First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
INTRODUCED
LLS NO. 25-0992.01 Christy Chase x2008
SENATE BILL 25-290
Senate Committees House Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING THE CREATION OF THE PROVIDER STABILIZATION FUND101
WITHIN THE COLORADO HEALTHCARE AFFORDABILITY AND102
SUSTAINABILITY ENTERPRISE TO MAKE PROVIDER103
STABILIZATION PAYMENTS TO ELIGIBLE SAFETY NET PROVIDERS104
THAT SERVE LOW-INCOME, UNINSURED POPULATIONS IN THE105
STATE, AND, IN CONNECTION THEREWITH, MAXIMIZING FEDERAL106
FUNDS TO SUPPORT THE OPE RATIONS OF THE ENTERPRISE .107
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
SENATE SPONSORSHIP
Mullica and Kirkmeyer, Bridges, Amabile, Bright, Carson, Catlin, Cutter, Daugherty,
Exum, Frizell, Jodeh, Michaelson Jenet, Pelton B., Rich, Roberts, Simpson, Wallace
HOUSE SPONSORSHIP
Bird,
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law. The bill creates the provider stabilization fund within the Colorado
healthcare affordability and sustainability enterprise (enterprise) to
distribute provider stabilization payments to safety net providers who
provide services to low-income, uninsured individuals on a sliding-fee
schedule or at no cost. Provider stabilization payments will be distributed
to eligible safety net providers based on the proportion of low-income,
uninsured individuals that an individual provider serves in comparison to
the total number of low-income, uninsured individuals served by all
eligible safety net providers.
The bill directs the state treasurer to credit interest earnings on the
principal in the unclaimed property trust fund to the provider stabilization
fund as follows:
! $25 million for the 2025-26 state fiscal year;
! $20 million for the 2026-27 state fiscal year; and
! $15 million for the 2027-28 and subsequent state fiscal
years.
The provider stabilization fund also consists of any money the
general assembly appropriates, transfers, or credits to the fund and any
gifts, grants, or donations the enterprise may receive for the fund. The bill
directs the enterprise to leverage money in the provider stabilization fund
to obtain federal matching money.
The bill establishes a provider stabilization fund enterprise support
board to assist the enterprise in implementing and administering the
provider stabilization fund. The enterprise's governing board is required
to submit an annual report on the provider stabilization fund to specified
committees, the governor, and the medical services board in the
department of health care policy and financing.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. Legislative declaration. (1) The general assembly2
finds and determines that:3
(a) Medicaid, the program administered by the department of4
health care policy and financing under the name "Health First Colorado", 5
is an essential public health coverage program that pays for health care6
for more than 1.2 million Coloradans;7
(b) Medicaid is also a critical component of Colorado's broader8
health care system, with thousands of health care providers relying on9
SB25-290-2- payments from medicaid to help sustain their businesses as they serve1
