HB 25-1288 Colorado House · 2025 Regular Session

Support for Federally Qualified Health Centers

Summary

The act authorizes the department of health care policy and financing (HCPF) to seek and accept gifts from private or public sources for the primary care fund. The act authorizes a federally qualified health center (FQHC) to establish a separate subsidiary company for the purpose of providing fee-for-service services outside of the FQHC's standard cost report if the subsidiary is providing fee-for-service services that have historically been provided and reimbursed on a fee-for-service basis and if HCPF determines that the subsidiary's reimbursements would be budget neutral. Upon receiving any necessary federal authorization, HCPF is required to reimburse a subsidiary of an FQHC on a fee-for-service basis for services that are eligible for fee-for-service reimbursement. A subsidiary that receives reimbursement is authorized to pass through money received from the reimbursement directly to the FQHC operating as the subsidiary's parent corporation. Services reimbursed to an FQHC's subsidiary are excluded from the FQHC's cost report. The act requires HCPF to exclude all costs associated with a subsidiary company from the calculation of a FQHC's reimbursement rates and requires a FQHC that establishes a separate subsidiary company to include the costs associated with the subsidiary in its cost report that is necessary to calculate reimbursement rates. (Note: This summary applies to this bill as enacted.)

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

May 2025

House Passage

Apr 2025

Senate Passage

May 2025

Signed into Law

May 2025

Introduced Feb 27, 2025 Signed May 27, 2025

Maddy AI version diff · 5 comparisons

What changed between versions

Rerevised (05/05/2025) → Revised (05/02/2025) · 4 edits

MODERATE

The bill text was updated from a 'Rerevised' version to a 'Revised' version, indicating it has been amended on second reading in the Senate. The substantive content shows significant restructuring of the Primary Care Fund provisions, including changes to how interest and income are credited to the fund and modifications to how unexpended funds are handled at the end of fiscal years.

Scope change

The bill's scope regarding Primary Care Fund management was modified, specifically affecting how interest income and unexpended funds are allocated between the Primary Care Fund and the General Fund.

FISCAL

Interest and income rules for the Primary Care Fund were changed to specify that income from 2008-09 through 2011-12 fiscal years must be credited to the General Fund rather than the Primary Care Fund.

The treatment of unexpended and unencumbered funds at the end of a fiscal year was altered, with language changes affecting whether these funds remain in the Primary Care Fund or are transferred elsewhere.

TECHNICAL

Senate sponsorship names were removed from the text, likely due to formatting changes or removal of specific sponsor information.

Document headers and revision status were updated from 'Rerevised' to 'Revised' to reflect the bill's current legislative status after second reading in the Senate.

Floor votes · Senate May 5, 2025 · House Apr 30, 2025

How they voted

34–1

Passed

Total votes 35

May 5, 2025

D Democratic23

23 Yea

100% Yea

R Republican12

11 Yea 1 Nay

91% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 27, 2025

Signed into law

Governor Signed

executive

May 5, 2025

Upper · Passed

Senate Third Reading Passed - No Amendments

upper

May 1, 2025

Upper · Passed

Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole

upper

Apr 30, 2025

Introduced

Introduced In Senate - Assigned to Health & Human Services

upper

Apr 30, 2025

Lower · Passed

House Third Reading Passed - No Amendments

lower

Mar 19, 2025

Lower · Passed

House Committee on Health & Human Services Refer Amended to House Committee of the Whole

lower

Mar 18, 2025

Lower · Passed

House Committee on Health & Human Services Witness Testimony and/or Committee Discussion Only

lower

Feb 27, 2025

Introduced

Introduced In House - Assigned to Health & Human Services

lower

4 primary · 42 co-sponsors