NOTE: The governor signed this measure on 2/23/2012. HOUSE BILL 12-1184 BY REPRESENTATIVE(S) Gerou, Becker, Levy, Fischer, Labuda, Wilson, Young; also SENATOR(S) Hodge, Steadman, Lambert. Concerning a supplemental appropriation to the department of health care policy and financing. Be it enacted by the General Assembly of the State of Colorado: SECTION 1. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2011. In Session Laws of Colorado 2011, section 2 of chapter 335, (SB 11-209), amend Part V as follows: Section 2. Appropriation. PART V DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (1) EXECUTIVE DIRECTOR'S OFFICE (A) General Administration Personal Services 21,775,206 (312.2 FTE) Health, Life, and Dental 2,024,577 Short-term Disability 32,206 S.B. 04-257 Amortization Equalization Disbursement 533,397 S.B. 06-235 Supplemental Amortization Equalization Disbursement 427,633 Workers' Compensation 29,652 Operating Expenses 1,580,579 Legal Services and Third Party Recovery Legal Services for 12,638 hours 956,823 Administrative Law Judge Services 422,830 449,127 Purchase of Services from Computer Center 835,843 Multiuse Network Payments 227,900 Management and Administration of OIT 631,234 Payment to Risk Management and Property Funds 77,888 Leased Space 696,564 Capitol Complex Leased Space 397,928 General Professional Services and Special Projects 6,422,552 6,302,552 37,072,812 12,707,009 3,480,903 a 465,125 b 20,419,775 36,979,109 12,720,157 3,420,903 a 20,372,924 a Of this amount, $2,545,858 $2,485,858 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $267,794 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $180,654 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S. $134,038 shall be from the Medical Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S., $85,000 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3) (a), C.R.S., $64,552 shall be from estate recoveries, $59,461 shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), C.R.S., $35,996 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (a), C.R.S., $33,336 shall be from the Short-term Innovative Health Program Grant Fund created in Section 25-36-101 (2) (a), C.R.S., $24,972 shall be from the Comprehensive Primary and Preventive Care Fund created in Section 25.5-3-207 (1), C.R.S., $24,273 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8) (a) (I), C.R.S., $21,333 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S., and $3,636 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S. b Of this amount, $461,750 shall be a transfer from the Department of Human Services, and $3,375 shall from Old Age Pension Fund moneys appropriated to the Department of Human Services, pursuant to Article XXIV of the State Constitution. (B) Transfers to Other Departments Transfer to Department of Public Health and Environment Facility for Survey and Certification 5,024,611 1,567,498 (M) 3,457,113 5,241,658 3,674,160 Transfer to Department of Public Health and Environment for Nurse Home Visitor Program 3,010,000 1,505,000 a 1,505,000 Transfer to Department of Public Health and Environment for Prenatal Statistical Information 6,000 3,000 (M) 3,000 Transfer to Department of Regulatory Agencies for Nurse Aide Certification 324,041 147,369 (M) 14,652 b 162,020 Transfer to Department of Regulatory Agencies for Reviews 14,000 7,000 (M) 7,000 Transfer to Department of Education for Public School Health Services Administration 142,073 142,073 8,520,725 8,737,772 a This amount shall be transferred from the Department of Public Health and Environment. b This amount shall be transferred from the Department of Regulatory Agencies. (C) Information Technology Contracts and Projects Information Technology Contracts 32,412,990 6,581,901 (M) 1,479,670 a 100,328 b 24,251,091 Fraud Detection Software Contract 250,000 62,500 (M) 187,500 Centralized Eligibility Vendor Contract Project 2,221,482 964,169 c 1,257,313 4,452,422 2,211,022 c 2,241,400 34,884,472 37,115,412 a Of this amount, $1,231,030 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $246,755 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $1,885 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S. b Of this amount, $97,981 shall be from Old Age Pension Fund moneys appropriated to the Department of Human Services, pursuant to Article XXIV of the State Constitution, and $2,347 shall be a transfer from the Department of Public Health and Environment pursuant to Section 24-22-117 (2) (d) (II) (D), C.R.S. c This amount shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. (D) Eligibility Determinations and Client Services Medical Identification Cards 120,000 59,203 (M) 1,593 a 59,204 129,240 4,620 d 63,824 Contracts for Special Eligibility Determinations 7,761,238 828,091 (M) 2,806,268 b 4,126,879 County Administration 33,547,878 10,300,790 (M) 6,513,282 c 16,733,806 31,186,376 5,332,531 c 15,553,055 Hospital Provider Fee County Administration 2,361,502 