Coloradans;2
(c) Medicaid has a positive impact on Colorado's economy, as3
evidenced by data from a 2016 report commissioned by the Colorado4
Health Foundation showing that, after the medicaid program expansion5
made possible by the federal "Patient Protection and Affordable Care6
Act" and Senate Bill 13-200, the state's economy experienced an increase7
in the state gross domestic product, an increase in jobs, an increase in8
annual household earnings, and an increase in general fund revenues;9
(d) During the public health emergency caused by the COVID-1910
pandemic, the federal government allowed all people enrolled in medicaid11
as of March 2020 to retain their benefits during the period of the public12
health emergency, which lasted until May 2023;13
(e) Following the public health emergency, the federal14
government required the state to conduct eligibility redeterminations for15
all medicaid enrollees;16
(f) Before the eligibility redetermination, 1.8 million Coloradans17
were enrolled in the state's medicaid program, and as of May 2024, the18
state's medicaid enrollment dropped by over 500,000 to 1.27 million;19
(g) From spring of 2023 to spring of 2024, Colorado health care20
providers experienced significant increases in the demand for care from21
uninsured Coloradans, suggesting that many Coloradans who lost22
medicaid eligibility became uninsured; and23
(h) The increased demand for uncompensated care has had24
destabilizing financial effects on safety net providers, leading to reduced25
access to care for many Coloradans.26
(2) The general assembly therefore declares that it is:27
SB25-290
-3- (a) Enacting the provider stabilization fund as a short-term1
solution intended to stabilize certain safety net providers; and2
(b) Committed to:3
(I) Protecting vital primary care safety net infrastructure in the4
state;5
(II) Ensuring Colorado communities can provide access to care for6
their residents; and7
(III) Working toward long-term sustainability for Colorado's8
health-care safety net.9
SECTION 2. In Colorado Revised Statutes, 25.5-4-402.4, amend10
(2)(a), (2)(c) introductory portion, (2)(c)(V), (2)(e), (3)(a), (3)(d)(II),11
(3)(d)(III), (3)(d)(V), (7)(d)(II), (7)(d)(IX), (7)(e) introductory portion,12
and (7)(f)(I); and add (2)(b.5), (2)(c)(II.5), (2)(c)(V.3), (2)(d.3), (5.3),13
(6)(a)(IV), (7)(e)(III.3), and (9) as follows:14
25.5-4-402.4. Hospitals - healthcare affordability and15
sustainability fee - Colorado healthcare affordability and16
sustainability enterprise - federal waiver - fund created - reports -17
rules - definitions - legislative declaration - repeal. (2) Legislative18
declaration. The general assembly hereby finds and declares that:19
(a) The state and the providers of publicly funded medical20
services, and hospitals
AND SAFETY NET PROVIDERS in particular, share a21
common commitment to comprehensive health-care reform;22
(b.5) A
DDITIONALLY, SAFETY NET PROVIDERS IN THE STATE INCUR23
SIGNIFICANT COSTS BY PROVIDING SERVICES TO A LARGE PORTION OF THE24
STATE'S LOW-INCOME, UNINSURED POPULATIONS AND INDIVIDUALS AND25
FAMILIES ENROLLED IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC26
