Second Regular Session
Seventy-third General Assembly
STATE OF COLORADO
REREVISED
This Version Includes All Amendments
Adopted in the Second House
LLS NO. 22-0815.01 Shelby Ross x4510
HOUSE BILL 22-1302
House Committees Senate Committees
Public & Behavioral Health & Human Services Health & Human Services
Appropriations Appropriations
A BILL FOR AN ACT
C
ONCERNING HEALTH-CARE PRACTICE TRANSFORMATION TO SUPPORT101
WHOLE-PERSON HEALTH THROUGH INTEGRATED CARE MODELS ,102
AND, IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .103
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov/
.)
The bill creates the primary care and behavioral health statewide
integration grant program in the department of health care policy and
financing to provide grants to primary care clinics for implementation of
evidence-based clinical integration care models.
The bill requires the department of health care policy and
SENATE
3rd Reading Unamended
May 9, 2022
SENATE
Amended 2nd Reading
May 6, 2022
HOUSE
3rd Reading Unamended
April 11, 2022
HOUSE
Amended 2nd Reading
April 8, 2022
HOUSE SPONSORSHIP
Kennedy and Will, Amabile, Gonzales-Gutierrez, Michaelson Jenet, Bernett, Bird,
Boesenecker, Cutter, Duran, Esgar, Exum, Gray, Herod, Hooton, Lindsay, Lontine,
McCluskie, McCormick, Sirota, Titone, Weissman
SENATE SPONSORSHIP
Jaquez Lewis and Priola, Buckner, Hinrichsen, Kolker, Lee, Moreno, Pettersen, Winter
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing statute.
Dashes through the words indicate deletions from existing statute. financing, in collaboration with the behavioral health administration and
other agencies, to develop a universal contract for behavioral health
services.
The bill makes an appropriation.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. Legislative declaration. (1) The general assembly2
finds and declares that:3
(a) Since the COVID-19 pandemic began, rates of psychological4
distress, including anxiety, depression, and other behavioral and mental5
health disorders, among them substance use disorders, have increased;6
(b) From 2015 to 2019, Colorado's state innovation model used7
federal grant funding to support 344 primary care practices and four8
community mental health centers to integrate behavioral and physical9
health care, build a network of regional health connectors that links10
practices with community resources, and advance the development of11
value-based payment structures;12
(c) A federal evaluation showed that Colorado's practice13
transformation program was associated with greater access to behavioral14
health care and fewer behavioral-health-related emergency visits;15
(d) Efforts to continue the progress of the state innovation model16
have continued, but too few Coloradans have access to behavioral health17
services, and even fewer have access to these services in their primary18
care provider's office;19
(e) The federal government enacted the "American Rescue Plan20