1,180,751 (H)d 1,180,751 Administrative Case Management 869,744 434,872 (M) 434,872 Customer Outreach 5,213,157 2,550,470 (M) 56,109 d 2,606,578 5,303,663 101,362 d 2,651,831 47,512,017 47,611,763 a This amount shall be from Old Age Pension Fund moneys appropriated to the Department of Human Services, pursuant to Article XXIV of the State Constitution. b Of this amount, $2,801,268 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $5,000 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805, C.R.S. c Of this amount, $5,332,531 shall be from local funds and $1,180,751 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. This amount shall be from local funds. d This amount These amounts shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. (E) Utilization and Quality Review Contracts Professional Services Contracts 7,670,839 2,100,370 (M) 60,537 a 5,509,932 8,164,451 2,162,870 (M) 114,332 a 5,887,249 a This amount shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. (F) Provider Audits and Services Professional Audit Contracts 2,463,406 969,283 (M) 262,420 a 1,231,703 a Of this amount, $250,000 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $12,420 shall be from the Medical Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S. (G) Recoveries and Recoupment Contract Costs Estate Recovery 700,000 350,000 a 350,000 a This amount shall be from estate recoveries. 138,824,271 141,771,913 (2) MEDICAL SERVICES PREMIUMS10, 11, 11a PREMIUMS10, 11, 11a, 11b Medical and Long-Term Care Services for Medicaid Eligible Individuals 3,521,401,973 1,004,304,853 (M) 284,175,417 a 495,061,484 b 3,101,708 c 1,734,758,511 3,523,622,209 985,981,237 (M) 513,383,953 b 1,736,979,894 a This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. b Of this amount, $354,642,186 $370,348,146 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $68,329,996 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S., $27,427,209 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S., $23,401,464 shall be from recoveries and recoupments, $7,629,150 $10,270,637 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $6,638,222 shall be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1405 (3) (b), C.R.S., $3,000,000 shall be from the Supplemental Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S., $2,743,722 $2,718,744 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8) (a) (I), C.R.S., $878,625 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $200,335 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., and $170,575 shall be from the the Home Health Telemedicine Cash Fund created in Section 25.5-5-321 (1) (c), C.R.S. c Of this amount, $2,000,000 shall be transferred from the Department of Public Health and Environment pursuant to Section 24-22-117 (2) (d) (IV.5), C.R.S., $853,139 shall be transferred from the Department of Public Health and Environment pursuant to Section 24-22-117 (2) (d) (II) (D), C.R.S., and $248,569 shall be transferred from the Department of Public Health and Environment's General Fund appropriation in the Prevention Service Section for the Women's Health and Family Planning program. (3) MEDICAID MENTAL HEALTH COMMUNITY PROGRAMS Mental Health Capitation Payments 272,492,157 125,823,308 (M) 10,510,223 a 13,544 b 136,145,082 Medicaid Mental Health Fee for Service Payments 3,908,827 1,954,414 (M) 1,954,413 276,400,984 a Of this amount, $10,466,206 (H) shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $44,017 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8) (a) (I), C.R.S. b This amount shall be transferred from the Department of Public Health and Environment for the Breast and Cervical Cancer Prevention and Treatment Program pursuant to Section 24-22-117 (2) (d) (II) (D), C.R.S. (4) INDIGENT CARE PROGRAM Safety Net Provider Payments 309,825,106 154,912,553 a 154,912,553 293,928,866 146,964,433 a 146,964,433 Clinic Based Indigent Care 6,119,760 3,059,880 (M) 3,059,880 Pediatric Specialty Hospital 13,285,882 5,899,969 (M) 296,872 b 446,100 c 6,642,941 Appropriation from General Fund to Pediatric Specialty Hospital Fund 446,100 446,100 d Appropriation from Tobacco Tax Cash Fund to the General Fund 446,100 446,100 e Primary Care Fund Program 28,253,000 28,253,000 f Comprehensive Primary Care Grants Program 2,706,995 2,706,995 g Children's Basic Health Plan Administration 4,894,410 272,494 (M) 1,948,454 h 2,673,462 Children's Basic Health Plan Medical and Dental Costs12, 13 213,086,149 33,001,775 41,578,378 i 138,505,996 214,471,872 32,863,174 42,292,073 i 139,316,625 579,063,502 564,552,985 a Of this amount, $144,686,653 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $10,225,900 $2,277,780 shall be public funds certified as representing expenditures incurred by hospitals that are eligible for federal financial participation under the Medicaid upper payment limit and the Medicaid Disproportionate Share Payments to Hospitals program. b This amount