Second Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
REREVISED
This Version Includes All Amendments
Adopted in the Second House
LLS NO. 24-0759.01 Craig Harper x3481
HOUSE BILL 24-1185
House Committees Senate Committees
Appropriations Appropriations
A BILL FOR AN ACT
C
ONCERNING A SUPPLEMENTAL APPR OPRIATION TO THE DEPARTMENT101
OF HEALTH CARE POLICY AND FINANCING .102
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
Supplemental appropriations are made to the department of health
care policy and financing.
Be it enacted by the General Assembly of the State of Colorado:1
SENATE
3rd Reading Unamended
February 15, 2024
SENATE
2nd Reading Unamended
February 14, 2024
HOUSE
3rd Reading Unamended
February 8, 2024
HOUSE
2nd Reading Unamended
February 7, 2024
HOUSE SPONSORSHIP
Bird, Sirota, Taggart, Amabile, Brown, Jodeh, Lieder, Marshall, McCluskie, Ricks, Snyder,
Vigil
SENATE SPONSORSHIP
Zenzinger, Bridges, Kirkmeyer, Cutter, Exum, Michaelson Jenet, Priola
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law. SECTION 1. Appropriation to the department of health care1
policy and financing for the fiscal year beginning July 1, 2023. In2
Session Laws of Colorado 2023, section 2 of chapter 474, (SB 23-214),3
amend Part VI as follows:4
Section 2. Appropriation.5
1185
-2- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
PART VI 1
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2
3
(1) EXECUTIVE DIRECTOR'S OFFICE 4
(A) General Administration 5
Personal Services
17
6 67,531,800
7 68,189,142 8 (729.9 FTE) 9 (743.2 FTE)
Health, Life, and Dental 10 10,436,584
11 10,639,237
Short-term Disability 12 98,551
13 100,903
1185
-3- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
S.B. 04-257 Amortization 1
Equalization Disbursement 2 3,290,125
3 3,356,675
S.B. 06-235 Supplemental 4
Amortization Equalization 5
Disbursement 6 3,290,125
7 3,356,675
Salary Survey 8 3,665,128
PERA Direct Distribution 9 187,621
Temporary Employees 10
Related to Authorized Leave 11 5,978
Workers' Compensation 12 184,274
Operating Expenses
17
13 3,597,390
14 3,636,640
1185
-4- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Legal Services 1 1,813,521
2 2,321,911
Administrative Law Judge 3
Services 4 544,650
Payment to Risk 5
Management and Property 6
Funds 7 252,280
8 567,472
Leased Space
17
9 3,925,908
Payments to OIT 10 11,702,619
11 11,745,467
IT Accessibility 12 2,933,182
CORE Operations 13 134,190
1185
-5- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
General Professional 1
Services and Special 2
Projects
18,19
3 62,110,610
4 55,727,983
5 175,704,536
55,934,068
27,835,794
a
3,403,275
b
88,531,399
(I)
6 171,223,036 57,463,718 27,486,963
a
3,413,734
b
82,858,621(I)
7
a
Of this amount, $16,333,116
$15,541,411 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $10,125,994
8
$10,617,255 shall be from the Healthcare Affordability and Sustaina bility Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $396,149
$397,299 shall be from the Medicaid 9
Nursing Facility Cash Fund created in Section 25.5-6-203 (2 )(a), C.R.S., $271,930
$272,717 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $228,765
10
$229,613 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $199,955
$200,560 shall be from the Primary Care Fund created in Section 11
24-22-117 (2)(b)(I), C.R.S., $121,294
$121,688 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $56,395
$56,577 shall be from the 12
Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $52,505 shall be from the Colorado Autism Treatment Fund cre ated in Section 25.5-6-805 (1), C.R.S.,
and $49,691
13
$49,843 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 14
1185
-6- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $922,619
$921,207 shall be from statewide indirect cost recoveries, $886,931
$891,958 shall be transferred from the Colorado Benefits Management System, Health 1
Care and Economic Security Staff Development Center line item appropriation in this department, $889,945
$893,397 shall be transferred from the Department of Human Services from 2
the Health Care and Economic Security Staff Development Center line item appropriation, $576,886 $579,733 shall be transferred from the Department of Higher Education from the 3
Fee-for-service Contracts with State Institutions for Speciality Education Programs line item, $88,650
$89,195 shall be from the Department of Personnel and Administration, $23,541 4
