First Regular Session Seventy-fourth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO. 23-0375.01 Carolyn Kampman x4959 SENATE BILL 23-117 Senate Committees House Committees Appropriations Appropriations A BILL FOR AN ACT C ONCERNING A SUPPLEMENTAL APPR OPRIATION TO THE DEPARTMENT101 OF HEALTH CARE POLICY AND FINANCING .102 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 .) Supplemental appropriations are made to the department of health care policy and financing. Be it enacted by the General Assembly of the State of Colorado:1 HOUSE 3rd Reading Unamended February 16, 2023 HOUSE 2nd Reading Unamended February 15, 2023 SENATE 3rd Reading Unamended February 9, 2023 SENATE 2nd Reading Unamended February 8, 2023 SENATE SPONSORSHIP Zenzinger, Bridges, Kirkmeyer, Buckner, Cutter, Hinrichsen, Marchman HOUSE SPONSORSHIP Bird, Sirota, Bockenfeld, Bacon, Brown, deGruy Kennedy, English, Garcia, Herod, Jodeh, Joseph, Lieder, Lindsay, Martinez, Michaelson Jenet, Ricks, Snyder, Velasco, Young Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. SECTION 1. Appropriation to the department of health care1 policy and financing for the fiscal year beginning July 1, 2022. In2 Session Laws of Colorado 2022, section 2 of chapter 507, (HB 22-1329),3 amend Part VI and the affected totals, as Part VI (1)(A) and the affected4 totals are amended by section 8 of chapter 170, (HB 22-1133), as follows:5 Section 2. Appropriation.6 117 -2- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ PART VI 1 DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2 3 (1) EXECUTIVE DIRECTOR'S OFFICE 4 (A) General Administration 5 Personal Services 6 55,672,434 7 55,513,149 8 (665.2 FTE) Health, Life, and Dental 9 9,269,011 10 9,139,400 Short-term Disability 11 95,356 12 93,895 S.B. 04-257 Amortization 13 Equalization Disbursement 14 2,980,995 15 2,935,436 117 -3- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ S.B. 06-235 Supplemental 1 Amortization Equalization 2 Disbursement 3 2,980,996 4 2,935,437 Salary Survey 5 1,739,584 PERA Direct Distribution 6 668,598 Temporary Employees 7 Related to Authorized 8 Leave 9 5,978 Workers' Compensation 10 194,996 Operating Expenses 11 2,963,583 12 3,381,785 Legal Services 13 959,008 117 -4- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Administrative Law Judge 1 Services 2 890,065 Payment to Risk 3 Management and Property 4 Funds 5 383,339 Leased Space 6 3,666,036 7 3,593,966 Capitol Complex Leased 8 Space 9 624,633 Payments to OIT 10 9,004,795 11 9,045,009 CORE Operations 12 169,033 117 -5- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ General Professional 1 Services and Special 2 Projects 16,17 3 68,014,149 4 76,660,420 5 160,282,589 42,354,096 35,261,400 a 2,978,009 b 79,689,084 (I) 6 168,933,731 42,587,133 40,496,617 a 2,978,085 b 82,871,896(I) 7 a Of this amount, $24,937,360 $29,932,590 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $8,982,429 $9,221,708 8 shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., $39 4,382 $394,656 shall be from the Medicaid Nursing Facility 9 Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $270,954 $271,143 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $199,575 $199,716 shall 10 be from the Primary Care Fund created in Section 24-22-117 (2 )(b)(I), C.R.S., $185,094 shall be from the Children's Basic Healt h Plan Trust created in Section 25.5-8-105 (1), C.R.S., 11 $108,112 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $56,046 $56,082 shall be from the Service Fee Fund created in Section 12 25.5-6-204 (1)(c)(II), C.R.S., $52,146 $52,182 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $48,644 $48,676 shall be from the Breast 13 and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., $25,412 shall be from an int ergovernmental transfer from the University of Colorado 14 School of Medicine, and $1,246 shall be from estate recoveries. 15 117 -6- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ b Of this amount, $988,178 $988,226 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Development Cent er line item 1 appropriation in this department, $799,160 shall be from statewide indirect cost recoveries, $610,453 $610,465 shall be transferred from the Department of Human Services from the 2 Health Care and Economic Security Staff Development Center line item appropriation, $571,255 $571,271 shall be transferred from the Department of Higher Education from the 3 Fee-for-service Contracts with State Institutions for Speciality Education Programs line item, and $8,963 shall be from the Dep artment of Public Health and Environment from the Women, 4 Infants, and Children Supplemental Food Grant line item. 5 6 (B) Transfers to/from Other Departments 7 Transfer to Department of 8 Education for Public School 9 Health Services 10 191,731 95,865(M) 95,866 Transfer from Department 11 of Human Services for 12 Nurse