shall be from the Supplemental Tobacco Litigation Settlement Moneys Account in the Pediatric Specialty Hospital Fund created in Section 24-22-117 (2) (e) (II), C.R.S. c This amount shall be from the Pediatric Specialty Hospital Fund created in Section 24-22-117 (2) (e), C.R.S. and shall be from the Appropriation from General Fund to Pediatric Specialty Hospital Fund line item. d This amount is not subject to the limitation on state fiscal year spending imposed by Article X, Section 20 of the State Constitution. This amount is also not subject to the statutory limitation on General Fund appropriation growth or any other spending limitation existing in law pursuant to Article X, Section 21 (8) of the State Constitution. e This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l) (a), C.R.S. This appropriation partially meets the requirement to appropriate a portion of the revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 of Article X of the State Constitution. f This amount shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), C.R.S. g This amount shall be from the Comprehensive Primary and Preventative Care Fund created in Section 25.5-3-207 (1), C.R.S. h Of this amount, $1,939,762 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $8,692 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. i Of this amount, $28,727,097 $29,405,586 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $12,389,580 $12,424,786 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $461,700 shall be from the Colorado Immunization Fund created in Section 25-4-2301, C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S. (5) OTHER MEDICAL SERVICES Old Age Pension State Medical Program 11,000,000 11,000,000 a Transfer of Tobacco Tax Cash Fund into the Supplemental Old Age Pension State Medical Fund 2,230,500 2,230,500 b Commission on Family Medicine Residency Training Programs 1,391,077 695,538 (M) 695,539 1,741,077 870,538 (M) 870,539 State University Teaching Hospitals - Denver Health and Hospital Authority 1,831,714 915,857 (M) 915,857 State University Teaching Hospitals - University of Colorado Hospital Authority 633,314 316,657 (M) 316,657 Medicare Modernization Act State Contribution Payment 91,156,720 66,146,615 25,010,105 60,513,438 30,643,282 Public School Health Services Contract Administration 1,138,549 1,138,549 Public School Health Services 30,446,344 16,010,155 c 14,436,189 139,828,218 140,178,218 a Of this amount, $9,998,483 shall be from the Old Age Pension Health and Medical Care Fund, pursuant to Section 7 (C) of Article XXIV of the State Constitution, and $1,001,517 shall be from the Supplemental Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. b This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (1) (a), C.R.S. This appropriation meets the requirement to appropriate a portion of the revenues collected from the imposition of additional state cigarette and tobacco taxes to the Old Age Pension program for health related purposes pursuant to Section 21 of Article X of the State Constitution. c This amount represents funds certified as expenditures incurred by school districts that are eligible for federal financial participation under Medicaid. (6) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS (A) Executive Director's Office - Medicaid Funding14 13,363,338 6,681,669 (M) 6,681,669 (B) Office of Information Technology Services - Medicaid Funding Colorado Benefits Management System 8,983,839 4,461,609 (M) 14,428 a 19,399 b 4,488,403 10,148,885 4,312,127 (M) 746,965 a 18,749 b 5,071,044 Colorado Benefits Management System, HCPF Only 812,400 107,460 (M) 298,740 c 406,200 CBMS SAS-70 Audit 55,204 27,416 (M) 89 a 119 b 27,580 Other Office of Information Technology Services Line Items 556,271 278,136 (M) 278,135 9,595,314 11,572,760 a These amounts Of these amounts, $733,020 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $14,034 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. b These amounts shall be from moneys in the Old Age Pension Fund appropriated to the Department of Human Services, pursuant to Article XXIV of the State Constitution. c This amount shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. (C) Office of Operations - Medicaid Funding 5,159,398 2,579,699 (M) 2,579,699 4,793,633 2,396,817 (M) 2,396,816 (D) Division of Child Welfare - Medicaid Funding Administration 133,659 66,830 (M) 66,829 Child Welfare Services 14,328,538 7,164,269 (M) 7,164,269 14,462,197 (E) Office of Self Sufficiency - Medicaid Funding Systematic Alien Verification for Eligibility 33,951 16,976 (M) 16,975 (F) Mental Health and Alcohol and Drug Abuse Services - Medicaid Funding Administration 392,848 196,424 (M) 196,424 Residential Treatment for Youth (H.B. 99-1116) 116,840 58,420 (M) 58,420 Mental Health Institutes 4,176,550 2,088,275 (M) 2,088,275 5,302,416 2,651,208 (M) 2,651,208 Alcohol and Drug Abuse Division, High Risk Pregnant Women Program 1,999,146 