HOUSE BILL 24-1185
BY REPRESENTATIVE(S) Bird, Sirota, Taggart, Amabile, Brown, Jodeh,
Lieder, Marshall, Ricks, Snyder, Vigil, McCluskie;
also SENATOR(S) Zenzinger, Bridges, Kirkmeyer, Cutter, Exum,
Michaelson Jenet, Priola.
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, 2023. In
Session Laws of Colorado 2023, section 2 of chapter 474, (SB 23-214),
amend Part VI 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
$$$$$ $ $
PART VI
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
(1) EXECUTIVE DIRECTOR'S OFFICE
(A) General Administration
Personal Services
17
67,531,800
68,189,142
(729.9 FTE)
(743.2 FTE)
Health, Life, and Dental 10,436,584
10,639,237
Short-term Disability 98,551
100,903
S.B. 04-257 Amortization
Equalization Disbursement 3,290,125
3,356,675
S.B. 06-235 Supplemental
Amortization Equalization
Disbursement 3,290,125
3,356,675
Salary Survey 3,665,128
PERA Direct Distribution 187,621
Temporary Employees
Related to Authorized Leave 5,978
Workers' Compensation 184,274
Operating Expenses
17
3,597,390 3,636,640
Legal Services 1,813,521
2,321,911
PAGE 2-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Administrative Law Judge
Services 544,650
Payment to Risk
Management and Property
Funds 252,280
567,472
Leased Space
17
3,925,908
Payments to OIT 11,702,619
11,745,467
IT Accessibility 2,933,182
CORE Operations 134,190
General Professional
Services and Special
Projects
18,19
62,110,610
55,727,983
175,704,536
55,934,068
27,835,794
a
3,403,275
b
88,531,399
(I)
171,223,036 57,463,718 27,486,963
a
3,413,734
b
82,858,621(I)
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
$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
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
$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
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
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
$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. 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
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
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
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
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
Food Grant line item.
PAGE 3-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Transfers to/from Other Departments
Transfer to Department of
Education for Public School
Health Services 202,194 101,097(M) 101,097
Transfer to Department of
Early Childhood for Early
Intervention 9,457,463 4,634,158(M) 4,823,305
Transfer from Department
of Early Childhood for
Nurse Home Visitor
Program 3,010,0001,505,000
a
1,505,000(I)
Transfer to Department of
Local Affairs for Host
Home Regulation 136,096 68,048(M) 68,048
Transfer to Department of
Local Affairs for Home
Modifications Benefit
Administration 313,881 156,941(M) 156,940
Transfer to Department of
Public Health and
Environment for Facility
Survey and Certification 8,477,125 3,153,491(M) 5,323,634
Transfer to Department of
Public Health and
Environment for Prenatal
Statistical Information 5,887 2,944(M) 2,943
Transfer to Department of
Regulatory Agencies for
Nurse Aide Certification 324,041 147,369(M) 14,652
b
162,020
PAGE 4-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Transfer to Department of
Regulatory Agencies for
Reviews 3,750 1,875(M) 1,875
21,930,437 a
This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion.
b
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation.
(C) Information Technology Contracts and Projects
Medicaid Management
Information System
Maintenance and Projects 113,944,537
16,701,016 11,042,019
a
12,204
b
86,189,298
(I)
107,405,662 10,680,890
a
80,011,552(I)
Colorado Benefits
Management Systems,
Operating and Contract
Expenses
20,21
56,067,055
11,608,377
(M)
6,470,009
c
1,657
b
37,987,012
71,701,801 11,640,267(M) 8,141,042
c
12,126,323
b
39,794,169
Colorado Benefits
Management Systems,
Health Care and Economic
Security Staff Development
Center
20,21
2,142,862 679,389(M) 377,956
d
73
b
1,085,444
Office of eHealth
Innovations Operations 6,465,845 3,372,367 3,093,478(I)
(3.0 FTE)
All-Payer Claims Database 5,562,903 4,598,136964,767(I)
184,183,202
193,279,073
PAGE 5-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
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
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
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.
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
Program line item appropriation in the Other Medical Services division of this department.
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
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
Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
d
Of this amount, $356,991 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402. 4 (5)(a), C.R.S. and $20,965 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
1,134,071(M) 4,338,468
a
County Administration 132,209,721
22,999,538
(M)
26,966,487
b
82,243,696
121,943,046 20,478,568(M) 26,174,302
b
75,290,176
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 3,461,519 1,394,139(M) 336,621
c
1,730,759
Centralized Eligibility
Vendor Contract Project 6,122,400
2,279,719
c
3,842,681
(I)
8,096,880 2,801,253
c
5,295,627(I)
Connect for Health
Colorado Eligibility
Determinations 10,642,710 4,757,291
d
5,885,419(I)
Eligibility Overflow
Processing Center 1,904,677 285,320(M) 190,849
c
1,428,508
PAGE 6-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
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
175,386,216
167,094,021
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
be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1),
C.R.S.
