Colorado 2023 Regular Session

Colorado Senate Bill SB117 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	First Regular Session
	2	+	Seventy-fourth General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 23-0375.01 Carolyn Kampman x4959
1	8		SENATE BILL 23-117
2		-	BY SENATOR(S) Zenzinger, Bridges, Kirkmeyer, Buckner, Cutter,
3		-	Hinrichsen, Marchman;
4		-	also REPRESENTATIVE(S) Bird, Sirota, Bockenfeld, Bacon, Brown,
5		-	deGruy Kennedy, English, Garcia, Herod, Jodeh, Joseph, Lieder, Lindsay,
6		-	Martinez, Michaelson Jenet, Ricks, Snyder, Velasco, Young.
	9	+	Senate Committees House Committees
	10	+	Appropriations Appropriations
	11	+	A BILL FOR AN ACT
7	12		C
8		-	ONCERNING A SUPPLEMENTAL APPROPRIATION TO THE DEPARTMENT OF
9		-	HEALTH CARE POLICY AND FINANCING
10		-	.
11		-
12		-	Be it enacted by the General Assembly of the State of Colorado:
13		-	SECTION 1. Appropriation to the department of health care
14		-	policy and financing for the fiscal year beginning July 1, 2022. In
15		-	Session Laws of Colorado 2022, section 2 of chapter 507, (HB 22-1329),
16		-	amend Part VI and the affected totals, as Part VI (1)(A) and the affected
17		-	totals are amended by section 8 of chapter 170, (HB 22-1133), as follows:
18		-	Section 2. Appropriation.
19		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
20		-	officers and the Governor. To determine whether the Governor has signed the bill
21		-	or taken other action on it, please consult the legislative status sheet, the legislative
22		-	history, or the Session Laws.
23		-	________
24		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
25		-	through words or numbers indicate deletions from existing law and such material is not part of
26		-	the act. APPROPRIATION FROM
	13	+	ONCERNING A SUPPLEMENTAL APPR OPRIATION TO THE DEPARTMENT101
	14	+	OF HEALTH CARE POLICY AND FINANCING .102
	15	+	Bill Summary
	16	+	(Note: This summary applies to this bill as introduced and does
	17	+	not reflect any amendments that may be subsequently adopted. If this bill
	18	+	passes third reading in the house of introduction, a bill summary that
	19	+	applies to the reengrossed version of this bill will be available at
	20	+	http://leg.colorado.gov
	21	+	.)
	22	+	Supplemental appropriations are made to the department of health
	23	+	care policy and financing.
	24	+	Be it enacted by the General Assembly of the State of Colorado:1
	25	+	HOUSE
	26	+	3rd Reading Unamended
	27	+	February 16, 2023
	28	+	HOUSE
	29	+	2nd Reading Unamended
	30	+	February 15, 2023
	31	+	SENATE
	32	+	3rd Reading Unamended
	33	+	February 9, 2023
	34	+	SENATE
	35	+	2nd Reading Unamended
	36	+	February 8, 2023
	37	+	SENATE SPONSORSHIP
	38	+	Zenzinger, Bridges, Kirkmeyer, Buckner, Cutter, Hinrichsen, Marchman
	39	+	HOUSE SPONSORSHIP
	40	+	Bird, Sirota, Bockenfeld, Bacon, Brown, deGruy Kennedy, English, Garcia, Herod, Jodeh,
	41	+	Joseph, Lieder, Lindsay, Martinez, Michaelson Jenet, Ricks, Snyder, Velasco, Young
	42	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	43	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	44	+	Dashes through the words or numbers indicate deletions from existing law. SECTION 1. Appropriation to the department of health care1
	45	+	policy and financing for the fiscal year beginning July 1, 2022. In2
	46	+	Session Laws of Colorado 2022, section 2 of chapter 507, (HB 22-1329),3
	47	+	amend Part VI and the affected totals, as Part VI (1)(A) and the affected4
	48	+	totals are amended by section 8 of chapter 170, (HB 22-1133), as follows:5
	49	+	Section 2. Appropriation.6
	50	+	117
	51	+	-2- APPROPRIATION FROM
27	52		ITEM &
28	53		SUBTOTAL
29	54		TOTAL GENERAL
30	55		FUND
31	56		GENERAL
32	57		FUND
33	58		EXEMPT
34	59		CASH
35	60		FUNDS
36	61		REAPPROPRIATED
37	62		FUNDS
38	63		FEDERAL
39	64		FUNDS
40	65		$$$$$ $ $
41		-	PART VI
42		-	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
43		-	(1) EXECUTIVE DIRECTOR'S OFFICE
44		-	(A) General Administration
45		-	Personal Services 55,672,434
46		-	55,513,149
47		-	(665.2 FTE)
48		-	Health, Life, and Dental 9,269,011
49		-	9,139,400
50		-	Short-term Disability 95,356
51		-	93,895
52		-	S.B. 04-257 Amortization
53		-	Equalization Disbursement 2,980,995
54		-	2,935,436
55		-	S.B. 06-235 Supplemental
56		-	Amortization Equalization
57		-	Disbursement 2,980,996
58		-	2,935,437
59		-	Salary Survey 1,739,584
60		-	PERA Direct Distribution 668,598
61		-	Temporary Employees
62		-	Related to Authorized
63		-	Leave 5,978
64		-	Workers' Compensation 194,996
65		-	Operating Expenses 2,963,583
66		-	3,381,785
67		-	Legal Services 959,008
68		-	Administrative Law Judge
69		-	Services 890,065
70		-	PAGE 2-SENATE BILL 23-117 APPROPRIATION FROM
	66	+	PART VI 1
	67	+	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2
	68	+	3
	69	+	(1) EXECUTIVE DIRECTOR'S OFFICE 4
	70	+	(A) General Administration 5
	71	+	Personal Services 6 55,672,434
	72	+	7 55,513,149
	73	+	8 (665.2 FTE)
	74	+	Health, Life, and Dental 9 9,269,011
	75	+	10 9,139,400
	76	+	Short-term Disability 11 95,356
	77	+	12 93,895
	78	+	S.B. 04-257 Amortization 13
	79	+	Equalization Disbursement 14 2,980,995
	80	+	15 2,935,436
	81	+	117
	82	+	-3- APPROPRIATION FROM
71	83		ITEM &
72	84		SUBTOTAL
73	85		TOTAL GENERAL
74	86		FUND
75	87		GENERAL
76	88		FUND
77	89		EXEMPT
78	90		CASH
79	91		FUNDS
80	92		REAPPROPRIATED
81	93		FUNDS
82	94		FEDERAL
83	95		FUNDS
84	96		$$$$$ $ $
85		-	Payment to Risk
86		-	Management and Property
87		-	Funds 383,339
88		-	Leased Space 3,666,036
89		-	3,593,966
90		-	Capitol Complex Leased
91		-	Space 624,633
92		-	Payments to OIT 9,004,795
93		-	9,045,009
94		-	CORE Operations 169,033
95		-	General Professional
96		-	Services and Special
97		-	Projects
98		-	16,17
99		-	68,014,149 76,660,420
100		-	160,282,589
101		-	42,354,096
102		-	35,261,400
103		-	a
104		-	2,978,009
105		-	b
106		-	79,689,084
107		-	(I)
108		-	168,933,731 42,587,133 40,496,617
109		-	a
110		-	2,978,085
111		-	b
112		-	82,871,896(I)
113		-	a
114		-	Of this amount, $24,937,360
115		-	$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
116		-	$9,221,708
117		-	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
118		-	$394,656 shall be from the Medicaid Nursing Facility
119		-	Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $270,954
120		-	$271,143 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $199,575
121		-	$199,716 shall
122		-	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.,
123		-	$108,112 shall be from the Nursing Home Penalty Cash F und created in Section 25.5-6-205 (3)(a), C.R.S., $56,046
124		-	$56,082 shall be from the Service Fee Fund created in Section
125		-	25.5-6-204 (1)(c)(II), C.R.S., $52,146
126		-	$52,182 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $48,644
127		-	$48,676 shall be from the Breast
128		-	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
129		-	School of Medicine, and $1,246 shall be from estate recoveries.
130		-	b
131		-	Of this amount, $988,178
132		-	$988,226 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Developmen t Center line item
133		-	appropriation in this department, $799,160 shall be from statewide indirect cost recoveries, $610,453
134		-	$610,465 shall be transferred from the Department of Human Services from the
135		-	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
136		-	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,
137		-	Infants, and Children Supplemental Food Grant line item.
138		-	PAGE 3-SENATE BILL 23-117 APPROPRIATION FROM
	97	+	S.B. 06-235 Supplemental 1
	98	+	Amortization Equalization 2
	99	+	Disbursement 3 2,980,996
	100	+	4 2,935,437
	101	+	Salary Survey 5 1,739,584
	102	+	PERA Direct Distribution 6 668,598
	103	+	Temporary Employees 7
	104	+	Related to Authorized 8
	105	+	Leave 9 5,978
	106	+	Workers' Compensation 10 194,996
	107	+	Operating Expenses 11 2,963,583
	108	+	12 3,381,785
	109	+	Legal Services 13 959,008
	110	+	117
	111	+	-4- APPROPRIATION FROM
139	112		ITEM &
140	113		SUBTOTAL
141	114		TOTAL GENERAL
142	115		FUND
143	116		GENERAL
144	117		FUND
145	118		EXEMPT
146	119		CASH
147	120		FUNDS
148	121		REAPPROPRIATED
149	122		FUNDS
150	123		FEDERAL
151	124		FUNDS
152	125		$$$$$ $ $
153		-	(B) Transfers to/from Other Departments
154		-	Transfer to Department of
155		-	Education for Public School
156		-	Health Services 191,731 95,865(M) 95,866
157		-	Transfer from Department
158		-	of Human Services for
159		-	Nurse Home Visitor
160		-	Program 3,010,0001,505,000
161		-	a
162		-	1,505,000(I)
163		-	Transfer to Department of
164		-	Local Affairs for Host
165		-	Home Regulation 133,882 66,941(M) 66,941
166		-	Transfer to Department of
167		-	Local Affairs for Home
168		-	Modifications Benefit
169		-	Administration 306,796 153,398(M) 153,398
170		-	Transfer to Department of
171		-	Public Health and
172		-	Environment for Facility
173		-	Survey and Certification 8,651,460 3,218,674(M) 5,432,786
174		-	Transfer to Department of
175		-	Public Health and
176		-	Environment for Prenatal
177		-	Statistical Information 5,887 2,944(M) 2,943
178		-	Transfer to Department of
179		-	Regulatory Agencies for
180		-	Nurse Aide Certification 324,041 147,369(M) 14,652
181		-	b
182		-	162,020
183		-	Transfer to Department of
184		-	Regulatory Agencies for
185		-	Reviews 3,750 1,875(M) 1,875
186		-	12,627,547
187		-	PAGE 4-SENATE BILL 23-117 APPROPRIATION FROM
	126	+	Administrative Law Judge 1
	127	+	Services 2 890,065
	128	+	Payment to Risk 3
	129	+	Management and Property 4
	130	+	Funds 5 383,339
	131	+	Leased Space 6 3,666,036
	132	+	7 3,593,966
	133	+	Capitol Complex Leased 8
	134	+	Space 9 624,633
	135	+	Payments to OIT 10 9,004,795
	136	+	11 9,045,009
	137	+	CORE Operations 12 169,033
	138	+	117
	139	+	-5- APPROPRIATION FROM
188	140		ITEM &
189	141		SUBTOTAL
190	142		TOTAL GENERAL
191	143		FUND
192	144		GENERAL
193	145		FUND
194	146		EXEMPT
195	147		CASH
196	148		FUNDS
197	149		REAPPROPRIATED
198	150		FUNDS
199	151		FEDERAL
200	152		FUNDS
201	153		$$$$$ $ $
	154	+	General Professional 1
	155	+	Services and Special 2
	156	+	Projects
	157	+	16,17
	158	+	3 68,014,149
	159	+	4 76,660,420
	160	+	5 160,282,589
	161	+	42,354,096
	162	+	35,261,400
202	163		a
203		-	~~This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion.~~
	164	+	2,978,009
204	165		b
205		-	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.
