Colorado 2025 Regular Session

Colorado Senate Bill SB228

Introduced
3/31/25  
Refer
3/31/25  
Report Pass
4/1/25  
Refer
4/1/25  
Engrossed
4/3/25  
Refer
4/3/25  
Report Pass
4/8/25  
Refer
4/8/25  
Enrolled
4/23/25  
Enrolled
4/23/25  
Engrossed
4/29/25  
Engrossed
4/29/25  
Enrolled
4/29/25  

Caption

Enterprise Disability Buy-in Premiums

Impact

The passing of SB228 would lead to significant amendments in existing Colorado statutes, particularly those related to Medicaid funding and management. By instituting a premiums-based system, the bill aims to ensure sustainable financing for the Medicaid buy-in program. This not only assists low-income individuals with disabilities in accessing healthcare but also stabilizes funding for the overall Medicaid structure in Colorado. Furthermore, the establishment of the Medicaid Buy-in Enterprise Support Board is crucial in overseeing the premium implementation and ensuring that consultation with disability advocates is prioritized during the program's execution.

Summary

Senate Bill 228, known as the Enterprise Disability Buy-in Premiums Act, focuses on establishing a structured funding mechanism to facilitate the Medicaid buy-in for low-income individuals with disabilities. This bill aims to create a cash fund within the Colorado Healthcare Affordability and Sustainability Enterprise to collect premiums from individuals opting into the Medicaid program. The intent is to enhance access to medical assistance programs for individuals with disabilities, thereby ensuring they receive necessary healthcare services without financial barriers.

Sentiment

The sentiment surrounding SB228 appears to be largely supportive, particularly among disability rights advocates and healthcare professionals who see the potential for enhanced accessibility to essential services. Proponents emphasize that the premium-based model could lead to better resource allocation, allowing for more effective service delivery. However, there are concerns among some stakeholders regarding the affordability of premiums for the targeted low-income population, which could limit participation and thus the program's intended benefits.

Contention

Notable points of contention within discussions surrounding SB228 include the balance between providing necessary healthcare services to individuals with disabilities and the potential financial burden that premium payments may impose on low-income participants. Debates also arise around the accountability of the newly formed enterprise and its governance structure to ensure that individuals with disabilities are prioritized in the decision-making process. There are fears that without careful management and oversight, the premium collection could detract from the universal accessibility ethos that Medicaid aims to promote.

Companion Bills

No companion bills found.

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