Colorado 2022 Regular Session

Colorado House Bill HB1302 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. 22-0815.01 Shelby Ross x4510
1	8		HOUSE BILL 22-1302
2		-	BY REPRESENTATIVE(S) Kennedy and Will, Amabile,
3		-	Gonzales-Gutierrez, Michaelson Jenet, Bernett, Bird, Boesenecker, Cutter,
4		-	Duran, Esgar, Exum, Gray, Herod, Hooton, Lindsay, Lontine, McCluskie,
5		-	McCormick, Sirota, Titone, Weissman, Caraveo, Valdez A., Woodrow;
6		-	also SENATOR(S) Jaquez Lewis and Priola, Buckner, Hinrichsen, Kolker,
7		-	Lee, Moreno, Pettersen, Winter.
	9	+	House Committees Senate Committees
	10	+	Public & Behavioral Health & Human Services Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
8	13		C
9		-	ONCERNING HEALTH -CARE PRACTICE TRANSFORMATION TO SUPPORT
10		-	WHOLE
11		-	-PERSON HEALTH THROUGH INTEGRATED CARE MODELS , AND,
12		-	IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.
13		-
14		-	Be it enacted by the General Assembly of the State of Colorado:
15		-	SECTION 1. Legislative declaration. (1) The general assembly
16		-	finds and declares that:
17		-	(a) Since the COVID-19 pandemic began, rates of psychological
18		-	distress, including anxiety, depression, and other behavioral and mental
19		-	health disorders, among them substance use disorders, have increased;
20		-	(b) From 2015 to 2019, Colorado's state innovation model used
21		-	federal grant funding to support 344 primary care practices and four
22		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
23		-	officers and the Governor. To determine whether the Governor has signed the bill
24		-	or taken other action on it, please consult the legislative status sheet, the legislative
25		-	history, or the Session Laws.
26		-	________
27		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
28		-	through words or numbers indicate deletions from existing law and such material is not part of
29		-	the act. community mental health centers to integrate behavioral and physical health
30		-	care, build a network of regional health connectors that links practices with
31		-	community resources, and advance the development of value-based
32		-	payment structures;
33		-	(c) A federal evaluation showed that Colorado's practice
34		-	transformation program was associated with greater access to behavioral
35		-	health care and fewer behavioral-health-related emergency visits;
36		-	(d) Efforts to continue the progress of the state innovation model
37		-	have continued, but too few Coloradans have access to behavioral health
38		-	services, and even fewer have access to these services in their primary care
39		-	provider's office;
40		-	(e) The federal government enacted the "American Rescue Plan Act
41		-	of 2021" (ARPA), Pub.L. 117-2, to provide support to state, local, and tribal
42		-	governments in responding to the impact of the COVID-19 pandemic; and
43		-	(f) Regulations construing ARPA promulgated by the federal
44		-	department of treasury identify a nonexclusive list of uses for the
45		-	COVID-19 pandemic and its negative public health impacts.
46		-	(2) Therefore, the general assembly declares that:
47		-	(a) Investments in practice transformation, including behavioral
48		-	health integration, will increase access to behavioral health-care services for
49		-	Coloradans struggling due to the public health emergency; and
50		-	(b) The programs and services funded by the federal money in this
51		-	act are important government services and appropriate uses of the money
52		-	transferred to Colorado under ARPA.
53		-	SECTION 2. In Colorado Revised Statutes, add 25.5-5-333 as
54		-	follows:
55		-	25.5-5-333. Primary care and behavioral health statewide
56		-	integration grant program - creation - report - definition - repeal.
	14	+	ONCERNING HEALTH-CARE PRACTICE TRANSFORMATION TO SUPPORT101
	15	+	WHOLE-PERSON HEALTH THROUGH INTEGRATED CARE MODELS ,102
	16	+	AND, IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .103
	17	+	Bill Summary
	18	+	(Note: This summary applies to this bill as introduced and does
	19	+	not reflect any amendments that may be subsequently adopted. If this bill
	20	+	passes third reading in the house of introduction, a bill summary that
	21	+	applies to the reengrossed version of this bill will be available at
	22	+	http://leg.colorado.gov/
	23	+	.)
	24	+	The bill creates the primary care and behavioral health statewide
	25	+	integration grant program in the department of health care policy and
	26	+	financing to provide grants to primary care clinics for implementation of
	27	+	evidence-based clinical integration care models.
	28	+	The bill requires the department of health care policy and
	29	+	SENATE
	30	+	3rd Reading Unamended
	31	+	May 9, 2022
	32	+	SENATE
	33	+	Amended 2nd Reading
	34	+	May 6, 2022
	35	+	HOUSE
	36	+	3rd Reading Unamended
	37	+	April 11, 2022
	38	+	HOUSE
	39	+	Amended 2nd Reading
	40	+	April 8, 2022
	41	+	HOUSE SPONSORSHIP
	42	+	Kennedy and Will, Amabile, Gonzales-Gutierrez, Michaelson Jenet, Bernett, Bird,
	43	+	Boesenecker, Cutter, Duran, Esgar, Exum, Gray, Herod, Hooton, Lindsay, Lontine,
	44	+	McCluskie, McCormick, Sirota, Titone, Weissman
	45	+	SENATE SPONSORSHIP
	46	+	Jaquez Lewis and Priola, Buckner, Hinrichsen, Kolker, Lee, Moreno, Pettersen, Winter
	47	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	48	+	Capital letters or bold & italic numbers indicate new material to be added to existing statute.
	49	+	Dashes through the words indicate deletions from existing statute. financing, in collaboration with the behavioral health administration and
	50	+	other agencies, to develop a universal contract for behavioral health
	51	+	services.
	52	+	The bill makes an appropriation.
	53	+	Be it enacted by the General Assembly of the State of Colorado:1
	54	+	SECTION 1. Legislative declaration. (1) The general assembly2
	55	+	finds and declares that:3
	56	+	(a) Since the COVID-19 pandemic began, rates of psychological4
	57	+	distress, including anxiety, depression, and other behavioral and mental5
	58	+	health disorders, among them substance use disorders, have increased;6
	59	+	(b) From 2015 to 2019, Colorado's state innovation model used7
	60	+	federal grant funding to support 344 primary care practices and four8
	61	+	community mental health centers to integrate behavioral and physical9
	62	+	health care, build a network of regional health connectors that links10
	63	+	practices with community resources, and advance the development of11
	64	+	value-based payment structures;12
	65	+	(c) A federal evaluation showed that Colorado's practice13
	66	+	transformation program was associated with greater access to behavioral14
	67	+	health care and fewer behavioral-health-related emergency visits;15
	68	+	(d) Efforts to continue the progress of the state innovation model16
	69	+	have continued, but too few Coloradans have access to behavioral health17
	70	+	services, and even fewer have access to these services in their primary18
	71	+	care provider's office;19
	72	+	(e) The federal government enacted the "American Rescue Plan20
	73	+	Act of 2021" (ARPA), Pub.L. 117-2, to provide support to state, local,21
	74	+	and tribal governments in responding to the impact of the COVID-1922
	75	+	pandemic; and23
	76	+	1302-2- (f) Regulations construing ARPA promulgated by the federal1
	77	+	department of treasury identify a nonexclusive list of uses for the2
	78	+	COVID-19 pandemic and its negative public health impacts.3
	79	+	(2) Therefore, the general assembly declares that:4
	80	+	(a) Investments in practice transformation, including behavioral5
	81	+	health integration, will increase access to behavioral health-care services6
	82	+	for Coloradans struggling due to the public health emergency; and7
	83	+	(b) The programs and services funded by the federal money in this8
	84	+	act are important government services and appropriate uses of the money9
	85	+	transferred to Colorado under ARPA.10
	86	+	SECTION 2. In Colorado Revised Statutes, add 25.5-5-332 as11
	87	+	follows:12
	88	+	25.5-5-332. Primary care and behavioral health statewide13
	89	+	integration grant program - creation - report - definition - repeal.14
57	90		(1) A
58		-	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES ,
59		-	"
60		-	GRANT PROGRAM" MEANS THE PRIMARY CARE AND BEHAVIORAL HEALTH
61		-	STATEWIDE INTEGRATION GRANT PROGRAM CREATED IN SUBSECTION
62		-	(2) OF
63		-	PAGE 2-HOUSE BILL 22-1302 THIS SECTION.