206		-	(C) Information Technology Contracts and Projects
207		-	Medicaid Management
208		-	Information System
209		-	Maintenance and Projects
210		-	18
211		-	P
212		-	ROJECTS
213		-	46,579,137
214		-	2,832,277
215		-	11,364,076
	166	+	79,689,084
	167	+	(I)
	168	+	6 168,933,731 42,587,133 40,496,617
216	169		a
217		-	12,~~204~~
	170	+	2,978,085
218	171		b
219		-	32,370,580
220		-	(I)
221		-	46,261,335 2,710,081 4,594,312
	172	+	82,871,896(I)
	173	+	7
222	174		a
223		-	38,944,738(I)
224		-	Colorado Benefits
225		-	Management Systems,
226		-	Operating and Contract
227		-	Expenses
228		-	19, 20
229		-	49,903,812
230		-	9,821,039
231		-	(M)
232		-	5,981,077
233		-	c
234		-	1,654
235		-	b
236		-	34,100,042
237		-	54,177,348 10,662,071(M) 6,493,474
238		-	c
239		-	37,020,149
240		-	Colorado Benefits
241		-	Management Systems,
242		-	Health Care and Economic
243		-	Security Staff Development
244		-	Center
245		-	19,20
246		-	2,005,074 634,715(M) 354,194
247		-	d
248		-	73
249		-	b
250		-	1,016,092
251		-	Office of eHealth
252		-	Innovations Operations 6,465,845 3,372,367 3,093,478(I)
253		-	(3.0 FTE)
254		-	All-Payer Claims Database 5,005,153 4,171,886833,267(I)
255		-	109,959,021
256		-	113,914,755
257		-	a
258		-	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.,
259		-	$2,903,658
260		-	$2,817,132 shall be
261		-	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
262		-	in Section 25.5-8-105 (1), C.R.S., and $350,000
263		-	$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.
264		-	b
265		-	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.
266		-	PAGE 5-SENATE BILL 23-117 APPROPRIATION FROM
	175	+	Of this amount, $24,937,360
	176	+	$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
	177	+	$9,221,708 8
	178	+	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
	179	+	$394,656 shall be from the Medicaid Nursing Facility 9
	180	+	Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $270,954
	181	+	$271,143 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $199,575
	182	+	$199,716 shall 10
	183	+	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
	184	+	$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
	185	+	$56,082 shall be from the Service Fee Fund created in Section 12
	186	+	25.5-6-204 (1)(c)(II), C.R.S., $52,146
	187	+	$52,182 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $48,644
	188	+	$48,676 shall be from the Breast 13
	189	+	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
	190	+	School of Medicine, and $1,246 shall be from estate recoveries. 15
	191	+	117
	192	+	-6- APPROPRIATION FROM
267	193		ITEM &
268	194		SUBTOTAL
269	195		TOTAL GENERAL
270	196		FUND
271	197		GENERAL
272	198		FUND
273	199		EXEMPT
274	200		CASH
275	201		FUNDS
276	202		REAPPROPRIATED
277	203		FUNDS
278	204		FEDERAL
279	205		FUNDS
280	206		$$$$$ $ $
	207	+	b
	208	+	Of this amount, $988,178
	209	+	$988,226 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Development Cent er line item 1
	210	+	appropriation in this department, $799,160 shall be from statewide indirect cost recoveries, $610,453
	211	+	$610,465 shall be transferred from the Department of Human Services from the 2
	212	+	Health Care and Economic Security Staff Development Center line item appropriation, $571,255
	213	+	$571,271 shall be transferred from the Department of Higher Education from the 3
	214	+	Fee-for-service Contracts with State Institutions for Speciality Education Programs line item, and $8,963 shall be from the Dep artment of Public Health and Environment from the Women, 4
	215	+	Infants, and Children Supplemental Food Grant line item. 5
	216	+	6
	217	+	(B) Transfers to/from Other Departments 7
	218	+	Transfer to Department of 8
	219	+	Education for Public School 9
	220	+	Health Services 10 191,731 95,865(M) 95,866
	221	+	Transfer from Department 11
	222	+	of Human Services for 12
	223	+	Nurse Home Visitor 13
	224	+	Program 14 3,010,0001,505,000
	225	+	a
	226	+	1,505,000(I)
	227	+	117
	228	+	-7- APPROPRIATION FROM
	229	+	ITEM &
	230	+	SUBTOTAL
	231	+	TOTAL GENERAL
	232	+	FUND
	233	+	GENERAL
	234	+	FUND
	235	+	EXEMPT
	236	+	CASH
	237	+	FUNDS
	238	+	REAPPROPRIATED
	239	+	FUNDS
	240	+	FEDERAL
	241	+	FUNDS
	242	+	$$$$$ $ $
	243	+	Transfer to Department of 1
	244	+	Local Affairs for Host 2
	245	+	Home Regulation 3 133,882 66,941(M) 66,941
	246	+	Transfer to Department of 4
	247	+	Local Affairs for Home 5
	248	+	Modifications Benefit 6
	249	+	Administration 7 306,796 153,398(M) 153,398
	250	+	Transfer to Department of 8
	251	+	Public Health and 9
	252	+	Environment for Facility 10
	253	+	Survey and Certification 11 8,651,460 3,218,674(M) 5,432,786
	254	+	Transfer to Department of 12
	255	+	Public Health and 13
	256	+	Environment for Prenatal 14
	257	+	Statistical Information 15 5,887 2,944(M) 2,943
	258	+	117
	259	+	-8- APPROPRIATION FROM
	260	+	ITEM &
	261	+	SUBTOTAL
	262	+	TOTAL GENERAL
	263	+	FUND
	264	+	GENERAL
	265	+	FUND
	266	+	EXEMPT
	267	+	CASH
	268	+	FUNDS
	269	+	REAPPROPRIATED
	270	+	FUNDS
	271	+	FEDERAL
	272	+	FUNDS
	273	+	$$$$$ $ $
	274	+	Transfer to Department of 1
	275	+	Regulatory Agencies for 2
	276	+	Nurse Aide Certification 3 324,041 147,369(M) 14,652
	277	+	b
	278	+	162,020
	279	+	Transfer to Department of 4
	280	+	Regulatory Agencies for 5
	281	+	Reviews 6 3,750 1,875(M) 1,875
	282	+	7 12,627,547
	283	+	8
	284	+	a
	285	+	This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion. 9
	286	+	b
	287	+	This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation. 10
	288	+	11
	289	+	12
	290	+	13
	291	+	14
	292	+	15
	293	+	117
	294	+	-9- APPROPRIATION FROM
	295	+	ITEM &
	296	+	SUBTOTAL
	297	+	TOTAL GENERAL
	298	+	FUND
	299	+	GENERAL
	300	+	FUND
	301	+	EXEMPT
	302	+	CASH
	303	+	FUNDS
	304	+	REAPPROPRIATED
	305	+	FUNDS
	306	+	FEDERAL
	307	+	FUNDS
	308	+	$$$$$ $ $
	309	+	(C) Information Technology Contracts and Projects 1
	310	+	Medicaid Management 2
	311	+	Information System 3
	312	+	Maintenance and Projects
	313	+	18
	314	+	4
	315	+	P
	316	+	ROJECTS
	317	+	5 46,579,137
	318	+	2,832,277
	319	+	11,364,076
	320	+	a
	321	+	12,204
	322	+	b
	323	+	32,370,580
	324	+	(I)
	325	+	6 46,261,335 2,710,081 4,594,312
	326	+	a
	327	+	38,944,738(I)
	328	+	Colorado Benefits 7
	329	+	Management Systems, 8
	330	+	Operating and Contract 9
	331	+	Expenses
	332	+	19, 20
	333	+	10 49,903,812
	334	+	9,821,039
	335	+	(M)
	336	+	5,981,077
	337	+	c
	338	+	1,654
	339	+	b
	340	+	34,100,042
	341	+	11 54,177,348 10,662,071(M) 6,493,474
	342	+	c
	343	+	37,020,149
	344	+	117
	345	+	-10- APPROPRIATION FROM
	346	+	ITEM &
	347	+	SUBTOTAL
	348	+	TOTAL GENERAL
	349	+	FUND
	350	+	GENERAL
	351	+	FUND
	352	+	EXEMPT
	353	+	CASH
	354	+	FUNDS
	355	+	REAPPROPRIATED
	356	+	FUNDS
	357	+	FEDERAL
	358	+	FUNDS
	359	+	$$$$$ $ $
	360	+	Colorado Benefits 1
	361	+	Management Systems, 2
	362	+	Health Care and Economic 3
	363	+	Security Staff Development 4
	364	+	Center
	365	+	19,20
	366	+	5 2,005,074 634,715(M) 354,194
	367	+	d
	368	+	73
	369	+	b
	370	+	1,016,092
	371	+	Office of eHealth 6
	372	+	Innovations Operations 7 6,465,845 3,372,367 3,093,478(I)
	373	+	8(3.0 FTE)
	374	+	All-Payer Claims Database 9 5,005,153 4,171,886833,267(I)
	375	+	10 109,959,021
	376	+	11 113,914,755 12
	377	+	a
	378	+	Of this amount, $7,509,302 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-180 5 (1), C.R.S.,
	379	+	$2,903,658
	380	+	$2,817,132 shall be 13
	381	+	from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $601,116 sha ll be from the Children's Basic Health Plan Trust created 14
	382	+	in Section 25.5-8-105 (1), C.R.S., and $350,000
	383	+	$1,176,064 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 15
	384	+	117
	385	+	-11- APPROPRIATION FROM
	386	+	ITEM &
	387	+	SUBTOTAL
	388	+	TOTAL GENERAL
	389	+	FUND
	390	+	GENERAL
	391	+	FUND
	392	+	EXEMPT
	393	+	CASH
	394	+	FUNDS
	395	+	REAPPROPRIATED
	396	+	FUNDS
	397	+	FEDERAL
	398	+	FUNDS
	399	+	$$$$$ $ $
	400	+	b
	401	+	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
281	402		c
282	403		Of this amount, $5,522,535
283		-	$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
284		-	be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
	404	+	$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
	405	+	be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 3
285	406		d
286		-	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
287		-	Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
288		-	(D) Eligibility Determinations and Client Services
289		-	Contracts for Special
290		-	Eligibility Determinations 12,039,555 1,129,071(M) 4,343,468
	407	+	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
	408	+	Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 5
	409	+	6
	410	+	(D) Eligibility Determinations and Client Services 7
	411	+	Contracts for Special 8
	412	+	Eligibility Determinations 9 12,039,555 1,129,071(M) 4,343,468
291	413		a
292	414		6,567,016
293		-	County Administration 123,622,889
	415	+	County Administration 10 123,622,889
294	416		20,061,678
295	417		(M)
296	418		27,113,119
297	419		b
298	420		76,448,092
299		-	119,071,526 20,154,096(M) 25,643,473
	421	+	11 119,071,526 20,154,096(M) 25,643,473
300	422		b
301	423		73,273,957
302		-	Medical Assistance Sites 1,531,968 402,984
	424	+	Medical Assistance Sites 12 1,531,968 402,984
303	425		c
304	426		1,128,984(I)
305		-	Administrative Case
