system of accounting - financial administration
516		-	of medical services premiums - medical programs administered by
517		-	department of human services - federal contributions - rules. (1) The
518		-	state department shall utilize the cash system of accounting, as enunciated
519		-	by the governmental accounting standards board, regardless of the source
520		-	of revenues involved, for all activities of the state department relating to the
521		-	financial administration of any nonadministrative expenditure that qualifies
522		-	for federal financial participation under Title XIX of the federal "Social
523		-	Security Act",
524		-	AND FOR THE ADMINISTRATION OF THE STATE -FUNDED
525		-	HEALTH AND MEDICAL CARE PROGRAM
526		-	, CREATED PURSUANT TO SECTION
527		-	25.5-2-104, AND FOR THE STATE CHILDREN'S BASIC HEALTH PLAN, CREATED
528		-	PURSUANT TO SECTION
529		-	25.5-2-105, except for expenditures under the
530		-	PAGE 12-HOUSE BILL 22-1289 program for the medically indigent, article 3 of this title TITLE 25.5.
531		-	SECTION 13. In Colorado Revised Statutes, 25.5-4-301, amend
532		-	(13) as follows:
533		-	25.5-4-301. Recoveries - overpayments - penalties - interest -
534		-	adjustments - liens - review or audit procedures. (13) To the extent
535		-	allowable under federal law, the state department shall recover from a legal
536		-	immigrant's THE sponsor OF A LAWFULLY RESIDING INDIVIDUAL all medical
537		-	assistance paid on behalf of a THE sponsored legal immigrant LAWFULLY
538		-	RESIDING INDIVIDUAL
539		-	who is enrolled in the medical assistance program.
540		-	SECTION 14. In Colorado Revised Statutes, amend 25.5-4-503 as
541		-	follows:
542		-	25.5-4-503. Waiver applications - authorization. (1) The state
543		-	department is authorized to apply for health insurance flexibility and
544		-	accountability waivers that will enable the state to add more flexibility to
545		-	Colorado's medicaid program and that will result in a cost-effective method
546		-	of providing health-care services to Coloradans.
547		-	(2) T
548		-	HE STATE DEPARTMENT SHALL PURSUE AND , IF APPROVED,
549		-	IMPLEMENT A DEMONSTRATION WAIVER THAT AUTHORIZES THE STATE TO
550		-	USE FEDERAL MEDICAL ASSISTANCE PAYMENTS AUTHORIZED PURSUANT TO
551		-	SECTION
552		-	1903(v) OF THE FEDERAL "SOCIAL SECURITY ACT", AS AMENDED,
553		-	IN COORDINATION WITH THE DIVISION OF INSURANCE TO ENHANCE OR
554		-	EXPAND A STATE
555		-	-SUBSIDIZED INDIVIDUAL HEALTH COVERAGE PLAN AS
556		-	DEFINED IN SECTION
557		-	10-16-1203 (15) AND, ONLY IF NEEDED TO MAXIMIZE
558		-	FEDERAL FINANCIAL PARTICIPATION
559		-	, FOR COLORADANS RECEIVING STATE
560		-	MEDICAL ASSISTANCE PURSUANT TO SECTION
561		-	25.5-2-104 OR 25.5-5-201 (6).
562		-	T
563		-	O THE EXTENT SUCH FEDERAL FUNDS ARE USED TO ENHANCE OR EXPAND
564		-	A STATE
565		-	-SUBSIDIZED INDIVIDUAL HEALTH COVERAGE PLAN , AS DEFINED IN
566		-	SECTION
567		-	10-16-1203 (15), THE HEALTH INSURANCE AFFORDABILITY
568		-	ENTERPRISE CREATED PURSUANT TO SECTION
569		-	10-16-1204 MUST RECEIVE,
570		-	DEPOSIT INTO THE HEALTH INSURANCE AFFORDABILITY CASH FUND CREATED
571		-	IN SECTION
572		-	10-16-1206, AND ALLOCATE THE FEDERAL SHARE OF THE
573		-	MEDICAL ASSISTANCE PAYMENTS PURSUANT TO SECTION
574		-	10-16-1205 (2),
575		-	SUBJECT TO ANY CONDITIONS SET FORTH IN THE APPROVAL OF THE WAIVER .
576		-	SECTION 15. In Colorado Revised Statutes, 25.5-5-101, amend
577		-	PAGE 13-HOUSE BILL 22-1289 (3) as follows:
578		-	25.5-5-101. Mandatory provisions - eligible groups.
579		-	(3) Notwithstanding any other provision of this article and articles 4 and 6
580		-	of this title TITLE 25.5, as a condition of eligibility for medical assistance
581		-	under this article ARTICLE 5 and articles 4 and 6 of this title TITLE 25.5, a
582		-	legal immigrant PERSON WHO IS LAWFULLY RESIDING IN THE STATE shall
583		-	agree to refrain from executing an affidavit of support for the purpose of
584		-	sponsoring an alien on or after July 1, 1997, under rules promulgated by the
585		-	immigration and naturalization service, or any successor agency, during the
586		-	pendency of such legal immigrant's
587		-	THE LAWFULLY RESIDING PERSON 'S
588		-	receipt of medical assistance. Nothing in this subsection (3) shall be
589		-	construed to affect a legal immigrant's AFFECTS A LAWFULLY RESIDING
590		-	PERSON
591		-	'S eligibility for medical assistance under this article
592		-	PURSUANT TO
593		-	THIS ARTICLE
594		-	5 and articles 4 and 6 of this title
595		-	TITLE 25.5 based upon such
596		-	legal immigrant's THE LAWFULLY RESIDING PERSON'S responsibilities under
597		-	an affidavit of support entered into before July 1, 1997.
598		-	SECTION 16. In Colorado Revised Statutes, 25.5-5-201, amend
599		-	(3), (4), and (4.5)(a); and add (6) as follows:
600		-	25.5-5-201. Optional provisions - optional groups. (3) A legal
601		-	immigrant LAWFULLY RESIDING PERSON who is receiving medicaid nursing
602		-	facility care or home- and community-based services on July 1, 1997, shall
603		-	MUST continue to receive such services as long as he or she THE PERSON
604		-	meets the eligibility requirements other than citizen status. State general funds may be used to reimburse such care in the event that federal financial participation is not available.
