CO
Colorado Senate Bill SB093

Colorado 2025 Regular Session

Colorado Senate Bill SB093 Compare Versions

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1+First Regular Session
2+Seventy-fifth General Assembly
3+STATE OF COLORADO
4+REREVISED
5+This Version Includes All Amendments
6+Adopted in the Second House
7+LLS NO. 25-0531.01 Craig Harper x3481
18 SENATE BILL 25-093
2-BY SENATOR(S) Bridges, Amabile, Kirkmeyer;
3-also REPRESENTATIVE(S) Bird, Sirota, Taggart, Bacon, Brown, Duran,
4-English, Froelich, Garcia, Gilchrist, Hamrick, Jackson, Joseph, Lieder,
5-Lindsay, Mabrey, Marshall, Ricks, Rutinel, Rydin, Stewart R., Story,
6-Willford, Woodrow, Zokaie, McCluskie.
9+Senate Committees House Committees
10+Appropriations Appropriations
11+A BILL FOR AN ACT
712 C
8-ONCERNING A SUPPLEMENTAL APPROPRIATION TO THE DEPARTMENT OF
9-HEALTH CARE POLICY AND FINANCING
10-.
11-
12-Be it enacted by the General Assembly of the State of Colorado:
13-SECTION 1. Appropriation to the department of health care
14-policy and financing for the fiscal year beginning July 1, 2024. In
15-Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),
16-amend Part VI as follows:
17-Section 2. Appropriation.
18-NOTE: This bill has been prepared for the signatures of the appropriate legislative
19-officers and the Governor. To determine whether the Governor has signed the bill
20-or taken other action on it, please consult the legislative status sheet, the legislative
21-history, or the Session Laws.
22-________
23-Capital letters or bold & italic numbers indicate new material added to existing law; dashes
24-through words or numbers indicate deletions from existing law and such material is not part of
25-the act. APPROPRIATION FROM
13+ONCERNING A SUPPLEMENTAL APPR OPRIATION TO THE DEPARTMENT101
14+OF HEALTH CARE POLICY AND FINANCING .102
15+Bill Summary
16+(Note: This summary applies to this bill as introduced and does
17+not reflect any amendments that may be subsequently adopted. If this bill
18+passes third reading in the house of introduction, a bill summary that
19+applies to the reengrossed version of this bill will be available at
20+http://leg.colorado.gov
21+.)
22+Supplemental appropriations are made to the department of health
23+care policy and financing.
24+Be it enacted by the General Assembly of the State of Colorado:1
25+HOUSE
26+3rd Reading Unamended
27+February 13, 2025
28+HOUSE
29+ 2nd Reading Unamended
30+February 12, 2025
31+SENATE
32+3rd Reading Unamended
33+February 6, 2025
34+SENATE
35+2nd Reading Unamended
36+February 5, 2025
37+SENATE SPONSORSHIP
38+Bridges, Amabile, Kirkmeyer
39+HOUSE SPONSORSHIP
40+Bird, Sirota, Taggart, Bacon, Brown, Duran, English, Froelich, Garcia, Gilchrist, Hamrick,
41+Jackson, Joseph, Lieder, Lindsay, Mabrey, Marshall, McCluskie, Ricks, Rutinel, Rydin,
42+Stewart R., Story, Willford, Woodrow, Zokaie
43+Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
44+Capital letters or bold & italic numbers indicate new material to be added to existing law.
45+Dashes through the words or numbers indicate deletions from existing law. SECTION 1. Appropriation to the department of health care1
46+policy and financing for the fiscal year beginning July 1, 2024. In2
47+Session Laws of Colorado 2024, section 2 of chapter 519, (HB 24-1430),3
48+amend Part VI as follows:4
49+Section 2. Appropriation.5
50+093
51+-2- APPROPRIATION FROM
2652 ITEM &
2753 SUBTOTAL
2854 TOTAL GENERAL
2955 FUND
3056 GENERAL
3157 FUND
3258 EXEMPT
3359 CASH
3460 FUNDS
3561 REAPPROPRIATED
3662 FUNDS
3763 FEDERAL
3864 FUNDS
3965 $$$$$ $ $
40-PART VI
41-DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
42-(1) EXECUTIVE DIRECTOR'S OFFICE
43-(A) General Administration
44-Personal Services 73,781,839
45-72,759,160
46-(787.5 FTE)
47-(790.1 FTE)
48-Health, Life, and Dental 13,109,391
49-12,911,669
50-Short-term Disability 63,638
51-65,134
52-Paid Family and Medical
53-Leave Insurance 363,855
54-Unfunded Liability
55-Amortization Equalization
56-Disbursement Payments 8,320,007
57-8,616,195
58-Salary Survey 1,900,577
59-2,734,825
60-Step Pay 834,248
61-PERA Direct Distribution 1,448,480
62-Temporary Employees
63-Related to Authorized Leave 5,978
64-Workers' Compensation 254,896
65-Operating Expenses 3,167,153 3,246,176
66-Legal Services 4,082,364
67-2,825,964
68-PAGE 2-SENATE BILL 25-093 APPROPRIATION FROM
66+PART VI 1
67+DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2
68+3
69+(1) EXECUTIVE DIRECTOR'S OFFICE 4
70+(A) General Administration 5
71+Personal Services 6 73,781,839
72+7 72,759,160
73+8 (787.5 FTE)
74+9 (790.1 FTE)
75+Health, Life, and Dental 10 13,109,391
76+11 12,911,669
77+Short-term Disability 12 63,638
78+13 65,134
79+093
80+-3- APPROPRIATION FROM
6981 ITEM &
7082 SUBTOTAL
7183 TOTAL GENERAL
7284 FUND
7385 GENERAL
7486 FUND
7587 EXEMPT
7688 CASH
7789 FUNDS
7890 REAPPROPRIATED
7991 FUNDS
8092 FEDERAL
8193 FUNDS
8294 $$$$$ $ $
83-Administrative Law Judge
84-Services 822,526
85-Payment to Risk
86-Management and Property
87-Funds 249,605
88-Leased Space 3,773,214
89-3,785,963
90-Payments to OIT 14,319,431
91-14,280,872
92-CORE Operations 35,330
93-General Professional
94-Services and Special
95-Projects 38,666,797 41,951,050
96-165,199,329
97-63,004,579
98-15,993,677
99-a
100-3,611,144
101-b
102-82,589,929
103-(I)
104-167,191,926 63,019,599 15,928,774
105-a
106-3,615,065
107-b
108-84,628,488(I)
109-a
110- Of this amount, $11,226,017
111- $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
112-$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
113- $401,583 shall be from the Medicaid
114-Nursing Facility Cash Fund created in Section 25.5-6-203 (2 )(a), C.R.S., $277,402
115- $278,820 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $271,995
116-$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
117- $203,686 shall be from the Primary Care Fund created in Section
118-24-22-117 (2)(b)(I), C.R.S., $131,615
119- $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
120- $59,308 shall be from the
121-Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $50,755
122- $51,005 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section
123-25.5-5-308 (8)(a)(I), C.R.S.
124-b
125- Of this amount, $1,059,807 shall be from statewide indirect cost recoveries, $1,042,916
126- $1,046,837 shall be transferred from the Department of Human Services from the Health Care
127-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
128-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
129-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
130-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.
