Colorado 2025 Regular Session

Colorado Senate Bill SB229 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		First Regular Session
2	2		Seventy-fifth General Assembly
3	3		STATE OF COLORADO
4		-	~~REVISED~~
	4	+	ENGROSSED
5	5		This Version Includes All Amendments Adopted
6		-	on Second Reading in the ~~Second House~~
	6	+	on Second Reading in the House of Introduction
7	7		LLS NO. 25-0978.01 Chelsea Princell x4335
8	8		SENATE BILL 25-229
9	9		Senate Committees House Committees
10		-	Appropriations ~~Appropriations~~
	10	+	Appropriations
11	11		A BILL FOR AN ACT
12	12		C
13	13		ONCERNING MEDICAID REIMBURSEMENT FOR COMMUNITY HEALTH101
14		-	WORKERS~~, AND, IN CONNECTION THEREWITH, REDUCING AN102~~
15		-	~~APPROPRIATION.103~~
	14	+	WORKERS.
	15	+	102
16	16		Bill Summary
17	17		(Note: This summary applies to this bill as introduced and does
18	18		not reflect any amendments that may be subsequently adopted. If this bill
19	19		passes third reading in the house of introduction, a bill summary that
20	20		applies to the reengrossed version of this bill will be available at
21	21		http://leg.colorado.gov/
22	22		.)
23	23		Joint Budget Committee. Under current law, community health
24	24		workers may be reimbursed through the Colorado medical assistance
25	25		program as long as the community health worker appears on the voluntary
26	26		competency-based community health worker registry verifying that the
27	27		community health worker completed state-approved training and
28		-	HOUSE
29		-	Amended 2nd Reading
30		-	April 9, 2025
31		-	SENATE
32		-	3rd Reading Unamended
33		-	April 3, 2025
	28	+	credentialing requirements.
34	29		SENATE
35	30		Amended 2nd Reading
36	31		April 2, 2025
37	32		SENATE SPONSORSHIP
38		-	Kirkmeyer and Bridges, Amabile, Catlin, Frizell, Liston, Pelton B., Pelton R., Rich,
39		-	Simpson, Wallace
	33	+	Kirkmeyer and Bridges, Amabile
40	34		HOUSE SPONSORSHIP
41	35		Bird and Taggart, Sirota
42	36		Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
43	37		Capital letters or bold & italic numbers indicate new material to be added to existing law.
44		-	Dashes through the words or numbers indicate deletions from existing law. credentialing requirements.
45		-	The bill eliminates reimbursement for community health workers
	38	+	Dashes through the words or numbers indicate deletions from existing law. The bill eliminates reimbursement for community health workers
46	39		under the Colorado medical assistance program.
47	40		Be it enacted by the General Assembly of the State of Colorado:1
48		-	SECTION 1. In Colorado Revised Statutes, 25-20.5-112, amend2
49		-	(2); and repeal (3) as follows:3
50		-	25-20.5-112. Voluntary competency-based community health4
51		-	worker registry - requirements - rules - definition. (2) A community5
52		-	health worker must complete a state-approved training program that6
53		-	meets credentialing requirements based on competency statements that7
54		-	represent generalist entry-level core competencies for unlicensed8
55		-	community health workers and must MAY be listed on the department's9
56		-	voluntary competency-based community health worker registry. in order10
57		-	to be reimbursed through the state medical assistance program for11
58		-	providing community health worker covered services to a medicaid12
59		-	member.13
60		-	(3) Participation in the voluntary competency-based community14
61		-	health worker registry is not required for community health workers who15
62		-	do not seek reimbursement through medicaid.16
63		-	SECTION 2. In Colorado Revised Statutes, repeal 25.5-5-334.17
64		-	SECTION 3. Appropriation - adjustments to 2025 long bill.18
65		-	(1) To implement this act, general fund appropriations made in the19
66		-	annual general appropriation act for the 2025-26 state fiscal year to the20
67		-	department of health care policy and financing and the related FTE are21
68		-	decreased as follows:22
69		-	Executive director's office, general administration23
70		-	Personal services $49,123 (1.0 FTE)24
71		-	229-2- Health, life, and dental $5,5001
72		-	Short-term disability $692
73		-	Paid family and medical leave insurance $1953
74		-	Unfunded liability amortization equalization4
75		-	disbursement payments $4,3465
