Amendments for HB21-1187
House Journal, March 29
43 HB21-1187 be amended as follows, and as so amended, be referred to
44 the Committee of the Whole with favorable
45 recommendation:
46
47 Amend printed bill, page 3, line 26, after "THAT" insert "IS AN
48 ADMINISTRATOR OF LOCALLY GENERATED FUNDING PURSUANT TO SECTION
49 25.5-10-206 (6) AND".
50
51 Page 4, line 14, strike "ORGANIZATION" and substitute "ORGANIZATION,
52 WHICH MAY INCLUDE A COMMUNITY-CENTERED BOARD,".
53
54 Page 5, line 25, after "(3)" insert "(a)".
55
1 Page 5, line 27, after "SECTION." insert "THE COMPETITIVE SOLICITATION
2 MUST INCLUDE A REIMBURSEMENT STRUCTURE DEVELOPED THROUGH A
3 FISCAL ANALYSIS.
4 (b) NO LATER THAN JANUARY 31, 2023, THE STATE DEPARTMENT
5 SHALL PROVIDE AN UPDATE ON THE STATUS OF THE IMPLEMENTATION OF
6 THIS PART 17 TO THE JOINT BUDGET COMMITTEE OF THE GENERAL
7 ASSEMBLY AS PART OF ITS ANNUAL PRESENTATION TO THAT COMMITTEE.".
8
9 Page 11, after line 15, insert:
10 "(g) TO SAFEGUARD THE HEALTH AND SAFETY OF AN AT-RISK
11 MEMBER BY COORDINATING APPROPRIATE SERVICES AND MEDICAL
12 SUPPORTS;".
13
14 Reletter succeeding paragraphs accordingly.
15
16 Page 16, line 1, strike "ENTITY" and substitute "ORGANIZATION".
17
18 Page 29, line 17, after "AGENCY" insert "OR AN ENTITY, AS THOSE TERMS
19 ARE DEFINED IN SECTION 25.5-6-1702,".
20
21 Page 29, line 22, strike "or" and substitute "or".
22
23 Page 29, line 23, strike "AGENCY," and substitute "AGENCY, OR AN
24 ENTITY, AS THOSE TERMS ARE DEFINED IN SECTION 25.5-6-1702,".
25
26 Page 30, line 8, strike "AGENCIES," and substitute "AGENCIES OR
27 ENTITIES,".
28
29 Page 30, line 9, strike "DEFINED IN SECTION 25.5-6-1702 (2)," and
30 substitute "THOSE TERMS ARE DEFINED IN SECTION 25.5-6-1702,".
31
32 Page 30, line 18, after "AGENCIES" insert "OR ENTITIES".
33
34 Page 30, line 23, after "AGENCIES," insert "ENTITIES,".
35
36 Page 32, strike line 3 and substitute "amend the introductory portion; and
37 repeal (1.5) as".
38
39 Page 32, strike lines 7 through 17.
40
41 Page 34, line 25, strike "AGENCIES" and substitute "AGENCIES, AS DEFINED
42 IN SECTION 25.5-6-1702,".
43
44 Page 35, line 10, strike "(3)" and substitute "(3); and add (2.5)".
45
46 Page 35, after line 12 insert:
47 "(2.5) "CASE MANAGEMENT AGENCY" HAS THE SAME MEANING AS
48 SET FORTH IN SECTION 25.5-6-1702 (2).".
49
50 Page 35, strike lines 14 and 15 and substitute "community-centered
51 boards, as defined by section 25.5-10-202 CASE MANAGEMENT AGENCIES
52 and community mental".
53
54 Page 38, line 12, after "agencies," insert "AS DEFINED IN SECTION
55 25.5-6-1702,".
1 Page 40, strike line 2 and substitute "(1), (3.3)(b), and (4); and add (2.5)
2 as follows:".
3
4 Page 40, line 7, strike "section." and substitute "section CASE
5 MANAGEMENT AGENCY" HAS THE SAME MEANING AS SET FORTH IN
6 SECTION 25.5-6-1702 (2).
7 (2.5) "ENTITY" HAS THE SAME MEANING AS SET FORTH IN SECTION
8 25.5-6-1702 (8).".