131-PAGE 3-SENATE BILL 25-093 APPROPRIATION FROM
95+Paid Family and Medical 1
96+Leave Insurance 2 363,855
97+Unfunded Liability 3
98+Amortization Equalization 4
99+Disbursement Payments 5 8,320,007
100+6 8,616,195
101+Salary Survey 7 1,900,577
102+8 2,734,825
103+Step Pay 9 834,248
104+PERA Direct Distribution 10 1,448,480
105+Temporary Employees 11
106+Related to Authorized Leave 12 5,978
107+Workers' Compensation 13 254,896
108+Operating Expenses 14 3,167,153
109+15 3,246,176
110+093
111+-4- APPROPRIATION FROM
132112 ITEM &
133113 SUBTOTAL
134114 TOTAL GENERAL
135115 FUND
136116 GENERAL
137117 FUND
138118 EXEMPT
139119 CASH
140120 FUNDS
141121 REAPPROPRIATED
142122 FUNDS
143123 FEDERAL
144124 FUNDS
145125 $$$$$ $ $
146-(B) Information Technology Contracts and Projects
147-Medicaid Management
148-Information System
149-Maintenance and Projects 106,565,411
126+Legal Services 1 4,082,364
127+2 2,825,964
128+Administrative Law Judge 3
129+Services 4 822,526
130+Payment to Risk 5
131+Management and Property 6
132+Funds 7 249,605
133+Leased Space 8 3,773,214
134+9 3,785,963
135+Payments to OIT 10 14,319,431
136+11 14,280,872
137+CORE Operations 12 35,330
138+093
139+-5- APPROPRIATION FROM
140+ITEM &
141+SUBTOTAL
142+TOTAL GENERAL
143+FUND
144+GENERAL
145+FUND
146+EXEMPT
147+CASH
148+FUNDS
149+REAPPROPRIATED
150+FUNDS
151+FEDERAL
152+FUNDS
153+$$$$$ $ $
154+General Professional 1
155+Services and Special 2
156+Projects 3 38,666,797
157+4 41,951,050
158+5 165,199,329
159+63,004,579
160+15,993,677
161+a
162+3,611,144
163+b
164+82,589,929
165+(I)
166+6 167,191,926 63,019,599 15,928,774
167+a
168+3,615,065
169+b
170+84,628,488(I)
171+7
172+a
173+ Of this amount, $11,226,017
174+ $11,707,663 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $3,374,736
175+8
176+$2,821,013 shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $3 99,498
177+ $401,583 shall be from the Medicaid 9
178+Nursing Facility Cash Fund created in Section 25.5-6-203 (2 )(a), C.R.S., $277,402
179+ $278,820 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $271,995
180+10
181+$273,413 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8- 105 (1), C.R.S., $202,685
182+ $203,686 shall be from the Primary Care Fund created in Section 11
183+24-22-117 (2)(b)(I), C.R.S., $131,615
184+ $132,283 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $58,974
185+ $59,308 shall be from the 12
186+Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., and $50,755
187+ $51,005 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 13
188+25.5-5-308 (8)(a)(I), C.R.S. 14
189+093
190+-6- APPROPRIATION FROM
191+ITEM &
192+SUBTOTAL
193+TOTAL GENERAL
194+FUND
195+GENERAL
196+FUND
197+EXEMPT
198+CASH
199+FUNDS
200+REAPPROPRIATED
201+FUNDS
202+FEDERAL
203+FUNDS
204+$$$$$ $ $
205+b
206+ Of this amount, $1,059,807 shall be from statewide indirect cost recoveries, $1,042,916
207+ $1,046,837 shall be transferred from the Department of Human Services from the Health Care 1
208+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
209+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
210+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
211+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
212+6
213+(B) Information Technology Contracts and Projects 7
214+Medicaid Management 8
215+Information System 9
216+Maintenance and Projects 10 106,565,411
150217 18,005,144
151218 9,361,274
152219 a
153220 12,204
154221 b
155222 79,186,789
156223 (I)
157-108,841,510 18,257,474 9,336,554
224+11 108,841,510 18,257,474 9,336,554
158225 a
159226 81,235,278(I)
160-Colorado Benefits
161-Management Systems,
162-Operating and Contract
227+Colorado Benefits 12
228+Management Systems, 13
229+Operating and Contract 14
163230 Expenses
164231 23, 24
165-75,087,530
232+15 75,087,530
166233 12,702,322
167234 (M)
168235 6,890,173
169236 c
170237 13,194,450
171238 e
172239 42,300,585
173-78,602,108 13,136,265(M) 7,101,789
240+16 78,602,108 13,136,265(M) 7,101,789
174241 c
175242 13,892,091
176243 e
177244 44,471,963
178-Colorado Benefits
179-Management Systems,
180-Health Care and Economic
181-Security Staff Development
245+093
246+-7- APPROPRIATION FROM
247+ITEM &
248+SUBTOTAL
249+TOTAL GENERAL
250+FUND
251+GENERAL
252+FUND
253+EXEMPT
254+CASH
255+FUNDS
256+REAPPROPRIATED
257+FUNDS
258+FEDERAL
259+FUNDS
260+$$$$$ $ $
261+Colorado Benefits 1
262+Management Systems, 2
263+Health Care and Economic 3
264+Security Staff Development 4
182265 Center
183266 23, 24
184-2,172,998 689,160(M) 383,151
267+5 2,172,998 689,160(M) 383,151
185268 d
186269 73
187270 b
188271 1,100,614
189-Office of eHealth
190-Innovations Operations 6,465,845 3,372,367 3,093,478(I)
191-(3.0 FTE)
192-All-Payer Claims Database 5,435,778 4,471,011964,767(I)
193-195,727,562
194-201,518,239
272+Office of eHealth 6
273+Innovations Operations 7 6,465,845 3,372,367 3,093,478(I)
274+8(3.0 FTE)
275+All-Payer Claims Database 9 5,435,778 4,471,011964,767(I)
276+10 195,727,562
277+11 201,518,239 12
195278 a
196- 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
279+ 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
197280 Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.,
198281 AND
199- $597,901 shall be from the Department of Health Care Policy and Financing Cash Fund created in
282+ $597,901 shall be from the Department of Health Care Policy and Financing Cash Fund created in 14
200283 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),
201- C.R.S.
284+ C.R.S. 15
202285 b
203- 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.
286+ 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
287+093
288+-8- APPROPRIATION FROM
289+ITEM &
290+SUBTOTAL
291+TOTAL GENERAL
292+FUND
293+GENERAL
294+FUND
295+EXEMPT
296+CASH
297+FUNDS
298+REAPPROPRIATED
299+FUNDS
300+FEDERAL
301+FUNDS
302+$$$$$ $ $
204303 c
205304 Of this amount, $6,406,647
206305 $6,603,022 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., and $483,526
207-$498,767 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. d
208- Of this amount, $362,040 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $21,111 shall be from the
209-Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
210-PAGE 4-SENATE BILL 25-093 APPROPRIATION FROM
306+1
307+$498,767 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 2
308+d
309+ Of this amount, $362,040 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $21,111 shall be from the 3
310+Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 4
311+e
312+ Of this amount, $13,192,793
313+ $13,890,334 shall be transferred from the Department of Human Services and $1,657
314+ $1,757 shall be transferred from the Old Age Pension State 5
315+Medical Program line item appropriation in the Other Medical Services division of this department. 6
316+7
317+(C) Eligibility Determinations and Client Services 8
318+Contracts for Special 9
319+Eligibility Determinations 10 12,039,555 1,134,071(M) 4,338,468
320+a
321+6,567,016
322+County Administration 11 123,048,230 21,004,349(M) 26,624,750
323+b
324+75,419,131
325+Medical Assistance Sites 12 1,531,968 402,984
326+a
327+1,128,984(I)
328+Administrative Case 13
329+Management 14 869,744 434,872(M) 434,872
330+Customer Outreach 15 3,461,519 1,394,139(M) 336,621
331+a
332+1,730,759
333+093
334+-9- APPROPRIATION FROM
335+ITEM &
336+SUBTOTAL
337+TOTAL GENERAL
338+FUND
339+GENERAL
340+FUND
341+EXEMPT
342+CASH
343+FUNDS
344+REAPPROPRIATED
345+FUNDS
346+FEDERAL
347+FUNDS
348+$$$$$ $ $
349+Centralized Eligibility 1
350+Vendor Contract Project 2 7,959,455 2,753,409
351+a
352+5,206,046(I)