306		-	Management 869,744 434,872(M) 434,872
307		-	Customer Outreach 3,486,071 1,406,415(M) 336,621
	427	+	Administrative Case 13
	428	+	Management 14 869,744 434,872(M) 434,872
	429	+	Customer Outreach 15 3,486,071 1,406,415(M) 336,621
308	430		c
309	431		1,743,035
310		-	Centralized Eligibility
311		-	Vendor Contract Project 6,122,400 2,279,719
	432	+	117
	433	+	-12- APPROPRIATION FROM
	434	+	ITEM &
	435	+	SUBTOTAL
	436	+	TOTAL GENERAL
	437	+	FUND
	438	+	GENERAL
	439	+	FUND
	440	+	EXEMPT
	441	+	CASH
	442	+	FUNDS
	443	+	REAPPROPRIATED
	444	+	FUNDS
	445	+	FEDERAL
	446	+	FUNDS
	447	+	$$$$$ $ $
	448	+	Centralized Eligibility 1
	449	+	Vendor Contract Project 2 6,122,400 2,279,719
312	450		c
313	451		3,842,681(I)
314		-	Connect for Health
315		-	Colorado Eligibility
316		-	Determinations 10,135,914 4,530,754
	452	+	Connect for Health 3
	453	+	Colorado Eligibility 4
	454	+	Determinations 5 10,135,914 4,530,754
317	455		d
318	456		5,605,160(I)
319		-	Eligibility Overflow
320		-	Processing Center 1,904,677 285,320(M) 190,849
	457	+	Eligibility Overflow 6
	458	+	Processing Center 7 1,904,677 285,320(M) 190,849
321	459		c
322	460		1,428,508
323		-	Returned Mail Processing 3,298,808 985,808(M) 244,919
	461	+	Returned Mail Processing 8 3,298,808 985,808(M) 244,919
324	462		e
325	463		111,942
326	464		f
327	465		1,956,139
328		-	Work Number Verification 3,305,114 1,089,815(M) 545,013
	466	+	Work Number Verification 9 3,305,114 1,089,815(M) 545,013
329	467		c
330	468		1,670,286
331		-	166,317,140
332		-	161,765,777
	469	+	10 166,317,140
	470	+	11 161,765,777 12
333	471		a
334		-	Of this amount, $4,338,468 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the
335		-	Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S.
336		-	PAGE 6-SENATE BILL 23-117 APPROPRIATION FROM
	472	+	Of this amount, $4,338,468 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the 13
	473	+	Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S. 14
	474	+	117
	475	+	-13- APPROPRIATION FROM
337	476		ITEM &
338	477		SUBTOTAL
339	478		TOTAL GENERAL
340	479		FUND
341	480		GENERAL
342	481		FUND
343	482		EXEMPT
344	483		CASH
345	484		FUNDS
346	485		REAPPROPRIATED
347	486		FUNDS
348	487		FEDERAL
349	488		FUNDS
350	489		$$$$$ $ $
351	490		b
352	491		Of this amount, $19,649,148(I)
353	492		$18,508,801(I) shall be from local funds and $7,463,971
354		-	$7,134,672 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created
355		-	in Section 25.5-4-402.4 (5)(a), C.R.S.
	493	+	$7,134,672 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created 1
	494	+	in Section 25.5-4-402.4 (5)(a), C.R.S. 2
356	495		c
357		-	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.
	496	+	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
358	497		d
359		-	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.
	498	+	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
360	499		e
361		-	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
362		-	Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
363		-	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
364		-	be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.
365		-	(E) Utilization and Quality Review Contracts
366		-	Professional Services
367		-	Contracts 26,961,574
	500	+	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
	501	+	Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 6
	502	+	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
	503	+	be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 8
	504	+	9
	505	+	(E) Utilization and Quality Review Contracts 10
	506	+	Professional Services 11
	507	+	Contracts 12 26,961,574
368	508		7,236,040
369	509		(M)
370	510		2,032,069
371	511		a
372	512		17,693,465
373		-	28,145,411 8,419,877(M)
374		-	a
375		-	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
376		-	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
377		-	be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
378		-	(F) Provider Audits and Services
379		-	Professional Audit Contracts 4,655,865
380		-	1,816,102
381		-	(M)
382		-	582,801
383		-	a
384		-	2,256,962
385		-	4,405,865 1,691,102(M) 2,131,962
386		-	a
387		-	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
388		-	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
389		-	shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.
390		-	(G) Recoveries and Recoupment Contract Costs
391		-	Estate Recovery 700,000
392		-	350,000
393		-	a
394		-	350,000
395		-	(I)
396		-	1,165,841 582,920
397		-	a
398		-	582,921(I)
399		-	PAGE 7-SENATE BILL 23-117 APPROPRIATION FROM
	513	+	13 28,145,411 8,419,877(M)
	514	+	14
	515	+	117
	516	+	-14- APPROPRIATION FROM
400	517		ITEM &
401	518		SUBTOTAL
402	519		TOTAL GENERAL
403	520		FUND
404	521		GENERAL
405	522		FUND
406	523		EXEMPT
407	524		CASH
408	525		FUNDS
409	526		REAPPROPRIATED
410	527		FUNDS
411	528		FEDERAL
412	529		FUNDS
413	530		$$$$$ $ $
414		-	Third-Party Liability Cost
415		-	Avoidance Contract 17,248,905 5,692,139(M) 2,932,314
	531	+	a
	532	+	Of this amount, $1,904,498 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 1
	533	+	Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $36,875 shall be from the Me dicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., and $1,946 shall 2
	534	+	be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 3
	535	+	4
	536	+	(F) Provider Audits and Services 5
	537	+	Professional Audit Contracts 6 4,655,865
	538	+	1,816,102
	539	+	(M)
	540	+	582,801
	541	+	a
	542	+	2,256,962
	543	+	7 4,405,865 1,691,102(M) 2,131,962
	544	+	8
	545	+	a
	546	+	Of this amount, $421,395 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the 9
	547	+	Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund creat ed in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420 10
	548	+	shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 11
	549	+	12
	550	+	(G) Recoveries and Recoupment Contract Costs 13
	551	+	Estate Recovery 14 700,000
	552	+	350,000
	553	+	a
	554	+	350,000
	555	+	(I)
	556	+	15 1,165,841 582,920
	557	+	a
	558	+	582,921(I)
	559	+	117
	560	+	-15- APPROPRIATION FROM
	561	+	ITEM &
	562	+	SUBTOTAL
	563	+	TOTAL GENERAL
	564	+	FUND
	565	+	GENERAL
	566	+	FUND
	567	+	EXEMPT
	568	+	CASH
	569	+	FUNDS
	570	+	REAPPROPRIATED
	571	+	FUNDS
	572	+	FEDERAL
	573	+	FUNDS
	574	+	$$$$$ $ $
	575	+	Third-Party Liability Cost 1
	576	+	Avoidance Contract 2 17,248,905 5,692,139(M) 2,932,314
416	577		b
417	578		8,624,452
418		-	17,948,905
419		-	18,414,746
	579	+	3 17,948,905
	580	+	4 18,414,746 5
420	581		a
421		-	This amount shall be from estate recoveries.
	582	+	This amount shall be from estate recoveries. 6
422	583		b
423		-	This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
424		-	(H) Indirect Cost Recoveries
425		-	Indirect Cost Assessment 790,162 274,461
	584	+	This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 7
	585	+	8
	586	+	(H) Indirect Cost Recoveries 9
	587	+	Indirect Cost Assessment 10 790,162 274,461
426	588		a
427	589		121,263
428	590		b
429	591		394,438(I)
	592	+	11
	593	+	117
	594	+	-16- APPROPRIATION FROM
	595	+	ITEM &
	596	+	SUBTOTAL
	597	+	TOTAL GENERAL
	598	+	FUND
	599	+	GENERAL
	600	+	FUND
	601	+	EXEMPT
	602	+	CASH
	603	+	FUNDS
	604	+	REAPPROPRIATED
	605	+	FUNDS
	606	+	FEDERAL
	607	+	FUNDS
	608	+	$$$$$ $ $
430	609		a
431		-	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
432		-	Nursing Facility Cash Fund created in ~~Section~~ 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
433		-	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
434		-	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
435		-	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..
	610	+	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
	611	+	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
	612	+	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
	613	+	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
	614	+	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
436	615		b
437		-	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
438		-	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
439		-	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.
440		-	499,542,803
441		-	508,997,994
442		-	(2) MEDICAL SERVICES PREMIUMS
443		-	Medical and Long-Term
444		-	Care Services for Medicaid
	616	+	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
	617	+	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
	618	+	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
	619	+	9
	620	+	10 499,542,803
	621	+	11 508,997,994 12 13 14 15
	622	+	117
	623	+	-17- APPROPRIATION FROM
	624	+	ITEM &
	625	+	SUBTOTAL
	626	+	TOTAL GENERAL
	627	+	FUND
	628	+	GENERAL
	629	+	FUND
	630	+	EXEMPT
	631	+	CASH
	632	+	FUNDS
	633	+	REAPPROPRIATED
	634	+	FUNDS
	635	+	FEDERAL
	636	+	FUNDS
	637	+	$$$$$ $ $
	638	+	(2) MEDICAL SERVICES PREMIUMS 1
	639	+	Medical and Long-Term 2
	640	+	Care Services for Medicaid 3
445	641		Eligible Individuals
446	642		21,21a
447		-	10,476,745,973
	643	+	4 10,476,745,973
448	644		1,807,317,367
449	645		(M)
450	646		1,088,947,539
451	647		a
452	648		1,252,446,475
453	649		b
454	650		90,013,408
455	651		c
456	652		6,238,021,184
457		-	10,717,166,079 1,649,045,686(M) 1,240,483,888
	653	+	5 10,717,166,079 1,649,045,686(M) 1,240,483,888
458	654		b
459	655		6,648,675,558
	656	+	6
460	657		a
461		-	This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.