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
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 27,236,877 7,301,755(M) 2,112,987
a
17,822,135
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
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
from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.
(F) Provider Audits and Services
Professional Audit Contracts 4,281,019 1,645,679(M) 565,801
a
2,069,539
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
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.
PAGE 7-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(G) Recoveries and Recoupment Contract Costs
Estate Recovery 1,165,841 582,920
a
582,921(I)
Third-Party Liability Cost
Avoidance Contract 8,417,842 2,777,888(M) 1,431,033
b
4,208,921
9,583,683
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 922,619
198,368
a
107,638
b
616,613(I)
921,207 196,956
a
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
Nursing Facility Cash Fund created in Section 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
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
(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
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.
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
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.
599,228,589
595,549,353
PAGE 8-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) MEDICAL SERVICES PREMIUMS
Medical and Long-Term
Care Services for Medicaid
Eligible Individuals
22
I
NDIVIDUALS
22,22a
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
11,356,534,508 2,004,189,064(M) 1,279,975,630
b
99,768,814
c
6,791,407,835
a
This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.
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
$76,250,120 shall be from recoveries and recoupments, $54,416,000
$49,215,400 shall be from the Health Care Expansio n Fund created in Section 24-22-117 (2)(a)(I), C.R.S.,
$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
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.,
$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
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
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, $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
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., $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,
$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
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
(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.
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
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
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.
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS
Behavioral Health
Capitation Payments 1,207,509,714
282,270,782
(M)
90,368,457
a
834,870,475
1,152,693,941 275,120,854(M) 88,913,362
a
788,659,725
PAGE 9-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Behavioral Health
Fee-for-service Payments 10,973,366
2,431,933
(M)
661,577
a
7,879,856
12,626,201 2,973,141(M) 746,370
a
8,906,690
1,218,483,080
1,165,320,142
a
Of these amounts, $90,990,350
$89,628,286 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $39,684
$31,446 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S.
(4) OFFICE OF COMMUNITY LIVING
(A) Division of Intellectual and Developmental Disabilities
(1) Administrative Costs
Personal Services 3,469,613 1,858,480(M) 1,611,133
(39.5 FTE)
Operating Expenses 281,510 164,636(M) 116,874
Community and Contract
Management System 137,480 89,362(M) 48,118
Support Level
Administration 58,350 28,920(M) 255
a
29,175
3,946,953
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
(2) Medicaid Programs
23
Adult Comprehensive
Services
24
771,570,563
752,788,451
Adult Supported Living
Services
25
93,765,842
91,038,265
PAGE 10-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Children's Extensive
Support Services
26
62,870,839
62,163,555
Children's Habilitation
Residential Program
27
14,689,243
13,967,626
Case Management for
People with Disabilities
28, 29
115,903,041
104,655,935
1,058,799,528
496,310,150
a
24,021,961
b
538,467,417
c
1,024,613,832 487,372,575
a
20,466,425
b
516,774,832
a
Of this amount, the (M) notation applies to $495,021,532
$486,190,391.
b
Of this amount, $15,336,398
$9,231,169 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $ 8,630,325
$11,042,517
shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., $55 ,237
$192,738 shall be from the ARPA Home- and
Community-Based Services Account created in Section 25.5-4- 402.4 (5)(c)(I)(A), C.R.S., within the Healthcare Affordability and Sustainability Fee Cash Fund created in Section
25.5-4-402.4 (5)(a), C.R.S., and $1 shall be from the Health Ca re Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S.
c
Of this amount, the (I) notation applies to $46,007,477.
(3) State-only Programs
30
Family Support Services 11,048,853
State Supported Living
Services 5,193,524
State Supported Living
Services Case Management 5,061,041
Preventive Dental Hygiene
31
69,823
Supported Employment
Provider and Certification
Reimbursement 303,158
21,676,399 21,676,399
PAGE 11-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1,084,422,880 1,050,237,184
(5) INDIGENT CARE PROGRAM
Safety Net Provider
Payments 226,610,307 111,039,051
a
115,571,256(I)
Pediatric Specialty Hospital 10,764,010 5,274,365(M) 5,489,645
Appropriation from
Tobacco Tax Cash Fund to
the General Fund 305,324 305,324
b
Primary Care Fund Program 59,118,641 7,000,000 22,494,290
c
29,624,351(I)
Children's Basic Health Plan
Administration 3,864,405 1,325,491(H)
d
2,538,914
Children's Basic Health Plan
Medical and Dental Costs 175,334,025
19,291,864
305,324
e
40,607,383
(H)
f
115,129,454
168,474,027 24,009,625 34,299,762(H)
f
109,859,316
475,996,712
469,136,714
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution.
