SB 25-270 Colorado Senate · 2025 Regular Session

Enterprise Nursing Facility Provider Fees

Summary
The act repeals the existing nursing facility provider fee and intermediate care facility service fee, effective May 1, 2025, and provides that, beginning on May 1, 2025, and for each state fiscal year thereafter, the Colorado healthcare affordability and sustainability enterprise (CHASE) within the department of health care policy and financing (HCPF) will charge and collect a new healthcare affordability and sustainability nursing facility provider fee and a new healthcare affordability and sustainability intermediate care facility fee that function similarly to the repealed fees. The act creates a facility provider fee enterprise support board within CHASE for the purpose of supporting the existing enterprise with the implementation of the healthcare affordability and sustainability nursing facility provider fee and the healthcare affordability and sustainability intermediate care facility fee. In exchange for payment of the healthcare affordability and sustainability nursing facility provider fee, CHASE will provide certain business services to nursing facility providers to sustain or increase reimbursement rates and make supplemental medicaid payments to nursing facility providers. In exchange for payment of the healthcare affordability and sustainability intermediate care facility fee, CHASE will provide certain business services to intermediate care facility providers for individuals with intellectual disabilities for the purposes of maintaining the quality and continuity of services provided by intermediate care facilities for individuals with intellectual disabilities. 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. The act also makes conforming amendments and, for clarity, renames the existing healthcare affordability and sustainability fee and healthcare affordability and sustainability fund to be the healthcare affordability and sustainability hospital provider fee and the healthcare affordability and sustainability hospital provider fee cash fund. For the 2025-26 state fiscal year, $62,986,221 is appropriated from the healthcare affordability and sustainability nursing facility provider fee cash fund to HCPF and $2,150,281 is appropriated from the healthcare affordability and sustainability intermediate care facility fee cash fund to HCPF. The act also decreases in corresponding amounts appropriations to HCPF from other cash funds and modifies 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
Apr 2025
Introduced Mar 31, 2025 Signed Apr 30, 2025
Maddy AI version diff · 7 comparisons

What changed between versions

Revised (04/09/2025) PA1 (04/01/2025) · 3 edits
MINOR
The bill was amended to change its status from a revised version with adopted amendments to a preamended version containing unofficial committee amendments. The substantive policy content regarding nursing facility fees and healthcare affordability remains unchanged, though the sponsorship list was simplified and formatting was adjusted.
Scope change
The bill's scope remains the same; it continues to address nursing facility fees collected by the Colorado Healthcare Affordability and Sustainability Enterprise.
TECHNICAL

The bill status changed from 'Revised' with adopted amendments to 'Preamended' with unofficial committee amendments not yet adopted on second reading.

The list of co-sponsors was shortened, removing several names from the Senate sponsorship list.

Formatting and date stamps were updated to reflect the preamended status, removing references to second reading amendments.

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

How they voted

2112
Passed · 1 other
Total votes 34
Apr 3, 2025
D Democratic22
21 Yea 1
95% Yea
R Republican12
12 Nay
100% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
8
Committee
5
Apr 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 Amended to Senate Committee of the Whole
upper
Mar 31, 2025
Introduced
Introduced In Senate - Assigned to Appropriations
upper
4 primary · 11 co-sponsors

Sponsors