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Colorado Senate Bill SB290

Colorado 2025 Regular Session

Colorado Senate Bill SB290 Compare Versions

Only one version of the bill is available at this time.
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11 First Regular Session
22 Seventy-fifth General Assembly
33 STATE OF COLORADO
44 INTRODUCED
55
66
77 LLS NO. 25-0992.01 Christy Chase x2008
88 SENATE BILL 25-290
99 Senate Committees House Committees
1010 Health & Human Services
1111 A BILL FOR AN ACT
1212 C
1313 ONCERNING THE CREATION OF THE PROVIDER STABILIZATION FUND101
1414 WITHIN THE COLORADO HEALTHCARE AFFORDABILITY AND102
1515 SUSTAINABILITY ENTERPRISE TO MAKE PROVIDER103
1616 STABILIZATION PAYMENTS TO ELIGIBLE SAFETY NET PROVIDERS104
1717 THAT SERVE LOW-INCOME, UNINSURED POPULATIONS IN THE105
1818 STATE, AND, IN CONNECTION THEREWITH, MAXIMIZING FEDERAL106
1919 FUNDS TO SUPPORT THE OPE RATIONS OF THE ENTERPRISE .107
2020 Bill Summary
2121 (Note: This summary applies to this bill as introduced and does
2222 not reflect any amendments that may be subsequently adopted. If this bill
2323 passes third reading in the house of introduction, a bill summary that
2424 applies to the reengrossed version of this bill will be available at
2525 http://leg.colorado.gov
2626 .)
2727 SENATE SPONSORSHIP
2828 Mullica and Kirkmeyer, Bridges, Amabile, Bright, Carson, Catlin, Cutter, Daugherty,
2929 Exum, Frizell, Jodeh, Michaelson Jenet, Pelton B., Rich, Roberts, Simpson, Wallace
3030 HOUSE SPONSORSHIP
3131 Bird,
3232 Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
3333 Capital letters or bold & italic numbers indicate new material to be added to existing law.
3434 Dashes through the words or numbers indicate deletions from existing law. The bill creates the provider stabilization fund within the Colorado
3535 healthcare affordability and sustainability enterprise (enterprise) to
3636 distribute provider stabilization payments to safety net providers who
3737 provide services to low-income, uninsured individuals on a sliding-fee
3838 schedule or at no cost. Provider stabilization payments will be distributed
3939 to eligible safety net providers based on the proportion of low-income,
4040 uninsured individuals that an individual provider serves in comparison to
4141 the total number of low-income, uninsured individuals served by all
4242 eligible safety net providers.
4343 The bill directs the state treasurer to credit interest earnings on the
4444 principal in the unclaimed property trust fund to the provider stabilization
4545 fund as follows:
4646 ! $25 million for the 2025-26 state fiscal year;
4747 ! $20 million for the 2026-27 state fiscal year; and
4848 ! $15 million for the 2027-28 and subsequent state fiscal
4949 years.
5050 The provider stabilization fund also consists of any money the
5151 general assembly appropriates, transfers, or credits to the fund and any
5252 gifts, grants, or donations the enterprise may receive for the fund. The bill
5353 directs the enterprise to leverage money in the provider stabilization fund
5454 to obtain federal matching money.
5555 The bill establishes a provider stabilization fund enterprise support
5656 board to assist the enterprise in implementing and administering the
5757 provider stabilization fund. The enterprise's governing board is required
5858 to submit an annual report on the provider stabilization fund to specified
5959 committees, the governor, and the medical services board in the
6060 department of health care policy and financing.