462		-	PAGE 8-SENATE BILL 23-117 APPROPRIATION FROM
	658	+	This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 7
	659	+	117
	660	+	-18- APPROPRIATION FROM
463	661		ITEM &
464	662		SUBTOTAL
465	663		TOTAL GENERAL
466	664		FUND
467	665		GENERAL
468	666		FUND
469	667		EXEMPT
470	668		CASH
471	669		FUNDS
472	670		REAPPROPRIATED
473	671		FUNDS
474	672		FEDERAL
475	673		FUNDS
476	674		$$$$$ $ $
477	675		b
478	676		Of this amount, $908,976,142
479	677		$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
	678	+	1
480	679		$69,206,333 shall be from recoveries and recoupments, $63,970,820
481		-	$54,672,000 shall be from the Health Care ~~Expansio n~~ Fund created in Section 24-22-117 (2)(a)(I), C.R.S.,
	680	+	$54,672,000 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S., 2
482	681		$60,646,597
483	682		$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
484		-	$29,745,806 shall be from the Home- and
	683	+	$29,745,806 shall be from the Home- and 3
485	684		Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $33,904,593
486		-	$32,897,732 represents public funds certified as expenditures incurred by public
	685	+	$32,897,732 represents public funds certified as expenditures incurred by public 4
487	686		hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $30,674,657
488		-	$27,883,637 shall be from the Adult Dental Fund created in Section
	687	+	$27,883,637 shall be from the Adult Dental Fund created in Section 5
489	688		25.5-5-207 (4)(a), C.R.S., $29,346,986
490	689		$25,603,971 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 6,758,245 shall
	690	+	6
491	691		be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3)(b), C.R.S.,
492	692		$2,086,005
493		-	$2,138,760 shall be from the Tobacco Tax Cash Fund created in section 24-22-117
494		-	(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
	693	+	$2,138,760 shall be from the Tobacco Tax Cash Fund created in section 24-22-117 7
	694	+	(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
495	695		program for health related purposes pursuant to Section 21 of Article X of the State Constitution, $1,449,614
496		-	$1,640,845 shall be from the Colorado Autism Treatment Fund created
	696	+	$1,640,845 shall be from the Colorado Autism Treatment Fund created 9
497	697		in Section 25.5-6-805 (1), C.R.S., $895,653
498		-	$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.,
499		-	$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,
500		-	and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
	698	+	$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
	699	+	$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
	700	+	and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 12
501	701		c
502		-	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
503		-	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
504		-	$1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Services division of this dep artment.
505		-	(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS
506		-	Behavioral Health
507		-	Capitation Payments 1,118,068,471
508		-	269,399,988
509		-	(M)
510		-	83,315,662
511		-	a
512		-	765,352,821
513		-	1,164,843,558 258,289,566(M) 88,698,914
514		-	a
515		-	817,855,078
516		-	Behavioral Health
517		-	Fee-for-service Payments 12,970,664
518		-	2,881,495
519		-	(M)
520		-	846,243
521		-	a
522		-	9,242,926
523		-	11,416,625 2,421,734(M) 715,093
524		-	a
525		-	8,279,798
526		-	1,131,039,135
527		-	1,176,260,183
528		-	a
529		-	Of these amounts, $84,126,635
530		-	$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
531		-	$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.
532		-	PAGE 9-SENATE BILL 23-117 APPROPRIATION FROM
	702	+	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
	703	+	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
	704	+	$1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Services division of this dep artment. 15
	705	+	16
	706	+	117
	707	+	-19- APPROPRIATION FROM
533	708		ITEM &
534	709		SUBTOTAL
535	710		TOTAL GENERAL
536	711		FUND
537	712		GENERAL
538	713		FUND
539	714		EXEMPT
540	715		CASH
541	716		FUNDS
542	717		REAPPROPRIATED
543	718		FUNDS
544	719		FEDERAL
545	720		FUNDS
546	721		$$$$$ $ $
547		-	(4) OFFICE OF COMMUNITY LIVING
548		-	(A) Division of Intellectual and Developmental Disabilities
549		-	(1) Administrative Costs
550		-	Personal Services 3,469,613 1,858,480(M) 1,611,133
551		-	(39.5 FTE)
552		-	Operating Expenses 281,510 164,636(M) 116,874
553		-	Community and Contract
554		-	Management System 137,480 89,362(M) 48,118
555		-	Support Level
556		-	Administration 59,317 29,403(M) 255
	722	+	(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 1
	723	+	Behavioral Health 2
	724	+	Capitation Payments 3 1,118,068,471
	725	+	269,399,988
	726	+	(M)
	727	+	83,315,662
557	728		a
558		-	29,~~659~~
559		-	3,~~947~~,~~920~~
	729	+	765,352,821
	730	+	4 1,164,843,558 258,289,566(M) 88,698,914
560	731		a
561		-	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.
562		-	(2) Medicaid Programs
563		-	22
564		-	Adult Comprehensive
565		-	Services
566		-	23
567		-	713,885,548
568		-	694,147,468
569		-	Adult Supported Living
570		-	Services
571		-	24
572		-	80,658,077
573		-	76,065,000
574		-	Children's Extensive
575		-	Support Services
576		-	25
577		-	S
578		-	ERVICES
579		-	42,487,893 39,682,957
580		-	Children's Habilitation
581		-	Residential Program
582		-	26
583		-	P
584		-	ROGRAM
585		-	12,047,333 13,337,695
586		-	PAGE 10-SENATE BILL 23-117 APPROPRIATION FROM
	732	+	817,855,078
	733	+	Behavioral Health 5
	734	+	Fee-for-service Payments 6 12,970,664
	735	+	2,881,495
	736	+	(M)
	737	+	846,243
	738	+	a
	739	+	9,242,926
	740	+	7 11,416,625 2,421,734(M) 715,093
	741	+	a
	742	+	8,279,798
	743	+	8 1,131,039,135
	744	+	9 1,176,260,183 10
	745	+	a
	746	+	Of these amounts, $84,126,635
	747	+	$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
	748	+	11
	749	+	$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
	750	+	13
	751	+	14
	752	+	15
	753	+	117
	754	+	-20- APPROPRIATION FROM
587	755		ITEM &
588	756		SUBTOTAL
589	757		TOTAL GENERAL
590	758		FUND
591	759		GENERAL
592	760		FUND
593	761		EXEMPT
594	762		CASH
595	763		FUNDS
596	764		REAPPROPRIATED
597	765		FUNDS
598	766		FEDERAL
599	767		FUNDS
600	768		$$$$$ $ $
601		-	Case Management for
602		-	People with Disabilities
603		-	27
604		-	102,087,659
605		-	90,896,434
606		-	951,166,510
607		-	440,388,944
	769	+	(4) OFFICE OF COMMUNITY LIVING 1
	770	+	(A) Division of Intellectual and Developmental Disabilities 2
	771	+	(1) Administrative Costs 3
	772	+	Personal Services 4 3,469,613 1,858,480(M) 1,611,133
	773	+	5 (39.5 FTE)
	774	+	Operating Expenses 6 281,510 164,636(M) 116,874
	775	+	Community and Contract 7
	776	+	Management System 8 137,480 89,362(M) 48,118
	777	+	Support Level 9
	778	+	Administration 10 59,317 29,403(M) 255
608	779		a
609		-	36,456,596
610		-	b
611		-	474,320,970
612		-	914,129,554 401,308,959
	780	+	29,659
	781	+	11 3,947,920
	782	+	12
613	783		a
614		-	30,454,492
615		-	b
616		-	482,366,103
617		-	a
618		-	Of this amount, the (M) notation applies to $437,877,285
619		-	$398,797,300.
620		-	b
621		-	Of this amount, $27,123,608
622		-	$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
623		-	$8,485,356
624		-	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
625		-	in Section 24-22-117 (2)(a)(I), C.R.S.
