First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REVISED
This Version Includes All Amendments Adopted
on Second Reading in the Second House
LLS NO. 25-0531.01 Craig Harper x3481
SENATE BILL 25-093
Senate Committees House 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
HOUSE
2nd Reading Unamended
February 12, 2025
SENATE
3rd Reading Unamended
February 6, 2025
SENATE
2nd Reading Unamended
February 5, 2025
SENATE SPONSORSHIP
Bridges, Amabile, Kirkmeyer
HOUSE SPONSORSHIP
Bird, Sirota, Taggart
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, 2024. In2
Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),3
amend Part VI as follows:4
Section 2. Appropriation.5
093
-2- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
PART VI 1
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2
3
(1) EXECUTIVE DIRECTOR'S OFFICE 4
(A) General Administration 5
Personal Services 6 73,781,839
7 72,759,160
8 (787.5 FTE)
9 (790.1 FTE)
Health, Life, and Dental 10 13,109,391
11 12,911,669
Short-term Disability 12 63,638
13 65,134
093
-3- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Paid Family and Medical 1
Leave Insurance 2 363,855
Unfunded Liability 3
Amortization Equalization 4
Disbursement Payments 5 8,320,007
6 8,616,195
Salary Survey 7 1,900,577
8 2,734,825
Step Pay 9 834,248
PERA Direct Distribution 10 1,448,480
Temporary Employees 11
Related to Authorized Leave 12 5,978
Workers' Compensation 13 254,896
Operating Expenses 14 3,167,153
15 3,246,176
093
-4- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Legal Services 1 4,082,364
2 2,825,964
Administrative Law Judge 3
Services 4 822,526
Payment to Risk 5
Management and Property 6
Funds 7 249,605
Leased Space 8 3,773,214
9 3,785,963
Payments to OIT 10 14,319,431
11 14,280,872
CORE Operations 12 35,330
093
-5- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
General Professional 1
Services and Special 2
Projects 3 38,666,797
4 41,951,050
5 165,199,329
63,004,579
15,993,677
a
3,611,144
b
82,589,929
(I)
6 167,191,926 63,019,599 15,928,774
a
3,615,065
b
84,628,488(I)
7
a
Of this amount, $11,226,017
$11,707,663 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $3,374,736
8
$2,821,013 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $3 99,498
$401,583 shall be from the Medicaid 9
Nursing Facility Cash Fund created in Section 25.5-6-203 (2 )(a), C.R.S., $277,402
$278,820 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $271,995
10
$273,413 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8- 105 (1), C.R.S., $202,685
$203,686 shall be from the Primary Care Fund created in Section 11
24-22-117 (2)(b)(I), C.R.S., $131,615
$132,283 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $58,974
$59,308 shall be from the 12
Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $50,755
$51,005 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 13
25.5-5-308 (8)(a)(I), C.R.S. 14
093
-6- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $1,059,807 shall be from statewide indirect cost recoveries, $1,042,916
$1,046,837 shall be transferred from the Department of Human Services from the Health Care 1
and Economic Security Staff Development Center line item appr opriation, $739,218 shall be transferred from the Colorado Benefit s Management System, Health Care and Economic 2
Security Staff Development Center line item appropriation in this department, $626,987 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts 3
with State Institutions for Speciality Education Programs line item, $82,077 shall be from the Department of Personnel and Administration, $40,535 shall be from the Department of 4
Early Childhood, and $19,604 shall be from the Department of Public Health and Environment from the Women, Infants, and Childre n Supplemental Food Grant line item. 5
6
(B) Information Technology Contracts and Projects 7
Medicaid Management 8
Information System 9
Maintenance and Projects 10 106,565,411
18,005,144
9,361,274
a
12,204
b
79,186,789
(I)
11 108,841,510 18,257,474 9,336,554
a
81,235,278(I)
Colorado Benefits 12
Management Systems, 13
Operating and Contract 14
Expenses
23, 24
15 75,087,530
12,702,322
(M)
6,890,173
c
13,194,450
e
42,300,585
16 78,602,108 13,136,265(M) 7,101,789
c
13,892,091
e
44,471,963
093
-7- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Colorado Benefits 1
Management Systems, 2
Health Care and Economic 3
Security Staff Development 4
Center
23, 24
5 2,172,998 689,160(M) 383,151
d
73
b
1,100,614
Office of eHealth 6
Innovations Operations 7 6,465,845 3,372,367 3,093,478(I)