353+Connect for Health 3
354+Colorado Eligibility 4
355+Determinations 5 11,174,846 4,995,156
356+c
357+6,179,690(I)
358+Eligibility Overflow 6
359+Processing Center 7 1,904,677 285,320(M) 190,849
360+a
361+1,428,508
362+Returned Mail Processing 8 3,298,808 985,808(M) 244,919
363+d
364+111,942
365+e
366+1,956,139
367+Income Verification 9
368+Programs 10 11,341,713 1,741,440(M) 1,093,988
369+a
370+8,506,285
371+N
372+ON
373+-
374+EMERGENT
375+M
376+EDICAL
377+11
378+T
379+RANSPORTATION
380+B
381+ROKER
382+12 3,950,066 1,975,033(M) 1,975,033
383+13 176,630,515
384+14 180,580,581 15
385+093
386+-10- APPROPRIATION FROM
387+ITEM &
388+SUBTOTAL
389+TOTAL GENERAL
390+FUND
391+GENERAL
392+FUND
393+EXEMPT
394+CASH
395+FUNDS
396+REAPPROPRIATED
397+FUNDS
398+FEDERAL
399+FUNDS
400+$$$$$ $ $
401+a
402+ These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 1
403+b
404+ Of this amount, $19,254,185(I) shall be from local funds and $7,370,565 shall be from the Healthcare Affordability and Sustain ability Fee Cash Fund created in Section 25.5-4-402.4 2
405+(5)(a), C.R.S. 3
406+c
407+ This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. 4
408+d
409+ Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., and $38,736 shall be from the 5
410+Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 6
411+e
412+ Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall 7
413+be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 8
414+9
415+(D) Utilization and Quality Review Contracts 10
416+Professional Services 11
417+Contracts 12 29,644,825 7,910,405(M) 2,223,661
418+a
419+19,510,759
420+13
421+093
422+-11- APPROPRIATION FROM
423+ITEM &
424+SUBTOTAL
425+TOTAL GENERAL
426+FUND
427+GENERAL
428+FUND
429+EXEMPT
430+CASH
431+FUNDS
432+REAPPROPRIATED
433+FUNDS
434+FEDERAL
435+FUNDS
436+$$$$$ $ $
437+a
438+Of this amount, $2,033,593 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 1
439+Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $64,443 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $36,875 shall be 2
440+from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 3
441+4
442+5
443+(E) Provider Audits and Services 6
444+Professional Audit Contracts 7 4,135,919 1,598,629(M) 540,301
445+a
446+1,996,989
447+8
448+a
449+ Of this amount, $378,895 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., $102,988 shall be from the 9
450+Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $45,998 shall be from the Primary Care Fund creat ed in Section 24-22-117 (2)(b)(I), C.R.S., and $12,420 10
451+shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 11
452+12
453+(F) Recoveries and Recoupment Contract Costs 13
454+Estate Recovery 14 1,165,841 582,920
455+a
456+582,921(I)
457+093
458+-12- APPROPRIATION FROM
459+ITEM &
460+SUBTOTAL
461+TOTAL GENERAL
462+FUND
463+GENERAL
464+FUND
465+EXEMPT
466+CASH
467+FUNDS
468+REAPPROPRIATED
469+FUNDS
470+FEDERAL
471+FUNDS
472+$$$$$ $ $
473+Third-Party Liability Cost 1
474+Avoidance Contract 2 8,838,738 2,916,784(M) 1,502,585
475+b
476+4,419,369
477+3 10,004,579
478+4
479+a
480+This amount shall be from estate recoveries. 5
481+b
482+ This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 6
483+7
484+(G) Indirect Cost Recoveries 8
485+Indirect Cost Assessment 9 1,059,807 276,775
486+a
487+132,407
488+b
489+650,625(I)
490+10
491+a
492+Of this amount, $236,726 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $16,994 shall be from the Medical 11
493+Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $10,711 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $7,916 shall be from 12
494+the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $2,491 shall be from the Service Fee Fund created in Sect ion 25.5-6-204 (1)(c)(II), C.R.S., and $1,937 shall be 13
495+from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S. 14
496+093
497+-13- APPROPRIATION FROM
498+ITEM &
499+SUBTOTAL
500+TOTAL GENERAL
501+FUND
502+GENERAL
503+FUND
504+EXEMPT
505+CASH
506+FUNDS
507+REAPPROPRIATED
508+FUNDS
509+FEDERAL
510+FUNDS
511+$$$$$ $ $
512+b
513+ Of this amount, $88,839 shall be from transferred from the Colora do Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item 1
514+appropriation in this department, $24,709 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education 2
515+Programs line item, and $18,859 shall be transferred from the Department of Human Services from the Health Care and Economic Se curity Staff Development Center line item 3
516+appropriation. 4
517+5
518+6 582,402,536
519+7 594,135,876 8
520+(2) MEDICAL SERVICES PREMIUMS 9
521+Medical and Long-Term 10
522+Care Services for Medicaid 11
523+Eligible Individuals
524+24a
525+12 11,926,618,728
526+2,324,935,891
527+(M)
528+1,247,280,333
529+a
530+1,321,302,705
531+b
532+120,304,766
533+c
534+6,912,795,033
535+13 12,081,998,495 2,376,915,878(M) 1,399,855,214
536+b
537+119,588,730
538+c
539+6,938,358,340
540+14
541+a
542+ This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 15
543+093
544+-14- APPROPRIATION FROM
545+ITEM &
546+SUBTOTAL
547+TOTAL GENERAL
548+FUND
549+GENERAL
550+FUND
551+EXEMPT
552+CASH
553+FUNDS
554+REAPPROPRIATED
555+FUNDS
556+FEDERAL
557+FUNDS
558+$$$$$ $ $
559+b
560+ Of this amount, $1,007,592,475
561+ $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
562+1
563+$76,010,738 shall be from recoveries and recoupments, $55,980,209
564+ $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
565+$49,874,704
566+ $54,010,364 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 45,112,663
567+ $52,400,466 shall be from the 3
568+Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $44,625,211
569+ $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
570+$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
571+$13,322,439
572+ $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
573+ $1,491,000 shall be from 6
574+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
575+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
576+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
577+ $550,798 shall 9
578+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
579+SHALL BE FROM THE
580+ARPA
581+
582+H
583+OME
584+-
585+ AND
586+10
587+C
588+OMMUNITY
589+-B
590+ASED
591+S
592+ERVICES
593+A
594+CCOUNT CREATED IN
595+S
596+ECTION
597+ 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
598+C.R.S. 12
599+c
600+ 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
601+line item, $9,969,877
602+ $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
603+$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
604+Other Medical Services division of this department. 16
605+093
606+-15- APPROPRIATION FROM
607+ITEM &
608+SUBTOTAL
609+TOTAL GENERAL
610+FUND
611+GENERAL
612+FUND
613+EXEMPT
614+CASH
615+FUNDS
616+REAPPROPRIATED
617+FUNDS
618+FEDERAL
619+FUNDS
620+$$$$$ $ $
621+1
622+(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 2
623+Behavioral Health 3
624+Capitation Payments 4 1,026,100,571
625+271,797,567
626+(M)
627+78,964,399
628+a
629+675,338,605
630+5 1,121,658,156 285,216,594(M) 94,140,516
631+a
632+742,301,046
633+Behavioral Health 6
634+Fee-for-service Payments 7 11,669,132
635+2,800,119
636+(M)
637+692,425
638+a
639+8,176,588
640+8 11,081,140 2,662,572(M) 657,348
641+a
642+7,761,220
643+9 1,037,769,703
644+10 1,132,739,296 11
645+a
646+ Of these amounts, $79,622,905
647+ $94,761,737 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., and $33,919
648+12
649+$36,127 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 13
650+14
651+15
652+093
653+-16- APPROPRIATION FROM
654+ITEM &