626		-	(3) State-only Programs
627		-	28
628		-	Family Support Services 7,825,842
629		-	10,727,042
630		-	State Supported Living
631		-	Services 10,337,979
632		-	5,042,256
633		-	State Supported Living
634		-	Services Case Management 2,519,109
635		-	4,913,632
636		-	Preventive Dental Hygiene
637		-	29
638		-	67,789
639		-	Supported Employment
640		-	Provider and Certification
641		-	Reimbursement 303,158
642		-	21,053,877 21,053,877
643		-	976,168,307
644		-	939,131,351
645		-	PAGE 11-SENATE BILL 23-117 APPROPRIATION FROM
	784	+	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
	785	+	14
	786	+	15
	787	+	117
	788	+	-21- APPROPRIATION FROM
646	789		ITEM &
647	790		SUBTOTAL
648	791		TOTAL GENERAL
649	792		FUND
650	793		GENERAL
651	794		FUND
652	795		EXEMPT
653	796		CASH
654	797		FUNDS
655	798		REAPPROPRIATED
656	799		FUNDS
657	800		FEDERAL
658	801		FUNDS
659	802		$$$$$ $ $
660		-	(5) INDIGENT CARE PROGRAM
661		-	Safety Net Provider
662		-	Payments 226,610,308 113,305,154
	803	+	(2) Medicaid Programs
	804	+	22
	805	+	1
	806	+	Adult Comprehensive 2
	807	+	Services
	808	+	23
	809	+	3 713,885,548
	810	+	4 694,147,468
	811	+	Adult Supported Living 5
	812	+	Services
	813	+	24
	814	+	6 80,658,077
	815	+	7 76,065,000
	816	+	Children's Extensive 8
	817	+	Support Services
	818	+	25
	819	+	S
	820	+	ERVICES
	821	+	9 42,487,893 10 39,682,957
	822	+	Children's Habilitation 11
	823	+	Residential Program
	824	+	26
	825	+	12
	826	+	P
	827	+	ROGRAM
	828	+	13 12,047,333
	829	+	14 13,337,695
	830	+	117
	831	+	-22- APPROPRIATION FROM
	832	+	ITEM &
	833	+	SUBTOTAL
	834	+	TOTAL GENERAL
	835	+	FUND
	836	+	GENERAL
	837	+	FUND
	838	+	EXEMPT
	839	+	CASH
	840	+	FUNDS
	841	+	REAPPROPRIATED
	842	+	FUNDS
	843	+	FEDERAL
	844	+	FUNDS
	845	+	$$$$$ $ $
	846	+	Case Management for 1
	847	+	People with Disabilities
	848	+	27
	849	+	2 102,087,659
	850	+	3 90,896,434
	851	+	4 951,166,510
	852	+	440,388,944
	853	+	a
	854	+	36,456,596
	855	+	b
	856	+	474,320,970
	857	+	5 914,129,554 401,308,959
	858	+	a
	859	+	30,454,492
	860	+	b
	861	+	482,366,103
	862	+	6
	863	+	a
	864	+	Of this amount, the (M) notation applies to $437,877,285
	865	+	$398,797,300. 7
	866	+	b
	867	+	Of this amount, $27,123,608
	868	+	$21,969,135 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $9,332,987
	869	+	$8,485,356 8
	870	+	shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $1 shall be from the Health Care Expansion Fund created 9
	871	+	in Section 24-22-117 (2)(a)(I), C.R.S. 10
	872	+	11
	873	+	(3) State-only Programs
	874	+	28
	875	+	12
	876	+	Family Support Services 13 7,825,842
	877	+	14 10,727,042
	878	+	117
	879	+	-23- APPROPRIATION FROM
	880	+	ITEM &
	881	+	SUBTOTAL
	882	+	TOTAL GENERAL
	883	+	FUND
	884	+	GENERAL
	885	+	FUND
	886	+	EXEMPT
	887	+	CASH
	888	+	FUNDS
	889	+	REAPPROPRIATED
	890	+	FUNDS
	891	+	FEDERAL
	892	+	FUNDS
	893	+	$$$$$ $ $
	894	+	State Supported Living 1
	895	+	Services 2 10,337,979
	896	+	3 5,042,256
	897	+	State Supported Living 4
	898	+	Services Case Management 5 2,519,109
	899	+	6 4,913,632
	900	+	Preventive Dental Hygiene
	901	+	29
	902	+	7 67,789
	903	+	Supported Employment 8
	904	+	Provider and Certification 9
	905	+	Reimbursement 10 303,158
	906	+	11 21,053,877 21,053,877
	907	+	12
	908	+	13 976,168,307
	909	+	14 939,131,351 15
	910	+	117
	911	+	-24- APPROPRIATION FROM
	912	+	ITEM &
	913	+	SUBTOTAL
	914	+	TOTAL GENERAL
	915	+	FUND
	916	+	GENERAL
	917	+	FUND
	918	+	EXEMPT
	919	+	CASH
	920	+	FUNDS
	921	+	REAPPROPRIATED
	922	+	FUNDS
	923	+	FEDERAL
	924	+	FUNDS
	925	+	$$$$$ $ $
	926	+	(5) INDIGENT CARE PROGRAM 1
	927	+	Safety Net Provider 2
	928	+	Payments 3 226,610,308 113,305,154
663	929		a
664	930		113,305,154
665	931		(I)
666		-	99,935,146
	932	+	499,935,146
667	933		a
668	934		126,675,162(I)
669		-	Pediatric Specialty Hospital 10,764,010 5,382,005
	935	+	Pediatric Specialty Hospital 5 10,764,010 5,382,005
670	936		(M)
671	937		5,382,005
672		-	4,746,929(M) 6,017,081
673		-	Appropriation from
674		-	Tobacco Tax Cash Fund to
675		-	the General Fund 381,798 381,798
	938	+	64,746,929(M) 6,017,081
	939	+	Appropriation from 7
	940	+	Tobacco Tax Cash Fund to 8
	941	+	the General Fund 9 381,798 381,798
676	942		b
677		-	Primary Care Fund Program 48,087,990
	943	+	Primary Care Fund Program 10 48,087,990
678	944		24,176,000
679	945		c
680	946		23,911,990
681	947		(I)
682		-	53,309,81329,133,813(I)
683		-	Children's Basic Health Plan
684		-	Administration 3,864,405 1,243,319
	948	+	11 53,309,81329,133,813(I)
	949	+	Children's Basic Health Plan 12
	950	+	Administration 13 3,864,405 1,243,319
685	951		(H)
686	952		d
687	953		2,621,086
688		-	1,268,684(H)
	954	+	141,268,684(H)
689	955		d
690	956		2,595,721
691		-	Children's Basic Health Plan
692		-	Medical and Dental Costs 179,020,656
	957	+	117
	958	+	-25- APPROPRIATION FROM
	959	+	ITEM &
	960	+	SUBTOTAL
	961	+	TOTAL GENERAL
	962	+	FUND
	963	+	GENERAL
	964	+	FUND
	965	+	EXEMPT
	966	+	CASH
	967	+	FUNDS
	968	+	REAPPROPRIATED
	969	+	FUNDS
	970	+	FEDERAL
	971	+	FUNDS
	972	+	$$$$$ $ $
	973	+	Children's Basic Health Plan 1
	974	+	Medical and Dental Costs 2 179,020,656
693	975		23,969,514
694	976		381,798
695	977		e
696	978		39,132,095
697	979		(H)
698	980		f
699	981		115,537,249
700		-	147,843,413 7,657,727 41,326,833(H)
	982	+	3 147,843,413 7,657,727 41,326,833(H)
701	983		f
702	984		98,477,055
703		-	468,729,167
704		-	442,773,747
	985	+	4 468,729,167
	986	+	5 442,773,747 6
705	987		a
706		-	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.
	988	+	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
707	989		b
708		-	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
709		-	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.
	990	+	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
	991	+	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
710	992		c
711		-	This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.
	993	+	This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 10
712	994		d
713	995		Of this amount, $1,236,709
714	996		$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
715		-	$5,075 shall be from the Healthcare
716		-	Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
	997	+	$5,075 shall be from the Healthcare 11
	998	+	Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 12
717	999		e
718		-	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
719		-	imposed by Section 24-75-201.1, C.R.S.
720		-	PAGE 12-SENATE BILL 23-117 APPROPRIATION FROM
	1000	+	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
	1001	+	imposed by Section 24-75-201.1, C.R.S. 14
	1002	+	117
	1003	+	-26- APPROPRIATION FROM
721	1004		ITEM &
722	1005		SUBTOTAL
723	1006		TOTAL GENERAL
724	1007		FUND
725	1008		GENERAL
726	1009		FUND
727	1010		EXEMPT
728	1011		CASH
729	1012		FUNDS
730	1013		REAPPROPRIATED
731	1014		FUNDS
732	1015		FEDERAL
733	1016		FUNDS
734	1017		$$$$$ $ $
735	1018		f Of this amount, $27,058,856
736	1019		$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
	1020	+	1
737	1021		$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
738		-	$417,300 shall be from the Colorado Immunization Fund created
739		-	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.
740		-	(6) OTHER MEDICAL SERVICES
741		-	Old Age Pension State
742		-	Medical Program 10,000,000 10,000,000
	1022	+	$417,300 shall be from the Colorado Immunization Fund created 2
	1023	+	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
	1024	+	4
	1025	+	5
	1026	+	(6) OTHER MEDICAL SERVICES 6
	1027	+	Old Age Pension State 7
	1028	+	Medical Program 8 10,000,000 10,000,000
743	1029		a
744		-	Senior Dental Program 3,990,358 3,962,510 27,848
	1030	+	Senior Dental Program 9 3,990,358 3,962,510 27,848
745	1031		b
746		-	Commission on Family
747		-	Medicine Residency
748		-	Training Programs 9,490,170 4,520,085
	1032	+	Commission on Family 10
	1033	+	Medicine Residency 11
	1034	+	Training Programs 12 9,490,170 4,520,085
749	1035		(M)
750	1036		225,000
751	1037		c
752	1038		4,745,085
753		-	3,986,715(M) 198,450
	1039	+	133,986,715(M) 198,450
754	1040		c
755	1041		5,305,005
756		-	Medicare Modernization
757		-	Act State Contribution
758		-	Payment 235,472,292
759		-	235,472,292
760		-	228,858,638 228,858,638
761		-	Public School Health
762		-	Services Contract
763		-	Administration 2,000,000 1,000,000(M) 1,000,000
764		-	Public School Health
765		-	Services 172,092,626
766		-	84,651,774
767		-	d
768		-	87,440,852
769		-	(I)
770		-	152,555,114 69,201,006
771		-	d
772		-	83,354,108(I)
773		-	Screening, Brief
774		-	Intervention, and Referral to
775		-	Treatment Training Grant
776		-	Program
777		-	30
778		-	1,500,000 1,500,000
779		-	e
780		-	Reproductive Health Care
781		-	for Individuals Not Eligible
782		-	for Medicaid 3,614,490 3,614,490
783		-	PAGE 13-SENATE BILL 23-117 APPROPRIATION FROM
	1042	+	117
	1043	+	-27- APPROPRIATION FROM
784	1044		ITEM &
785	1045		SUBTOTAL
786	1046		TOTAL GENERAL
787	1047		FUND
788	1048		GENERAL
789	1049		FUND
790	1050		EXEMPT
791	1051		CASH
792	1052		FUNDS
793	1053		REAPPROPRIATED
794	1054		FUNDS
795	1055		FEDERAL
796	1056		FUNDS
797	1057		$$$$$ $ $
798		-	State-only Payments for
799		-	Home- and
800		-	Community-Based
801		-	Services
802		-	31
803		-	56,589,558
804		-	56,589,558
805		-	f
806		-	57,116,818 57,116,818
807		-	f
808		-	(4.0 FTE)
809		-	494,749,494
810		-	469,125,588
811		-	a
812		-	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.
813		-	b
814		-	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.
815		-	c
816		-	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.
	1058	+	Medicare Modernization 1
	1059	+	Act State Contribution 2
	1060	+	Payment 3 235,472,292
	1061	+	235,472,292
	1062	+	4 228,858,638 228,858,638
	1063	+	Public School Health 5
	1064	+	Services Contract 6
	1065	+	Administration 7 2,000,000 1,000,000(M) 1,000,000
	1066	+	Public School Health 8
	1067	+	Services 9 172,092,626
	1068	+	84,651,774
817	1069		d
818		-	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
819		-	under Medicaid.
	1070	+	87,440,852
	1071	+	(I)
	1072	+	10 152,555,114 69,201,006
	1073	+	d
	1074	+	83,354,108(I)
	1075	+	Screening, Brief 11
	1076	+	Intervention, and Referral to 12
	1077	+	Treatment Training Grant 13
	1078	+	Program
	1079	+	30
	1080	+	14 1,500,000 1,500,000
820	1081		e
821		-	This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.