Act of 2021" (ARPA), Pub.L. 117-2, to provide support to state, local,21
and tribal governments in responding to the impact of the COVID-1922
pandemic; and23
1302-2- (f) Regulations construing ARPA promulgated by the federal1
department of treasury identify a nonexclusive list of uses for the2
COVID-19 pandemic and its negative public health impacts.3
(2) Therefore, the general assembly declares that:4
(a) Investments in practice transformation, including behavioral5
health integration, will increase access to behavioral health-care services6
for Coloradans struggling due to the public health emergency; and7
(b) The programs and services funded by the federal money in this8
act are important government services and appropriate uses of the money9
transferred to Colorado under ARPA.10
SECTION 2. In Colorado Revised Statutes, add 25.5-5-332 as11
follows:12
25.5-5-332. Primary care and behavioral health statewide13
integration grant program - creation - report - definition - repeal.14
(1) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE15
REQUIRES, "GRANT PROGRAM " MEANS THE PRIMARY CARE AND16
BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT PROGRAM17
CREATED IN SUBSECTION (2) OF THIS SECTION.18
(2) T
HERE IS CREATED IN THE STATE DEPARTMENT THE PRIMARY19
CARE AND BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT20
PROGRAM TO PROVIDE GRANTS TO PHYSICAL AND BEHAVIORAL HEALTH21
CARE PROVIDERS FOR IMPLEMENTATION OF EVIDENCE -BASED CLINICAL22
INTEGRATION CARE MODELS, AS DEFINED BY THE STATE DEPARTMENT , IN23
COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE24
DEPARTMENT OF HUMAN SERVICES .25
(3) (a) G
RANT RECIPIENTS MAY USE THE MONEY RECEIVED26
THROUGH THE GRANT PROGRAM FOR THE FOLLOWING PURPOSES :27
1302
-3- (I) DEVELOPING INFRASTRUCTURE FOR PRIMARY CARE , PEDIATRIC,1
AND BEHAVIORAL HEALTH -CARE PROVIDERS TO BETTER SERVE2
INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS IN OUTPATIENT HEALTH3
CARE SETTINGS;4
(II) I
NCREASING ACCESS TO QUALITY HEALTH CARE FOR5
INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS ;6
(III) I
NVESTING IN EARLY INTERVENTIONS FOR CHILDREN , YOUTH,7
AND ADULTS THAT REDUCE ESCALATION AND EXACERBATION OF8
BEHAVIORAL HEALTH CONDITIONS ;9
(IV) A
DDRESSING THE NEED TO EXPAND THE BEHAVIORAL10
HEALTH-CARE WORKFORCE;
11
(V) D
EVELOPING AND IMPLEMENTING ALTERNATIVE PAYMENT12MODELS, INCLUDING THE DEVELOPMENT OF PROTOCOLS , PROCESSES, WORK13
FLOW, AND PARTNERSHIPS; AND14
(VI) T
RAINING PRIMARY CARE PROVIDERS IN TRAUMA -INFORMED
15
CARE, ADVERSE CHILDHOOD EXPERIENCES , AND TRAUMA RECOVERY .16
(b) A
NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST17
SUPPLEMENT AND NOT SUPPLANT EXISTING HEALTH -CARE SERVICES.18
G
RANT RECIPIENTS SHALL NOT USE MONEY RECEIVED THROUGH THE19
GRANT PROGRAM FOR:20
(I) O
NGOING OR EXISTING EXECUTIVE AND SENIOR STAFF21
SALARIES;22
(II) S
ERVICES ALREADY COVERED BY MEDICAID OR A CLIENT 'S23
INSURANCE; OR24
(III) O
NGOING OR EXISTING ELECTRONIC HEALTH RECORDS COSTS .25
(c) (I)
(A) IF A GRANT RECIPIENT IS A HOSPITAL -OWNED OR26
HOSPITAL-AFFILIATED PRACTICE THAT IS NOT PART OF A HOSPITAL SYSTEM27
1302
-4- AND HAS LESS THAN TEN PERCENT TOTAL PROFIT AS MEASURED BY STATE1
DEPARTMENT TRANSPARENCY REPORTING , THE GRANT RECIPIENT SHALL2
PROVIDE A TWENTY-FIVE PERCENT MATCH FOR THE AWARDED AMOUNT .3
T
HE GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS , IN-KIND4
PERSONNEL TIME, OR FEDERAL RELIEF FUNDING FOR THE TWENTY -FIVE5
PERCENT MATCH REQUIRED PURSUANT TO THIS SUBSECTION
(3)(c)(I)(A).6
(B) IF A GRANT RECIPIENT IS A HOSPITAL -OWNED OR7
HOSPITAL-AFFILIATED PRACTICE THAT IS PART OF A HOSPITAL SYSTEM8
OR HAS TEN PERCENT OR MORE TOTAL PROFIT AS MEASURED BY STATE9
DEPARTMENT TRANSPARENCY REPORTING , THE GRANT RECIPIENT SHALL10
PROVIDE A FIFTY PERCENT MATCH FOR THE AWARDED AMOUNT . THE11
GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS , IN-KIND12
PERSONNEL TIME, OR FEDERAL RELIEF FUNDING FOR THE FIFTY PERCENT13
MATCH REQUIRED PURSUANT TO THIS SUBSECTION (3)(c)(I)(B).14
(C) IF A GRANT RECIPIENT IS A CRITICAL ACCESS HOSPITAL , AS15
DEFINED IN SECTION 10-16-1303 (2), THE GRANT RECIPIENT SHALL16
PROVIDE A TEN PERCENT MATCH FOR THE AWARDED AMOUNT. THE GRANT17
RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS, IN-KIND PERSONNEL18
TIME, OR FEDERAL RELIEF FUNDING FOR THE TEN PERCENT MATCH19
REQUIRED PURSUANT TO THIS SUBSECTION (3)(c)(I)(C).20
(II) FOR THE PURPOSES OF THIS SUBSECTION (3)(c),21
"HOSPITAL-AFFILIATED" MEANS THERE IS A CONTRACTUAL RELATIONSHIP22
BETWEEN A HOSPITAL OR AN ENTITY THAT IS OWNED BY OR UNDER23
COMMON OWNERSHIP AND CONTROL WITH THE HOSPITAL IN WHICH THE24
CONTRACTUAL RELATIONSHIP ENABLES THE HOSPITAL OR ENTITY THAT IS25
OWNED BY OR UNDER COMMON OWNERSHIP AND CONTROL WITH THE26
HOSPITAL TO EXERCISE CONTROL OVER ONE OF THE FOLLOWING ENTITIES:27
1302
-5- (A) ANOTHER HOSPITAL;1
(B) AN ENTITY OWNED BY OR UNDER COMMON OWNERSHIP AND2
CONTROL WITH ANOTHER HOSPITAL ; OR3
(C) A PHYSICIAN GROUP PRACTICE.4
(d) T
HE STATE DEPARTMENT MAY PROVIDE FUNDING TO PHYSICAL5
AND BEHAVIORAL HEALTH-CARE PROVIDERS THROUGH INFRASTRUCTURE6
BUILDING AND POPULATION-BASED PAYMENT MECHANISMS .7
(e) G
RANT RECIPIENTS SHALL PARTICIPATE IN TECHNICAL8
ASSISTANCE EDUCATION AND TRAINING AND RELATED WORKGROUPS AS9
DETERMINED BY THE STATE DEPARTMENT .10
(4) (a) T
HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT11
PROGRAM AND, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD12
GRANTS AS PROVIDED IN THIS SECTION . SUBJECT TO AVAILABLE13
APPROPRIATIONS, GRANTS SHALL BE PAID OUT OF THE BEHAVIORAL AND14
MENTAL HEALTH CASH FUND CREATED IN SECTION 24-75-230.15
(b) I
N ORDER TO SUPPORT REAL -TIME TRANSFORMATION AND16
ACCESS TO CARE, THE STATE DEPARTMENT SHALL ENSURE TIMELY17
PAYMENT TO GRANT RECIPIENTS FOR SERVICES RELATED TO THE GRANT18
PROGRAM.19
(5) G
RANT APPLICANTS SHALL DEMONSTRATE A COMMITMENT TO20
MAINTAINING MODELS AND PROGRAMS THAT , AT A MINIMUM:21
(a) M
EASURABLY INCREASE ACCESS TO BEHAVIORAL HEALTH22
SCREENING, REFERRAL, TREATMENT, AND RECOVERY CARE;23
(b) I
MPLEMENT OR EXPAND EVIDENCE -BASED MODELS FOR24
INTEGRATION THAT IMPROVE PATIENT HEALTH AS EVIDENCED BY
25
RELEVANT AND MEANINGFUL OUTCOMES MEASURES , INCLUDING26
PATIENT-REPORTED OUTCOMES;27
1302
-6- (c) LEVERAGE MULTIDISCIPLINARY TREATMENT TEAMS ;1
(d) S
ERVE PUBLICLY FUNDED CLIENTS;2
(e) M
AINTAIN A PLAN FOR HOW TO ADDRESS A CLIENT WITH3
EMERGENCY NEEDS;4
(f) M
AINTAIN A PLAN FOR HOW TECHNOLOGY WILL BE LEVERAGED5
FOR WHOLE-PERSON CARE, WHICH MAY INCLUDE PLANS FOR DATA6
SECURITY, ELECTRONIC HEALTH RECORDS REFORMS , C ARE MANAGEMENT
7
PLATFORMS, AND TELEHEALTH IMPLEMENTATION OR EXPANSION ; AND8
(g) I
MPLEMENT OR ENGAGE IN STATE -DEPARTMENT-SPECIFIED9
TOOLS AND SHARED LEARNING AND RESOURCES , INCLUDING BUT NOT10
LIMITED TO:11
(I) P
EER LEARNING COLLABORATIVES TO DEVELOP SUSTAINABLE12
POPULATION-BASED PAYMENT MODELS LED BY THE STATE DEPARTMENT ;13
(II) U
SE OF ELECTRONIC TOOLS FOR SCREENING ,
14
MEASUREMENT-BASED CARE MANAGEMENT , AND REFERRALS; AND15
(III) D
ATA-SHARING BEST PRACTICES.16
(6) I
N SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT17
SHALL
FIRST PRIORITIZE APPLICANTS THAT SERVE PRIORITY POPULATIONS18
THAT EXPERIENCE DISPARITIES IN HEALTH-CARE ACCESS AND OUTCOMES,19
INCLUDING BUT NOT LIMITED TO HISTORICALLY MARGINALIZED AND20
UNDERSERVED COMMUNITIES , DETERMINED BY THE COMMUNITIES WITH21
THE HIGHEST PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH22
THE "COLORADO MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF23
TITLE 25.5. THE STATE DEPARTMENT SHALL THEN PRIORITIZE APPLICANTS24
THAT MEET AS MANY OF THE FOLLOWING CRITERIA AS POSSIBLE :25
(a) S
ERVE INDIVIDUALS WITH CO-OCCURRING AND COMPLEX CARE26 NEEDS, SERIOUS MENTAL ILLNESSES, OR DISABILITIES;27
1302
-7- (b) SERVE CHILDREN AND YOUTH;1
(c) I
NCLUDE OPPORTUNITIES TO BUILD OUT COMMUNITY HEALTH2
WORKER, BEHAVIORAL HEALTH AIDE, OR SIMILAR PROGRAMS, SUPPORTED3
BY POPULATION-BASED PAYMENTS;4 (d) SERVE PREGNANT AND POSTPARTUM PEOPLE ;5
(e) THE PRACTICE IS CONSIDERED A SMALL AND INDEPENDENT6
PRACTICE;7
(f) DEMONSTRATE THE ABILITY AND INTENT TO SERVE8
CULTURALLY DIVERSE POPULATIONS AND POPULATIONS WITH LIMITED9
ENGLISH PROFICIENCY;10
(g) INCLUDE WORKFORCE CAPACITY -BUILDING COMPONENTS;11
(h) INCLUDE HIGH-INTENSITY OUTPATIENT SERVICES;12
(i) IMPROVE DATA EXCHANGE AND DATA INTEGRATION THAT13
SUPPORTS WHOLE-PERSON CARE;14
(j) UTILIZE TELEHEALTH;15
(k) ALIGN WITH OR PARTICIPATE IN COMMERCIAL ALTERNATIVE16
PAYMENT MODELS;17
(l) DEMONSTRATE COMMUNITY PARTNERSHIPS ; OR18
(m) PARTICIPATE IN THE REGIONAL HEALTH CONNECTOR19
WORKFORCE PROGRAM CREATED IN SECTION 23-21-901.20
(7) (a) T
HE STATE DEPARTMENT SHALL ESTABLISH A SET OF21
STATEWIDE RESOURCES TO SUPPORT GRANT RECIPIENTS . AT A MINIMUM,22
THE RESOURCES MUST INCLUDE :23 (I) A CLINICAL CONSULTATION AND PRACTICE TRANSFORMATION24
SUPPORT TEAM PROVIDED BY THE COLORADO HEALTH EXTENSION SYSTEM25
IN THE PRACTICE INNOVATION PROGRAM ; AND26
(II) A
SUSTAINABLE BILLING AND DATA PARTNERSHIP TEAM THAT27
1302
-8- WILL TRAIN AND SUPPORT GRANT RECIPIENTS IN MEETING STANDARDS AND1
CORE COMPETENCIES FOR ALTERNATIVE PAYMENT MODELS ,2
TRANSFORMING THE PRIMARY CARE PROVIDERS ' PAYMENT SYSTEMS TO3
FOCUS ON INTEGRATIVE, WHOLE-PERSON CARE, AND CREATING AND4
IMPLEMENTING DATA-SHARING PRACTICES AND POLICIES THAT SUPPORT5
MENTAL HEALTH DISORDERS , SUBSTANCE USE DISORDERS , AND6
CO-OCCURRING DISORDERS.7
(b) T
HE STATE DEPARTMENT MAY ENTER INTO INTERAGENCY8
AGREEMENTS OR PROCURE CONTRACTS TO ESTABLISH THE RESOURCES9
PURSUANT TO THIS SUBSECTION (7).10
(8) T
HE STATE DEPARTMENT MAY PROCURE A GRANT APPLICATION11
AND SUPPORT TEAM TO ASSIST THE STATE DEPARTMENT WITH DRAFTING12
THE GRANT APPLICATION, REVIEWING APPLICATIONS, AND ADMINISTERING13
AND PROCESSING GRANT AWARDS .14
(9) A
GRANT RECIPIENT SHALL SPEND OR OBLIGATE ANY MONEY15
RECEIVED PURSUANT TO THIS SECTION NO LATER THAN
DECEMBER 30,16
2024.
ANY MONEY A GRANT RECIPIENT OBLIGATES MUST BE EXPENDED NO17
LATER THAN
DECEMBER 30, 2026.18
(10) (a) T
HE STATE DEPARTMENT SHALL ESTABLISH A STEERING19
COMMITTEE TO:20
(I) P
ROVIDE CONTINUOUS INPUT INTO GRANT APPLICATION21
REQUIREMENTS;22
(II) P
ROVIDE FEEDBACK AND DIRECTION ON DATA COLLECTION23
STANDARDS AND REVIEW ; AND24
(III) E
NGAGE WITH COMMUNITY PARTNERS WHO WILL HELP25
SUPPORT THE INTEGRATED CARE PRACTICES THROUGH REFERRALS AND26
TRUSTED COMMUNICATIONS .27
1302
-9- (b) THE STATE DEPARTMENT SHALL SELECT A STATE DEPARTMENT1
EMPLOYEE TO CHAIR THE STEERING COMMITTEE , STAFF THE STEERING2
COMMITTEE, AND REIMBURSE ANY PARTICIPANT WHO IS NOT A STATE3
EMPLOYEE FOR REASONABLE TRAVEL EXPENSES .4
(11) T
HE STATE DEPARTMENT SHALL , IN COLLABORATION WITH5
THE BEHAVIORAL HEALTH ADMINISTRATION AND THE DIVISION OF6
INSURANCE, PREPARE A REPORT THAT INCLUDES RECOMMENDATIONS ON7
BEST PRACTICES FOR SUSTAINING INTEGRATED CARE MODELS . IN8
PREPARING THE REPORT, THE STATE DEPARTMENT SHALL COLLECT DATA9
FROM EACH GRANT RECIPIENT RELATED TO CLINICAL QUALITY10
IMPROVEMENT AND ACCESS TO CARE . GRANT RECIPIENTS SHALL PROVIDE11
DATA TO THE STATE DEPARTMENT IN A TIMELY MANNER , AS DETERMINED12
BY THE STATE DEPARTMENT. THE STATE DEPARTMENT IS AUTHORIZED TO13
RECOUP OR DISCONTINUE GRANT FUNDING FOR GRANT RECIPIENTS THAT14
DO NOT COMPLY WITH THE DATA REPORTING REQUIREMENTS OR GRANT15
STANDARDS SET BY THE STATE DEPARTMENT .16
(12) T
HE STATE DEPARTMENT AND ANY PERSON WHO RECEIVES17
MONEY FROM THE STATE DEPARTMENT PURSUANT TO THIS SECTION SHALL18
COMPLY WITH THE COMPLIANCE , REPORTING, RECORD-KEEPING, AND19
PROGRAM EVALUATION REQUIREMENTS ESTABLISHED BY THE OFFICE OF20
STATE PLANNING AND BUDGETING AND THE STATE CONTROLLER IN21
ACCORDANCE WITH SECTION 24-75-226 (5).22
(13) T
HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.23
SECTION 3. In Colorado Revised Statutes, 25.5-5-402, add (3.5)24
as follows:25
25.5-5-402. Statewide managed care system - rules - definition26
- repeal. (3.5) (a) N
O LATER THAN JULY 1, 2023, THE STATE27
1302
-10- DEPARTMENT, IN COLLABORATION WITH THE BEHAVIORAL HEALTH1
ADMINISTRATION IN THE DEPARTMENT OF HUMAN SERVICES AND OTHER2
STATE AGENCIES, SHALL DEVELOP THE UNIVERSAL CONTRACT AS3
DESCRIBED IN SECTION 27-50-203.4
(b) (I) F
OR THE 2022-23 STATE FISCAL YEAR, THE GENERAL5
ASSEMBLY SHALL APPROPRIATE THREE MILLION DOLLARS FROM THE6
BEHAVIORAL AND MENTAL HEALTH CASH FUND , CREATED IN SECTION7
24-75-230,
TO THE STATE DEPARTMENT FOR THE DEVELOPMENT ,8
IMPLEMENTATION, AND ADMINISTRATION OF THE UNIVERSAL CONTRACT .9
(II) T
HIS SUBSECTION (3.5)(b) IS REPEALED, EFFECTIVE JULY 1,10
2024.11
SECTION 4. In Colorado Revised Statutes, add 25.5-6-115 as
12
follows:13
25.5-6-115. Community placement transformation - creation14
- report - repeal. (1) T
HE STATE DEPARTMENT SHALL UNDERTAKE
15
EFFORTS TO TRANSFORM THE STATE DEPARTMENT 'S PROCESS FOR CLIENTS16
ATTEMPTING TO RECEIVE LONG-TERM CARE IN THE COMMUNITY .17
(2) I
N ORDER TO AFFIRM COLORADO'S COMMITMENT TO THE
18
U
NITED STATES SUPREME COURT'S DECISION IN OLMSTEAD V. L.C., 527
19
U.S.
581 (1999), AND TO THE FEDERAL "AMERICANS WITH DISABILITIES
20
A
CT OF 1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED, AND RESPOND
21
TO THE UNITED STATES DEPARTMENT OF JUSTICE'S LETTER OF FINDINGS,22
DATED MARCH 3, 2022, CONCERNING THE INVESTIGATION OF COLORADO'S23
USE OF NURSING FACILITIES TO SERVE ADULTS WITH PHYSICAL24
DISABILITIES, THE GENERAL ASSEMBLY SHALL APPROPRIATE MONEY TO25
THE STATE DEPARTMENT IN ORDER TO ADVANCE COMMUNITY PLACEMENT26
AND INTEGRATION FOR INDIVIDUALS WITH DISABILITIES .27
1302
-11- (3) NO LATER THAN JANUARY 2023, AND JANUARY 2024, THE1
STATE DEPARTMENT SHALL REPORT TO THE JOINT BUDGET COMMITTEE ,2
THE HOUSE OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND3
HUMAN SERVICES COMMITTEE , AND THE SENATE HEALTH AND HUMAN4
SERVICES COMMITTEE, OR THEIR SUCCESSOR COMMITTEES, AS PART OF ITS5
"S
TATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND
6
T
RANSPARENT (SMART) GOVERNMENT ACT" HEARING REQUIRED BY
7
SECTION 2-7-203. AT A MINIMUM, THE REPORT MUST INCLUDE AN8
ANALYSIS AND RECOMMENDATIONS ON THE FOLLOWING :9
(a) T
HE STATE DEPARTMENT'S WORK AND STRATEGIC PLANNING
10
REGARDING FULFILLING COLORADO'S COMMITMENT TO THE OLMSTEAD11
DECISION TO ENSURE COMMUNITY LIVING ;12
(b) P
ROGRAMMATIC DECISIONS, ANALYSIS, AND POLICY CHANGES
13
IN ACCORDANCE WITH THE FEDERAL "AMERICANS WITH DISABILITIES ACT14
OF 1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED; AND15
(c) I
NFORMATION REGARDING THE STATE DEPARTMENT 'S
16
COORDINATION, PROGRAMMATIC OR MEDICAID BENEFIT CHANGES ,17
IMPLEMENTATION OF QUALITY OVERSIGHT STRATEGIES , AND METRICS18
AROUND COMMUNITY INTEGRATION .19
(4) T
HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2025.