6161 Be it enacted by the General Assembly of the State of Colorado:1
6262 SECTION 1. Legislative declaration. (1) The general assembly2
6363 finds and determines that:3
6464 (a) Medicaid, the program administered by the department of4
6565 health care policy and financing under the name "Health First Colorado", 5
6666 is an essential public health coverage program that pays for health care6
6767 for more than 1.2 million Coloradans;7
6868 (b) Medicaid is also a critical component of Colorado's broader8
6969 health care system, with thousands of health care providers relying on9
7070 SB25-290-2- payments from medicaid to help sustain their businesses as they serve1
7171 Coloradans;2
7272 (c) Medicaid has a positive impact on Colorado's economy, as3
7373 evidenced by data from a 2016 report commissioned by the Colorado4
7474 Health Foundation showing that, after the medicaid program expansion5
7575 made possible by the federal "Patient Protection and Affordable Care6
7676 Act" and Senate Bill 13-200, the state's economy experienced an increase7
7777 in the state gross domestic product, an increase in jobs, an increase in8
7878 annual household earnings, and an increase in general fund revenues;9
7979 (d) During the public health emergency caused by the COVID-1910
8080 pandemic, the federal government allowed all people enrolled in medicaid11
8181 as of March 2020 to retain their benefits during the period of the public12
8282 health emergency, which lasted until May 2023;13
8383 (e) Following the public health emergency, the federal14
8484 government required the state to conduct eligibility redeterminations for15
8585 all medicaid enrollees;16
8686 (f) Before the eligibility redetermination, 1.8 million Coloradans17
8787 were enrolled in the state's medicaid program, and as of May 2024, the18
8888 state's medicaid enrollment dropped by over 500,000 to 1.27 million;19
8989 (g) From spring of 2023 to spring of 2024, Colorado health care20
9090 providers experienced significant increases in the demand for care from21
9191 uninsured Coloradans, suggesting that many Coloradans who lost22
9292 medicaid eligibility became uninsured; and23
9393 (h) The increased demand for uncompensated care has had24
9494 destabilizing financial effects on safety net providers, leading to reduced25
9595 access to care for many Coloradans.26
9696 (2) The general assembly therefore declares that it is:27
9797 SB25-290
9898 -3- (a) Enacting the provider stabilization fund as a short-term1
9999 solution intended to stabilize certain safety net providers; and2
100100 (b) Committed to:3
101101 (I) Protecting vital primary care safety net infrastructure in the4
102102 state;5
103103 (II) Ensuring Colorado communities can provide access to care for6
104104 their residents; and7
105105 (III) Working toward long-term sustainability for Colorado's8
106106 health-care safety net.9
107107 SECTION 2. In Colorado Revised Statutes, 25.5-4-402.4, amend10
108108 (2)(a), (2)(c) introductory portion, (2)(c)(V), (2)(e), (3)(a), (3)(d)(II),11
109109 (3)(d)(III), (3)(d)(V), (7)(d)(II), (7)(d)(IX), (7)(e) introductory portion,12
110110 and (7)(f)(I); and add (2)(b.5), (2)(c)(II.5), (2)(c)(V.3), (2)(d.3), (5.3),13
111111 (6)(a)(IV), (7)(e)(III.3), and (9) as follows:14
112112 25.5-4-402.4. Hospitals - healthcare affordability and15
113113 sustainability fee - Colorado healthcare affordability and16
