SB 25-228 CO

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Became Law

Under current law, there are 2 programs available to low-income individuals to buy in to the state medical assistance program: One for adults with disabilities and one for children with disabilities (medicaid buy-in programs). Individuals who participate in either program pay a premium based on their family income. The premiums are credited to the medicaid buy-in cash fund. The premiums credited to the medicaid buy-in cash fund are used to offset the costs of providing the medicaid buy-in programs. The costs of providing the medicaid buy-in programs are also offset by the money in the healthcare affordability and sustainability fee cash fund in the Colorado healthcare affordability and sustainability enterprise (CHASE) within the department of health care policy and financing (HCPF). The act repeals the existing medicaid buy-in cash fund and creates the healthcare affordability and sustainability medicaid buy-in cash fund (buy-in cash fund) within CHASE and directs that individuals who participate in the existing medicaid buy-in programs pay their premiums into the buy-in cash fund. The act creates a medicaid buy-in enterprise support board within CHASE to support the existing enterprise with the implementation of the medicaid buy-in program, including consulting with HCPF and the state medical services board on the amount of the premiums for and other components of the medicaid buy-in programs. Because CHASE is an enterprise for purposes of the Taxpayer's Act of Rights, its revenue does not count against the state fiscal year spending limit. For the 2025-26 state fiscal year, $6,660,761 is appropriated from the buy-in cash fund to HCPF for medical and long-term care services for medicaid-eligible individuals. The act also decreases in a corresponding amount an appropriation to HCPF from the existing Medicaid buy-in cash fund and adjusts similar appropriations to HCPF for the 2024-25 state fiscal year. (Note: This summary applies to this bill as enacted.)

• Judy Amabile Democratic · primary
• Jeff Bridges Democratic · primary
• Shannon Bird · primary
• Emily Sirota Democratic · primary

1. May 30, 2025 Governor Signed · executive
2. Apr 29, 2025 Sent to the Governor · executive
3. Apr 29, 2025 Signed by the Speaker of the House · lower
4. Apr 29, 2025 Signed by the President of the Senate · upper
5. Apr 23, 2025 Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass · upper
6. Apr 23, 2025 House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass · lower
7. Apr 11, 2025 Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee · upper
8. Apr 10, 2025 House Third Reading Passed - No Amendments · lower
9. Apr 9, 2025 House Second Reading Special Order - Passed with Amendments - Floor · lower
10. Apr 8, 2025 House Committee on Appropriations Refer Unamended to House Committee of the Whole · lower
11. Apr 3, 2025 Introduced In House - Assigned to Appropriations · lower
12. Apr 3, 2025 Senate Third Reading Passed - No Amendments · upper
13. Apr 2, 2025 Senate Second Reading Special Order - Passed - No Amendments · upper
14. Apr 1, 2025 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole · upper
15. Mar 31, 2025 Introduced In Senate - Assigned to Appropriations · upper