First Regular Session

Sixty-first General Assembly

LLS NO. 97-0259.01D JBC SENATE BILL 97-180

STATE OF COLORADO

BY SENATORS Lacy, Blickensderfer, and Rizzuto;

also REPRESENTATIVES Grampsas, Owen, and Romero.

APPROPRIATIONS

A BILL FOR AN ACT

Concerning a supplemental appropriation to the department of health care policy and financing.

Bill Summary

(Note: This summary applies to this bill as introduced and does not necessarily reflect any amendments which may be subsequently adopted.)

Makes 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. Part V of section 2 of chapter 324, Session Laws of Colorado 1996, is amended to read:

Section 2. Appropriation.

ITEM &
SUBTOTAL

$
TOTAL


$
GENERAL
FUND

$
GENERAL
FUND
EXEMPT
$

CASH
FUNDS

$
CASH
FUNDS
EXEMPT
$
FEDERAL
FUNDS

$

PART V

DEPARTMENT OF HEALTH CARE POLICY AND FINANCING















(1) EXECUTIVE DIRECTOR'S OFFICE31












Personal Services

872,331



303,187

(M)



15,000

a



554,144



(15.1 FTE)












Health, Life, and Dental

283,700



141,850

(M)







141,850


Short-term Disability

11,051



4,862

(M)







6,189


Salary Survey and Anniversary Increases

216,494



108,158

(M)







108,336


Workers' Compensation

119,689



59,844

(M)







59,845


Operating Expenses

133,524



96,759

(M)







36,765


Legal Services for 3,980 hours

188,838



94,419

(M)







94,419


Third Party Recovery/ Legal Services for 3,387 hours

160,702







160,702

b





Administrative Law Judge Services for 1,993 Hours

171,220



85,610

(M)







85,610


Systems Costs

330,339



132,698

(M)



32,471

c



165,170


Payment to Risk Management and Property Funds

24,748



12,374

(M)







12,374


Capitol Complex Leased Space

209,680



104,840

(M)







104,840


Department of Human Services Administration

274,734



137,367

(M)







137,367


Colorado Benefits Management System

54,070



27,035

(M)







27,035




2,997,050














3,051,120


























a This amount shall be from the Cooperative Health Care Agreements Fund Fund.

b This amount shall be from third party recoveries.

c This amount shall be from the Old Age Pension Fund.















(2) MEDICAL PROGRAMS













(A) Administration32,33














Personal Services

6,027,610



2,824,560

(M)





6,006

a

3,197,044






2,766,614

(M)







3,254,990



(114.9 FTE)












Operating Expenses

575,324



277,939

(M)







297,385


Medicaid Management Information System Contract

10,713,990



2,773,407

(M)



182,012

b



7,758,571


Department of Public Health and Environment Facility Survey and Certification

3,228,600



865,944

(M)







2,362,656


Contractual Utilization Review

3,263,208



815,802

(M)







2,447,406



3,392,221



848,055

(M)







2,544,166


Early and Periodic Screening, Diagnosis, and Treatment Program

2,688,990



1,344,495

(M)







1,344,495


Nursing Home Audits

818,834



409,417

(M)







409,417


Hospital Audits

202,700



101,350

(M)







101,350



129,140



64,570

(M)







64,570


Nursing Home Preadmission and Resident Assessments

1,368,583



342,146

(M)







1,026,437


Nurse Aide Certification

296,138



135,225

(M)





12,844

(T)c

148,069


Nursing Home Quality Assessments

28,873



7,218

(M)







21,655


Estate Recovery

361,528



180,764

(M)







180,764



443,200



221,600

(M)







221,600


Single Entry Point Administration

60,000



30,000

(M)







30,000


Single Entry Point Audits

63,628



31,814

(M)







31,814


Automated Medical Payments System (AMPs)

1,400,000







1,400,000

d




Phone Triage/Advice

315,000



118,125

(M)







196,875






78,750

(M)







236,250


Automated Drug Rebate Tracking System

531



131

(M)







400


medicaid management information system transition costs

8,804,584



1,423,819

(M)







7,380,765



31,413,537














40,355,246



























a This amount shall be from grants and donations collected pursuant to Section 26-4-519 (12), C.R.S.

b This amount shall be from the Old Age Pension Health and Medical Care Fund pursuant to Section 26-2-117, C.R.S.

c This amount shall be from the Department of Regulatory Agencies.

d This amount shall be from transaction fees paid by Medicaid providers.