655+SUBTOTAL
656+TOTAL GENERAL
657+FUND
658+GENERAL
659+FUND
660+EXEMPT
661+CASH
662+FUNDS
663+REAPPROPRIATED
664+FUNDS
665+FEDERAL
666+FUNDS
667+$$$$$ $ $
668+1
669+(4) OFFICE OF COMMUNITY LIVING 2
670+(A) Division of Intellectual and Developmental Disabilities 3
671+(1) Administrative Costs 4
672+Personal Services 5 3,469,613 1,858,480(M) 1,611,133
673+6 (39.5 FTE)
674+Operating Expenses 7 356,510 202,136(M) 154,374
675+Community and Contract 8
676+Management System 9 137,480 89,362(M) 48,118
677+Support Level 10
678+Administration 11 58,350 28,920(M) 255
679+a
680+29,175
681+12 4,021,953
682+13
683+a
684+ This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 14
685+15
686+093
687+-17- APPROPRIATION FROM
688+ITEM &
689+SUBTOTAL
690+TOTAL GENERAL
691+FUND
692+GENERAL
693+FUND
694+EXEMPT
695+CASH
696+FUNDS
697+REAPPROPRIATED
698+FUNDS
699+FEDERAL
700+FUNDS
701+$$$$$ $ $
702+1
703+2
704+(2) Medicaid Programs
705+25
706+3
707+Adult Comprehensive 4
708+Services 5 838,089,305
709+6 869,579,190
710+Adult Supported Living 7
711+Services 8 98,534,109
712+9 108,283,894
713+Children's Extensive 10
714+Support Services 11 86,512,303
715+12 103,600,225
716+Children's Habilitation 13
717+Residential Program 14 17,289,775
718+15 19,631,529
719+093
720+-18- APPROPRIATION FROM
721+ITEM &
722+SUBTOTAL
723+TOTAL GENERAL
724+FUND
725+GENERAL
726+FUND
727+EXEMPT
728+CASH
729+FUNDS
730+REAPPROPRIATED
731+FUNDS
732+FEDERAL
733+FUNDS
734+$$$$$ $ $
735+Case Management for 1
736+People with Disabilities 2 142,555,236
737+3 141,229,744
738+4 1,182,980,728
739+579,906,496
740+(M)
741+12,246,759
742+a
743+590,827,473
744+5 1,242,324,582 589,165,988(M) 31,823,732
745+a
746+621,334,862
747+6
748+a
749+ Of this amount, $11,345,824
750+$24,125,350 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S., $900,934
751+7
752+$7,337,438 shall be from the Home- and Community-Based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S., $3 60,943
753+SHALL BE FROM THE
754+ARPA
755+ H
756+OME
757+-
758+ AND
759+8
760+C
761+OMMUNITY
762+-B
763+ASED
764+S
765+ERVICES
766+A
767+CCOUNT CREATED IN
768+S
769+ECTION
770+ 25.5-4-402.4 (5)(c)(I)(A), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 9
771+(2)(a)(I), C.R.S. 10
772+11
773+(3) State-only Programs
774+26
775+12
776+Family Support Services 13 11,251,415
777+State Supported Living 14
778+Services 15 5,288,739
779+093
780+-19- APPROPRIATION FROM
781+ITEM &
782+SUBTOTAL
783+TOTAL GENERAL
784+FUND
785+GENERAL
786+FUND
787+EXEMPT
788+CASH
789+FUNDS
790+REAPPROPRIATED
791+FUNDS
792+FEDERAL
793+FUNDS
794+$$$$$ $ $
795+State Supported Living 1
796+Services Case Management 2 5,153,827
797+Preventive Dental Hygiene
798+27
799+3 71,103
800+4 21,765,084 21,765,084
801+5
802+6 1,208,767,765
803+7 1,268,111,619 8
804+(5) INDIGENT CARE PROGRAM 9
805+Safety Net Provider 10
806+Payments 11 226,610,308 113,305,154
807+a
808+113,305,154(I)
809+Pediatric Specialty Hospital 12 13,455,012 6,727,506(M) 6,727,506
810+Appropriation from 13
811+Tobacco Tax Cash Fund to 14
812+the General Fund 15 291,034 291,034
813+b
814+093
815+-20- APPROPRIATION FROM
816+ITEM &
817+SUBTOTAL
818+TOTAL GENERAL
819+FUND
820+GENERAL
821+FUND
822+EXEMPT
823+CASH
824+FUNDS
825+REAPPROPRIATED
826+FUNDS
827+FEDERAL
828+FUNDS
829+$$$$$ $ $
830+Primary Care Fund Program 1 49,079,682 6,500,000 18,175,554
831+c
832+24,404,128(I)
833+Children's Basic Health Plan 2
834+Administration 3 3,864,405 1,352,542(H)
835+d
836+2,511,863
837+Children's Basic Health Plan 4
838+Medical and Dental Costs 5 269,980,786
839+43,594,551
840+291,034
841+e
842+50,672,690
843+(H)
844+f
845+175,422,511
846+6 277,481,023 44,826,731 52,065,593(H)
847+f
848+180,297,665
849+7 563,281,227
850+8 570,781,464 9
851+a
852+ This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 10
853+b
854+ This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the 11
855+revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. 12
856+c
857+ This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 13
858+d
859+ Of this amount, $1,347,131 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $5,411 shall be from the Healthcare Affordability and 14
860+Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 15
861+093
862+-21- APPROPRIATION FROM
211863 ITEM &
212864 SUBTOTAL
213865 TOTAL GENERAL
214866 FUND
215867 GENERAL
216868 FUND
217869 EXEMPT
218870 CASH
219871 FUNDS
220872 REAPPROPRIATED
221873 FUNDS
222874 FEDERAL
223875 FUNDS
224876 $$$$$ $ $
225877 e
226- Of this amount, $13,192,793
227- $13,890,334 shall be transferred from the Department of Human Services and $1,657
228- $1,757 shall be transferred from the Old Age Pension State
229-Medical Program line item appropriation in the Other Medical Services division of this department.
230-(C) Eligibility Determinations and Client Services
231-Contracts for Special
232-Eligibility Determinations 12,039,555 1,134,071(M) 4,338,468
878+ 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
879+appropriations imposed by Section 24-75-201.1, C.R.S. 2
880+f Of this amount, $39,601,864
881+ $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
882+3
883+$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
884+ $422,663 shall be from the Colorado Immunization Fund created 4
885+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
886+6
887+7
888+(6) OTHER MEDICAL SERVICES 8
889+Old Age Pension State 9
890+Medical Program 10 10,000,000 10,000,000
233891 a
234-6,567,016
235-County Administration 123,048,230 21,004,349(M) 26,624,750
892+Senior Dental Program 11 3,990,358 3,962,510 27,848
236893 b
237-75,419,131
238-Medical Assistance Sites 1,531,968 402,984
239-a
240-1,128,984(I)
241-Administrative Case
242-Management 869,744 434,872(M) 434,872
243-Customer Outreach 3,461,519 1,394,139(M) 336,621
244-a
245-1,730,759
246-Centralized Eligibility
247-Vendor Contract Project 7,959,455 2,753,409
248-a
249-5,206,046(I)
250-Connect for Health
251-Colorado Eligibility
252-Determinations 11,174,846 4,995,156
894+Commission on Family 12
895+Medicine Residency 13
896+Training Programs 14 9,490,170 4,520,085(M) 225,000
253897 c
254-6,179,690(I)
255-Eligibility Overflow
256-Processing Center 1,904,677 285,320(M) 190,849
257-a
258-1,428,508
259-Returned Mail Processing 3,298,808 985,808(M) 244,919
260-d
261-111,942
262-e
263-1,956,139
264-Income Verification
265-Programs 11,341,713 1,741,440(M) 1,093,988
266-a
267-8,506,285
268-N
269-ON
270--
271-EMERGENT
272-M
273-EDICAL
274-T
275-RANSPORTATION
276-B
277-ROKER
278-3,950,066 1,975,033(M) 1,975,033
279-176,630,515
280-180,580,581
281-a
282- 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.
283-b
284- 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
285-(5)(a), C.R.S.
286-c
287- 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.
288-PAGE 5-SENATE BILL 25-093 APPROPRIATION FROM
898+4,745,085
899+093
900+-22- APPROPRIATION FROM
289901 ITEM &
290902 SUBTOTAL
291903 TOTAL GENERAL
292904 FUND
293905 GENERAL
294906 FUND
295907 EXEMPT
296908 CASH
297909 FUNDS
298910 REAPPROPRIATED
299911 FUNDS
300912 FEDERAL
301913 FUNDS
302914 $$$$$ $ $
915+Medicare Modernization 1
916+Act State Contribution 2
917+Payment 3 244,659,612
918+244,659,612
919+4 241,755,970 241,755,970
920+Public School Health 5
921+Services Contract 6
922+Administration 7 2,000,000 1,000,000(M) 1,000,000
923+Public School Health 8
924+Services 9 202,111,227
925+100,427,269
303926 d
304- Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S., and $38,736 shall be from the
305-Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S.
