SENATE BILL 25-093
BY SENATOR(S) Bridges, Amabile, Kirkmeyer;
also REPRESENTATIVE(S) Bird, Sirota, Taggart, Bacon, Brown, Duran,
English, Froelich, Garcia, Gilchrist, Hamrick, Jackson, Joseph, Lieder,
Lindsay, Mabrey, Marshall, Ricks, Rutinel, Rydin, Stewart R., Story,
Willford, Woodrow, Zokaie, McCluskie.
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, 2024. In
Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),
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
$$$$$ $ $
PART VI
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
(1) EXECUTIVE DIRECTOR'S OFFICE
(A) General Administration
Personal Services 73,781,839
72,759,160
(787.5 FTE)
(790.1 FTE)
Health, Life, and Dental 13,109,391
12,911,669
Short-term Disability 63,638
65,134
Paid Family and Medical
Leave Insurance 363,855
Unfunded Liability
Amortization Equalization
Disbursement Payments 8,320,007
8,616,195
Salary Survey 1,900,577
2,734,825
Step Pay 834,248
PERA Direct Distribution 1,448,480
Temporary Employees
Related to Authorized Leave 5,978
Workers' Compensation 254,896
Operating Expenses 3,167,153 3,246,176
Legal Services 4,082,364
2,825,964
PAGE 2-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Administrative Law Judge
Services 822,526
Payment to Risk
Management and Property
Funds 249,605
Leased Space 3,773,214
3,785,963
Payments to OIT 14,319,431
14,280,872
CORE Operations 35,330
General Professional
Services and Special
Projects 38,666,797 41,951,050
165,199,329
63,004,579
15,993,677
a
3,611,144
b
82,589,929
(I)
167,191,926 63,019,599 15,928,774
a
3,615,065
b
84,628,488(I)
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
$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
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
$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
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
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
25.5-5-308 (8)(a)(I), C.R.S.
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
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
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
with State Institutions for Speciality Education Programs line item, $82,077 shall be from the Department of Personnel and Admi nistration, $40,535 shall be from the Department of
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.
PAGE 3-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Information Technology Contracts and Projects
Medicaid Management
Information System
Maintenance and Projects 106,565,411
18,005,144
9,361,274
a
12,204
b
79,186,789
(I)
108,841,510 18,257,474 9,336,554
a
81,235,278(I)
Colorado Benefits
Management Systems,
Operating and Contract
Expenses
23, 24
75,087,530
12,702,322
(M)
6,890,173
c
13,194,450
e
42,300,585
78,602,108 13,136,265(M) 7,101,789
c
13,892,091
e
44,471,963
Colorado Benefits
Management Systems,
Health Care and Economic
Security Staff Development
Center
23, 24
2,172,998 689,160(M) 383,151
d
73
b
1,100,614
Office of eHealth
Innovations Operations 6,465,845 3,372,367 3,093,478(I)
(3.0 FTE)
All-Payer Claims Database 5,435,778 4,471,011964,767(I)
195,727,562
201,518,239
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
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
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.
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.
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
$498,767 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, $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
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
PAGE 4-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
e
Of this amount, $13,192,793
$13,890,334 shall be transferred from the Department of Human Services and $1,657
$1,757 shall be transferred from the Old Age Pension State
Medical Program line item appropriation in the Other Medical Services division of this department.
(C) Eligibility Determinations and Client Services
Contracts for Special
Eligibility Determinations 12,039,555 1,134,071(M) 4,338,468
a
6,567,016
County Administration 123,048,230 21,004,349(M) 26,624,750
b
75,419,131
Medical Assistance Sites 1,531,968 402,984
a
1,128,984(I)
Administrative Case
Management 869,744 434,872(M) 434,872
Customer Outreach 3,461,519 1,394,139(M) 336,621
a
1,730,759
Centralized Eligibility
Vendor Contract Project 7,959,455 2,753,409
a
5,206,046(I)
Connect for Health
Colorado Eligibility
Determinations 11,174,846 4,995,156
c
6,179,690(I)
Eligibility Overflow
Processing Center 1,904,677 285,320(M) 190,849
a
1,428,508
Returned Mail Processing 3,298,808 985,808(M) 244,919
d
111,942
e
1,956,139
Income Verification
Programs 11,341,713 1,741,440(M) 1,093,988
a
8,506,285
N
ON
-
EMERGENT
M
EDICAL
T
RANSPORTATION
B
ROKER
3,950,066 1,975,033(M) 1,975,033
176,630,515
180,580,581
a
These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S.
b
Of this amount, $19,254,185(I) shall be from local funds and $7,370,565 shall be from the Healthcare Affordability and Sustain ability Fee Cash Fund created in Section 25.5-4-402.4
(5)(a), C.R.S.
c
This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program.