(B)Medical Services7, 34, 35, 36













Services for 32,521 33,033 Old Age Pensioners (OAP-A) at an average cost of $12,357.35 $12,404.85

401,873,519














409,769,384













Services for 4,553 4,681 Old Age Pensioners (OAP-B) at an average cost of $7,413.64

$7,941.53

33,754,310














37,174,298













Old Age Pension State Medical Program for 3,193 3,142 clients at an average cost of $2,986.52 $3,007.93

9,535,969














9,450,916













Services for 55,623 52,797 Recipients of Aid to the Needy Disabled - Social Supplemental Security Income at an average cost of $6,096.49 $5,601.76

339,104,911














295,756,028













Services for 168 162 Recipients of Aid to the Blind at an average cost of $2,975.34 $3,453.15

499,857














559,410













Services for 41,709 38,013 Adult Recipients of Aid to Families with Dependent Children at an average cost of $2,348.61 $2,480.16

97,958,182














94,278,318













Services for 108,531 109,521 Child Recipients of Aid to Families with Dependent Children at an average cost of $961.17 $1,122.93

104,316,879














122,984,499













Services for 9,304 9,543 Foster Children at an average cost of $2,680.66

$2,951.36

24,940,850














28,164,793













Services for 8,678 6,831 Baby Care Program Adults (BC-A) at an average cost of $5,705.67 $5,594.48

49,513,829














38,215,893













Services for 17,019 10,900 Baby Care Program Children (BC-C) at an average cost of $1,373.11 $1,359.62

23,368,955














14,819,858













Services for 4,541 4,276 Qualified Medicare Beneficiaries (QMBs) at an average cost of $1,907.32 $1,433.38

8,661,129














6,129,125













Services for 6,331 5,557 Undocumented Aliens at an Average Cost of $2,383.79 $2,571.00

15,091,772














14,287,047













H.B. 95-1081 Payments to the Department of Corrections

29,432













Enhanced Prenatal Care Services

2,025,000














1,110,674,594



525,684,525

(M)


9,817,988

a



575,172,081



1,073,644,001



508,428,083

(M)







555,397,930
















a This amount shall be from the Old Age Pension Health and Medical Care Fund pursuant to Section 26-2-117, C.R.S.















(C) Indigent Care Program37













Program Administration

252,758



252,758














(3.0 FTE)










Denver Indigent Care

9,682,775



4,616,747

(M)







5,066,028


Specialty and Outstate Programs

15,382,304



8,409,691

(M)







6,972,613



17,879,584



10,698,121

(M)







7,181,463


University Hospital

10,727,750



5,114,991

(M)







5,612,759



36,045,587














38,542,867



























(D) Other Medical Services













Home Care Allowance for 6,729 6,006 Recipients at an average monthly cost of $217.847,38

17,590,144



16,895,617






694,527

(L)




15,700,164



15,007,207






692,957

(L)



Adult Foster Care for 393 359 Recipients at an average monthly cost of $192.837

909,386



863,696






45,690

(L)




830,712



787,254






43,458

(L)



Physician Incentive Pool

5,431,236



2,577,121

(M)







2,854,115



4,431,236



2,100,521

(M)







2,330,715


Disproportionate Share Payments to Providers

122,733,322



61,238,950

(M)







61,494,372



121,745,322



59,277,015

(M)







62,468,307


High Risk Pregnant Women Program

205,324



97,857

(M)







107,467


H.B. 92-1208 Immunizations

848,630



404,457

(M)







444,173



20,586



10,188

(M)







10,398


Poison Control

1,148,034



1,148,034










University of Colorado Family Medicine Residency Training Programs

1,918,755



914,479

(M)







1,004,276


Enhanced Prenatal Care Training and Technical Assistance

60,000



30,000

(M)







30,000



150,844,831














146,060,133



























(E) Department of Human Services













Transfer to the

Department of Human Services

258,067,020



122,528,875