927+101,683,958
928+(I)
929+10 219,752,395 109,260,099
930+d
931+110,492,296(I)
932+Screening, Brief 11
933+Intervention, and Referral to 12
934+Treatment Training Grant 13
935+Program
936+28
937+14 1,500,000 1,500,000
306938 e
307- Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall
308-be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department.
309-(D) Utilization and Quality Review Contracts
310-Professional Services
311-Contracts 29,644,825 7,910,405(M) 2,223,661
939+093
940+-23- APPROPRIATION FROM
941+ITEM &
942+SUBTOTAL
943+TOTAL GENERAL
944+FUND
945+GENERAL
946+FUND
947+EXEMPT
948+CASH
949+FUNDS
950+REAPPROPRIATED
951+FUNDS
952+FEDERAL
953+FUNDS
954+$$$$$ $ $
955+Reproductive Health Care 1
956+for Individuals Not Eligible 2
957+for Medicaid 3 3,614,490 3,614,490
958+State-only Payments for
959+4
960+Home- and
961+5
962+Community-Based Services
963+6 842,626
964+842,626
965+f
966+7 (6.2 FTE)
967+Health Benefits for 8
968+Colorado
969+ Children and
970+9
971+Pregnant Persons
972+ L
973+ACKING
974+10
312975 A
313-19,510,759
314-a
315-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
316-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
317-from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.
318-(E) Provider Audits and Services
319-Professional Audit Contracts 4,135,919 1,598,629(M) 540,301
320-a
321-1,996,989
322-a
323- 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
324-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
325-shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S.
326-(F) Recoveries and Recoupment Contract Costs
327-Estate Recovery 1,165,841 582,920
328-a
329-582,921(I)
330-Third-Party Liability Cost
331-Avoidance Contract 8,838,738 2,916,784(M) 1,502,585
332-b
333-4,419,369
334-10,004,579
335-a
336-This amount shall be from estate recoveries.
337-b
338- 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.
339-(G) Indirect Cost Recoveries
340-Indirect Cost Assessment 1,059,807 276,775
341-a
342-132,407
343-b
344-650,625(I)
345-PAGE 6-SENATE BILL 25-093 APPROPRIATION FROM
976+CCESS
977+D
978+UE TO
979+11
980+I
981+MMIGRATION
982+S
983+TATUS
984+12 2,102,665
985+2,102,665
986+13 16,037,803 16,037,803
987+14 480,311,148
988+15 508,141,186 16
989+093
990+-24- APPROPRIATION FROM
346991 ITEM &
347992 SUBTOTAL
348993 TOTAL GENERAL
349994 FUND
350995 GENERAL
351996 FUND
352997 EXEMPT
353998 CASH
354999 FUNDS
3551000 REAPPROPRIATED
3561001 FUNDS
3571002 FEDERAL
3581003 FUNDS
3591004 $$$$$ $ $
3601005 a
361-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
362-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
363-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
364-from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S.
1006+ 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
3651007 b
366- 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
367-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
368-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
369-appropriation.
370-582,402,536
371-594,135,876
372-(2) MEDICAL SERVICES PREMIUMS
373-Medical and Long-Term
374-Care Services for Medicaid
375-Eligible Individuals
376-24a
377-11,926,618,728
378-2,324,935,891
379-(M)
380-1,247,280,333
381-a
382-1,321,302,705
383-b
384-120,304,766
1008+ 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
3851009 c
386-6,912,795,033
387-12,081,998,495 2,376,915,878(M) 1,399,855,214
388-b
389-119,588,730
390-c
391-6,938,358,340
392-a
393- This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S.
394-b
395- Of this amount, $1,007,592,475
396- $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
397-$76,010,738 shall be from recoveries and recoupments, $55,980,209
398- $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.,
399-$49,874,704
400- $54,010,364 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 45,112,663
401- $52,400,466 shall be from the
402-Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $44,625,211
403- $46,929,200 shall be from the Health Care Expansio n Fund created in Section 24-22-117 (2)(a)(I), C.R.S.,
404-$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,
405-$13,322,439
406- $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
407- $1,491,000 shall be from
408-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
409-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
410-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
411- $550,798 shall
412-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
413-SHALL BE FROM THE
414-ARPA
415-
416-H
417-OME
418--
419- AND
420-C
421-OMMUNITY
422--B
423-ASED
424-S
425-ERVICES
426-A
427-CCOUNT CREATED IN
428-S
429-ECTION
430- 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),
431-C.R.S.
432-PAGE 7-SENATE BILL 25-093 APPROPRIATION FROM
1010+ 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
1011+d
1012+ 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
1013+under Medicaid. 5
1014+e
1015+ This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 6
1016+f
1017+ This amount shall be from the Home- and Community-based Services Improvement Fund created in Section 25.5-6-1805 (1), C.R.S.
1018+7
1019+8
1020+(7) TRANSFERS TO OTHER STATE DEPARTMENT MEDICAID-FUNDED PROGRAMS 9
1021+(A) Early Childhood 10
1022+Transfer to Department of 11
1023+Early Childhood for Early 12
1024+Intervention 13 9,940,111 4,970,056(M) 4,970,055
1025+14
1026+15
1027+093
1028+-25- APPROPRIATION FROM
4331029 ITEM &
4341030 SUBTOTAL
4351031 TOTAL GENERAL
4361032 FUND
4371033 GENERAL
4381034 FUND
4391035 EXEMPT
4401036 CASH
4411037 FUNDS
4421038 REAPPROPRIATED
4431039 FUNDS
4441040 FEDERAL
4451041 FUNDS
4461042 $$$$$ $ $
447-c
448- 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
449-line item, $9,969,877
450- $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,
451-$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
452-Other Medical Services division of this department.
453-(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS
454-Behavioral Health
455-Capitation Payments 1,026,100,571
456-271,797,567
457-(M)
458-78,964,399
459-a
460-675,338,605
461-1,121,658,156 285,216,594(M) 94,140,516
462-a
463-742,301,046
464-Behavioral Health
465-Fee-for-service Payments 11,669,132
466-2,800,119
467-(M)
468-692,425
469-a
470-8,176,588
471-11,081,140 2,662,572(M) 657,348
472-a
473-7,761,220
474-1,037,769,703
475-1,132,739,296
476-a
477- Of these amounts, $79,622,905
478- $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
479-$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.
480-(4) OFFICE OF COMMUNITY LIVING
481-(A) Division of Intellectual and Developmental Disabilities
482-(1) Administrative Costs
483-Personal Services 3,469,613 1,858,480(M) 1,611,133
484-(39.5 FTE)
485-Operating Expenses 356,510 202,136(M) 154,374
486-Community and Contract
487-Management System 137,480 89,362(M) 48,118
488-Support Level
489-Administration 58,350 28,920(M) 255
490-a
491-29,175
492-4,021,953
493-a
494- 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.