	91	+	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE15
	92	+	REQUIRES, "GRANT PROGRAM " MEANS THE PRIMARY CARE AND16
	93	+	BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT PROGRAM17
	94	+	CREATED IN SUBSECTION (2) OF THIS SECTION.18
64	95		(2) T
65		-	HERE IS CREATED IN THE STATE DEPARTMENT THE PRIMARY
66		-	CARE AND BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT PROGRAM
67		-	TO PROVIDE GRANTS TO PHYSICAL AND BEHAVIORAL HEALTH CARE
68		-	PROVIDERS FOR IMPLEMENTATION OF EVIDENCE
69		-	-BASED CLINICAL
70		-	INTEGRATION CARE MODELS
71		-	, AS DEFINED BY THE STATE DEPARTMENT , IN
72		-	COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE
73		-	DEPARTMENT OF HUMAN SERVICES
74		-	.
	96	+	HERE IS CREATED IN THE STATE DEPARTMENT THE PRIMARY19
	97	+	CARE AND BEHAVIORAL HEALTH STATEWIDE INTEGRATION GRANT20
	98	+	PROGRAM TO PROVIDE GRANTS TO PHYSICAL AND BEHAVIORAL HEALTH21
	99	+	CARE PROVIDERS FOR IMPLEMENTATION OF EVIDENCE -BASED CLINICAL22
	100	+	INTEGRATION CARE MODELS, AS DEFINED BY THE STATE DEPARTMENT , IN23
	101	+	COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE24
	102	+	DEPARTMENT OF HUMAN SERVICES .25
75	103		(3) (a) G
76		-	RANT RECIPIENTS MAY USE THE MONEY RECEIVED THROUGH
77		-	THE GRANT PROGRAM FOR THE FOLLOWING PURPOSES
78		-	:
79		-	(I) D
80		-	EVELOPING INFRASTRUCTURE FOR PRIMARY CARE , PEDIATRIC,
81		-	AND BEHAVIORAL HEALTH-CARE PROVIDERS TO BETTER SERVE INDIVIDUALS
82		-	WITH BEHAVIORAL HEALTH NEEDS IN OUTPATIENT HEALTH CARE SETTINGS
83		-	;
	104	+	RANT RECIPIENTS MAY USE THE MONEY RECEIVED26
	105	+	THROUGH THE GRANT PROGRAM FOR THE FOLLOWING PURPOSES :27
	106	+	1302
	107	+	-3- (I) DEVELOPING INFRASTRUCTURE FOR PRIMARY CARE , PEDIATRIC,1
	108	+	AND BEHAVIORAL HEALTH -CARE PROVIDERS TO BETTER SERVE2
	109	+	INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS IN OUTPATIENT HEALTH3
	110	+	CARE SETTINGS;4
84	111		(II) I
85		-	NCREASING ACCESS TO QUALITY HEALTH CARE FOR INDIVI DUALS
86		-	WITH BEHAVIORAL HEALTH NEEDS
87		-	;
	112	+	NCREASING ACCESS TO QUALITY HEALTH CARE FOR5
	113	+	INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS ;6
88	114		(III) I
89		-	NVESTING IN EARLY INTERVENTIONS FOR CHILDREN , YOUTH,
90		-	AND ADULTS THAT REDUCE ESCALATION AND EXACERBATION OF
91		-	BEHAVIORAL HEALTH CONDITIONS
92		-	;
	115	+	NVESTING IN EARLY INTERVENTIONS FOR CHILDREN , YOUTH,7
	116	+	AND ADULTS THAT REDUCE ESCALATION AND EXACERBATION OF8
	117	+	BEHAVIORAL HEALTH CONDITIONS ;9
93	118		(IV) A
94		-	DDRESSING THE NEED TO EXPAND THE ~~BEHAVIORAL~~
95		-	HEALTH
96		-	~~-CARE WORKFORCE;~~
	119	+	DDRESSING THE NEED TO EXPAND THE BEHAVIORAL10
	120	+	HEALTH-CARE WORKFORCE;
	121	+	11
97	122		(V) D
98		-	EVELOPING AND IMPLEMENTING ALTERNATIVE PAYMENT
99		-	MODELS
100		-	, INCLUDING THE DEVELOPMENT OF PROTOCOLS , PROCESSES, WORK
101		-	FLOW
102		-	, AND PARTNERSHIPS; AND
103		-	(VI) TRAINING PRIMARY CARE PROVIDERS IN TRAUMA -INFORMED
104		-	CARE
105		-	, ADVERSE CHILDHOOD EXPERIENCES , AND TRAUMA RECOVERY .
	123	+	EVELOPING AND IMPLEMENTING ALTERNATIVE PAYMENT12MODELS, INCLUDING THE DEVELOPMENT OF PROTOCOLS , PROCESSES, WORK13
	124	+	FLOW, AND PARTNERSHIPS; AND14
	125	+	(VI) T
	126	+	RAINING PRIMARY CARE PROVIDERS IN TRAUMA -INFORMED
	127	+	15
	128	+	CARE, ADVERSE CHILDHOOD EXPERIENCES , AND TRAUMA RECOVERY .16
106	129		(b) A
107		-	NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST
108		-	SUPPLEMENT AND NOT SUPPLANT EXISTING HEALTH
109		-	-CARE SERVICES. GRANT
110		-	RECIPIENTS SHALL NOT USE MONEY RECEIVED THROUGH THE GRANT
111		-	PROGRAM FOR
112		-	:
	130	+	NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST17
	131	+	SUPPLEMENT AND NOT SUPPLANT EXISTING HEALTH -CARE SERVICES.18
	132	+	G
	133	+	RANT RECIPIENTS SHALL NOT USE MONEY RECEIVED THROUGH THE19
	134	+	GRANT PROGRAM FOR:20
113	135		(I) O
114		-	NGOING OR EXISTING EXECUTIVE AND SENIOR STAFF SALARIES ;
115		-	PAGE 3-HOUSE BILL 22-1302 (II) SERVICES ALREADY COVERED BY MEDICAID OR A CLIENT 'S
116		-	INSURANCE
117		-	; OR
118		-	(III) ONGOING OR EXISTING ELECTRONIC HEALTH RECORDS COSTS .
119		-	(c) (I) (A) I
120		-	F A GRANT RECIPIENT IS A HOSPITAL -OWNED OR
121		-	HOSPITAL
122		-	-AFFILIATED PRACTICE THAT IS NOT PART OF A HOSPITAL SYSTEM
123		-	AND HAS LESS THAN TEN PERCENT TOTAL PROFIT AS MEASURED BY STATE
124		-	DEPARTMENT TRANSPARENCY REPORTING
125		-	, THE GRANT RECIPIENT SHALL
126		-	PROVIDE A TWENTY
127		-	-FIVE PERCENT MATCH FOR THE AWARDED AMOUNT . THE
128		-	GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS
129		-	, IN-KIND
130		-	PERSONNEL TIME
131		-	, OR FEDERAL RELIEF FUNDING FOR THE TWENTY -FIVE
	136	+	NGOING OR EXISTING EXECUTIVE AND SENIOR STAFF21
	137	+	SALARIES;22
	138	+	(II) S
	139	+	ERVICES ALREADY COVERED BY MEDICAID OR A CLIENT 'S23
	140	+	INSURANCE; OR24
	141	+	(III) O
	142	+	NGOING OR EXISTING ELECTRONIC HEALTH RECORDS COSTS .25
	143	+	(c) (I)
	144	+	(A) IF A GRANT RECIPIENT IS A HOSPITAL -OWNED OR26
	145	+	HOSPITAL-AFFILIATED PRACTICE THAT IS NOT PART OF A HOSPITAL SYSTEM27
	146	+	1302
	147	+	-4- AND HAS LESS THAN TEN PERCENT TOTAL PROFIT AS MEASURED BY STATE1
	148	+	DEPARTMENT TRANSPARENCY REPORTING , THE GRANT RECIPIENT SHALL2
	149	+	PROVIDE A TWENTY-FIVE PERCENT MATCH FOR THE AWARDED AMOUNT .3
	150	+	T
	151	+	HE GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS , IN-KIND4
	152	+	PERSONNEL TIME, OR FEDERAL RELIEF FUNDING FOR THE TWENTY -FIVE5
132	153		PERCENT MATCH REQUIRED PURSUANT TO THIS SUBSECTION
133		-	(3)(c)(I)(A).