8(3.0 FTE)
All-Payer Claims Database 9 5,435,778 4,471,011964,767(I)
10 195,727,562
11 201,518,239 12
a
Of this amount, $7,509,458 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., $1,229,195 shall be from the 13
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.,
AND
$597,901 shall be from the Department of Health Care Policy and Financing Cash Fund created in 14
Section 25.5-1-109, C.R.S., and $24,720 shall be from the Home- and Community-based Services Improvement Fund created in Sectio n 25.5-6-1805 (1),
C.R.S. 15
b
These amounts shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 16
093
-8- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
c
Of this amount, $6,406,647
$6,603,022 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $483,526
1
$498,767 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 2
d
Of this amount, $362,040 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $21,111 shall be from the 3
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 4
e
Of this amount, $13,192,793
$13,890,334 shall be transferred from the Department of Human Services and $1,657
$1,757 shall be transferred from the Old Age Pension State 5
Medical Program line item appropriation in the Other Medical Services division of this department. 6
7
(C) Eligibility Determinations and Client Services 8
Contracts for Special 9
Eligibility Determinations 10 12,039,555 1,134,071(M) 4,338,468
a
6,567,016
County Administration 11 123,048,230 21,004,349(M) 26,624,750
b
75,419,131
Medical Assistance Sites 12 1,531,968 402,984
a
1,128,984(I)
Administrative Case 13
Management 14 869,744 434,872(M) 434,872
Customer Outreach 15 3,461,519 1,394,139(M) 336,621
a
1,730,759
093
-9- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Centralized Eligibility 1
Vendor Contract Project 2 7,959,455 2,753,409
a
5,206,046(I)
Connect for Health 3
Colorado Eligibility 4
Determinations 5 11,174,846 4,995,156
c
6,179,690(I)
Eligibility Overflow 6
Processing Center 7 1,904,677 285,320(M) 190,849
a
1,428,508
Returned Mail Processing 8 3,298,808 985,808(M) 244,919
d
111,942
e
1,956,139
Income Verification 9
Programs 10 11,341,713 1,741,440(M) 1,093,988
a
8,506,285
N
ON
-
EMERGENT
M
EDICAL
11
T
RANSPORTATION
B
ROKER
12 3,950,066 1,975,033(M) 1,975,033
13 176,630,515
14 180,580,581 15
093
-10- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 1
b
Of this amount, $19,254,185(I) shall be from local funds and $7,370,565 shall be from the Healthcare Affordability and Sustain ability Fee Cash Fund created in Section 25.5-4-402.4 2
(5)(a), C.R.S. 3
c
This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. 4
d
Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., and $38,736 shall be from the 5
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 6
e
Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall 7
be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 8
9
(D) Utilization and Quality Review Contracts 10
Professional Services 11
Contracts 12 29,644,825 7,910,405(M) 2,223,661
a
19,510,759
13
093
-11- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
Of this amount, $2,033,593 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 1
Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $64,443 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $36,875 shall be 2
from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 3
4
5
(E) Provider Audits and Services 6
Professional Audit Contracts 7 4,135,919 1,598,629(M) 540,301
a
1,996,989
8
a
Of this amount, $378,895 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the 9
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund creat ed in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420 10
shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 11
12
(F) Recoveries and Recoupment Contract Costs 13
Estate Recovery 14 1,165,841 582,920
a
582,921(I)
093
-12- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Third-Party Liability Cost 1
Avoidance Contract 2 8,838,738 2,916,784(M) 1,502,585
b
4,419,369
3 10,004,579
4
a
This amount shall be from estate recoveries. 5
b
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 6
7
(G) Indirect Cost Recoveries 8
Indirect Cost Assessment 9 1,059,807 276,775
a
132,407
b
650,625(I)
10
a
Of this amount, $236,726 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $16,994 shall be from the Medical 11
Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $10,711 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $7,916 shall be from 12
