Amendments for SB20-033

Senate Journal, February 13
After consideration on the merits, the Committee recommends that SB20-033 be amended
as follows, and as so amended, be referred to the Committee on Finance with favorable
recommendation.

Amend printed bill, page 2, after line 1 insert:
"SECTION 1. In Colorado Revised Statutes, 25.5-6-1402, add
(6) as follows:
25.5-6-1402. Definitions. As used in this part 14, unless the
context otherwise requires:
(6) "WORK INCENTIVES ELIGIBILITY GROUP" MEANS THE
CATEGORY OF ELIGIBILITY UNDER THE FEDERAL "BALANCED BUDGET
ACT OF 1997", PUB.L. 105-33, 111, AS AMENDED, FOR INDIVIDUALS WITH
A DISABILITY WHO, EXCEPT FOR ASSETS OR INCOME, WOULD BE ELIGIBLE
FOR THE SUPPLEMENTAL SECURITY INCOME PROGRAM. THIS ELIGIBILITY
APPLIES TO INDIVIDUALS WHO ARE SIXTY-FIVE YEARS OF AGE OR OLDER.
SECTION 2. In Colorado Revised Statutes, 25.5-6-1403, add (5)
as follows:
25.5-6-1403. Waivers and amendments. (5) (a) THE STATE
DEPARTMENT SHALL SEEK FEDERAL AUTHORIZATION THROUGH AN
AMENDMENT TO THE STATE MEDICAL ASSISTANCE PLAN TO IMPLEMENT
THE FEDERAL "BALANCED BUDGET ACT OF 1997", PUB.L. 105-33, 111,
AS AMENDED, WHICH PROVIDES INDIVIDUALS AN OPPORTUNITY TO BUY
INTO MEDICAID CONSISTENT WITH THE FEDERAL "SOCIAL SECURITY ACT",
42 U.S.C. SEC. 1396a (a)(10)(A)(ii)(XIII), AS AMENDED, TO PERMIT THE
STATE DEPARTMENT TO PROVIDE MEDICAL ASSISTANCE ELIGIBILITY TO
INDIVIDUALS IN THE WORK INCENTIVES ELIGIBILITY GROUP, AGE
SIXTY-FIVE AND OLDER, AFTER THEY ARE NO LONGER ELIGIBLE UNDER
THE FEDERAL "TICKET TO WORK AND WORK INCENTIVES IMPROVEMENT
ACT OF 1999", PUB.L. 106-170.
(b) IN ADDITION TO SUBMITTING AN AMENDMENT TO THE STATE
MEDICAL ASSISTANCE PLAN PURSUANT TO SUBSECTION (5)(a) OF THIS
SECTION, THE STATE DEPARTMENT SHALL SUBMIT A STATE PLAN
AMENDMENT PURSUANT TO SECTION 1902(r)(2) of the FEDERAL "SOCIAL
SECURITY ACT" TO USE LESS RESTRICTIVE INCOME AND RESOURCE
METHODOLOGIES TO MATCH THE INCOME, HOUSEHOLD, AND ASSET
LEVELS OF THE MEDICAID BUY-IN PROGRAM FOR IMPLEMENTATION NO
LATER THAN JULY 1, 2021.
SECTION 3. In Colorado Revised Statutes, 25.5-6-1404, amend
(1)(a); and repeal (4) as follows:
25.5-6-1404. Medicaid buy-in program - eligibility - premiums
- medicaid buy-in cash fund - report. (1) Eligibility. An individual is
eligible for and shall receive medicaid provided in this part 14 through
a medicaid buy-in program without losing eligibility for medicaid if all
of the following conditions are met:
(a) The individual meets the requirements for the basic coverage
group or the individual was previously in the basic coverage group and
now meets the requirements for the medical improvement group, OR THE
INDIVIDUAL WAS PREVIOUSLY IN THE BASIC COVERAGE GROUP AND NOW
MEETS THE REQUIREMENTS FOR THE WORK INCENTIVES ELIGIBILITY
GROUP;
(4) Private health insurance. (a) The state department shall, on
behalf of an individual who is eligible for medicaid under subsection (1)
of this section, pay premiums for or purchase individual coverage offered
by the individual's employer if the state department determines that
paying the premiums or purchasing the coverage will be less than
providing medicaid coverage. Any employer-sponsored health insurance
plan shall be the primary payer, and any payments made under medicaid
shall be secondary. In the event that the employer-sponsored health
insurance plan provides benefits that are not equivalent to the benefits
provided under medicaid, medicaid shall provide all additional benefits
that are not provided by the employer-sponsored health insurance plan.
(b) If an individual is eligible for medicaid under subsection (1)
of this section and the individual's employer would pay for all or a
portion of the individual's private insurance, the state department may
accept contributions from the individual's employer to offset part of the
cost of providing services pursuant to this section.
SECTION 4. In Colorado Revised Statutes, 25.5-6-1405, amend
(2) as follows:
25.5-6-1405. Rule-making authority. (2) Any rules adopted by
the state board shall be MUST consistent with the federal "Ticket to Work
and Work Incentives Improvement Act of 1999", Pub.L. 106-170, AND
THE "BALANCED BUDGET ACT OF 1997", PUB.L. 105-33, 111, AS
AMENDED.".

