NOTE: This bill has been prepared for the signatures of the appropriate legislative officers and the Governor. To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws. HOUSE BILL 14-1236 BY REPRESENTATIVE(S) Duran, May, Gerou, Ginal, Labuda, Melton, Mitsch Bush, Rosenthal, Young; also SENATOR(S) Steadman, Hodge, Lambert, Aguilar. 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, 2013. In Session Laws of Colorado 2013, section 2 of chapter 441, (SB 13-230), amend Part V and the affected totals as Part V (1) (B) and (6) (G) are amended and (6) (D.5) is added by section 27 of chapter 169, (HB 13-1117), as follows: Section 2. Appropriation. PART V DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (1) EXECUTIVE DIRECTOR'S OFFICE (A) General Administration Personal Services 23,323,977 (337.9 FTE) Health, Life, and Dental 2,196,683 Short-term Disability 40,277 S.B. 04-257 Amortization Equalization Disbursement 813,297 S.B. 06-235 Supplemental Amortization Equalization Disbursement 733,353 Salary Survey 671,276 Merit Pay 373,165 Workers' Compensation 47,285 Operating Expenses 1,607,344 2,335,358 Legal Services for 13,592 hours 1,237,959 Administrative Law Judge Services 538,017 Purchase of Services from Computer Center 882,219 Colorado State Network 139,002 COFRS Modernization 504,639 Information Technology Security 11,374 Management and Administration of OIT 72,129 Payment to Risk Management and Property Funds 263,208 Leased Space 788,679 679,550 Capitol Complex Leased Space 496,658 General Professional Services and Special Projects 8,192,552 Payments to OIT 201,447 42,933,093 15,365,770 3,357,532 a 1,891,790 b 22,318,001 (I) 43,753,425 15,778,988 3,354,479 a 22,728,168 (I) a Of this amount, $2,540,443 $2,537,390 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $279,070 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $134,741 shall be from the Medicaid 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., $76,748 shall be from estate recoveries, $69,941 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (a), C.R.S., $55,797 shall be from the Health Care Services Fund created in Section 25.5-3-112 (1) (a), C.R.S., $55,146 shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), C.R.S., $30,953 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., $25,860 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., and $3,833 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. b Of this amount, $1,194,907 shall be a transfer from the Department of Human Services, $546,883 shall be from indirect cost recoveries, and $150,000 shall be from moneys originally appropriated for Public School Health Services in the Other Medical Services division. (B) Transfers to Other Departments Transfer to Department of Public Health and Environment Facility for Survey and Certification 5,297,765 1,651,255 (M) 3,646,510 Transfer from Department of Human Services for Nurse Home Visitor Program 3,010,000 1,505,000 a 1,505,000 (I) Transfer to Department of Public Health and Environment for Prenatal Statistical Information 5,887 2,944 (M) 2,943 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 4,160 2,080 (M) 2,080 Transfer to Department of Education for Public School Health Services Administration 149,999 149,999 c 8,791,852 a This amount shall be transferred from the Nurse Home Visitor Program line item of the Division of Community and Family Support in the Office of Early Childhood in the Department of Human Services. b This amount shall be transferred from the Department of Regulatory Agencies. c This amount shall be from moneys originally appropriated for Public School Health Services in the Other Medical Services division. (C) Information Technology Contracts and Projects Medicaid Management Information System Maintenance and Projects 34,985,833 6,829,904 (M) 1,784,310 a 293,350 b 26,078,269 Medicaid Management Information System Reprocurement Contracted Staff 2,999,371 273,255 (M) 54,997 c 2,671,119 Medicaid Management Information System Reprocurement Contracts 12,625,032 1,165,817 (M) 232,837 d 11,226,378 Fraud Detection Software Contract 250,000 62,500 (M) 187,500 Centralized Eligibility Vendor Contract Project 6,149,945 3,059,783 e 3,090,162 (I) Colorado Benefits Management System Modernization Project 1,150,000 1,150,000 f 58,160,181 a Of this amount, $1,514,109 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $268,316 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, $193,022 shall be from money originally appropriated for Public School Health Services in the Other Medical Services division, $97,981 shall be from Old Age Pension Health and Medical Care Fund moneys originally appropriated to the Old Age Pension State Medical Program in the Other Medical Services division, 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 Of this amount, $31,377 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. and $23,620 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. d Of this amount, $133,415 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. and $99,422 