the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $2,491 shall be from the Service Fee Fund created in Sect ion 25.5-6-204 (1)(c)(II), C.R.S., and $1,937 shall be 13
from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S. 14
093
-13- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $88,839 shall be from transferred from the Colora do Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item 1
appropriation in this department, $24,709 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education 2
Programs line item, and $18,859 shall be transferred from the Department of Human Services from the Health Care and Economic Se curity Staff Development Center line item 3
appropriation. 4
5
6 582,402,536
7 594,135,876 8
(2) MEDICAL SERVICES PREMIUMS 9
Medical and Long-Term 10
Care Services for Medicaid 11
Eligible Individuals
24a
12 11,926,618,728
2,324,935,891
(M)
1,247,280,333
a
1,321,302,705
b
120,304,766
c
6,912,795,033
13 12,081,998,495 2,376,915,878(M) 1,399,855,214
b
119,588,730
c
6,938,358,340
14
a
This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 15
093
-14- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $1,007,592,475
$1,062,923,207 shall be from the Healthcare Affordability and Sust ainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5) (a), C.R.S., $76,250,120
1
$76,010,738 shall be from recoveries and recoupments, $55,980,209
$58,197,249 shall be from the Medicaid Nursing Facility Ca sh Fund created in Section 25.5-6-203 (2)(a), C.R.S., 2
$49,874,704
$54,010,364 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 45,112,663
$52,400,466 shall be from the 3
Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $44,625,211
$46,929,200 shall be from the Health Care Expansio n Fund created in Section 24-22-117 (2)(a)(I), C.R.S., 4
$24,736,077 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for f ederal financial participation under the Medicaid program, 5
$13,322,439
$20,376,822 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $1,455,170
$1,491,000 shall be from 6
the Tobacco Tax Cash Fund created in section 24-22-117 (1)(a), C. R.S., and meets the requirement to appropriate a portion of th e revenues collected from the imposition of additional 7
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, $857,151 shall be from the 8
Tobacco Education Programs Fund created in Section 24-22-117 (2 )(c)(I), C.R.S., $700,000 shall be from an intergovernmental tra nsfer from Denver Health, $596,026
$550,798 shall 9
be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S., $471,682
SHALL BE FROM THE
ARPA
H
OME
-
AND
10
C
OMMUNITY
-B
ASED
S
ERVICES
A
CCOUNT CREATED IN
S
ECTION
25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $200,460 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), 11
C.R.S. 12
c
Of this amount, $107,671,715 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts w ith State Institutions for Speciality Education Programs 13
line item, $9,969,877
$9,253,841 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Se rvices division of this department, 14
$1,505,000 shall be from the Department of Early Childhood from the Home Visiting line item, and $1,158,174 shall be transferre d from Public School Health Services line item in the 15
Other Medical Services division of this department. 16
093
-15- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 2
Behavioral Health 3
Capitation Payments 4 1,026,100,571
271,797,567
(M)
78,964,399
a
675,338,605
5 1,121,658,156 285,216,594(M) 94,140,516
a
742,301,046
Behavioral Health 6
Fee-for-service Payments 7 11,669,132
2,800,119
(M)
692,425
a
8,176,588
8 11,081,140 2,662,572(M) 657,348
a
7,761,220
9 1,037,769,703
10 1,132,739,296 11
a
Of these amounts, $79,622,905
$94,761,737 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $33,919
12
$36,127 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 13
14
15
093
-16- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(4) OFFICE OF COMMUNITY LIVING 2
(A) Division of Intellectual and Developmental Disabilities 3
(1) Administrative Costs 4
Personal Services 5 3,469,613 1,858,480(M) 1,611,133
6 (39.5 FTE)
Operating Expenses 7 356,510 202,136(M) 154,374
Community and Contract 8
Management System 9 137,480 89,362(M) 48,118
Support Level 10
Administration 11 58,350 28,920(M) 255
a
29,175
12 4,021,953
13
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 14
15
093
-17- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
2
(2) Medicaid Programs
25
3
Adult Comprehensive 4
Services 5 838,089,305
6 869,579,190
