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. SENATE BILL 13-089 BY SENATOR(S) Steadman, Hodge, Lambert, Aguilar, Kefalas, Nicholson, Todd; also REPRESENTATIVE(S) Levy, Duran, Gerou, Ginal, Schafer, Williams, Young. 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, 2012. In Session Laws of Colorado 2012, section 2 of chapter 305, (HB 12-1335), 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 21,687,551 21,752,333 (314.3 FTE) (315.2 FTE) Health, Life, and Dental 2,160,056 Short-term Disability 32,188 S.B. 04-257 Amortization Equalization Disbursement 704,439 S.B. 06-235 Supplemental Amortization Equalization Disbursement 604,213 Workers' Compensation 30,843 Operating Expenses 1,555,016 1,570,188 Legal Services for 13,592 hours 1,049,982 Administrative Law Judge Services 510,957 Purchase of Services from Computer Center 1,001,906 Multiuse Network Payments 245,162 COFRS Modernization 1,006,098 Payment to Risk Management and Property Funds 84,444 123,841 Leased Space 696,564 675,394 Capitol Complex Leased Space 394,600 General Professional Services and Special Projects 5,780,552 5,956,532 37,544,571 13,163,355 3,343,424 a 447,329 b 20,590,463 (I) 37,818,732 13,349,636 3,294,224 a 20,727,543 (I) a Of this amount, $2,535,659 $2,486,459 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $277,452 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $134,474 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., $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., $65,865 shall be from estate recoveries, $58,152 shall be from the Primary Care Fund created in Section 24-22-117 (2) (b) (I), 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., $37,233 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (a), C.R.S., $33,475 shall be from the Short-term Innovative Health Program Grant Fund created in Section 25-36-101 (2) (a), C.R.S., $30,777 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., and $25,707 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 Of this amount, $443,283 shall be a transfer from the Department of Human Services and $4,046 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. (B) Transfers to Other Departments Transfer to Department of Public Health and Environment Facility for Survey and Certification 5,205,465 1,568,883 (M) 3,636,582 Transfer to Department of Public Health and Environment 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 14,000 7,000 (M) 7,000 Transfer to Department of Education for Public School Health Services Administration 139,940 139,940 (I) 8,699,333 a This amount shall be transferred from the Nurse Home Visitor Program line item of the Prevention Services Division in 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 31,899,317 6,379,650 (M) 1,566,666 a 100,328 b 23,852,673 33,280,737 6,561,236 (M) 1,643,380 a 24,975,793 Fraud Detection Software Contract 250,000 62,500 (M) 187,500 Centralized Eligibility Vendor Contract Project 5,098,787 2,534,204 c 2,564,583 (I) 37,248,104 38,629,524 a Of this amount, $1,317,953 $1,378,965 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $246,828 $262,530 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 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 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 129,240 59,203 (M) 4,620 d 1,593 a 63,824 Contracts for Special Eligibility Determinations 7,761,238 828,091 (M) 2,806,268 b 4,126,879 7,943,121 873,562 (M) 4,263,291 County Administration 31,427,701 10,373,188 (M) 5,380,796 c 15,673,717 Hospital Provider Fee County Administration 2,581,071 1,290,536 d 1,290,535 (I) Administrative Case Management 869,744 434,872 (M) 434,872 Customer Outreach 4,927,018 2,376,649 (M) 86,861 d 2,463,508 47,696,012 47,877,895 a This amount 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. 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 This amount shall be from local funds. d 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 8,414,451 2,225,370 (M) 114,332 a 6,074,749 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 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. 