	154	+	(3)(c)(I)(A).6
	155	+	(B) IF A GRANT RECIPIENT IS A HOSPITAL -OWNED OR7
	156	+	HOSPITAL-AFFILIATED PRACTICE THAT IS PART OF A HOSPITAL SYSTEM8
	157	+	OR HAS TEN PERCENT OR MORE TOTAL PROFIT AS MEASURED BY STATE9
	158	+	DEPARTMENT TRANSPARENCY REPORTING , THE GRANT RECIPIENT SHALL10
	159	+	PROVIDE A FIFTY PERCENT MATCH FOR THE AWARDED AMOUNT . THE11
	160	+	GRANT RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS , IN-KIND12
	161	+	PERSONNEL TIME, OR FEDERAL RELIEF FUNDING FOR THE FIFTY PERCENT13
	162	+	MATCH REQUIRED PURSUANT TO THIS SUBSECTION (3)(c)(I)(B).14
	163	+	(C) IF A GRANT RECIPIENT IS A CRITICAL ACCESS HOSPITAL , AS15
	164	+	DEFINED IN SECTION 10-16-1303 (2), THE GRANT RECIPIENT SHALL16
	165	+	PROVIDE A TEN PERCENT MATCH FOR THE AWARDED AMOUNT. THE GRANT17
	166	+	RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS, IN-KIND PERSONNEL18
	167	+	TIME, OR FEDERAL RELIEF FUNDING FOR THE TEN PERCENT MATCH19
	168	+	REQUIRED PURSUANT TO THIS SUBSECTION (3)(c)(I)(C).20
	169	+	(II) FOR THE PURPOSES OF THIS SUBSECTION (3)(c),21
	170	+	"HOSPITAL-AFFILIATED" MEANS THERE IS A CONTRACTUAL RELATIONSHIP22
	171	+	BETWEEN A HOSPITAL OR AN ENTITY THAT IS OWNED BY OR UNDER23
	172	+	COMMON OWNERSHIP AND CONTROL WITH THE HOSPITAL IN WHICH THE24
	173	+	CONTRACTUAL RELATIONSHIP ENABLES THE HOSPITAL OR ENTITY THAT IS25
	174	+	OWNED BY OR UNDER COMMON OWNERSHIP AND CONTROL WITH THE26
	175	+	HOSPITAL TO EXERCISE CONTROL OVER ONE OF THE FOLLOWING ENTITIES:27
	176	+	1302
	177	+	-5- (A) ANOTHER HOSPITAL;1
	178	+	(B) AN ENTITY OWNED BY OR UNDER COMMON OWNERSHIP AND2
	179	+	CONTROL WITH ANOTHER HOSPITAL ; OR3
	180	+	(C) A PHYSICIAN GROUP PRACTICE.4
	181	+	(d) T
	182	+	HE STATE DEPARTMENT MAY PROVIDE FUNDING TO PHYSICAL5
	183	+	AND BEHAVIORAL HEALTH-CARE PROVIDERS THROUGH INFRASTRUCTURE6
	184	+	BUILDING AND POPULATION-BASED PAYMENT MECHANISMS .7
	185	+	(e) G
	186	+	RANT RECIPIENTS SHALL PARTICIPATE IN TECHNICAL8
	187	+	ASSISTANCE EDUCATION AND TRAINING AND RELATED WORKGROUPS AS9
	188	+	DETERMINED BY THE STATE DEPARTMENT .10
	189	+	(4) (a) T
	190	+	HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT11
	191	+	PROGRAM AND, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD12
	192	+	GRANTS AS PROVIDED IN THIS SECTION . SUBJECT TO AVAILABLE13
	193	+	APPROPRIATIONS, GRANTS SHALL BE PAID OUT OF THE BEHAVIORAL AND14
	194	+	MENTAL HEALTH CASH FUND CREATED IN SECTION 24-75-230.15
134	195		(b) I
135		-	F A GRANT RECIPIENT IS A HOSPITAL -OWNED OR
136		-	HOSPITAL
137		-	-AFFILIATED PRACTICE THAT IS PART OF A HOSPITAL SYSTEM OR
138		-	HAS TEN PERCENT OR MORE TOTAL PROFIT AS MEASURED BY STATE
139		-	DEPARTMENT TRANSPARENCY REPORTING
140		-	, THE GRANT RECIPIENT SHALL
141		-	PROVIDE A FIFTY PERCENT MATCH FOR THE AWARDED AMOUNT
142		-	. THE GRANT
143		-	RECIPIENT MAY USE COMMUNITY BENEFIT FUNDS
144		-	, IN-KIND PERSONNEL TIME,
145		-	OR FEDERAL RELIEF FUNDING FOR THE FIFTY PERCENT MATCH REQUIRED
146		-	PURSUANT TO THIS SUBSECTION
147		-	(3)(c)(I)(B).
148		-	(C) I
149		-	F A GRANT RECIPIENT IS A CRITICAL ACCESS HOSPITAL , AS
150		-	DEFINED IN SECTION
151		-	10-16-1303 (2), THE GRANT RECIPIENT SHALL PROVIDE
152		-	A TEN PERCENT MATCH FOR THE AWARDED AMOUNT
153		-	. THE GRANT RECIPIENT
154		-	MAY USE COMMUNITY BENEFIT FUNDS
155		-	, IN-KIND PERSONNEL TIME, OR
156		-	FEDERAL RELIEF FUNDING FOR THE TEN PERCENT MATCH REQUIRED
157		-	PURSUANT TO THIS SUBSECTION
158		-	(3)(c)(I)(C).
159		-	(II) F
160		-	OR THE PURPOSES OF THIS SUBSECTION (3)(c),
161		-	"
162		-	HOSPITAL-AFFILIATED" MEANS THERE IS A CONTRACTUAL RELATIONSHIP
163		-	BETWEEN A HOSPITAL OR AN ENTITY THAT IS OWNED BY OR UNDER COMMON
164		-	OWNERSHIP AND CONTROL WITH THE HOSPITAL IN WHICH THE CONTRACTUAL
165		-	RELATIONSHIP ENABLES THE HOSPITAL OR ENTITY THAT IS OWNED BY OR
166		-	UNDER COMMON OWNERSHIP AND CONTROL WITH THE HOSPITAL TO
167		-	EXERCISE CONTROL OVER ONE OF THE FOLLOWING ENTITIES
168		-	:
169		-	(A) A
170		-	NOTHER HOSPITAL;
171		-	PAGE 4-HOUSE BILL 22-1302 (B) AN ENTITY OWNED BY OR UNDER COMMON OWNERSHIP AND
172		-	CONTROL WITH ANOTHER HOSPITAL
173		-	; OR
174		-	(C) A PHYSICIAN GROUP PRACTICE.
175		-	(d) T
176		-	HE STATE DEPARTMENT MAY PROVIDE FUNDING TO PHYSICAL
177		-	AND BEHAVIORAL HEALTH
178		-	-CARE PROVIDERS THROUGH INFRASTRUCTURE
179		-	BUILDING AND POPULATION
180		-	-BASED PAYMENT MECHANISMS .
181		-	(e) G
182		-	RANT RECIPIENTS SHALL PARTICIPATE IN TECHNICAL
183		-	ASSISTANCE EDUCATION AND TRAINING AND RELATED WORKGROUPS AS
184		-	DETERMINED BY THE STATE DEPARTMENT
185		-	.
186		-	(4) (a) T
187		-	HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT
188		-	PROGRAM AND
189		-	, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD
190		-	GRANTS AS PROVIDED IN THIS SECTION
191		-	. SUBJECT TO AVAILABLE
192		-	APPROPRIATIONS
193		-	, GRANTS SHALL BE PAID OUT OF THE BEHAVIORAL AND
194		-	MENTAL HEALTH CASH FUND CREATED IN SECTION
195		-	24-75-230.
	196	+	N ORDER TO SUPPORT REAL -TIME TRANSFORMATION AND16
	197	+	ACCESS TO CARE, THE STATE DEPARTMENT SHALL ENSURE TIMELY17
	198	+	PAYMENT TO GRANT RECIPIENTS FOR SERVICES RELATED TO THE GRANT18
	199	+	PROGRAM.19
	200	+	(5) G
	201	+	RANT APPLICANTS SHALL DEMONSTRATE A COMMITMENT TO20
	202	+	MAINTAINING MODELS AND PROGRAMS THAT , AT A MINIMUM:21
	203	+	(a) M
	204	+	EASURABLY INCREASE ACCESS TO BEHAVIORAL HEALTH22
	205	+	SCREENING, REFERRAL, TREATMENT, AND RECOVERY CARE;23
196	206		(b) I
197		-	N ORDER TO SUPPORT REAL-TIME TRANSFORMATION AND ACCESS
198		-	TO CARE
199		-	, THE STATE DEPARTMENT SHALL ENSURE TIMELY PAYMENT TO
200		-	GRANT RECIPIENTS FOR SERVICES RELATED TO THE GRANT PROGRAM
201		-	.