PAGE 5-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
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
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
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
be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.
(D) Utilization and Quality Review Contracts
Professional Services
Contracts 29,644,825 7,910,405(M) 2,223,661
a
19,510,759
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
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.
(E) Provider Audits and Services
Professional Audit Contracts 4,135,919 1,598,629(M) 540,301
a
1,996,989
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
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.
(F) Recoveries and Recoupment Contract Costs
Estate Recovery 1,165,841 582,920
a
582,921(I)
Third-Party Liability Cost
Avoidance Contract 8,838,738 2,916,784(M) 1,502,585
b
4,419,369
10,004,579
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.
(G) Indirect Cost Recoveries
Indirect Cost Assessment 1,059,807 276,775
a
132,407
b
650,625(I)
PAGE 6-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
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
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
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
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, $88,839 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, $24,709 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education
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
appropriation.
582,402,536
594,135,876
(2) MEDICAL SERVICES PREMIUMS
Medical and Long-Term
Care Services for Medicaid
Eligible Individuals
24a
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
12,081,998,495 2,376,915,878(M) 1,399,855,214
b
119,588,730
c
6,938,358,340
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, $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
$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.,
$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
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.,
$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,
$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
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
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
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
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
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),
C.R.S.
PAGE 7-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
c
Of this amount, $107,671,715 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts w ith State Institutions for Speciality Education Programs
line item, $9,969,877
$9,253,841 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Se rvices division of this department,
$1,505,000 shall be from the Department of Early Childhood from the Home Visiting line item, and $1,158,174 shall be transferre d from Public School Health Services line item in the
Other Medical Services division of this department.
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS
Behavioral Health
Capitation Payments 1,026,100,571
271,797,567
(M)
78,964,399
a
675,338,605
1,121,658,156 285,216,594(M) 94,140,516
a
742,301,046
Behavioral Health
Fee-for-service Payments 11,669,132
2,800,119
(M)
692,425
a
8,176,588
11,081,140 2,662,572(M) 657,348
a
7,761,220
1,037,769,703
1,132,739,296
a
Of these amounts, $79,622,905
$94,761,737 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $33,919
$36,127 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S.
(4) OFFICE OF COMMUNITY LIVING
(A) Division of Intellectual and Developmental Disabilities
(1) Administrative Costs
Personal Services 3,469,613 1,858,480(M) 1,611,133
(39.5 FTE)
Operating Expenses 356,510 202,136(M) 154,374
Community and Contract
Management System 137,480 89,362(M) 48,118
Support Level
Administration 58,350 28,920(M) 255
a
29,175
4,021,953
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
PAGE 8-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) Medicaid Programs
25
Adult Comprehensive
Services 838,089,305
869,579,190
Adult Supported Living
Services 98,534,109
108,283,894
Children's Extensive
Support Services 86,512,303
103,600,225
Children's Habilitation
Residential Program 17,289,775
19,631,529
Case Management for
People with Disabilities142,555,236
141,229,744
1,182,980,728
579,906,496
(M)
12,246,759
a
590,827,473
1,242,324,582 589,165,988(M) 31,823,732
a
621,334,862
a
Of this amount, $11,345,824
$24,125,350 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Sec tion 25.5-4-402.4 (5)(a), C.R.S., $900,934
$7,337,438 shall be from the Home- and Community-Based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $3 60,943
SHALL BE FROM THE
ARPA
H
OME
-
AND
C
OMMUNITY
-B
ASED
S
ERVICES
A
CCOUNT CREATED IN
S
ECTION
25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117
(2)(a)(I), C.R.S.