605		-	(4) A pregnant legal immigrant shall be
606		-	PERSON WHO IS LAWFULLY
607		-	RESIDING IS
608		-	eligible to receive prenatal and medical services for labor anddelivery as long as she MEDICAL ASSISTANCE AS LONG AS THE INDIVIDUAL
609		-	meets eligibility requirements other than THOSE RELATED TO citizen OR
610		-	IMMIGRATION
611		-	status. State general funds may be used to reimburse such
612		-	care in the event that federal financial participation is not available.
613		-	(4.5) (a) Subject to the receipt of federal financial participation, to
614		-	the maximum extent allowed under federal law, a person who was eligible
615		-	for all pregnancy-related and postpartum services under
616		-	the medical
617		-	assistance program for the sixty days following the pregnancy remains
618		-	PAGE 14-HOUSE BILL 22-1289 continuously eligible for all services under the medical assistance program
619		-	for the twelve-month postpartum period.
620		-	(6) (a) B
621		-	EGINNING NO LATER THAN JANUARY 1, 2025, A PREGNANT
622		-	PERSON WHO IS NOT A CITIZEN AND WHO IS NOT ELIGIBLE FOR MEDICAL
623		-	ASSISTANCE PURSUANT TO SUBSECTION
624		-	(4) OF THIS SECTION IS ELIGIBLE TO
625		-	RECEIVE MEDICAL ASSISTANCE PURSUANT TO THIS SUBSECTION
626		-	(6)(a) IF THE
627		-	INDIVIDUAL MEETS THE ELIGIBILIT Y REQUIREMENTS OT HER THAN THOSE
628		-	RELATED TO CITIZENSHIP AND IMMIGRATION STATUS
629		-	.
630		-	(b) A
631		-	PREGNANT PERSON WHO IS ELIGIBLE FOR MEDICAL ASSISTANCE
632		-	PURSUANT TO THIS SUBSECTION
633		-	(6) REMAINS CONTINUOUSLY ELIGIBLE FOR
634		-	ALL MEDICAL SERVICES PURSUANT TO THE MEDICAL ASSISTANCE PROGRAM
635		-	FOR THE TWELVE
636		-	-MONTH POSTPARTUM PERIOD , SO LONG AS ELIGIBILITY
637		-	REMAINS IN EFFECT PURSUANT TO SUBSECTION
638		-	(4.5)(a) OF THIS SECTION.
639		-	(c) T
640		-	HE STATE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL
641		-	APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FINANCIAL
642		-	PARTICIPATION IN IMPLEMENTING THIS SUBSECTION
643		-	(6). BENEFITS FOR
644		-	SERVICES OBTAINED PURSUANT TO THIS SUBSECTION
645		-	(6) MUST BE PROVIDED
646		-	WITH ONLY STATE FUNDS IF FEDERAL FI NANCIAL PARTICIPATION IS
647		-	UNAVAILABLE FOR SUCH SERVICES
648		-	.
649		-	(d) (I) D
650		-	URING ITS 2024 PRESENTATION TO THE JOINT BUDGET
651		-	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE
652		-	HEALTH AND HUMAN SERVICES COMMI TTEE OF THE SENATE AND THE HEALTH
653		-	AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
654		-	, OR ANY
655		-	SUCCESSOR COMMITTEES
656		-	, AT THE HEARING HELD PURSUANT TO SECTION
657		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
658		-	R
659		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", THE STATE
660		-	DEPARTMENT SHALL REPORT ON ITS PLANS AND PROGRESS IN IMPLEMENTING
661		-	THE COVERAGE EXPANSION CREATED PURSUANT TO THIS SUBSECTION
662		-	(6).
663		-	(II) B
664		-	EGINNING JANUARY 1, 2026, AND CONTINUING EVERY JANUARY
665		-	THEREAFTER
666		-	, THE STATE DEPARTMENT, IN ITS PRESENTATION TO THE JOINT
667		-	BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION
668		-	TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE
669		-	HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
670		-	,
671		-	OR ANY SUCCESSOR COMMITTEES , AT THE HEARING HELD PURSUANT TO
672		-	SECTION
673		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
674		-	PAGE 15-HOUSE BILL 22-1289 RESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", SHALL
675		-	REPORT ON THE COST SAVINGS AND HEALTH IMPROVEMENTS ASSOCIATED
676		-	WITH THE COVERAGE EXPANSION CREATED PURSUANT TO THIS SUBSECTION
677		-	(6).
678		-	SECTION 17. In Colorado Revised Statutes, 25.5-5-202, add (1)(y)
679		-	as follows:
680		-	25.5-5-202. Basic services for the categorically needy - optional
681		-	services. (1) Subject to the provisions of subsection (2) of this section, the
682		-	following are services for which federal financial participation is available
683		-	and that Colorado has selected to provide as optional services under the
684		-	medical assistance program:
685		-	(y) F
686		-	OR ANY PERINATAL PERSON , COMPREHENSIVE LACTATION
687		-	SUPPORT SERVICES
688		-	, LACTATION SUPPLIES AND EQUIPMENT , AND
689		-	MAINTENANCE OF MULTI
690		-	-USER LOANED EQUIPMENT . AN INDIVIDUAL
691		-	TRAINED IN ADVANCED LACTATION SUPPORT SHALL PROVIDE THE LACTATION
692		-	SUPPORT SERVICES
693		-	. LACTATION EQUIPMENT MUST INCLUDE A SINGLE -USER
694		-	DOUBLE ELECTRIC BREAST PUMP
695		-	, PUMP PARTS AND PUMP COLLECTION KIT ,
696		-	AND ACCESS TO A LOANED MULTI-USER HOSPITAL GRADE ELECTRIC BREAST
697		-	PUMP ALONG WITH A COMPATIBLE INDIVIDUAL COLLECTION KIT
698		-	.