9
10 Page 40, strike line 23 and substitute "(2)(e) as follows:".
11
12 Page 40, strike lines 26 and 27.
13
14 Page 41, strike lines 1 through 3.
15
16 Page 41, line 4, strike "(e)" and substitute "(2) (e)".
17
18 Page 41, line 9, before "ENTITIES" insert "CASE MANAGEMENT AGENCIES
19 AND".
20
21 Page 41, line 10, strike "systems." and substitute "systems, AS DEFINED IN
22 42 CFR 447.10 (b).".
23
24 Page 43, line 27, strike "AGENCIES" and substitute "AGENCIES, AS DEFINED
25 IN SECTION 25.5-6-1702,".
26
27 Page 45, line 22, strike "(4)" and substitute "(4); and add (15.3)".
28
29 Page 47, after line 8, insert:
30 "(15.3) "ENTITY" HAS THE SAME MEANING AS SET FORTH IN
31 SECTION 25.5-6-1702 (8).".
32
33 Page 51, line 11, after "board" insert "providing" and strike "providing"
34 and substitute "PURCHASING".
35
36 Page 54, strike line 6, and substitute "amend (2) introductory portion,
37 (2)(b), (2)(d), (2)(f), (3), and (4); and repeal (2)(c)".
38
39 Page 54, lines 8 and 9, strike "contractors of access and case
40 management services" and substitute "case management agencies".
41
42 Page 54, strike lines 20 through 27 and substitute:
43 "(c) Delineation of a system to resolve contractual disputes
44 between the state department and designated community-centered boards,
45 service agencies, or case management agencies, and between designated
46 community-centered boards and service agencies, including the
47 contesting of any rates that the designated community-centered boards
48 charge to service agencies based upon a percentage of the rates that
49 service agencies charge for services and supports;".
50
51 Page 57, line 9, strike "service providers AGENCIES" and substitute
52 "service providers CASE MANAGEMENT AGENCIES OR ENTITIES".
53
54 Page 57, line 24, strike "SERVICE AGENCIES" and substitute "CASE
55 MANAGEMENT AGENCIES OR ENTITIES".
1 Page 59, strike line 15 and substitute "(1)(b)(III), (2), and (5); and repeal
2 (1)(a) as follows:".
3
4 Page 59, lines 16 and 17, strike "Adult foster care and home care
5 allowance. (1) (b) (III)" and substitute "Home care allowance.
6 (1) (a) (I) The state department, subject to available appropriations, may
7 provide adult foster care for persons eligible to receive old age pension,
8 aid to the needy disabled, or aid to the blind. For purposes of this
9 paragraph (a), "adult foster care" means care and services that, in addition
10 to room and board, may include, but are not limited to, personal services,
11 recreational opportunities, transportation, utilization of volunteer services,
12 and special diets. Such care and services are provided to recipients of
13 federal supplemental security income benefits who are also eligible for
14 the Colorado supplement program for aid to the needy disabled or aid to
15 the blind and who do not require skilled nursing care or intermediate
16 health care and cannot remain in or return to their residences but who
17 need to reside in a supervised nonmedical setting on a twenty-four-hour
18 basis. Those persons with intellectual and developmental disabilities as
19 defined in section 25.5-10-202, C.R.S., or who are receiving or are
20 eligible to receive services pursuant to article 10 of title 25.5, C.R.S., or
21 any provision of title 27, C.R.S., do not qualify for adult foster care under
22 this paragraph (a).
23 (II) Adult foster care facilities shall be licensed by the department
24 of public health and environment pursuant to section 25-27-105, C.R.S.
25 (b) (III)".
26
27 Page 60, after line 23 insert:
28 "(2) The state department shall administer the adult foster care
29 program and the home care allowance program. The executive director or
30 the state board, as appropriate, shall promulgate rules necessary for the
31 implementation of this section.".
32
33 Page 60, line 26, strike "and adult foster care programs" and substitute
34 "and adult foster care programs".
35
36 Page 61, strike line 7 and substitute "AGENCIES, AS DEFINED IN SECTION
37 25.5-6-1702;".
38
39 Page 61, line 27, after "AGENCIES," insert "AS DEFINED IN SECTION
40 25.5-6-1702,".
41
42 Page 65, line 18, strike "(1)," and strike "(3)(c),".
43
44 Page 65, line 19, strike "(4)" and substitute "(4); and repeal (1) and
45 (3)(c)".
46
47 Page 65, strike lines 21 through 24 and substitute "service agency -
48 money - rules. (1) A service agency, including a community centered
49 board when acting as a service agency, shall comply with the
50 requirements set forth in this article and the rules promulgated
51 thereunder.".