495-PAGE 8-SENATE BILL 25-093 APPROPRIATION FROM
1043+(B) Education 1
1044+Public School Health 2
1045+Services 3 208,269 104,135(M) 104,134
1046+4
1047+(C) Human Services 5
1048+(1) Executive Director's 6
1049+Office
1050+29
1051+7 17,003,357 8,501,679(M) 8,501,678
1052+8
1053+(2) Office of Children, Youth and Families 9
1054+Child Welfare 10
1055+Administration 11 350,837 144,774(M) 206,063
1056+Child Welfare Services 12 14,383,230 7,191,615(M) 7,191,615
1057+Division of Youth Services 13 681,446 340,724(M) 340,722
1058+14 15,415,513
1059+15
1060+093
1061+-26- APPROPRIATION FROM
4961062 ITEM &
4971063 SUBTOTAL
4981064 TOTAL GENERAL
4991065 FUND
5001066 GENERAL
5011067 FUND
5021068 EXEMPT
5031069 CASH
5041070 FUNDS
5051071 REAPPROPRIATED
5061072 FUNDS
5071073 FEDERAL
5081074 FUNDS
5091075 $$$$$ $ $
510-(2) Medicaid Programs
511-25
512-Adult Comprehensive
513-Services 838,089,305
514-869,579,190
515-Adult Supported Living
516-Services 98,534,109
517-108,283,894
518-Children's Extensive
519-Support Services 86,512,303
520-103,600,225
521-Children's Habilitation
522-Residential Program 17,289,775
523-19,631,529
524-Case Management for
525-People with Disabilities142,555,236
526-141,229,744
527-1,182,980,728
528-579,906,496
529-(M)
530-12,246,759
531-a
532-590,827,473
533-1,242,324,582 589,165,988(M) 31,823,732
534-a
535-621,334,862
536-a
537- Of this amount, $11,345,824
538-$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
539-$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
540-SHALL BE FROM THE
541-ARPA
542- H
543-OME
544--
545- AND
546-C
547-OMMUNITY
548--B
549-ASED
550-S
551-ERVICES
552-A
553-CCOUNT CREATED IN
554-S
555-ECTION
556- 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
557-(2)(a)(I), C.R.S.
558-(3) State-only Programs
559-26
560-Family Support Services 11,251,415
561-State Supported Living
562-Services 5,288,739
563-PAGE 9-SENATE BILL 25-093 APPROPRIATION FROM
1076+(3) Office of Economic Security 1
1077+Systematic Alien 2
1078+Verification for Eligibility 3 80,345 40,173(M) 40,172
1079+4
1080+(4) Behavioral Health Administration 5
1081+Community Behavioral 6
1082+Health Administration 7 552,950 276,475(M) 276,475
1083+Children and Youth Mental 8
1084+Health Treatment Act 9 137,680 68,840(M) 68,840
1085+10 690,630
1086+11
1087+(5) Office of Behavioral 12
1088+Health 13
1089+Mental Health Institutes 14 8,320,198 4,160,099(M) 4,160,099
1090+093
1091+-27- APPROPRIATION FROM
5641092 ITEM &
5651093 SUBTOTAL
5661094 TOTAL GENERAL
5671095 FUND
5681096 GENERAL
5691097 FUND
5701098 EXEMPT
5711099 CASH
5721100 FUNDS
5731101 REAPPROPRIATED
5741102 FUNDS
5751103 FEDERAL
5761104 FUNDS
5771105 $$$$$ $ $
578-State Supported Living
579-Services Case Management 5,153,827
580-Preventive Dental Hygiene
581-27
582-71,103
583-21,765,084 21,765,084
584-1,208,767,765
585-1,268,111,619
586-(5) INDIGENT CARE PROGRAM
587-Safety Net Provider
588-Payments 226,610,308 113,305,154
1106+M
1107+ENTAL
1108+H
1109+EALTH
1110+1
1111+T
1112+RANSITIONAL
1113+L
1114+IVING
1115+2
1116+H
1117+OMES
1118+3 2,582,515 1,291,257(M) 1,291,258
1119+4 10,902,713
1120+5
1121+(6) Office of Adults, Aging and Disability Services 6
1122+Administration 7 505,357 252,679(M) 252,678
1123+Regional Centers for People 8
1124+with Developmental 9
1125+Disabilities 10 58,276,921 27,249,558(M) 1,888,903
5891126 a
590-113,305,154(I)
591-Pediatric Specialty Hospital 13,455,012 6,727,506(M) 6,727,506
592-Appropriation from
593-Tobacco Tax Cash Fund to
594-the General Fund 291,034 291,034
595-b
596-Primary Care Fund Program 49,079,682 6,500,000 18,175,554
597-c
598-24,404,128(I)
599-Children's Basic Health Plan
600-Administration 3,864,405 1,352,542(H)
601-d
602-2,511,863
603-Children's Basic Health Plan
604-Medical and Dental Costs 269,980,786
605-43,594,551
606-291,034
607-e
608-50,672,690
609-(H)
610-f
611-175,422,511
612-277,481,023 44,826,731 52,065,593(H)
613-f
614-180,297,665
615-563,281,227
616-570,781,464
1127+29,138,460
1128+Community Services for the 11
1129+Elderly 12 1,001,800 500,900(M) 500,900
1130+13 59,784,078
1131+14
6171132 a
618- 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.
619-b
620- 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
621-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.
622-c
623- This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S.
624-d
625- 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
626-Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.
627-PAGE 10-SENATE BILL 25-093 APPROPRIATION FROM
1133+ This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 15
1134+093
1135+-28- APPROPRIATION FROM
6281136 ITEM &
6291137 SUBTOTAL
6301138 TOTAL GENERAL
6311139 FUND
6321140 GENERAL
6331141 FUND
6341142 EXEMPT
6351143 CASH
6361144 FUNDS
6371145 REAPPROPRIATED
6381146 FUNDS
6391147 FEDERAL
6401148 FUNDS
6411149 $$$$$ $ $
642-e
643- 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
644-appropriations imposed by Section 24-75-201.1, C.R.S.
645-f Of this amount, $39,601,864
646- $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
647-$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
648- $422,663 shall be from the Colorado Immunization Fund created
649-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.
650-(6) OTHER MEDICAL SERVICES
651-Old Age Pension State
652-Medical Program 10,000,000 10,000,000
1150+1
1151+(7) Other 2
1152+Federal Medicaid Indirect 3
1153+Cost Reimbursement for 4
1154+Department of Human 5
1155+Services Programs 6 500,000
1156+500,000
1157+(I)
6531158 a
654-Senior Dental Program 3,990,358 3,962,510 27,848
655-b
656-Commission on Family
657-Medicine Residency
658-Training Programs 9,490,170 4,520,085(M) 225,000
659-c
660-4,745,085
661-Medicare Modernization
662-Act State Contribution
663-Payment 244,659,612
664-244,659,612
665-241,755,970 241,755,970
666-Public School Health
667-Services Contract
668-Administration 2,000,000 1,000,000(M) 1,000,000
669-Public School Health
670-Services 202,111,227
671-100,427,269
672-d
673-101,683,958
674-(I)
675-219,752,395 109,260,099
676-d
677-110,492,296(I)
678-Screening, Brief
679-Intervention, and Referral to
680-Treatment Training Grant
681-Program
682-28
683-1,500,000 1,500,000
684-e
685-Reproductive Health Care
686-for Individuals Not Eligible
687-for Medicaid 3,614,490 3,614,490
688-PAGE 11-SENATE BILL 25-093 APPROPRIATION FROM
1159+7 6,865,1346,865,134(I)
1160+a
1161+Department of Human 8
1162+Services Indirect Cost 9
1163+Assessment 10 23,614,388
1164+11,807,194
1165+(M)
1166+11,807,194
1167+11 16,969,736 8,484,868(M) 8,484,868
1168+12 24,114,388
1169+13 23,834,870 14
1170+a
1171+ This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only. 15
1172+093
1173+-29- APPROPRIATION FROM
6891174 ITEM &
6901175 SUBTOTAL
6911176 TOTAL GENERAL
6921177 FUND
6931178 GENERAL
6941179 FUND
6951180 EXEMPT
6961181 CASH
6971182 FUNDS
6981183 REAPPROPRIATED
6991184 FUNDS
7001185 FEDERAL
7011186 FUNDS
7021187 $$$$$ $ $
703-State-only Payments for Home- and Community-Based Services
704-842,626
705-842,626
706-f
707-(6.2 FTE)
708-Health Benefits for
709-Colorado
710- Children and
711-Pregnant Persons
712- L
713-ACKING
714-A
715-CCESS
716-D
717-UE TO
718-I
719-MMIGRATION
720-S
721-TATUS
722-2,102,665
723-2,102,665
724-16,037,803 16,037,803
725-480,311,148
726-508,141,186
727-a
728- 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.