699		-	I
700		-	NDIVIDUALS MUST HAVE ACCESS TO SINGLE-USER LACTATION SUPPLIES AND
701		-	EQUIPMENT PRIOR TO DELIVERY
702		-	. ACCESS TO MULTI-USER LOANED BREAST
703		-	PUMPS SHALL BE AUTHORIZED BY A HEALTH
704		-	-CARE PROVIDER. ACCESS TO
705		-	MULTI
706		-	-USER LOANED BREAST PUMPS IS PRIORITIZED FOR INDIVIDUALS WITH
707		-	PREMATURE
708		-	, MEDICALLY FRAGILE, LOW BIRTH WEIGHT INFANTS, AND WITH
709		-	LACTATION COMPLICATIONS
710		-	. INDIVIDUALS CANNOT BE REQUIRED TO ENROLL
711		-	IN SEPARATE OR ADDITIONAL PROGRAMS IN ORDER TO RECEIVE COVERED
712		-	LACTATION EQUIPMENT OR LACTATION SUPPORT SERVICES
713		-	.
714		-	SECTION 18. In Colorado Revised Statutes, 25.5-5-204, amend
715		-	(2) and (2.5) as follows:
716		-	25.5-5-204. Presumptive eligibility - pregnant person - children
717		-	- long-term care - state plan. (2) (a) A pregnant woman shall be
718		-	PERSON
719		-	IS
720		-	presumptively eligible for the medical assistance program and shall
721		-	receive services specified by federal law only if the woman
722		-	PERSON declares
723		-	all pertinent information relating to the criteria of income, assets, and status
724		-	AND, ONLY IF NECESSARY TO ADMINISTER REIMBURSEMENT FOR SERVICES ,
725		-	PAGE 16-HOUSE BILL 22-1289 STATUS.
726		-	(b) A woman shall declare her immigration status unless the general
727		-	assembly provides funding for prenatal care services for undocumented
728		-	residents.
729		-	(2.5) A child under the age of eighteen years shall be LESS THAN
730		-	NINETEEN YEARS OF AGE IS
731		-	presumptively eligible for the medical assistance
732		-	program and shall receive services specified by federal law only if a parent
733		-	or legal guardian of the child declares all pertinent information relating to
734		-	the criteria of income, assets, and status
735		-	AND, ONLY IF NECESSARY TO
736		-	ADMINISTER REIMBURSEMENT FOR SERVICES
737		-	, STATUS of the child's family.
738		-	SECTION 19. In Colorado Revised Statutes, add 25.5-6-115 as
739		-	follows:
740		-	25.5-6-115. Notification of federal immigration consequences.
741		-	T
742		-	HE STATE DEPARTMENT SHALL CONSULT WITH STAKEHOLDERS , INCLUDING
743		-	PEOPLE WITH LIVED EXPERIENCE
744		-	, IMMIGRANTS RIGHTS ADVOCATES ,
745		-	HEALTH-CARE ADVOCATES, AND IMMIGRATION LAWYERS, TO PROVIDE CLEAR
746		-	AND ACCURATE INFORMATION AND REFERRALS REGARDING CURRENT PUBLIC
747		-	CHARGE POLICIES
748		-	.
749		-	SECTION 20. In Colorado Revised Statutes, 25.5-8-103, amend
750		-	(4)(a)(I) and (4)(b)(I) as follows:
751		-	25.5-8-103. Definitions. As used in this article 8, unless the context
752		-	otherwise requires:
753		-	(4) "Eligible person" means:
754		-	(a) (I) A person who is less than nineteen years of age,
755		-	WHO IS A
756		-	CITIZEN OR MEETS THE IMMIGRATION STATUS REQUIREMENTS SET FORTH IN
757		-	SECTION
758		-	25.5-8-109 (6) OR 25.5-8-109 (7), whose family income does not
759		-	exceed two hundred fifty percent of the federal poverty line, adjusted for
760		-	family size,
761		-	AND WHO IS NOT ELIGIBLE FOR MEDICAL ASSISTANCE PURSUANT
762		-	TO ARTICLES
763		-	4, 5, AND 6 OF THIS TITLE 25.5.
764		-	(b) (I) A pregnant woman
765		-	PERSON WHO IS A CITIZEN OR MEETS THE
766		-	IMMIGRATION STATUS REQUIREMENTS SET FORTH IN SECTION
767		-	25.5-8-109 (6)
768		-	PAGE 17-HOUSE BILL 22-1289 OR 25.5-8-109 (7), whose family income does not exceed two hundred fifty
769		-	percent of the federal poverty line, adjusted for family size, and who is not
770		-	eligible for medicaid
771		-	MEDICAL ASSISTANCE PURSUANT TO ARTICLES 4, 5,
772		-	AND 6 OF THIS TITLE 25.5.
773		-	SECTION 21. In Colorado Revised Statutes, 25.5-8-107, repeal
774		-	(1)(b); and add (1)(a)(V) and (1)(i) as follows:
775		-	25.5-8-107. Duties of the department - schedule of services -
776		-	premiums - copayments - subsidies - purchase of childhood
777		-	immunizations. (1) In addition to any other duties pursuant to this article
778		-	8, the department has the following duties:
779		-	(a) (V) I
780		-	N ADDITION TO THE ITEMS SPECIFIED IN SUBSECTIONS
781		-	(1)(a)(I), (1)(a)(II), AND (1)(a)(III) OF THIS SECTION, AND ANY ADDITIONAL
782		-	ITEMS APPROVED BY THE MEDICAL SERVICES BOARD
783		-	, THE MEDICAL SERVICES
784		-	BOARD SHALL INCLUDE
785		-	, FOR ALL PERINATAL PEOPLE , COMPREHENSIVE
786		-	LACTATION SUPPORT SERVICES
787		-	, LACTATION SUPPLIES AND EQUIPMENT, AND
788		-	MAINTENANCE OF MULTI
789		-	-USER LOANED EQUIPMENT . AN INDIVIDUAL
790		-	TRAINED IN ADVANCED LACTATION SUPPORT SHALL PROVIDE THE LACTATION
791		-	SUPPORT SERVICES
792		-	. LACTATION EQUIPMENT MUST INCLUDE A SINGLE -USER
793		-	DOUBLE ELECTRIC BREAST PUMP
794		-	, PUMP PARTS AND PUMP COLLECTION KIT ,
795		-	AND ACCESS TO A LOANED MULTI-USER HOSPITAL GRADE ELECTRIC BREAST
796		-	PUMP ALONG WITH A COMPATIBLE INDIVIDUAL COLLECTION KIT
797		-	.