202		-	(5) G
203		-	RANT APPLICANTS SHALL DEMONSTRATE A COMMITMENT TO
204		-	MAINTAINING MODELS AND PROGRAMS THAT
205		-	, AT A MINIMUM:
206		-	(a) M
207		-	EASURABLY INCREASE ACCESS TO BEHAVIORAL HEALTH
208		-	SCREENING
209		-	, REFERRAL, TREATMENT, AND RECOVERY CARE;
210		-	(b) I
211		-	MPLEMENT OR EXPAND EVIDENCE -BASED MODELS FOR
212		-	INTEGRATION THAT IMPROVE PATIENT HEALTH AS EVIDENCED BY RELEVANT
213		-	AND MEANINGFUL OUTCOMES MEASURES
214		-	, INCLUDING PATIENT-REPORTED
215		-	OUTCOMES
216		-	;
217		-	(c) L
218		-	EVERAGE MULTIDISCIPLINARY TREATMENT TEAMS ;
	207	+	MPLEMENT OR EXPAND EVIDENCE -BASED MODELS FOR24
	208	+	INTEGRATION THAT IMPROVE PATIENT HEALTH AS EVIDENCED BY
	209	+	25
	210	+	RELEVANT AND MEANINGFUL OUTCOMES MEASURES , INCLUDING26
	211	+	PATIENT-REPORTED OUTCOMES;27
	212	+	1302
	213	+	-6- (c) LEVERAGE MULTIDISCIPLINARY TREATMENT TEAMS ;1
219	214		(d) S
220		-	ERVE PUBLICLY FUNDED CLIENTS;
	215	+	ERVE PUBLICLY FUNDED CLIENTS;2
221	216		(e) M
222		-	AINTAIN A PLAN FOR HOW TO ADDRESS A CLIENT WITH
223		-	EMERGENCY NEEDS
224		-	;
225		-	PAGE 5-HOUSE BILL 22-1302 (f) MAINTAIN A PLAN FOR HOW TECHNOLOGY WILL BE LEVERAGED
226		-	FOR WHOLE
227		-	-PERSON CARE, WHICH MAY INCLUDE PLANS FOR DATA SECURITY ,
228		-	ELECTRONIC HEALTH RECORDS REFORMS , C ARE MANAGEMENT PLATFORMS ,
229		-	AND TELEHEALTH IMPLEMENTATION OR EXPANSION ; AND
230		-	(g) IMPLEMENT OR ENGAGE IN STATE-DEPARTMENT-SPECIFIED TOOLS
231		-	AND SHARED LEARNING AND RESOURCES
232		-	, INCLUDING BUT NOT LIMITED TO:
	217	+	AINTAIN A PLAN FOR HOW TO ADDRESS A CLIENT WITH3
	218	+	EMERGENCY NEEDS;4
	219	+	(f) M
	220	+	AINTAIN A PLAN FOR HOW TECHNOLOGY WILL BE LEVERAGED5
	221	+	FOR WHOLE-PERSON CARE, WHICH MAY INCLUDE PLANS FOR DATA6
	222	+	SECURITY, ELECTRONIC HEALTH RECORDS REFORMS , C ARE MANAGEMENT
	223	+	7
	224	+	PLATFORMS, AND TELEHEALTH IMPLEMENTATION OR EXPANSION ; AND8
	225	+	(g) I
	226	+	MPLEMENT OR ENGAGE IN STATE -DEPARTMENT-SPECIFIED9
	227	+	TOOLS AND SHARED LEARNING AND RESOURCES , INCLUDING BUT NOT10
	228	+	LIMITED TO:11
233	229		(I) P
234		-	EER LEARNING COLLABORATIVES TO DEVELOP SUSTAINABLE
235		-	POPULATION
236		-	-BASED PAYMENT MODELS LED BY THE STATE DEPARTMENT ;
	230	+	EER LEARNING COLLABORATIVES TO DEVELOP SUSTAINABLE12
	231	+	POPULATION-BASED PAYMENT MODELS LED BY THE STATE DEPARTMENT ;13
237	232		(II) U
238	233		SE OF ELECTRONIC TOOLS FOR SCREENING ,
239		-	MEASUREMENT-BASED CARE MANAGEMENT , AND REFERRALS; AND
240		-	(III) DATA-SHARING BEST PRACTICES.
	234	+	14
	235	+	MEASUREMENT-BASED CARE MANAGEMENT , AND REFERRALS; AND15
	236	+	(III) D
	237	+	ATA-SHARING BEST PRACTICES.16
241	238		(6) I
242		-	N SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT SHALL
243		-	FIRST PRIORITIZE APPLICANTS THAT SERVE PRIORITY POPULATIONS THAT
244		-	EXPERIENCE DISPARITIES IN HEALTH
245		-	-CARE ACCESS AND OUTCOMES ,
246		-	INCLUDING BUT NOT LIMITED TO HISTORICALLY MARGINALIZED AND
247		-	UNDERSERVED COMMUNITIES
248		-	, DETERMINED BY THE COMMUNITIES WITH THE
249		-	HIGHEST PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH THE
250		-	"COLORADO MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE
251		-	25.5. THE STATE DEPARTMENT SHALL THEN PRIORITIZE APPLICANTS THAT
252		-	MEET AS MANY OF THE FOLLOWING CRITERIA AS POSSIBLE
253		-	:
	239	+	N SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT17
	240	+	SHALL
	241	+	FIRST PRIORITIZE APPLICANTS THAT SERVE PRIORITY POPULATIONS18
	242	+	THAT EXPERIENCE DISPARITIES IN HEALTH-CARE ACCESS AND OUTCOMES,19
	243	+	INCLUDING BUT NOT LIMITED TO HISTORICALLY MARGINALIZED AND20
	244	+	UNDERSERVED COMMUNITIES , DETERMINED BY THE COMMUNITIES WITH21
	245	+	THE HIGHEST PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH22
	246	+	THE "COLORADO MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF23
	247	+	TITLE 25.5. THE STATE DEPARTMENT SHALL THEN PRIORITIZE APPLICANTS24
	248	+	THAT MEET AS MANY OF THE FOLLOWING CRITERIA AS POSSIBLE :25
254	249		(a) S
255		-	ERVE INDIVIDUALS WITH CO-OCCURRING AND COMPLEX CARE
256		-	NEEDS
257		-	, SERIOUS MENTAL ILLNESSES, OR DISABILITIES;
258		-	(b) S
259		-	ERVE CHILDREN AND YOUTH ;
	250	+	ERVE INDIVIDUALS WITH CO-OCCURRING AND COMPLEX CARE26 NEEDS, SERIOUS MENTAL ILLNESSES, OR DISABILITIES;27
	251	+	1302
	252	+	-7- (b) SERVE CHILDREN AND YOUTH;1
260	253		(c) I
261		-	NCLUDE OPPORTUNITIES TO BUILD OUT COMMUNITY HEALTH
262		-	WORKER
263		-	, BEHAVIORAL HEALTH AIDE, OR SIMILAR PROGRAMS, SUPPORTED BY
264		-	POPULATION
265		-	-BASED PAYMENTS;
266		-	(d) S
267		-	ERVE PREGNANT AND POSTPARTUM PEOPLE ;
268		-	(e) T
269		-	HE PRACTICE IS CONSIDERED A SMALL AND INDEPENDENT
270		-	PRACTICE
271		-	;
272		-	PAGE 6-HOUSE BILL 22-1302 (f) DEMONSTRATE THE ABILITY AND INTENT TO SERVE CULTURALLY
273		-	DIVERSE POPULATIONS AND POPULATIONS WITH LIMITED
274		-	ENGLISH
275		-	PROFICIENCY
276		-	;
277		-	(g) I
278		-	NCLUDE WORKFORCE CAPACITY -BUILDING COMPONENTS;
279		-	(h) I
280		-	NCLUDE HIGH-INTENSITY OUTPATIENT SERVICES;
281		-	(i) I
282		-	MPROVE DATA EXCHANGE AND DATA INTEGRATION THAT
283		-	SUPPORTS WHOLE
284		-	-PERSON CARE;
285		-	(j) U
286		-	TILIZE TELEHEALTH;
287		-	(k) A
288		-	LIGN WITH OR PARTICIPATE IN COMMERCIAL ALTERNATIVE
289		-	PAYMENT MODELS
290		-	;
291		-	(l) D
292		-	EMONSTRATE COMMUNITY PARTNERSHIPS ; OR
293		-	(m) PARTICIPATE IN THE REGIONAL HEALTH CONNECTOR WORKFORCE
294		-	PROGRAM CREATED IN SECTION
295		-	23-21-901.
