First Regular Session Seventy-fifth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO. 25-0479.01 Shelby Ross x4510 HOUSE BILL 25-1132 House Committees Senate Committees Health & Human Services Appropriations A BILL FOR AN ACT C ONCERNING CREATING THE MILIT ARY FAMILY BEHAVIORAL HEALTH101 GRANT PROGRAM IN THE VETERANS MENTAL HEALTH SERVICES102 PROGRAM, AND, IN CONNECTION THEREWITH, REDUCING AN103 APPROPRIATION.104 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 .) The bill creates the military family behavioral health grant program in the behavioral health administration in the department of human services to provide grants to local nonprofit organizations to HOUSE Amended 2nd Reading March 3, 2025 HOUSE SPONSORSHIP Camacho and Stewart R., Duran, Carter, Gilchrist, Lindstedt, Martinez, Phillips, Smith SENATE SPONSORSHIP Hinrichsen and Bridges, 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. establish and expand community behavioral health programs that provide behavioral health services to service members, veterans, and family members of service members and veterans. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, repeal and reenact,2 with amendments, 28-5-714 as follows:3 28-5-714. Veterans mental health services program -4 community behavioral health program grants - rules - definitions.5 (1) AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE6 REQUIRES:7 (a) "ARMED FORCES" MEANS THE ARMY, NAVY, AIR FORCE,8 MARINE CORPS, SPACE FORCE, AND COAST GUARD OF THE UNITED9 STATES.10 (b) "BEHAVIORAL HEALTH ADMINISTRATION" OR "BHA" MEANS11 THE BEHAVIORAL HEALTH ADMINISTRATION IN THE DEPARTMENT OF12 HUMAN SERVICES ESTABLISHED PURSUANT TO SECTION 27-50-102.13 (c) "DIVISION" MEANS THE DIVISION OF VETERANS AFFAIRS IN THE14 DEPARTMENT OF MILITARY AND VETERANS AFFAIRS .15 (d) "ELIGIBLE VETERAN" MEANS A VETERAN, AS DEFINED IN16 SECTION 28-5-100.3, WHO LIVES IN A VETERANS COMMUNITY LIVING17 CENTER, AS DEFINED IN SECTION 26-12-102.18 (e) "HEALTH-CARE PROFESSIONAL" MEANS:19 (I) A LICENSED PSYCHIATRIST REGULATED PURSUANT TO ARTICLE20 240 OF TITLE 12;21 (II) A LICENSED PSYCHOLOGIST OR PSYCHOLOGIST CANDIDATE22 REGULATED PURSUANT TO ARTICLE 245 OF TITLE 12;23 (III) A LICENSED SOCIAL WORKER, LICENSED CLINICAL SOCIAL24 1132-2- WORKER, OR CLINICAL SOCIAL WORKER CANDIDATE REGULATED1 PURSUANT TO ARTICLE 245 OF TITLE 12;2 (IV) A LICENSED MARRIAGE AND FAMILY THERAPIST OR MARRIAGE3 AND FAMILY THERAPIST CANDIDATE REGULATED PURSUANT TO ARTICLE4 245 OF TITLE 12;5 (V) A LICENSED PROFESSIONAL COUNSELOR OR LICENSED6 PROFESSIONAL COUNSELOR CANDIDATE REGULATED PURSUANT TO7 ARTICLE 245 OF TITLE 12;8 (VI) A LICENSED ADDICTION COUNSELOR, CERTIFIED ADDICTION9 SPECIALIST, OR ADDICTION COUNSELOR CANDIDATE REGULATED10 PURSUANT TO ARTICLE 245 OF TITLE 12;11 (VII) AN ADVANCED PRACTICE REGISTERED NURSE LICENSED12 PURSUANT TO ARTICLE 255 