shall be from the Department of Early Childhood, and $14,703 shall be from the Department of Public Health and Environment from the Women, Infants, and Children Supplemental 5
Food Grant line item. 6
7
(B) Transfers to/from Other Departments 8
Transfer to Department of 9
Education for Public School 10
Health Services 11 202,194 101,097(M) 101,097
Transfer to Department of 12
Early Childhood for Early 13
Intervention 14 9,457,463 4,634,158(M) 4,823,305
1185
-7- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Transfer from Department 1
of Early Childhood for 2
Nurse Home Visitor 3
Program 4 3,010,0001,505,000
a
1,505,000(I)
Transfer to Department of 5
Local Affairs for Host 6
Home Regulation 7 136,096 68,048(M) 68,048
Transfer to Department of 8
Local Affairs for Home 9
Modifications Benefit 10
Administration 11 313,881 156,941(M) 156,940
Transfer to Department of 12
Public Health and 13
Environment for Facility 14
Survey and Certification 15 8,477,125 3,153,491(M) 5,323,634
1185
-8- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Transfer to Department of 1
Public Health and 2
Environment for Prenatal 3
Statistical Information 4 5,887 2,944(M) 2,943
Transfer to Department of 5
Regulatory Agencies for 6
Nurse Aide Certification 7 324,041 147,369(M) 14,652
b
162,020
Transfer to Department of 8
Regulatory Agencies for 9
Reviews 10 3,750 1,875(M) 1,875
11 21,930,437
12
a
This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion. 13
b
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation. 14
15
1185
-9- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(C) Information Technology Contracts and Projects 1
Medicaid Management 2
Information System 3
Maintenance and Projects 4 113,944,537
16,701,016 11,042,019
a
12,204
b
86,189,298
(I)
5 107,405,662 10,680,890
a
80,011,552(I)
Colorado Benefits 6
Management Systems, 7
Operating and Contract 8
Expenses
20,21
9 56,067,055
11,608,377
(M)
6,470,009
c
1,657
b
37,987,012
10 71,701,801 11,640,267(M) 8,141,042
c
12,126,323
b
39,794,169
Colorado Benefits 11
Management Systems, 12
Health Care and Economic 13
Security Staff Development 14
Center
20,21
15 2,142,862 679,389(M) 377,956
d
73
b
1,085,444
1185
-10- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Office of eHealth 1
Innovations Operations 2 6,465,845 3,372,367 3,093,478(I)
3(3.0 FTE)
All-Payer Claims Database 4 5,562,903 4,598,136964,767(I)
5 184,183,202
6 193,279,073 7
a
Of this amount, $7,499,883 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., $1,702,568
$1,341,439 shall 8
be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $1,241,667 shall be from the Children's Basic Health Plan Trust created 9
in Section 25.5-8-105 (1), C.R.S., and $597,901 shall be from the Department of Health Care Policy and Financing Cash Fund crea ted in Section 25.5-1-109, C.R.S. 10
b
These
O
F THESE
amounts $12,124,666
SHALL BE TRANSFERRED FROM THE
D
EPARTMENT OF
H
UMAN
S
ERVICES
,
AND
$13,934 shall be transferred from the Old Age Pension State Medical 11
Program line item appropriation in the Other Medical Services division of this department. 12
c
Of this amount, $6,000,483
$6,020,757 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $1,650,000
SHALL
13
BE FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S., and $469,526
$470,285 shall be from the Children's Basic 14
Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 15
1185
-11- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
d
Of this amount, $356,991 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $20,965 shall be from the 1
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 2
3
4
(D) Eligibility Determinations and Client Services 5
Contracts for Special 6
Eligibility Determinations 7 12,039,555 1,129,071
(M)
4,343,468
a
6,567,016
81,134,071(M) 4,338,468
a
County Administration 9 132,209,721
22,999,538
(M)
26,966,487
b
82,243,696
10 121,943,046 20,478,568(M) 26,174,302
b
75,290,176
Medical Assistance Sites 11 1,531,968 402,984
c
1,128,984(I)
Administrative Case 12
Management 13 869,744 434,872(M) 434,872
Customer Outreach 14 3,461,519 1,394,139(M) 336,621
c
1,730,759
1185
-12- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Centralized Eligibility 1
Vendor Contract Project 2 6,122,400
2,279,719
c
3,842,681
(I)
3 8,096,880 2,801,253
c
5,295,627(I)
Connect for Health 4
Colorado Eligibility 5
