Fabio
102 lines
8.6 KiB
Markdown
102 lines
8.6 KiB
Markdown
---
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type: "Bill"
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title: "Enterprise Nursing Facility Provider Fees"
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description: "The act repeals the existing nursing facility provider fee and intermediate care facility service fee, effective May 1, 2025, and provides that, beginning on May 1, 2025, and for each state fiscal year thereafter, the Colorado healthcare affordability and sustainability enterprise (CHASE) within the department of health care policy and financing (HCPF) will charge and collect a new healthcare affordability and sustainability nursing facility provider fee and a new healthcare affordability and sustainability intermediate care facility fee that function similarly to the repealed fees. The act creates a facility provider fee enterprise support board within CHASE for the purpose of supporting the existing enterprise with the implementation of the healthcare affordability and sustainability nursing facility provider fee and the healthcare affordability and sustainability intermediate care facility fee. In exchange for payment of the healthcare affordability and sustainability nursing facility provider fee, CHASE will provide certain business services to nursing facility providers to sustain or increase reimbursement rates and make supplemental medicaid payments to nursing facility providers. In exchange for payment of the healthcare affordability and sustainability intermediate care facility fee, CHASE will provide certain business services to intermediate care facility providers for individuals with intellectual disabilities for the purposes of maintaining the quality and continuity of services provided by intermediate care facilities for individuals with intellectual disabilities. Because CHASE is an enterprise for purposes of the Taxpayer's Act of Rights, its revenue does not count against the state fiscal year spending limit."
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jurisdiction: "us/states/co"
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legislature: "Colorado General Assembly"
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session: "2025A"
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identifier: "SB 25-270"
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citation: "Colorado SB 25-270 (2025A)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Emily Sirota", "Jeff Bridges", "Judy Amabile", "Shannon Bird"]
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version_count: 9
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action_count: 15
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vote_count: 9
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first_action: "2025-03-31T06:00:00+00:00"
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last_action: "2025-04-30T06:00:00+00:00"
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source: "openstates"
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source_identifier: "ocd-bill/4a5d6518-e8b3-4d88-ad41-9c1c7e2271ff"
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source_url: "https://leg.colorado.gov/bills/sb25-270"
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source_hash: "d8f64a06e17008a394b9a2ac0bcf3ca1352ce1fd353edc5b95915bfd57e450b7"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-co"]
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---
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# Colorado SB 25-270 (2025A) — Enterprise Nursing Facility Provider Fees
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The act repeals the existing nursing facility provider fee and intermediate care facility service fee, effective May 1, 2025, and provides that, beginning on May 1, 2025, and for each state fiscal year thereafter, the Colorado healthcare affordability and sustainability enterprise (CHASE) within the department of health care policy and financing (HCPF) will charge and collect a new healthcare affordability and sustainability nursing facility provider fee and a new healthcare affordability and sustainability intermediate care facility fee that function similarly to the repealed fees. The act creates a facility provider fee enterprise support board within CHASE for the purpose of supporting the existing enterprise with the implementation of the healthcare affordability and sustainability nursing facility provider fee and the healthcare affordability and sustainability intermediate care facility fee. In exchange for payment of the healthcare affordability and sustainability nursing facility provider fee, CHASE will provide certain business services to nursing facility providers to sustain or increase reimbursement rates and make supplemental medicaid payments to nursing facility providers. In exchange for payment of the healthcare affordability and sustainability intermediate care facility fee, CHASE will provide certain business services to intermediate care facility providers for individuals with intellectual disabilities for the purposes of maintaining the quality and continuity of services provided by intermediate care facilities for individuals with intellectual disabilities. Because CHASE is an enterprise for purposes of the Taxpayer's Act of Rights, its revenue does not count against the state fiscal year spending limit.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_sb270_h_app_002.pdf)
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2. **Engrossed (04/02/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_eng.pdf)
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3. **Final Act (04/29/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_enr.pdf)
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4. **Introduced (03/31/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_01.pdf)
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5. **PA1 (04/01/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_s_app_02.pdf)
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6. **Reengrossed (04/03/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_ren.pdf)
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7. **Rerevised (04/10/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_rer.pdf)
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8. **Revised (04/09/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_270_rev.pdf)
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9. **Signed Act (04/30/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_270_signed.pdf)
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## Votes
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- NOT CONCUR APPT CC — **33–0** (pass) · upper
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- REPASS — **45–20** (pass) · lower
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- ADOPT CCR — **30–5** (pass) · upper
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- ADOPT — **45–20** (pass) · lower
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- REFER — **26–39** (fail) · lower
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- BILL — **44–21** (pass) · lower
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- BILL — **22–12** (pass) · upper
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- REPASS — **23–12** (pass) · upper
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- BYD SCP — **54–10** (pass) · lower
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## Sponsors
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- Emily Sirota — primary (person)
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- Jeff Bridges — primary (person)
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- Judy Amabile — primary (person)
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- Shannon Bird — primary (person)
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- C. Clifford — cosponsor (person)
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- C. Kipp — cosponsor (person)
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- D. Michaelson Jenet — cosponsor (person)
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- F. Winter — cosponsor (person)
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- J. Coleman — cosponsor (person)
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- J. Gonzales — cosponsor (person)
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- J. McCluskie — cosponsor (person)
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- K. Wallace — cosponsor (person)
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- L. Cutter — cosponsor (person)
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- N. Hinrichsen — cosponsor (person)
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- T. Sullivan — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-04-30T06:00:00+00:00** Governor Signed `executive-signature`
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- **2025-04-29T06:00:00+00:00** Sent to the Governor `executive-receipt`
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- **2025-04-29T06:00:00+00:00** Signed by the Speaker of the House
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- **2025-04-29T06:00:00+00:00** Signed by the President of the Senate
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- **2025-04-23T06:00:00+00:00** Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
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- **2025-04-23T06:00:00+00:00** House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
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- **2025-04-11T06:00:00+00:00** Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee
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- **2025-04-10T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
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- **2025-04-09T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Floor
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- **2025-04-08T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
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- **2025-04-03T06:00:00+00:00** Introduced In House - Assigned to Appropriations `introduction`
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- **2025-04-03T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
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- **2025-04-02T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee
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- **2025-04-01T06:00:00+00:00** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
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- **2025-03-31T06:00:00+00:00** Introduced In Senate - Assigned to Appropriations `introduction`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4a5d6518-e8b3-4d88-ad41-9c1c7e2271ff`. Confidence: reported (aggregated from official Colorado legislature records).
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