SB 25-228 Colorado Senate · 2025 Regular Session

Enterprise Disability Buy-in Premiums

Summary

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.)

Bill status signed all 5 stages cleared

Introduction

Mar 2025

Committee Review

Apr 2025

Senate Passage

Apr 2025

House Passage

Apr 2025

Signed into Law

May 2025

Introduced Mar 31, 2025 Signed May 30, 2025

Maddy AI version diff · 6 comparisons

What changed between versions

Rerevised (04/10/2025) → Revised (04/09/2025) · 4 edits

MODERATE

The bill was revised to remove the '3rd Reading Unamended' status and update the sponsor list by removing one co-sponsor. Substantively, new language was added to establish a 'Colorado healthcare affordability and sustainability enterprise' as a government-owned business within the state department, with specific provisions regarding fee collection and constitutional compliance.

Scope change

The bill's scope expanded to formally create a new government-owned business entity (the enterprise) responsible for charging and collecting healthcare affordability and sustainability fees.

DEFINITION

Added a new definition for the 'Colorado healthcare affordability and sustainability enterprise' as a government-owned business within the state department.

FISCAL

Added provisions stating that revenues from the healthcare affordability and sustainability fees are not considered state fiscal year spending or state revenues, and do not count against constitutional spending limits or revenue caps.

TECHNICAL

Removed the '3rd Reading Unamended' status and April 10, 2025 date, updating the version to 'Revised' with amendments adopted on second reading.

ELIGIBILITY

Modified the sponsor list by removing one co-sponsor (Stewart R.) from the House sponsorship section.

Floor votes · Senate Apr 3, 2025 · House Apr 10, 2025

How they voted

33–0

Passed · 1 other

Total votes 34

Apr 3, 2025

D Democratic22

21 Yea 1

95% Yea

R Republican12

12 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 30, 2025

Signed into law

Governor Signed

executive

Apr 23, 2025

Upper · Passed

Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass

upper

Apr 23, 2025

Lower · Passed

House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass

lower

Apr 11, 2025

Upper · Passed

Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee

upper

Apr 10, 2025

Lower · Passed

House Third Reading Passed - No Amendments

lower

Apr 8, 2025

Lower · Passed

House Committee on Appropriations Refer Unamended to House Committee of the Whole

lower

Apr 3, 2025

Introduced

Introduced In House - Assigned to Appropriations

lower

Apr 3, 2025

Upper · Passed

Senate Third Reading Passed - No Amendments

upper

Apr 1, 2025

Upper · Passed

Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole

upper

Mar 31, 2025

Introduced

Introduced In Senate - Assigned to Appropriations

upper

4 primary · 8 co-sponsors