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.
d
Of this amount, $1,320,189 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,302 shall be from the Healthcare Affordability and
Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
e
This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject t o the statutory limitation on General Fund appropriations
imposed by Section 24-75-201.1, C.R.S.
PAGE 12-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
f Of this amount, $27,365,620
$21,778,993 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $12,724,462
$10,822,536 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $417,300
$437,775 shall be from the Colorado Immunization Fund created
in Section 25-4-2301, C.R.S., $100,000
$1,260,457 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24 -22-117 (2)(a)(I),
C.R.S.
(6) OTHER MEDICAL SERVICES
Old Age Pension State
Medical Program 10,000,000 10,000,000
a
Senior Dental Program 3,990,358 3,962,510 27,848
b
Commission on Family
Medicine Residency
Training Programs 9,490,170 4,429,684(M) 220,500
c
4,839,986
Medicare Modernization
Act State Contribution
Payment 257,069,930
257,069,930
251,754,405 251,754,405
Public School Health
Services Contract
Administration 2,000,000 1,000,000(M) 1,000,000
Public School Health
Services 161,383,372
78,719,855
d
82,663,517
(I)
192,429,050 91,181,029
d
101,248,021(I)
Screening, Brief
Intervention, and Referral to
Treatment Training Grant
Program
32
1,500,000 1,500,000
e
Reproductive Health Care
for Individuals Not Eligible
for Medicaid 3,614,490 3,614,490
PAGE 13-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Payments to Denver Health
and Hospital Authority 1,000,000 1,000,000
Rural Provider Access and
Affordability Fund, Created
in Section 25.5-1-207 (6)(a),
C.R.S. 1,000,000 1,000,000
State-only Payments for
Home- and
Community-Based Services 46,817,018
46,817,018
f
32,424,528 32,424,528
f
(4.0 FTE) (8.3 FTE)
497,865,338
509,203,001
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S.
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S.
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item.
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation
under Medicaid.
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.
f This amount
O
F THIS AMOUNT
,
$18,563,377
shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S.
C.R.S.,
AND
$13,861,151
SHALL BE FROM THE
ARPA
H
OME
-
AND
C
OMMUNITY
-B
ASED
S
ERVICES
A
CCOUNT CREATED IN
S
ECTION
25.5-4-402.4 (5)(c)(I)(A),
C.R.S.,
WITHIN THE
H
EALTHCARE
A
FFORDABILITY AND
S
USTAINABILITY
F
EE
C
ASH
F
UND CREATED IN
S
ECTION
25.5-4-402.4 (5)(a),
C.R.S.
(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS
(A) Executive Director's
Office - Medicaid
Funding
33
14,481,177 7,240,589(M) 7,240,588
PAGE 14-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Office of Children, Youth and Families - Medicaid Funding
(1) Division of Child Welfare
Administration 305,372 133,055(M) 172,317
Child Welfare Services 14,113,853 6,915,788(M) 7,198,065
14,419,225
(2) Division of Youth
Services 667,368 327,011(M) 340,357
(C) Office of Economic Security - Medicaid Funding
(1) Administration 240,000 72,180(M) 47,820
a
120,000
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
(2) Food and Energy Assistance
Systematic Alien
Verification for Eligibility 28,307 14,154(M) 14,153
(D) Behavioral Health Administration - Medicaid Funding
(1) Community Behavioral
Health Administration 544,302 272,151(M) 272,151
(2) Community-based Mental Health Services
Children and Youth Mental
Health Treatment Act 134,980 66,140(M) 68,840
(E) Office of Behavioral
Health - Medicaid Funding8,320,198 4,077,703(M) 4,242,495
PAGE 15-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(F) Office of Adults, Aging and Disability Services - Medicaid Funding
(1) Administration 412,894 206,447(M) 206,447
(2) Regional Centers for People with Developmental Disabilities
Regional Centers 57,341,694 26,208,527(M) 1,888,903
a
29,244,264
Regional Center
Depreciation and Annual
Adjustments 691,725 345,863(M) 345,862
Regional Centers Electronic
Health Record System 680,382 340,191(M) 340,191
58,713,801
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
(3) Aging Programs
Community Services for the
Elderly 1,001,800 490,900(M) 510,900
(G) Other
Federal Medicaid Indirect
Cost Reimbursement for
Department of Human
Services Programs 500,000500,000(I)
a
Department of Human
Services Indirect Cost
Assessment 22,762,498
11,381,249
(M)
11,381,249
22,891,822 11,445,911(M) 11,445,911
23,262,498
23,391,822
PAGE 16-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only.
