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fee and a new healthcare affordability and sustainability intermediate care facility fee that function similarly to the repealed fees.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.)
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Beginning July 1, 2025 No later than January 1, 2026 , the bill requires the department of health care policy and financing (HCPF) to seek federal authorization to reimburse acute care hospitals and ambulatory surgery facilities that provide vagus nerve stimulation therapy to members diagnosed with drug-resistant epilepsy at a rate that is equal to 75% 60% of the cost for acquiring the vagus nerve stimulator device, which reimbursement is in addition to and does not supplant the reimbursement for any necessary surgical procedure associated with implanting the device. Beginning January 1, 2029, the bill requires HCPF to increase the reimbursement to a rate that is equal to 75% of the cost for acquiring the vagus nerve simulator device. (Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.) (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)
Provides for the payment of expenses of the executive, legislative, and judicial departments of the state of Colorado, and of its agencies and institutions, for and during the fiscal year beginning July 1, 2025, except as otherwise noted. (Note: This summary applies to this bill as enacted.)
The act requires each school district, beginning in the 2025-26 budget year, and each budget year thereafter, to report the total amount of additional mill levy revenue, stated as a dollar amount, that the school district is authorized to collect and that the school district distributes to the institute charter schools within the geographic boundary of the school district. (Note: This summary applies to this bill as enacted.)
Beginning with the 2025-26 budget year, and each budget year thereafter, the state charter school institute (institute) shall not distribute a portion of its appropriated mill levy equalization funds to multi-district online schools that are authorized by the institute. Beginning in the 2024-25 budget year, if the institute receives additional mill levy revenue from a school district for an institute charter school within the geographic boundary of the school district, the general assembly shall deduct the additional mill levy revenue from the amount necessary to fully fund mill levy equalization. The act decreases an appropriation from the state education fund to the department of education for use by the institute for mill levy equalization by $1,008,494. (Note: This summary applies to this bill as enacted.)
The act exempts 2024-25 state fiscal year supplemental appropriations for student financial aid from annual appropriation requirements for student financial assistance. (Note: This summary applies to this bill as enacted.)
The act clarifies that the department of higher education may distribute financial assistance from an allocation authorized for student financial assistance programs to undergraduate students who attend participating private institutions of higher education and who participate in the college opportunity fund program. (Note: This summary applies to this bill as enacted.)
The act requires the state treasurer to transfer $4 million from the general fund to the "Infrastructure Investment and Jobs Act" cash fund on July 1, 2025. (Note: This summary applies to this bill as enacted.)
The act updates the funding mechanism for the division of unemployment insurance (division) by changing the name of the "employment and training technology fund" to the "unemployment insurance program support fund" and expanding the use of the fund to include the information technology and administrative costs of the division. Colorado law specifies how the division must disburse money collected from the employer support surcharge. The act modifies the disbursement of this surcharge to: 11% for the employment support fund (decreased from 35%); 54% for the unemployment insurance program support fund (increased from 32%); 20% for the workforce development fund (increased from 14%); and 15% for the benefit recovery fund (decreased from 19%). The act requires all money collected in each fund that is in excess of the maximum balance amounts authorized for the fund to be credited to the unemployment compensation fund. The act ties the adjustments of the fund caps to the change in average weekly earnings instead of to the consumer price index. The act also adjusts the cap for the unemployment insurance program support fund. (Note: This summary applies to this bill as enacted.)
The act creates the electronic discovery in criminal cases task force (task force), which consists of 11 task force members. The purpose of the task force is to study the costs and management of electronic discovery in criminal cases. On or before November 1, 2025, the act requires the task force to submit a report to the joint budget committee and the joint technology committee describing the work of the task force, findings and recommendations regarding the issues and topics considered by the task force, and legislative proposals and expected costs. The act repeals the task force, effective January 1, 2027. (Note: This summary applies to this bill as enacted.)