SENATE BILL 23-117
BY SENATOR(S) Zenzinger, Bridges, Kirkmeyer, Buckner, Cutter,
Hinrichsen, Marchman;
also REPRESENTATIVE(S) Bird, Sirota, Bockenfeld, Bacon, Brown,
deGruy Kennedy, English, Garcia, Herod, Jodeh, Joseph, Lieder, Lindsay,
Martinez, Michaelson Jenet, Ricks, Snyder, Velasco, Young.
C
ONCERNING A SUPPLEMENTAL APPROPRIATION TO THE DEPARTMENT OF
HEALTH CARE POLICY AND FINANCING
.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. Appropriation to the department of health care
policy and financing for the fiscal year beginning July 1, 2022. In
Session Laws of Colorado 2022, section 2 of chapter 507, (HB 22-1329),
amend Part VI and the affected totals, as Part VI (1)(A) and the affected
totals are amended by section 8 of chapter 170, (HB 22-1133), as follows:
Section 2. Appropriation.
NOTE: This bill has been prepared for the signatures of the appropriate legislative
officers and the Governor. To determine whether the Governor has signed the bill
or taken other action on it, please consult the legislative status sheet, the legislative
history, or the Session Laws.
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act. APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
PART VI
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
(1) EXECUTIVE DIRECTOR'S OFFICE
(A) General Administration
Personal Services 55,672,434
55,513,149
(665.2 FTE)
Health, Life, and Dental 9,269,011
9,139,400
Short-term Disability 95,356
93,895
S.B. 04-257 Amortization
Equalization Disbursement 2,980,995
2,935,436
S.B. 06-235 Supplemental
Amortization Equalization
Disbursement 2,980,996
2,935,437
Salary Survey 1,739,584
PERA Direct Distribution 668,598
Temporary Employees
Related to Authorized
Leave 5,978
Workers' Compensation 194,996
Operating Expenses 2,963,583
3,381,785
Legal Services 959,008
Administrative Law Judge
Services 890,065
PAGE 2-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Payment to Risk
Management and Property
Funds 383,339
Leased Space 3,666,036
3,593,966
Capitol Complex Leased
Space 624,633
Payments to OIT 9,004,795
9,045,009
CORE Operations 169,033
General Professional
Services and Special
Projects
16,17
68,014,149 76,660,420
160,282,589
42,354,096
35,261,400
a
2,978,009
b
79,689,084
(I)
168,933,731 42,587,133 40,496,617
a
2,978,085
b
82,871,896(I)
a
Of this amount, $24,937,360
$29,932,590 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $8,982,429
$9,221,708
shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., $39 4,382
$394,656 shall be from the Medicaid Nursing Facility
Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $270,954
$271,143 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $199,575
$199,716 shall
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.,
$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
$56,082 shall be from the Service Fee Fund created in Section
25.5-6-204 (1)(c)(II), C.R.S., $52,146
$52,182 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $48,644
$48,676 shall be from the Breast
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
School of Medicine, and $1,246 shall be from estate recoveries.
b
Of this amount, $988,178
$988,226 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Developmen t Center line item
appropriation in this department, $799,160 shall be from statewide indirect cost recoveries, $610,453
$610,465 shall be transferred from the Department of Human Services from the
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
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,
Infants, and Children Supplemental Food Grant line item.
PAGE 3-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Transfers to/from Other Departments
Transfer to Department of
Education for Public School
Health Services 191,731 95,865(M) 95,866
Transfer from Department
of Human Services for
Nurse Home Visitor
Program 3,010,0001,505,000
a
1,505,000(I)
Transfer to Department of
Local Affairs for Host
Home Regulation 133,882 66,941(M) 66,941
Transfer to Department of
Local Affairs for Home
Modifications Benefit
Administration 306,796 153,398(M) 153,398
Transfer to Department of
Public Health and
Environment for Facility
Survey and Certification 8,651,460 3,218,674(M) 5,432,786
Transfer to Department of
Public Health and
Environment for Prenatal
Statistical Information 5,887 2,944(M) 2,943
Transfer to Department of
Regulatory Agencies for
Nurse Aide Certification 324,041 147,369(M) 14,652
b
162,020
Transfer to Department of
Regulatory Agencies for
Reviews 3,750 1,875(M) 1,875
12,627,547
PAGE 4-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion.
b
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation.