Determinations 6 10,642,710 4,757,291
d
5,885,419(I)
Eligibility Overflow 7
Processing Center 8 1,904,677 285,320(M) 190,849
c
1,428,508
Returned Mail Processing 9 3,298,808 985,808(M) 244,919
e
111,942
f
1,956,139
Work Number Verification 10 3,305,114 1,089,815(M) 545,013
c
1,670,286
11 175,386,216
12 167,094,021 13
a
Of this amount, $4,338,468
T
HIS AMOUNT
shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., an d $5,000 shall
14
be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1),
C.R.S. 15
1185
-13- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $18,871,933(I) shall be from local funds and $8,094,554
$7,302,369 shall be from the Healthcare Affordability an d Sustainability Fee Cash Fund created in Section 1
25.5-4-402.4 (5)(a), C.R.S. 2
c
These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 3
d
This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. 4
e
Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., and $38,736 shall be from the 5
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 6
f Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall 7
be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 8
9
(E) Utilization and Quality Review Contracts 10
Professional Services 11
Contracts 12 27,236,877 7,301,755(M) 2,112,987
a
17,822,135
13
1185
-14- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
Of this amount, $1,922,919 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 1
Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $64,443 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $36,875 shall be 2
from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 3
4
(F) Provider Audits and Services 5
Professional Audit Contracts 6 4,281,019 1,645,679(M) 565,801
a
2,069,539
7
a
Of this amount, $404,395 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the 8
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund creat ed in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420 9
shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 10
11
(G) Recoveries and Recoupment Contract Costs 12
Estate Recovery 13 1,165,841 582,920
a
582,921(I)
1185
-15- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Third-Party Liability Cost 1
Avoidance Contract 2 8,417,842 2,777,888(M) 1,431,033
b
4,208,921
3 9,583,683
4
a
This amount shall be from estate recoveries. 5
b
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 6
7
(H) Indirect Cost Recoveries 8
Indirect Cost Assessment 9 922,619
198,368
a
107,638
b
616,613(I)
10 921,207 196,956
a
11
1185
-16- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
Of this amount, $161,171 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $11,677 shall be from the Medical 1
Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $8,469 shall be from the Home- and Community-based Ser vices Improvement Fund created in Section 2
25.5-6-1805 (1), C.R.S., $7,358 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $5,422 shall be from the Primary Care Fund created in Section 24-22-117 3
(2)(b)(I), C.R.S., $1,526 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $1,412 shall be from the Colorado Autism Treatment Fund created in Section
4
25.5-6-805 (1), C.R.S.,
and $1,333 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S. 5
b
Of this amount, $67,763 shall be from transferred from the Colora do Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item appropriation 6
in this department, $22,605 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts wit h State Institutions for Speciality Education Programs 7
line item, and $17,270 shall be transferred from the Department of Human Services from the Health Care and Economic Security St aff Development Center line item appropriation. 8
9
10 599,228,589
11 595,549,353 12 13 14 15
1185
-17- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) MEDICAL SERVICES PREMIUMS 1
Medical and Long-Term 2
Care Services for Medicaid 3
Eligible Individuals
22
4
I
NDIVIDUALS
22,22a
5 11,436,527,075
2,002,981,129
(M)
1,181,193,165
a
1,248,057,642
b
99,768,813
c
6,904,526,326
6 11,356,534,508 2,004,189,064(M) 1,279,975,630
b
99,768,814
c
6,791,407,835
7
a
This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 8
1185
-18- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $968,840,933
$998,964,280 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., $66,885,026
1
$76,250,120 shall be from recoveries and recoupments, $54,416,000