114114 sustainability enterprise - federal waiver - fund created - reports -17
115115 rules - definitions - legislative declaration - repeal. (2) Legislative18
116116 declaration. The general assembly hereby finds and declares that:19
117117 (a) The state and the providers of publicly funded medical20
118118 services, and hospitals
119119 AND SAFETY NET PROVIDERS in particular, share a21
120120 common commitment to comprehensive health-care reform;22
121121 (b.5) A
122122 DDITIONALLY, SAFETY NET PROVIDERS IN THE STATE INCUR23
123123 SIGNIFICANT COSTS BY PROVIDING SERVICES TO A LARGE PORTION OF THE24
124124 STATE'S LOW-INCOME, UNINSURED POPULATIONS AND INDIVIDUALS AND25
125125 FAMILIES ENROLLED IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC26
126126 HEALTH PLAN; 27
127127 SB25-290
128128 -4- (c) This section is enacted as part of a comprehensive health-care1
129129 reform and is intended to provide the following services and benefits to2
130130 hospitals,
131131 SAFETY NET PROVIDERS, and individuals, AS APPLICABLE:3
132132 (II.5) T
133133 HROUGH PROVIDER STABILIZATION PAYMENTS , REDUCING4
134134 THE UNDERPAYMENT TO COLORADO SAFETY NET PROVIDERS5
135135 PARTICIPATING IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC6
136136 HEALTH PLAN AND PROVIDING COMPENSATION TO SAFETY NET PROVIDERS7
137137 THAT PROVIDE SERVICES TO LOW-INCOME, UNINSURED INDIVIDUALS ON A8
138138 SLIDING-FEE SCHEDULE OR FOR FREE;9
139139 (V) Expanding
140140 AND ENSURING access to high-quality, affordable10
141141 health care for low-income and uninsured populations; and
142142 11
143143 (V.3) D
144144 ISTRIBUTING PROVIDER STABILIZATION PAYMENTS TO12
145145 SAFETY NET PROVIDERS IN ORDER TO MAINTAIN THE QUALITY AND13
146146 CONTINUITY OF SERVICES DELIVERED BY SAFETY NET PROVIDERS TO14
147147 LOW-INCOME, UNINSURED INDIVIDUALS AND INDIVIDUALS AND FAMILIES15
148148 ENROLLED IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC HEALTH16
149149 PLAN; AND17
150150 (d.3) T
151151 HE COLORADO HEALTHCARE AFFORDABILITY AND18
152152 SUSTAINABILITY ENTERPRISE PROVIDES BUSINESS SERVICES TO SAFETY NET19
153153 PROVIDERS WHEN IT ALLOCATES MONEY IN THE PROVIDER STABILIZATION20
154154 FUND ESTABLISHED IN SUBSECTION (5.3) OF THIS SECTION AND ANY21
155155 AVAILABLE FEDERAL MATCHING MONEY FOR PROVIDER STABILIZATION22
156156 PAYMENTS TO ELIGIBLE SAFETY NET PROVIDERS TO ENSURE THOSE23
157157 PROVIDERS CAN CONTINUE PROVIDING ACCESS TO HEALTH -CARE SERVICES24
158158 FOR ENROLLEES IN MEDICAID , MEDICARE, OR THE CHILDREN'S BASIC25
159159 HEALTH PLAN AND TO LOW -INCOME, UNINSURED INDIVIDUALS IN THE26
160160 STATE;27
161161 SB25-290
162162 -5- (e) It is necessary, appropriate, and in the best interest of the state1
163163 to acknowledge that by providing the business services specified in2
164164 subsections (2)(d)(I) and (2)(d)(II) SUBSECTIONS (2)(d) AND (2)(d.3) of3
165165 this section, the Colorado healthcare affordability and sustainability4
166166 enterprise engages in an activity conducted in the pursuit of a benefit,5
167167 gain, or livelihood and therefore operates as a business;6
168168 (3) Colorado healthcare affordability and sustainability7
169169 enterprise. (a) The Colorado healthcare affordability and sustainability8
170170 enterprise referred to in this section as the "enterprise", is created. The9
171171 enterprise is and operates as a government-owned business within the10
172172 state department for the purpose of:11