(C) Information Technology Contracts and Projects
Medicaid Management
Information System
Maintenance and Projects
18
P
ROJECTS
46,579,137
2,832,277
11,364,076
a
12,204
b
32,370,580
(I)
46,261,335 2,710,081 4,594,312
a
38,944,738(I)
Colorado Benefits
Management Systems,
Operating and Contract
Expenses
19, 20
49,903,812
9,821,039
(M)
5,981,077
c
1,654
b
34,100,042
54,177,348 10,662,071(M) 6,493,474
c
37,020,149
Colorado Benefits
Management Systems,
Health Care and Economic
Security Staff Development
Center
19,20
2,005,074 634,715(M) 354,194
d
73
b
1,016,092
Office of eHealth
Innovations Operations 6,465,845 3,372,367 3,093,478(I)
(3.0 FTE)
All-Payer Claims Database 5,005,153 4,171,886833,267(I)
109,959,021
113,914,755
a
Of this amount, $7,509,302 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-180 5 (1), C.R.S.,
$2,903,658
$2,817,132 shall be
from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $601,116 sha ll be from the Children's Basic Health Plan Trust created
in Section 25.5-8-105 (1), C.R.S., and $350,000
$1,176,064 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S.
b
These amounts shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.
PAGE 5-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
c
Of this amount, $5,522,535
$6,034,932 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $458,542 shall
be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
d
Of this amount, $333,908 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $20,286 shall be from the
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
(D) Eligibility Determinations and Client Services
Contracts for Special
Eligibility Determinations 12,039,555 1,129,071(M) 4,343,468
a
6,567,016
County Administration 123,622,889
20,061,678
(M)
27,113,119
b
76,448,092
119,071,526 20,154,096(M) 25,643,473
b
73,273,957
Medical Assistance Sites 1,531,968 402,984
c
1,128,984(I)
Administrative Case
Management 869,744 434,872(M) 434,872
Customer Outreach 3,486,071 1,406,415(M) 336,621
c
1,743,035
Centralized Eligibility
Vendor Contract Project 6,122,400 2,279,719
c
3,842,681(I)
Connect for Health
Colorado Eligibility
Determinations 10,135,914 4,530,754
d
5,605,160(I)
Eligibility Overflow
Processing Center 1,904,677 285,320(M) 190,849
c
1,428,508
Returned Mail Processing 3,298,808 985,808(M) 244,919
e
111,942
f
1,956,139
Work Number Verification 3,305,114 1,089,815(M) 545,013
c
1,670,286
166,317,140
161,765,777
a
Of this amount, $4,338,468 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the
Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S.
PAGE 6-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $19,649,148(I)
$18,508,801(I) shall be from local funds and $7,463,971
$7,134,672 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created
in Section 25.5-4-402.4 (5)(a), C.R.S.
c
These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S.
d
This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program.
e
Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $38,736 shall be from the
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
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
be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.
(E) Utilization and Quality Review Contracts
Professional Services
Contracts 26,961,574
7,236,040
(M)
2,032,069
a
17,693,465
28,145,411 8,419,877(M)
a
Of this amount, $1,904,498 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult
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
be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
(F) Provider Audits and Services
Professional Audit Contracts 4,655,865
1,816,102
(M)
582,801
a
2,256,962
4,405,865 1,691,102(M) 2,131,962
a
Of this amount, $421,395 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the
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
shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.
(G) Recoveries and Recoupment Contract Costs
Estate Recovery 700,000
350,000
a
350,000
(I)
1,165,841 582,920
a
582,921(I)
PAGE 7-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Third-Party Liability Cost
Avoidance Contract 17,248,905 5,692,139(M) 2,932,314
b
8,624,452
17,948,905
18,414,746
a
This amount shall be from estate recoveries.
b
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
(H) Indirect Cost Recoveries
Indirect Cost Assessment 790,162 274,461
a
121,263
b
394,438(I)
a
Of this amount, $222,996 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $16,157 shall be from the Medical
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
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
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
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..
b
Of this amount, $81,388 shall be from transferred from the Colora do Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item appropriation
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
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.
499,542,803
508,997,994
(2) MEDICAL SERVICES PREMIUMS
Medical and Long-Term
Care Services for Medicaid
Eligible Individuals
21,21a
10,476,745,973
1,807,317,367
(M)
1,088,947,539
a
1,252,446,475
b
90,013,408
c
6,238,021,184
10,717,166,079 1,649,045,686(M) 1,240,483,888
b
6,648,675,558
a
This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.
