SB 25-229: Reimbursement for Community Health Workers - Colorado

Revised (04/09/2025) → PA1 (04/01/2025) · 5 edits

MODERATE

The bill was amended to change its status from a revised version with adopted amendments to a pre-amended version containing committee amendments that have not yet been adopted on second reading. The substantive policy content regarding Medicaid reimbursement for community health workers and appropriation reductions remains unchanged, though the document reflects a different legislative stage.

TECHNICAL

Removed the 'Revised' header and replaced it with 'PREAMENDED' to indicate this version includes committee amendments not yet adopted on second reading.

Removed the list of co-sponsors (Amabile, Catlin, Frizell, Liston, Pelton B., Pelton R., Rich, Simpson, Wallace) from Senate sponsorship, leaving only Kirkmeyer and Bridges.

Removed the 'Amended 2nd Reading' designation and associated dates (April 9, 2025) from the bill title page.

Removed the '3rd Reading Unamended' designation and associated dates (April 3, 2025) from the bill summary section.

Reformatted line numbers and spacing in the budget summary tables, particularly in the appropriation reduction sections.

Rerevised (04/10/2025) → Revised (04/09/2025) · 2 edits

MINOR

The bill text was updated from a 'Rerevised' version to a 'Revised' version, indicating it has been processed through the second reading in the Senate. The only substantive change is the removal of the '3rd Reading Unamended' stamp and the associated date from the House section, reflecting the bill's current legislative status.

TECHNICAL

Removed the '3rd Reading Unamended' stamp and the date 'April 10, 2025' from the House section, as the bill is now in a revised state after Senate amendments.

Updated the version header from 'REREVISED' to 'REVISED' and adjusted the explanatory text to reflect that amendments were adopted on second reading in the Second House.

PA2 (04/08/2025) → Rerevised (04/10/2025) · 4 edits

MODERATE

The bill was revised to include all amendments adopted by the Second House, moving from an unofficial pre-amendment version to a final revised version. The revision adds a '3rd Reading Unamended' status and updates committee listings, while the substantive policy text regarding Medicaid reimbursement for community health workers remains unchanged in this excerpt.

Scope change

No substantive scope change; the bill's applicability and policy content remain the same, but the version now reflects all adopted amendments.

TECHNICAL

Added '3rd Reading Unamended' status and revised date (April 10, 2025) to reflect final House action.

Updated header from 'PREAMENDED' to 'REREVISED' and changed the note from 'Committee Amendments Not Yet Adopted' to 'All Amendments Adopted in the Second House'.

Added House Committee listing for Appropriations alongside Senate Appropriations committee.

Added 'Amended 2nd Reading' label with date April 9, 2025 to House section.

Final Act (05/02/2025) → PA2 (04/08/2025) · 5 edits

MODERATE

This bill fundamentally reverses its original intent by eliminating Medicaid reimbursement for community health workers rather than expanding it. The legislation removes the statutory authority for reimbursing these workers and repeals the specific statute governing community health worker services. Additionally, it adjusts state appropriations downward to reflect the removal of these reimbursement costs.

Scope change

The bill's scope changed from expanding Medicaid reimbursement for community health workers to eliminating that reimbursement entirely and repealing the enabling statute.

ELIGIBILITY

Removed the authority for the state to reimburse community health workers through the Medicaid program, reversing the original bill's intent to expand coverage.

DEFINITION

Repealed the entire statute (25.5-5-334) that previously governed community health worker services, including reporting requirements and definitions.

FISCAL

Decreased general fund and cash fund appropriations by approximately $1.7 million to reflect the elimination of reimbursement costs.

TIMELINE

Removed the requirement for a January 31, 2027 report on community health worker utilization and costs.

REQUIREMENT

Modified the community health worker registry statute to clarify that registry participation is not required for workers not seeking Medicaid reimbursement.

Signed Act (05/20/2025) → Final Act (05/02/2025) · 3 edits

MINOR

This bill was finalized and prepared for signatures by the Governor and legislative officers. The substantive policy content regarding Medicaid reimbursement for community health workers and reporting requirements remains unchanged from the signed version. The main differences are formatting adjustments and the addition of signature lines for legislative approval.

TECHNICAL

Added signature lines for the President of the Senate, Speaker of the House, Secretary of the Senate, Chief Clerk of the House, and Governor to finalize the bill for official enactment.

Corrected formatting inconsistencies in the bill title and sponsor information between the signed and final versions.

Fixed a typo changing 'Statc ovcrnmcn Act' to 'State Government Act' in the reporting requirements section.

Reengrossed (04/03/2025) → Signed Act (05/20/2025) · 4 edits · May 20, 2025

MODERATE

The bill was amended to update the reporting deadline from January 31, 2026 to January 31, 2027, and to add the SMART ACT hearing requirement for future expansion considerations. The sponsorship list was expanded to include additional senators and representatives. The original text regarding specific fund transfers from the controlled maintenance trust fund was removed, while the Medicaid reimbursement provision and the safety clause remain intact.

TIMELINE

Updated the reporting deadline for community health worker utilization data from January 31, 2026 to January 31, 2027.

REQUIREMENT

Added a requirement to include considerations for expanding community health worker services at the SMART ACT hearing.

SCOPE

Expanded the list of sponsoring legislators to include additional senators and representatives.

FISCAL

Removed the specific legislative intent section detailing transfers from the controlled maintenance trust fund and excess general fund reserve.

Engrossed (04/02/2025) → Reengrossed (04/03/2025) · 2 edits · Apr 3, 2025

MINOR

This bill was reengrossed to include additional Senate sponsors (Catlin, Frizell, Liston, Pelton B., Pelton R., Rich, Simpson, and Wallace) and updated the legislative summary notice to indicate that a summary for the reengrossed version will be available after third reading. No substantive policy changes were made to the bill's content.

TECHNICAL

Added eight new Senate sponsors to the bill sponsorship list.

Updated the legislative summary notice to clarify that a reengrossed version summary will be available after third reading, with a date stamp of April 3, 2025.

Introduced (03/31/2025) → Engrossed (04/02/2025) · 4 edits · Apr 3, 2025

MODERATE

The bill was amended to reinstate Medicaid reimbursement for community health workers, reversing the original intent to eliminate such payments. The amendment adds specific funding sources and clarifies that reimbursement is contingent on federal authorization.

Scope change

The bill's scope changed from eliminating Medicaid reimbursement for community health workers to explicitly allowing reimbursement under specific conditions.

SCOPE

Removed language that would have eliminated reimbursement for community health workers under the Colorado medical assistance program.

FISCAL

Added a new section specifying that $1,403,512 from the controlled maintenance trust fund and $1,403,511 from the excess general fund reserve will be used to reimburse community health worker services.

Modified the appropriation section to reflect the new funding sources and amounts allocated for community health worker reimbursement.

REQUIREMENT

Added a requirement that reimbursement is subject to available appropriations and contingent upon receiving necessary federal authorization.

Reimbursement for Community Health Workers

What changed between versions

How they voted

Actions timeline

Sponsors