173173 (I) Charging and collecting the healthcare affordability and12
174174 sustainability fee;13
175175 (II) Leveraging
176176 REVENUE FROM THE healthcare affordability and14
177177 sustainability fee revenue
178178 AND IN THE PROVIDER STABILIZATION FUND to15
179179 obtain federal matching money; and16
180180 (III) Utilizing and deploying:17
181181 (A) The healthcare affordability and sustainability fee revenue and18
182182 federal matching money to provide the business services specified in19
183183 subsections (2)(d)(I) and (2)(d)(II) of this section to hospitals that pay the20
184184 healthcare affordability and sustainability fee;
185185 AND21
186186 (B) M
187187 ONEY IN THE PROVIDER STABILIZATION FUND AND ANY22
188188 FEDERAL MATCHING MONEY TO PROVIDE THE BUSINESS SERVICES23
189189 SPECIFIED IN SUBSECTION (2)(d.3OF THIS SECTION TO ELIGIBLE SAFETY NET24
190190 PROVIDERS IN ACCORDANCE WITH SUBSECTION (5.3) OF THIS SECTION.25
191191 (d) The enterprise's primary powers and duties are:26
192192 (II) To leverage
193193 REVENUE COLLECTED FROM THE healthcare27
194194 SB25-290
195195 -6- affordability and sustainability fee revenue collected AND MONEY IN THE1
196196 PROVIDER STABILIZATION FUND to obtain federal matching money,2
197197 working with or through the state department and the state board to the3
198198 extent required by federal law or otherwise necessary;4
199199 (III) To expend:5
200200 (A) Healthcare affordability and sustainability fee revenue,6
201201 matching federal money, and any other money from the healthcare7
202202 affordability and sustainability fee cash fund as specified in subsections8
203203 (4) and (5) of this section;
204204 AND9
205205 (B) M
206206 ONEY IN THE PROVIDER STABILIZATION FUND AND ANY10
207207 MATCHING FEDERAL MONEY AS SPECIFIED IN SUBSECTION (5.3) OF THIS11
208208 SECTION.12
209209 (V) To enter into agreements with the state department to the13
210210 extent necessary to collect and expend healthcare affordability and14
211211 sustainability fee revenue
212212 AND TO EXPEND MONEY IN THE PROVIDER15
213213 STABILIZATION FUND;16
214214 (5.3) Provider stabilization fund - provider stabilization17
215215 payments to eligible safety net providers - provider stabilization fund18
216216 enterprise support board - annual report. (a) Fund creation - use.19
217217 (I) T
218218 HE PROVIDER STABILIZATION FUND IS CREATED IN THE STATE20
219219 TREASURY. THE PROVIDER STABILIZATION FUND CONSISTS OF :21
220220 (A) M
221221 ONEY CREDITED TO THE FUND PURSUANT TO SECTION22
222222 38-13-801
223223 (6);23
224224 (B) A
225225 NY OTHER MONEY THE GENERAL ASSEMBLY MAY24
226226 APPROPRIATE, TRANSFER, OR CREDIT TO THE FUND; AND25
227227 (C) A
228228 NY GIFTS, GRANTS, OR DONATIONS THE ENTERPRISE MAY26
229229 RECEIVE FROM PUBLIC OR PRIVATE SOURCES FOR THE PROVIDER27
230230 SB25-290
231231 -7- STABILIZATION FUND.1
232232 (II) T
233233 HE STATE TREASURER SHALL CREDIT ALL INTEREST AND2
234234 INCOME DERIVED FROM THE DEPOSIT AND INVESTMENT OF MONEY IN THE3
235235 PROVIDER STABILIZATION FUND TO THE FUND . THE STATE TREASURER4
236236 SHALL INVEST, AS PROVIDED BY LAW, ANY MONEY IN THE FUND NOT5
237237 EXPENDED FOR THE PURPOSES SPECIFIED IN THIS SUBSECTION (5.3).6
238238 M
239239 ONEY IN THE FUND MUST NOT BE TRANSFERRED TO ANY OTHER FUND7
240240 AND MUST NOT BE USED FOR ANY PURPOSE OTHER THAN THE PURPOSES8
241241 SPECIFIED IN THIS SUBSECTION (5.3).9
242242 (III) A