142,765,877 144,603,341 (2) MEDICAL SERVICES PREMIUMS10 Medical and Long-Term Care Services for Medicaid Eligible Individuals 3,994,685,293 1,055,118,623 (M) 312,202,624 a 651,202,864 b 3,215,340 c 1,972,945,842 3,994,977,700 1,055,264,827 (M) 1,973,092,045 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, $482,144,867 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $67,872,147 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2) (a) (I), C.R.S., $43,381,505 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2) (a), C.R.S., $35,205,601 shall be from recoveries and recoupments, $12,436,615 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for federal financial participation under the Medicaid program, $4,531,955 shall be from the Medicaid Buy-In Cash Fund created in Section 25.5-6-1404 (3) (b), C.R.S., $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, $1,484,910 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., $686,735 shall be from the Tobacco Education Programs Fund created in Section 24-22-117 (2) (c) (I), C.R.S., $268,200 shall be from the Coordinated Care for People with Disabilities Fund created in Section 25.5-6-111 (4), C.R.S., $40,869 shall be from local funds, and $40,335 shall be from the Home Health Telemedicine Cash Fund created in Section 25.5-5-321 (2) (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. and $1,215,340 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) MEDICAID MENTAL HEALTH COMMUNITY PROGRAMS Mental Health Capitation Payments 312,580,712 142,712,972 (M) 13,648,932 a 156,218,808 Medicaid Mental Health Fee for Service Payments 4,147,628 2,073,815 (M) 2,073,813 316,728,340 a Of this amount, $13,614,743 (H) shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., and $34,189 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 287,055,532 143,527,766 a 143,527,766 (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 441,600 441,600 b Primary Care Fund Program 27,968,000 27,968,000 c Children's Basic Health Plan Administration 5,134,993 2,305,152 (H)d 2,829,841 Children's Basic Health Plan Medical and Dental Costs11, 12 182,543,053 21,787,355 (M) 441,600 42,220,291 e 118,093,807 191,563,763 24,583,254 (M) 42,581,641 e 123,957,268 521,062,876 530,083,586 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, $2,295,791 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, $31,053,239 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $10,945,416 $11,306,766 shall be from the Hospital Provider Fee Cash Fund created in Section 25.5-4-402.3 (4), C.R.S., $221,635 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 12,400,000 2,400,000 10,000,000 (I)a Commission on Family Medicine Residency Training Programs 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 90,656,176 50,609,286 40,046,890 (I) Public School Health Services Contract Administration 1,138,549 1,138,549 (I) 2,339,025 2,339,025 (I) Public School Health Services 30,446,344 16,010,155 b 14,436,189 (I) 51,300,028 25,650,014 b 25,650,014 (I) 138,847,174 160,901,334 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 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 15,173,536 7,586,768 (M) 7,586,768 15,198,618 7,599,309 (M) 7,599,309 (B) Office of Information Technology Services - Medicaid Funding Colorado Benefits Management System 9,040,363 4,489,039 (M) 14,481 a 20,577 b 4,516,266 Colorado Benefits Management System, HCPF Only 611,520 305,760 c 305,760 (I) CBMS SAS-70 Audit 55,204 27,416 (M) - 89 a 119 b 27,580 Other Office of Information Technology Services Line Items 500,820 250,410 (M) 250,410 10,207,907 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. (C) Office of Operations - Medicaid Funding 4,814,610 2,407,305 (M) 2,407,305 (D) Division of Child Welfare - Medicaid Funding Administration 133,070 66,535 (M) 66,535 Child Welfare Services 14,293,272 7,146,636 (M) 7,146,636 14,426,342 (E) Office of Self Sufficiency - Medicaid Funding Systematic Alien Verification for Eligibility 33,951 16,976 (M) 16,975 33,951 (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 5,322,778 2,661,389 (M) 2,661,389 4,775,751 2,387,875 (M) 2,387,876 Alcohol and Drug Abuse Division, High Risk Pregnant Women Program 1,999,146 999,573 (M) 999,573 7,827,548 7,280,521 (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 340,502,802 170,251,400 (M) 1 a 170,251,401 340,859,230 170,429,614 (M) 170,429,615 Regional Centers 47,801,815 22,033,253 (M) 1,867,655 b 23,900,907 Regional Center Depreciation and Annual Adjustments 1,187,825 593,913 (M) 593,912 392,389,479 392,745,907 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 1,632,783 816,392 (M) 816,391 1,435,610 717,805 (M) 717,805 (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. 