	254	+	NCLUDE OPPORTUNITIES TO BUILD OUT COMMUNITY HEALTH2
	255	+	WORKER, BEHAVIORAL HEALTH AIDE, OR SIMILAR PROGRAMS, SUPPORTED3
	256	+	BY POPULATION-BASED PAYMENTS;4 (d) SERVE PREGNANT AND POSTPARTUM PEOPLE ;5
	257	+	(e) THE PRACTICE IS CONSIDERED A SMALL AND INDEPENDENT6
	258	+	PRACTICE;7
	259	+	(f) DEMONSTRATE THE ABILITY AND INTENT TO SERVE8
	260	+	CULTURALLY DIVERSE POPULATIONS AND POPULATIONS WITH LIMITED9
	261	+	ENGLISH PROFICIENCY;10
	262	+	(g) INCLUDE WORKFORCE CAPACITY -BUILDING COMPONENTS;11
	263	+	(h) INCLUDE HIGH-INTENSITY OUTPATIENT SERVICES;12
	264	+	(i) IMPROVE DATA EXCHANGE AND DATA INTEGRATION THAT13
	265	+	SUPPORTS WHOLE-PERSON CARE;14
	266	+	(j) UTILIZE TELEHEALTH;15
	267	+	(k) ALIGN WITH OR PARTICIPATE IN COMMERCIAL ALTERNATIVE16
	268	+	PAYMENT MODELS;17
	269	+	(l) DEMONSTRATE COMMUNITY PARTNERSHIPS ; OR18
	270	+	(m) PARTICIPATE IN THE REGIONAL HEALTH CONNECTOR19
	271	+	WORKFORCE PROGRAM CREATED IN SECTION 23-21-901.20
296	272		(7) (a) T
297		-	HE STATE DEPARTMENT SHALL ESTABLISH A SET OF
298		-	STATEWIDE RESOURCES TO SUPPORT GRANT RECIPIENTS
299		-	. AT A MINIMUM, THE
300		-	RESOURCES MUST INCLUDE
301		-	:
302		-	(I) A
303		-	CLINICAL CONSULTATION AND PRACTICE TRANSFORMATION
304		-	SUPPORT TEAM PROVIDED BY THE
305		-	COLORADO HEALTH EXTENSION SYSTEM
306		-	IN THE PRACTICE INNOVATION PROGRAM
307		-	; AND
308		-	(II) A SUSTAINABLE BILLING AND DATA PARTNERSHIP TEAM THAT
309		-	WILL TRAIN AND SUPPORT GRANT RECIPIENTS IN MEETING STANDARDS AND
310		-	CORE COMPETENCIES FOR ALTERNATIVE PAYMENT MODELS
311		-	, TRANSFORMING
312		-	THE PRIMARY CARE PROVIDERS
313		-	' PAYMENT SYSTEMS TO FOCUS ON
314		-	INTEGRATIVE
315		-	, WHOLE-PERSON CARE, AND CREATING AND IMPLEMENTING
316		-	DATA
317		-	-SHARING PRACTICES AND POLICIES THAT SUPPORT MENTAL HEALTH
318		-	DISORDERS
319		-	, SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS.
	273	+	HE STATE DEPARTMENT SHALL ESTABLISH A SET OF21
	274	+	STATEWIDE RESOURCES TO SUPPORT GRANT RECIPIENTS . AT A MINIMUM,22
	275	+	THE RESOURCES MUST INCLUDE :23 (I) A CLINICAL CONSULTATION AND PRACTICE TRANSFORMATION24
	276	+	SUPPORT TEAM PROVIDED BY THE COLORADO HEALTH EXTENSION SYSTEM25
	277	+	IN THE PRACTICE INNOVATION PROGRAM ; AND26
	278	+	(II) A
	279	+	SUSTAINABLE BILLING AND DATA PARTNERSHIP TEAM THAT27
	280	+	1302
	281	+	-8- WILL TRAIN AND SUPPORT GRANT RECIPIENTS IN MEETING STANDARDS AND1
	282	+	CORE COMPETENCIES FOR ALTERNATIVE PAYMENT MODELS ,2
	283	+	TRANSFORMING THE PRIMARY CARE PROVIDERS ' PAYMENT SYSTEMS TO3
	284	+	FOCUS ON INTEGRATIVE, WHOLE-PERSON CARE, AND CREATING AND4
	285	+	IMPLEMENTING DATA-SHARING PRACTICES AND POLICIES THAT SUPPORT5
	286	+	MENTAL HEALTH DISORDERS , SUBSTANCE USE DISORDERS , AND6
	287	+	CO-OCCURRING DISORDERS.7
320	288		(b) T
321		-	HE STATE DEPARTMENT MAY ENTER INTO INTERAGENCY
322		-	AGREEMENTS OR PROCURE CONTRACTS TO ESTABLISH THE RESOURCES
323		-	PURSUANT TO THIS SUBSECTION
324		-	(7).
325		-	PAGE 7-HOUSE BILL 22-1302 (8) THE STATE DEPARTMENT MAY PROCURE A GRANT APPLICATION
326		-	AND SUPPORT TEAM TO ASSIST THE STATE DEPARTMENT WITH DRAFTING THE
327		-	GRANT APPLICATION
328		-	, REVIEWING APPLICATIONS, AND ADMINISTERING AND
329		-	PROCESSING GRANT AWARDS
330		-	.
	289	+	HE STATE DEPARTMENT MAY ENTER INTO INTERAGENCY8
	290	+	AGREEMENTS OR PROCURE CONTRACTS TO ESTABLISH THE RESOURCES9
	291	+	PURSUANT TO THIS SUBSECTION (7).10
	292	+	(8) T
	293	+	HE STATE DEPARTMENT MAY PROCURE A GRANT APPLICATION11
	294	+	AND SUPPORT TEAM TO ASSIST THE STATE DEPARTMENT WITH DRAFTING12
	295	+	THE GRANT APPLICATION, REVIEWING APPLICATIONS, AND ADMINISTERING13
	296	+	AND PROCESSING GRANT AWARDS .14
331	297		(9) A
332		-	GRANT RECIPIENT SHALL SPEND OR OBLIGATE ANY ~~MONEY~~
	298	+	GRANT RECIPIENT SHALL SPEND OR OBLIGATE ANY MONEY15
333	299		RECEIVED PURSUANT TO THIS SECTION NO LATER THAN
334		-	DECEMBER 30, 2024.
	300	+	DECEMBER 30,16
	301	+	2024.