(3) State-only Programs
26
Family Support Services 11,251,415
State Supported Living
Services 5,288,739
PAGE 9-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State Supported Living
Services Case Management 5,153,827
Preventive Dental Hygiene
27
71,103
21,765,084 21,765,084
1,208,767,765
1,268,111,619
(5) INDIGENT CARE PROGRAM
Safety Net Provider
Payments 226,610,308 113,305,154
a
113,305,154(I)
Pediatric Specialty Hospital 13,455,012 6,727,506(M) 6,727,506
Appropriation from
Tobacco Tax Cash Fund to
the General Fund 291,034 291,034
b
Primary Care Fund Program 49,079,682 6,500,000 18,175,554
c
24,404,128(I)
Children's Basic Health Plan
Administration 3,864,405 1,352,542(H)
d
2,511,863
Children's Basic Health Plan
Medical and Dental Costs 269,980,786
43,594,551
291,034
e
50,672,690
(H)
f
175,422,511
277,481,023 44,826,731 52,065,593(H)
f
180,297,665
563,281,227
570,781,464
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution.
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.
d
Of this amount, $1,347,131 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,411 shall be from the Healthcare Affordability and
Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
PAGE 10-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
e
This amount shall be from General Fund Exempt Account pursuant to Section 24-22-117 (1)(c)(I)(B.5), C.R.S., and is not subject to the statutory limitation on General Fund
appropriations imposed by Section 24-75-201.1, C.R.S.
f Of this amount, $39,601,864
$39,515,304 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $10,547,675
$12,027,625 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $423,150
$422,663 shall be from the Colorado Immunization Fund created
in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S.
(6) OTHER MEDICAL SERVICES
Old Age Pension State
Medical Program 10,000,000 10,000,000
a
Senior Dental Program 3,990,358 3,962,510 27,848
b
Commission on Family
Medicine Residency
Training Programs 9,490,170 4,520,085(M) 225,000
c
4,745,085
Medicare Modernization
Act State Contribution
Payment 244,659,612
244,659,612
241,755,970 241,755,970
Public School Health
Services Contract
Administration 2,000,000 1,000,000(M) 1,000,000
Public School Health
Services 202,111,227
100,427,269
d
101,683,958
(I)
219,752,395 109,260,099
d
110,492,296(I)
Screening, Brief
Intervention, and Referral to
Treatment Training Grant
Program
28
1,500,000 1,500,000
e
Reproductive Health Care
for Individuals Not Eligible
for Medicaid 3,614,490 3,614,490
PAGE 11-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State-only Payments for Home- and Community-Based Services
842,626
842,626
f
(6.2 FTE)
Health Benefits for
Colorado
Children and
Pregnant Persons
L
ACKING
A
CCESS
D
UE TO
I
MMIGRATION
S
TATUS
2,102,665
2,102,665
16,037,803 16,037,803
480,311,148
508,141,186
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S.
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S.
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item.
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial participation
under Medicaid.
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.
f
This amount shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S. (7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS
(A) Early Childhood
Transfer to Department of
Early Childhood for Early
Intervention 9,940,111 4,970,056(M) 4,970,055
(B) Education
Public School Health
Services 208,269 104,135(M) 104,134
PAGE 12-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(C) Human Services
(1) Executive Director's
Office
29
17,003,357 8,501,679(M) 8,501,678
(2) Office of Children, Youth and Families
Child Welfare
Administration 350,837 144,774(M) 206,063
Child Welfare Services 14,383,230 7,191,615(M) 7,191,615
Division of Youth Services 681,446 340,724(M) 340,722
15,415,513
(3) Office of Economic Security
Systematic Alien
Verification for Eligibility 80,345 40,173(M) 40,172
(4) Behavioral Health Administration
Community Behavioral
Health Administration 552,950 276,475(M) 276,475
Children and Youth Mental
Health Treatment Act 137,680 68,840(M) 68,840
690,630
(5) Office of Behavioral
Health
Mental Health Institutes 8,320,198 4,160,099(M) 4,160,099
M
ENTAL
H
EALTH
T
RANSITIONAL
L
IVING
H
OMES
2,582,515 1,291,257(M) 1,291,258
10,902,713
PAGE 13-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(6) Office of Adults, Aging and Disability Services
Administration 505,357 252,679(M) 252,678
Regional Centers for People
with Developmental
Disabilities58,276,921 27,249,558(M) 1,888,903
a
29,138,460
Community Services for the
Elderly 1,001,800 500,900(M) 500,900
59,784,078
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
(7) Other
Federal Medicaid Indirect
Cost Reimbursement for
Department of Human
Services Programs 500,000
500,000
(I)
a
6,865,1346,865,134(I)
a
Department of Human
Services Indirect Cost
Assessment 23,614,388
11,807,194
(M)
11,807,194
16,969,736 8,484,868(M) 8,484,868
24,114,388
23,834,870
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only.