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. e This amount shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. f This amount shall be transferred from the Department of Human Services. (D) Eligibility Determinations and Client Services Medical Identification Cards 129,240 59,203 (M) 4,620 a 1,593 b 63,824 Contracts for Special Eligibility Determinations 8,327,897 969,756 (M) 2,806,268 c 4,551,873 County Administration 32,486,547 10,700,290 (M) 5,583,518 d 16,202,739 39,456,243 10,114,420 (M) 23,758,305 Hospital Provider Fee County Administration 2,606,881 1,303,441 a 1,303,440 (I) 3,337,753 2,034,312 (I) Administrative Case Management 869,744 434,872 (M) 434,872 Customer Outreach 5,315,949 2,571,114 (M) 86,861 a 2,657,974 Affordable Care Act Implementation Technical Support and eligibility determination overflow contingency 2,449,793 585,870 1,863,923 49,736,258 59,886,619 a These amounts shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. b This amount shall be from money originally appropriated to the Old Age Pension State Medical Program in the Other Medical Services division. c 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. d This amount shall be from local funds. (E) Utilization and Quality Review Contracts Professional Services Contracts 8,617,307 2,276,084 (M) 114,332 a 6,226,891 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 3,051,907 1,116,408 (M) 365,408 a 1,570,091 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., $102,988 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $12,420 shall be from the Medicaid 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 (I) a This amount shall be from estate recoveries. (H) Indirect Cost Recoveries Indirect Cost Assessment 546,883 121,193 a 29,596 b 396,094 (I) a Of this amount, $96,061 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $13,831 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $3,263 shall be from the Medical Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S., $3,114 shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), C.R.S., $1,797 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $1,743 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., and $1,384 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 Human Services. 172,537,481 183,508,174 (2) MEDICAL SERVICES PREMIUMS8, 9, 10, 10a Medical and Long-Term Care Services for Medicaid Eligible Individuals 4,438,829,600 1,044,644,433 (M) 469,842,084 a 719,515,157 b 936,892 c 2,203,891,034 4,491,237,544 1,062,224,866 (M) 780,957,896 b 2,177,275,806 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, $509,300,034 $570,714,059 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $67,570,978 $65,457,799 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S., $43,137,076 $44,316,609 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S., $39,171,453 $43,153,897 shall be from recoveries and recoupments, $35,000,000 shall be from an intergovernmental transfer from Denver Health, $19,204,600 $16,986,284 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $2,230,500 shall be from the Tobacco Tax Fund created in section 24-22-117 (1) (a), C.R.S. and 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, $1,495,066 $824,827 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., $1,138,890 $1,062,792 shall be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3) (b), C.R.S., $640,520 shall be from the Tobacco Education Programs Fund created in Section 24-22-117 (2) (c) (I), C.R.S., $547,520 $506,565 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $50,000 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., and $28,520 $14,044 shall be from local funds. c This amount shall be transferred from the Department of Public Health and Environment pursuant to Section 24-22-117 (2) (d) (II) (D), C.R.S. (3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS Behavioral Health Capitation Payments 347,419,591 150,983,681 (M) 21,294,827 a 175,141,083 343,605,312 151,269,383 (M) 30,440,331 a 161,895,598 Medicaid Mental Health Fee for Service Payments 4,801,046 2,400,523 (M) 2,400,523 5,231,402 2,615,701 (M) 2,615,701 Contract Reprocurement 1,000,000 500,000 (M) 500,000 352,220,637 349,836,714 a Of this amount, $21,260,473 (H) $30,416,406 (H) shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $34,354 $23,925 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. (4) INDIGENT CARE PROGRAM Safety Net Provider Payments 311,296,186 155,648,093 a 155,648,093 (I) Clinic Based Indigent Care 6,119,760 3,059,880 (M) 3,059,880 Pediatric Specialty Hospital 11,799,938 5,899,969 (M) 5,899,969 Appropriation from Tobacco Tax Cash Fund to the General Fund 438,300 438,300 b Primary Care Fund Program 27,759,000 27,759,000 c Children's Basic Health Plan Administration 4,319,079 2,019,582 (H)d 2,299,497 Children's Basic Health Plan Medical and Dental Costs11, 12 194,274,465 22,131,064 (M) 438,300 46,390,391 e 125,314,710 176,888,742 18,821,643 (M) 43,821,206 e 113,807,593 556,006,728 538,621,005 a This amount shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. b 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. c This amount shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), C.R.S. d Of this amount, $2,010,221 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., and $9,361 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S. e Of this amount, $26,740,489 $24,522,064 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $19,433,030 $19,082,270 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $216,871 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 10,000,000 10,000,000 (I)a Commission on Family Medicine Residency Training Programs 2,371,077 1,185,538 (M) 1,185,539 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 107,173,869 82,492,862 24,681,007 (I) 102,256,317 65,687,505 36,568,812 (I) Public School Health Services Contract Administration 2,491,722 2,491,722 b Public School Health Services 54,353,956 27,176,978 c 27,176,978 (I) 178,855,652 173,938,100 a This amount shall be from the Old Age Pension Health and Medical Care Fund and is included for informational purposes as the moneys are continuously appropriated pursuant to Section 7 (C) of Article XXIV of the State Constitution. b This amount shall be from moneys originally appropriated for Public School Health Services in the Other Medical Services division. 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 Funding13 17,535,090 8,767,545 (M) 8,767,545 (B) Office of Information Technology Services - Medicaid Funding Colorado Benefits Management System 8,405,843 4,173,836 (M) 13,660 a 18,809 b 4,199,538 Colorado Benefits Management System, HCPF Only 611,520 305,760 c 305,760 CBMS SAS-70 Audit 55,204 27,416 (M) 89 a 119 b 27,580 CBMS Modernization Project 12,669,689 1,886,059 (M) 48,785 d 10,734,845 13,466,086 2,274,072 (M) 55,915 d 11,136,099 Other Office of Information Technology Services Line Items 572,374 286,187 (M) 286,187 22,314,630 23,111,027 a These amounts 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 the Old Age Pension Health and Medical Care Fund moneys originally appropriated to the Old Age Pension State Medical Program. 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 Of this amount, $36,136 $43,266 shall be from the Old Age Pension Health and Medical Care Fund moneys originally appropriated to the Old Age Pension State Medical Program and $12,649 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. (C) Office of Operations - Medicaid Funding 4,786,843 2,393,422 (M) 2,393,421 (D) Division of Child Welfare - Medicaid Funding Administration 133,070 66,535 (M) 66,535 Child Welfare Services 14,579,137 7,289,569 (M) 7,289,568 14,712,207 (D.5) Office of Early Childhood - Medicaid Funding Division of Community and Family Support, Early Intervention Services 4,582,485 2,291,243 (M) 2,291,242 (E) Office of Self Sufficiency - Medicaid Funding Systematic Alien Verification for Eligibility 33,951 33,951 (F) Behavioral Health Services - Medicaid Funding Administration 388,784 194,392 (M) 194,392 Residential Treatment for Youth (H.B. 99-1116) 118,593 59,297 (M) 59,296 Mental Health Institutes 4,775,751 2,387,876 (M) 2,387,875 4,997,745 2,498,873 (M) 2,498,872 Alcohol and Drug Abuse Division, High Risk Pregnant Women Program 1,429,133 714,567 (M) 714,566 6,712,261 6,934,255 (G) Services for People with Disabilities - Medicaid Funding Community Services for People with Developmental Disabilities, Administration 2,897,037 1,448,519 (M) 1,448,518 Community Services for People with Developmental Disabilities, Program Costs 374,575,651 187,287,826 (M) 1 a 187,287,824 Regional Centers 45,632,428 22,816,214 (M) 22,816,214 Regional Center Depreciation and Annual Adjustments 1,187,825 593,913 (M) 593,912 424,292,941 a This amount shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S. (H) Adult Assistance Programs, Community Services for the Elderly - Medicaid Funding 1,800 900 (M) 900 (I) Division of Youth Corrections - Medicaid Funding 1,365,389 682,695 (M) 682,694 1,630,924 815,463 (M) 815,461 (J) Other Federal Medicaid Indirect Cost Reimbursement for Department of Human Services Programs 500,000 500,000 (I)a a This amount reflects estimated Medicaid federal indirect cost reimbursements for Department of Human Services programs, and is shown for informational purposes only. 496,837,597 498,121,523 TOTALS PART V (HEALTH CARE POLICY AND FINANCING) $6,195,287,695 $1,601,027,096 $470,280,384 a $1,029,835,723 b $8,483,522 $3,085,660,970 c $6,235,263,060 $1,600,538,627 $1,097,858,858 b $3,058,101,669 c a Of this amount, $469,842,084 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $438,300 shall be General Fund Exempt pursuant to Section 24-22-117 (1) (c) (I) (B), C.R.S. Further, said $438,300 is also not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. b Of this amount $10,000,000 contains an (I) notation. c Of this amount $236,968,775 $249,997,619 contains an (I) notation. FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 8 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 42,119 $922,386,299 $21,899.53 Adults with disabilities 60 through 64 years of age 9,746 170,480,294 17,492.33 Individuals with disabilities through 59 years of age 63,956 965,943,502 15,103.25 Medicaid buy-in for people with disabilities 1,928 21,773,806 11,293.47 Categorically eligible low-income adults 73,217 272,705,455 3,724.62 Expansion adults through 60 percent Federal Poverty Level (FPL) 30,845 84,541,559 2,740.85 Expansion adults from 61 through 100 percent FPL 45,195 116,958,469 2,587.86 Adults without dependent children through 100 percent FPL 18,938 169,395,591 8,944.75 Breast and Cervical Cancer Treatment and Prevention Program 666 11,470,958 17,223.66 Eligible children 403,649 603,660,474 1,495.51 Foster care children 17,979 73,624,158 4,095.01 Pregnant adults through 185 percent of FPL 8,370 74,311,402 8,878.83 Non-citizens qualifying for emergency services 2,537 46,695,375 18,405.74 Eligible for Medicare assistance only 23,291 31,209,657 1,339.99 Subtotal Medical Services 742,436 $3,565,156,999 $4,801.98 Supplemental payments 872,525,795 Total $4,437,682,794 9 Department of Health Care Policy and Financing, Medical Service Premiums -- This appropriation includes $35 million from an intergovernmental transfer from Denver Health, the purpose of which is to finance an amendment to the state plan to provide nursing home services for chronically acute, long-stay patients. 10 Department of Health Care Policy and Financing, Medical Service Premiums -- This appropriation assumes that the Department will allow primary care providers to receive reimbursement for providing oral health risk assessments and applying fluoride varnishes up to three times per year for children five years and older. 10a Department of Health Care Policy and Financing, Medical Services Premiums -- The appropriation in this line item includes $1,146,806 total funds comprised of $573,403 General Fund and $573,403 federal funds for treatment of women with breast and cervical cancer regardless of the clinic responsible for the diagnoses. 11 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 72,649 at an average medical per capita cost of $2,231.06 per year; and (2) a total adult prenatal caseload of 1,398 at an average medical per capita cost of $13,517.34 per year. 12 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 $183.07 per child per year for the dental benefit. 13 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 headnotes 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 appropriations in this section (6) 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, 2012. In Session Laws of Colorado 2012, section 2 of chapter 305, (HB 12-1335), amend Part V (6) (F) and the affected totals, as amended by section 1 of chapter 422, (SB 13-089), and as the affected totals are further amended by section 10 of chapter 441 (SB 13-230), as follows: Section 2. Appropriation. PART V DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (6) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS (F) Mental Health and Alcohol and Drug Abuse Services - Medicaid Funding Administration 388,784 194,392 (M) 194,392 Residential Treatment for Youth (H.B. 99-1116) 116,840 58,420 (M) 58,420 Mental Health Institutes 4,775,751 2,387,875 (M) 2,387,876 5,495,751 2,747,875 (M) 2,747,876 Alcohol and Drug Abuse Division, High Risk Pregnant Women Program 1,999,146 999,573 (M) 999,573 7,280,521 8,000,521 TOTALS PART V (HEALTH CARE POLICY AND FINANCING) $5,582,806,472 $1,342,918,324 $507,677,557 a $932,134,472 b $6,894,145 $2,793,181,974 c $5,583,526,472 $1,343,278,324 $2,793,541,974 c a Of this amount, $507,235,957 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $441,600 shall be General Fund Exempt pursuant to Section 24-22-117 (1) (c) (I) (B), C.R.S. Further, said $441,600 is also not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. b Of this amount $10,000,000 contains an (I) notation. c Of this amount $254,641,119 contains an (I) notation. SECTION 3. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2012. (1) 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, 2012, 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 305 (HB 12-1335), Session Laws of Colorado 2012, as amended by section 1 of chapter 422, (SB 13-089) Session Laws of Colorado 2013, section 10 of chapter 441 (SB 13-230) Session Laws of Colorado 2013, section 11 of chapter 394 (SB 13-167) Session Laws of Colorado 2013, and by section 2 of chapter 88 (SB 13-177) Session Laws of Colorado 2013: (a) $5,290,984 for medical service premiums from the general fund; (b) $462,861 for medical service premiums from the Medicaid nursing facility cash fund created in Section 25.5-6-203 (2) (a), Colorado Revised Statutes; (c) $142,285 for Medicaid mental health fee for service payments from the general fund. (2) 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 2013-14 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. ________________________________________________________ Mark Ferrandino Morgan Carroll 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