822		-	f Of this amount, $39,477,385
823		-	$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, a nd $17,112,173
824		-
825		-	$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
826		-	Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
827		-	(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS
828		-	(A) Executive Director's
829		-	Office - Medicaid
830		-	Funding
831		-	32
832		-	15,153,773 7,576,887(M) 7,576,886
833		-	(B) Office of Children, Youth and Families - Medicaid Funding
834		-	(1) Division of Child Welfare
835		-	Administration 66,803 33,402(M) 33,401
836		-	Child Welfare Services 13,690,244 6,845,122
837		-	(M)
838		-	6,845,122
839		-	6,037,398(M) 7,652,846
840		-	13,757,047
841		-	PAGE 14-SENATE BILL 23-117 APPROPRIATION FROM
	1082	+	117
	1083	+	-28- APPROPRIATION FROM
842	1084		ITEM &
843	1085		SUBTOTAL
844	1086		TOTAL GENERAL
845	1087		FUND
846	1088		GENERAL
847	1089		FUND
848	1090		EXEMPT
849	1091		CASH
850	1092		FUNDS
851	1093		REAPPROPRIATED
852	1094		FUNDS
853	1095		FEDERAL
854	1096		FUNDS
855	1097		$$$$$ $ $
856		-	(2) Division of Youth
857		-	Services 787,189393,595
858		-	(M)
859		-	393,594
860		-	661,526 291,734(M) 369,792
861		-	(C) Office of Economic Security - Medicaid Funding
862		-	Systematic Alien
863		-	Verification for Eligibility 28,307 14,153(M) 14,154
864		-	(D) Behavioral Health Administration - Medicaid Funding
865		-	(1) Community Behavioral
866		-	Health Administration 533,804 266,902(M) 266,902
867		-	(2) Community-based Mental Health Services
868		-	Children and Youth Mental
869		-	Health Treatment Act 131,048 65,524
870		-	(M)
871		-	65,524
872		-	57,793(M) 73,255
873		-	(3) Substance Use Treatment and Prevention Services
874		-	High Risk Pregnant Women Program
875		-	1,903,091
876		-	951,546
877		-	(M)
878		-	951,545
879		-	(E) Office of Behavioral
880		-	Health - Medicaid
881		-	Funding8,196,375 4,098,188
882		-	(M)
883		-	4,098,187
884		-	3,614,602(M) 4,581,773
885		-	(F) Office of Adults, Aging and Disability Services - Medicaid Funding
886		-	(1) Administration 412,894 206,447(M) 206,447
887		-	PAGE 15-SENATE BILL 23-117 APPROPRIATION FROM
	1098	+	Reproductive Health Care 1
	1099	+	for Individuals Not Eligible 2
	1100	+	for Medicaid 3 3,614,490 3,614,490
	1101	+	State-only Payments for 4
	1102	+	Home- and 5
	1103	+	Community-Based 6
	1104	+	Services
	1105	+	31
	1106	+	7 56,589,558
	1107	+	56,589,558
	1108	+	f
	1109	+	8 57,116,818 57,116,818
	1110	+	f
	1111	+	9 (4.0 FTE)
	1112	+	10 494,749,494
	1113	+	11 469,125,588 12
	1114	+	a
	1115	+	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
	1116	+	b
	1117	+	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
	1118	+	c
	1119	+	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
	1120	+	117
	1121	+	-29- APPROPRIATION FROM
888	1122		ITEM &
889	1123		SUBTOTAL
890	1124		TOTAL GENERAL
891	1125		FUND
892	1126		GENERAL
893	1127		FUND
894	1128		EXEMPT
895	1129		CASH
896	1130		FUNDS
897	1131		REAPPROPRIATED
898	1132		FUNDS
899	1133		FEDERAL
900	1134		FUNDS
901	1135		$$$$$ $ $
902		-	(2) Regional Centers for People with Developmental Disabilities
903		-	Regional Centers 56,049,062 26,135,628
904		-	(M)
905		-	1,888,903
906		-	a
907		-	28,024,531
908		-	22,828,733(M) 31,331,426
909		-	Regional Center
910		-	Depreciation and Annual
911		-	Adjustments 691,725 345,863
912		-	(M)
913		-	345,862
914		-	305,721(M) 386,004
915		-	Regional Centers Electronic
916		-	Health Record System 680,382 340,191(M) 340,191
917		-	57,421,169
918		-	a
919		-	This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
920		-	(3) Aging Programs
921		-	Community Services for the
922		-	Elderly 1,001,800 500,900(M) 500,900
923		-	(G) Office of Early Childhood - Medicaid Funding
924		-	Division of Community and
925		-	Family Support, Early
926		-	Intervention Services 8,127,382 4,063,691(M) 4,063,691
927		-	(H) Other
928		-	Federal Medicaid Indirect
929		-	Cost Reimbursement for
930		-	Department of Human
931		-	Services Programs 500,000500,000(I)
932		-	a
933		-	PAGE 16-SENATE BILL 23-117 APPROPRIATION FROM
	1136	+	d
	1137	+	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
	1138	+	under Medicaid. 2
	1139	+	e
	1140	+	This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 3
	1141	+	f Of this amount, $39,477,385
	1142	+	$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
	1143	+	4
	1144	+	$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
	1145	+	Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 6
	1146	+	7
	1147	+	(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS 8
	1148	+	(A) Executive Director's 9
	1149	+	Office - Medicaid 10
	1150	+	Funding
	1151	+	32
	1152	+	11 15,153,773 7,576,887(M) 7,576,886
	1153	+	12
	1154	+	(B) Office of Children, Youth and Families - Medicaid Funding 13
	1155	+	(1) Division of Child Welfare 14
	1156	+	Administration 15 66,803 33,402(M) 33,401
	1157	+	117
	1158	+	-30- APPROPRIATION FROM
934	1159		ITEM &
935	1160		SUBTOTAL
936	1161		TOTAL GENERAL
937	1162		FUND
938	1163		GENERAL
939	1164		FUND
940	1165		EXEMPT
941	1166		CASH
942	1167		FUNDS
943	1168		REAPPROPRIATED
944	1169		FUNDS
945	1170		FEDERAL
946	1171		FUNDS
947	1172		$$$$$ $ $
948		-	Department of Human
949		-	Services Indirect Cost
950		-	Assessment 20,815,836
951		-	10,407,918
	1173	+	Child Welfare Services 1 13,690,244 6,845,122
952	1174		(M)
953		-	10,407,918
954		-	21,270,052 10,635,026(M) 10,635,026
955		-	21,315,836
956		-	21,770,052
957		-	a
958		-	This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only.
959		-	128,769,715
960		-	127,195,177
961		-	TOTALS PART VI
962		-	(HEALTH CARE
963		-	POLICY AND
964		-	FINANCING)
965		-	33
966		-	$14,175,744,594
967		-	$2,990,361,111
968		-	$1,089,329,337
969		-	a
970		-	$1,805,081,518
971		-	b
972		-	$94,983,205
973		-	$8,195,989,423
974		-	c
975		-	$14,380,650,119 $2,753,976,126 $1,764,036,640
976		-	b
977		-	$94,956,731 $8,678,351,285
978		-	c
979		-	a
980		-	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
981		-	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.
982		-	b
983		-	Of this amount, $19,649,148
984		-	$18,508,801 contains an (I) notation.
985		-	c
986		-	Of this amount, $353,970,668
987		-	$378,465,646 contains an (I) notation.
988		-	FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.
989		-	16 Department of Health Care Policy and Financing, Executive Dir ector's Office, General Administration, General Professional Ser vices and Special Projects
990		-	-- 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
991		-	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
992		-	therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
993		-	PAGE 17-SENATE BILL 23-117 APPROPRIATION FROM
	1175	+	6,845,122
	1176	+	26,037,398(M) 7,652,846
	1177	+	3 13,757,047
	1178	+	4
	1179	+	(2) Division of Youth 5
	1180	+	Services 6 787,189
	1181	+	393,595
	1182	+	(M)
	1183	+	393,594
	1184	+	7 661,526 291,734(M) 369,792
	1185	+	8
	1186	+	(C) Office of Economic Security - Medicaid Funding 9
	1187	+	Systematic Alien 10
	1188	+	Verification for Eligibility 11 28,307 14,153(M) 14,154
	1189	+	12
	1190	+	(D) Behavioral Health Administration - Medicaid Funding 13
	1191	+	(1) Community Behavioral 14
	1192	+	Health Administration 15 533,804 266,902(M) 266,902
	1193	+	117
	1194	+	-31- APPROPRIATION FROM
994	1195		ITEM &
995	1196		SUBTOTAL
996	1197		TOTAL GENERAL
997	1198		FUND
998	1199		GENERAL
999	1200		FUND
1000	1201		EXEMPT
1001	1202		CASH
1002	1203		FUNDS
1003	1204		REAPPROPRIATED
1004	1205		FUNDS
1005	1206		FEDERAL
1006	1207		FUNDS
1007	1208		$$$$$ $ $
1008		-	17 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects
1009		-	-- Of this appropriation, the $22,439,275
1010		-	$28,040,795 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain
1011		-	available for expenditure until the close of the 2023-24
1012		-	2024-25 state fiscal year.
1013		-	18
1014		-	Department of Health Care Policy and Financing, Executive Direct or's Office, Information Technology Contracts and Projects, Med icaid Management Information System Maintenance and Projects -- Of this appropriation, the $7,509,302 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain available for expenditure until the close of the 2023-24 state fiscal year.
1015		-	19 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
1016		-	Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center --
1017		-	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
1018		-	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
1019		-	items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado
1020		-	Benefits Management System subsection.
1021		-	20 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
1022		-	Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center --
1023		-	Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2023-24 state fiscal year.
1024		-	21 Department of Health Care Policy and Financing, Medical Servi ces Premiums, Medical and Long-Term Care Services for Medicaid E ligible Individuals --
1025		-	Of this appropriation, the $40,944,853
1026		-	$32,720,517 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain
1027		-	available for expenditure until the close of the 2023-24
1028		-	2024-25 state fiscal year.
1029		-	21a
1030		-	Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals --
1031		-	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.
1032		-	22 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs
1033		-	-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs.
1034		-	23 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
1035		-	Adult Comprehensive Services -- Of this appropriation, the $22,474,658
1036		-	$18,547,092 cash funds appropriated from the Home- and Community-based Services
1037		-	Improvement Fund remain available for expenditure until the close of the 2023-24
1038		-	2024-25 state fiscal year.
1039		-	PAGE 18-SENATE BILL 23-117 APPROPRIATION FROM
	1209	+	1
	1210	+	(2) Community-based Mental Health Services 2
	1211	+	Children and Youth Mental 3
	1212	+	Health Treatment Act 4 131,048 65,524
	1213	+	(M)
	1214	+	65,524
	1215	+	557,793(M) 73,255
	1216	+	6
	1217	+	(3) Substance Use Treatment and Prevention Services
	1218	+	7
	1219	+	High Risk Pregnant Women
	1220	+	8
	1221	+	Program
	1222	+	9 1,903,091
	1223	+	951,546
	1224	+	(M)
	1225	+	951,545
	1226	+	10
	1227	+	(E) Office of Behavioral 11
	1228	+	Health - Medicaid 12
	1229	+	Funding 13 8,196,375 4,098,188
	1230	+	(M)
	1231	+	4,098,187
	1232	+	143,614,602(M) 4,581,773
	1233	+	15
	1234	+	117
	1235	+	-32- APPROPRIATION FROM
1040	1236		ITEM &
1041	1237		SUBTOTAL
1042	1238		TOTAL GENERAL
1043	1239		FUND
1044	1240		GENERAL
1045	1241		FUND
1046	1242		EXEMPT
1047	1243		CASH
1048	1244		FUNDS
1049	1245		REAPPROPRIATED
1050	1246		FUNDS
1051	1247		FEDERAL
1052	1248		FUNDS
1053	1249		$$$$$ $ $
1054		-	24 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
1055		-	Adult Supported Living Services -- Of this appropriation, the $2,733,070
1056		-	$1,654,642 cash funds appropriated from the Home- and Community-based Services
1057		-	Improvement Fund remain available for expenditure until the close of the 2023-24
1058		-	2024-25 state fiscal year.