52
53
1 Page 66, strike lines 9 through 16 and substitute:
2 "(c) Delineation of a system to resolve contractual disputes
3 between the department and designated community-centered boards or
4 service agencies and between designated community-centered boards and
5 service agencies, including the contesting of any rates that the designated
6 community-centered boards charge to service agencies based upon a
7 percentage of the rates that service agencies charge for services and
8 supports;".
9
10 Page 67, line 22, strike "SECTION 25.5-6-1708" and substitute "SECTION
11 25.5-6-1703".
12
13 Page 68, strike lines 25 through 27 and substitute "a community-centered
14 board or other entity designated by the department of health care policy
15 and financing pursuant to section 25.5-10-209, C.R.S., CASE
16 MANAGEMENT AGENCY OR AN ENTITY, AS THOSE TERMS ARE DEFINED IN
17 SECTION 25.5-6-1702, THAT HAS ENTERED INTO A CONTRACT WITH THE
18 DEPARTMENT to perform the".
19
20 Page 69, strike lines 3 through 5 and substitute "section 27-10.5-104 (4),
21 if the department of health care policy and financing is unable to
22 designate a community-centered board or other entity THERE IS NOT A
23 CASE MANAGEMENT AGENCY OR AN ENTITY AND THE DEPARTMENT IS
24 UNABLE TO DESIGNATE AN ORGANIZATION to serve as the broker for a".
25
26 Page 69, line 12, strike "(3)(f)" and substitute "(3)(f), (3)(g), and (3)(h);
27 and add (3)(i)".
28
29 Page 69, after line 20 insert:
30 "(g) To monitor and evaluate early intervention services provided
31 through this part 7; and
32 (h) To coordinate contracts, expenditures, and billing for early
33 intervention services provided through this part 7; AND
34 (i) TO CERTIFY EARLY INTERVENTION SERVICE BROKERS WITHIN A
35 DEFINED SERVICE AREA.".
36
37 Page 70, strike lines 8 through 10 and substitute "centered-boards as the
38 single entry point CERTIFIED EARLY INTERVENTION SERVICE BROKERS for
39 a family into the developmental disabilities system, as described in
40 section 27-10.5-102 (3) TO ACCESS EARLY INTERVENTION SERVICES AND
41 SUPPORTS; and".
42
43 Page 70, lines 23 and 24, strike "CASE MANAGEMENT AGENCIES or" and
44 substitute "or".
45
46 Page 70, line 25, strike "CASE MANAGEMENT AGENCIES,".
47
48 Page 70, line 26, strike "certified" and substitute "Certified" and strike
49 "brokers," and substitute "brokers".
50
51 Page 71, lines 3 and 4, strike "CASE MANAGEMENT AGENCIES and
52 certified" and substitute "and Certified".
53
54
1 Page 71, lines 22 and 23, strike "CASE MANAGEMENT AGENCIES or other
2 entities as determined by the department as" and substitute "or other
3 entities as determined by the department as".
4
5 After "AGENCY," insert "AS DEFINED IN SECTION 25.5-6-1702," on: Page
6 25, line 22; Page 31, line 21; and Page 73, line 10.
7
8 Strike "AGENCY" and substitute "AGENCY, AS DEFINED IN SECTION
9 25.5-6-1702," on: Page 26, line 13; Page 27, lines 8 and 20; Page 28,
10 lines 16 and 21; Page 29, line 4; Page 43, line 17; Page 44, line 6; and
11 Page 63, lines 11 and 22.
12
13 Strike "CASE MANAGEMENT AGENCIES," and substitute "CERTIFIED EARLY
14 INTERVENTION SERVICE BROKERS," on: Page 69, line 17; Page 70, line 1;
15 and Page 70, lines 11 and 12.
16
17 Strike "CASE MANAGEMENT AGENCY" and substitute "CERTIFIED EARLY
18 INTERVENTION SERVICE BROKER" on: Page 71, lines 10 and 14; and Page
19 72, lines 2 and 3.
House Journal, April 1
41 Amendment No. 1, Public & Behavioral Health & Human Services
42 Report, dated March 29, 2021, and placed in member's bill file; Report
43 also printed in House Journal, March 29, 2021.
44
45 As amended, ordered engrossed and placed on the Calendar for Third
46 Reading and Final Passage.