729-b
730- 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.
731-c
732- 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.
733-d
734- 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
735-under Medicaid.
736-e
737- This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S.
738-f
739- 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
740-(A) Early Childhood
741-Transfer to Department of
742-Early Childhood for Early
743-Intervention 9,940,111 4,970,056(M) 4,970,055
744-(B) Education
745-Public School Health
746-Services 208,269 104,135(M) 104,134
747-PAGE 12-SENATE BILL 25-093 APPROPRIATION FROM
1188+1
1189+(D) Local Affairs 2
1190+Home Modifications Benefit 3
1191+Administration 4 313,881 156,941(M) 156,940
1192+Host Home Regulation 5 321,053 160,527(M) 160,526
1193+6 634,934
1194+7
1195+(E) Public Health and Environment 8
1196+Facility Survey and 9
1197+Certification 10 9,236,101 3,842,035(M) 5,394,066
1198+Prenatal Statistical 11
1199+Information 12 6,196 3,098(M) 3,098
1200+13 9,242,297
1201+14
1202+15
1203+093
1204+-30- APPROPRIATION FROM
7481205 ITEM &
7491206 SUBTOTAL
7501207 TOTAL GENERAL
7511208 FUND
7521209 GENERAL
7531210 FUND
7541211 EXEMPT
7551212 CASH
7561213 FUNDS
7571214 REAPPROPRIATED
7581215 FUNDS
7591216 FEDERAL
7601217 FUNDS
7611218 $$$$$ $ $
762-(C) Human Services
763-(1) Executive Director's
764-Office
765-29
766-17,003,357 8,501,679(M) 8,501,678
767-(2) Office of Children, Youth and Families
768-Child Welfare
769-Administration 350,837 144,774(M) 206,063
770-Child Welfare Services 14,383,230 7,191,615(M) 7,191,615
771-Division of Youth Services 681,446 340,724(M) 340,722
772-15,415,513
773-(3) Office of Economic Security
774-Systematic Alien
775-Verification for Eligibility 80,345 40,173(M) 40,172
776-(4) Behavioral Health Administration
777-Community Behavioral
778-Health Administration 552,950 276,475(M) 276,475
779-Children and Youth Mental
780-Health Treatment Act 137,680 68,840(M) 68,840
781-690,630
782-(5) Office of Behavioral
783-Health
784-Mental Health Institutes 8,320,198 4,160,099(M) 4,160,099
785-M
786-ENTAL
787-H
788-EALTH
789-T
790-RANSITIONAL
791-L
792-IVING
793-H
794-OMES
795-2,582,515 1,291,257(M) 1,291,258
796-10,902,713
797-PAGE 13-SENATE BILL 25-093 APPROPRIATION FROM
1219+(F) Regulatory Agencies 1
1220+Nurse Aide Certification 2 324,041 147,369(M) 14,652
1221+a
1222+162,020
1223+Sunset Reviews 3 3,750 1,875(M) 1,875
1224+4 327,791
1225+5
1226+a
1227+ This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Pol icy and Financing line item appropriation. 6
1228+7
1229+(G) Revenue 8
1230+Hospital Tax Exemptions 9 100,000 50,000(H)
1231+a
1232+50,000
1233+10
1234+a
1235+ This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 11
1236+12
1237+13 145,861,911
1238+14 148,164,908 15
1239+093
1240+-31- APPROPRIATION FROM
7981241 ITEM &
7991242 SUBTOTAL
8001243 TOTAL GENERAL
8011244 FUND
8021245 GENERAL
8031246 FUND
8041247 EXEMPT
8051248 CASH
8061249 FUNDS
8071250 REAPPROPRIATED
8081251 FUNDS
8091252 FEDERAL
8101253 FUNDS
8111254 $$$$$ $ $
812-(6) Office of Adults, Aging and Disability Services
813-Administration 505,357 252,679(M) 252,678
814-Regional Centers for People
815-with Developmental
816-Disabilities58,276,921 27,249,558(M) 1,888,903
1255+1
1256+TOTALS PART VI 2
1257+(HEALTH CARE 3
1258+POLICY AND 4
1259+FINANCING)
1260+30
1261+5 $15,945,013,018
1262+$3,731,636,620
1263+$1,247,571,367
8171264 a
818-29,138,460
819-Community Services for the
820-Elderly 1,001,800 500,900(M) 500,900
821-59,784,078
1265+$1,790,475,824
1266+b
1267+$137,606,638
1268+$9,037,722,569
1269+c
1270+6 $16,304,072,844 $3,819,066,512 $1,913,251,446
1271+b
1272+$137,592,164 $9,186,591,355
1273+c
1274+7
8221275 a
823- This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S.
824-(7) Other
825-Federal Medicaid Indirect
826-Cost Reimbursement for
827-Department of Human
828-Services Programs 500,000
829-500,000
830-(I)
831-a
832-6,865,1346,865,134(I)
833-a
834-Department of Human
835-Services Indirect Cost
836-Assessment 23,614,388
837-11,807,194
838-(M)
839-11,807,194
840-16,969,736 8,484,868(M) 8,484,868
841-24,114,388
842-23,834,870
843-a
844- This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs and is shown for informational purposes only.
845-(D) Local Affairs
846-Home Modifications Benefit
847-Administration 313,881 156,941(M) 156,940
848-PAGE 14-SENATE BILL 25-093 APPROPRIATION FROM
1276+ 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
1277+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
1278+b
1279+ Of this amount, $19,254,185 contains an (I) notation. 10
1280+c
1281+ Of this amount, $423,795,205
1282+ $438,736,989 contains an (I) notation. 11
1283+12
1284+FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 13
1285+14
1286+23 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 15
1287+Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- In 16
1288+093
1289+-32- APPROPRIATION FROM
8491290 ITEM &
8501291 SUBTOTAL
8511292 TOTAL GENERAL
8521293 FUND
8531294 GENERAL
8541295 FUND
8551296 EXEMPT
8561297 CASH
8571298 FUNDS
8581299 REAPPROPRIATED
8591300 FUNDS
8601301 FEDERAL
8611302 FUNDS
8621303 $$$$$ $ $
863-Host Home Regulation 321,053 160,527(M) 160,526
864-634,934
865-(E) Public Health and Environment
866-Facility Survey and
867-Certification 9,236,101 3,842,035(M) 5,394,066
868-Prenatal Statistical
869-Information 6,196 3,098(M) 3,098
870-9,242,297
871-(F) Regulatory Agencies
872-Nurse Aide Certification 324,041 147,369(M) 14,652
873-a
874-162,020
875-Sunset Reviews 3,750 1,875(M) 1,875
876-327,791
877-a
878- 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.
879-(G) Revenue
880-Hospital Tax Exemptions 100,000 50,000(H)
881-a
882-50,000
883-a
884- 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.
885-145,861,911
886-148,164,908
887-PAGE 15-SENATE BILL 25-093 APPROPRIATION FROM
1304+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
1305+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
1306+designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Techno logy Services, Colorado 3
1307+Benefits Management System subsection. 4
1308+5
1309+24 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 6
1310+Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- Of 7
1311+this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year. 8
1312+9
1313+24a
1314+Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals -- 10
1315+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
1316+billing code S0199, $1,000 for billing c ode 59840, and $1,600 for billing code 59841. 12
1317+13
1318+25 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 14
1319+-- 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
1320+16
1321+26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 17
1322+093
1323+-33- APPROPRIATION FROM
8881324 ITEM &
8891325 SUBTOTAL
8901326 TOTAL GENERAL
8911327 FUND
8921328 GENERAL
8931329 FUND
8941330 EXEMPT
8951331 CASH
8961332 FUNDS
8971333 REAPPROPRIATED
8981334 FUNDS
8991335 FEDERAL
9001336 FUNDS
9011337 $$$$$ $ $
902-TOTALS PART VI
903-(HEALTH CARE
904-POLICY AND
905-FINANCING)
906-30
907-$15,945,013,018
908-$3,731,636,620
909-$1,247,571,367
910-a
911-$1,790,475,824
912-b
913-$137,606,638
914-$9,037,722,569
915-c
916-$16,304,072,844 $3,819,066,512 $1,913,251,446
917-b
918-$137,592,164 $9,186,591,355
919-c
920-a
921- 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
922-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.