Page 2, strike lines 2 through 19.

Strike pages 3 through 5.

Page 6, strike line 1.

Renumber succeeding section accordingly.
State,
Veterans, &
Military
Affairs

Senate Journal, March 6
After consideration on the merits, the Committee recommends that SB20-033 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation and with a recommendation that it be placed on the Consent Calendar.

Amend printed bill, page 6, before line 2 insert:

"SECTION 5. Appropriation. (1) For the 2020-21 state fiscal
year, $50,000 is appropriated to the department of health care policy and
financing for use by the executive director's office. This appropriation is
from the general fund. To implement this act, the department may use
this appropriation for general professional services and special projects.
(2) For the 2020-21 state fiscal year, the general assembly
anticipates that the department of health care policy and financing will
receive $50,000 in federal funds to implement this act. The appropriation
in subsection (1) of this section is based on the assumption that the
department will receive this amount of federal funds, which is subject to
the "(I)" notation as defined in the annual general appropriation act for
the same fiscal year.".

Renumber succeeding section accordingly.

Page 1, line 103, strike "AGE." and substitute "AGE, AND, IN
CONNECTION THEREWITH, MAKING AN APPROPRIATION.".


Appro-
priations


House Journal, May 27
42 SB20-033 be amended as follows, and as so amended, be referred to the
43 Committee on Finance with favorable recommendation:
44
45 Amend reengrossed bill, page 2, line 14, strike "(5) (a) THE STATE" and
46 substitute "(5) (a) EXCEPT AS PROVIDED IN SUBSECTION (5)(b) OF THIS
47 SECTION:
48 (I) THE STATE".
49
50 Page 3, line 8, strike "(b)" and substitute "(II)".
51
52 Page 3, line 9, after "(5)(a)" insert "(I)".
53
54 Page 3, line 15, strike "2021." and substitute "2022.".
55
1 Page 3, after line 15 insert:
2
3 "(b) THE STATE DEPARTMENT SHALL NOT PREPARE AND SUBMIT
4 THE AMENDMENTS TO THE STATE MEDICAL ASSISTANCE PLAN PURSUANT
5 TO THIS SUBSECTION (5) IF THERE ARE INSUFFICIENT REVENUES FROM THE
6 HEALTHCARE AFFORDABILITY AND SUSTAINABILITY FEE CASH FUND,
7 CREATED IN SECTION 25.5-4-402.4, FOR THE ADMINISTRATIVE EXPENSES
8 ASSOCIATED WITH PREPARING AND SUBMITTING THE STATE PLAN
9 AMENDMENTS. IF THERE ARE INSUFFICIENT REVENUES FROM THE
10 HEALTHCARE AFFORDABILITY AND SUSTAINABILITY FEE CASH FUND, THE
11 STATE DEPARTMENT MAY ACCEPT AND EXPEND GIFTS, GRANTS, OR
12 DONATIONS FOR THIS PURPOSE.".
13
14 Page 4, line 1, strike "GROUP;" and substitute "GROUP, IF A STATE PLAN
15 AMENDMENT FOR THE WORK INCENTIVES ELIGIBILITY GROUP HAS BEEN
16 SUBMITTED AND APPROVED PURSUANT TO SECTION 25.5-6-1403 (5);".
17
18