76		-	Operating expenses $6756
77		-	Executive director's office, information technology contracts7
78		-	and projects8
79		-	Medicaid management information system9
80		-	maintenance and projects $18,00010
81		-	(2) The decreases of appropriations in subsection (1) of this11
82		-	section are based on the assumption that the anticipated amount of federal12
83		-	funds received for the 2025-26 state fiscal year by the department of13
84		-	health care policy and financing will decrease by:14
85		-	Executive director's office, general administration15
86		-	Personal services $49,12316
87		-	Health, life, and dental $5,50017
88		-	Short-term disability $7018
89		-	Paid family and medical leave insurance $19619
90		-	Unfunded liability amortization equalization20
91		-	disbursement payments $4,34721
92		-	Operating expenses $67522
93		-	Executive director's office, information technology contracts 23
94		-	and projects24
95		-	Medicaid management information system25
96		-	maintenance and projects $162,00026
97		-	(3) To implement this act, appropriations made in the annual27
	41	+	SECTION 1. Legislative intent. It is the intent of the general2
	42	+	assembly that one million four hundred three thousand five hundred3
	43	+	twelve dollars from the controlled maintenance trust fund that is4
	44	+	transferred to the general fund in this act and one million four hundred5
	45	+	three thousand five hundred eleven dollars from the excess general fund6
	46	+	reserve is used to provide reimbursement for community health worker7
	47	+	services.8
	48	+	SECTION 2. In Colorado Revised Statutes, 24-75-302.5, add9
	49	+	(13) as follows:10
	50	+	24-75-302.5. Controlled maintenance - trust fund - legislative11
	51	+	declaration - repeal. (13) N
	52	+	OTWITHSTANDING ANY PROVISION OF THIS
	53	+	12
	54	+	SECTION TO THE CONTRARY , ON JULY 1, 2025, THE STATE TREASURER13
	55	+	SHALL TRANSFER ONE MILLION FOUR HUNDRED THREE T HOUSAND FIVE14
	56	+	HUNDRED TWELVE DOLLARS FROM THE CONTROLLED MAINTENANCE TRUST15
	57	+	FUND TO THE GENERAL FUND.16
	58	+	SECTION 3. In Colorado Revised Statutes, 25.5-5-334, add (11)17
	59	+	as follows:18
	60	+	25.5-5-334. Community health worker services - federal19
	61	+	authorization - reporting - rules - definition. (11) S
	62	+	UBJECT TO
	63	+	20
	64	+	AVAILABLE APPROPRIATIONS, UPON RECEIVING ANY NECESSARY FEDERAL21
	65	+	AUTHORIZATION, THE STATE DEPARTMENT SHALL REIMBURSE COMMUNITY22
	66	+	HEALTH WORKERS WHO COMPLY WITH THE REQUIREMENTS OF SUBSECTION23
	67	+	(8)
	68	+	OF THIS SECTION.
	69	+	24
	70	+	SECTION 4. Safety clause. The general assembly finds,25
	71	+	229-2- determines, and declares that this act is necessary for the immediate1
	72	+	preservation of the public peace, health, or safety or for appropriations for2
	73	+	the support and maintenance of the departments of the state and state3
	74	+	institutions.4
98	75		229
99		-	-3- general appropriation act for the 2025-26 state fiscal year to the1
100		-	department of health care policy and financing for medical and long-term2
101		-	care services for Medicaid-eligible individuals are adjusted as follows:3
102		-	(a) The general fund appropriation is decreased by $2,729,115,4
103		-	which is subject to the "(M)" notation as defined in the annual general5
104		-	appropriation act for the same fiscal year; and6
105		-	(b) The cash funds appropriation from the healthcare affordability7
106		-	and sustainability fee cash fund created in section 25.5-4-402.4 (5)(a),8
107		-	C.R.S., is decreased by $685,499.9
108		-	(4) The decreases of appropriations in subsection (3) of this10
109		-	section are based on the assumption that the anticipated amount of federal11
110		-	funds received for the 2025-26 state fiscal year by the department of12
111		-	health care policy and financing for medical and long-term care services13
112		-	for Medicaid-eligible individuals will decrease by $8,012,075.14
113		-	SECTION 4. Safety clause. The general assembly finds,15
114		-	determines, and declares that this act is necessary for the immediate16
115		-	preservation of the public peace, health, or safety or for appropriations for17
116		-	the support and maintenance of the departments of the state and state18
117		-	institutions.19
118		-	229
119		-	-4-
	76	+	-3-