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SB19-209

PACE Program Funding Methodology

Concerning provisions relating to PACE programs, and, in connection therewith, determining the funding methodology for the 2019-20 fiscal year and fiscal years thereafter, requiring the department of health care policy and financing to meet with Colorado PACE programs during the 2019 legislative interim to consider PACE program funding and other issues relating to PACE programs, and making an appropriation.
Session:
2019 Regular Session
Subject:
Health Care & Health Insurance
Bill Summary

Medicaid - PACE program funding - interim review of funding methodology - appropriation. The act directs the department of health care policy and financing (department) to negotiate the monthly contracted rate for PACE program services for the 2019-20 fiscal year, and each fiscal year thereafter, using an actuarially sound upper payment limit methodology that complies with federal law regarding PACE organizations.

The act repeals provisions in statute directing the department to apply a grade of membership method in determining the upper payment limit methodology and tying the 2019-20 fiscal year appropriations to a new methodology or to the fiscal year 2016-17 appropriation.

The act requires the department and PACE organizations to meet during the 2019 legislative interim to consider the appropriate funding methodology for PACE programs and other issues relating to PACE delivery models, administrative oversight and funding administrative services, and appropriations requests.

For the 2019-20 state fiscal year, the act appropriates $6,755,479 to the department of health care policy and financing for medical assistance premiums for the PACE program, with the expectation of receiving the same amount in matching federal funds.


(Note: This summary applies to this bill as enacted.)

Status

Introduced
Passed
Became Law

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Bill Text

  • All Versions (7 )
    Date Bill Type Documents
    04/17/2019 Signed Act PDF
    04/12/2019 Final Act PDF
    04/05/2019 Rerevised PDF
    04/04/2019 Revised PDF
    03/28/2019 Reengrossed PDF
    03/27/2019 Engrossed PDF
    03/25/2019 Introduced PDF

Sponsors

Sponsor Type Legislators
Prime Sponsor

Sen. R. Zenzinger
Rep. C. Hansen

Sponsor

Sen. D. Moreno, Sen. B. Rankin
Rep. D. Esgar

Co-sponsor

Sen. M. Foote, Sen. J. Tate

COVID-19 Resources

Temporary Guidelines for Review and Comment Meetings

The House and Senate are temporarily adjourned. The building is closed to the public.