243243 LL MONEY IN THE FUND IS SUBJECT TO FEDERAL MATCHING10
244244 AS AUTHORIZED UNDER FEDERAL LAW AND , SUBJECT TO ANNUAL11
245245 APPROPRIATION BY THE GENERAL ASSEMBLY , SHALL BE EXPENDED BY THE12
246246 ENTERPRISE, IN ACCORDANCE WITH SUBSECTION (5.3)(b) OF THIS SECTION,13
247247 TO DISTRIBUTE PROVIDER STABILIZATION PAYMENTS TO SAFETY NET14
248248 PROVIDERS DETERMINED ELIGIBLE FOR PAYMENTS IN ACCORDANCE WITH15
249249 SUBSECTION (5.3)(c) OF THIS SECTION.16
250250 (IV) T
251251 HE ENTERPRISE, IN COLLABORATION WITH THE PROVIDER17
252252 STABILIZATION FUND ENTERPRISE SUPPORT BOARD , MAY SEEK, ACCEPT,18
253253 AND EXPEND GIFTS, GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC19
254254 SOURCES FOR THE PURPOSES OF THIS SUBSECTION (5.3). THE ENTERPRISE20
255255 SHALL TRANSMIT ALL MONEY RECEIVED THROUGH GIFTS , GRANTS, OR21
256256 DONATIONS TO THE STATE TREASURER , WHO SHALL CREDIT THE MONEY TO22
257257 THE PROVIDER STABILIZATION FUND.23
258258 (b) Provider stabilization payments. (I) T
259259 HE ENTERPRISE, IN24
260260 COLLABORATION WITH THE PROVIDER STABILIZATION FUND ENTERPRISE25
261261 SUPPORT BOARD, SHALL ANNUALLY ALLOCATE MONEY APPROPRIATED BY26
262262 THE GENERAL ASSEMBLY FROM THE PROVIDER STABILIZATION FUND AS27
263263 SB25-290
264264 -8- PROVIDER STABILIZATION PAYMENTS TO SAFETY NET PROVIDERS IN THE1
265265 STATE WHO COMPLY WITH THE REQUIREMENTS OF SUBSECTION (5.3)(c) OF2
266266 THIS SECTION AND ARE DETERMINED TO BE ELIGIBLE FOR A PROVIDER3
267267 STABILIZATION PAYMENT . THE ENTERPRISE SHALL ALLOCATE THE4
268268 PROVIDER STABILIZATION PAYMENTS IN AMOUNTS PROPORTIONATE TO THE5
269269 NUMBER OF LOW -INCOME, UNINSURED INDIVIDUALS SERVED BY AN6
270270 ELIGIBLE SAFETY NET PROVIDER RELATIVE TO THE TOTAL NUMBER OF7
271271 LOW-INCOME, UNINSURED INDIVIDUALS SERVED BY ALL ELIGIBLE SAFETY8
272272 NET PROVIDERS.9
273273 (II) T
274274 HE ENTERPRISE, IN CONSULTATION WITH THE PROVIDER10
275275 STABILIZATION FUND ENTERPRISE SUPPORT BOARD , SHALL ESTABLISH A11
276276 SCHEDULE FOR ALLOCATING THE MONEY APPROPRIATED FROM THE12
277277 PROVIDER STABILIZATION FUND FOR ELIGIBLE SAFETY NET PROVIDERS .13
278278 T
279279 HE DISBURSEMENT OF MONEY IN THE PROVIDER STABILIZATION FUND TO14
280280 ELIGIBLE SAFETY NET PROVIDERS PURSUANT TO THIS SUBSECTION (5.3) IS15
281281 EXEMPT FROM THE PROVISIONS OF THE "PROCUREMENT CODE", ARTICLES16
282282 101
283283 TO 112 OF TITLE 24.17
284284 (c) Provider eligibility. (I) F
285285 OR A SAFETY NET PROVIDER TO BE18
286286 ELIGIBLE FOR A PROVIDER STABILIZATION PAYMENT PURSUANT TO19
287287 SUBSECTION (5.3)(b) OF THIS SECTION, THE SAFETY NET PROVIDER SHALL20
288288 PROVIDE SUFFICIENT INFORMATION TO THE ENTERPRISE , AS SPECIFIED IN21
289289 SUBSECTION (5.3)(c)(II) OF THIS SECTION, THAT THE PROVIDER PROVIDES22
290290 SERVICES TO LOW-INCOME, UNINSURED INDIVIDUALS:23
291291 (A) A
292292 T NO COST; OR24
293293 (B) O
294294 N A SLIDING-FEE SCHEDULE.25
295295 (II) A
296296 SAFETY NET PROVIDER APPLYING FOR A PROVIDER26
297297 STABILIZATION PAYMENT SHALL ANNUALLY SUBMIT TO THE ENTERPRISE27
298298 SB25-290
299299 -9- INFORMATION THAT THE ENTERPRISE , IN CONSULTATION WITH THE1
300300 PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD , DETERMINES2
301301 NECESSARY TO ESTABLISH THE PROVIDER 'S ELIGIBILITY FOR A PROVIDER3
302302 STABILIZATION PAYMENT PURSUANT TO SUBSECTION (5.3)(b) OF THIS4
303303 SECTION. THE SAFETY NET PROVIDER SHALL PROVIDE THE FOLLOWING :5