Home Visitor 13 Program 14 3,010,0001,505,000 a 1,505,000(I) 117 -7- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Transfer to Department of 1 Local Affairs for Host 2 Home Regulation 3 133,882 66,941(M) 66,941 Transfer to Department of 4 Local Affairs for Home 5 Modifications Benefit 6 Administration 7 306,796 153,398(M) 153,398 Transfer to Department of 8 Public Health and 9 Environment for Facility 10 Survey and Certification 11 8,651,460 3,218,674(M) 5,432,786 Transfer to Department of 12 Public Health and 13 Environment for Prenatal 14 Statistical Information 15 5,887 2,944(M) 2,943 117 -8- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Transfer to Department of 1 Regulatory Agencies for 2 Nurse Aide Certification 3 324,041 147,369(M) 14,652 b 162,020 Transfer to Department of 4 Regulatory Agencies for 5 Reviews 6 3,750 1,875(M) 1,875 7 12,627,547 8 a This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion. 9 b This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation. 10 11 12 13 14 15 117 -9- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (C) Information Technology Contracts and Projects 1 Medicaid Management 2 Information System 3 Maintenance and Projects 18 4 P ROJECTS 5 46,579,137 2,832,277 11,364,076 a 12,204 b 32,370,580 (I) 6 46,261,335 2,710,081 4,594,312 a 38,944,738(I) Colorado Benefits 7 Management Systems, 8 Operating and Contract 9 Expenses 19, 20 10 49,903,812 9,821,039 (M) 5,981,077 c 1,654 b 34,100,042 11 54,177,348 10,662,071(M) 6,493,474 c 37,020,149 117 -10- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Colorado Benefits 1 Management Systems, 2 Health Care and Economic 3 Security Staff Development 4 Center 19,20 5 2,005,074 634,715(M) 354,194 d 73 b 1,016,092 Office of eHealth 6 Innovations Operations 7 6,465,845 3,372,367 3,093,478(I) 8(3.0 FTE) All-Payer Claims Database 9 5,005,153 4,171,886833,267(I) 10 109,959,021 11 113,914,755 12 a Of this amount, $7,509,302 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-180 5 (1), C.R.S., $2,903,658 $2,817,132 shall be 13 from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $601,116 sha ll be from the Children's Basic Health Plan Trust created 14 in Section 25.5-8-105 (1), C.R.S., and $350,000 $1,176,064 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 15 117 -11- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ b These amounts shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 1 c Of this amount, $5,522,535 $6,034,932 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $458,542 shall 2 be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 3 d Of this amount, $333,908 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $20,286 shall be from the 4 Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 5 6 (D) Eligibility Determinations and Client Services 7 Contracts for Special 8 Eligibility Determinations 9 12,039,555 1,129,071(M) 4,343,468 a 6,567,016 County Administration 10 123,622,889 20,061,678 (M) 27,113,119 b 76,448,092 11 119,071,526 20,154,096(M) 25,643,473 b 73,273,957 Medical Assistance Sites 12 1,531,968 402,984 c 1,128,984(I) Administrative Case 13 Management 14 869,744 434,872(M) 434,872 Customer Outreach 15 3,486,071 1,406,415(M) 336,621 c 1,743,035 117 -12- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Centralized Eligibility 1 Vendor Contract Project 2 6,122,400 2,279,719 c 3,842,681(I) Connect for Health 3 Colorado Eligibility 4 Determinations 5 10,135,914 4,530,754 d 5,605,160(I) Eligibility Overflow 6 Processing Center 7 1,904,677 285,320(M) 190,849 c 1,428,508 Returned Mail Processing 8 3,298,808 985,808(M) 244,919 e 111,942 f 1,956,139 Work Number Verification 9 3,305,114 1,089,815(M) 545,013 c 1,670,286 10 166,317,140 11 161,765,777 12 a Of this amount, $4,338,468 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the 13 Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S. 14 117 -13- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ b Of this amount, $19,649,148(I) $18,508,801(I) shall be from local funds and $7,463,971 $7,134,672 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created 1 in Section 25.5-4-402.4 (5)(a), C.R.S. 2 c These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 3 d This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. 