$49,215,400 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S., 2
$53,965,220
$53,612,013 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25. 5-6-203 (2)(a), C.R.S., $35,815,837
$42,649,089 represents public funds certified 3
as expenditures incurred by public emergency medical transportation providers, $31,553,583
$30,883,582 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., 4
$24,590,506
$24,106,011 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the Medicaid 5
program, $2,086,005
$1,604,850 shall be from the Tobacco Tax Cash Fund created in section 24-22-117 (1)(a), C.R.S., and meets the requirement to a ppropriate a portion of the revenues 6
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 7
Constitution, $4,743,123
$113,850 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $1, 740,843 shall be from
8
the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $1,102,525 shall be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3)(b), C.R.S.,
9
$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, 10
$545,648
$574,148 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., $200,460 shall be from the Service Fee 11
Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $14,782
$244,676 shall be from the ARPA Home- and Community-Based Services Account created in Section 25.5-4-402.4 12
(5)(c)(I)(A), C.R.S., within the Healthcare Affordability and Sust ainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 13
c
Of this amount, $88,640,762
$88,640,763 shall be transferred from the Department of Higher Ed ucation from the Fee-for-service Contracts with State Institu tions for Speciality 14
Education Programs line item, $9,969,877 shall be transferred from the Old Age Pension State Medical Program line item appropri ation in the Other Medical Services division of this 15
department, and $1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Services divi sion of this department. 16
1185
-19- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 2
Behavioral Health 3
Capitation Payments 4 1,207,509,714
282,270,782
(M)
90,368,457
a
834,870,475
5 1,152,693,941 275,120,854(M) 88,913,362
a
788,659,725
Behavioral Health 6
Fee-for-service Payments 7 10,973,366
2,431,933
(M)
661,577
a
7,879,856
8 12,626,201 2,973,141(M) 746,370
a
8,906,690
9 1,218,483,080
10 1,165,320,142 11
a
Of these amounts, $90,990,350
$89,628,286 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $39,684
12
$31,446 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 13
14
15
1185
-20- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(4) OFFICE OF COMMUNITY LIVING 1
(A) Division of Intellectual and Developmental Disabilities 2
(1) Administrative Costs 3
Personal Services 4 3,469,613 1,858,480(M) 1,611,133
5 (39.5 FTE)
Operating Expenses 6 281,510 164,636(M) 116,874
Community and Contract 7
Management System 8 137,480 89,362(M) 48,118
Support Level 9
Administration 10 58,350 28,920(M) 255
a
29,175
11 3,946,953
12
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 13
14
15
1185
-21- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(2) Medicaid Programs
23
2
Adult Comprehensive 3
Services
24
4 771,570,563
5 752,788,451
Adult Supported Living 6
Services
25
7 93,765,842
8 91,038,265
Children's Extensive 9
Support Services
26
10 62,870,839
11 62,163,555
Children's Habilitation 12
Residential Program
27
13 14,689,243
14 13,967,626
1185
-22- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Case Management for 1
People with Disabilities
28, 29
2 115,903,041
3 104,655,935
4 1,058,799,528
496,310,150
a
24,021,961
b
538,467,417
c
5 1,024,613,832 487,372,575
a
20,466,425
b
516,774,832
6
a
Of this amount, the (M) notation applies to $495,021,532
$486,190,391. 7
b
Of this amount, $15,336,398
$9,231,169 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $ 8,630,325
$11,042,517 8
shall be from the Healthcare Affordability and Sustainabi lity Fee Cash Fund created in Sec tion 25.5-4-402.4 (5)(a), C.R.S., $55,237
$192,738 shall be from the ARPA Home- and 9
Community-Based Services Account created in Section 25.5-4- 402.4 (5)(c)(I)(A), C.R.S., within the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 10
25.5-4-402.4 (5)(a), C.R.S., and $1 shall be from the Health Ca re Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S. 11
c
Of this amount, the (I) notation applies to $46,007,477.