304304 (A) I
305305 NFORMATION DEMONSTRATING THAT THE PROVIDER IS A6
306306 SAFETY NET PROVIDER AS DESCRIBED IN SUBSECTION (9)(h)(I), (9)(h)(II),7
307307 OR (9)(h)(III) OF THIS SECTION OR HAS A CLIENT CASELOAD THAT8
308308 SATISFIES THE REQUIREMENTS OF SUBSECTION (9)(h)(IV) OF THIS SECTION;9
309309 (B) F
310310 OR A SAFETY NET PROVIDER DESCRIBED IN SUBSECTION10
311311 (9)(h)(IV)
312312 OF THIS SECTION, THE TOTAL NUMBER OF PATIENTS SERVED ,11
313313 THE NUMBER OF LOW -INCOME, UNINSURED INDIVIDUALS THAT THE12
314314 PROVIDER SERVED, AND THE NUMBER OF ENROLLEES IN MEDICAID ,13
315315 MEDICARE, OR THE CHILDREN'S BASIC HEALTH PLAN THAT THE PROVIDER14
316316 SERVED; AND15
317317 (C) I
318318 NFORMATION TO DEMONSTRATE THAT THE PROVIDER16
319319 PROVIDES SERVICES IN COMPLIANCE WITH SUBSECTION (5.3)(c)(I)(A),17
320320 (5.3)(c)(I)(B),
321321 OR (5.3)(c)(I)(C) OF THIS SECTION, AS APPLICABLE.18
322322 (III) F
323323 OR PURPOSES OF THIS SUBSECTION (5.3)(c), THE NUMBER OF19
324324 PATIENTS SERVED IS THE NUMBER OF UNDUPLICATED USERS OF20
325325 HEALTH-CARE SERVICES AND IS NOT THE NUMBER OF VISITS BY A PATIENT.21
326326 (d) Provider stabilization fund enterprise support board.22
327327 (I) T
328328 HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD IS23
329329 CREATED WITHIN THE ENTERPRISE TO SUPPORT THE ENTERPRISE BOARD24
330330 WITH THE IMPLEMENTATION OF THIS SUBSECTION (5.3). THE PROVIDER25
331331 STABILIZATION FUND ENTERPRISE SUPPORT BOARD CONSISTS OF NINE26
332332 MEMBERS APPOINTED BY THE GOVERNOR AS FOLLOWS :27
333333 SB25-290
334334 -10- (A) FIVE MEMBERS WHO ARE ELIGIBLE SAFETY NET PROVIDERS OR1
335335 WHO REPRESENT ASSOCIATIONS OF ELIGIBLE SAFETY NET PROVIDERS ;2
336336 (B) T
337337 HREE MEMBERS WHO ARE LOW -INCOME, UNINSURED3
338338 INDIVIDUALS WHO RELY ON SAFETY NET PROVIDERS FOR HEALTH CARE OR4
339339 WHO ARE REPRESENTATIVES FROM COLORADO-BASED CONSUMER5
340340 ADVOCACY ORGANIZATIONS THAT WORK ON SAFETY NET HEALTH -CARE6
341341 MATTERS; AND7
342342 (C) O
343343 NE MEMBER WHO IS AN EMPLOYEE OF THE STATE8
344344 DEPARTMENT.9
345345 (II) (A) T
346346 HE GOVERNOR SHALL MAKE THE INITIAL APPOINTMENTS10
347347 TO THE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD AS11
348348 SOON AS POSSIBLE AFTER THE EFFECTIVE DATE OF THIS SUBSECTION12
349349 (5.3)(d),
350350 BUT NO LATER THAN AUGUST 1, 2025.13
351351 (B) M
352352 EMBERS OF THE PROVIDER STABILIZATION FUND ENTERPRISE14
353353 SUPPORT BOARD SERVE AT THE PLEASURE OF THE GOVERNOR . THE TERM15
354354 OF APPOINTMENT IS THREE YEARS.16
355355 (C) M
356356 EMBERS OF THE PROVIDER STABILIZATION FUND ENTERPRISE17
357357 SUPPORT BOARD SERVE WITHOUT COMPENSATION AND WITHOUT18
358358 REIMBURSEMENT FOR EXPENSES .19
359359 (III) T
360360 HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT20
361361 BOARD SHALL ELECT A CHAIR AND VICE-CHAIR FROM AMONG ITS PROVIDER21
362362 AND CONSUMER MEMBERS AND SHALL MEET AS NECESSARY AT THE CALL22
363363 OF THE CHAIR TO PERFORM ITS FUNCTIONS AS SPECIFIED IN THIS23
364364 SUBSECTION (5.3)(d).24
365365 (IV) T
366366 HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT25
367367 BOARD SHALL CONSULT WITH THE ENTERPRISE BOARD , AS WELL AS THE26
368368 STATE DEPARTMENT AND THE STATE BOARD AS NECESSARY , IN27
369369 SB25-290
370370 -11- IMPLEMENTING THIS SUBSECTION (5.3), INCLUDING ASSISTING THE1
371371 ENTERPRISE IN ADMINISTERING AND PROVIDING OVERSIGHT OF THE2
372372 PROVIDER STABILIZATION FUND.3