999,573 (M) 999,573 6,685,384 7,811,250 (G) Services for People with Disabilities - Medicaid Funding Community Services for People with Developmental Disabilities, Administration 2,923,329 1,461,665 (M) 1,461,664 Community Services for People with Developmental Disabilities, Program Costs 328,231,550 164,115,774 (M) 1 a 164,115,775 Regional Centers 47,676,045 21,970,368 (M) 1,867,655 b 23,838,022 45,808,390 22,904,196 (M) 22,904,194 Regional Center Depreciation and Annual Adjustments 1,187,825 593,913 (M) 593,912 380,018,749 378,151,094 a This amount shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S. b This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1) (c) (II), C.R.S., and shall be from the Provider Fee line item for Regional Centers for People with Developmental Disabilities in the Department of Human Services. (H) Adult Assistance Programs, Community Services for the Elderly - Medicaid Funding 1,800 900 (M) 900 (I) Division of Youth Corrections - Medicaid Funding 1,286,981 643,491 (M) 643,490 1,508,653 754,327 (M) 754,326 (J) Other Federal Medicaid Indirect Cost Reimbursement for Department of Human Services Programs 500,000 500,000 a a This amount reflects estimated Medicaid federal indirect cost reimbursements for Department of Human Services programs. 431,107,112 432,198,676 TOTALS PART V (HEALTH CARE POLICY AND FINANCING) $5,086,626,060 $1,494,116,123 $284,621,517 a $780,942,590 $7,535,223 $2,519,410,607 $5,078,724,985 $1,471,654,070 $794,352,432 $5,666,918 $2,522,430,048 a Of this amount, $284,175,417 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $446,100 shall be General Fund Exempt pursuant to Section 24-22-117 (1) (c) (I) (B), C.R.S. Further, said $446,100 is also not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 10 Department of Health Care Policy and Financing, Medical Services Premiums -- The appropriations in this division assume the following caseload and cost estimates: Aid Category Caseload Estimated Costs Average Cost Per Client Adults 65 Years of Age and Older 39,556 $899,448,464 $22,738.61 Disabled Adults 60 to 64 Years of Age 8,098 146,395,601 18,077.99 Disabled Individuals up to 59 Years of Age 57,841 957,740,203 16,558.15 Medicaid Buy-In for Disabled Adults 4,329 71,682,771 16,558.74 Categorically Eligible Low-Income Adults 64,432 298,737,940 4,636.48 Pregnant Adults up to 133 Percent of Federal Poverty Level 7,657 87,987,159 11,491.07 Expansion Adults up to 60 Percent of Federal Poverty Level 23,628 51,129,238 2,163.93 Expansion Adults between 61 Percent to 100 Percent of Federal Poverty Level 34,050 87,757,439 2,577.31 Adults without Dependent Children up to 100 percent of Federal Poverty Level 16,400 51,474,921 3,138.71 Breast and Cervical Cancer Treatment and Prevention Program Adults 595 13,201,320 22,187.09 Eligible Children 316,392 662,890,819 2,095.16 Foster Care Children 18,878 93,511,704 4,953.48 Qualified Medicare Beneficiaries and Special Low-Income Medicare Beneficiaries 18,210 27,279,701 1,498.06 Non-Citizens Qualifying for Emergency Services 3,082 72,164,693 23,414.89 Total 613,148 $3,521,401,973 $5,743.15 11 Department of Health Care Policy and Financing, Medical Services Premiums -- The appropriation assumes that rates for medical services will be reduced by 0.75 percent and community long-term care rates will be reduced by 0.50 percent in FY 2011-12. 11a Department of Health Care Policy and Financing, Medical Services Premiums -- It is the intent of the General Assembly that the Department reduce the reimbursement for procedure code E2402 to $88.50 per day. This procedure code is used for negative pressure wound therapy. 11b Department of Health Care Policy and Financing, Medical Services Premiums -- This appropriation is based on the assumption that the Department will be pursuing initiatives to encourage the use of ambulatory surgical centers. The Department is requested to report to the Joint Budget Committee by November 1, 2012, concerning its progress and the estimated savings from the initiatives. 12 Department of Health Care Policy and Financing, Indigent Care Program, Children's Basic Health Plan Medical and Dental Costs -- This appropriation assumes the following: (1) A total children's caseload of 75,811 at an average medical per capita cost of $2,288.21 per year; and (2) a total adult prenatal caseload of 2,391 at an average medical per capita cost of $14,711.52 per year. 13 Department of Health Care Policy and Financing, Indigent Care Program, Children's Basic Health Plan Medical and Dental Costs -- This appropriation assumes an average cost of $171.04 per child per year for the dental benefit. 