# Colorado SB25-270: Enterprise Nursing Facility Provider Fees Colorado SB25-270, Enterprise Nursing Facility Provider Fees, is a 2025 Regular Session Senate bill sponsored by Emily Sirota (Democratic), Jeff Bridges (Democratic), Judy Amabile (Democratic) and 1 others; status signed, last action 2025-04-30 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-16). - Canonical: https://policyrisk.com/state-bill/CO-SB25-270-2025A - As of: 2026-10-16 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Colorado SB25-270 - State: Colorado - Session: 2025 Regular Session - Title: Enterprise Nursing Facility Provider Fees - Status: signed - Chamber: Senate - Introduced: 2025-03-31 - Last action: 2025-04-30, Governor Signed - Sponsors: Emily Sirota (Democratic), Jeff Bridges (Democratic), Judy Amabile (Democratic), Shannon Bird - Cosponsors: 11 - Subjects: State Revenue & Budget, Health Care & Health Insurance - Touches household money: yes - Roll calls: 12 (340 yes, 145 no in all) - Economic provisions PRIA read: 11 ## Summary No summary available. ## Bill overview: provisions PRIA read - Medicaid payments continue during facility receivership: benefit, medium. When a long-term health-care facility is in receivership, the state health department and Enterprise must reimburse its receiver for Medicaid residents. This supports Medicaid care while the receiver runs the facility. The money goes to the receiver, not directly to residents. The provision sets no… - Nursing facility bills cannot itemize fees: benefit, low. Nursing facilities cannot list any part of the provider fee as a separate charge on billing statements. This is a billing protection, not a limit on overall prices. The rule does not prohibit facilities from including their costs in other charges. - Facility fees stop without federal matches: benefit, low. The Enterprise must stop collecting an affected facility fee when federal matching authority changes or ends and matching funds become unavailable. This protection covers nursing facilities and intermediate care facilities for people with intellectual disabilities. The Enterprise must return cash-f… - Nursing facilities get faster Medicaid payments: benefit, low. Beginning May 1, 2025, nursing facility fees and federal matches support sustained or increased Medicaid reimbursements and supplemental payments. The Enterprise must make nursing facility reimbursements and supplemental payments within 15 days after receiving a provider’s fee. Providers receive a… - Children’s continuous Medicaid coverage faces cuts: cost, medium. The State Board can end the specified continuous-enrollment protection for children through a rule. It can act only when provider-fee money and federal matches cannot fully fund required uses. The board must first receive recommendations from the Enterprise. The law authorizes this change; it does… - Medicaid buy-in coverage faces possible cuts: cost, medium. The law allows cuts to two Medicaid buy-in eligibility groups when provider-fee money and federal matches cannot fund required uses. The State Board must first receive Enterprise recommendations and adopt a rule. For the disability buy-in group, it can cut benefits, lower the income limit below 450… - Nursing facility payments can face shortfalls: cost, low. If nursing facility fee revenue cannot cover all authorized uses, the legislature does not have to fill the gap with General Fund money. The Enterprise can reduce or suspend supplemental Medicaid payments after consulting the state health department. It must follow the law’s payment priorities. Thi… - Care facilities file confidential fee reports: mixed, low. Nursing facilities and intermediate care facilities for people with intellectual disabilities must submit reports used to calculate their fees. Nursing facilities must report annual days of care provided to non-Medicare residents. The submitted information is confidential and is not a public record… - Disability care facilities pay fees, receive reimbursements: mixed, low. Beginning May 1, 2025, the Enterprise can charge privately owned and state-run intermediate care facilities for people with intellectual disabilities. The State Board sets the fee, capped at 5% of covered facilities’ combined annual costs or the federal limit, whichever is lower. Revenue pays admin… - Nursing facility fees shift to Enterprise: mixed, low. Beginning May 1, 2025, the law authorizes the state’s Healthcare Affordability and Sustainability Enterprise to charge nursing facility fees. Charging and collection require federal approval of a Medicaid plan amendment; the State Board sets fees within federal limits. With federal approval, exempt… - Nursing facility payment rules are replaced: mixed, low. The law repeals former nursing facility fee-offset, performance, and condition-based payments and establishes Enterprise-run supplemental payments. Repealed performance minimums were 12% of provider-fee payments starting July 1, 2024, and 15% by July 1, 2026. Repealed condition-based minimums were… ## Sponsors and cosponsors - Sponsor: Emily Sirota (Democratic), House - Sponsor: Jeff Bridges (Democratic), Senate - Sponsor: Judy Amabile (Democratic), Senate - Sponsor: Shannon Bird - Cosponsor: Chad Clifford (Democratic), House - Cosponsor: Julie McCluskie (Democratic), House - Cosponsor: Cathy Kipp (Democratic), Senate - Cosponsor: Dafna Michaelson Jenet (Democratic), Senate - Cosponsor: Sen. F. Winter - Cosponsor: James Coleman (Democratic), Senate - Cosponsor: Julie Gonzales (Democratic), Senate - Cosponsor: Katie Wallace (Democratic), Senate - Cosponsor: Lisa Cutter (Democratic), Senate - Cosponsor: Nick Hinrichsen (Democratic), Senate - Cosponsor: Tom Sullivan (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-23 | House | Conference committee report: Adopt | pass | 45 | 20 | | | 2025-04-23 | House | Conference committee report: Repass | pass | 45 | 20 | | | 2025-04-23 | Senate | Conference committee report: Repass | pass | 23 | 12 | | | 2025-04-23 | Senate | Conference committee report: Adopt ccr | pass | 30 | 5 | | | 2025-04-17 | | Adopt the first draft conference committee report of the first conference committee on SB 25-270 | pass | 6 | 0 | | | 2025-04-15 | House | Conference committee report: Byd scp | pass | 54 | 10 | | | 2025-04-11 | Senate | House amendments: Not concur appt cc | pass | 33 | 0 | | | 2025-04-10 | House | Third reading: Refer (hhs) | fail | 26 | 39 | | | 2025-04-10 | House | Third reading: Bill | pass | 44 | 21 | | | 2025-04-08 | House | Refer Senate Bill 25-270 to the Committee of the Whole. | pass | 8 | 3 | | | 2025-04-03 | Senate | Third reading: Bill | pass | 22 | 12 | | | 2025-04-01 | Senate | Refer Senate Bill 25-270, as amended, to the Committee of the Whole. | pass | 4 | 3 | | ## Actions (15) - 2025-04-30: Governor Signed (House) - 2025-04-29: Signed by the President of the Senate (Senate) - 2025-04-29: Signed by the Speaker of the House (House) - 2025-04-29: Sent to the Governor (House) - 2025-04-23: House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass (House) - 2025-04-23: Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass (Senate) - 2025-04-11: Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee (Senate) - 2025-04-10: House Third Reading Passed - No Amendments (House) - 2025-04-09: House Second Reading Special Order - Passed with Amendments - Floor (House) - 2025-04-08: House Committee on Appropriations Refer Unamended to House Committee of the Whole (House) - 2025-04-03: Senate Third Reading Passed - No Amendments (Senate) - 2025-04-03: Introduced In House - Assigned to Appropriations (House) - 2025-04-02: Senate Second Reading Special Order - Passed with Amendments - Committee (Senate) - 2025-04-01: Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole (Senate) - 2025-03-31: Introduced In Senate - Assigned to Appropriations (Senate) ## Bill text - Engrossed: [PDF](https://leg.colorado.gov/bill_files/82539/download) - Final Act: [PDF](https://leg.colorado.gov/bill_files/82535/download) - Introduced: [PDF](https://leg.colorado.gov/bill_files/82540/download) - Reengrossed: [PDF](https://leg.colorado.gov/bill_files/82538/download) - Rerevised: [PDF](https://leg.colorado.gov/bill_files/82536/download) - Revised: [PDF](https://leg.colorado.gov/bill_files/82537/download) - Signed Act: [PDF](https://leg.colorado.gov/bill_files/40636/download) ## Related bills - SB25-279: Colorado Code of Military Justice Updates (signed) - HB25-1307: Updating Technical References in Education Law (signed) - HB25-1234: Utility Consumer Protection (signed) - SB25-167: Invest State Funds to Benefit Communities (signed) - SB25-163: Battery Stewardship Programs (signed) - SB25-261: Property Tax Deferral Program Administration (signed) ## Sources - [Engrossed (PDF)](https://leg.colorado.gov/bill_files/82539/download) - [Final Act (PDF)](https://leg.colorado.gov/bill_files/82535/download) - [Introduced (PDF)](https://leg.colorado.gov/bill_files/82540/download) - [Reengrossed (PDF)](https://leg.colorado.gov/bill_files/82538/download) - [Rerevised (PDF)](https://leg.colorado.gov/bill_files/82536/download) - [Revised (PDF)](https://leg.colorado.gov/bill_files/82537/download) - [Signed Act (PDF)](https://leg.colorado.gov/bill_files/40636/download) ## Related - [SB25-279: Colorado Code of Military Justice Updates](https://policyrisk.com/state-bill/CO-SB25-279-2025A) - [HB25-1307: Updating Technical References in Education Law](https://policyrisk.com/state-bill/CO-HB25-1307-2025A) - [HB25-1234: Utility Consumer Protection](https://policyrisk.com/state-bill/CO-HB25-1234-2025A) - [SB25-167: Invest State Funds to Benefit Communities](https://policyrisk.com/state-bill/CO-SB25-167-2025A) - [SB25-163: Battery Stewardship Programs](https://policyrisk.com/state-bill/CO-SB25-163-2025A) - [SB25-261: Property Tax Deferral Program Administration](https://policyrisk.com/state-bill/CO-SB25-261-2025A) - [Colorado bills](https://policyrisk.com/states/colorado/bills) - [Colorado state hub](https://policyrisk.com/states/colorado) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/CO-SB25-270-2025A (as of 2026-10-16).