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SB 23-222

signed

Medicaid Pharmacy And Outpatient Services Copayment

Plain-English Summary

AI-generated

Senate Bill 23-222 removes the requirement for Medicaid recipients in Colorado to pay copayments for pharmacy and outpatient services, effectively making these services free for them. The bill allocates over $1.8 million from state funds and anticipates receiving additional federal funding to cover the costs of this change. This means that people who are eligible for Medicaid will no longer have to pay out-of-pocket costs when they visit a pharmacy or receive outpatient care, starting April 20, 2023, when the bill was signed into law by the governor.

Official Summary

The act removes the requirement that medicaid recipients pay a copayment for pharmacy and outpatient services. $1,886,150 is appropriated to the department of health care policy and financing (department), consisting of $1,439,499 from the general fund and $446,651 from the healthcare affordability and sustainability fee cash fund, for medical and long-term care services for medicaid-eligible individuals. It is anticipated that the department will receive $5,459,357 in federal funds to implement this act. APPROVED by Governor April 20, 2023 EFFECTIVE April 20, 2023 (Note: This summary applies to this bill as enacted.)

Details

Chamber
Senate
First action
2023-04-20
Latest action
2023-03-24
Last action desc.
Introduced In Senate - Assigned to Appropriations
OpenStates
View source ↗

Sponsors

Related Legislation

This bill affects (23)

relates
SB 22-235(2022A)· signed
County Administration Of Public Assistance Programs
relates
SB 17-267(2017A)· signed
Sustainability Of Rural Colorado
relates
HB 18-1161(2018A)· signed
Supplemental Appropriation - Dept Of Health Care Policy & Financing
relates
SB 22-038(2022A)· signed
Healthcare Affordability And Sustainability Fee
relates
SB 22-091(2022A)· signed
Nonsubstantive Changes To Rule Review Statutes
relates
HB 22-1133(2022A)· signed
Family And Medical Leave Insurance Fund
relates
HB 22-1289(2022A)· signed
Health Benefits For Colorado Children And Pregnant Persons
relates
SB 18-195(2018A)· signed
Healthcare Affordability & Sustainability Fee Cash Fund Appropriations
relates
SB 22-052(2022A)· signed
Medical Assistance Income Eligibility Requirements
relates
SB 17-057(2017A)· failed
Colorado Healthcare Affordability & Sustainability Enterprise
relates
SB 18-266(2018A)· signed
Controlling Medicaid Costs
relates
HB 22-1188(2022A)· signed
ARPA American Rescue Plan Act Money For Home- And Community-based Services
relates
SB 23-117(2023A)· signed
Department of Health Care Policy & Financing Supplemental
relates
HB 18-1358(2018A)· signed
Health Care Charges Billing Required Disclosures
relates
HB 18-1207(2018A)· signed
Hospital Financial Transparency Measures
relates
HB 18-1321(2018A)· signed
Efficient Administration Medicaid Transportation
relates
HB 22-1114(2022A)· signed
Transportation Services For Medicaid Waiver Recipients
relates
HB 18-1136(2018A)· signed
Substance Use Disorder Treatment
relates
HB 22-1173(2022A)· signed
Department of Health Care Policy & Financing Supplemental
relates
SB 22-162(2022A)· signed
Administration Organization Act Modernization
repeals
SB 17-004(2017A)· failed
Access To Providers For Medicaid Recipients
repeals
HB 22-1295(2022A)· signed
Department Early Childhood And Universal Preschool Program
repeals
SB 17-267(2017A)· signed
Sustainability Of Rural Colorado

Affected by (42)

amends
SB 23-216(2023A)· signed
Colorado Universal Preschool Program Funding
amends
HB 24-1387(2024A)· signed
Preschool Programs Cash Fund
amends
SB 24-176(2024A)· signed
Update Medicaid Member Terminology
amends
SB 24-121(2024A)· signed
Licensure of Critical Access Hospitals
relates
SB 24-116(2024A)· signed
Discounted Care for Indigent Patients
relates
SB 24-110(2024A)· signed
Medicaid Prior Authorization Prohibition
relates
HB 24-1045(2024A)· signed
Treatment for Substance Use Disorders
relates
SB 25-270(2025A)· signed
Enterprise Nursing Facility Provider Fees
relates
HB 26-1366(2026A)· signed
Denver Health Federal Funds for Physician Services
relates
HB 24-1185(2024A)· signed
Department of Health Care Policy & Financing Supplemental
relates
HB 24-1399(2024A)· signed
Discounted Care for Indigent Patients
relates
SB 25-166(2025A)· signed
Health-Care Workplace Violence Incentive Payments
relates
HB 26-1375(2026A)· signed
Repeal County Administration Funding Model
relates
SB 25-229(2025A)· signed
Reimbursement for Community Health Workers
relates
HB 26-1177(2026A)· signed
End Nursing Provider Wage Enhancement Payments
relates
HB 26-1411(2026A)· signed
Changes to Cover All Coloradans Program
relates
HB 26-1327(2026A)· failed
Large Employer Worker Health-Care Support
relates
HB 26-1328(2026A)· signed
Medicaid Nonemergency Medical Transportation
relates
HB 26-1069(2026A)· signed
Availability of Emergency Medical Services
relates
SB 25-093(2025A)· signed
Department of Health Care Policy & Financing Supplemental
relates
HB 26-1404(2026A)· signed
Transfer Tobacco Education Fund to Preschool Program Fund
relates
HB 26-1152(2026A)· signed
Department of Early Childhood Supplemental
relates
SB 23-298(2023A)· signed
Allow Public Hospital Collaboration Agreements
relates
SB 24-176(2024A)· signed
Update Medicaid Member Terminology
relates
HB 26-1429(2026A)· signed
County Administration Public Assistance Programs
relates
HB 23-1226(2023A)· signed
Hospital Transparency And Reporting Requirements
relates
HB 23-1215(2023A)· signed
Limits On Hospital Facility Fees
relates
HB 26-1289(2026A)· signed
Modification of Certain Tax Expenditures
relates
SB 25-090(2025A)· signed
Department of Early Childhood Supplemental
relates
HB 25-1033(2025A)· signed
Medicaid Third-Party Liability Payments
relates
HB 26-1155(2026A)· signed
Department of Health Care Policy & Financing Supplemental
relates
HB 23-1243(2023A)· signed
Hospital Community Benefit
relates
SB 26-169(2026A)· signed
Revisor's Bill
relates
SB 23-182(2023A)· signed
Temporary Suspension Of Medicaid Requirements
relates
HB 23-1290(2023A)· signed
Proposition EE Funding Retention Rate Reduction
relates
HB 24-1182(2024A)· signed
Department of Early Childhood Supplemental
relates
HB 23-1301(2023A)· signed
Revisor's Bill
relates
HB 25-1213(2025A)· signed
Updates to Medicaid
relates
SB 25-228(2025A)· signed
Enterprise Disability Buy-in Premiums
repeals
HB 26-1432(2026A)· signed
Health-Care Payment Programs
repeals
SB 25-119(2025A)· signed
Measures to Modify the Department of Early Childhood
repeals
HB 24-1215(2024A)· signed
Transfers to the Capital Construction Fund

Votes

BILL
2023-04-06 · House · passYes: 44 · No: 17 · Other:
BILL
2023-03-30 · Senate · passYes: 29 · No: 6 · Other: