HOUSE BILL 22-1302
BY REPRESENTATIVE(S) 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, Caraveo, Valdez A., Woodrow;
also SENATOR(S) Jaquez Lewis and Priola, Buckner, Hinrichsen, Kolker,
Lee, Moreno, Pettersen, Winter.
C
ONCERNING HEALTH -CARE PRACTICE TRANSFORMATION TO SUPPORT
WHOLE
-PERSON HEALTH THROUGH INTEGRATED CARE MODELS , AND,
IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. Legislative declaration. (1) The general assembly
finds and declares that:
(a) Since the COVID-19 pandemic began, rates of psychological
distress, including anxiety, depression, and other behavioral and mental
health disorders, among them substance use disorders, have increased;
(b) From 2015 to 2019, Colorado's state innovation model used
federal grant funding to support 344 primary care practices and four
NOTE: This bill has been prepared for the signatures of the appropriate legislative
officers and the Governor. To determine whether the Governor has signed the bill
or taken other action on it, please consult the legislative status sheet, the legislative
history, or the Session Laws.
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act. community mental health centers to integrate behavioral and physical health
care, build a network of regional health connectors that links practices with
community resources, and advance the development of value-based
payment structures;
(c) A federal evaluation showed that Colorado's practice
transformation program was associated with greater access to behavioral
health care and fewer behavioral-health-related emergency visits;
(d) Efforts to continue the progress of the state innovation model
have continued, but too few Coloradans have access to behavioral health
services, and even fewer have access to these services in their primary care
provider's office;
(e) The federal government enacted the "American Rescue Plan Act
of 2021" (ARPA), Pub.L. 117-2, to provide support to state, local, and tribal
governments in responding to the impact of the COVID-19 pandemic; and
(f) Regulations construing ARPA promulgated by the federal
department of treasury identify a nonexclusive list of uses for the
COVID-19 pandemic and its negative public health impacts.
(2) Therefore, the general assembly declares that:
(a) Investments in practice transformation, including behavioral
health integration, will increase access to behavioral health-care services for
Coloradans struggling due to the public health emergency; and
(b) The programs and services funded by the federal money in this
act are important government services and appropriate uses of the money
transferred to Colorado under ARPA.
SECTION 2. In Colorado Revised Statutes, add 25.5-5-333 as
follows:
25.5-5-333. Primary care and behavioral health statewide
integration grant program - creation - report - definition - repeal.
(1) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES ,
"
GRANT PROGRAM" MEANS THE PRIMARY CARE AND BEHAVIORAL HEALTH
STATEWIDE INTEGRATION GRANT PROGRAM CREATED IN SUBSECTION
(2) OF
PAGE 2-HOUSE BILL 22-1302 THIS SECTION.
(2) T
HERE IS CREATED IN THE STATE DEPARTMENT THE PRIMARY
CARE AND BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT PROGRAM
TO PROVIDE GRANTS TO PHYSICAL AND BEHAVIORAL HEALTH CARE
PROVIDERS FOR IMPLEMENTATION OF EVIDENCE
-BASED CLINICAL
INTEGRATION CARE MODELS
, AS DEFINED BY THE STATE DEPARTMENT , IN
COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE
DEPARTMENT OF HUMAN SERVICES
.
(3) (a) G
RANT RECIPIENTS MAY USE THE MONEY RECEIVED THROUGH
THE GRANT PROGRAM FOR THE FOLLOWING PURPOSES
:
(I) D
EVELOPING INFRASTRUCTURE FOR PRIMARY CARE , PEDIATRIC,
AND BEHAVIORAL HEALTH-CARE PROVIDERS TO BETTER SERVE INDIVIDUALS
WITH BEHAVIORAL HEALTH NEEDS IN OUTPATIENT HEALTH CARE SETTINGS
;
(II) I
NCREASING ACCESS TO QUALITY HEALTH CARE FOR INDIVI DUALS
WITH BEHAVIORAL HEALTH NEEDS
;
(III) I
NVESTING IN EARLY INTERVENTIONS FOR CHILDREN , YOUTH,
AND ADULTS THAT REDUCE ESCALATION AND EXACERBATION OF
BEHAVIORAL HEALTH CONDITIONS
;
(IV) A
DDRESSING THE NEED TO EXPAND THE BEHAVIORAL
HEALTH
-CARE WORKFORCE;
(V) D
EVELOPING AND IMPLEMENTING ALTERNATIVE PAYMENT
MODELS
, INCLUDING THE DEVELOPMENT OF PROTOCOLS , PROCESSES, WORK
FLOW
, AND PARTNERSHIPS; AND
(VI) TRAINING PRIMARY CARE PROVIDERS IN TRAUMA -INFORMED
CARE
, ADVERSE CHILDHOOD EXPERIENCES , AND TRAUMA RECOVERY .
(b) A
NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST
SUPPLEMENT AND NOT SUPPLANT EXISTING HEALTH
-CARE SERVICES. GRANT
RECIPIENTS SHALL NOT USE MONEY RECEIVED THROUGH THE GRANT
PROGRAM FOR
:
(I) O
NGOING OR EXISTING EXECUTIVE AND SENIOR STAFF SALARIES ;
PAGE 3-HOUSE BILL 22-1302 (II) SERVICES ALREADY COVERED BY MEDICAID OR A CLIENT 'S
INSURANCE
; OR
(III) ONGOING OR EXISTING ELECTRONIC HEALTH RECORDS COSTS .
(c) (I) (A) I
F A GRANT RECIPIENT IS A HOSPITAL -OWNED OR
HOSPITAL
-AFFILIATED PRACTICE THAT IS NOT PART OF A HOSPITAL SYSTEM
AND HAS LESS THAN TEN PERCENT TOTAL PROFIT AS MEASURED BY STATE
DEPARTMENT TRANSPARENCY REPORTING
, THE GRANT RECIPIENT SHALL
PROVIDE A TWENTY
-FIVE PERCENT MATCH FOR THE AWARDED AMOUNT . THE
GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS
, IN-KIND
PERSONNEL TIME
, OR FEDERAL RELIEF FUNDING FOR THE TWENTY -FIVE
PERCENT MATCH REQUIRED PURSUANT TO THIS SUBSECTION
(3)(c)(I)(A).
(B) I
F A GRANT RECIPIENT IS A HOSPITAL -OWNED OR
HOSPITAL
-AFFILIATED PRACTICE THAT IS PART OF A HOSPITAL SYSTEM OR
HAS TEN PERCENT OR MORE TOTAL PROFIT AS MEASURED BY STATE
DEPARTMENT TRANSPARENCY REPORTING
, THE GRANT RECIPIENT SHALL
PROVIDE A FIFTY PERCENT MATCH FOR THE AWARDED AMOUNT
. THE GRANT
RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS
, IN-KIND PERSONNEL TIME,
OR FEDERAL RELIEF FUNDING FOR THE FIFTY PERCENT MATCH REQUIRED
PURSUANT TO THIS SUBSECTION
(3)(c)(I)(B).
(C) I
F A GRANT RECIPIENT IS A CRITICAL ACCESS HOSPITAL , AS
DEFINED IN SECTION
10-16-1303 (2), THE GRANT RECIPIENT SHALL PROVIDE
A TEN PERCENT MATCH FOR THE AWARDED AMOUNT
. THE GRANT RECIPIENT
MAY USE COMMUNITY BENEFIT FUNDS
, IN-KIND PERSONNEL TIME, OR
FEDERAL RELIEF FUNDING FOR THE TEN PERCENT MATCH REQUIRED
PURSUANT TO THIS SUBSECTION
(3)(c)(I)(C).
(II) F
OR THE PURPOSES OF THIS SUBSECTION (3)(c),
"
HOSPITAL-AFFILIATED" MEANS THERE IS A CONTRACTUAL RELATIONSHIP
BETWEEN A HOSPITAL OR AN ENTITY THAT IS OWNED BY OR UNDER COMMON
OWNERSHIP AND CONTROL WITH THE HOSPITAL IN WHICH THE CONTRACTUAL
RELATIONSHIP ENABLES THE HOSPITAL OR ENTITY THAT IS OWNED BY OR
UNDER COMMON OWNERSHIP AND CONTROL WITH THE HOSPITAL TO
EXERCISE CONTROL OVER ONE OF THE FOLLOWING ENTITIES
:
(A) A
NOTHER HOSPITAL;
PAGE 4-HOUSE BILL 22-1302 (B) AN ENTITY OWNED BY OR UNDER COMMON OWNERSHIP AND
CONTROL WITH ANOTHER HOSPITAL
; OR
(C) A PHYSICIAN GROUP PRACTICE.
(d) T
HE STATE DEPARTMENT MAY PROVIDE FUNDING TO PHYSICAL
AND BEHAVIORAL HEALTH
-CARE PROVIDERS THROUGH INFRASTRUCTURE
BUILDING AND POPULATION
-BASED PAYMENT MECHANISMS .
(e) G
RANT RECIPIENTS SHALL PARTICIPATE IN TECHNICAL
ASSISTANCE EDUCATION AND TRAINING AND RELATED WORKGROUPS AS
DETERMINED BY THE STATE DEPARTMENT
.
(4) (a) T
HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT
PROGRAM AND
, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD
GRANTS AS PROVIDED IN THIS SECTION
. SUBJECT TO AVAILABLE
APPROPRIATIONS
, GRANTS SHALL BE PAID OUT OF THE BEHAVIORAL AND
MENTAL HEALTH CASH FUND CREATED IN SECTION
24-75-230.
(b) I
N ORDER TO SUPPORT REAL-TIME TRANSFORMATION AND ACCESS
TO CARE
, THE STATE DEPARTMENT SHALL ENSURE TIMELY PAYMENT TO
GRANT RECIPIENTS FOR SERVICES RELATED TO THE GRANT PROGRAM
.
(5) G
RANT APPLICANTS SHALL DEMONSTRATE A COMMITMENT TO
MAINTAINING MODELS AND PROGRAMS THAT
, AT A MINIMUM:
(a) M
EASURABLY INCREASE ACCESS TO BEHAVIORAL HEALTH
SCREENING
, REFERRAL, TREATMENT, AND RECOVERY CARE;
(b) I
MPLEMENT OR EXPAND EVIDENCE -BASED MODELS FOR
INTEGRATION THAT IMPROVE PATIENT HEALTH AS EVIDENCED BY RELEVANT
AND MEANINGFUL OUTCOMES MEASURES
, INCLUDING PATIENT-REPORTED
OUTCOMES
;
(c) L
EVERAGE MULTIDISCIPLINARY TREATMENT TEAMS ;
(d) S
ERVE PUBLICLY FUNDED CLIENTS;
(e) M
AINTAIN A PLAN FOR HOW TO ADDRESS A CLIENT WITH
EMERGENCY NEEDS
;
PAGE 5-HOUSE BILL 22-1302 (f) MAINTAIN A PLAN FOR HOW TECHNOLOGY WILL BE LEVERAGED
FOR WHOLE
-PERSON CARE, WHICH MAY INCLUDE PLANS FOR DATA SECURITY ,
ELECTRONIC HEALTH RECORDS REFORMS , C ARE MANAGEMENT PLATFORMS ,
AND TELEHEALTH IMPLEMENTATION OR EXPANSION ; AND
(g) IMPLEMENT OR ENGAGE IN STATE-DEPARTMENT-SPECIFIED TOOLS
AND SHARED LEARNING AND RESOURCES
, INCLUDING BUT NOT LIMITED TO:
(I) P
EER LEARNING COLLABORATIVES TO DEVELOP SUSTAINABLE
POPULATION
-BASED PAYMENT MODELS LED BY THE STATE DEPARTMENT ;
(II) U
SE OF ELECTRONIC TOOLS FOR SCREENING ,
MEASUREMENT-BASED CARE MANAGEMENT , AND REFERRALS; AND
(III) DATA-SHARING BEST PRACTICES.
(6) I
N SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT SHALL
FIRST PRIORITIZE APPLICANTS THAT SERVE PRIORITY POPULATIONS THAT
EXPERIENCE DISPARITIES IN HEALTH
-CARE ACCESS AND OUTCOMES ,
INCLUDING BUT NOT LIMITED TO HISTORICALLY MARGINALIZED AND
UNDERSERVED COMMUNITIES
, DETERMINED BY THE COMMUNITIES WITH THE
HIGHEST PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH THE
"COLORADO MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE
25.5. THE STATE DEPARTMENT SHALL THEN PRIORITIZE APPLICANTS THAT
MEET AS MANY OF THE FOLLOWING CRITERIA AS POSSIBLE
:
(a) S
ERVE INDIVIDUALS WITH CO-OCCURRING AND COMPLEX CARE
NEEDS
, SERIOUS MENTAL ILLNESSES, OR DISABILITIES;
(b) S
ERVE CHILDREN AND YOUTH ;
(c) I
NCLUDE OPPORTUNITIES TO BUILD OUT COMMUNITY HEALTH
WORKER
, BEHAVIORAL HEALTH AIDE, OR SIMILAR PROGRAMS, SUPPORTED BY
POPULATION
-BASED PAYMENTS;
(d) S
ERVE PREGNANT AND POSTPARTUM PEOPLE ;
(e) T
HE PRACTICE IS CONSIDERED A SMALL AND INDEPENDENT
PRACTICE
;
PAGE 6-HOUSE BILL 22-1302 (f) DEMONSTRATE THE ABILITY AND INTENT TO SERVE CULTURALLY
DIVERSE POPULATIONS AND POPULATIONS WITH LIMITED
ENGLISH
PROFICIENCY
;
(g) I
NCLUDE WORKFORCE CAPACITY -BUILDING COMPONENTS;
(h) I
NCLUDE HIGH-INTENSITY OUTPATIENT SERVICES;
(i) I
MPROVE DATA EXCHANGE AND DATA INTEGRATION THAT
SUPPORTS WHOLE
-PERSON CARE;
(j) U
TILIZE TELEHEALTH;
(k) A
LIGN WITH OR PARTICIPATE IN COMMERCIAL ALTERNATIVE
PAYMENT MODELS
;
(l) D
EMONSTRATE COMMUNITY PARTNERSHIPS ; OR
(m) PARTICIPATE IN THE REGIONAL HEALTH CONNECTOR WORKFORCE
PROGRAM CREATED IN SECTION
23-21-901.
(7) (a) T
HE STATE DEPARTMENT SHALL ESTABLISH A SET OF
STATEWIDE RESOURCES TO SUPPORT GRANT RECIPIENTS
. AT A MINIMUM, THE
RESOURCES MUST INCLUDE
:
(I) A
CLINICAL CONSULTATION AND PRACTICE TRANSFORMATION
SUPPORT TEAM PROVIDED BY THE
COLORADO HEALTH EXTENSION SYSTEM
IN THE PRACTICE INNOVATION PROGRAM
; AND
(II) A SUSTAINABLE BILLING AND DATA PARTNERSHIP TEAM THAT
WILL TRAIN AND SUPPORT GRANT RECIPIENTS IN MEETING STANDARDS AND
CORE COMPETENCIES FOR ALTERNATIVE PAYMENT MODELS
, TRANSFORMING
THE PRIMARY CARE PROVIDERS
' PAYMENT SYSTEMS TO FOCUS ON
INTEGRATIVE
, WHOLE-PERSON CARE, AND CREATING AND IMPLEMENTING
DATA
-SHARING PRACTICES AND POLICIES THAT SUPPORT MENTAL HEALTH
DISORDERS
, SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS.
(b) T
HE STATE DEPARTMENT MAY ENTER INTO INTERAGENCY
AGREEMENTS OR PROCURE CONTRACTS TO ESTABLISH THE RESOURCES
PURSUANT TO THIS SUBSECTION
(7).
PAGE 7-HOUSE BILL 22-1302 (8) THE STATE DEPARTMENT MAY PROCURE A GRANT APPLICATION
AND SUPPORT TEAM TO ASSIST THE STATE DEPARTMENT WITH DRAFTING THE
GRANT APPLICATION
, REVIEWING APPLICATIONS, AND ADMINISTERING AND
PROCESSING GRANT AWARDS
.
(9) A
GRANT RECIPIENT SHALL SPEND OR OBLIGATE ANY MONEY
RECEIVED PURSUANT TO THIS SECTION NO LATER THAN
DECEMBER 30, 2024.
A
NY MONEY A GRANT RECIPIENT OBLIGATES MUST BE EXPENDED NO LATER
THAN
DECEMBER 30, 2026.
(10) (a) T
HE STATE DEPARTMENT SHALL ESTABLISH A STEERING
COMMITTEE TO
:
(I) P
ROVIDE CONTINUOUS INPUT INTO GRANT APPLICATION
REQUIREMENTS
;
(II) P
ROVIDE FEEDBACK AND DIRECTION ON DATA COLLECTION
STANDARDS AND REVIEW
; AND
(III) ENGAGE WITH COMMUNITY PARTNERS WHO WILL HELP SUPPORT
THE INTEGRATED CARE PRACTICES THROUGH REFERRALS AND TRUSTED
COMMUNICATIONS
.
(b) T
HE STATE DEPARTMENT SHALL SELECT A STATE DEPARTMENT
EMPLOYEE TO CHAIR THE STEERING COMMITTEE
, STAFF THE STEERING
COMMITTEE
, AND REIMBURSE ANY PARTICIPANT WHO IS NOT A STATE
EMPLOYEE FOR REASONABLE TRAVEL EXPENSES
.
(11) T
HE STATE DEPARTMENT SHALL, IN COLLABORATION WITH THE
BEHAVIORAL HEALTH ADMINISTRATION AND THE DIVISION OF INSURANCE
,
PREPARE A REPORT THAT INCLUDES RECOMMENDATIONS ON BEST PRACTICES
FOR SUSTAINING INTEGRATED CARE MODELS
. IN PREPARING THE REPORT, THE
STATE DEPARTMENT SHALL COLLECT DATA FROM EACH GRANT RECIPIENT
RELATED TO CLINICAL QUALITY IMPROVEMENT AND ACCESS TO CARE
. GRANT
RECIPIENTS SHALL PROVIDE DATA TO THE STATE DEPARTMENT IN A TIMELY
MANNER
, AS DETERMINED BY THE STATE DEPARTMENT . THE STATE
DEPARTMENT IS AUTHORIZED TO RECOUP OR DISCONTINUE GRANT FUNDING
FOR GRANT RECIPIENTS THAT DO NOT COMPLY WITH THE DATA REPORTING
REQUIREMENTS OR GRANT STANDARDS SET BY THE STATE DEPARTMENT
.
PAGE 8-HOUSE BILL 22-1302 (12) THE STATE DEPARTMENT AND ANY PERSON WHO RECEIVES
MONEY FROM THE STATE DEPARTMENT PURSUANT TO THIS SECTION SHALL
COMPLY WITH THE COMPLIANCE
, REPORTING, RECORD-KEEPING, AND
PROGRAM EVALUATION REQUIREMENTS ESTABLISHED BY THE OFFICE OF
STATE PLANNING AND BUDGETING AND THE STATE CONTROLLER IN
ACCORDANCE WITH SECTION
24-75-226 (5).
(13) T
HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.
SECTION 3. In Colorado Revised Statutes, 25.5-5-402, add (3.5)
as follows:
25.5-5-402. Statewide managed care system - rules - definition
- repeal. (3.5) (a) N
O LATER THAN JULY 1, 2023, THE STATE DEPARTMENT,
IN COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE
DEPARTMENT OF HUMAN SERVICES AND OTHER STATE AGENCIES
, SHALL
DEVELOP THE UNIVERSAL CONTRACT AS DESCRIBED IN SECTION
27-50-203.
(b) (I) F
OR THE 2022-23 STATE FISCAL YEAR, THE GENERAL
ASSEMBLY SHALL APPROPRIATE THREE MILLION DOLLARS FROM THE
BEHAVIORAL AND MENTAL HEALTH CASH FUND
, CREATED IN SECTION
24-75-230, TO THE STATE DEPARTMENT FOR THE DEVELOPMENT ,
IMPLEMENTATION, AND ADMINISTRATION OF THE UNIVERSAL CONTRACT .
(II) T
HIS SUBSECTION (3.5)(b) IS REPEALED, EFFECTIVE JULY 1, 2024.
SECTION 4. In Colorado Revised Statutes, add 25.5-6-116 as
follows:
25.5-6-116. Community placement transformation - creation -
report - repeal. (1) T
HE STATE DEPARTMENT SHALL UNDERTAKE EFFORTS
TO TRANSFORM THE STATE DEPARTMENT
'S PROCESS FOR CLIENTS
ATTEMPTING TO RECEIVE LONG
-TERM CARE IN THE COMMUNITY .
(2) I
N ORDER TO AFFIRM COLORADO'S COMMITMENT TO THE UNITED
STATES SUPREME COURT'S DECISION IN OLMSTEAD V. L.C., 527 U.S. 581
(1999),
AND TO THE FEDERAL "AMERICANS WITH DISABILITIES ACT OF
1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED, AND RESPOND TO THE
UNITED STATES DEPARTMENT OF JUSTICE 'S LETTER OF FINDINGS, DATED
MARCH 3, 2022, CONCERNING THE INVESTIGATION OF COLORADO'S USE OF
PAGE 9-HOUSE BILL 22-1302 NURSING FACILITIES TO SERVE ADULTS WITH PHYSICAL DISABILITIES , THE
GENERAL ASSEMBLY SHALL APPROPRIATE MONEY TO THE STATE
DEPARTMENT IN ORDER TO ADVANCE COMMUNITY PLACEMENT AND
INTEGRATION FOR INDIVIDUALS WITH DISABILITIES
.
(3) N
O LATER THAN JANUARY 2023, AND JANUARY 2024, THE STATE
DEPARTMENT SHALL REPORT TO THE JOINT BUDGET COMMITTEE
, THE HOUSE
OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND HUMAN
SERVICES COMMITTEE
, AND THE SENATE HEALTH AND HUMAN SERVICES
COMMITTEE
, OR THEIR SUCCESSOR COMMITTEES , AS PART OF ITS "STATE
MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT
(SMART) GOVERNMENT ACT" HEARING REQUIRED BY SECTION 2-7-203. AT
A MINIMUM
, THE REPORT MUST INCLUDE AN ANALYSIS AND
RECOMMENDATIONS ON THE FOLLOWING
:
(a) T
HE STATE DEPARTMENT 'S WORK AND STRATEGIC PLANNING
REGARDING FULFILLING
COLORADO'S COMMITMENT TO THE OLMSTEAD
DECISION TO ENSURE COMMUNITY LIVING
;
(b) P
ROGRAMMATIC DECISIONS, ANALYSIS, AND POLICY CHANGES IN
ACCORDANCE WITH THE FEDERAL
"AMERICANS WITH DISABILITIES ACT OF
1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED; AND
(c) INFORMATION REGARDING THE STATE DEPARTMENT 'S
COORDINATION
, PROGRAMMATIC OR MEDICAID BENEFIT CHANGES ,
IMPLEMENTATION OF QUALITY OVERSIGHT STRATEGIES , AND METRICS
AROUND COMMUNITY INTEGRATION
.
(4) T
HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2025.
SECTION 5. Appropriation. (1) For the 2022-23 state fiscal year,
$616,968 is appropriated to the department of health care policy and
financing for use by the executive director's office. This appropriation is
from the general fund. To implement this act, the office may use this
appropriation as follows:
(a) $440,226 for personal services, which amount is based on an
assumption that the office will require an additional 12.0 FTE;
(b) $5,882 for operating expenses;
PAGE 10-HOUSE BILL 22-1302 (c) $40,860 for leased space;
(d) $80,000 for general professional services and special projects;
and
(e) $50,000 for Medicaid management information system
maintenance and projects.
(2) For the 2022-23 state fiscal year, the general assembly
anticipates that the department of health care policy and financing will
receive $986,948 in federal funds to implement this act, which amount is
subject to the "(I)" notation as defined in the annual general appropriation
act for the same fiscal year. The appropriation in subsection (1) of this
section is based on the assumption that the department will receive this
amount of federal funds to be used as follows:
(a) $413,090 for personal services;
(b) $5,518 for operating expenses;
(c) $38,340 for leased space;
(d) $80,000 for general professional services and special projects;
and
(e) $450,000 for Medicaid management information system
maintenance and projects.
SECTION 6. Appropriation. (1) For the 2022-23 state fiscal year,
$31,750,000 is appropriated to the department of health care policy and
financing for use by other medical services. This appropriation is from the
behavioral and mental health cash fund created in section 24-75-230 (2)(a),
C.R.S., is of money the state received from the federal coronavirus state
fiscal recovery fund, and is based on an assumption that the division will
require an additional 2.3 FTE. To implement this act, the division may use
this appropriation for the primary care and behavioral health statewide
integration grant program. Any money appropriated in this section not
expended prior to July 1, 2023, is further appropriated to the division from
July 1, 2023, through December 30, 2024, for the same purpose.
PAGE 11-HOUSE BILL 22-1302 (2) For the 2022-23 state fiscal year, $3,000,000 is appropriated to
the department of health care policy and financing for use by the executive
director's office, general administration. This appropriation is from the
behavioral and mental health cash fund created in section 24-75-230 (2)(a),
C.R.S., and is of money the state received from the federal coronavirus state
fiscal recovery fund. To implement this act, the division may use this
appropriation for the universal contract for behavioral health services. Any
money appropriated in this section not expended prior to July 1, 2023, is
further appropriated to the division from July 1, 2023, through December
30, 2024, for the same purpose.
(3) For the 2022-23 fiscal year, $250,000 is appropriated to the
department of higher education for use by the regents of the university of
Colorado. This appropriation is from the behavioral and mental health cash
fund created in section 24-75-230 (2)(a), C.R.S., and is of money the state
received from the federal coronavirus state fiscal recovery fund. To
implement this act, the regents may use this appropriation for allocation to
the school of medicine for the regional health connector workforce
program.
SECTION 7. Effective date. This act takes effect upon passage;
except that section 3 of this act takes effect only if House Bill 22-1278
becomes law, in which case section 3 takes effect either upon the effective
date of this act or House Bill 22-1278, whichever is later, and sections 4 and
5 of this act take effect only if House Bill 22-1411 becomes law, in which
case sections 4 and 5 take effect either upon the effective date of this act or
House Bill 22-1411, whichever is later.
SECTION 8. Safety clause. The general assembly hereby finds,
PAGE 12-HOUSE BILL 22-1302 determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, or safety.
____________________________ ____________________________
Alec Garnett Steve Fenberg
SPEAKER OF THE HOUSE PRESIDENT OF
OF REPRESENTATIVES THE SENATE
____________________________ ____________________________
Robin Jones Cindi L. Markwell
CHIEF CLERK OF THE HOUSE SECRETARY OF
OF REPRESENTATIVES THE SENATE
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 13-HOUSE BILL 22-1302