Adult Supported Living 7
Services 8 98,534,109
9 108,283,894
Children's Extensive 10
Support Services 11 86,512,303
12 103,600,225
Children's Habilitation 13
Residential Program 14 17,289,775
15 19,631,529
093
-18- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Case Management for 1
People with Disabilities 2 142,555,236
3 141,229,744
4 1,182,980,728
579,906,496
(M)
12,246,759
a
590,827,473
5 1,242,324,582 589,165,988(M) 31,823,732
a
621,334,862
6
a
Of this amount, $11,345,824
$24,125,350 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $900,934
7
$7,337,438 shall be from the Home- and Community-Based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $3 60,943
SHALL BE FROM THE
ARPA
H
OME
-
AND
8
C
OMMUNITY
-B
ASED
S
ERVICES
A
CCOUNT CREATED IN
S
ECTION
25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 9
(2)(a)(I), C.R.S. 10
11
(3) State-only Programs
26
12
Family Support Services 13 11,251,415
State Supported Living 14
Services 15 5,288,739
093
-19- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State Supported Living 1
Services Case Management 2 5,153,827
Preventive Dental Hygiene
27
3 71,103
4 21,765,084 21,765,084
5
6 1,208,767,765
7 1,268,111,619 8
(5) INDIGENT CARE PROGRAM 9
Safety Net Provider 10
Payments 11 226,610,308 113,305,154
a
113,305,154(I)
Pediatric Specialty Hospital 12 13,455,012 6,727,506(M) 6,727,506
Appropriation from 13
Tobacco Tax Cash Fund to 14
the General Fund 15 291,034 291,034
b
093
-20- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Primary Care Fund Program 1 49,079,682 6,500,000 18,175,554
c
24,404,128(I)
Children's Basic Health Plan 2
Administration 3 3,864,405 1,352,542(H)
d
2,511,863
Children's Basic Health Plan 4
Medical and Dental Costs 5 269,980,786
43,594,551
291,034
e
50,672,690
(H)
f
175,422,511
6 277,481,023 44,826,731 52,065,593(H)
f
180,297,665
7 563,281,227
8 570,781,464 9
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 10
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the 11
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. 12
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 13
d
Of this amount, $1,347,131 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,411 shall be from the Healthcare Affordability and 14
Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 15
093
-21- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
e
This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B.5), C.R.S., and is not subject to the statutory limitation on General Fund 1
appropriations imposed by Section 24-75-201.1, C.R.S. 2
f Of this amount, $39,601,864
$39,515,304 shall be from the Hea lthcare Affordability and Sustainab ility Fee Cash Fund created in Sec tion 25.5-4-402.4 (5)(a), C.R.S., $10,547,675
3
$12,027,625 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $423,150
$422,663 shall be from the Colorado Immunization Fund created 4
in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S. 5
6
7
(6) OTHER MEDICAL SERVICES 8
Old Age Pension State 9
Medical Program 10 10,000,000 10,000,000
a
Senior Dental Program 11 3,990,358 3,962,510 27,848
b
Commission on Family 12
Medicine Residency 13
Training Programs 14 9,490,170 4,520,085(M) 225,000
c
4,745,085
093
-22- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Medicare Modernization 1
Act State Contribution 2
Payment 3 244,659,612
244,659,612
4 241,755,970 241,755,970
Public School Health 5
Services Contract 6
Administration 7 2,000,000 1,000,000(M) 1,000,000
Public School Health 8
Services 9 202,111,227
100,427,269
d
101,683,958
(I)
10 219,752,395 109,260,099
d
110,492,296(I)
Screening, Brief 11
Intervention, and Referral to 12
Treatment Training Grant 13
Program
28
14 1,500,000 1,500,000
e
093
-23- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Reproductive Health Care 1
for Individuals Not Eligible 2
for Medicaid 3 3,614,490 3,614,490
State-only Payments for
4
Home- and
5
Community-Based Services
6 842,626
842,626
f
7 (6.2 FTE)
Health Benefits for 8
Colorado
Children and
9
Pregnant Persons
L
ACKING
10
A
CCESS
D
UE TO
11
I
MMIGRATION
S
TATUS
12 2,102,665
2,102,665
13 16,037,803 16,037,803
14 480,311,148
15 508,141,186 16
093
-24- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. 1
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 2
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item. 3
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation 4
under Medicaid. 5
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 6
f
This amount shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S.