HEALTH PLAN; 27
SB25-290
-4- (c) This section is enacted as part of a comprehensive health-care1
reform and is intended to provide the following services and benefits to2
hospitals,
SAFETY NET PROVIDERS, and individuals, AS APPLICABLE:3
(II.5) T
HROUGH PROVIDER STABILIZATION PAYMENTS , REDUCING4
THE UNDERPAYMENT TO COLORADO SAFETY NET PROVIDERS5
PARTICIPATING IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC6
HEALTH PLAN AND PROVIDING COMPENSATION TO SAFETY NET PROVIDERS7
THAT PROVIDE SERVICES TO LOW-INCOME, UNINSURED INDIVIDUALS ON A8
SLIDING-FEE SCHEDULE OR FOR FREE;9
(V) Expanding
AND ENSURING access to high-quality, affordable10
health care for low-income and uninsured populations; and
11
(V.3) D
ISTRIBUTING PROVIDER STABILIZATION PAYMENTS TO12
SAFETY NET PROVIDERS IN ORDER TO MAINTAIN THE QUALITY AND13
CONTINUITY OF SERVICES DELIVERED BY SAFETY NET PROVIDERS TO14
LOW-INCOME, UNINSURED INDIVIDUALS AND INDIVIDUALS AND FAMILIES15
ENROLLED IN MEDICAID, MEDICARE, OR THE CHILDREN'S BASIC HEALTH16
PLAN; AND17
(d.3) T
HE COLORADO HEALTHCARE AFFORDABILITY AND18
SUSTAINABILITY ENTERPRISE PROVIDES BUSINESS SERVICES TO SAFETY NET19
PROVIDERS WHEN IT ALLOCATES MONEY IN THE PROVIDER STABILIZATION20
FUND ESTABLISHED IN SUBSECTION (5.3) OF THIS SECTION AND ANY21
AVAILABLE FEDERAL MATCHING MONEY FOR PROVIDER STABILIZATION22
PAYMENTS TO ELIGIBLE SAFETY NET PROVIDERS TO ENSURE THOSE23
PROVIDERS CAN CONTINUE PROVIDING ACCESS TO HEALTH -CARE SERVICES24
FOR ENROLLEES IN MEDICAID , MEDICARE, OR THE CHILDREN'S BASIC25
HEALTH PLAN AND TO LOW -INCOME, UNINSURED INDIVIDUALS IN THE26
STATE;27
SB25-290
-5- (e) It is necessary, appropriate, and in the best interest of the state1
to acknowledge that by providing the business services specified in2
subsections (2)(d)(I) and (2)(d)(II) SUBSECTIONS (2)(d) AND (2)(d.3) of3
this section, the Colorado healthcare affordability and sustainability4
enterprise engages in an activity conducted in the pursuit of a benefit,5
gain, or livelihood and therefore operates as a business;6
(3) Colorado healthcare affordability and sustainability7
enterprise. (a) The Colorado healthcare affordability and sustainability8
enterprise referred to in this section as the "enterprise", is created. The9
enterprise is and operates as a government-owned business within the10
state department for the purpose of:11
(I) Charging and collecting the healthcare affordability and12
sustainability fee;13
(II) Leveraging
REVENUE FROM THE healthcare affordability and14
sustainability fee revenue
AND IN THE PROVIDER STABILIZATION FUND to15
obtain federal matching money; and16
(III) Utilizing and deploying:17
(A) The healthcare affordability and sustainability fee revenue and18
federal matching money to provide the business services specified in19
subsections (2)(d)(I) and (2)(d)(II) of this section to hospitals that pay the20
healthcare affordability and sustainability fee;
AND21
(B) M
ONEY IN THE PROVIDER STABILIZATION FUND AND ANY22
FEDERAL MATCHING MONEY TO PROVIDE THE BUSINESS SERVICES23
SPECIFIED IN SUBSECTION (2)(d.3OF THIS SECTION TO ELIGIBLE SAFETY NET24
PROVIDERS IN ACCORDANCE WITH SUBSECTION (5.3) OF THIS SECTION.25