4 e Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $38,736 shall be from the 5 Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 6 f Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall 7 be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 8 9 (E) Utilization and Quality Review Contracts 10 Professional Services 11 Contracts 12 26,961,574 7,236,040 (M) 2,032,069 a 17,693,465 13 28,145,411 8,419,877(M) 14 117 -14- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ a Of this amount, $1,904,498 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 1 Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $36,875 shall be from the Me dicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., and $1,946 shall 2 be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 3 4 (F) Provider Audits and Services 5 Professional Audit Contracts 6 4,655,865 1,816,102 (M) 582,801 a 2,256,962 7 4,405,865 1,691,102(M) 2,131,962 8 a Of this amount, $421,395 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the 9 Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund creat ed in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420 10 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 11 12 (G) Recoveries and Recoupment Contract Costs 13 Estate Recovery 14 700,000 350,000 a 350,000 (I) 15 1,165,841 582,920 a 582,921(I) 117 -15- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Third-Party Liability Cost 1 Avoidance Contract 2 17,248,905 5,692,139(M) 2,932,314 b 8,624,452 3 17,948,905 4 18,414,746 5 a This amount shall be from estate recoveries. 6 b This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 7 8 (H) Indirect Cost Recoveries 9 Indirect Cost Assessment 10 790,162 274,461 a 121,263 b 394,438(I) 11 117 -16- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ a Of this amount, $222,996 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $16,157 shall be from the Medical 1 Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $11,717 shall be from the Home- and Community-based Se rvices Improvement Fund created in Section 2 25.5-6-1805 (1), C.R.S., $10,180 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $7,502 shall be from the Primary Care Fund created in Section 3 24-22-117 (2)(b)(I), C.R.S., $2,111 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $1,954 shall be from the Colorado Autism Treatment Fund created 4 in Section 25.5-6-805 (1), C.R.S., and $1,844 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund create d in Section 25.5-5-308 (8)(a)(I), C.R.S.. 5 b Of this amount, $81,388 shall be from transferred from the Colora do Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item appropriation 6 in this department, $22,605 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts wit h State Institutions for Speciality Education Programs 7 line item, and $17,270 shall be transferred from the Department of Human Services from the Health Care and Economic Security St aff Development Center line item appropriation. 8 9 10 499,542,803 11 508,997,994 12 13 14 15 117 -17- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (2) MEDICAL SERVICES PREMIUMS 1 Medical and Long-Term 2 Care Services for Medicaid 3 Eligible Individuals 21,21a 4 10,476,745,973 1,807,317,367 (M) 1,088,947,539 a 1,252,446,475 b 90,013,408 c 6,238,021,184 5 10,717,166,079 1,649,045,686(M) 1,240,483,888 b 6,648,675,558 6 a This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 7 117 -18- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ b Of this amount, $908,976,142 $940,984,711 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a ), C.R.S.,$72,525,818 1 $69,206,333 shall be from recoveries and recoupments, $63,970,820 $54,672,000 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S., 2 $60,646,597 $53,520,799 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5- 6-203 (2)(a), C.R.S., $39,453,734 $29,745,806 shall be from the Home- and 3 Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $33,904,593 $32,897,732 represents public funds certified as expenditures incurred by public 4 hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $30,674,657 $27,883,637 shall be from the Adult Dental Fund created in Section 5 25.5-5-207 (4)(a), C.R.S., $29,346,986 $25,603,971 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 6,758,245 shall 6 be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3)(b), C.R.S., $2,086,005 $2,138,760 shall be from the Tobacco Tax Cash Fund created in section 24-22-117 7 (1)(a), C.R.S., and meets the requirement to appropriate a portion of the revenues collected from the imposition of additional state cigarette and tobacco taxes to the Old Age Pension 8 program for health related purposes pursuant to Section 21 of Article X of the State Constitution, $1,449,614 $1,640,845 shall be from the Colorado Autism Treatment Fund created 9 in Section 25.5-6-805 (1), C.R.S., $895,653 $431,683 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C .R.S., 10 $857,151 shall be from the Tobacco Education Programs Fund created in Section 24-22-117 (2)(c)(I), C.R.S., $700,000 shall be fr om an intergovernmental transfer from Denver Health, 11 and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 12 c Of this amount, $78,885,357 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts wi th State Institutions for Speciality Education Programs 13 line item, $9,969,877 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department, and 14 $1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Services division of this dep artment. 