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ColoradoHB25-12132025 Regular SessionHouseWALLET

Updates to Medicaid

Sponsored By: Lindsey Daugherty (Democratic), Lisa Feret (Democratic), Matt Ball (Democratic), Ron Weinberg (Republican)

Signed by Governor

Health Care & Health Insurance

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Clearer transition notices for Medicaid long-term care

Colorado must notify affected Medicaid members about transition timelines when a long-term care service ends or loses coverage. This applies to members who still meet the program's care-needs and financial requirements. The state must confirm the timeline with federal Medicaid officials and tell the affected member. This notice does not guarantee that the service continues.

Fewer signature requirements for Medicaid therapy plans

Colorado's Medicaid department cannot require extra signatures beyond federal rules for doctors or practitioners certifying therapy plans. This applies to physical, occupational, and speech therapy plans of care. The limit may reduce paperwork, but it does not change coverage or guarantee payment for therapy.

Fewer design rules for small assisted-living homes

Assisted-living homes with fewer than 19 beds are exempt from Facility Guidelines Institute design standards, except for new construction or major renovations. Major renovations include additions or changes affecting the building's structural strength. Routine nonstructural work is excluded when it adds no beds and does not substantially change building systems. Homes must still follow fire codes, local building codes, and other legal standards.

Updated billing guidance and Medicaid payment deadlines

Colorado's Medicaid department must review and update its general billing manual annually using existing review resources. The manual must include needed medical billing codes, called CPT codes, or link to the department's code list. Beginning January 1, 2026, managed care plans must pay contracted providers within one year after a rate update requires claims reprocessing. The department must notify plans of rate changes within 60 days. These deadlines cover provider payments, not payments to Medicaid members.

Sponsors & Cosponsors

Sponsors

  • Lindsey Daugherty

    Democratic • Senate

  • Lisa Feret

    Democratic • House

  • Matt Ball

    Democratic • Senate

  • Ron Weinberg

    Republican • House

Cosponsors

  • Andrew Boesenecker

    Democratic • House

  • Brianna Titone

    Democratic • House

  • Jennifer Bacon

    Democratic • House

  • Jamie Jackson

    Democratic • House

  • Junie Joseph

    Democratic • House

  • Julie McCluskie

    Democratic • House

  • Jacque Phillips

    Democratic • House

  • Kyle Brown

    Democratic • House

  • Katie Stewart

    Democratic • House

  • Lorena Garcia

    Democratic • House

  • Lindsay Gilchrist

    Democratic • House

  • Monica Duran

    Democratic • House

  • Mandy Lindsay

    Democratic • House

  • Manny Rutinel

    Democratic • House

  • Naquetta Ricks

    Democratic • House

  • Regina English

    Democratic • House

  • Ryan Gonzalez

    Republican • House

  • Rebekah Stewart

    Democratic • House

  • Rep. S. Bird

    Affiliation unavailable

  • Sheila Lieder

    Democratic • House

  • Tammy Story

    Democratic • House

  • William Lindstedt

    Democratic • Senate

  • Yara Zokaie

    Democratic • House

  • Dafna Michaelson Jenet

    Democratic • Senate

  • Judy Amabile

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 279 • No: 17

House vote • 5/1/2025

Senate amendments: Repass

Yes: 58 • No: 7

House vote • 5/1/2025

Senate amendments: Concur

Yes: 58 • No: 7

Senate vote • 4/30/2025

Third reading: Bill

Yes: 35 • No: 0

Senate vote • 4/30/2025

Third reading: Amend (l.013)

Yes: 35 • No: 0

Senate vote • 4/24/2025

Refer House Bill 25-1213, as amended, to the Committee of the Whole.

Yes: 9 • No: 0

House vote • 3/26/2025

Third reading: Bill

Yes: 62 • No: 3

House vote • 3/25/2025

Refer House Bill 25-1213, as amended, to the Committee of the Whole.

Yes: 10 • No: 0

House vote • 3/4/2025

Refer House Bill 25-1213, as amended, to the Committee on Appropriations.

Yes: 12 • No: 0

Actions Timeline

  1. Governor Signed

    5/28/2025House

  2. Signed by the Speaker of the House

    5/14/2025House

  3. Signed by the President of the Senate

    5/14/2025Senate

  4. Sent to the Governor

    5/14/2025House

  5. House Considered Senate Amendments - Result was to Concur - Repass

    5/1/2025House

  6. Senate Third Reading Passed with Amendments - Floor

    4/30/2025Senate

  7. Senate Second Reading Passed with Amendments - Committee, Floor

    4/29/2025Senate

  8. Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole

    4/24/2025Senate

  9. Introduced In Senate - Assigned to Health & Human Services

    4/1/2025Senate

  10. House Third Reading Passed - No Amendments

    3/26/2025House

  11. House Committee on Appropriations Refer Amended to House Committee of the Whole

    3/25/2025House

  12. House Second Reading Special Order - Passed with Amendments - Committee

    3/25/2025House

  13. House Committee on Health & Human Services Refer Amended to Appropriations

    3/4/2025House

  14. Introduced In House - Assigned to Health & Human Services

    2/11/2025House

Bill Text

  • Engrossed

    PDF

  • Final Act

    PDF

  • House Appropriations Preamend

    PDF

  • House Health & Human Services Preamend

    PDF

  • Introduced

    PDF

  • Reengrossed

    PDF

  • Rerevised

    PDF

  • Revised

    PDF

  • Senate Health & Human Services Preamend

    PDF

  • Signed Act

    PDF

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