Enterprise Disability Buy-in Premiums
| Type | Bill |
|---|---|
| Session | 2025 Regular Session |
| Subjects |
Concerning the creation of a cash fund within the Colorado healthcare affordability and sustainability enterprise for premiums paid by individuals to buy in to the state medical assistance programs for low-income individuals with disabilities, and, in connection therewith, making and reducing appropriations.
Bill 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.)
Related Documents & Information
| Activity | Vote | Documents |
|---|---|---|
| Refer Senate Bill 25-228 to the Committee of the Whole. | The motion passed on a vote of 8-3. | Vote summary |
| Activity | Vote | Documents |
|---|---|---|
| Refer Senate Bill 25-228 to the Committee of the Whole. | The motion passed on a vote of 5-2. | Vote summary |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 04/23/2025 | Conference Committee Report | REPASS |
44
AYE
21
NO
0
OTHER
|
Vote record |
| 04/23/2025 | Conference Committee Report | ADOPT |
44
AYE
21
NO
0
OTHER
|
Vote record |
| 04/15/2025 | Conference Committee Report | BYD SCP |
63
AYE
1
NO
1
OTHER
|
Vote record |
| 04/10/2025 | Third Reading | BILL |
41
AYE
22
NO
2
OTHER
|
Vote record |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 04/23/2025 | Conference Committee Report | REPASS |
27
AYE
8
NO
0
OTHER
|
Vote record |
| 04/23/2025 | Conference Committee Report | ADOPT CCR |
35
AYE
0
NO
0
OTHER
|
Vote record |
| 04/11/2025 | House Amendments | NOT CONCUR APPT CC |
33
AYE
0
NO
2
OTHER
|
Vote record |
| 04/03/2025 | Third Reading | BILL |
34
AYE
0
NO
1
OTHER
|
Vote record |
| Date | Amendment Number | Committee/ Floor Hearing | Status | Documents |
|---|---|---|---|---|
| 04/09/2025 | L.001 | Second Reading | Passed [**] |
| Date | Location | Action |
|---|---|---|
| 05/30/2025 | Governor | Governor Signed |
| 04/29/2025 | Governor | Sent to the Governor |
| 04/29/2025 | House | Signed by the Speaker of the House |
| 04/29/2025 | Senate | Signed by the President of the Senate |
| 04/23/2025 | Senate | Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass |
| 04/23/2025 | House | House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass |
| 04/11/2025 | Senate | Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee |
| 04/10/2025 | House | House Third Reading Passed - No Amendments |
| 04/09/2025 | House | House Second Reading Special Order - Passed with Amendments - Floor |
| 04/08/2025 | House | House Committee on Appropriations Refer Unamended to House Committee of the Whole |
| 04/03/2025 | House | Introduced In House - Assigned to Appropriations |
| 04/03/2025 | Senate | Senate Third Reading Passed - No Amendments |
| 04/02/2025 | Senate | Senate Second Reading Special Order - Passed - No Amendments |
| 04/01/2025 | Senate | Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole |
| 03/31/2025 | Senate | Introduced In Senate - Assigned to Appropriations |
Prime Sponsor
Sponsor
Co-Sponsor
| Effective Date | Chapter # | Title | Documents |
|---|---|---|---|
| 05/01/2025 | 150 | Enterprise Disability Buy-in Premiums |