§ 25.5-2-105 — State children's basic health plan

Colorado § 25.5-2-105

• Jurisdiction: Colorado
• Title 25.5: Health
• Art.: State-funded Health and Medical Care

Text

(1) Beginning no later than
January 1, 2025, there is created the state children's basic health plan. The state
children's basic health plan includes all benefits and services, at the same cost to
the beneficiary, as are offered pursuant to the children's basic health plan in
section 25.5-8-107, such that, to the maximum extent possible, eligible individuals
must not be able to tell that they are enrolled in a different program from the plan
described in section 25.5-8-107.

(2) A child who is less than nineteen years of age is eligible to receive the
state children's basic health plan if the child would be eligible for the children's
basic health plan as described in section 25.5-8-107 but is not eligible due solely to
the child's immigration status.

(3) A child who is less than nineteen years of age is presumptively eligible
for the state children's basic health plan and will receive services specified by state
law only if a parent or legal guardian of the child declares all pertinent information
relating to the criteria of income and assets of the child's family.

(4) The state children's basic health plan must be funded by state funds
only, except to the extent federal funds are made available through express written
authorization through a federal waiver, state plan amendment, or otherwise, by the
federal centers for medicare and medicaid services.

(5) The state department shall seek any necessary federal approvals to
maximize any available federal financial participation in implementing this section.

(6) To the maximum extent allowable under federal law, the state
department shall, using appropriate funding, use the same infrastructure and
provider network to deliver the state's children's basic health plan as it does to
deliver the children's basic health plan described in section 25.5-8-107.

(7) This section constitutes state authority within the meaning of 8 U.S.C.
sec. 1621 (d), as that law existed on January 1, 2022.

(8) (a) During its 2024 presentation to the joint budget committee of the
general assembly and in its presentation to the health and human services
committee of the senate and the health and insurance committee of the house of
representatives, or any successor committees, at the hearing held pursuant to
section 2-7-203 (2)(a) of the State Measurement for Accountable, Responsive, and
Transparent (SMART) Government Act, the state department shall report on its
plans and progress in implementing the state children's basic health plan.

(b) Beginning January 1, 2026, and continuing every January thereafter, the
state department, in its presentation to the joint budget committee of the general
assembly and in its presentation to the health and human services committee of the
senate and the health and insurance committee of the house of representatives, or
any successor committees, at the hearing held pursuant to section 2-7-203 (2)(a) of
the State Measurement for Accountable, Responsive, and Transparent (SMART)
Government Act, shall report on the cost savings and health improvements
associated with the state children's basic health plan.

Legislative History

Source: L. 2022: Entire section added, (HB 22-1289), ch. 399, p. 2838, � 10, effective June 7. L. 2024: (4) amended, (HB 24-1450), ch. 490, p. 3420, � 60, effective August 7.