15 16 117 -19- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 1 Behavioral Health 2 Capitation Payments 3 1,118,068,471 269,399,988 (M) 83,315,662 a 765,352,821 4 1,164,843,558 258,289,566(M) 88,698,914 a 817,855,078 Behavioral Health 5 Fee-for-service Payments 6 12,970,664 2,881,495 (M) 846,243 a 9,242,926 7 11,416,625 2,421,734(M) 715,093 a 8,279,798 8 1,131,039,135 9 1,176,260,183 10 a Of these amounts, $84,126,635 $89,380,141 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $35,270 11 $33,866 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 12 13 14 15 117 -20- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (4) OFFICE OF COMMUNITY LIVING 1 (A) Division of Intellectual and Developmental Disabilities 2 (1) Administrative Costs 3 Personal Services 4 3,469,613 1,858,480(M) 1,611,133 5 (39.5 FTE) Operating Expenses 6 281,510 164,636(M) 116,874 Community and Contract 7 Management System 8 137,480 89,362(M) 48,118 Support Level 9 Administration 10 59,317 29,403(M) 255 a 29,659 11 3,947,920 12 a This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 13 14 15 117 -21- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (2) Medicaid Programs 22 1 Adult Comprehensive 2 Services 23 3 713,885,548 4 694,147,468 Adult Supported Living 5 Services 24 6 80,658,077 7 76,065,000 Children's Extensive 8 Support Services 25 S ERVICES 9 42,487,893 10 39,682,957 Children's Habilitation 11 Residential Program 26 12 P ROGRAM 13 12,047,333 14 13,337,695 117 -22- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Case Management for 1 People with Disabilities 27 2 102,087,659 3 90,896,434 4 951,166,510 440,388,944 a 36,456,596 b 474,320,970 5 914,129,554 401,308,959 a 30,454,492 b 482,366,103 6 a Of this amount, the (M) notation applies to $437,877,285 $398,797,300. 7 b Of this amount, $27,123,608 $21,969,135 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $9,332,987 $8,485,356 8 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $1 shall be from the Health Care Expansion Fund created 9 in Section 24-22-117 (2)(a)(I), C.R.S. 10 11 (3) State-only Programs 28 12 Family Support Services 13 7,825,842 14 10,727,042 117 -23- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ State Supported Living 1 Services 2 10,337,979 3 5,042,256 State Supported Living 4 Services Case Management 5 2,519,109 6 4,913,632 Preventive Dental Hygiene 29 7 67,789 Supported Employment 8 Provider and Certification 9 Reimbursement 10 303,158 11 21,053,877 21,053,877 12 13 976,168,307 14 939,131,351 15 117 -24- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (5) INDIGENT CARE PROGRAM 1 Safety Net Provider 2 Payments 3 226,610,308 113,305,154 a 113,305,154 (I) 499,935,146 a 126,675,162(I) Pediatric Specialty Hospital 5 10,764,010 5,382,005 (M) 5,382,005 64,746,929(M) 6,017,081 Appropriation from 7 Tobacco Tax Cash Fund to 8 the General Fund 9 381,798 381,798 b Primary Care Fund Program 10 48,087,990 24,176,000 c 23,911,990 (I) 11 53,309,81329,133,813(I) Children's Basic Health Plan 12 Administration 13 3,864,405 1,243,319 (H) d 2,621,086 141,268,684(H) d 2,595,721 117 -25- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Children's Basic Health Plan 1 Medical and Dental Costs 2 179,020,656 23,969,514 381,798 e 39,132,095 (H) f 115,537,249 3 147,843,413 7,657,727 41,326,833(H) f 98,477,055 4 468,729,167 5 442,773,747 6 a This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 7 b This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the 8 revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. 9 c This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 10 d Of this amount, $1,236,709 $1,263,609 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $6,610 $5,075 shall be from the Healthcare 11 Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 12 e This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject t o the statutory limitation on General Fund appropriations 13 imposed by Section 24-75-201.1, C.R.S. 14 117 -26- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ f Of this amount, $27,058,856 $22,211,828 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $11,623,700 1 $18,597,704 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $349,538 $417,300 shall be from the Colorado Immunization Fund created 2 in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S. 3 4 5 (6) OTHER MEDICAL SERVICES 6 Old Age Pension State 7 Medical Program 8 10,000,000 10,000,000 a Senior Dental Program 9 3,990,358 3,962,510 27,848 b Commission on Family 10 Medicine Residency 11 Training Programs 12 9,490,170 4,520,085 (M) 225,000 c 4,745,085 133,986,715(M) 198,450 c 5,305,005 117 -27- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Medicare Modernization 1 Act State Contribution 2 Payment 3 235,472,292 235,472,292 4 228,858,638 228,858,638 Public School Health 5 Services Contract 6 Administration 7 2,000,000 1,000,000(M) 1,000,000 Public School Health 8 Services 9 172,092,626 84,651,774 d 87,440,852 (I) 10 152,555,114 69,201,006 d 83,354,108(I) Screening, Brief 11 Intervention, and Referral to 12 Treatment Training Grant 13 Program 30 14 1,500,000 1,500,000 e 117 -28- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Reproductive Health Care 1 for Individuals Not Eligible 2 for Medicaid 3 3,614,490 3,614,490 State-only Payments for 4 Home- and 5 Community-Based 6 Services 31 7 56,589,558 56,589,558 f 8 57,116,818 57,116,818 f 9 (4.0 FTE) 10 494,749,494 11 469,125,588 12 a This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. 