12
13
(3) State-only Programs
30
14
Family Support Services 15 11,048,853
1185
-23- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State Supported Living 1
Services 2 5,193,524
State Supported Living 3
Services Case Management 4 5,061,041
Preventive Dental Hygiene
31
5 69,823
Supported Employment 6
Provider and Certification 7
Reimbursement 8 303,158
9 21,676,399 21,676,399
10
11 1,084,422,880
12 1,050,237,184 13 14 15
1185
-24- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(5) INDIGENT CARE PROGRAM 1
Safety Net Provider 2
Payments 3 226,610,307 111,039,051
a
115,571,256(I)
Pediatric Specialty Hospital 4 10,764,010 5,274,365(M) 5,489,645
Appropriation from 5
Tobacco Tax Cash Fund to 6
the General Fund 7 305,324 305,324
b
Primary Care Fund Program 8 59,118,641 7,000,000 22,494,290
c
29,624,351(I)
Children's Basic Health Plan 9
Administration 10 3,864,405 1,325,491(H)
d
2,538,914
Children's Basic Health Plan 11
Medical and Dental Costs 12 175,334,025
19,291,864
305,324
e
40,607,383
(H)
f
115,129,454
13 168,474,027 24,009,625 34,299,762(H)
f
109,859,316
14 475,996,712
15 469,136,714
1185
-25- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 2
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the 3
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. 4
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 5
d
Of this amount, $1,320,189 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,302 shall be from the Healthcare Affordability and 6
Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 7
e
This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject t o the statutory limitation on General Fund appropriations 8
imposed by Section 24-75-201.1, C.R.S. 9
f Of this amount, $27,365,620
$21,778,993 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $12,724,462
10
$10,822,536 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $417,300
$437,775 shall be from the Colorado Immunization Fund created 11
in Section 25-4-2301, C.R.S., $100,000
$1,260,457 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24 -22-117 (2)(a)(I), 12
C.R.S. 13
14
15
1185
-26- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(6) OTHER MEDICAL SERVICES 1
Old Age Pension State 2
Medical Program 3 10,000,000 10,000,000
a
Senior Dental Program 4 3,990,358 3,962,510 27,848
b
Commission on Family 5
Medicine Residency 6
Training Programs 7 9,490,170 4,429,684(M) 220,500
c
4,839,986
Medicare Modernization 8
Act State Contribution 9
Payment 10 257,069,930
257,069,930
11 251,754,405 251,754,405
Public School Health 12
Services Contract 13
Administration 14 2,000,000 1,000,000(M) 1,000,000
1185
-27- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Public School Health 1
Services 2 161,383,372
78,719,855
d
82,663,517
(I)
3 192,429,050 91,181,029
d
101,248,021(I)
Screening, Brief 4
Intervention, and Referral to 5
Treatment Training Grant 6
Program
32
7 1,500,000 1,500,000
e
Reproductive Health Care 8
for Individuals Not Eligible 9
for Medicaid 10 3,614,490 3,614,490
Payments to Denver Health 11
and Hospital Authority 12 1,000,000 1,000,000
1185
-28- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Rural Provider Access and 1
Affordability Fund, Created 2
in Section 25.5-1-207 (6)(a), 3
C.R.S. 4 1,000,000 1,000,000
State-only Payments for 5
Home- and 6
Community-Based Services 7 46,817,018
46,817,018
f
8 32,424,528 32,424,528
f
9 (4.0 FTE) 10 (8.3 FTE)
11 497,865,338
12 509,203,001 13
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. 14
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 15
1185
-29- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item. 1
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation 2
under Medicaid. 3
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 4
f This amount
O
F THIS AMOUNT
,
$18,563,377
shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S.