OF TITLE 12;13 (VIII) AN ACUPUNCTURIST LICENSED PURSUANT TO ARTICLE 20014 OF TITLE 12;15 (IX) A MASSAGE THERAPIST LICENSED PURSUANT TO ARTICLE 23516 OF TITLE 12;17 (X) A HEALTH-CARE PROFESSIONAL WHO IS CERTIFIED IN THE18 PRACTICE OF USING TOUCH OR HEALING TOUCH TO AFFECT THE HUMAN19 ENERGY SYSTEMS; OR20 (XI) A HEALTH-CARE PROFESSIONAL WHO IS CERTIFIED IN21 CRANIOSACRAL THERAPIES.22 (f) "SERVICE MEMBER" MEANS A PERSON WHO IS:23 (I) AN ACTIVE-DUTY MEMBER OF THE ARMED FORCES ;24 (II) A MEMBER OF THE RESERVE FORCES OF THE UNITED STATES;25 OR26 (III) A MEMBER OF THE FEDERALLY RECOGNIZED NATIONAL27 1132 -3- GUARD.1 (g) "TELEHEALTH" HAS THE SAME MEANING AS SET FORTH IN2 SECTION 10-16-123.3 (h) "VETERAN" MEANS A PERSON WHO SERVED IN THE ARMED4 FORCES, THE FEDERALLY RECOGNIZED NATIONAL GUARD, OR THE5 RESERVE FORCES OF THE UNITED STATES AND WHO WAS DISCHARGED OR6 RELEASED FROM SERVICE.7 (2) (a) THERE IS ESTABLISHED IN THE DIVISION A VETERANS8 MENTAL HEALTH SERVICES PROGRAM TO PROMOTE ACCESS TO MENTAL9 HEALTH SERVICES FOR ELIGIBLE VETERANS BY REIMBURSING10 HEALTH-CARE PROFESSIONALS FOR SESSIONS WITH AN ELIGIBLE VETERAN .11 (b) THE DIVISION SHALL REIMBURSE A HEALTH-CARE12 PROFESSIONAL WHO PARTICIPATES IN THE VETERANS MENTAL HEALTH13 SERVICES PROGRAM FOR MENTAL HEALTH-CARE SESSIONS, EITHER IN14 PERSON OR THROUGH TELEHEALTH , WITH ELIGIBLE VETERANS. EACH15 ELIGIBLE VETERAN MAY RECEIVE TWENTY-SIX REIMBURSED SESSIONS PER16 YEAR.17 (c) SUBJECT TO AVAILABLE APPROPRIATIONS, AN ELIGIBLE18 VETERAN MAY RECEIVE AND THE DIVISION SHALL REIMBURSE A19 HEALTH-CARE PROFESSIONAL FOR:20 (I) ADDITIONAL REIMBURSED SESSIONS IF A HEALTH-CARE21 PROFESSIONAL DETERMINES ADDITIONAL SESSIONS ARE NECESSARY; AND22 (II) COMPLEMENTARY BEHAVIORAL HEALTH SERVICES , INCLUDING,23 BUT NOT LIMITED TO, ACUPUNCTURE, HEALING TOUCH THERAPY, MASSAGE24 THERAPY, ACUPRESSURE, AND CRANIOSACRAL THERAPY FOR THE PURPOSE25 OF SUPPORTING AN ELIGIBLE VETERAN'S MENTAL HEALTH WHEN PROVIDED26 BY A QUALIFIED HEALTH-CARE PROFESSIONAL.27 1132 -4- (d) TO BE ELIGIBLE TO PARTICIPATE IN AND RECEIVE1 REIMBURSEMENT FROM THE VETERANS MENTAL HEALTH SERVICES2 PROGRAM, A HEALTH-CARE PROFESSIONAL MUST BE AVAILABLE TO3 PROVIDE AT LEAST FOUR MENTAL HEALTH-CARE SESSIONS TO EACH4 ELIGIBLE VETERAN THE HEALTH-CARE PROFESSIONAL ACCEPTS AS A5 CLIENT.6 (e) THE DIVISION SHALL:7 (I) DEVELOP A PROCESS CONSISTENT WITH THE REQUIREMENTS OF8 THIS SECTION FOR HEALTH-CARE PROFESSIONALS TO APPLY FOR AND9 DEMONSTRATE ELIGIBILITY TO RECEIVE REIMBURSEMENT FROM THE10 VETERANS MENTAL HEALTH SERVICES PROGRAM ;11 (II) UPON REIMBURSING A HEALTH-CARE PROFESSIONAL FOR A12 MENTAL HEALTH-CARE SESSION WITH AN ELIGIBLE VETERAN, INFORM THE13 HEALTH-CARE PROFESSIONAL OF THE VETERAN'S REMAINING NUMBER OF14 SESSIONS ELIGIBLE FOR REIMBURSEMENT THAT YEAR ; AND15 (III) DETERMINE A REASONABLE RATE OF REIMBURSEMENT FOR16 EACH MENTAL