	302	+	ANY MONEY A GRANT RECIPIENT OBLIGATES MUST BE EXPENDED NO17
	303	+	LATER THAN
	304	+	DECEMBER 30, 2026.18
	305	+	(10) (a) T
	306	+	HE STATE DEPARTMENT SHALL ESTABLISH A STEERING19
	307	+	COMMITTEE TO:20
	308	+	(I) P
	309	+	ROVIDE CONTINUOUS INPUT INTO GRANT APPLICATION21
	310	+	REQUIREMENTS;22
	311	+	(II) P
	312	+	ROVIDE FEEDBACK AND DIRECTION ON DATA COLLECTION23
	313	+	STANDARDS AND REVIEW ; AND24
	314	+	(III) E
	315	+	NGAGE WITH COMMUNITY PARTNERS WHO WILL HELP25
	316	+	SUPPORT THE INTEGRATED CARE PRACTICES THROUGH REFERRALS AND26
	317	+	TRUSTED COMMUNICATIONS .27
	318	+	1302
	319	+	-9- (b) THE STATE DEPARTMENT SHALL SELECT A STATE DEPARTMENT1
	320	+	EMPLOYEE TO CHAIR THE STEERING COMMITTEE , STAFF THE STEERING2
	321	+	COMMITTEE, AND REIMBURSE ANY PARTICIPANT WHO IS NOT A STATE3
	322	+	EMPLOYEE FOR REASONABLE TRAVEL EXPENSES .4
	323	+	(11) T
	324	+	HE STATE DEPARTMENT SHALL , IN COLLABORATION WITH5
	325	+	THE BEHAVIORAL HEALTH ADMINISTRATION AND THE DIVISION OF6
	326	+	INSURANCE, PREPARE A REPORT THAT INCLUDES RECOMMENDATIONS ON7
	327	+	BEST PRACTICES FOR SUSTAINING INTEGRATED CARE MODELS . IN8
	328	+	PREPARING THE REPORT, THE STATE DEPARTMENT SHALL COLLECT DATA9
	329	+	FROM EACH GRANT RECIPIENT RELATED TO CLINICAL QUALITY10
	330	+	IMPROVEMENT AND ACCESS TO CARE . GRANT RECIPIENTS SHALL PROVIDE11
	331	+	DATA TO THE STATE DEPARTMENT IN A TIMELY MANNER , AS DETERMINED12
	332	+	BY THE STATE DEPARTMENT. THE STATE DEPARTMENT IS AUTHORIZED TO13
	333	+	RECOUP OR DISCONTINUE GRANT FUNDING FOR GRANT RECIPIENTS THAT14
	334	+	DO NOT COMPLY WITH THE DATA REPORTING REQUIREMENTS OR GRANT15
	335	+	STANDARDS SET BY THE STATE DEPARTMENT .16
	336	+	(12) T
	337	+	HE STATE DEPARTMENT AND ANY PERSON WHO RECEIVES17
	338	+	MONEY FROM THE STATE DEPARTMENT PURSUANT TO THIS SECTION SHALL18
	339	+	COMPLY WITH THE COMPLIANCE , REPORTING, RECORD-KEEPING, AND19
	340	+	PROGRAM EVALUATION REQUIREMENTS ESTABLISHED BY THE OFFICE OF20
	341	+	STATE PLANNING AND BUDGETING AND THE STATE CONTROLLER IN21
	342	+	ACCORDANCE WITH SECTION 24-75-226 (5).22
	343	+	(13) T
	344	+	HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.23
	345	+	SECTION 3. In Colorado Revised Statutes, 25.5-5-402, add (3.5)24
	346	+	as follows:25
	347	+	25.5-5-402. Statewide managed care system - rules - definition26
	348	+	- repeal. (3.5) (a) N
	349	+	O LATER THAN JULY 1, 2023, THE STATE27
	350	+	1302
	351	+	-10- DEPARTMENT, IN COLLABORATION WITH THE BEHAVIORAL HEALTH1
	352	+	ADMINISTRATION IN THE DEPARTMENT OF HUMAN SERVICES AND OTHER2
	353	+	STATE AGENCIES, SHALL DEVELOP THE UNIVERSAL CONTRACT AS3
	354	+	DESCRIBED IN SECTION 27-50-203.4
	355	+	(b) (I) F
	356	+	OR THE 2022-23 STATE FISCAL YEAR, THE GENERAL5
	357	+	ASSEMBLY SHALL APPROPRIATE THREE MILLION DOLLARS FROM THE6
	358	+	BEHAVIORAL AND MENTAL HEALTH CASH FUND , CREATED IN SECTION7
	359	+	24-75-230,
	360	+	TO THE STATE DEPARTMENT FOR THE DEVELOPMENT ,8
	361	+	IMPLEMENTATION, AND ADMINISTRATION OF THE UNIVERSAL CONTRACT .9
	362	+	(II) T
	363	+	HIS SUBSECTION (3.5)(b) IS REPEALED, EFFECTIVE JULY 1,10
	364	+	2024.11
	365	+	SECTION 4. In Colorado Revised Statutes, add 25.5-6-115 as
	366	+	12
	367	+	follows:13
	368	+	25.5-6-115. Community placement transformation - creation14
	369	+	- report - repeal. (1) T
	370	+	HE STATE DEPARTMENT SHALL UNDERTAKE
	371	+	15
	372	+	EFFORTS TO TRANSFORM THE STATE DEPARTMENT 'S PROCESS FOR CLIENTS16
	373	+	ATTEMPTING TO RECEIVE LONG-TERM CARE IN THE COMMUNITY .17
	374	+	(2) I
	375	+	N ORDER TO AFFIRM COLORADO'S COMMITMENT TO THE
	376	+	18
	377	+	U
	378	+	NITED STATES SUPREME COURT'S DECISION IN OLMSTEAD V. L.C., 527
	379	+	19
	380	+	U.S.
	381	+	581 (1999), AND TO THE FEDERAL "AMERICANS WITH DISABILITIES
	382	+	20
335	383		A
336		-	NY MONEY A GRANT RECIPIENT OBLIGATES MUST BE EXPENDED NO LATER
337		-	THAN
338		-	DECEMBER 30, 2026.
339		-	(10) (a) T
340		-	HE STATE DEPARTMENT SHALL ESTABLISH A STEERING
341		-	COMMITTEE TO
342		-	:
343		-	(I) P
344		-	ROVIDE CONTINUOUS INPUT INTO GRANT APPLICATION
345		-	REQUIREMENTS
346		-	;
347		-	(II) P
348		-	ROVIDE FEEDBACK AND DIRECTION ON DATA COLLECTION
349		-	STANDARDS AND REVIEW
350		-	; AND
351		-	(III) ENGAGE WITH COMMUNITY PARTNERS WHO WILL HELP SUPPORT
352		-	THE INTEGRATED CARE PRACTICES THROUGH REFERRALS AND TRUSTED
353		-	COMMUNICATIONS
354		-	.
355		-	(b) T
356		-	HE STATE DEPARTMENT SHALL SELECT A STATE DEPARTMENT
357		-	EMPLOYEE TO CHAIR THE STEERING COMMITTEE
358		-	, STAFF THE STEERING
359		-	COMMITTEE
360		-	, AND REIMBURSE ANY PARTICIPANT WHO IS NOT A STATE
361		-	EMPLOYEE FOR REASONABLE TRAVEL EXPENSES
362		-	.
363		-	(11) T
364		-	HE STATE DEPARTMENT SHALL, IN COLLABORATION WITH THE
365		-	BEHAVIORAL HEALTH ADMINISTRATION AND THE DIVISION OF INSURANCE
366		-	,
367		-	PREPARE A REPORT THAT INCLUDES RECOMMENDATIONS ON BEST PRACTICES
368		-	FOR SUSTAINING INTEGRATED CARE MODELS
369		-	. IN PREPARING THE REPORT, THE
370		-	STATE DEPARTMENT SHALL COLLECT DATA FROM EACH GRANT RECIPIENT
371		-	RELATED TO CLINICAL QUALITY IMPROVEMENT AND ACCESS TO CARE
372		-	. GRANT
373		-	RECIPIENTS SHALL PROVIDE DATA TO THE STATE DEPARTMENT IN A TIMELY
374		-	MANNER
375		-	, AS DETERMINED BY THE STATE DEPARTMENT . THE STATE
376		-	DEPARTMENT IS AUTHORIZED TO RECOUP OR DISCONTINUE GRANT FUNDING
377		-	FOR GRANT RECIPIENTS THAT DO NOT COMPLY WITH THE DATA REPORTING
378		-	REQUIREMENTS OR GRANT STANDARDS SET BY THE STATE DEPARTMENT
379		-	.
380		-	PAGE 8-HOUSE BILL 22-1302 (12) THE STATE DEPARTMENT AND ANY PERSON WHO RECEIVES
381		-	MONEY FROM THE STATE DEPARTMENT PURSUANT TO THIS SECTION SHALL
382		-	COMPLY WITH THE COMPLIANCE
383		-	, REPORTING, RECORD-KEEPING, AND
384		-	PROGRAM EVALUATION REQUIREMENTS ESTABLISHED BY THE OFFICE OF
385		-	STATE PLANNING AND BUDGETING AND THE STATE CONTROLLER IN
386		-	ACCORDANCE WITH SECTION
387		-	24-75-226 (5).
388		-	(13) T
389		-	HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.