(d) The enterprise's primary powers and duties are:26
(II) To leverage
REVENUE COLLECTED FROM THE healthcare27
SB25-290
-6- affordability and sustainability fee revenue collected AND MONEY IN THE1
PROVIDER STABILIZATION FUND to obtain federal matching money,2
working with or through the state department and the state board to the3
extent required by federal law or otherwise necessary;4
(III) To expend:5
(A) Healthcare affordability and sustainability fee revenue,6
matching federal money, and any other money from the healthcare7
affordability and sustainability fee cash fund as specified in subsections8
(4) and (5) of this section;
AND9
(B) M
ONEY IN THE PROVIDER STABILIZATION FUND AND ANY10
MATCHING FEDERAL MONEY AS SPECIFIED IN SUBSECTION (5.3) OF THIS11
SECTION.12
(V) To enter into agreements with the state department to the13
extent necessary to collect and expend healthcare affordability and14
sustainability fee revenue
AND TO EXPEND MONEY IN THE PROVIDER15
STABILIZATION FUND;16
(5.3) Provider stabilization fund - provider stabilization17
payments to eligible safety net providers - provider stabilization fund18
enterprise support board - annual report. (a) Fund creation - use.19
(I) T
HE PROVIDER STABILIZATION FUND IS CREATED IN THE STATE20
TREASURY. THE PROVIDER STABILIZATION FUND CONSISTS OF :21
(A) M
ONEY CREDITED TO THE FUND PURSUANT TO SECTION22
38-13-801
(6);23
(B) A
NY OTHER MONEY THE GENERAL ASSEMBLY MAY24
APPROPRIATE, TRANSFER, OR CREDIT TO THE FUND; AND25
(C) A
NY GIFTS, GRANTS, OR DONATIONS THE ENTERPRISE MAY26
RECEIVE FROM PUBLIC OR PRIVATE SOURCES FOR THE PROVIDER27
SB25-290
-7- STABILIZATION FUND.1
(II) T
HE STATE TREASURER SHALL CREDIT ALL INTEREST AND2
INCOME DERIVED FROM THE DEPOSIT AND INVESTMENT OF MONEY IN THE3
PROVIDER STABILIZATION FUND TO THE FUND . THE STATE TREASURER4
SHALL INVEST, AS PROVIDED BY LAW, ANY MONEY IN THE FUND NOT5
EXPENDED FOR THE PURPOSES SPECIFIED IN THIS SUBSECTION (5.3).6
M
ONEY IN THE FUND MUST NOT BE TRANSFERRED TO ANY OTHER FUND7
AND MUST NOT BE USED FOR ANY PURPOSE OTHER THAN THE PURPOSES8
SPECIFIED IN THIS SUBSECTION (5.3).9
(III) A
LL MONEY IN THE FUND IS SUBJECT TO FEDERAL MATCHING10
AS AUTHORIZED UNDER FEDERAL LAW AND , SUBJECT TO ANNUAL11
APPROPRIATION BY THE GENERAL ASSEMBLY , SHALL BE EXPENDED BY THE12
ENTERPRISE, IN ACCORDANCE WITH SUBSECTION (5.3)(b) OF THIS SECTION,13
TO DISTRIBUTE PROVIDER STABILIZATION PAYMENTS TO SAFETY NET14
PROVIDERS DETERMINED ELIGIBLE FOR PAYMENTS IN ACCORDANCE WITH15
SUBSECTION (5.3)(c) OF THIS SECTION.16
(IV) T
HE ENTERPRISE, IN COLLABORATION WITH THE PROVIDER17
STABILIZATION FUND ENTERPRISE SUPPORT BOARD , MAY SEEK, ACCEPT,18
AND EXPEND GIFTS, GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC19
SOURCES FOR THE PURPOSES OF THIS SUBSECTION (5.3). THE ENTERPRISE20
SHALL TRANSMIT ALL MONEY RECEIVED THROUGH GIFTS , GRANTS, OR21
DONATIONS TO THE STATE TREASURER , WHO SHALL CREDIT THE MONEY TO22
THE PROVIDER STABILIZATION FUND.23
(b) Provider stabilization payments. (I) T
HE ENTERPRISE, IN24
COLLABORATION WITH THE PROVIDER STABILIZATION FUND ENTERPRISE25
SUPPORT BOARD, SHALL ANNUALLY ALLOCATE MONEY APPROPRIATED BY26