7
8
(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS 9
(A) Early Childhood 10
Transfer to Department of 11
Early Childhood for Early 12
Intervention 13 9,940,111 4,970,056(M) 4,970,055
14
15
093
-25- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Education 1
Public School Health 2
Services 3 208,269 104,135(M) 104,134
4
(C) Human Services 5
(1) Executive Director's 6
Office
29
7 17,003,357 8,501,679(M) 8,501,678
8
(2) Office of Children, Youth and Families 9
Child Welfare 10
Administration 11 350,837 144,774(M) 206,063
Child Welfare Services 12 14,383,230 7,191,615(M) 7,191,615
Division of Youth Services 13 681,446 340,724(M) 340,722
14 15,415,513
15
093
-26- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(3) Office of Economic Security 1
Systematic Alien 2
Verification for Eligibility 3 80,345 40,173(M) 40,172
4
(4) Behavioral Health Administration 5
Community Behavioral 6
Health Administration 7 552,950 276,475(M) 276,475
Children and Youth Mental 8
Health Treatment Act 9 137,680 68,840(M) 68,840
10 690,630
11
(5) Office of Behavioral 12
Health 13
Mental Health Institutes 14 8,320,198 4,160,099(M) 4,160,099
093
-27- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
M
ENTAL
H
EALTH
1
T
RANSITIONAL
L
IVING
2
H
OMES
3 2,582,515 1,291,257(M) 1,291,258
4 10,902,713
5
(6) Office of Adults, Aging and Disability Services 6
Administration 7 505,357 252,679(M) 252,678
Regional Centers for People 8
with Developmental 9
Disabilities 10 58,276,921 27,249,558(M) 1,888,903
a
29,138,460
Community Services for the 11
Elderly 12 1,001,800 500,900(M) 500,900
13 59,784,078
14
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 15
093
-28- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(7) Other 2
Federal Medicaid Indirect 3
Cost Reimbursement for 4
Department of Human 5
Services Programs 6 500,000
500,000
(I)
a
7 6,865,1346,865,134(I)
a
Department of Human 8
Services Indirect Cost 9
Assessment 10 23,614,388
11,807,194
(M)
11,807,194
11 16,969,736 8,484,868(M) 8,484,868
12 24,114,388
13 23,834,870 14
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only. 15
093
-29- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(D) Local Affairs 2
Home Modifications Benefit 3
Administration 4 313,881 156,941(M) 156,940
Host Home Regulation 5 321,053 160,527(M) 160,526
6 634,934
7
(E) Public Health and Environment 8
Facility Survey and 9
Certification 10 9,236,101 3,842,035(M) 5,394,066
Prenatal Statistical 11
Information 12 6,196 3,098(M) 3,098
13 9,242,297
14
15
093
-30- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(F) Regulatory Agencies 1
Nurse Aide Certification 2 324,041 147,369(M) 14,652
a
162,020
Sunset Reviews 3 3,750 1,875(M) 1,875
4 327,791
5
a
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Pol icy and Financing line item appropriation. 6
7
(G) Revenue 8
Hospital Tax Exemptions 9 100,000 50,000(H)
a
50,000
10
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 11
12
13 145,861,911
14 148,164,908 15
093
-31- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
TOTALS PART VI 2
(HEALTH CARE 3
POLICY AND 4
FINANCING)
30
5 $15,945,013,018
$3,731,636,620
$1,247,571,367
a
$1,790,475,824
b
$137,606,638
$9,037,722,569
c
6 $16,304,072,844 $3,819,066,512 $1,913,251,446
b
$137,592,164 $9,186,591,355
c
7
a
Of this amount, $1,247,280,333 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $ 291,034 shall be General Fund Exempt pursuant 8
to Section 24-22-117 (1)(c)(I)(B.5), C.R.S. Said $291,034 is not subject to the statutory limitation on General Fund appropriat ions imposed by Section 24-75-201.1, C.R.S. 9
b
Of this amount, $19,254,185 contains an (I) notation. 10
c
Of this amount, $423,795,205
$438,736,989 contains an (I) notation. 11
12
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 13
14
23 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 15
Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- In 16
093
-32- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
addition to the transfer au thority provided in Section 24-75-108, C.R.S., the De partment may transfer up to 5.0 percent of the total appropriations within the 1
line items designated with this footnote. The Department is also authorized to transfer up to 5.0 percent of the total appropri ations within the line items 2
designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Techno logy Services, Colorado 3
Benefits Management System subsection. 4
5
24 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 6
Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- Of 7
this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year. 8
9
24a
Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals -- 10
