All Roll Calls
Yes: 118 • No: 0
ColoradoHB25-10032025 Regular SessionHouseWALLET
Children Complex Health Needs Waiver
Sponsored By: Lisa Cutter (Democratic), Max Brooks (Republican), Rebekah Stewart (Democratic)
Signed by Governor
Health Care & Health Insurance
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 1 costs, 0 mixed.
Annual funding to expand children’s care enrollment
Beginning July 1, 2025, the law directs annual Health Care Expansion Fund money toward expanding enrollment in two children’s programs. These are the Children with Complex Health Needs Program and the Children’s Extensive Support Waiver Program. The funding provision names fiscal year 2005–06 and each year afterward. It specifies no dollar amount or guaranteed number of new slots, and money supports enrollment rather than direct household payments.
Combined care program for children’s complex needs
Beginning July 1, 2025, Colorado creates the Children with Complex Health Needs Waiver to combine two existing care programs. Children must be under 19, qualify for Medicaid, and have a life-limiting illness or qualify for hospital or nursing-facility care. The state board must set services, including temporary caregiver relief, symptom-relief care, and counseling for children and families. Implementation depends on federal approval, and the waiver must meet federal budget-neutrality rules across the program. The old disabled children care and pediatric hospice program laws end July 1, 2026; participant transition details are not specified.
Colorado must seek easier children’s hospice rules
Beginning July 1, 2025, Colorado’s Medicaid department must request federal exemptions for children’s hospice eligibility and enrollment. The request covers mandatory do-not-resuscitate orders and doctor certification that a child is expected to live less than six months. It also seeks permission for treatment aimed at curing illness alongside palliative and hospice care. The request itself does not change federal rules or guarantee approval.
New tax credit rules for care workers
Beginning July 1, 2025, Colorado updates which home- and community-based services count for its qualified care worker tax credit. The definition covers services under parts 3–13 or part 19 of article 6 of Title 25.5. It removes the separate reference to the old pediatric hospice care law. Services outside the revised definition do not qualify through this definition; removing the reference does not establish that all hospice workers lose eligibility.
Sponsors & Cosponsors
Sponsors
Lisa Cutter
Democratic • Senate
Max Brooks
Republican • House
Rebekah Stewart
Democratic • House
Cosponsors
Andrew Boesenecker
Democratic • House
Alex Valdez
Democratic • House
Brandi Bradley
Republican • House
Bob Marshall
Democratic • House
Brianna Titone
Democratic • House
Carlos Barron
Republican • House
Cecelia Espenoza
Democratic • House
Eliza Hamrick
Democratic • House
Gretchen Rydin
Democratic • House
Jennifer Bacon
Democratic • House
Jarvis Caldwell
Republican • House
Jamie Jackson
Democratic • House
Javier Mabrey
Democratic • House
Julie McCluskie
Democratic • House
Kyle Brown
Democratic • House
Katie Stewart
Democratic • House
Lisa Feret
Democratic • House
Lori Garcia Sander
Republican • House
Lindsay Gilchrist
Democratic • House
Larry Don Suckla
Republican • House
Mary Bradfield
Republican • House
Monica Duran
Democratic • House
Meg Froelich
Democratic • House
Mandy Lindsay
Democratic • House
Manny Rutinel
Democratic • House
Regina English
Democratic • House
Ryan Gonzalez
Republican • House
Rep. S. Bird
Affiliation unavailable
Sean Camacho
Democratic • House
Sheila Lieder
Democratic • House
Yara Zokaie
Democratic • House
Cathy Kipp
Democratic • Senate
Chris Kolker
Democratic • Senate
Dafna Michaelson Jenet
Democratic • Senate
Iman Jodeh
Democratic • Senate
Judy Amabile
Democratic • Senate
James Coleman
Democratic • Senate
Kyle Mullica
Democratic • Senate
Lisa Frizell
Republican • Senate
Roll Call Votes
Senate vote • 3/18/2025
Third reading: Bill
Yes: 33 • No: 0
Senate vote • 3/12/2025
Refer House Bill 25-1003 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.
Yes: 8 • No: 0
House vote • 2/3/2025
Third reading: Bill
Yes: 64 • No: 0
House vote • 1/28/2025
Refer House Bill 25-1003, as amended, to the Committee of the Whole.
Yes: 13 • No: 0
Actions Timeline
Governor Signed
3/31/2025HouseSent to the Governor
3/26/2025HouseSigned by the President of the Senate
3/25/2025SenateSigned by the Speaker of the House
3/24/2025HouseSenate Third Reading Passed - No Amendments
3/18/2025SenateSenate Second Reading Passed - No Amendments
3/17/2025SenateSenate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
3/12/2025SenateIntroduced In Senate - Assigned to Health & Human Services
2/6/2025SenateHouse Third Reading Passed - No Amendments
2/3/2025HouseHouse Third Reading Laid Over Daily - No Amendments
1/31/2025HouseHouse Second Reading Special Order - Passed with Amendments - Committee
1/30/2025HouseHouse Committee on Health & Human Services Refer Amended to House Committee of the Whole
1/28/2025HouseIntroduced In House - Assigned to Health & Human Services
1/8/2025House
Bill Text
Engrossed
Final Act
House Health & Human Services Preamend
Introduced
Reengrossed
Rerevised
Revised
Signed Act
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