13 b This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 14 c This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item. 15 117 -29- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ d This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation 1 under Medicaid. 2 e This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 3 f Of this amount, $39,477,385 $43,063,734 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6- 1805 (1), C.R.S, and $17,112,173 4 $14,053,084 shall be from the ARPA Home- and Community-Based Services Account created in Section 25.5-4-402.4 (5)(c)(I)(A), C.R .S., within the Healthcare Affordability and 5 Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 6 7 (7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS 8 (A) Executive Director's 9 Office - Medicaid 10 Funding 32 11 15,153,773 7,576,887(M) 7,576,886 12 (B) Office of Children, Youth and Families - Medicaid Funding 13 (1) Division of Child Welfare 14 Administration 15 66,803 33,402(M) 33,401 117 -30- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Child Welfare Services 1 13,690,244 6,845,122 (M) 6,845,122 26,037,398(M) 7,652,846 3 13,757,047 4 (2) Division of Youth 5 Services 6 787,189 393,595 (M) 393,594 7 661,526 291,734(M) 369,792 8 (C) Office of Economic Security - Medicaid Funding 9 Systematic Alien 10 Verification for Eligibility 11 28,307 14,153(M) 14,154 12 (D) Behavioral Health Administration - Medicaid Funding 13 (1) Community Behavioral 14 Health Administration 15 533,804 266,902(M) 266,902 117 -31- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 1 (2) Community-based Mental Health Services 2 Children and Youth Mental 3 Health Treatment Act 4 131,048 65,524 (M) 65,524 557,793(M) 73,255 6 (3) Substance Use Treatment and Prevention Services 7 High Risk Pregnant Women 8 Program 9 1,903,091 951,546 (M) 951,545 10 (E) Office of Behavioral 11 Health - Medicaid 12 Funding 13 8,196,375 4,098,188 (M) 4,098,187 143,614,602(M) 4,581,773 15 117 -32- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ (F) Office of Adults, Aging and Disability Services - Medicaid Funding 1 (1) Administration 2 412,894 206,447(M) 206,447 3 (2) Regional Centers for People with Developmental Disabilities 4 Regional Centers 5 56,049,062 26,135,628 (M) 1,888,903 a 28,024,531 622,828,733(M) 31,331,426 Regional Center 7 Depreciation and Annual 8 Adjustments 9 691,725 345,863 (M) 345,862 10305,721(M) 386,004 Regional Centers Electronic 11 Health Record System 12 680,382 340,191(M) 340,191 13 57,421,169 14 a This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 15 117 -33- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 1 (3) Aging Programs 2 Community Services for the 3 Elderly 4 1,001,800 500,900(M) 500,900 5 (G) Office of Early Childhood - Medicaid Funding 6 Division of Community and 7 Family Support, Early 8 Intervention Services 9 8,127,382 4,063,691(M) 4,063,691 10 (H) Other 11 Federal Medicaid Indirect 12 Cost Reimbursement for 13 Department of Human 14 Services Programs 15 500,000500,000(I) a 117 -34- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Department of Human 1 Services Indirect Cost 2 Assessment 3 20,815,836 10,407,918 (M) 10,407,918 4 21,270,052 10,635,026(M) 10,635,026 5 21,315,836 6 21,770,052 7 a This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only. 8 9 10 128,769,715 11 127,195,177 12 13 14 15 117 -35- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ TOTALS PART VI 1 (HEALTH CARE 2 POLICY AND 3 FINANCING) 33 4 $14,175,744,594 $2,990,361,111 $1,089,329,337 a $1,805,081,518 b $94,983,205 $8,195,989,423 c 5 $14,380,650,119 $2,753,976,126 $1,764,036,640 b $94,956,731 $8,678,351,285 c 6 a Of this amount, $1,088,947,539 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $ 381,798 shall be General Fund Exempt pursuant to 7 Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $381,798 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. 8 b Of this amount, $19,649,148 $18,508,801 contains an (I) notation. 9 c Of this amount, $353,970,668 $378,465,646 contains an (I) notation. 