373373 (e) Provider stabilization fund report. (I) B
374374 EGINNING4
375375 S
376376 EPTEMBER 1, 2026, AND BY EACH SEPTEMBER 1 THEREAFTER, THE5
377377 ENTERPRISE BOARD SHALL PREPARE AND SUBMIT AN ANNUAL REPORT6
378378 CONCERNING THE PROVIDER STABILIZATION FUND TO :7
379379 (A) T
380380 HE HEALTH AND HUMAN SERVIC ES COMMITTEE OF THE HOUSE8
381381 OF REPRESENTATIVES AND THE HEALTH AND HUMAN SERVICES COMMITTEE9
382382 OF THE SENATE, OR THEIR SUCCESSOR COMMITTEES ;10
383383 (B) T
384384 HE JOINT BUDGET COMMITTEE;11
385385 (C) T
386386 HE GOVERNOR; AND12
387387 (D) T
388388 HE STATE BOARD.13
389389 (II) A
390390 T A MINIMUM, THE REPORT MUST INCLUDE:14
391391 (A) T
392392 HE NUMBER OF LOW-INCOME, UNINSURED INDIVIDUALS AND15
393393 THE NUMBER OF MEDICAID, MEDICARE, AND CHILDREN'S BASIC HEALTH16
394394 PLAN ENROLLEES SERVED BY ELIGIBLE SAFETY NET PROVIDERS THAT17
395395 RECEIVED PROVIDER STABILIZATION PAYMENTS IN THE IMMEDIATELY18
396396 PRECEDING FISCAL YEAR;19
397397 (B) T
398398 HE ALLOCATION OF MONEY TO ELIGIBLE SAFETY NET20
399399 PROVIDERS; AND21
400400 (C) A
401401 NY OTHER INFORMATION THAT THE ENTERPRISE BOARD , IN22
402402 CONSULTATION WITH THE PROVIDER STABILIZATION FUND ENTERPRISE23
403403 SUPPORT BOARD, DEEMS NECESSARY OR APPROPRIATE .24
404404 (6) Appropriations. (a) (IV) P
405405 ROVIDER STABILIZATION PAYMENTS25
406406 FROM THE PROVIDER STABILIZATION FUND PURSUANT TO SUBSECTION (5.3)26
407407 OF THIS SECTION ARE MADE TO SUPPLEMENT , NOT SUPPLANT, GENERAL27
408408 SB25-290
409409 -12- FUND APPROPRIATIONS TO SUPPORT SAFETY NET PROVIDER1
410410 REIMBURSEMENTS.2
411411 (7) Colorado healthcare affordability and sustainability3
412412 enterprise board. (d) The enterprise board has, at a minimum, the4
413413 following duties:5
414414 (II) If requested by the health and human services committee of6
415415 the senate or the public health care and human services committee of the7
416416 house of representatives, or any successor committees, to consult with the8
417417 committees on any legislation that may impact the healthcare affordability9
418418 and sustainability fee,
419419 PAYMENTS, or hospital
420420 reimbursements established10
421421 pursuant to this section;11
422422 (IX) To monitor the impact of the healthcare affordability and12
423423 sustainability fee
424424 AND PROVIDER STABILIZATION PAYMENTS on the broader13
425425 health-care marketplace;14
426426 (e) On or before January 15, 2018, and on or before
427427 January 15 OF15
428428 each year, thereafter the enterprise board shall submit a written report to16
429429 the health and human services committee of the senate and the public17
430430 health care and human services committee of the house of representatives,18
431431 or any successor committees, the joint budget committee of the general19
432432 assembly, the governor, and the state board. The report shall include, but20
433433 need not be limited to:21
434434 (III.3) A
435435 N ITEMIZATION OF THE TOTAL AMOUNT OF PROVIDER22
436436 STABILIZATION PAYMENTS ALLOCATED TO EACH ELIGIBLE SAFETY NET23
437437 PROVIDER;24
438438 (f) (I) The enterprise is
439439 AND THE PROVIDER STABILIZATION FUND25
440440 ENTERPRISE SUPPORT BOARD ARE subject to the open meetings provisions26
441441 of the "Colorado Sunshine Act of 1972", contained in part 4 of article 627
442442 SB25-290
443443 -13- of title 24, and the "Colorado Open Records Act", part 2 of article 72 of1