390		-	SECTION 3. In Colorado Revised Statutes, 25.5-5-402, add (3.5)
391		-	as follows:
392		-	25.5-5-402. Statewide managed care system - rules - definition
393		-	- repeal. (3.5) (a) N
394		-	O LATER THAN JULY 1, 2023, THE STATE DEPARTMENT,
395		-	IN COLLABORATION WITH THE BEHAVIORAL HEALTH ADMINISTRATION IN THE
396		-	DEPARTMENT OF HUMAN SERVICES AND OTHER STATE AGENCIES
397		-	, SHALL
398		-	DEVELOP THE UNIVERSAL CONTRACT AS DESCRIBED IN SECTION
399		-	27-50-203.
400		-	(b) (I) F
401		-	OR THE 2022-23 STATE FISCAL YEAR, THE GENERAL
402		-	ASSEMBLY SHALL APPROPRIATE THREE MILLION DOLLARS FROM THE
403		-	BEHAVIORAL AND MENTAL HEALTH CASH FUND
404		-	, CREATED IN SECTION
405		-	24-75-230, TO THE STATE DEPARTMENT FOR THE DEVELOPMENT ,
406		-	IMPLEMENTATION, AND ADMINISTRATION OF THE UNIVERSAL CONTRACT .
407		-	(II) T
408		-	HIS SUBSECTION (3.5)(b) IS REPEALED, EFFECTIVE JULY 1, 2024.
409		-	SECTION 4. In Colorado Revised Statutes, add 25.5-6-116 as
410		-	follows:
411		-	25.5-6-116. Community placement transformation - creation -
412		-	report - repeal. (1) T
413		-	HE STATE DEPARTMENT SHALL UNDERTAKE EFFORTS
414		-	TO TRANSFORM THE STATE DEPARTMENT
415		-	'S PROCESS FOR CLIENTS
416		-	ATTEMPTING TO RECEIVE LONG
417		-	-TERM CARE IN THE COMMUNITY .
418		-	(2) I
419		-	N ORDER TO AFFIRM COLORADO'S COMMITMENT TO THE UNITED
420		-	STATES SUPREME COURT'S DECISION IN OLMSTEAD V. L.C., 527 U.S. 581
421		-	(1999),
422		-	AND TO THE FEDERAL "AMERICANS WITH DISABILITIES ACT OF
423		-	1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED, AND RESPOND TO THE
424		-	UNITED STATES DEPARTMENT OF JUSTICE 'S LETTER OF FINDINGS, DATED
425		-	MARCH 3, 2022, CONCERNING THE INVESTIGATION OF COLORADO'S USE OF
426		-	PAGE 9-HOUSE BILL 22-1302 NURSING FACILITIES TO SERVE ADULTS WITH PHYSICAL DISABILITIES , THE
427		-	GENERAL ASSEMBLY SHALL APPROPRIATE MONEY TO THE STATE
428		-	DEPARTMENT IN ORDER TO ADVANCE COMMUNITY PLACEMENT AND
429		-	INTEGRATION FOR INDIVIDUALS WITH DISABILITIES
430		-	.
431		-	(3) N
432		-	O LATER THAN JANUARY 2023, AND JANUARY 2024, THE STATE
433		-	DEPARTMENT SHALL REPORT TO THE JOINT BUDGET COMMITTEE
434		-	, THE HOUSE
435		-	OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND HUMAN
436		-	SERVICES COMMITTEE
437		-	, AND THE SENATE HEALTH AND HUMAN SERVICES
438		-	COMMITTEE
439		-	, OR THEIR SUCCESSOR COMMITTEES , AS PART OF ITS "STATE
440		-	MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND TRANSPARENT
441		-	(SMART) GOVERNMENT ACT" HEARING REQUIRED BY SECTION 2-7-203. AT
442		-	A MINIMUM
443		-	, THE REPORT MUST INCLUDE AN ANALYSIS AND
444		-	RECOMMENDATIONS ON THE FOLLOWING
445		-	:
	384	+	CT OF 1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED, AND RESPOND
	385	+	21
	386	+	TO THE UNITED STATES DEPARTMENT OF JUSTICE'S LETTER OF FINDINGS,22
	387	+	DATED MARCH 3, 2022, CONCERNING THE INVESTIGATION OF COLORADO'S23
	388	+	USE OF NURSING FACILITIES TO SERVE ADULTS WITH PHYSICAL24
	389	+	DISABILITIES, THE GENERAL ASSEMBLY SHALL APPROPRIATE MONEY TO25
	390	+	THE STATE DEPARTMENT IN ORDER TO ADVANCE COMMUNITY PLACEMENT26
	391	+	AND INTEGRATION FOR INDIVIDUALS WITH DISABILITIES .27
	392	+	1302
	393	+	-11- (3) NO LATER THAN JANUARY 2023, AND JANUARY 2024, THE1
	394	+	STATE DEPARTMENT SHALL REPORT TO THE JOINT BUDGET COMMITTEE ,2
	395	+	THE HOUSE OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND3
	396	+	HUMAN SERVICES COMMITTEE , AND THE SENATE HEALTH AND HUMAN4
	397	+	SERVICES COMMITTEE, OR THEIR SUCCESSOR COMMITTEES, AS PART OF ITS5
	398	+	"S
	399	+	TATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND
	400	+	6
	401	+	T
	402	+	RANSPARENT (SMART) GOVERNMENT ACT" HEARING REQUIRED BY
	403	+	7
	404	+	SECTION 2-7-203. AT A MINIMUM, THE REPORT MUST INCLUDE AN8
	405	+	ANALYSIS AND RECOMMENDATIONS ON THE FOLLOWING :9
446	406		(a) T
447	407		HE STATE DEPARTMENT'S WORK AND STRATEGIC PLANNING
448		-	REGARDING FULFILLING
449		-	COLORADO'S COMMITMENT TO THE OLMSTEAD
450		-	DECISION TO ENSURE COMMUNITY LIVING
451		-	;
	408	+	10
	409	+	REGARDING FULFILLING COLORADO'S COMMITMENT TO THE OLMSTEAD11
	410	+	DECISION TO ENSURE COMMUNITY LIVING ;12
452	411		(b) P
453		-	ROGRAMMATIC DECISIONS, ANALYSIS, AND POLICY CHANGES IN
454		-	~~ACCORDANCE WITH THE FEDERAL~~
455		-	"AMERICANS WITH DISABILITIES ~~ACT OF~~
456		-	1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED; ~~AND~~
457		-	(c) ~~INFORMATION REGARDING THE STATE DEPARTMENT 'S~~
458		-	~~COORDINATION~~
459		-	~~, PROGRAMMATIC OR MEDICAID BENEFIT CHANGES ,~~
460		-	~~IMPLEMENTATION OF QUALITY OVERSIGHT STRATEGIES~~ , ~~AND METRICS~~
461		-	~~AROUND COMMUNITY INTEGRATION~~
462		-	.
	412	+	ROGRAMMATIC DECISIONS, ANALYSIS, AND POLICY CHANGES
	413	+	13
	414	+	IN ACCORDANCE WITH THE FEDERAL "AMERICANS WITH DISABILITIES ACT14
	415	+	OF 1990", 42 U.S.C. SEC. 12101 ET SEQ., AS AMENDED; AND15
	416	+	(c) I
	417	+	NFORMATION REGARDING THE STATE DEPARTMENT 'S
	418	+	16
	419	+	COORDINATION, PROGRAMMATIC OR MEDICAID BENEFIT CHANGES ,17
	420	+	IMPLEMENTATION OF QUALITY OVERSIGHT STRATEGIES , AND METRICS18
	421	+	AROUND COMMUNITY INTEGRATION .19
463	422		(4) T
464	423		HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2025.
465		-	SECTION 5. Appropriation. (1) For the 2022-23 state fiscal year,
466		-	$616,968 is appropriated to the department of health care policy and
467		-	financing for use by the executive director's office. This appropriation is
468		-	from the general fund. To implement this act, the office may use this
469		-	appropriation as follows:
470		-	(a) $440,226 for personal services, which amount is based on an
471		-	assumption that the office will require an additional 12.0 FTE;
472		-	(b) $5,882 for operating expenses;
473		-	PAGE 10-HOUSE BILL 22-1302 (c) $40,860 for leased space;
474		-	(d) $80,000 for general professional services and special projects;
475		-	and
476		-	(e) $50,000 for Medicaid management information system
477		-	maintenance and projects.