10 11 FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 12 13 16 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 14 -- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by 15 117 -36- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Section 25.5-6-806 (2)(c)(I), C.R.S. It is the General Assembly's intent that the Department also use the $62,000 total funds t o evaluate the new behavioral 1 therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. 2 3 17 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 4 -- Of this appropriation, the $22,439,275 $28,040,795 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain 5 available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 6 7 18 Department of Health Care Policy and Financing, Executive Direct or's Office, Information Technology Contracts and Projects, Med icaid Management 8 Information System Maintenance and Projects -- Of this appropriation, the $7,509,302 cash funds appropriated from the Home- and Community-based Services 9 Improvement Fund remain available for expenditure until the close of the 2023-24 state fiscal year. 10 11 19 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 12 Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 13 In addition to the transfer authority provid ed in Section 24-75-108, C.R.S., the Department is authorized to transfer up to 5.0 percent of the total appropriations 14 within the line items designated with this footnote. The Department is also authorized to transfer up to 5.0 percent of the tot al appropriations within the line 15 items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado 16 117 -37- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ Benefits Management System subsection. 1 2 20 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 3 Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 4 Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2023-24 state fiscal year. 5 6 21 Department of Health Care Policy and Financing, Medical Servi ces Premiums, Medical and Long-Term Care Services for Medicaid E ligible Individuals -- 7 Of this appropriation, the $40,944,853 $32,720,517 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain 8 available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 9 10 21a Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals -- 11 This line item includes $1,044,059 total funds, including $500,000 General Fund, for the purpose of expanding the non-invasive pre-natal testing benefit. 12 13 22 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 14 -- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs. 15 16 117 -38- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 23 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 1 Adult Comprehensive Services -- Of this appropriation, the $22,474,658 $18,547,092 cash funds appropriated from the Home- and Community-based Services 2 Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 3 4 24 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 5 Adult Supported Living Services -- Of this appropriation, the $2,733,070 $1,654,642 cash funds appropriated from the Home- and Community-based Services 6 Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 7 8 25 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs, 9 Children's Extensive Support Services -- Of this appropriation, the $963,405 cash funds appropriated from the Home- and Communi ty-based Services 10 Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 11 12 26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs, 13 Children's Habilitation Residential Program -- Of this appropria tion, the $548 cash funds appropriated from the Home- and Commu nity-based Services 14 Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 15 16 117 -39- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ 27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 1 Case management for People with Disabilities -- Of this appropriation, the $951,927 $286,423 cash funds appropriated from the Home- and Community-based 2 Services Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 3 4 28 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 5 -- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for State-only Programs. 6 7 29 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs, 8 Preventive Dental Hygiene -- It is the General Assembly's intent that this appropriation be used to provide special dental serv ices for persons with intellectual 9 and developmental disabilities. 10 11 30 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 12 -- It is the General Assembly's intent that this appropriation be used to sustain the grant program for screening, brief interv ention, and referral to treatment 13 for individuals at risk of substance abuse that is authorized in Section 25.5-5-208, C.R.S., in accordance with the requirement s set forth in that section. 