C.R.S.,
AND
5
$13,861,151
SHALL BE FROM THE
ARPA
H
OME
-
AND
C
OMMUNITY
-B
ASED
S
ERVICES
A
CCOUNT CREATED IN
S
ECTION
25.5-4-402.4 (5)(c)(I)(A),
C.R.S.,
WITHIN THE
H
EALTHCARE
6
A
FFORDABILITY AND
S
USTAINABILITY
F
EE
C
ASH
F
UND CREATED IN
S
ECTION
25.5-4-402.4 (5)(a),
C.R.S. 7
8
9
(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS 10
(A) Executive Director's 11
Office - Medicaid 12
Funding
33
13 14,481,177 7,240,589(M) 7,240,588
14
15
1185
-30- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Office of Children, Youth and Families - Medicaid Funding 1
(1) Division of Child Welfare 2
Administration 3 305,372 133,055(M) 172,317
Child Welfare Services 4 14,113,853 6,915,788(M) 7,198,065
5 14,419,225
6
(2) Division of Youth 7
Services 8 667,368 327,011(M) 340,357
9
(C) Office of Economic Security - Medicaid Funding 10
(1) Administration 11 240,000 72,180(M) 47,820
a
120,000
12
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 13
14
15
1185
-31- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) Food and Energy Assistance 1
Systematic Alien 2
Verification for Eligibility 3 28,307 14,154(M) 14,153
4
(D) Behavioral Health Administration - Medicaid Funding 5
(1) Community Behavioral 6
Health Administration 7 544,302 272,151(M) 272,151
8
(2) Community-based Mental Health Services 9
Children and Youth Mental 10
Health Treatment Act 11 134,980 66,140(M) 68,840
12
(E) Office of Behavioral 13
Health - Medicaid Funding 14 8,320,198 4,077,703(M) 4,242,495
15
1185
-32- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(F) Office of Adults, Aging and Disability Services - Medicaid Funding 1
(1) Administration 2 412,894 206,447(M) 206,447
3
(2) Regional Centers for People with Developmental Disabilities 4
Regional Centers 5 57,341,694 26,208,527(M) 1,888,903
a
29,244,264
Regional Center 6
Depreciation and Annual 7
Adjustments 8 691,725 345,863(M) 345,862
Regional Centers Electronic 9
Health Record System 10 680,382 340,191(M) 340,191
11 58,713,801
12
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 13
14
15
1185
-33- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(3) Aging Programs 1
Community Services for the 2
Elderly 3 1,001,800 490,900(M) 510,900
4
(G) Other 5
Federal Medicaid Indirect 6
Cost Reimbursement for 7
Department of Human 8
Services Programs 9 500,000500,000(I)
a
Department of Human 10
Services Indirect Cost 11
Assessment 12 22,762,498
11,381,249
(M)
11,381,249
13 22,891,822 11,445,911(M) 11,445,911
14 23,262,498
15 23,391,822
1185
-34- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only. 2
3
4 122,226,550
5 122,355,874 6 7
TOTALS PART VI 8
(HEALTH CARE 9
POLICY AND 10
FINANCING)
33a
11 $15,434,750,224
$3,310,749,743
$1,181,498,489
a
$1,768,567,113
b
$105,145,754
$9,068,789,125
c
12 $15,268,336,776 $3,294,923,851 $1,788,004,336
b
$117,280,880 $8,886,629,220
c
13
a
Of this amount, $1,181,193,165 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $ 305,324 shall be General Fund Exempt pursuant to 14
Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $305,324 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. 15
1185