14 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's Office - Medicaid Funding -- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department of Human Services, Executive Director's Office, General Administration. As such, the appropriation contains amounts that correspond to centralized appropriation amounts in the Department of Human Services. Consistent with the head notes to the Long Bill, the Department of Human Services is authorized to transfer the centralized appropriations to other line item appropriations to the Department of Human Services. In order to aid budget reconciliation between the Department of Health Care Policy and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers out of this appropriation to other Department of Human Services Medicaid-funded programs appropriation in this section (5) in amounts equal to the centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services. SECTION 2. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2011. In Session Laws of Colorado 2011, section 6 of chapter 303, (SB 11-177), amend (3) as follows: Section 6. Appropriation - adjustments in 2011 long bill. For the implementation of this act, appropriations made in the annual general appropriation act for the fiscal year beginning July 1, 2011, to the department of health care policy and financing, shall be adjusted as follows: (3) The appropriation to the medical services premiums section is increased by three hundred eighty-six thousand six hundred sixty-five dollars ($386,665). Of said sum, thirty-eight thousand six hundred sixty-six dollars ($38,666) shall be cash funds from certified public expenditures by the counties from local funds and three hundred forty-seven thousand nine hundred ninety-nine dollars ($347,999) shall be from federal funds. SECTION 3. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2010. (1) In addition to any other appropriation, there is hereby appropriated, out of any moneys in the general fund not otherwise appropriated, to the department of health care policy and financing, for the fiscal year beginning July 1, 2010, the following sums, or so much thereof as may be necessary for the payment of overexpenditures of line item appropriations contained in Part V of section 2 of chapter 453, Session Laws of Colorado 2010, as amended by section 1 of chapter 318, Session Laws of Colorado 2011, and section 7 of chapter 335, Session Laws of Colorado 2011: (a) $8,471,270 for medical service premiums; (b) $2,909,851 for medicaid mental health community programs, mental health capitation payments; (c) $135,964 for medicaid mental health community programs, medicaid mental health fee for service payments; (d) $171 for indigent care program, the children's hospital, clinic based indigent care; (e) $42,475 for indigent care program, pediatric specialty hospital; (f) $43 for other medical services, commission on family medicine residency training programs; (g) $396,224 for other medical services, medicare modernization act state contribution payment; (h) $45 for other medical services, state university teaching hospitals - Denver health and hospital authority; and (i) $17 for other medical services, state university teaching hospitals - university of Colorado hospital authority. (2) In addition to any other appropriation, there is hereby appropriated, to the department of health care policy and financing, for the fiscal year beginning July 1, 2010, the sum of $31,635,595 cash funds, or so much thereof as may be necessary, for allocation to medical services premiums, for the payment of overexpenditures of line item appropriations contained in Part V of section 2 of chapter 453, Session Laws of Colorado 2010, as amended by section 1 of chapter 318, Session Laws of Colorado 2011, and section 7 of chapter 335, Session Laws of Colorado 2011. Of said sum: (a) $20,860,990 shall be from the hospital provider fee cash fund created in section 25.5-4-402.3 (4), Colorado Revised Statutes; (b) $254,135 shall be from the health care expansion fund created in Section 24-22-117 (2) (a) (I), Colorado Revised Statutes; (c) $859,285 shall be from the medicaid nursing facility cash fund created in section 25.5-6-203 (2) (a), Colorado Revised Statutes; (d) $6,417,842 shall be from recoveries and recoupments; (e) $3,013,234 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the medicaid program; (c) $230,109 shall be from the breast and cervical cancer prevention and treatment fund created in section 25.5-5-308 (8) (a) (I), Colorado Revised Statutes. (3) In accordance with section 24-75-109 (4) (a), Colorado Revised Statutes, restrictions on funds for the department of health care policy and financing, for the 2011-12 fiscal year, for the amounts and items of appropriation listed in this section, are released. SECTION 4. Safety clause. The general assembly hereby finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, and safety. ________________________________________________________ Frank McNulty Brandon C. Shaffer SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Marilyn Eddins Cindi L. Markwell CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ _________________________________________ John W. Hickenlooper GOVERNOR OF THE STATE OF COLORADO