HEALTH -CARE SESSION WITH AN ELIGIBLE VETERAN17 PURSUANT TO THE VETERANS MENTAL HEALTH SERVICES PROGRAM , WHICH18 RATE MUST BE THE SAME REGARDLESS OF WHETHER THE APPOINTMENT IS19 IN-PERSON OR THROUGH TELEHEALTH .20 (f) THE ADJUTANT GENERAL, IN CONSULTATION WITH THE BOARD21 OF VETERANS AFFAIRS, SHALL ADOPT RULES NECESSARY FOR THE22 IMPLEMENTATION OF THIS SUBSECTION (2).23 (3) FOR EACH STATE FISCAL YEAR, THE GENERAL ASSEMBLY SHALL24 APPROPRIATE MONEY TO THE DIVISION FOR THE PURPOSES OF THE25 VETERANS MENTAL HEALTH SERVICES PROGRAM. THE FIRST SIX HUNDRED26 THOUSAND DOLLARS MUST BE USED FOR ELIGIBLE VETERANS .27 1132 -5- (4) (a) THE BHA SHALL COORDINATE WITH THE DIVISION TO1 CONTINUE AND EXPAND THE VETERANS MENTAL HEALTH SERVICES2 PROGRAM USING THE MONEY TRANSFERRED PURSUANT TO SECTION3 39-37-301 (2)(a)(II) TO THE BEHAVIORAL AND MENTAL HEALTH CASH4 FUND, CREATED IN SECTION 24-75-230 (2)(a), IN ACCORDANCE WITH5 SECTION 24-75-230 (3.5).6 (b) THE BHA SHALL POST ON ITS WEBSITE A LIST OF HEALTH-CARE7 PROFESSIONALS WHO PARTICIPATE IN THE VETERANS MENTAL HEALTH8 SERVICES PROGRAM. 9 (5) (a) IN EXPANDING THE VETERANS MENTAL HEALTH SERVICES10 PROGRAM PURSUANT TO SUBSECTION (4)(a) OF THIS SECTION, THE BHA11 SHALL PROVIDE GRANTS TO LOCAL NONPROFIT ORGANIZATIONS TO12 ESTABLISH AND EXPAND COMMUNITY BEHAVIORAL HEALTH PROGRAMS13 THAT PROVIDE BEHAVIORAL HEALTH SERVICES TO SERVICE MEMBERS ,14 VETERANS, AND FAMILY MEMBERS OF SERVICE MEMBERS AND VETERANS.15 (b) IF A LOCAL NONPROFIT ORGANIZATION RECEIVES A GRANT16 PURSUANT TO THIS SUBSECTION (5) AND THE ORGANIZATION CONTINUES17 TO MEET PERFORMANCE METRICS DEVELOPED BY THE BHA, THE BHA18 MAY DISTRIBUTE AN ADDITIONAL GRANT TO THE LOCAL NONPROFIT19 ORGANIZATION WITHOUT REQUIRING THE ORGANIZATION TO REAPPLY FOR20 THE GRANT.21 (c) TO RECEIVE A GRANT, A LOCAL NONPROFIT ORGANIZATION22 MUST SUBMIT AN APPLICATION TO THE BHA IN ACCORDANCE WITH RULES23 ADOPTED BY THE COMMISSIONER OF THE BHA. 24 (d) IN ITS APPLICATION, A LOCAL NONPROFIT ORGANIZATION SHALL25 DEMONSTRATE THAT THE ORGANIZATION :26 (I) SERVES THE BEHAVIORAL HEALTH NEEDS OF SERVICE MEMBERS ,27 1132 -6- VETERANS, AND FAMILY MEMBERS OF SERVICE MEMBERS AND VETERANS1 IN THE LOCALITY SERVED BY THE LOCAL NONPROFIT ORGANIZATION ;2 (II) UTILIZES EVIDENCE-BASED PRACTICES;3 (III) INTEGRATES MILITARY CULTURAL COMPETENCY TRAINING4 FOR THE LOCAL NONPROFIT ORGANIZATION 'S STAFF; AND5 (IV) HAS ESTABLISHED AND VERIFIABLE COMMUNITY6 PARTNERSHIPS TO DELIVER BEHAVIORAL HEALTH SERVICES ALONG THE7 CONTINUUM OF CARE TO SERVICE MEMBERS, VETERANS, AND THEIR8 FAMILY MEMBERS.9 (e) THE BHA SHALL PRIORITIZE AWARDING GRANTS TO A GRANT10 APPLICANT THAT:11 (I) APPLIES FOR A GRANT TO SUPPORT THE OPERATING COSTS FOR12 A QUALIFYING PROJECT, AS DETERMINED BY THE BHA, FOR WHICH13 CAPITAL INVESTMENTS HAVE ALREADY BEEN MADE ;14 (II) PROVIDES CULTURALLY COMPETENT BEHAVIORAL HEALTH15 