1 | 1 | | First Regular Session |
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2 | 2 | | Seventy-fifth General Assembly |
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3 | 3 | | STATE OF COLORADO |
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4 | 4 | | INTRODUCED |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | LLS NO. 25-0996.01 Shelby Ross x4510 |
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8 | 8 | | SENATE BILL 25-294 |
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9 | 9 | | Senate Committees House Committees |
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10 | 10 | | Appropriations |
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11 | 11 | | A BILL FOR AN ACT |
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12 | 12 | | C |
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13 | 13 | | ONCERNING RESIDENTIAL BEHAVIO RAL HEALTH SERVICES FOR101 |
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14 | 14 | | MEDICAID MEMBERS WHO ARE IN THE CUSTODY OF A COUNTY102 |
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15 | 15 | | DEPARTMENT OF HUMAN OR SOCIAL SERVICES .103 |
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16 | 16 | | Bill Summary |
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17 | 17 | | (Note: This summary applies to this bill as introduced and does |
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18 | 18 | | not reflect any amendments that may be subsequently adopted. If this bill |
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19 | 19 | | passes third reading in the house of introduction, a bill summary that |
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20 | 20 | | applies to the reengrossed version of this bill will be available at |
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21 | 21 | | http://leg.colorado.gov/ |
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22 | 22 | | .) |
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23 | 23 | | Joint Budget Committee. The bill excludes from the statewide |
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24 | 24 | | managed care program the services delivered to medicaid members who |
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25 | 25 | | are in a qualified residential treatment program or a psychiatric residential |
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26 | 26 | | treatment facility and in the care and custody of a county department of |
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27 | 27 | | human or social services until July 1, 2026. |
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28 | 28 | | SENATE SPONSORSHIP |
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29 | 29 | | Amabile and Kirkmeyer, Bridges |
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30 | 30 | | HOUSE SPONSORSHIP |
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31 | 31 | | Bird and Taggart, Sirota |
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32 | 32 | | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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33 | 33 | | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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34 | 34 | | Dashes through the words or numbers indicate deletions from existing law. No later than December 1, 2025, the bill requires the department |
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35 | 35 | | of health care policy and financing (HCPF), in collaboration with the |
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36 | 36 | | department of human services, the behavioral health administration, and |
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37 | 37 | | relevant stakeholders, to develop policies to transition qualified |
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38 | 38 | | residential treatment programs and psychiatric residential treatment |
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39 | 39 | | facilities to the statewide managed care system for medicaid members |
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40 | 40 | | who are in the care and custody of a county department of human or |
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41 | 41 | | social services (policies). No later than July 1, 2026, the bill requires |
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42 | 42 | | HCPF to implement the policies. |
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43 | 43 | | Be it enacted by the General Assembly of the State of Colorado:1 |
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44 | 44 | | SECTION 1. In Colorado Revised Statutes, 25.5-5-402, amend2 |
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45 | 45 | | (2)(a); and add (2)(c) as follows:3 |
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46 | 46 | | 25.5-5-402. Statewide managed care system - rules -4 |
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47 | 47 | | definitions - repeal. (2) The statewide managed care system5 |
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48 | 48 | | implemented pursuant to this article 5 does not include:6 |
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49 | 49 | | (a) The services delivered under |
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50 | 50 | | PURSUANT TO the residential7 |
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51 | 51 | | child health-care program described in section 25.5-6-903; except in those8 |
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52 | 52 | | counties in which there is a written agreement between the county9 |
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53 | 53 | | department of human or social services, the designated and contracted10 |
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54 | 54 | | MCE responsible for community behavioral health care, and the state11 |
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55 | 55 | | department;12 |
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56 | 56 | | (c) (I) T |
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57 | 57 | | HE SERVICES DELIVERED IN A QUALIFIED RESIDENTIAL13 |
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58 | 58 | | TREATMENT PROGRAM , AS DEFINED IN SECTION 26-5.4-102, OR IN A14 |
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59 | 59 | | PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY , AS DEFINED IN SECTION15 |
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60 | 60 | | 25.5-4-103, |
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61 | 61 | | TO MEMBERS WHO ARE IN THE CARE AND CUST ODY OF A16 |
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62 | 62 | | COUNTY DEPARTMENT OF HUMAN OR SOCIAL SERVICES .17 |
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63 | 63 | | (II) T |
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64 | 64 | | HIS SUBSECTION (2)(c) IS REPEALED, EFFECTIVE JULY 1, 2026.18 |
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65 | 65 | | SECTION 2. In Colorado Revised Statutes, 25.5-5-202, add (5)19 |
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66 | 66 | | as follows:20 |
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67 | 67 | | SB25-294-2- 25.5-5-202. Basic services for the categorically needy - optional1 |
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68 | 68 | | services - repeal. (5) (a) N |
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69 | 69 | | O LATER THAN DECEMBER 1, 2025, THE STATE2 |
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70 | 70 | | DEPARTMENT SHALL, IN COLLABORATION WITH THE DEPARTMENT OF3 |
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71 | 71 | | HUMAN SERVICES, THE BEHAVIORAL HEALTH ADMINISTRATION , AND4 |
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72 | 72 | | RELEVANT STAKEHOLDERS , DEVELOP POLICIES TO TRANSITION QUALIFIED5 |
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73 | 73 | | RESIDENTIAL TREATMENT PROGRAMS , AS DEFINED IN SECTION 26-5.4-102,6 |
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74 | 74 | | AND PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES , AS DEFINED IN7 |
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75 | 75 | | SECTION 25.5-4-103, TO THE STATEWIDE MANAGED CARE SYSTEM , PART8 |
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76 | 76 | | 4 |
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77 | 77 | | OF THIS ARTICLE 5, FOR MEMBERS WHO ARE IN THE CARE AND CUSTODY9 |
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78 | 78 | | OF A COUNTY DEPARTMENT OF HUMAN OR SOCIAL SERVICES . THE POLICIES10 |
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79 | 79 | | MAY INCLUDE IMPROVING DISCHARGE PLANNING , CONNECTION ACROSS11 |
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80 | 80 | | SYSTEMS, STANDARD UTILIZATION MANAGEMENT POLICIES , AND12 |
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81 | 81 | | STEP-DOWN SERVICE PLANS.13 |
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82 | 82 | | (b) N |
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83 | 83 | | O LATER THAN JULY 1, 2026, THE STATE DEPARTMENT SHALL14 |
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84 | 84 | | IMPLEMENT THE POLICIES DEVELOPED PURSUANT TO SUBSECTION (5)(a) OF15 |
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85 | 85 | | THIS SECTION.16 |
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86 | 86 | | (c) T |
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87 | 87 | | HIS SUBSECTION (5) IS REPEALED, EFFECTIVE JULY 1, 2027.17 |
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88 | 88 | | SECTION 3. Safety clause. The general assembly finds,18 |
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89 | 89 | | determines, and declares that this act is necessary for the immediate19 |
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90 | 90 | | preservation of the public peace, health, or safety or for appropriations for20 |
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91 | 91 | | the support and maintenance of the departments of the state and state21 |
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92 | 92 | | institutions.22 |
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93 | 93 | | SB25-294 |
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94 | 94 | | -3- |
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