(D) Local Affairs
Home Modifications Benefit
Administration 313,881 156,941(M) 156,940
PAGE 14-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Host Home Regulation 321,053 160,527(M) 160,526
634,934
(E) Public Health and Environment
Facility Survey and
Certification 9,236,101 3,842,035(M) 5,394,066
Prenatal Statistical
Information 6,196 3,098(M) 3,098
9,242,297
(F) Regulatory Agencies
Nurse Aide Certification 324,041 147,369(M) 14,652
a
162,020
Sunset Reviews 3,750 1,875(M) 1,875
327,791
a
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Pol icy and Financing line item appropriation.
(G) Revenue
Hospital Tax Exemptions 100,000 50,000(H)
a
50,000
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S.
145,861,911
148,164,908
PAGE 15-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
TOTALS PART VI
(HEALTH CARE
POLICY AND
FINANCING)
30
$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
$16,304,072,844 $3,819,066,512 $1,913,251,446
b
$137,592,164 $9,186,591,355
c
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
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.
b
Of this amount, $19,254,185 contains an (I) notation.
c
Of this amount, $423,795,205
$438,736,989 contains an (I) notation.
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.
23 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; Colorado Benefits Manage ment Systems, Health Care and Economic Security Staff Develop ment Center -- In
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
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
designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Techno logy Services, Colorado
Benefits Management System subsection.
24 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; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- Of
this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year.
24a
Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals --
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
billing code S0199, $1,000 for billing c ode 59840, and $1,600 for billing code 59841.
25 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 for Medicaid Programs.
26 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 for State-only Programs. PAGE 16-SENATE BILL 25-093 APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
27 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 serv ices for persons with intellectual
and developmental disabilities.
28 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.
29 Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's
Office -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Depar tment of Human Services,
Executive Director's Office, General Administration. As such, th e appropriation contains amounts that correspond to centralized appropriation amounts in
the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized
appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation bet ween the Department of Health
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
of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amou nts equal to the centralized
appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Servic es.
30 Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee -for-service Contracts
with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; Governing Boards, Regents of the University of
Colorado -- The Department of Higher Education shall transfer $900,000 to the Department of Health Care Policy and Financing fo r administrative costs and
family medicine residency placements associated with care provided by the faculty of the health sciences center campus at the U niversity 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 conti nues to allow the Department
of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Departm ent of Higher Education
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.
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
transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado.
PAGE 17-SENATE BILL 25-093 SECTION 2. Appropriation to the department of health care
policy and financing for the fiscal year beginning July 1, 2023.
(1) For the 2023-24 state fiscal year, $223,689,786 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 474 (SB 23-214), Session Laws of Colorado 2023,
as follows:
(a) $147,622,287 from the general fund for medical and long-term
care services for Medicaid eligible individuals;
(b) $56,508,359 from the healthcare affordability and
sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,
for medical and long-term care services for Medicaid eligible individuals;
(c) $6,179,122 from the general fund, for adult comprehensive
services;
(d) $1,266,250 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;
(e) $460,535 from the healthcare affordability and sustainability
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case
management for people with disabilities;
(f) $10,995,438 from the healthcare affordability and
sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,
for safety net provider payments; and
(g) $657,795 from the primary care fund created in Section
24-22-117 (2)(b)(I), C.R.S., for the primary care fund program;
(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 2024-25 state fiscal year for the amounts and items of
appropriation listed in this section are released.
PAGE 18-SENATE BILL 25-093 SECTION 3. 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.
____________________________ ____________________________
James Rashad Coleman, Sr.
Julie McCluskie
PRESIDENT OF SPEAKER OF THE HOUSE
THE SENATE OF REPRESENTATIVES
____________________________ ____________________________
Esther van Mourik Vanessa Reilly
SECRETARY OF CHIEF CLERK OF THE HOUSE
THE SENATE OF REPRESENTATIVES
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 19-SENATE BILL 25-093