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Legislative Year: 2021 Change

Bill Detail: SB21-286

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Title Distribution Federal Funds Home- and Community-based Services
Status Governor Signed (06/30/2021)
Bill Subjects
  • Health Care & Health Insurance
  • Human Services
House Sponsors L. Herod (D)
J. McCluskie (D)
Senate Sponsors D. Moreno (D)
B. Rankin (R)
House Committee Appropriations
Senate Committee Appropriations
Date Introduced 05/24/2021

Joint Budget Committee. The bill directs the department of
health care policy and financing (department) to develop a spending plan
(spending plan) for using enhanced, one-time federal matching money

received pursuant to the American Rescue Plan Act of 2021 (federal
act) to enhance, expand, and strengthen Medicaid-eligible home- and
community-based services for older adults and people with disabilities.
The department shall develop a proposed spending plan
considering feedback from providers, medical assistance recipients, and
advocates consistent with federal guidance on allowable uses of the
federal act funding. Money from the federal act may be used for home-
and community-based services, as defined in the federal act, including
home health services, personal care services, PACE services, waiver
services, case management services, and rehabilitative services. The
department must develop the spending plan in accordance with federal act
guidance. The bill specifies possible components of the spending plan.
As soon as practicable after federal guidance is received, the
department shall submit the proposed spending plan to the joint budget
committee of the general assembly for approval. The joint budget
committee may reject or approve the spending plan and may make
recommendations for modifications to the spending plan. If the spending
plan is rejected, the department shall submit a new spending plan as soon
as possible. The department shall not implement the spending plan unless
the spending plan is approved by the joint budget committee.
The bill transfers $225,735,015 from the general fund to a cash
fund created in the bill. The money in the cash fund is appropriated to the
state department for the fiscal year commencing on July 1, 2021, for
expenditures identified in the spending plan approved by the joint budget
committee; except that the spending authority expires if a supplemental
appropriation bill is enacted. During the next legislative session, the joint
budget committee shall introduce a supplemental appropriation bill for
the amount of the expenditures authorized. For fiscal years commencing
on and after July 1, 2021, the general assembly may also appropriate
money from the fund for purposes authorized under the federal act.
Money in the fund may be used for the department's reasonable and
necessary administrative expenses.
The bill requires the department to submit expenditure reports with
additional information specified in the bill concerning the use of the
money received pursuant to the federal act.
The bill repeals the statutory provisions in 2025.
The bill appropriates money to the department to administer the
appropriations and adjusts the 2020 and 2021 long bill appropriations to
reflect federal funding not already accounted for in the long bills.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (10/06/2021) (most recent)  
Additional Bill Documents Bill Documents
  • Past bill versions
  • Past fiscal notes
  • Committee activity and documents
  • Bill History
Lobbyists Lobbyists
Audio [This feature is available by subscription.]  
Votes House and Senate Votes
Vote Totals Vote Totals by Party
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