478		-	(2) For the 2022-23 state fiscal year, the general assembly
479		-	anticipates that the department of health care policy and financing will
480		-	receive $986,948 in federal funds to implement this act, which amount is
481		-	subject to the "(I)" notation as defined in the annual general appropriation
482		-	act for the same fiscal year. The appropriation in subsection (1) of this
483		-	section is based on the assumption that the department will receive this
484		-	amount of federal funds to be used as follows:
485		-	(a) $413,090 for personal services;
486		-	(b) $5,518 for operating expenses;
487		-	(c) $38,340 for leased space;
488		-	(d) $80,000 for general professional services and special projects;
489		-	and
490		-	(e) $450,000 for Medicaid management information system
491		-	maintenance and projects.
492		-	SECTION 6. Appropriation. (1) For the 2022-23 state fiscal year,
493		-	$31,750,000 is appropriated to the department of health care policy and
494		-	financing for use by other medical services. This appropriation is from the
495		-	behavioral and mental health cash fund created in section 24-75-230 (2)(a),
496		-	C.R.S., is of money the state received from the federal coronavirus state
497		-	fiscal recovery fund, and is based on an assumption that the division will
498		-	require an additional 2.3 FTE. To implement this act, the division may use
499		-	this appropriation for the primary care and behavioral health statewide
500		-	integration grant program. Any money appropriated in this section not
501		-	expended prior to July 1, 2023, is further appropriated to the division from
502		-	July 1, 2023, through December 30, 2024, for the same purpose.
503		-	PAGE 11-HOUSE BILL 22-1302 (2) For the 2022-23 state fiscal year, $3,000,000 is appropriated to
504		-	the department of health care policy and financing for use by the executive
505		-	director's office, general administration. This appropriation is from the
506		-	behavioral and mental health cash fund created in section 24-75-230 (2)(a),
507		-	C.R.S., and is of money the state received from the federal coronavirus state
508		-	fiscal recovery fund. To implement this act, the division may use this
509		-	appropriation for the universal contract for behavioral health services. Any
510		-	money appropriated in this section not expended prior to July 1, 2023, is
511		-	further appropriated to the division from July 1, 2023, through December
512		-	30, 2024, for the same purpose.
513		-	(3) For the 2022-23 fiscal year, $250,000 is appropriated to the
514		-	department of higher education for use by the regents of the university of
515		-	Colorado. This appropriation is from the behavioral and mental health cash
516		-	fund created in section 24-75-230 (2)(a), C.R.S., and is of money the state
517		-	received from the federal coronavirus state fiscal recovery fund. To
518		-	implement this act, the regents may use this appropriation for allocation to
519		-	the school of medicine for the regional health connector workforce
520		-	program.
521		-	SECTION 7. Effective date. This act takes effect upon passage;
522		-	except that section 3 of this act takes effect only if House Bill 22-1278
523		-	becomes law, in which case section 3 takes effect either upon the effective
524		-	date of this act or House Bill 22-1278, whichever is later, and sections 4 and
525		-	5 of this act take effect only if House Bill 22-1411 becomes law, in which
526		-	case sections 4 and 5 take effect either upon the effective date of this act or
527		-	House Bill 22-1411, whichever is later.
528		-	SECTION 8. Safety clause. The general assembly hereby finds,
529		-	PAGE 12-HOUSE BILL 22-1302 determines, and declares that this act is necessary for the immediate
530		-	preservation of the public peace, health, or safety.
531		-	____________________________ ____________________________
532		-	Alec Garnett Steve Fenberg
533		-	SPEAKER OF THE HOUSE PRESIDENT OF
534		-	OF REPRESENTATIVES THE SENATE
535		-	____________________________ ____________________________
536		-	Robin Jones Cindi L. Markwell
537		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
538		-	OF REPRESENTATIVES THE SENATE
539		-	APPROVED________________________________________
540		-	(Date and Time)
541		-	_________________________________________
542		-	Jared S. Polis
543		-	GOVERNOR OF THE STATE OF COLORADO
544		-	PAGE 13-HOUSE BILL 22-1302
	424	+	20
	425	+	SECTION 5. Appropriation. (1) For the 2022-23 state fiscal21
	426	+	year, $616,968 is appropriated to the department of health care policy and22
	427	+	financing for use by the executive director's office. This appropriation is23
	428	+	from the general fund. To implement this act, the office may use this24
	429	+	appropriation as follows:25
	430	+	(a) $440,226 for personal services, which amount is based on an26
	431	+	assumption that the office will require an additional 12.0 FTE;27
	432	+	1302
	433	+	-12- (b) $5,882 for operating expenses;1
	434	+	(c) $40,860 for leased space;2
	435	+	(d) $80,000 for general professional services and special projects;3
	436	+	and4
	437	+	(e) $50,000 for Medicaid management information system5
	438	+	maintenance and projects.6
	439	+	(2) For the 2022-23 state fiscal year, the general assembly7
	440	+	anticipates that the department of health care policy and financing will8
	441	+	receive $986,948 in federal funds to implement this act, which amount is9
	442	+	subject to the "(I)" notation as defined in the annual general appropriation10
	443	+	act for the same fiscal year. The appropriation in subsection (1) of this11
	444	+	section is based on the assumption that the department will receive this12
	445	+	amount of federal funds to be used as follows:13
	446	+	(a) $413,090 for personal services;14
	447	+	(b) $5,518 for operating expenses;15
	448	+	(c) $38,340 for leased space;16
	449	+	(d) $80,000 for general professional services and special projects;17
	450	+	and18
	451	+	(e) $450,000 for Medicaid management information system19
	452	+	maintenance and projects.20
	453	+	SECTION 6. Appropriation. (1) For the 2022-23 state fiscal21
	454	+	year, $31,750,000 is appropriated to the department of health care policy22
	455	+	and financing for use by other medical services. This appropriation is23
	456	+	from the behavioral and mental health cash fund created in section24
	457	+	24-75-230 (2)(a), C.R.S., is of money the state received from the federal25
	458	+	coronavirus state fiscal recovery fund, and is based on an assumption that26
	459	+	the division will require an additional 2.3 FTE. To implement this act, the27
	460	+	1302
	461	+	-13- division may use this appropriation for the primary care and behavioral1
	462	+	health statewide integration grant program. Any money appropriated in2
	463	+	this section not expended prior to July 1, 2023, is further appropriated to3
	464	+	the division from July 1, 2023, through December 30, 2024, for the same4
	465	+	purpose.5
	466	+	(2) For the 2022-23 state fiscal year, $3,000,000 is appropriated to6
	467	+	the department of health care policy and financing for use by the7
	468	+	executive director's office, general administration. This appropriation is8
	469	+	from the behavioral and mental health cash fund created in section9
	470	+	24-75-230 (2)(a), C.R.S., and is of money the state received from the10
	471	+	federal coronavirus state fiscal recovery fund. To implement this act, the11
	472	+	division may use this appropriation for the universal contract for12
	473	+	behavioral health services. Any money appropriated in this section not13
	474	+	expended prior to July 1, 2023, is further appropriated to the division14
	475	+	from July 1, 2023, through December 30, 2024, for the same purpose.15
	476	+	(3) For the 2022-23 fiscal year, $250,000 is appropriated to the16
	477	+	department of higher education for use by the regents of the university of17
	478	+	Colorado. This appropriation is from the behavioral and mental health18
	479	+	cash fund created in section 24-75-230 (2)(a), C.R.S., and is of money the19
	480	+	state received from the federal coronavirus state fiscal recovery fund. To20
	481	+	implement this act, the regents may use this appropriation for allocation21
	482	+	to the school of medicine for the regional health connector workforce22
	483	+	program.23
	484	+	SECTION 7. Effective date. This act takes effect upon passage;24
	485	+	except that section 3 of this act takes effect only if House Bill 22-127825
	486	+	becomes law, in which case section 3 takes effect either upon the26
	487	+	effective date of this act or House Bill 22-1278, whichever is later, and27
	488	+	1302
	489	+	-14- sections 4 and 5 of this act take effect only if House Bill 22-14111
	490	+	becomes law, in which case sections 4 and 5 take effect either upon the2
	491	+	effective date of this act or House Bill 22-1411, whichever is later.3
	492	+	SECTION 8. Safety clause. The general assembly hereby finds,4
	493	+	determines, and declares that this act is necessary for the immediate5
	494	+	preservation of the public peace, health, or safety.6
	495	+	1302
	496	+	-15-