THE GENERAL ASSEMBLY FROM THE PROVIDER STABILIZATION FUND AS27
SB25-290
-8- PROVIDER STABILIZATION PAYMENTS TO SAFETY NET PROVIDERS IN THE1
STATE WHO COMPLY WITH THE REQUIREMENTS OF SUBSECTION (5.3)(c) OF2
THIS SECTION AND ARE DETERMINED TO BE ELIGIBLE FOR A PROVIDER3
STABILIZATION PAYMENT . THE ENTERPRISE SHALL ALLOCATE THE4
PROVIDER STABILIZATION PAYMENTS IN AMOUNTS PROPORTIONATE TO THE5
NUMBER OF LOW -INCOME, UNINSURED INDIVIDUALS SERVED BY AN6
ELIGIBLE SAFETY NET PROVIDER RELATIVE TO THE TOTAL NUMBER OF7
LOW-INCOME, UNINSURED INDIVIDUALS SERVED BY ALL ELIGIBLE SAFETY8
NET PROVIDERS.9
(II) T
HE ENTERPRISE, IN CONSULTATION WITH THE PROVIDER10
STABILIZATION FUND ENTERPRISE SUPPORT BOARD , SHALL ESTABLISH A11
SCHEDULE FOR ALLOCATING THE MONEY APPROPRIATED FROM THE12
PROVIDER STABILIZATION FUND FOR ELIGIBLE SAFETY NET PROVIDERS .13
T
HE DISBURSEMENT OF MONEY IN THE PROVIDER STABILIZATION FUND TO14
ELIGIBLE SAFETY NET PROVIDERS PURSUANT TO THIS SUBSECTION (5.3) IS15
EXEMPT FROM THE PROVISIONS OF THE "PROCUREMENT CODE", ARTICLES16
101
TO 112 OF TITLE 24.17
(c) Provider eligibility. (I) F
OR A SAFETY NET PROVIDER TO BE18
ELIGIBLE FOR A PROVIDER STABILIZATION PAYMENT PURSUANT TO19
SUBSECTION (5.3)(b) OF THIS SECTION, THE SAFETY NET PROVIDER SHALL20
PROVIDE SUFFICIENT INFORMATION TO THE ENTERPRISE , AS SPECIFIED IN21
SUBSECTION (5.3)(c)(II) OF THIS SECTION, THAT THE PROVIDER PROVIDES22
SERVICES TO LOW-INCOME, UNINSURED INDIVIDUALS:23
(A) A
T NO COST; OR24
(B) O
N A SLIDING-FEE SCHEDULE.25
(II) A
SAFETY NET PROVIDER APPLYING FOR A PROVIDER26
STABILIZATION PAYMENT SHALL ANNUALLY SUBMIT TO THE ENTERPRISE27
SB25-290
-9- INFORMATION THAT THE ENTERPRISE , IN CONSULTATION WITH THE1
PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD , DETERMINES2
NECESSARY TO ESTABLISH THE PROVIDER 'S ELIGIBILITY FOR A PROVIDER3
STABILIZATION PAYMENT PURSUANT TO SUBSECTION (5.3)(b) OF THIS4
SECTION. THE SAFETY NET PROVIDER SHALL PROVIDE THE FOLLOWING :5
(A) I
NFORMATION DEMONSTRATING THAT THE PROVIDER IS A6
SAFETY NET PROVIDER AS DESCRIBED IN SUBSECTION (9)(h)(I), (9)(h)(II),7
OR (9)(h)(III) OF THIS SECTION OR HAS A CLIENT CASELOAD THAT8
SATISFIES THE REQUIREMENTS OF SUBSECTION (9)(h)(IV) OF THIS SECTION;9
(B) F
OR A SAFETY NET PROVIDER DESCRIBED IN SUBSECTION10
(9)(h)(IV)
OF THIS SECTION, THE TOTAL NUMBER OF PATIENTS SERVED ,11
THE NUMBER OF LOW -INCOME, UNINSURED INDIVIDUALS THAT THE12
PROVIDER SERVED, AND THE NUMBER OF ENROLLEES IN MEDICAID ,13
MEDICARE, OR THE CHILDREN'S BASIC HEALTH PLAN THAT THE PROVIDER14
SERVED; AND15
(C) I
NFORMATION TO DEMONSTRATE THAT THE PROVIDER16
PROVIDES SERVICES IN COMPLIANCE WITH SUBSECTION (5.3)(c)(I)(A),17
(5.3)(c)(I)(B),
OR (5.3)(c)(I)(C) OF THIS SECTION, AS APPLICABLE.18
(III) F
OR PURPOSES OF THIS SUBSECTION (5.3)(c), THE NUMBER OF19
PATIENTS SERVED IS THE NUMBER OF UNDUPLICATED USERS OF20
HEALTH-CARE SERVICES AND IS NOT THE NUMBER OF VISITS BY A PATIENT.21
(d) Provider stabilization fund enterprise support board.22
(I) T
HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD IS23
CREATED WITHIN THE ENTERPRISE TO SUPPORT THE ENTERPRISE BOARD24
WITH THE IMPLEMENTATION OF THIS SUBSECTION (5.3). THE PROVIDER25