PAGE 8-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $908,976,142
$940,984,711 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a ), C.R.S.,$72,525,818
$69,206,333 shall be from recoveries and recoupments, $63,970,820
$54,672,000 shall be from the Health Care Expansio n Fund created in Section 24-22-117 (2)(a)(I), C.R.S.,
$60,646,597
$53,520,799 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5- 6-203 (2)(a), C.R.S., $39,453,734
$29,745,806 shall be from the Home- and
Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $33,904,593
$32,897,732 represents public funds certified as expenditures incurred by public
hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $30,674,657
$27,883,637 shall be from the Adult Dental Fund created in Section
25.5-5-207 (4)(a), C.R.S., $29,346,986
$25,603,971 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 6,758,245 shall
be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3)(b), C.R.S.,
$2,086,005
$2,138,760 shall be from the Tobacco Tax Cash Fund created in section 24-22-117
(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
program for health related purposes pursuant to Section 21 of Article X of the State Constitution, $1,449,614
$1,640,845 shall be from the Colorado Autism Treatment Fund created
in Section 25.5-6-805 (1), C.R.S., $895,653
$431,683 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a )(I), C.R.S.,
$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,
and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
c
Of this amount, $78,885,357 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts wi th State Institutions for Speciality Education Programs
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
$1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Services division of this dep artment.
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS
Behavioral Health
Capitation Payments 1,118,068,471
269,399,988
(M)
83,315,662
a
765,352,821
1,164,843,558 258,289,566(M) 88,698,914
a
817,855,078
Behavioral Health
Fee-for-service Payments 12,970,664
2,881,495
(M)
846,243
a
9,242,926
11,416,625 2,421,734(M) 715,093
a
8,279,798
1,131,039,135
1,176,260,183
a
Of these amounts, $84,126,635
$89,380,141 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $35,270
$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.
PAGE 9-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(4) OFFICE OF COMMUNITY LIVING
(A) Division of Intellectual and Developmental Disabilities
(1) Administrative Costs
Personal Services 3,469,613 1,858,480(M) 1,611,133
(39.5 FTE)
Operating Expenses 281,510 164,636(M) 116,874
Community and Contract
Management System 137,480 89,362(M) 48,118
Support Level
Administration 59,317 29,403(M) 255
a
29,659
3,947,920
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
(2) Medicaid Programs
22
Adult Comprehensive
Services
23
713,885,548
694,147,468
Adult Supported Living
Services
24
80,658,077
76,065,000
Children's Extensive
Support Services
25
S
ERVICES
42,487,893 39,682,957
Children's Habilitation
Residential Program
26
P
ROGRAM
12,047,333 13,337,695
PAGE 10-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Case Management for
People with Disabilities
27
102,087,659
90,896,434
951,166,510
440,388,944
a
36,456,596
b
474,320,970
914,129,554 401,308,959
a
30,454,492
b
482,366,103
a
Of this amount, the (M) notation applies to $437,877,285
$398,797,300.
b
Of this amount, $27,123,608
$21,969,135 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $9,332,987
$8,485,356
shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $1 shall be from the Health Care Expansion Fund created
in Section 24-22-117 (2)(a)(I), C.R.S.
(3) State-only Programs
28
Family Support Services 7,825,842
10,727,042
State Supported Living
Services 10,337,979
5,042,256
State Supported Living
Services Case Management 2,519,109
4,913,632
Preventive Dental Hygiene
29
67,789
Supported Employment
Provider and Certification
Reimbursement 303,158
21,053,877 21,053,877
976,168,307
939,131,351
PAGE 11-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(5) INDIGENT CARE PROGRAM
Safety Net Provider
Payments 226,610,308 113,305,154
a
113,305,154
(I)
99,935,146
a
126,675,162(I)
Pediatric Specialty Hospital 10,764,010 5,382,005
(M)
5,382,005
4,746,929(M) 6,017,081
Appropriation from
Tobacco Tax Cash Fund to
the General Fund 381,798 381,798
b
Primary Care Fund Program 48,087,990
24,176,000
c
23,911,990
(I)
53,309,81329,133,813(I)
Children's Basic Health Plan
Administration 3,864,405 1,243,319
(H)
d
2,621,086
1,268,684(H)
d
2,595,721
Children's Basic Health Plan
Medical and Dental Costs 179,020,656
23,969,514
381,798
e
39,132,095
(H)
f
115,537,249
147,843,413 7,657,727 41,326,833(H)
f
98,477,055
468,729,167
442,773,747
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution.
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.
d
Of this amount, $1,236,709
$1,263,609 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $6,610
$5,075 shall be from the Healthcare
Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
e
This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject t o the statutory limitation on General Fund appropriations
imposed by Section 24-75-201.1, C.R.S.
PAGE 12-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
f Of this amount, $27,058,856
$22,211,828 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $11,623,700
$18,597,704 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $349,538
$417,300 shall be from the Colorado Immunization Fund created
in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S.