14 15 31 Department of Health Care Policy and Financing, Other Medical Services, State-only Payments for Home- and Community-Based Ser vices -- This 16 117 -40- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ appropriation remains available for expenditure until the close of the 2023-24 2024-25 state fiscal year. 1 2 32 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding 3 -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive 4 Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department 5 of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations 6 to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation between the Depart ment of Health Care Policy 7 and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers 8 out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the 9 centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services. 10 11 33 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service 12 Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the 13 University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for 14 administrative costs and family medicine residency placements asso ciated with care provided by the faculty of the health scienc es center campus at the 15 University of Colorado that are eligible for payment pursuant to Section 25.5-4-401, C.R.S. If the federal Centers for Medicare and Medicaid services continues 16 117 -41- APPROPRIATION FROM ITEM & SUBTOTAL TOTAL GENERAL FUND GENERAL FUND EXEMPT CASH FUNDS REAPPROPRIATED FUNDS FEDERAL FUNDS $$$$$ $ $ to allow the Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the 1 Department of Higher Education shall transfer the amount approved, up to $78,885,357, to the Department of Health Care Policy a nd Financing pursuant to 2 Section 23-18-304(1)(c), C.R.S. If permission is discontinued, or is granted for a lesser amount, the Department of Higher Educ ation shall transfer any portion 3 of the $78,885,357 that is not transferred to the Department of Health Care Policy and Financing to the Regents of the Universi ty of Colorado. 4 117 -42- SECTION 2. Appropriation to the department of health care1 policy and financing for the fiscal year beginning July 1, 2021. 2 (1) For the 2021-22 state fiscal year, $13,975,326 is appropriated to the3 department of health care policy and financing and is for the payment of4 overexpenditures of line item appropriations contained in Part V of5 section 2 of chapter 504 (SB 21-205), Session Laws of Colorado 2021,6 as follows:7 (a) $9,975,719 from the general fund for medical and long-term8 care services for Medicaid eligible individuals; 9 (b) $3,760,865 from the healthcare affordability and sustainability10 fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for11 behavioral health capitation payments; 12 (c) $2,393 from the breast and cervical cancer prevention and13 treatment fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., for14 behavioral health capitation payments;15 (d) $10,549 from the general fund for behavioral health16 fee-for-service payments; and17 (e) $225,800 from the healthcare affordability and sustainability18 fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for19 behavioral health fee-for-service payments.20 (2) In accordance with section 24-75-109 (4)(a), C.R.S., all21 restrictions on funds for the department of health care policy and22 financing for the 2022-23 state fiscal year for the amounts and items of23 appropriation listed in this section are released. 24 SECTION 3. Appropriation to the department of health care25 policy and financing for the fiscal year beginning July 1, 2022. In26 Session Laws of Colorado 2022, amend section 137 (7)(c) and (7)(d) of27 117-43- chapter 123, (HB 22-1295), as follows:1 Section 137. Appropriation - adjustments to 2022 long bill.2 (7)(c) For the 2022-23 state fiscal year, $4,063,691 $3,685,974 is3 appropriated to the department of health care policy and financing for use4 by the executive director's office, transfers to/from other departments.5 This appropriation is from the general fund, which is subject to the "(M)"6 notation as defined in the annual general appropriation act for the same7 fiscal year. To implement this act, the department may use this8 appropriation for transfer to the department of early childhood for early9 intervention services.10 (d) For the 2022-23 state fiscal year, the general assembly11 anticipates that the department of health care policy and financing will12 receive $4,063,691 $4,672,244 in federal funds for transfer to the13 department of early childhood for early intervention services to14 implement this act. The appropriation in subsection (7)(c) of this section15 is based on the assumption that the department will receive this amount16 of federal funds.17 SECTION 4. Safety clause. The general assembly hereby finds,18 determines, and declares that this act is necessary for the immediate19 preservation of the public peace, health, and safety.20 117-44-