STABILIZATION FUND ENTERPRISE SUPPORT BOARD CONSISTS OF NINE26
MEMBERS APPOINTED BY THE GOVERNOR AS FOLLOWS :27
SB25-290
-10- (A) FIVE MEMBERS WHO ARE ELIGIBLE SAFETY NET PROVIDERS OR1
WHO REPRESENT ASSOCIATIONS OF ELIGIBLE SAFETY NET PROVIDERS ;2
(B) T
HREE MEMBERS WHO ARE LOW -INCOME, UNINSURED3
INDIVIDUALS WHO RELY ON SAFETY NET PROVIDERS FOR HEALTH CARE OR4
WHO ARE REPRESENTATIVES FROM COLORADO-BASED CONSUMER5
ADVOCACY ORGANIZATIONS THAT WORK ON SAFETY NET HEALTH -CARE6
MATTERS; AND7
(C) O
NE MEMBER WHO IS AN EMPLOYEE OF THE STATE8
DEPARTMENT.9
(II) (A) T
HE GOVERNOR SHALL MAKE THE INITIAL APPOINTMENTS10
TO THE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT BOARD AS11
SOON AS POSSIBLE AFTER THE EFFECTIVE DATE OF THIS SUBSECTION12
(5.3)(d),
BUT NO LATER THAN AUGUST 1, 2025.13
(B) M
EMBERS OF THE PROVIDER STABILIZATION FUND ENTERPRISE14
SUPPORT BOARD SERVE AT THE PLEASURE OF THE GOVERNOR . THE TERM15
OF APPOINTMENT IS THREE YEARS.16
(C) M
EMBERS OF THE PROVIDER STABILIZATION FUND ENTERPRISE17
SUPPORT BOARD SERVE WITHOUT COMPENSATION AND WITHOUT18
REIMBURSEMENT FOR EXPENSES .19
(III) T
HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT20
BOARD SHALL ELECT A CHAIR AND VICE-CHAIR FROM AMONG ITS PROVIDER21
AND CONSUMER MEMBERS AND SHALL MEET AS NECESSARY AT THE CALL22
OF THE CHAIR TO PERFORM ITS FUNCTIONS AS SPECIFIED IN THIS23
SUBSECTION (5.3)(d).24
(IV) T
HE PROVIDER STABILIZATION FUND ENTERPRISE SUPPORT25
BOARD SHALL CONSULT WITH THE ENTERPRISE BOARD , AS WELL AS THE26
STATE DEPARTMENT AND THE STATE BOARD AS NECESSARY , IN27
SB25-290
-11- IMPLEMENTING THIS SUBSECTION (5.3), INCLUDING ASSISTING THE1
ENTERPRISE IN ADMINISTERING AND PROVIDING OVERSIGHT OF THE2
PROVIDER STABILIZATION FUND.3
(e) Provider stabilization fund report. (I) B
EGINNING4
S
EPTEMBER 1, 2026, AND BY EACH SEPTEMBER 1 THEREAFTER, THE5
ENTERPRISE BOARD SHALL PREPARE AND SUBMIT AN ANNUAL REPORT6
CONCERNING THE PROVIDER STABILIZATION FUND TO :7
(A) T
HE HEALTH AND HUMAN SERVIC ES COMMITTEE OF THE HOUSE8
OF REPRESENTATIVES AND THE HEALTH AND HUMAN SERVICES COMMITTEE9
OF THE SENATE, OR THEIR SUCCESSOR COMMITTEES ;10
(B) T
HE JOINT BUDGET COMMITTEE;11
(C) T
HE GOVERNOR; AND12
(D) T
HE STATE BOARD.13
(II) A
T A MINIMUM, THE REPORT MUST INCLUDE:14
(A) T
HE NUMBER OF LOW-INCOME, UNINSURED INDIVIDUALS AND15
THE NUMBER OF MEDICAID, MEDICARE, AND CHILDREN'S BASIC HEALTH16
PLAN ENROLLEES SERVED BY ELIGIBLE SAFETY NET PROVIDERS THAT17
RECEIVED PROVIDER STABILIZATION PAYMENTS IN THE IMMEDIATELY18
PRECEDING FISCAL YEAR;19
(B) T
HE ALLOCATION OF MONEY TO ELIGIBLE SAFETY NET20
PROVIDERS; AND21
(C) A
NY OTHER INFORMATION THAT THE ENTERPRISE BOARD , IN22
CONSULTATION WITH THE PROVIDER STABILIZATION FUND ENTERPRISE23
SUPPORT BOARD, DEEMS NECESSARY OR APPROPRIATE .24
(6) Appropriations. (a) (IV) P
ROVIDER STABILIZATION PAYMENTS25
FROM THE PROVIDER STABILIZATION FUND PURSUANT TO SUBSECTION (5.3)26
OF THIS SECTION ARE MADE TO SUPPLEMENT , NOT SUPPLANT, GENERAL27
SB25-290
-12- FUND APPROPRIATIONS TO SUPPORT SAFETY NET PROVIDER1
REIMBURSEMENTS.2
(7) Colorado healthcare affordability and sustainability3
enterprise board. (d) The enterprise board has, at a minimum, the4
following duties:5