923-b
924- Of this amount, $19,254,185 contains an (I) notation.
925-c
926- Of this amount, $423,795,205
927- $438,736,989 contains an (I) notation.
928-FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.
929-23 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
930-Systems, Operating and Contract Expenses; Colorado Benefits Manage ment Systems, Health Care and Economic Security Staff Develop ment Center -- In
931-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
932-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
933-designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Techno logy Services, Colorado
934-Benefits Management System subsection.
935-24 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management
936-Systems, Operating and Contract Expenses; Colorado Benefits Management Systems, Health Care and Economic Security Staff Develop ment Center -- Of
937-this appropriation, $2,500,000 remains available for expenditure until the close of the 2025-26 state fiscal year.
938-24a
939-Department of Health Care Policy and Financing, Medical Services Premiums, Medical and Long-Term Care Services for Medicaid Eli gible Individuals --
940-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
941-billing code S0199, $1,000 for billing c ode 59840, and $1,600 for billing code 59841.
942-25 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs
943--- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total for Medicaid Programs.
944-26 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs
945--- 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
1338+-- 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
1339+2
1340+27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs, 3
1341+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
1342+and developmental disabilities. 5
1343+6
1344+28 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 7
1345+-- 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
1346+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
1347+10
1348+29 Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's 11
1349+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
1350+Executive Director's Office, General Administration. As such, th e appropriation contains amounts that correspond to centralized appropriation amounts in 13
1351+the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized 14
1352+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
1353+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
1354+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
1355+093
1356+-34- APPROPRIATION FROM
9461357 ITEM &
9471358 SUBTOTAL
9481359 TOTAL GENERAL
9491360 FUND
9501361 GENERAL
9511362 FUND
9521363 EXEMPT
9531364 CASH
9541365 FUNDS
9551366 REAPPROPRIATED
9561367 FUNDS
9571368 FEDERAL
9581369 FUNDS
9591370 $$$$$ $ $
960-27 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs,
961-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
962-and developmental disabilities.
963-28 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program
964--- 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
965-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.
966-29 Department of Health Care Policy and Financing, Transfers to Other State Department Medicaid-Funded Programs, Human Services, Executive Director's
967-Office -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Depar tment of Human Services,
968-Executive Director's Office, General Administration. As such, th e appropriation contains amounts that correspond to centralized appropriation amounts in
969-the Department of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services may transfer the centralized
970-appropriations to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation bet ween the Department of Health
971-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
972-of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amou nts equal to the centralized
973-appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Servic es.
974-30 Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee -for-service Contracts
975-with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; Governing Boards, Regents of the University of
976-Colorado -- The Department of Higher Education shall transfer $900,000 to the Department of Health Care Policy and Financing fo r administrative costs and
977-family medicine residency placements associated with care provided by the faculty of the health sciences center campus at the U niversity of Colorado that
978-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
979-of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the Departm ent of Higher Education
980-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.
981-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
982-transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado.
983-PAGE 17-SENATE BILL 25-093 SECTION 2. Appropriation to the department of health care
984-policy and financing for the fiscal year beginning July 1, 2023.
985-(1) For the 2023-24 state fiscal year, $223,689,786 is appropriated to the
986-department of health care policy and financing and is for the payment of
987-overexpenditures of line item appropriations contained in Part VI of
988-section 2 of chapter 474 (SB 23-214), Session Laws of Colorado 2023,
989-as follows:
990-(a) $147,622,287 from the general fund for medical and long-term
991-care services for Medicaid eligible individuals;
992-(b) $56,508,359 from the healthcare affordability and
993-sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,
994-for medical and long-term care services for Medicaid eligible individuals;
995-(c) $6,179,122 from the general fund, for adult comprehensive
996-services;
997-(d) $1,266,250 from the healthcare affordability and sustainability
998-fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult
999-supported living services;
1000-(e) $460,535 from the healthcare affordability and sustainability
1001-fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case
1002-management for people with disabilities;
1003-(f) $10,995,438 from the healthcare affordability and
1004-sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,
1005-for safety net provider payments; and
1006-(g) $657,795 from the primary care fund created in Section
1007-24-22-117 (2)(b)(I), C.R.S., for the primary care fund program;
1008-(2) In accordance with section 24-75-109 (4)(a), C.R.S., all
1009-restrictions on funds for the department of health care policy and
1010-financing for the 2024-25 state fiscal year for the amounts and items of
1011-appropriation listed in this section are released.
1012-PAGE 18-SENATE BILL 25-093 SECTION 3. Safety clause. The general assembly finds,
1013-determines, and declares that this act is necessary for the immediate
1014-preservation of the public peace, health, or safety or for appropriations for
1015-the support and maintenance of the departments of the state and state
1016-institutions.
1017-____________________________ ____________________________
1018-James Rashad Coleman, Sr.
1019-Julie McCluskie
1020-PRESIDENT OF SPEAKER OF THE HOUSE
1021-THE SENATE OF REPRESENTATIVES
1022-____________________________ ____________________________
1023-Esther van Mourik Vanessa Reilly
1024-SECRETARY OF CHIEF CLERK OF THE HOUSE
1025-THE SENATE OF REPRESENTATIVES
1026- APPROVED________________________________________
1027- (Date and Time)
1028- _________________________________________
1029- Jared S. Polis
1030- GOVERNOR OF THE STATE OF COLORADO
1031-PAGE 19-SENATE BILL 25-093
1371+appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Servic es. 1
1372+2
1373+30 Department of Health Care Policy and Financing, Totals; Department of Higher Education, College Opportunity Fund Program, Fee -for-service Contracts 3
1374+with State Institutions, Fee-for-service Contracts with State In stitutions for Specialty Education Programs; Governing Boards, Regents of the University of 4
1375+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
1376+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
1377+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
1378+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
1379+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
1380+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
1381+transferred to the Department of Health Care Policy and Financing to the Regents of the University of Colorado. 11
1382+093
1383+-35- SECTION 2. Appropriation to the department of health care1
1384+policy and financing for the fiscal year beginning July 1, 2023. 2
1385+(1) For the 2023-24 state fiscal year, $223,689,786 is appropriated to the3
1386+department of health care policy and financing and is for the payment of4
1387+overexpenditures of line item appropriations contained in Part VI of5
1388+section 2 of chapter 474 (SB 23-214), Session Laws of Colorado 2023,6
1389+as follows:7
1390+(a) $147,622,287 from the general fund for medical and long-term8
1391+care services for Medicaid eligible individuals; 9
1392+(b) $56,508,359 from the healthcare affordability and10
1393+sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,11
1394+for medical and long-term care services for Medicaid eligible individuals; 12
1395+(c) $6,179,122 from the general fund, for adult comprehensive13
1396+services;14
1397+(d) $1,266,250 from the healthcare affordability and sustainability15
1398+fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for adult16
1399+supported living services;17
1400+(e) $460,535 from the healthcare affordability and sustainability18
1401+fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for case19
1402+management for people with disabilities;20
1403+(f) $10,995,438 from the healthcare affordability and21
1404+sustainability fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,22
1405+for safety net provider payments; and23
1406+(g) $657,795 from the primary care fund created in Section24
1407+24-22-117 (2)(b)(I), C.R.S., for the primary care fund program;25
1408+(2) In accordance with section 24-75-109 (4)(a), C.R.S., all26
1409+restrictions on funds for the department of health care policy and27
1410+financing for the 2024-25 state fiscal year for the amounts and items of28
1411+093-36- appropriation listed in this section are released. 1
1412+SECTION 3. Safety clause. The general assembly finds,2
1413+determines, and declares that this act is necessary for the immediate3
1414+preservation of the public peace, health, or safety or for appropriations for4
1415+the support and maintenance of the departments of the state and state5
1416+institutions.6
1417+093-37-