Page 1 March 15, 2023 SB 23-182 Legislative Council Staff Nonpartisan Services for Colorado’s Legislature Fiscal Note Drafting Number: Prime Sponsors: LLS 23-0859 Sen. Zenzinger; Kirkmeyer Rep. Bird Date: Bill Status: Fiscal Analyst: March 15, 2023 Senate Appropriations Kristine McLaughlin | 303-866-4776 kristine.mclaughlin@coleg.gov Bill Topic: TEMPORARY SUSPENSION OF MEDICAID REQUIREMENTS Summary of Fiscal Impact: No fiscal impact. The bill codifies and aligns state Medicaid statutes and requirements in line with federal law and regulations related to the COVID-19 public health emergency. These changes are assessed as having no fiscal impact. Appropriation Summary: No appropriation is required. Fiscal Note Status: The fiscal note reflects the introduced bill. Summary of Legislation The bill suspends various statutory requirements related to enrollment and cost sharing for Medicaid and other state health programs in line with federal law. These changes are a condition of receiving federal funds under the Families First Coronavirus Response Act, which requires states to maintain continuous coverage for clients and provide certain services during specified wind-down periods following the end of the federal public health emergency. Assessment of No Fiscal Impact The bill codifies and aligns state statute with federal law and regulations. Given that HCPF is currently implementing these changes and their FY 2023-24 budget request already includes funding related to the suspension of these various provisions of state law in line with federal requirements, the bill is assessed as having no fiscal impact. Effective Date The bill takes effect upon signature of the Governor, or upon becoming law without his signature. State and Local Government Contacts Health Care Policy and Financing Information Technology The revenue and expenditure impacts in this fiscal note represent changes from current law under the bill for each fiscal year. For additional information about fiscal notes, please visit: leg.colorado.gov/fiscalnotes.