(II) If requested by the health and human services committee of6
the senate or the public health care and human services committee of the7
house of representatives, or any successor committees, to consult with the8
committees on any legislation that may impact the healthcare affordability9
and sustainability fee,
PAYMENTS, or hospital
reimbursements established10
pursuant to this section;11
(IX) To monitor the impact of the healthcare affordability and12
sustainability fee
AND PROVIDER STABILIZATION PAYMENTS on the broader13
health-care marketplace;14
(e) On or before January 15, 2018, and on or before
January 15 OF15
each year, thereafter the enterprise board shall submit a written report to16
the health and human services committee of the senate and the public17
health care and human services committee of the house of representatives,18
or any successor committees, the joint budget committee of the general19
assembly, the governor, and the state board. The report shall include, but20
need not be limited to:21
(III.3) A
N ITEMIZATION OF THE TOTAL AMOUNT OF PROVIDER22
STABILIZATION PAYMENTS ALLOCATED TO EACH ELIGIBLE SAFETY NET23
PROVIDER;24
(f) (I) The enterprise is
AND THE PROVIDER STABILIZATION FUND25
ENTERPRISE SUPPORT BOARD ARE subject to the open meetings provisions26
of the "Colorado Sunshine Act of 1972", contained in part 4 of article 627
SB25-290
-13- of title 24, and the "Colorado Open Records Act", part 2 of article 72 of1
title 24.2
(9) Definitions. A
S USED IN THIS SECTION, UNLESS THE CONTEXT3
OTHERWISE REQUIRES:4
(a) "C
HILDREN'S BASIC HEALTH PLAN" HAS THE SAME MEANING AS5
SET FORTH IN SECTION 25.5-8-103 (2).6
(b) "E
LIGIBLE SAFETY NET PROVIDER " MEANS A SAFETY NET7
PROVIDER DETERMINED , PURSUANT TO SUBSECTION (5.3)(c) OF THIS8
SECTION, TO BE ELIGIBLE FOR A PROVIDER STABILIZATION PAYMENT .9
(c) "E
NTERPRISE" MEANS THE COLORADO HEALTHCARE10
AFFORDABILITY AND SUSTAINABILITY ENTERPRISE CREATED IN11
SUBSECTION (3) OF THIS SECTION.12
(d) "E
NTERPRISE BOARD" MEANS THE COLORADO HEALTHCARE13
AFFORDABILITY AND SUSTAINABILITY ENTERPRISE BOARD CREATED IN14
SUBSECTION (7) OF THIS SECTION.15
(e) "L
OW-INCOME, UNINSURED INDIVIDUAL " MEANS AN16
INDIVIDUAL:17
(I) R
ECEIVING SERVICES FROM A SAFETY NET PROVIDER ;18
(II) W
HOSE ANNUAL HOUSEHOLD INCOME IS AT OR BELOW TWO19
HUNDRED PERCENT OF THE FEDERAL POVERTY GUIDELINE ;20
(III) W
HO IS NOT ENROLLED IN MEDICAID , MEDICARE, OR THE21
CHILDREN'S BASIC HEALTH PLAN; AND22
(IV) F
OR WHOM A THIRD PARTY IS NOT PAYING OR REIMBURSING23
THE SAFETY NET PROVIDER FOR ALL OR A PORTION OF THE AMOUNT24
CHARGED FOR THE SERVICES PROVIDED TO THE INDIVIDUAL .25
(f) "M
EDICAID" MEANS A MEDICAL ASSISTANCE PROGRAM UNDER26
ARTICLES 4 TO 6 OF THIS TITLE 25.5.27
SB25-290
-14- (g) "MEDICARE" MEANS THE "HEALTH INSURANCE FOR THE AGED1
A
CT", TITLE XVIII OF THE FEDERAL "SOCIAL SECURITY ACT", AS2
AMENDED.3
(h) "S
AFETY NET PROVIDER" MEANS:4
(I) A
COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH5
PROVIDER, AS DEFINED IN SECTION 27-50-101 (11);6
(II) A
RURAL HEALTH CLINIC, AS DEFINED IN 42 U.S.C. SEC. 1395x7
(aa)(2);8
(III) A
FEDERALLY QUALIFIED HEALTH CENTER , AS DEFINED IN 429
U.S.C.