798		-	I
799		-	NDIVIDUALS MUST HAVE ACCESS TO SINGLE-USER LACTATION SUPPLIES AND
800		-	EQUIPMENT PRIOR TO DELIVERY
801		-	. ACCESS TO MULTI-USER LOANED BREAST
802		-	PUMPS SHALL BE AUTHORIZED BY A HEALTH
803		-	-CARE PROVIDER. ACCESS TO
804		-	MULTI
805		-	-USER LOANED BREAST PUMPS IS PRIORITIZED FOR INDIVIDUALS WITH
806		-	PREMATURE
807		-	, MEDICALLY FRAGILE, LOW BIRTH WEIGHT INFANTS, AND WITH
808		-	LACTATION COMPLICATIONS
809		-	. INDIVIDUALS CANNOT BE REQUIRED TO ENROLL
810		-	IN SEPARATE OR ADDITIONAL PROGRAMS IN ORDER TO RECEIVE COVERED
811		-	LACTATION EQUIPMENT OR LACTATION SUPPORT SERVICES
812		-	.
813		-	(b) To design and implement a system of cost sharing with enrollees
814		-	using an annual enrollment fee that is based on a sliding fee scale. The
815		-	sliding fee scale shall be developed based on the enrollee's family income;
816		-	except that no enrollment fee shall be assessed against an enrollee whose
817		-	family income is at or below one hundred fifty percent of the federal
818		-	poverty line and no enrollment fee shall be assessed against an enrollee who
819		-	is a pregnant woman. As permitted by federal and state law, enrollees in the
820		-	PAGE 18-HOUSE BILL 22-1289 plan may use funds from a medical savings account to pay the annual
821		-	enrollment fee. On or before November 1 of each year, the department shall
822		-	submit for approval to the joint budget committee its annual proposal for
823		-	cost sharing for the plan based upon a family's income.
824		-	(i) (I) THE DEPARTMENT SHALL DEVELOP AND IMPLEMENT AN
825		-	OUTREACH STRATEGY FOR
826		-	COLORADANS WHO BECOME ELIGIBLE FOR
827		-	HEALTH COVERAGE PURSUANT TO SECTION
828		-	25.5-2-104, 25.5-2-105,
829		-	25.5-5-201
830		-	(6), OR 25.5-8-109 (7). THE STATE DEPARTMENT SHALL WORK
831		-	WITH STAKEHOLDERS TO DEVELOP AN OUTREACH STRATEGY THAT INCLUDES
832		-	:
833		-	(A) F
834		-	UNDING FOR COMMUNITY-BASED ORGANIZATIONS TO PARTNER
835		-	WITH THE DEPARTMENT ON OUTREACH
836		-	;
837		-	(B) A
838		-	METHOD FOR PROVIDING INFORMATION RELATED TO
839		-	ELIGIBILITY AND ENROLLMENT THAT CAN BE PROVIDED TO NONPROFIT
840		-	PARTNERS
841		-	, SCHOOL DISTRICTS, AND CHARTER SCHOOLS FOR OUTREACH
842		-	PURPOSES
843		-	; AND
844		-	(C) AT A MINIMUM, PROVIDING INFORMATION RELATED TO
845		-	ELIGIBILITY AND COVERAGE IN
846		-	ENGLISH, SPANISH, AND IN EACH LANGUAGE
847		-	SPOKEN BY AT LEAST TWO
848		-	-AND-ONE-HALF PERCENT OF THE POPULATION OF
849		-	ANY COUNTY WHO SPEAK
850		-	ENGLISH LESS THAN VERY WELL, AS DEFINED BY
851		-	THE
852		-	UNITED STATES BUREAU OF THE CENSUS AMERICAN COMMUNITY
853		-	SURVEY
854		-	, AND WHO SPEAK THE MINORITY LANGUAGE AT HOME ;
855		-	(II) A
856		-	PPROXIMATELY TWELVE AND TWENTY -FOUR MONTHS AFTER
857		-	IMPLEMENTATION OF THE STRATEGY REQUIRED PURSUANT TO SUBSECTION
858		-	(1)(i)(I) OF THIS SECTION , THE DEPARTMENT SHALL CONVENE
859		-	STAKEHOLDERS
860		-	, INCLUDING DIRECTLY IMPACTED INDIVIDUALS , SERVICE
861		-	PROVIDERS
862		-	, AND ADVOCACY ORGANIZATIONS THAT ARE DIVERSE WITH
863		-	REGARD TO RACE
864		-	, ETHNICITY, IMMIGRATION STATUS, SEXUAL ORIENTATION,
865		-	AND GENDER IDENTITY AND WHO ARE AFFECTED BY HIGHER RATES OF
866		-	HEALTH DISPARITIES AND INEQUITIES
867		-	. THE DEPARTMENT SHALL REPORT ON
868		-	THE OUTREACH AND ENROLLMENT STRATEGY OUTCOMES
869		-	, INCLUDING
870		-	ENROLLMENT OF ELIGIBLE PERSONS INTO THESE PROGRAMS COMPARED TO
871		-	THOSE PERSONS WHO ARE ELIGIBLE FOR COVERAGE
872		-	, BUT NOT ENROLLED.
873		-	SECTION 22. In Colorado Revised Statutes, 25.5-8-109, amend
874		-	(5.5)(a) and (6); and add (7) as follows:
875		-	PAGE 19-HOUSE BILL 22-1289 25.5-8-109. Eligibility - children - pregnant women - repeal.
876		-	(5.5) (a) Subject to the receipt of federal financial participation, to the
877		-	maximum extent allowed under federal law, a person who was eligible for
878		-	the plan while pregnant and who remains eligible for all pregnancy-related
879		-	and postpartum services under the plan for the sixty days following the
880		-	pregnancy remains continuously eligible for all services under the plan for
881		-	the twelve-month postpartum period.
882		-	(6) (a) Notwithstanding any other provision of law, but subject to
883		-	the availability of sufficient appropriations and
884		-	the receipt of federal
885		-	financial participation, the department may SHALL provide benefits under
886		-	this article PURSUANT TO THIS ARTICLE 8 to a pregnant woman who is a
887		-	qualified alien PERSON WHO IS LAWFULLY RESIDING, AS DEFINED IN SECTION
888		-	25.5-4-103 (10), and a child under LESS THAN nineteen years of age, who is
889		-	a qualified alien WHO IS LAWFULLY RESIDING , so long as such woman
890		-	PREGNANT PERSON or child meets eligibility criteria other than citizenship
891		-	OTHER THAN THOSE RELATED TO CITIZENSHIP OR IMMIGRATION STATUS .