SERVICES TO SERVICE MEMBERS, VETERANS, AND FAMILY MEMBERS OF16 SERVICE MEMBERS AND VETERANS ;17 (III) HAS THE ABILITY TO SUBMIT DATA THAT THE BHA18 DETERMINES IS NECESSARY TO MEASURE THE IMPACT OF THE GRANT19 PROGRAM; AND20 (IV) DEMONSTRATES A HISTORY OF COLLABORATION WITH, AND21 PROVIDING SERVICES FOR, MILITARY AND VETERANS COMMUNITY22 ORGANIZATIONS IN COLORADO.23 (f) THE COMMISSIONER OF THE BHA SHALL ADOPT RULES AS24 NECESSARY TO IMPLEMENT THIS SUBSECTION (5), INCLUDING25 PERFORMANCE METRICS FOR LOCAL NONPROFIT ORGANIZATIONS THAT26 RECEIVE A GRANT.27 1132 -7- SECTION 2. Appropriation - adjustments to 2025 long bill.1 (1) Except as provided in subsection (2) of this section, to implement this2 act, the reappropriated funds appropriation made in the annual general3 appropriation act for the 2025-26 state fiscal year to the department of4 military and veterans affairs for use by the division of veterans affairs for5 veterans mental health services is decreased by $5,000,000. This6 appropriation is from reappropriated funds received from the department7 of human services for use by the behavioral health administration.8 (2) Subsection (1) of this section does not require a reduction of9 an appropriation in the annual general appropriations act for the 2025-2610 state fiscal year if:11 (a) The amount of reappropriated funds made in the annual general12 appropriation act for the 2025-26 state fiscal year to the department of13 military and veterans affairs for use by the division of veterans affairs for14 veterans mental health is less than the amount of the adjustment required15 in subsection (1) of this section; or16 (b) The annual general appropriation act for the 2025-26 state17 fiscal year does not include an appropriation to the department of military18 and veterans affairs for use by the division of veterans affairs for veterans19 mental health.20 SECTION 3. Act subject to petition - effective date. (1) This21 act takes effect at 12:01 a.m. on the day following the expiration of the22 ninety-day period after final adjournment of the general assembly; except23 that, if a referendum petition is filed pursuant to section 1 (3) of article V24 of the state constitution against this act or an item, section, or part of this25 act within such period, then the act, item, section, or part will not take26 effect unless approved by the people at the general election to be held in27 1132 -8- November 2026 and, in such case, will take effect on the date of the1 official declaration of the vote thereon by the governor.2 (2) Section 2 of this act takes effect only if the annual general3 appropriation act for the 2025-26 state fiscal year becomes law, in which4 case section 2 takes effect upon the effective date of this act or of the5 annual general appropriation act for state fiscal year 2025-26, whichever6 is later.7 1132 -9-