SB 25-228: Enterprise Disability Buy-in Premiums

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

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.)

Sponsors

Sponsors by party (alphabetical): Democratic 8 · Republican 2

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. May 30, 2025Governor Signed
2. April 29, 2025Signed by the President of the Senate
3. April 29, 2025Signed by the Speaker of the House
4. April 29, 2025Sent to the Governor
5. April 23, 2025House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
6. April 23, 2025Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
7. April 11, 2025Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee
8. April 10, 2025House Third Reading Passed - No Amendments
9. April 9, 2025House Second Reading Special Order - Passed with Amendments - Floor
10. April 8, 2025House Committee on Appropriations Refer Unamended to House Committee of the Whole
11. April 3, 2025Senate Third Reading Passed - No Amendments
12. April 3, 2025Introduced In House - Assigned to Appropriations

Showing 12 most recent of 15 actions. Full history