892		-	(7) (a) B
893		-	EGINNING NO LATER THAN JANUARY 1, 2025,
894		-	NOTWITHSTANDING ANY OTHER PROVISION OF LAW , THE DEPARTMENT SHALL
895		-	PROVIDE BENEFITS PURSUANT TO THIS ARTICLE
896		-	8 TO A PREGNANT PERSON
897		-	WHO IS NOT A CITIZEN AND IS NOT ELIGIBLE PURSUANT TO SUBSECTION
898		-	(6)
899		-	OF THIS SECTION, SO LONG AS THE PREGNANT PERSON MEETS THE ELIGIBILITY
900		-	CRITERIA OTHER THAN THOSE RELATED TO CITIZENSHIP OR IMMIGRATION
901		-	STATUS
902		-	. ELIGIBILITY PURSUANT TO THIS SECTION EXTENDS CONTINUOUSLY
903		-	THROUGH THE TWELVE
904		-	-MONTH POSTPARTUM PERIOD , SO LONG AS
905		-	ELIGIBILITY REMAINS IN EFFECT PURSUANT TO SUBSECTION
906		-	(5.5)(a) OF THIS
907		-	SECTION
908		-	.
909		-	(b) T
910		-	HE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL
911		-	APPROVALS TO MAXIMIZE ANY AVAILABLE FEDERAL FI NANCIAL
912		-	PARTICIPATION IN IMPLEMENTING THIS SUBSECTION
913		-	(7).
914		-	(c) (I) D
915		-	URING ITS 2024 PRESENTATION TO THE JOINT BUDGET
916		-	COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION TO THE
917		-	HEALTH AND HUMAN SERVICES COMMI TTEE OF THE SENATE AND THE HEALTH
918		-	AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
919		-	, OR ANY
920		-	SUCCESSOR COMMITTEES
921		-	, AT THE HEARING HELD PURSUANT TO SECTION
922		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
923		-	R
924		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", THE STATE
925		-	PAGE 20-HOUSE BILL 22-1289 DEPARTMENT SHALL REPORT ON ITS PLANS AND PROGRESS IN IMPLEMENTING
926		-	THE COVERAGE EXPANSION CREATED PURSUANT TO THIS SUBSECTION
927		-	(7).
928		-	(II) B
929		-	EGINNING JANUARY 1, 2026, AND CONTINUING EVERY JANUARY
930		-	THEREAFTER
931		-	, THE STATE DEPARTMENT, IN ITS PRESENTATION TO THE JOINT
932		-	BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN ITS PRESENTATION
933		-	TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE
934		-	HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
935		-	,
936		-	OR ANY SUCCESSOR COMMITTEES , AT THE HEARING HELD PURSUANT TO
937		-	SECTION
938		-	2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR ACCOUNTABLE,
939		-	R
940		-	ESPONSIVE, AND TRANSPARENT (SMART) GOVERNMENT ACT", SHALL
941		-	REPORT ON THE COST SAVINGS AND HEALTH IMPROVEMENTS ASSOCIATED
942		-	WITH THE COVERAGE EXPANSION CREATED PURSUANT TO THIS SUBSECTION
943		-	(7).
944		-	(d) T
945		-	HIS SUBSECTION (7) CONSTITUTES STATE AUTHORITY WITHIN
946		-	THE MEANING OF
947		-	8 U.S.C. SEC. 1621 (d), AS THAT LAW EXISTED ON
948		-	JANUARY 1, 2022.
949		-	SECTION 23. In Colorado Revised Statutes, add 25.5-8-109.3 as
950		-	follows:
951		-	25.5-8-109.3. Health services initiatives. (1) T
952		-	O THE EXTENT
953		-	FEDERAL FINANCIAL PARTICIPATION IS AVAILABLE
954		-	, THE DEPARTMENT SHALL
955		-	DESIGN AND IMPLEMENT HEALTH SERVICE INITIATIVES PURSUANT TO
956		-	SECTION
957		-	2105(a)(1)(D)(ii) OF THE FEDERAL "SOCIAL SECURITY ACT", AS
958		-	AMENDED
959		-	, TO PROVIDE FUNDING FOR CONTINUOUS ENROLLMENT FOR THE
960		-	TWELVE
961		-	-MONTH POSTPARTUM PERIOD FOR A PERSON WHO IS ENROLLED IN
962		-	HEALTH
963		-	-CARE COVERAGE PURSUANT TO SECTION 25.5-5-201 (6) OR
964		-	25.5-8-109 (7).
965		-	(2) T
966		-	O THE EXTENT ADDITIONAL FEDERAL FINANCIAL PARTICIPATION
967		-	IS AVAILABLE
968		-	, THE DEPARTMENT SHALL ESTABLISH A STAKEHOLDER
969		-	PROCESS IN COLLABORATION WITH DEPARTMENT STAFF TO DETERMINE
970		-	ADDITIONAL PRIORITIES AND BUDGET ALLOCATIONS THAT DRAW DOWN AT
971		-	LEAST FIFTY PERCENT OF THE REMAINING HEALTH SERVICES INITIATIVE
972		-	FUNDS TO EXPAND ACCESS TO PERINATAL AND POSTPARTUM SUPPORTS
973		-	. THE
974		-	DEPARTMENT SHALL REPORT ON THE ESTABLISHED PRIORITIES AND BUDGET
975		-	ALLOCATIONS AND THE WAYS IN WHICH THEY ARE INCLUSIVE OF
976		-	STAKEHOLDER INPUT DURING THE DEPARTMENT
977		-	'S 2024 PRESENTATION TO
978		-	PAGE 21-HOUSE BILL 22-1289 THE JOINT BUDGET COMMITTEE OF THE GENERAL ASSEMBLY AND IN THE
979		-	DEPARTMENT
980		-	'S PRESENTATION TO THE HEALTH AND HUMAN SERVICES
981		-	COMMITTEE OF THE SENATE AND THE HEALTH AND INSURANCE COMMITTEE
982		-	OF THE HOUSE OF REPRESENTATIVES
983		-	, OR ANY SUCCESSOR COMMITTEES , AT
984		-	THE HEARING HELD PURSUANT TO SECTION
985		-	2-7-203 (2)(a) OF THE "STATE
986		-	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT
987		-	(SMART) GOVERNMENT ACT". IN CONDUCTING THE STAKEHOLDER
988		-	PROCESS
989		-	, THE DEPARTMENT SHALL:
	876	+	O THE EXTENT ADDITIONAL FEDERAL FINANCIAL8
	877	+	PARTICIPATION IS AVAILABLE, THE DEPARTMENT SHALL ESTABLISH A9
	878	+	STAKEHOLDER PROCESS IN COLLABORATION WITH DEPARTMENT STAFF TO10
	879	+	DETERMINE ADDITIONAL PRIORITIES AND BUDGET ALLOCATIONS THAT11
	880	+	DRAW DOWN AT LEAST FIFTY PERCENT OF THE REMAINING HEALTH12
	881	+	SERVICES INITIATIVE FUNDS TO EXPAND ACCESS TO PERINATAL AND13
	882	+	POSTPARTUM SUPPORTS .