SEC. 1395x (aa)(4); OR10
(IV) A
HEALTH-CARE PROVIDER THAT IS DELIVERING PRIMARY11
CARE SERVICES AND AT LEAST FIFTY PERCENT OF WHOSE CLIENT12
CASELOAD IS INDIVIDUALS WHO ARE ENROLLED IN MEDICAID , MEDICARE,13
OR THE CHILDREN'S BASIC HEALTH PLAN OR WHO ARE LOW -INCOME,14
UNINSURED INDIVIDUALS, OR ANY COMBINATION OF SUCH ENROLLEES OR15
LOW-INCOME, UNINSURED INDIVIDUALS.16
SECTION 3. In Colorado Revised Statutes, 38-13-801, amend17
(1)(c); and add (2)(e) and (6) as follows:18
38-13-801. Unclaimed property trust fund - creation -19
payments - interest - appropriations - records - rules. (1) (c) E
XCEPT20
AS PROVIDED IN SUBSECTION (6) OF THIS SECTION, all interest derived from21
the deposit and investment of money in the trust fund shall be credited to22
the trust fund. S
UCH INTEREST IS NOT FISCAL YEAR SPENDING OF THE23
STATE FOR PURPOSES OF SECTION 20 OF ARTICLE X OF THE STATE24
CONSTITUTION.25
(2) (e) I
NTEREST CREDITED, AS REQUIRED BY SUBSECTION (6) OF26
THIS SECTION, TO THE PROVIDER STABILIZATION FUND CREATED IN27
SB25-290
-15- SECTION 25.5-4-402.4 (5.3)(a) DOES NOT CONSTITUTE FISCAL YEAR1
SPENDING OF THE STATE FOR PURPOSES OF SECTION 20 OF ARTICLE X OF2
THE STATE CONSTITUTION.3
(6) T
HE STATE TREASURER SHALL CREDIT INTEREST DERIVED FROM4
THE DEPOSIT AND INVESTMENT OF MONEY IN THE UNCLAIMED PROPERTY5
TRUST FUND TO THE PROVIDER STABILIZATION FUND CREATED IN SECTION6
25.5-4-402.4 (5.3)(a)
AS FOLLOWS:7
(a) O
N JULY 1, 2025, TWENTY-FIVE MILLION DOLLARS;8
(b) O
N JULY 1, 2026, TWENTY MILLION DOLLARS; AND9
(c) O
N JULY 1, 2027, AND ON JULY 1 OF EACH STATE FISCAL YEAR10
THEREAFTER, FIFTEEN MILLION DOLLARS.11
SECTION 4. Effective date. (1) Except as otherwise provided12
in this section, this act takes effect upon passage.13
(2) Section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S., enacted in section14
2 of this act, and section 3 of this act take effect only if Bill 25- 15
becomes law, in which case section 25.5-4-402.4 (5.3)(a)(I)(A), C.R.S.,16
enacted in section 2 of this act, and section 3 of this act take effect upon17
passage of this act or on the effective date of Bill 25- , whichever is18
later.19
SECTION 5. Safety clause. The general assembly finds,20
determines, and declares that this act is necessary for the immediate21
preservation of the public peace, health, or safety or for appropriations for22
the support and maintenance of the departments of the state and state23
institutions.24
SB25-290
-16-