444444 title 24.2
445445 (9) Definitions. A
446446 S USED IN THIS SECTION, UNLESS THE CONTEXT3
447447 OTHERWISE REQUIRES:4
448448 (a) "C
449449 HILDREN'S BASIC HEALTH PLAN" HAS THE SAME MEANING AS5
450450 SET FORTH IN SECTION 25.5-8-103 (2).6
451451 (b) "E
452452 LIGIBLE SAFETY NET PROVIDER " MEANS A SAFETY NET7
453453 PROVIDER DETERMINED , PURSUANT TO SUBSECTION (5.3)(c) OF THIS8
454454 SECTION, TO BE ELIGIBLE FOR A PROVIDER STABILIZATION PAYMENT .9
455455 (c) "E
456456 NTERPRISE" MEANS THE COLORADO HEALTHCARE10
457457 AFFORDABILITY AND SUSTAINABILITY ENTERPRISE CREATED IN11
458458 SUBSECTION (3) OF THIS SECTION.12
459459 (d) "E
460460 NTERPRISE BOARD" MEANS THE COLORADO HEALTHCARE13
461461 AFFORDABILITY AND SUSTAINABILITY ENTERPRISE BOARD CREATED IN14
462462 SUBSECTION (7) OF THIS SECTION.15
463463 (e) "L
464464 OW-INCOME, UNINSURED INDIVIDUAL " MEANS AN16
465465 INDIVIDUAL:17
466466 (I) R
467467 ECEIVING SERVICES FROM A SAFETY NET PROVIDER ;18
468468 (II) W
469469 HOSE ANNUAL HOUSEHOLD INCOME IS AT OR BELOW TWO19
470470 HUNDRED PERCENT OF THE FEDERAL POVERTY GUIDELINE ;20
471471 (III) W
472472 HO IS NOT ENROLLED IN MEDICAID , MEDICARE, OR THE21
473473 CHILDREN'S BASIC HEALTH PLAN; AND22
474474 (IV) F
475475 OR WHOM A THIRD PARTY IS NOT PAYING OR REIMBURSING23
476476 THE SAFETY NET PROVIDER FOR ALL OR A PORTION OF THE AMOUNT24
477477 CHARGED FOR THE SERVICES PROVIDED TO THE INDIVIDUAL .25
478478 (f) "M
479479 EDICAID" MEANS A MEDICAL ASSISTANCE PROGRAM UNDER26
480480 ARTICLES 4 TO 6 OF THIS TITLE 25.5.27
481481 SB25-290
482482 -14- (g) "MEDICARE" MEANS THE "HEALTH INSURANCE FOR THE AGED1
483483 A
484484 CT", TITLE XVIII OF THE FEDERAL "SOCIAL SECURITY ACT", AS2
485485 AMENDED.3
486486 (h) "S
487487 AFETY NET PROVIDER" MEANS:4
488488 (I) A
489489 COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH5
490490 PROVIDER, AS DEFINED IN SECTION 27-50-101 (11);6
491491 (II) A
492492 RURAL HEALTH CLINIC, AS DEFINED IN 42 U.S.C. SEC. 1395x7
493493 (aa)(2);8
494494 (III) A
495495 FEDERALLY QUALIFIED HEALTH CENTER , AS DEFINED IN 429
496496 U.S.C.
497497 SEC. 1395x (aa)(4); OR10
498498 (IV) A
499499 HEALTH-CARE PROVIDER THAT IS DELIVERING PRIMARY11
500500 CARE SERVICES AND AT LEAST FIFTY PERCENT OF WHOSE CLIENT12
501501 CASELOAD IS INDIVIDUALS WHO ARE ENROLLED IN MEDICAID , MEDICARE,13
502502 OR THE CHILDREN'S BASIC HEALTH PLAN OR WHO ARE LOW -INCOME,14
503503 UNINSURED INDIVIDUALS, OR ANY COMBINATION OF SUCH ENROLLEES OR15
504504 LOW-INCOME, UNINSURED INDIVIDUALS.16
505505 SECTION 3. In Colorado Revised Statutes, 38-13-801, amend17
506506 (1)(c); and add (2)(e) and (6) as follows:18
507507 38-13-801. Unclaimed property trust fund - creation -19
508508 payments - interest - appropriations - records - rules. (1) (c) E
509509 XCEPT20
510510 AS PROVIDED IN SUBSECTION (6) OF THIS SECTION, all interest derived from21
511511 the deposit and investment of money in the trust fund shall be credited to22
512512 the trust fund. S
513513 UCH INTEREST IS NOT FISCAL YEAR SPENDING OF THE23
514514 STATE FOR PURPOSES OF SECTION 20 OF ARTICLE X OF THE STATE24
515515 CONSTITUTION.25
516516 (2) (e) I
517517 NTEREST CREDITED, AS REQUIRED BY SUBSECTION (6) OF26
518518 THIS SECTION, TO THE PROVIDER STABILIZATION FUND CREATED IN27
519519 SB25-290
520520 -15- SECTION 25.5-4-402.4 (5.3)(a) DOES NOT CONSTITUTE FISCAL YEAR1
521521 SPENDING OF THE STATE FOR PURPOSES OF SECTION 20 OF ARTICLE X OF2
522522 THE STATE CONSTITUTION.3
523523 (6) T
524524 HE STATE TREASURER SHALL CREDIT INTEREST DERIVED FROM4
525525 THE DEPOSIT AND INVESTMENT OF MONEY IN THE UNCLAIMED PROPERTY5
526526 TRUST FUND TO THE PROVIDER STABILIZATION FUND CREATED IN SECTION6
527527 25.5-4-402.4 (5.3)(a)
528528 AS FOLLOWS:7
529529 (a) O
530530 N JULY 1, 2025, TWENTY-FIVE MILLION DOLLARS;8
531531 (b) O
532532 N JULY 1, 2026, TWENTY MILLION DOLLARS; AND9
533533 (c) O
534534 N JULY 1, 2027, AND ON JULY 1 OF EACH STATE FISCAL YEAR10
535535 THEREAFTER, FIFTEEN MILLION DOLLARS.11
536536 SECTION 4. Effective date. (1) Except as otherwise provided12
537537 in this section, this act takes effect upon passage.13
538538 (2) Section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S., enacted in section14
539539 2 of this act, and section 3 of this act take effect only if Bill 25- 15
540540 becomes law, in which case section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S.,16
541541 enacted in section 2 of this act, and section 3 of this act take effect upon17
542542 passage of this act or on the effective date of Bill 25- , whichever is18
543543 later.19
544544 SECTION 5. Safety clause. The general assembly finds,20
545545 determines, and declares that this act is necessary for the immediate21
546546 preservation of the public peace, health, or safety or for appropriations for22
547547 the support and maintenance of the departments of the state and state23
548548 institutions.24
549549 SB25-290
550550 -16-