122,226,550
122,355,874
TOTALS PART VI
(HEALTH CARE
POLICY AND
FINANCING)
33a
$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
$15,268,336,776 $3,294,923,851 $1,788,004,336
b
$117,280,880 $8,886,629,220
c
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
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.
b
Of this amount, $18,871,933 contains an (I) notation.
c
Of this amount, $466,207,161
$428,886,610 contains an (I) notation.
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.
17
Department of Health Care Policy and Financing, Executive Direct or's Office, General Administration, Personal Services; Operati ng Expenses; Leased Space
-- 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
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
Contractor program or related appeals.
18
Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Servi ces and Special Projects
-- 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
of the 2024-25 fiscal year.
19 Department of Health Care Policy and Financing, Executive Director'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
PAGE 17-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
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 --
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.
21 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 2024-25 state fiscal year.
22
Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals --
The appropriation is based on the assumption that anesthesia rate s for services delivered by anesthesiologists and nurse anesth esiologists are not subject to
rebalancing of any codes above 100 percent of Medicare and these codes are subject to the common policy community provider rate adjustment.
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
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
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
THE BILLING CODES
97151,
97153,
97154,
97155,
AND
97158.
23 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 f or Medicaid Programs.
24 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, cash fund s appropriated from the Home- and Community-based Services Impr ovement Fund remain
available for expenditure until the close of the 2024-25 state fiscal year.
25 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, cash funds appropriated from the Home- and Community-based Services I mprovement Fund remain
available for expenditure until the close of the 2024-25 state fiscal year.
PAGE 18-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs,
Children's Extensive Support Services -- Of this appropriation, cash funds appropriated from the Home- and Community-based Serv ices Improvement Fund
remain available for expenditure until the close of the 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,
Children's Habilitation Residential Program -- Of this appropriatio n, cash funds appropriated from the Home- and Community-base d Services Improvement
Fund remain available for expenditure until the close of the 2024-25 state fiscal year.
28 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, cash funds appropriated from the Home- and Community-bas ed Services Improvement
Fund remain available for expenditure until the close of the 2024-25 state fiscal year.
29 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, $168,000 General Fund is appropriated for financial clos eout activities for Case
Management Agencies and Single Entry Points, and is available for expenditure until the close of the 2024-25 state fiscal year.
30 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 f or State-only Programs.
31 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 servi ces for persons with intellectual
and developmental disabilities.
32 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.
33 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
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
PAGE 19-HOUSE BILL 24-1185 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
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.
33a Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fe e-for-service Contracts
with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; and Governing Boar ds, Regents of the University
of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy and Financing for administrative costs
and family medicine residency placements associated with care provided by the faculty of the health sciences center campus at t he 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 $88,640,763, to the Department of Health Care Policy and Financing pursuant to Section 23-18-304(1)(c),
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
is not transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado.
PAGE 20-HOUSE BILL 24-1185 SECTION 2. Appropriation to the department of health care
policy and financing for the fiscal year beginning July 1, 2022.
(1) For the 2022-23 state fiscal year, $24,956,492 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 VI of
section 2 of chapter 507 (HB 22-1329), Session Laws of Colorado 2022,
as follows:
(a) $20,329,789 from the general fund for medical and long-term
care services for Medicaid eligible individuals;
(b) $474,709 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) $2,927,608 from the general fund, for adult comprehensive
services; and
(d) $1,224,386 from the healthcare affordability and sustainability
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult
supported living services.
(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 2023-24 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, 2023. In
Session Laws of Colorado 2023, amend section 5 (3) of chapter 277, (HB
23-1215), as follows:
Section 5. Appropriation - adjustments to 2023 long bill.
(3) For the 2023-24 state fiscal year, $516,950 is appropriated to the
department of health care policy and financing for use by the executive
director's office. This appropriation is from the general fund. To
implement this act, the office may use this appropriation for general
professional services and special projects. O
F THE MONEY APPROPRIATED
IN THIS SUBSECTION NOT EXPENDED PRIOR TO
JULY 1, 2024, UP TO
$433,700 IS FURTHER APPROPRIATED TO THE DEPARTMENT FOR THE
2024-25 STATE FISCAL YEAR FOR THE SAME PURPOSE .
PAGE 21-HOUSE BILL 24-1185 SECTION 4. Safety clause. The general assembly finds,
determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, or safety or for appropriations for
the support and maintenance of the departments of the state and state
institutions.
____________________________ ____________________________
Julie McCluskie Steve Fenberg
SPEAKER OF THE HOUSE PRESIDENT OF
OF REPRESENTATIVES THE SENATE
____________________________ ____________________________
Robin Jones Cindi L. Markwell
CHIEF CLERK OF THE HOUSE SECRETARY OF
OF REPRESENTATIVES THE SENATE
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 22-HOUSE BILL 24-1185