1059		-	25
1060		-	Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs, Children's Extensive Support Services -- Of this appropriation, the $963,405 cash funds appropriated from the Home- and Communi ty-based Services Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year.
1061		-	26
1062		-	Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs, Children's Habilitation Residential Program -- Of this appropriation, the $548 cash funds appropriated from the Home- and Commu nity-based Services Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year.
1063		-	27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
1064		-	Case management for People with Disabilities -- Of this appropriation, the $951,927
1065		-	$286,423 cash funds appropriated from the Home- and Community-based
1066		-	Services Improvement Fund remain available for expenditure until the close of the 2023-24
1067		-	2024-25 state fiscal year.
1068		-	28 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs
1069		-	-- 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.
1070		-	29 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs,
1071		-	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
1072		-	and developmental disabilities.
1073		-	30 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program
1074		-	-- 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
1075		-	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.
1076		-	31 Department of Health Care Policy and Financing, Other Medical Services, State-only Payments for Home- and Community-Based Ser vices -- This
1077		-	appropriation remains available for expenditure until the close of the 2023-24
1078		-	2024-25 state fiscal year.
1079		-	32 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding
1080		-	-- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive
1081		-	PAGE 19-SENATE BILL 23-117 APPROPRIATION FROM
	1250	+	(F) Office of Adults, Aging and Disability Services - Medicaid Funding 1
	1251	+	(1) Administration 2 412,894 206,447(M) 206,447
	1252	+	3
	1253	+	(2) Regional Centers for People with Developmental Disabilities 4
	1254	+	Regional Centers 5 56,049,062 26,135,628
	1255	+	(M)
	1256	+	1,888,903
	1257	+	a
	1258	+	28,024,531
	1259	+	622,828,733(M) 31,331,426
	1260	+	Regional Center 7
	1261	+	Depreciation and Annual 8
	1262	+	Adjustments 9 691,725 345,863
	1263	+	(M)
	1264	+	345,862
	1265	+	10305,721(M) 386,004
	1266	+	Regional Centers Electronic 11
	1267	+	Health Record System 12 680,382 340,191(M) 340,191
	1268	+	13 57,421,169
	1269	+	14
	1270	+	a
	1271	+	This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 15
	1272	+	117
	1273	+	-33- APPROPRIATION FROM
1082	1274		ITEM &
1083	1275		SUBTOTAL
1084	1276		TOTAL GENERAL
1085	1277		FUND
1086	1278		GENERAL
1087	1279		FUND
1088	1280		EXEMPT
1089	1281		CASH
1090	1282		FUNDS
1091	1283		REAPPROPRIATED
1092	1284		FUNDS
1093	1285		FEDERAL
1094	1286		FUNDS
1095	1287		$$$$$ $ $
1096		-	Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department
1097		-	of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations
1098		-	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
1099		-	and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers
1100		-	out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the
1101		-	centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services.
1102		-	33 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service
1103		-	Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the
1104		-	University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for
1105		-	administrative costs and family medicine residency placements asso ciated with care provided by the faculty of the health scienc es center campus at the
1106		-	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
1107		-	to allow the Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the
1108		-	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
1109		-	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
1110		-	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.
1111		-	PAGE 20-SENATE BILL 23-117 SECTION 2. Appropriation to the department of health care
1112		-	policy and financing for the fiscal year beginning July 1, 2021.
1113		-	(1) For the 2021-22 state fiscal year, $13,975,326 is appropriated to the
1114		-	department of health care policy and financing and is for the payment of
1115		-	overexpenditures of line item appropriations contained in Part V of
1116		-	section 2 of chapter 504 (SB 21-205), Session Laws of Colorado 2021,
1117		-	as follows:
1118		-	(a) $9,975,719 from the general fund for medical and long-term
1119		-	care services for Medicaid eligible individuals;
1120		-	(b) $3,760,865 from the healthcare affordability and sustainability
1121		-	fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for
1122		-	behavioral health capitation payments;
1123		-	(c) $2,393 from the breast and cervical cancer prevention and
1124		-	treatment fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., for
1125		-	behavioral health capitation payments;
1126		-	(d) $10,549 from the general fund for behavioral health
1127		-	fee-for-service payments; and
1128		-	(e) $225,800 from the healthcare affordability and sustainability
1129		-	fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for
1130		-	behavioral health fee-for-service payments.
1131		-	(2) In accordance with section 24-75-109 (4)(a), C.R.S., all
1132		-	restrictions on funds for the department of health care policy and
1133		-	financing for the 2022-23 state fiscal year for the amounts and items of
1134		-	appropriation listed in this section are released.
1135		-	SECTION 3. Appropriation to the department of health care
1136		-	policy and financing for the fiscal year beginning July 1, 2022. In
1137		-	Session Laws of Colorado 2022, amend section 137 (7)(c) and (7)(d) of
1138		-	chapter 123, (HB 22-1295), as follows:
1139		-	Section 137. Appropriation - adjustments to 2022 long bill.
1140		-	(7)(c) For the 2022-23 state fiscal year, $4,063,691
1141		-	$3,685,974 is
1142		-	appropriated to the department of health care policy and financing for use
1143		-	by the executive director's office, transfers to/from other departments.
1144		-	This appropriation is from the general fund, which is subject to the "(M)"
1145		-	notation as defined in the annual general appropriation act for the same
1146		-	fiscal year. To implement this act, the department may use this
1147		-	appropriation for transfer to the department of early childhood for early
1148		-	intervention services.
1149		-	(d) For the 2022-23 state fiscal year, the general assembly
1150		-	anticipates that the department of health care policy and financing will
1151		-	receive $4,063,691
1152		-	$4,672,244 in federal funds for transfer to the
1153		-	department of early childhood for early intervention services to
1154		-	implement this act. The appropriation in subsection (7)(c) of this section
1155		-	is based on the assumption that the department will receive this amount
1156		-	of federal funds.
1157		-	PAGE 21-SENATE BILL 23-117 SECTION 4. Safety clause. The general assembly hereby finds,
1158		-	determines, and declares that this act is necessary for the immediate
1159		-	preservation of the public peace, health, and safety.
1160		-	____________________________ ____________________________
1161		-	Steve Fenberg
1162		-	Julie McCluskie
1163		-	PRESIDENT OF SPEAKER OF THE HOUSE
1164		-	THE SENATE OF REPRESENTATIVES
1165		-	____________________________ ____________________________
1166		-	Cindi L. Markwell Robin Jones
1167		-	SECRETARY OF CHIEF CLERK OF THE HOUSE
1168		-	THE SENATE OF REPRESENTATIVES
1169		-	APPROVED________________________________________
1170		-	(Date and Time)
1171		-	_________________________________________
1172		-	Jared S. Polis
1173		-	GOVERNOR OF THE STATE OF COLORADO
1174		-	PAGE 22-SENATE BILL 23-117
	1288	+	1
	1289	+	(3) Aging Programs 2
	1290	+	Community Services for the 3
	1291	+	Elderly 4 1,001,800 500,900(M) 500,900
	1292	+	5
	1293	+	(G) Office of Early Childhood - Medicaid Funding 6
	1294	+	Division of Community and 7
	1295	+	Family Support, Early 8
	1296	+	Intervention Services 9 8,127,382 4,063,691(M) 4,063,691
	1297	+	10
	1298	+	(H) Other 11
	1299	+	Federal Medicaid Indirect 12
	1300	+	Cost Reimbursement for 13
	1301	+	Department of Human 14
	1302	+	Services Programs 15 500,000500,000(I)
	1303	+	a
	1304	+	117
	1305	+	-34- APPROPRIATION FROM
	1306	+	ITEM &
	1307	+	SUBTOTAL
	1308	+	TOTAL GENERAL
	1309	+	FUND
	1310	+	GENERAL
	1311	+	FUND
	1312	+	EXEMPT
	1313	+	CASH
	1314	+	FUNDS
	1315	+	REAPPROPRIATED
	1316	+	FUNDS
	1317	+	FEDERAL
	1318	+	FUNDS
	1319	+	$$$$$ $ $
	1320	+	Department of Human 1
	1321	+	Services Indirect Cost 2
	1322	+	Assessment 3 20,815,836
	1323	+	10,407,918
	1324	+	(M)
	1325	+	10,407,918
	1326	+	4 21,270,052 10,635,026(M) 10,635,026
	1327	+	5 21,315,836
	1328	+	6 21,770,052 7
	1329	+	a
	1330	+	This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only. 8
	1331	+	9
	1332	+	10 128,769,715
	1333	+	11 127,195,177 12 13 14 15
	1334	+	117
	1335	+	-35- APPROPRIATION FROM
	1336	+	ITEM &
	1337	+	SUBTOTAL
	1338	+	TOTAL GENERAL
	1339	+	FUND
	1340	+	GENERAL
	1341	+	FUND
	1342	+	EXEMPT
	1343	+	CASH
	1344	+	FUNDS
	1345	+	REAPPROPRIATED
	1346	+	FUNDS
	1347	+	FEDERAL
	1348	+	FUNDS
	1349	+	$$$$$ $ $
	1350	+	TOTALS PART VI 1
	1351	+	(HEALTH CARE 2
	1352	+	POLICY AND 3
	1353	+	FINANCING)
	1354	+	33
	1355	+	4 $14,175,744,594
	1356	+	$2,990,361,111
	1357	+	$1,089,329,337
	1358	+	a
	1359	+	$1,805,081,518
	1360	+	b
	1361	+	$94,983,205
	1362	+	$8,195,989,423
	1363	+	c
	1364	+	5 $14,380,650,119 $2,753,976,126 $1,764,036,640
	1365	+	b
	1366	+	$94,956,731 $8,678,351,285
	1367	+	c
	1368	+	6
	1369	+	a
	1370	+	Of this amount, $1,088,947,539 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $ 381,798 shall be General Fund Exempt pursuant to 7
	1371	+	Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $381,798 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. 8
	1372	+	b
	1373	+	Of this amount, $19,649,148
	1374	+	$18,508,801 contains an (I) notation. 9
	1375	+	c
	1376	+	Of this amount, $353,970,668
	1377	+	$378,465,646 contains an (I) notation. 10
	1378	+	11
	1379	+	FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 12
	1380	+	13
	1381	+	16 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 14
	1382	+	-- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by 15
	1383	+	117
	1384	+	-36- APPROPRIATION FROM
	1385	+	ITEM &
	1386	+	SUBTOTAL
	1387	+	TOTAL GENERAL
	1388	+	FUND
	1389	+	GENERAL
	1390	+	FUND
	1391	+	EXEMPT
	1392	+	CASH
	1393	+	FUNDS
	1394	+	REAPPROPRIATED
	1395	+	FUNDS
	1396	+	FEDERAL
	1397	+	FUNDS
	1398	+	$$$$$ $ $
	1399	+	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
	1400	+	therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. 2
	1401	+	3
	1402	+	17 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 4
	1403	+	-- Of this appropriation, the $22,439,275
	1404	+	$28,040,795 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain 5
	1405	+	available for expenditure until the close of the 2023-24
	1406	+	2024-25 state fiscal year. 6
	1407	+	7
	1408	+	18
	1409	+	Department of Health Care Policy and Financing, Executive Direct or's Office, Information Technology Contracts and Projects, Med icaid Management
	1410	+	8
	1411	+	Information System Maintenance and Projects -- Of this appropriation, the $7,509,302 cash funds appropriated from the Home- and Community-based Services
	1412	+	9
	1413	+	Improvement Fund remain available for expenditure until the close of the 2023-24 state fiscal year.