447,007,956 446,645,266 TOTALS PART V (HEALTH CARE POLICY AND FINANCING) $5,561,097,516 $1,545,412,545 $312,644,224 a $925,385,218 b $7,172,593 $2,770,482,936 c $5,593,939,567 $1,548,569,664 $935,413,941 b $2,790,139,145 c a Of this amount, $312,202,624 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 $226,395,675 $238,947,056 contains an (I) notation. 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 40,820 $1,015,050,729 $24,866.50 Disabled Adults 60 to 64 Years of Age 8,948 183,126,151 20,465.60 Disabled Individuals up to 59 Years of Age 62,098 1,103,171,414 17,765.01 Medicaid Buy-In for People with Disabilities 2,208 28,915,416 13,095.75 Categorically Eligible Low-Income Adults 77,455 330,437,500 4,266.19 Expansion Adults up to 60 Percent of Federal Poverty Level 26,498 93,726,012 3,537.10 Expansion Adults between 61 Percent to 100 Percent of Federal Poverty Level 42,381 139,127,138 3,282.77 Adults without Dependent Children up to 100 percent of Federal Poverty Level 10,000 121,029,477 12,102.95 Breast and Cervical Cancer Treatment and Prevention Program Adults 679 14,909,151 21,957.51 Eligible Children 367,649 714,389,037 1,943.13 Foster Care Children 18,159 89,587,884 4,933.53 Pregnant Adults up to 185 Percent of Federal Poverty Level 7,546 78,139,747 10,355.12 Non-Citizens Qualifying for Emergency Services 2,529 50,625,528 20,018.00 Qualified Medicare Beneficiaries and Special Low-Income Medicare Beneficiaries 20,503 34,091,703 1,662.77 Total 687,473 $3,996,326,887 $5,813.07 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 67,542 at an average medical per capita cost of $2,210.13 per year; and (2) a total adult prenatal caseload of 1,360 at an average medical per capita cost of $15,818.25 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 $174.02 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 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 (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, 2011. In Session Laws of Colorado 2011, section 2 of chapter 335, (SB 11-209), amend Part V (5) and the affected totals, as Part V (5) and the affected totals are amended by section 1 of chapter 288 (HB 12-1184) and as the said Part V (5) and the affected totals are further amended by section 10 of chapter 305 (HB 12-1335), Session Laws of Colorado 2012, as follows: Section 2. Appropriation. PART V DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (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 1,741,077 870,538 (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 93,512,819 62,869,537 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 45,932,587 20,776,837 c 25,155,750 142,534,317 158,020,560 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. TOTALS PART V (HEALTH CARE POLICY AND FINANCING) $5,150,713,120 $1,432,735,038 $373,954,851 a $782,714,980 $5,736,189 $2,555,572,062 $5,166,199,363 $787,481,662 $2,566,291,623 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. SECTION 3. 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 4 of chapter 143 (HB 12-1339), amend (2) as follows: Section 4. Appropriation. (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, 2012, the sum of $7,630,836 $18,004,245, or so much thereof as may be necessary, for allocation to department of human services medicaid-funded programs, office of information technology services-medicaid funding, for Colorado benefits management system modernization expenses related to the implementation of this act. Of said sum, $3,307,395 $2,441,089 is from the general fund, $8,039 $50,214 is from the old age pension fund pursuant to section 7 (c) of article XXIV of the state constitution, $2,669 $17,693 is from the children's basic health plan trust created in section 25.5-8-105 (1), Colorado Revised Statutes, $1,150,000 is from reappropriated funds received from the department of human services out of the appropriation made in subsection (6) of this section, and $4,312,733 $14,345,249 is from federal funds. Any funds appropriated in this subsection (2) not expended prior to July 1, 2013, are further appropriated to the department in FY 2013-14 for the same purposes. 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. ____________________________ ____________________________ John P. Morse Mark Ferrandino PRESIDENT OF SPEAKER OF THE HOUSE THE SENATE OF REPRESENTATIVES ____________________________ ____________________________ Cindi L. Markwell Marilyn Eddins SECRETARY OF CHIEF CLERK OF THE HOUSE THE SENATE OF REPRESENTATIVES APPROVED________________________________________ _________________________________________ John W. Hickenlooper GOVERNOR OF THE STATE OF COLORADO