This appropriation includes $12,676 total funds, including $6,338 General Fund, for the purpose of increasing provider rates fo r maternal care to $800 for 11
billing code S0199, $1,000 for billing c ode 59840, and $1,600 for billing code 59841. 12
13
25 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 14
-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs. 15
16
26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 17
093
-33- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
-- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for State-only Programs. 1
2
27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs, 3
Preventive Dental Hygiene -- It is the General Assembly's intent that this appropriation be used to provide special dental serv ices for persons with intellectual 4
and developmental disabilities. 5
6
28 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 7
-- 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 8
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. 9
10
29 Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's 11
Office -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Depar tment of Human Services, 12
Executive Director's Office, General Administration. As such, th e appropriation contains amounts that correspond to centralized appropriation amounts in 13
the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized 14
appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation bet ween the Department of Health 15
Care Policy and Financing and the Department of Human Services, the Department of Health Care Policy and Financing may make lin e item transfers out 16
of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amou nts equal to the centralized 17
093
-34- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Servic es. 1
2
30 Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee -for-service Contracts 3
with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; Governing Boards, Regents of the University of 4
Colorado -- The Department of Higher Education shall transfer $900,000 to the Department of Health Care Policy and Financing fo r administrative costs and 5
family medicine residency placements associated with care provided by the faculty of the health sciences center campus at the U niversity of Colorado that 6
are eligible for payment pursuant to Section 25.5-4-401, C.R.S. If the federal Centers for Medicare and Medicaid services conti nues to allow the Department 7
of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Departm ent of Higher Education 8
shall transfer the amount approved, up to $107,671,715, to the Department of Health Care Policy and Financing pursuant to Secti on 23-18-304(1)(c), C.R.S. 9
If permission is discontinued, or is granted for a lesser amount, the Department of Higher Education shall transfer any portion of the $107,671,715 that is not 10
transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado. 11
093
-35- SECTION 2. Appropriation to the department of health care1
policy and financing for the fiscal year beginning July 1, 2023. 2
(1) For the 2023-24 state fiscal year, $223,689,786 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 474 (SB 23-214), Session Laws of Colorado 2023,6
as follows:7
(a) $147,622,287 from the general fund for medical and long-term8
care services for Medicaid eligible individuals; 9
(b) $56,508,359 from the healthcare affordability and10
sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,11
for medical and long-term care services for Medicaid eligible individuals; 12
(c) $6,179,122 from the general fund, for adult comprehensive13
services;14
(d) $1,266,250 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
(e) $460,535 from the healthcare affordability and sustainability18
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case19
management for people with disabilities;20
(f) $10,995,438 from the healthcare affordability and21
sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,22
for safety net provider payments; and23
(g) $657,795 from the primary care fund created in Section24
24-22-117 (2)(b)(I), C.R.S., for the primary care fund program;25
(2) In accordance with section 24-75-109 (4)(a), C.R.S., all26
restrictions on funds for the department of health care policy and27
financing for the 2024-25 state fiscal year for the amounts and items of28
093-36- appropriation listed in this section are released. 1
SECTION 3. Safety clause. The general assembly finds,2
determines, and declares that this act is necessary for the immediate3
preservation of the public peace, health, or safety or for appropriations for4
the support and maintenance of the departments of the state and state5
institutions.6
093-37-