-35- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $18,871,933 contains an (I) notation. 1
c
Of this amount, $466,207,161
$428,886,610 contains an (I) notation. 2
3
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 4
5
17
Department of Health Care Policy and Financing, Executive Direct or's Office, General Administration, Personal Services; Operati ng Expenses; Leased Space 6
-- These line items include $588,486 total funds, including $202,545 General Fund, and 6.4 FTE for the purpose of expanding and strengthening operational 7
compliance and program oversight and accountability. It is the General Assembly's intent that none of the $588,486 total funds be used for the Recovery Audit 8
Contractor program or related appeals. 9
10
18
Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Servi ces and Special Projects 11
-- Of this appropriation, $2,921,400
$3,171,400 total funds, including $1,460,750
$1,585,750 General Fund, remains available for expenditure until the close 12
of the 2024-25 fiscal year. 13
14
19 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 15
-- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by 16
1185
-36- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Section 25.5-6-806 (2)(c)(I), C.R.S. It is the General Assembly's intent that the Department also use the $62,000 total funds t o evaluate the new behavioral 1
therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. 2
3
20 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 4
Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 5
In addition to the transfer authority provid ed in Section 24-75-108, C.R.S., the Department is authorized to transfer up to 5.0 percent of the total appropriations 6
within the line items designated with this footnote. The Department is also authorized to transfer up to 5.0 percent of the tot al appropriations within the line 7
items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado 8
Benefits Management System subsection. 9
10
21 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 11
Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 12
Of this appropriation, $2,500,000 remains available for expenditure until the close of the 2024-25 state fiscal year. 13
14
22
Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals -- 15
The appropriation is based on the assumption that anesthesia rate s for services delivered by anesthesiologists and nurse anesth esiologists are not subject to 16
1185
-37- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
rebalancing of any codes above 100 percent of Medicare and these codes are subject to the common policy community provider rate adjustment. 1
2
22a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
M
EDICAL
S
ERVICES
P
REMIUMS
,
M
EDICAL AND
L
ONG
-T
ERM
C
ARE
S
ERVICES FOR
M
EDICAID
E
LIGIBLE
3
I
NDIVIDUALS
--
T
HE APPROPRIATION INCLUDES
$10,425,342
TOTAL FUNDS
,
INCLUDING
$5,212,671
G
ENERAL
F
UND
,
FOR THE PURPOSE OF INCREASING PEDIATRIC
4
BEHAVIORAL THERAPY RATES TO
100
PERCENT OF THE BENCHMARK RATES IDENTIFIED BY THE
M
EDICAID
P
ROVIDER
R
ATE
R
EVIEW
A
DVISORY
C
OMMITTEE FOR
5
THE BILLING CODES
97151,
97153,
97154,
97155,
AND
97158.