	883	+	THE DEPARTMENT SHALL REPORT ON THE14
	884	+	ESTABLISHED PRIORITIES AND BUDGET ALLOCATIONS AND THE WAYS IN15
	885	+	WHICH THEY ARE INCLUSIVE OF STAKEHOLDER INPUT DURING THE16
	886	+	DEPARTMENT'S 2024 PRESENTATION TO THE JOINT BUDGET COMMITTEE OF17
	887	+	THE GENERAL ASSEMBLY AND IN THE DEPARTMENT'S PRESENTATION TO18
	888	+	THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE SENATE AND THE19
	889	+	HEALTH AND INSURANCE COMMI TTEE OF THE HOUSE OF REPRESENTATIVES,20
	890	+	OR ANY SUCCESSOR COMMITTEES, AT THE HEARING HELD PURSUANT TO21
	891	+	SECTION 2-7-203 (2)(a) OF THE "STATE MEASUREMENT FOR22
	892	+	ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT (SMART)23
	893	+	GOVERNMENT ACT". IN CONDUCTING THE STAKEHOLDER PROCESS , THE24
	894	+	DEPARTMENT SHALL:25
990	895		(a) E
991		-	NGAGE DIRECTLY WITH IMPACTED INDIVIDUALS , SERVICE
992		-	PROVIDERS
993		-	, ADVOCACY ORGANIZATIONS , AND INDIVIDUALS WORKING IN OR
994		-	REPRESENTING COMMUNITIES WHO ARE DIVERSE WITH REGARD TO RACE
995		-	,
996		-	ETHNICITY, IMMIGRATION STATUS, AGE, ABILITY, SEXUAL ORIENTATION,
997		-	GENDER IDENTITY, OR GEOGRAPHIC REGION OF THE STATE AND WHO ARE
998		-	AFFECTED BY HIGHER RATES OF HEALTH DISPARITIES AND INEQUITIES
999		-	;
	896	+	NGAGE DIRECTLY WITH IMPACTED INDIVIDUALS , SERVICE26
	897	+	PROVIDERS, ADVOCACY ORGANIZATIONS , AND INDIVIDUALS WORKING IN27
	898	+	1289
	899	+	-28- OR REPRESENTING COMMUNITIES WHO ARE DIVERSE WITH REGARD TO1
	900	+	RACE, ETHNICITY, IMMIGRATION STATUS , AGE, ABILITY, SEXUAL2
	901	+	ORIENTATION, GENDER IDENTITY, OR GEOGRAPHIC REGION OF THE STATE3
	902	+	AND WHO ARE AFFECTED BY HIGHER RATES OF HEALTH DISPARITIES AND4
	903	+	INEQUITIES;5
1000	904		(b) P
1001		-	UBLICIZE, CONDUCT, AND REPORT OUTCOMES OF STAKEHOLDER
1002		-	MEETINGS IN
1003		-	, AT A MINIMUM, ENGLISH AND SPANISH;
	905	+	UBLICIZE, CONDUCT, AND REPORT OUTCOMES OF6
	906	+	STAKEHOLDER MEETINGS IN, AT A MINIMUM, ENGLISH AND SPANISH;7
1004	907		(c) I
1005		-	NCLUDE OPPORTUNITIES FOR PARTICIPATION IN THE
1006		-	STAKEHOLDER PROCESS OUTSIDE OF REGULAR WORK HOURS
1007		-	;
1008		-	(d) C
1009		-	ONDUCT A MINIMUM OF FIVE STAKEHOLDER MEETINGS AND
1010		-	CONDUCT ADDITIONAL MEETINGS FOCUSED ON HEARING INPUT FROM
1011		-	INDIVIDUAL CONSTITUENCIES LISTED IN SUBSECTION
1012		-	(2)(a) OF THIS SECTION.
1013		-	(e) T
1014		-	AKE INTO CONSIDERATION RESEARCH AND INFORMATION FROM
1015		-	REPORTS ISSUED BY THE MATERNAL MORTALITY REVIEW COMMITTEE
1016		-	, AS
1017		-	REQUIRED BY SECTION
1018		-	25-52-104 (6);
1019		-	(f) T
1020		-	AKE INTO CONSIDERATION DATA FROM THE HEALTH SURVEY FOR
1021		-	BIRTHING PARENTS TO INFORM STAKEHOLDER DECISION
1022		-	-MAKING; AND
1023		-	(g) CONSIDER INITIATIVES TO REDUCE DIAPER NEED, EXPAND ACCESS
1024		-	TO GROUP
1025		-	-BASED PRENATAL AND PEDIATRIC CARE MODELS , AND EXPAND
1026		-	HOME VISITATION PROGRAMS
1027		-	, INCLUDING VOLUNTARY NEWBORN NURSE
1028		-	VISITATION PROGRAMS THAT ARE UNIVERSALLY OFFERED TO ALL FAMILIES
1029		-	IN A GIVEN COMMUNITY AND PROVIDE AT LEAST ONE NURSE VISIT WITHIN
1030		-	THE FIRST THREE MONTHS OF LIFE
1031		-	.
