HB 25-1213
Fiscal Note
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
HB 25-1213: UPDATES TO MEDICAID
Prime Sponsors:
Rep. Feret
Sen. Daugherty
Published for: House Appropriations
Drafting number: LLS 25-0820
Fiscal Analyst:
Brendan Fung, 303-866-4781
brendan.fung@coleg.gov
Version: First Revised Note
Date: March 18, 2025
Fiscal note status: This revised fiscal note reflects the introduced bill, as amended by the House Health
and Human Services Committee.
Summary Information
Overview. The bill exempts small assisted living facilities from certain regulations and modifies the state
Medicaid program.
Types of impacts. The bill is projected to affect the following areas on an ongoing basis:
Minimal State Workload
Appropriations. No appropriation is required.
Table 1
State Fiscal Impacts
Type of Impact
Budget Year
FY 2025-26
Out Year
FY 2026-27
State Revenue $0 $0
State Expenditures $0 $0
Transferred Funds $0 $0
Change in TABOR Refunds $0 $0
Change in State FTE 0.0 FTE 0.0 FTE Page 2
March 14, 2025 HB 25-1213
Summary of Legislation
The bill exempts certain assisted living facilities from compliance standards and modifies the
state’s Medicaid program.
Assisted Living Facilities
The bill requires the Colorado Department of Public Health and Environment (CDPHE) to exempt
an assisted living facility with fewer than 19 beds that has not undergone new construction or
renovations from complying with certain facility guidelines.
Medicaid
The bill makes several changes to administrative, eligibility, billing, and review requirements of
the state’s Medicaid program under the Department of Health Care Policy and Financing (HCPF),
including:
requiring HCPF to establish a process to review and update the general billing manual on an
annual basis;
requiring a managed care organization (MCO) to issue payment to a contracted provider
within one year for a claim that is reprocessed after updating provider rates;
expanding contract requirements between HCPF and MCOs;
prohibiting HCPF from imposing signature requirements beyond what is required by CMS on
a physician or practitioner who is certifying a member’s plan of care that involves physical,
occupational, or speech therapy services; and
requiring HCPF to confirm and communicate the timeline for continuity of treatment for
members receiving long-term care services that have been discontinued.
State Expenditures
Starting in FY 2025-26, the bill minimally increases workload in the Department of Public Health
and Environment and the Department of Health Care Policy and Financing, as described below.
Department Public Health and Environment
Workload in the CDPHE will minimally increase to assist the Board of Health with rule
modification and conduct outreach to exempted facilities. The department may require legal
services, provided by the Department of Law, related to rulemaking and implementation.
Concurrently, workload to conduct facility inspections may minimally decrease due to fewer
regulatory guidelines that facilities must comply with. This workload is expected to be minimal
and no change in appropriations is required. Page 3
March 14, 2025 HB 25-1213
Department of Health Care Policy and Financing
Workload in HCPF will minimally increase to update rules, publish medical loss ratio data,
engage with members receiving long-term care services, and implement certain provisions in
the bill. This workload is expected to be minimal and no change in appropriations is required.
Effective Date
The bill takes effect 90 days following adjournment of the General Assembly sine die, assuming
no referendum petition is filed.
State and Local Government Contacts
Health Care Policy and Financing
Law
Public Health and Environment
The revenue and expenditure impacts in this fiscal note represent changes from current law under the bill for each
fiscal year. For additional information about fiscal notes, please visit the General Assembly website.