	1414	+	10 11
	1415	+	19 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 12
	1416	+	Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 13
	1417	+	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
	1418	+	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
	1419	+	items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado 16
	1420	+	117
	1421	+	-37- APPROPRIATION FROM
	1422	+	ITEM &
	1423	+	SUBTOTAL
	1424	+	TOTAL GENERAL
	1425	+	FUND
	1426	+	GENERAL
	1427	+	FUND
	1428	+	EXEMPT
	1429	+	CASH
	1430	+	FUNDS
	1431	+	REAPPROPRIATED
	1432	+	FUNDS
	1433	+	FEDERAL
	1434	+	FUNDS
	1435	+	$$$$$ $ $
	1436	+	Benefits Management System subsection. 1
	1437	+	2
	1438	+	20 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 3
	1439	+	Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 4
	1440	+	Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2023-24 state fiscal year. 5
	1441	+	6
	1442	+	21 Department of Health Care Policy and Financing, Medical Servi ces Premiums, Medical and Long-Term Care Services for Medicaid E ligible Individuals -- 7
	1443	+	Of this appropriation, the $40,944,853
	1444	+	$32,720,517 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain 8
	1445	+	available for expenditure until the close of the 2023-24
	1446	+	2024-25 state fiscal year. 9
	1447	+	10
	1448	+	21a
	1449	+	Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals -- 11
	1450	+	This line item includes $1,044,059 total funds, including $500,000 General Fund, for the purpose of expanding the non-invasive pre-natal testing benefit. 12
	1451	+	13
	1452	+	22 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 14
	1453	+	-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs. 15
	1454	+	16
	1455	+	117
	1456	+	-38- APPROPRIATION FROM
	1457	+	ITEM &
	1458	+	SUBTOTAL
	1459	+	TOTAL GENERAL
	1460	+	FUND
	1461	+	GENERAL
	1462	+	FUND
	1463	+	EXEMPT
	1464	+	CASH
	1465	+	FUNDS
	1466	+	REAPPROPRIATED
	1467	+	FUNDS
	1468	+	FEDERAL
	1469	+	FUNDS
	1470	+	$$$$$ $ $
	1471	+	23 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 1
	1472	+	Adult Comprehensive Services -- Of this appropriation, the $22,474,658
	1473	+	$18,547,092 cash funds appropriated from the Home- and Community-based Services 2
	1474	+	Improvement Fund remain available for expenditure until the close of the 2023-24
	1475	+	2024-25 state fiscal year. 3
	1476	+	4
	1477	+	24 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 5
	1478	+	Adult Supported Living Services -- Of this appropriation, the $2,733,070
	1479	+	$1,654,642 cash funds appropriated from the Home- and Community-based Services 6
	1480	+	Improvement Fund remain available for expenditure until the close of the 2023-24
	1481	+	2024-25 state fiscal year. 7
	1482	+	8
	1483	+	25
	1484	+	Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs,
	1485	+	9
	1486	+	Children's Extensive Support Services -- Of this appropriation, the $963,405 cash funds appropriated from the Home- and Communi ty-based Services
	1487	+	10
	1488	+	Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year.
	1489	+	11
	1490	+	12
	1491	+	26
	1492	+	Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabili ties, Medicaid Programs,
	1493	+	13
	1494	+	Children's Habilitation Residential Program -- Of this appropria tion, the $548 cash funds appropriated from the Home- and Commu nity-based Services
	1495	+	14
	1496	+	Improvement Fund remain available for expenditure until the close of the 2023-24 2024-25 state fiscal year.
	1497	+	15
	1498	+	16
	1499	+	117
	1500	+	-39- APPROPRIATION FROM
	1501	+	ITEM &
	1502	+	SUBTOTAL
	1503	+	TOTAL GENERAL
	1504	+	FUND
	1505	+	GENERAL
	1506	+	FUND
	1507	+	EXEMPT
	1508	+	CASH
	1509	+	FUNDS
	1510	+	REAPPROPRIATED
	1511	+	FUNDS
	1512	+	FEDERAL
	1513	+	FUNDS
	1514	+	$$$$$ $ $
	1515	+	27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 1
	1516	+	Case management for People with Disabilities -- Of this appropriation, the $951,927
	1517	+	$286,423 cash funds appropriated from the Home- and Community-based 2
	1518	+	Services Improvement Fund remain available for expenditure until the close of the 2023-24
	1519	+	2024-25 state fiscal year. 3
	1520	+	4
	1521	+	28 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 5
	1522	+	-- 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
	1523	+	7
	1524	+	29 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs, 8
	1525	+	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
	1526	+	and developmental disabilities. 10
	1527	+	11
	1528	+	30 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 12
	1529	+	-- 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
	1530	+	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
	1531	+	15
	1532	+	31 Department of Health Care Policy and Financing, Other Medical Services, State-only Payments for Home- and Community-Based Ser vices -- This 16
	1533	+	117
	1534	+	-40- APPROPRIATION FROM
	1535	+	ITEM &
	1536	+	SUBTOTAL
	1537	+	TOTAL GENERAL
	1538	+	FUND
	1539	+	GENERAL
	1540	+	FUND
	1541	+	EXEMPT
	1542	+	CASH
	1543	+	FUNDS
	1544	+	REAPPROPRIATED
	1545	+	FUNDS
	1546	+	FEDERAL
	1547	+	FUNDS
	1548	+	$$$$$ $ $
	1549	+	appropriation remains available for expenditure until the close of the 2023-24
	1550	+	2024-25 state fiscal year. 1
	1551	+	2
	1552	+	32 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding 3
	1553	+	-- 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
	1554	+	Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department 5
	1555	+	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
	1556	+	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
	1557	+	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
	1558	+	out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the 9
	1559	+	centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services. 10
	1560	+	11
	1561	+	33 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service 12
	1562	+	Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the 13
	1563	+	University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for 14
	1564	+	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
	1565	+	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
	1566	+	117
	1567	+	-41- APPROPRIATION FROM
	1568	+	ITEM &
	1569	+	SUBTOTAL
	1570	+	TOTAL GENERAL
	1571	+	FUND
	1572	+	GENERAL
	1573	+	FUND
	1574	+	EXEMPT
	1575	+	CASH
	1576	+	FUNDS
	1577	+	REAPPROPRIATED
	1578	+	FUNDS
	1579	+	FEDERAL
	1580	+	FUNDS
	1581	+	$$$$$ $ $
	1582	+	to allow the Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the 1
	1583	+	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
	1584	+	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
	1585	+	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
	1586	+	117
	1587	+	-42- SECTION 2. Appropriation to the department of health care1
	1588	+	policy and financing for the fiscal year beginning July 1, 2021. 2
	1589	+	(1) For the 2021-22 state fiscal year, $13,975,326 is appropriated to the3
	1590	+	department of health care policy and financing and is for the payment of4
	1591	+	overexpenditures of line item appropriations contained in Part V of5
	1592	+	section 2 of chapter 504 (SB 21-205), Session Laws of Colorado 2021,6
	1593	+	as follows:7
	1594	+	(a) $9,975,719 from the general fund for medical and long-term8
	1595	+	care services for Medicaid eligible individuals; 9
	1596	+	(b) $3,760,865 from the healthcare affordability and sustainability10
	1597	+	fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for11
	1598	+	behavioral health capitation payments; 12
	1599	+	(c) $2,393 from the breast and cervical cancer prevention and13
	1600	+	treatment fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., for14
	1601	+	behavioral health capitation payments;15
	1602	+	(d) $10,549 from the general fund for behavioral health16
	1603	+	fee-for-service payments; and17
	1604	+	(e) $225,800 from the healthcare affordability and sustainability18
	1605	+	fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for19
	1606	+	behavioral health fee-for-service payments.20
	1607	+	(2) In accordance with section 24-75-109 (4)(a), C.R.S., all21
	1608	+	restrictions on funds for the department of health care policy and22
	1609	+	financing for the 2022-23 state fiscal year for the amounts and items of23
	1610	+	appropriation listed in this section are released. 24
	1611	+	SECTION 3. Appropriation to the department of health care25
	1612	+	policy and financing for the fiscal year beginning July 1, 2022. In26
	1613	+	Session Laws of Colorado 2022, amend section 137 (7)(c) and (7)(d) of27
	1614	+	117-43- chapter 123, (HB 22-1295), as follows:1
	1615	+	Section 137. Appropriation - adjustments to 2022 long bill.2
	1616	+	(7)(c) For the 2022-23 state fiscal year, $4,063,691 $3,685,974 is3
	1617	+	appropriated to the department of health care policy and financing for use4
	1618	+	by the executive director's office, transfers to/from other departments.5
	1619	+	This appropriation is from the general fund, which is subject to the "(M)"6
	1620	+	notation as defined in the annual general appropriation act for the same7
	1621	+	fiscal year. To implement this act, the department may use this8
	1622	+	appropriation for transfer to the department of early childhood for early9
	1623	+	intervention services.10
	1624	+	(d) For the 2022-23 state fiscal year, the general assembly11
	1625	+	anticipates that the department of health care policy and financing will12
	1626	+	receive $4,063,691 $4,672,244 in federal funds for transfer to the13
	1627	+	department of early childhood for early intervention services to14
	1628	+	implement this act. The appropriation in subsection (7)(c) of this section15
	1629	+	is based on the assumption that the department will receive this amount16
	1630	+	of federal funds.17
	1631	+	SECTION 4. Safety clause. The general assembly hereby finds,18
	1632	+	determines, and declares that this act is necessary for the immediate19
	1633	+	preservation of the public peace, health, and safety.20
	1634	+	117-44-