6
7
23 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 8
- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or Medicaid Programs. 9
10
24 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 11
Adult Comprehensive Services -- Of this appropriation, cash fund s appropriated from the Home- and Community-based Services Impr ovement Fund remain 12
available for expenditure until the close of the 2024-25 state fiscal year. 13
14
25 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 15
Adult Supported Living Services -- Of this appropriation, cash funds appropriated from the Home- and Community-based Services I mprovement Fund remain 16
1185
-38- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
available for expenditure until the close of the 2024-25 state fiscal year. 1
2
26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 3
Children's Extensive Support Services -- Of this appropriation, cash funds appropriated from the Home- and Community-based Serv ices Improvement Fund 4
remain available for expenditure until the close of the 2024-25 state fiscal year. 5
6
27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 7
Children's Habilitation Residential Program -- Of this appropriatio n, cash funds appropriated from the Home- and Community-base d Services Improvement 8
Fund remain available for expenditure until the close of the 2024-25 state fiscal year. 9
10
28 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 11
Case management for People with Disabilities -- Of this appropriation, cash funds appropriated from the Home- and Community-bas ed Services Improvement 12
Fund remain available for expenditure until the close of the 2024-25 state fiscal year. 13
14
29 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs, 15
Case management for People with Disabilities -- Of this appropr iation, $168,000 General Fund is appropriated for financial clos eout activities for Case 16
1185
-39- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Management Agencies and Single Entry Points, and is available for expenditure until the close of the 2024-25 state fiscal year. 1
2
30 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 3
- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or State-only Programs. 4
5
31 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs, 6
Preventive Dental Hygiene - It is the General Assembly's intent that this appropriation be used to provide special dental servi ces for persons with intellectual 7
and developmental disabilities. 8
9
32 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 10
-- It is the General Assembly's intent that this appropriation be used to sustain the grant program for screening, brief interv ention, and referral to treatment 11
for individuals at risk of substance abuse that is authorized in Section 25.5-5-208, C.R.S., in accordance with the requirement s set forth in that section. 12
13
33 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding 14
-- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive 15
Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department 16
1185
-40- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations 1
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 2
and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers 3
out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the 4
centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services. 5
6
33a Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fe e-for-service Contracts 7
with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; and Governing Boar ds, Regents of the University 8
of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy and Financing for administrative costs 9
and family medicine residency placements associated with care provided by the faculty of the health sciences center campus at t he University of Colorado 10
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 11
Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Department of Higher 12
Education shall transfer the amount approved, up to $88,640,763, to the Department of Health Care Policy and Financing pursuant to Section 23-18-304(1)(c), 13
C.R.S. If permission is discontinued, or is granted for a lesse r amount, the Department of Higher Education shall transfer any portion of the $88,640,763 that 14
is not transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado. 15
1185
-41- SECTION 2. Appropriation to the department of health care1
policy and financing for the fiscal year beginning July 1, 2022. 2
(1) For the 2022-23 state fiscal year, $24,956,492 is appropriated to the3
department of health care policy and financing and is for the payment of4
overexpenditures of line item appropriations contained in Part VI of5
section 2 of chapter 507 (HB 22-1329), Session Laws of Colorado 2022,6
as follows:7
(a) $20,329,789 from the general fund for medical and long-term8
care services for Medicaid eligible individuals; 9
(b) $474,709 from the healthcare affordability and sustainability10
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for11
behavioral health capitation payments; 12
(c) $2,927,608 from the general fund, for adult comprehensive13
services; and14
(d) $1,224,386 from the healthcare affordability and sustainability15
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult16
supported living services.17
(2) In accordance with section 24-75-109 (4)(a), C.R.S., all18
restrictions on funds for the department of health care policy and19
financing for the 2023-24 state fiscal year for the amounts and items of20
appropriation listed in this section are released. 21
SECTION 3. Appropriation to the department of health care22
policy and financing for the fiscal year beginning July 1, 2023. In23
Session Laws of Colorado 2023, amend section 5 (3) of chapter 277, (HB24
23-1215), as follows:25
Section 5. Appropriation - adjustments to 2023 long bill.26
(3) For the 2023-24 state fiscal year, $516,950 is appropriated to the27
1185-42- department of health care policy and financing for use by the executive1
director's office. This appropriation is from the general fund. To2
implement this act, the office may use this appropriation for general3
professional services and special projects. O
F THE MONEY APPROPRIATED4
IN THIS SUBSECTION NOT EXPENDED PRIOR TO JULY 1, 2024, UP TO5
$433,700
IS FURTHER APPROPRIATED TO THE DEPARTMENT FOR THE6
2024-25
STATE FISCAL YEAR FOR THE SAME PURPOSE .7
SECTION 4. Safety clause. The general assembly finds,8
determines, and declares that this act is necessary for the immediate9
preservation of the public peace, health, or safety or for appropriations for10
the support and maintenance of the departments of the state and state11
institutions.12
1185-43-