SB 25-270: Enterprise Nursing Facility Provider Fees

Official summary

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

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fee and a new healthcare affordability and sustainability intermediate care facility fee that function similarly to the repealed fees.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.)

Sponsors

Sponsors by party (alphabetical): Democratic 12

“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. April 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