1032		-	PAGE 22-HOUSE BILL 22-1289 (3) (a) THE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL
1033		-	APPROVALS TO OBTAIN FEDERAL FI NANCIAL PARTICIPATION IN
1034		-	IMPLEMENTING SUBSECTION
1035		-	(1) OF THIS SECTION.
1036		-	(b) T
1037		-	O THE EXTENT ALLOWABLE, THE DEPARTMENT SHALL MAXIMIZE
1038		-	FEDERAL FINANCIAL PARTICIPATION IN IMPLEMENTING THIS SECTION
1039		-	.
1040		-	SECTION 24. Appropriation. (1) For the 2022-23 state fiscal
1041		-	year, $730,573 is appropriated to the department of health care policy and
1042		-	financing. This appropriation is from the general fund. To implement this
1043		-	act, the department may use this appropriation as follows:
1044		-	(a) $258,733 for use by the executive director's office for personal
1045		-	services, which amount is based on an assumption that the office will
1046		-	require an additional 5.1 FTE;
1047		-	(b) $29,707 for use by the executive director's office for operating
1048		-	expenses;
1049		-	(c) $262,500 for general professional services and special projects;
1050		-	(d) $161,069 for medical and long-term care services for Medicaid
1051		-	eligible individuals, which amount is subject to the "(M)" notation as
1052		-	defined in the annual general appropriation act for the same fiscal year; and
1053		-	(e) $18,564 for children's basic health plan medical and dental costs.
1054		-	(2) For the 2022-23 state fiscal year, the general assembly
1055		-	anticipates that the department of health care policy and financing will
1056		-	receive $885,480 in federal funds. The appropriation in subsection (1) of
1057		-	this section is based on the assumption that the office will receive this
1058		-	amount of federal funds to be used as follows:
1059		-	(a) $181,587 for use by the executive director's office for personal
1060		-	services, which amount is subject to the "(I)" notation as defined in the
1061		-	annual general appropriation act for the same fiscal year;
1062		-	(b) $20,848 for use by the executive director's office for operating
1063		-	expenses, which amount is subject to the "(I)" notation as defined in the
1064		-	annual general appropriation act for the same fiscal year;
1065		-	PAGE 23-HOUSE BILL 22-1289 (c) $487,500 for general professional services and special projects,
1066		-	which amount is subject to the "(I)" notation as defined in the annual
1067		-	general appropriation act for the same fiscal year;
1068		-	(d) $161,069 for medical and long-term care services for Medicaid
1069		-	eligible individuals; and
1070		-	(e) $34,476 for children's basic health plan medical and dental costs.
1071		-	(3) For the 2022-23 state fiscal year, $423,626 is appropriated to the
1072		-	department of public health and environment for use by the center for health
1073		-	and environmental information. This appropriation is from the general fund
1074		-	and is based on an assumption that the center will require an additional 2.5
1075		-	FTE. To implement this act, the center may use this appropriation for health
1076		-	statistics and vital records for health surveys.
1077		-	SECTION 25. Appropriation - adjustments to 2022 long bill.
1078		-	(1) To implement this act, appropriations made in the annual general
1079		-	appropriation act for the 2022-23 state fiscal year to the department of
1080		-	health care policy and financing are adjusted as follows:
1081		-	(a) The cash funds appropriation from the children's basic health
1082		-	plan trust created in section 25.5-8-105 (1), C.R.S., for children's basic
1083		-	health plan medical and dental costs is decreased by $340,727, which is
1084		-	subject to the "(H)" notation as defined in the annual general appropriation
1085		-	act for the same fiscal year; and
1086		-	(b) The cash funds appropriation from the healthcare affordability
1087		-	and sustainability fee cash fund created in section 25.5-4-402.4 (5)(a),
1088		-	C.R.S., for children's basic health plan medical and dental costs is decreased
1089		-	by $564,678, which is subject to the "(H)" notation as defined in the annual
1090		-	general appropriation act for the same fiscal year.
1091		-	(2) For the 2022-23 state fiscal year, $144,229 is appropriated to the
1092		-	department of health care policy and financing. This appropriation is from
1093		-	the general fund. To implement this act, the department may use this
1094		-	appropriation for children's basic health plan medical and dental costs.
1095		-	(3) For the 2022-23 state fiscal year, the general assembly
1096		-	anticipates that the department of health care policy and financing will
1097		-	PAGE 24-HOUSE BILL 22-1289 receive $761,176 in federal funds for children's basic health plan medical
1098		-	and dental costs to implement this act. The appropriations in subsections (1)
1099		-	and (2) of this section are based on the assumption that the department will
1100		-	receive this amount of federal funds.
1101		-	SECTION 26. Safety clause. The general assembly hereby finds,
1102		-	determines, and declares that this act is necessary for the immediate
1103		-	preservation of the public peace, health, or safety.
