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CO HB1162

CO HB1162
Eligibility Redetermination for Medicaid Members


summary

Introduced
02/03/2025
In Committee
04/09/2025
Crossed Over
05/01/2025
Passed
05/31/2025
Dead
Signed/Enacted/Adopted
05/31/2025

Introduced Session

2025 Regular Session

Bill Summary

CONCERNING REDETERMINATION OF ELIGIBILITY FOR INDIVIDUALS ENROLLED IN THE STATE MEDICAL ASSISTANCE PROGRAM.

AI Summary

This bill aims to streamline Medicaid eligibility redetermination processes in Colorado by introducing two key provisions. First, the bill instructs the state department to seek federal authorization by July 1, 2028, to simplify reenrollment for Medicaid members with stable income sources like Social Security, allowing the department to determine eligibility without checking electronic data sources or requesting additional verification. The department is required to consult with Medicaid members and advocacy groups to define what constitutes stable income or assets. Second, the bill requires the state department to modify the Professional Medical Information Document (a document signed by a licensed medical professional used to assess need for long-term services and supports) by December 31, 2026, to reduce the number of medical questions required from medical professionals. The bill also specifies that a treating licensed medical professional with a genuine physician-patient relationship must sign this document for a member. The legislation is subject to potential referendum and would take effect after the 90-day period following the general assembly's final adjournment, with a potential voter approval needed in November 2026 if a referendum petition is filed.

Committee Categories

Health and Social Services

Sponsors (28)

Last Action

Governor Signed (on 05/31/2025)

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