(6) OTHER MEDICAL SERVICES
Old Age Pension State
Medical Program 10,000,000 10,000,000
a
Senior Dental Program 3,990,358 3,962,510 27,848
b
Commission on Family
Medicine Residency
Training Programs 9,490,170 4,520,085
(M)
225,000
c
4,745,085
3,986,715(M) 198,450
c
5,305,005
Medicare Modernization
Act State Contribution
Payment 235,472,292
235,472,292
228,858,638 228,858,638
Public School Health
Services Contract
Administration 2,000,000 1,000,000(M) 1,000,000
Public School Health
Services 172,092,626
84,651,774
d
87,440,852
(I)
152,555,114 69,201,006
d
83,354,108(I)
Screening, Brief
Intervention, and Referral to
Treatment Training Grant
Program
30
1,500,000 1,500,000
e
Reproductive Health Care
for Individuals Not Eligible
for Medicaid 3,614,490 3,614,490
PAGE 13-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State-only Payments for
Home- and
Community-Based
Services
31
56,589,558
56,589,558
f
57,116,818 57,116,818
f
(4.0 FTE)
494,749,494
469,125,588
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S.
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S.
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item.
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation
under Medicaid.
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.
f Of this amount, $39,477,385
$43,063,734 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S, a nd $17,112,173
$14,053,084 shall be from the ARPA Home- and Community-Based Services Account created in Section 25.5-4-402.4 (5)(c)(I)(A), C.R .S., within the Healthcare Affordability and
Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS
(A) Executive Director's
Office - Medicaid
Funding
32
15,153,773 7,576,887(M) 7,576,886
(B) Office of Children, Youth and Families - Medicaid Funding
(1) Division of Child Welfare
Administration 66,803 33,402(M) 33,401
Child Welfare Services 13,690,244 6,845,122
(M)
6,845,122
6,037,398(M) 7,652,846
13,757,047
PAGE 14-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) Division of Youth
Services 787,189393,595
(M)
393,594
661,526 291,734(M) 369,792
(C) Office of Economic Security - Medicaid Funding
Systematic Alien
Verification for Eligibility 28,307 14,153(M) 14,154
(D) Behavioral Health Administration - Medicaid Funding
(1) Community Behavioral
Health Administration 533,804 266,902(M) 266,902
(2) Community-based Mental Health Services
Children and Youth Mental
Health Treatment Act 131,048 65,524
(M)
65,524
57,793(M) 73,255
(3) Substance Use Treatment and Prevention Services
High Risk Pregnant Women Program
1,903,091
951,546
(M)
951,545
(E) Office of Behavioral
Health - Medicaid
Funding8,196,375 4,098,188
(M)
4,098,187
3,614,602(M) 4,581,773
(F) Office of Adults, Aging and Disability Services - Medicaid Funding
(1) Administration 412,894 206,447(M) 206,447
PAGE 15-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) Regional Centers for People with Developmental Disabilities
Regional Centers 56,049,062 26,135,628
(M)
1,888,903
a
28,024,531
22,828,733(M) 31,331,426
Regional Center
Depreciation and Annual
Adjustments 691,725 345,863
(M)
345,862
305,721(M) 386,004
Regional Centers Electronic
Health Record System 680,382 340,191(M) 340,191
57,421,169
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
(3) Aging Programs
Community Services for the
Elderly 1,001,800 500,900(M) 500,900
(G) Office of Early Childhood - Medicaid Funding
Division of Community and
Family Support, Early
Intervention Services 8,127,382 4,063,691(M) 4,063,691
(H) Other
Federal Medicaid Indirect
Cost Reimbursement for
Department of Human
Services Programs 500,000500,000(I)
a
PAGE 16-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Department of Human
Services Indirect Cost
Assessment 20,815,836
10,407,918
(M)
10,407,918
21,270,052 10,635,026(M) 10,635,026
21,315,836
21,770,052
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only.
128,769,715
127,195,177
TOTALS PART VI
(HEALTH CARE
POLICY AND
FINANCING)
33
$14,175,744,594
$2,990,361,111
$1,089,329,337
a
$1,805,081,518
b
$94,983,205
$8,195,989,423
c
$14,380,650,119 $2,753,976,126 $1,764,036,640
b
$94,956,731 $8,678,351,285
c
a
Of this amount, $1,088,947,539 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $ 381,798 shall be General Fund Exempt pursuant to
Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $381,798 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S.
b
Of this amount, $19,649,148
$18,508,801 contains an (I) notation.
c
Of this amount, $353,970,668
$378,465,646 contains an (I) notation.
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.