1104		-	____________________________ ____________________________
1105		-	Alec Garnett Steve Fenberg
1106		-	SPEAKER OF THE HOUSE PRESIDENT OF
1107		-	OF REPRESENTATIVES THE SENATE
1108		-	____________________________ ____________________________
1109		-	Robin Jones Cindi L. Markwell
1110		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
1111		-	OF REPRESENTATIVES THE SENATE
1112		-	APPROVED________________________________________
1113		-	(Date and Time)
1114		-	_________________________________________
1115		-	Jared S. Polis
1116		-	GOVERNOR OF THE STATE OF COLORADO
1117		-	PAGE 25-HOUSE BILL 22-1289
	908	+	NCLUDE OPPORTUNITIES FOR PARTICIPATION IN THE8
	909	+	STAKEHOLDER PROCESS OUTSIDE OF REGULAR WORK HOURS ;9
	910	+	(d) CONDUCT A MINIMUM OF FIVE STAKEHOLDER MEETINGS AND10
	911	+	CONDUCT ADDITIONAL MEETINGS FOCUSED ON HEARING INPUT FROM11
	912	+	INDIVIDUAL CONSTITUENCIES LISTED IN SUBSECTION (2)(a) OF THIS12
	913	+	SECTION.13
	914	+	(e) TAKE INTO CONSIDERATION RESEARCH AND INFORMATION14
	915	+	FROM REPORTS ISSUED BY THE MATERNAL MORTALITY REVIEW15
	916	+	COMMITTEE, AS REQUIRED BY SECTION 25-52-104 (6);16
	917	+	(f) TAKE INTO CONSIDERATION DATA FROM THE HEALTH SURVEY17
	918	+	FOR BIRTHING PARENTS TO INFORM STAKEHOLDER DECISION -MAKING; AND18
	919	+	(g) CONSIDER INITIATIVES TO REDUCE DIAPER NEED , EXPAND19
	920	+	ACCESS TO GROUP-BASED PRENATAL AND PEDIATRIC CARE MODELS , AND20
	921	+	EXPAND HOME VISITATION PROGRAMS , INCLUDING VOLUNTARY NEWBORN21
	922	+	NURSE VISITATION PROGRAMS THAT ARE UNIVERSALLY OFFERED TO ALL22
	923	+	FAMILIES IN A GIVEN COMMUNITY AND PROVIDE AT LEAST ONE NURSE VISIT23
	924	+	WITHIN THE FIRST THREE MONTHS OF LIFE.24
	925	+	(3) (a) T
	926	+	HE DEPARTMENT SHALL SEEK ANY NECESSARY FEDERAL25
	927	+	APPROVALS TO OBTAIN FEDERAL FINANCIAL PARTICIPATION IN26
	928	+	IMPLEMENTING SUBSECTION (1) OF THIS SECTION.27
	929	+	1289
	930	+	-29- (b) TO THE EXTENT ALLOWABLE , THE DEPARTMENT SHALL1
	931	+	MAXIMIZE FEDERAL FINANCIAL PARTICIPATION IN IMPLEMENTING THIS2
	932	+	SECTION.3
	933	+	SECTION 24. Appropriation. (1) For the 2022-23 state fiscal4
	934	+	year, $730,573 is appropriated to the department of health care policy and5
	935	+	financing. This appropriation is from the general fund. To implement this6
	936	+	act, the department may use this appropriation as follows:7
	937	+	(a) $258,733 for use by the executive director's office for personal8
	938	+	services, which amount is based on an assumption that the office will9
	939	+	require an additional 5.1 FTE;10
	940	+	(b) $29,707 for use by the executive director's office for operating11
	941	+	expenses;12
	942	+	(c) $262,500 for general professional services and special13
	943	+	projects;14
	944	+	(d) $161,069 for medical and long-term care services for15
	945	+	Medicaid eligible individuals, which amount is subject to the "(M)"16
	946	+	notation as defined in the annual general appropriation act for the same17
	947	+	fiscal year; and18
	948	+	(e) $18,564 for children's basic health plan medical and dental19
	949	+	costs.20
	950	+	(2) For the 2022-23 state fiscal year, the general assembly21
	951	+	anticipates that the department of health care policy and financing will22
	952	+	receive $885,480 in federal funds. The appropriation in subsection (1) of23
	953	+	this section is based on the assumption that the office will receive this24
	954	+	amount of federal funds to be used as follows:25
	955	+	(a) $181,587 for use by the executive director's office for personal26
	956	+	services, which amount is subject to the "(I)" notation as defined in the27
	957	+	1289
	958	+	-30- annual general appropriation act for the same fiscal year;1
	959	+	(b) $20,848 for use by the executive director's office for operating2
	960	+	expenses, which amount is subject to the "(I)" notation as defined in the3
	961	+	annual general appropriation act for the same fiscal year;4
	962	+	(c) $487,500 for general professional services and special5
	963	+	projects, which amount is subject to the "(I)" notation as defined in the6
	964	+	annual general appropriation act for the same fiscal year;7
	965	+	(d) $161,069 for medical and long-term care services for8
	966	+	Medicaid eligible individuals; and9
	967	+	(e) $34,476 for children's basic health plan medical and dental10
	968	+	costs.11
	969	+	(3) For the 2022-23 state fiscal year, $423,626 is appropriated to12
	970	+	the department of public health and environment for use by the center for13
	971	+	health and environmental information. This appropriation is from the14
	972	+	general fund and is based on an assumption that the center will require an15
	973	+	additional 2.5 FTE. To implement this act, the center may use this16
	974	+	appropriation for health statistics and vital records for health surveys.17
	975	+	SECTION 25. Appropriation - adjustments to 2022 long bill.18
	976	+	(1) To implement this act, appropriations made in the annual general19
	977	+	appropriation act for the 2022-23 state fiscal year to the department of20
	978	+	health care policy and financing are adjusted as follows:21
	979	+	(a) The cash funds appropriation from the children's basic health22
	980	+	plan trust created in section 25.5-8-105 (1), C.R.S., for children's basic23
	981	+	health plan medical and dental costs is decreased by $340,727, which is24
	982	+	subject to the "(H)" notation as defined in the annual general25
	983	+	appropriation act for the same fiscal year; and26
	984	+	(b) The cash funds appropriation from the healthcare affordability27
	985	+	1289
	986	+	-31- and sustainability fee cash fund created in section 25.5-4-402.4 (5)(a),1
	987	+	C.R.S., for children's basic health plan medical and dental costs is2
	988	+	decreased by $564,678, which is subject to the "(H)" notation as defined3
	989	+	in the annual general appropriation act for the same fiscal year.4
	990	+	(2) For the 2022-23 state fiscal year, $144,229 is appropriated to5
	991	+	the department of health care policy and financing. This appropriation is6
	992	+	from the general fund. To implement this act, the department may use this7
	993	+	appropriation for children's basic health plan medical and dental costs.8
	994	+	(3) For the 2022-23 state fiscal year, the general assembly9
	995	+	anticipates that the department of health care policy and financing will10
	996	+	receive $761,176 in federal funds for children's basic health plan medical11
	997	+	and dental costs to implement this act. The appropriations in subsections12
	998	+	(1) and (2) of this section are based on the assumption that the department13
	999	+	will receive this amount of federal funds.14
	1000	+	SECTION 26. Safety clause. The general assembly hereby finds,15
	1001	+	determines, and declares that this act is necessary for the immediate16
	1002	+	preservation of the public peace, health, or safety.17
	1003	+	1289
	1004	+	-32-