20
SECTION 5. Appropriation. (1) For the 2022-23 state fiscal21
year, $616,968 is appropriated to the department of health care policy and22
financing for use by the executive director's office. This appropriation is23
from the general fund. To implement this act, the office may use this24
appropriation as follows:25
(a) $440,226 for personal services, which amount is based on an26
assumption that the office will require an additional 12.0 FTE;27
1302
-12- (b) $5,882 for operating expenses;1
(c) $40,860 for leased space;2
(d) $80,000 for general professional services and special projects;3
and4
(e) $50,000 for Medicaid management information system5
maintenance and projects.6
(2) For the 2022-23 state fiscal year, the general assembly7
anticipates that the department of health care policy and financing will8
receive $986,948 in federal funds to implement this act, which amount is9
subject to the "(I)" notation as defined in the annual general appropriation10
act for the same fiscal year. The appropriation in subsection (1) of this11
section is based on the assumption that the department will receive this12
amount of federal funds to be used as follows:13
(a) $413,090 for personal services;14
(b) $5,518 for operating expenses;15
(c) $38,340 for leased space;16
(d) $80,000 for general professional services and special projects;17
and18
(e) $450,000 for Medicaid management information system19
maintenance and projects.20
SECTION 6. Appropriation. (1) For the 2022-23 state fiscal21
year, $31,750,000 is appropriated to the department of health care policy22
and financing for use by other medical services. This appropriation is23
from the behavioral and mental health cash fund created in section24
24-75-230 (2)(a), C.R.S., is of money the state received from the federal25
coronavirus state fiscal recovery fund, and is based on an assumption that26
the division will require an additional 2.3 FTE. To implement this act, the27
1302
-13- division may use this appropriation for the primary care and behavioral1
health statewide integration grant program. Any money appropriated in2
this section not expended prior to July 1, 2023, is further appropriated to3
the division from July 1, 2023, through December 30, 2024, for the same4
purpose.5
(2) For the 2022-23 state fiscal year, $3,000,000 is appropriated to6
the department of health care policy and financing for use by the7
executive director's office, general administration. This appropriation is8
from the behavioral and mental health cash fund created in section9
24-75-230 (2)(a), C.R.S., and is of money the state received from the10
federal coronavirus state fiscal recovery fund. To implement this act, the11
division may use this appropriation for the universal contract for12
behavioral health services. Any money appropriated in this section not13
expended prior to July 1, 2023, is further appropriated to the division14
from July 1, 2023, through December 30, 2024, for the same purpose.15
(3) For the 2022-23 fiscal year, $250,000 is appropriated to the16
department of higher education for use by the regents of the university of17
Colorado. This appropriation is from the behavioral and mental health18
cash fund created in section 24-75-230 (2)(a), C.R.S., and is of money the19
state received from the federal coronavirus state fiscal recovery fund. To20
implement this act, the regents may use this appropriation for allocation21
to the school of medicine for the regional health connector workforce22
program.23
SECTION 7. Effective date. This act takes effect upon passage;24
except that section 3 of this act takes effect only if House Bill 22-127825
becomes law, in which case section 3 takes effect either upon the26
effective date of this act or House Bill 22-1278, whichever is later, and27
1302
-14- sections 4 and 5 of this act take effect only if House Bill 22-14111
becomes law, in which case sections 4 and 5 take effect either upon the2
effective date of this act or House Bill 22-1411, whichever is later.3
SECTION 8. Safety clause. The general assembly hereby finds,4
determines, and declares that this act is necessary for the immediate5
preservation of the public peace, health, or safety.6
1302
-15-