16 Department of Health Care Policy and Financing, Executive Dir ector's Office, General Administration, General Professional Ser vices and Special Projects
-- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by
Section 25.5-6-806 (2)(c)(I), C.R.S. It is the General Assembly's intent that the Department also use the $62,000 total funds t o evaluate the new behavioral
therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
PAGE 17-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
17 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects
-- Of this appropriation, the $22,439,275
$28,040,795 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain
available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
18
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.
19 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center --
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
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
items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado
Benefits Management System subsection.
20 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center --
Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2023-24 state fiscal year.
21 Department of Health Care Policy and Financing, Medical Servi ces Premiums, Medical and Long-Term Care Services for Medicaid E ligible Individuals --
Of this appropriation, the $40,944,853
$32,720,517 cash funds appropriated from the Home- and Community-based Services Improvement Fund remain
available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
21a
Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals --
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.
22 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs
-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs.
23 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
Adult Comprehensive Services -- Of this appropriation, the $22,474,658
$18,547,092 cash funds appropriated from the Home- and Community-based Services
Improvement Fund remain available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
PAGE 18-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
24 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
Adult Supported Living Services -- Of this appropriation, the $2,733,070
$1,654,642 cash funds appropriated from the Home- and Community-based Services
Improvement Fund remain available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
25
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.
26
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.
27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
Case management for People with Disabilities -- Of this appropriation, the $951,927
$286,423 cash funds appropriated from the Home- and Community-based
Services Improvement Fund remain available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
28 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs
-- 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.
29 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs,
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
and developmental disabilities.
30 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program
-- 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
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.
31 Department of Health Care Policy and Financing, Other Medical Services, State-only Payments for Home- and Community-Based Ser vices -- This
appropriation remains available for expenditure until the close of the 2023-24
2024-25 state fiscal year.
32 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding
-- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive
PAGE 19-SENATE BILL 23-117 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department
of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations
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
and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers
out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the
centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services.
33 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service
Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the
University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for
administrative costs and family medicine residency placements asso ciated with care provided by the faculty of the health scienc es center campus at the
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
to allow the Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the
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
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
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.
PAGE 20-SENATE BILL 23-117 SECTION 2. Appropriation to the department of health care
policy and financing for the fiscal year beginning July 1, 2021.
(1) For the 2021-22 state fiscal year, $13,975,326 is appropriated to the
department of health care policy and financing and is for the payment of
overexpenditures of line item appropriations contained in Part V of
section 2 of chapter 504 (SB 21-205), Session Laws of Colorado 2021,
as follows:
(a) $9,975,719 from the general fund for medical and long-term
care services for Medicaid eligible individuals;
(b) $3,760,865 from the healthcare affordability and sustainability
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for
behavioral health capitation payments;
(c) $2,393 from the breast and cervical cancer prevention and
treatment fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., for
behavioral health capitation payments;
(d) $10,549 from the general fund for behavioral health
fee-for-service payments; and
(e) $225,800 from the healthcare affordability and sustainability
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for
behavioral health fee-for-service payments.
(2) In accordance with section 24-75-109 (4)(a), C.R.S., all
restrictions on funds for the department of health care policy and
financing for the 2022-23 state fiscal year for the amounts and items of
appropriation listed in this section are released.
SECTION 3. Appropriation to the department of health care
policy and financing for the fiscal year beginning July 1, 2022. In
Session Laws of Colorado 2022, amend section 137 (7)(c) and (7)(d) of
chapter 123, (HB 22-1295), as follows:
Section 137. Appropriation - adjustments to 2022 long bill.
(7)(c) For the 2022-23 state fiscal year, $4,063,691
$3,685,974 is
appropriated to the department of health care policy and financing for use
by the executive director's office, transfers to/from other departments.
This appropriation is from the general fund, which is subject to the "(M)"
notation as defined in the annual general appropriation act for the same
fiscal year. To implement this act, the department may use this
appropriation for transfer to the department of early childhood for early
intervention services.
(d) For the 2022-23 state fiscal year, the general assembly
anticipates that the department of health care policy and financing will
receive $4,063,691
$4,672,244 in federal funds for transfer to the
department of early childhood for early intervention services to
implement this act. The appropriation in subsection (7)(c) of this section
is based on the assumption that the department will receive this amount
of federal funds.
PAGE 21-SENATE BILL 23-117 SECTION 4. Safety clause. The general assembly hereby finds,
determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, and safety.
____________________________ ____________________________
Steve Fenberg
Julie McCluskie
PRESIDENT OF SPEAKER OF THE HOUSE
THE SENATE OF REPRESENTATIVES
____________________________ ____________________________
Cindi L. Markwell Robin Jones
SECRETARY OF CHIEF CLERK OF THE HOUSE
THE SENATE OF REPRESENTATIVES
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 22-SENATE BILL 23-117