For fiscal year 2021-22 and any subsequent fiscal years while increased reimbursements and payments associated with the federal public health emergency related to the COVID-19 pandemic are still available, the act specifies that:If a provider or a school district submits a certification of public expenditure pursuant to federal law, the provider or school district shall receive federal matching funds in the amount of 50% of the amount certified, and any federal financial participation in excess of 50% of the amount certified must be transferred to the general fund for the medical assistance program;
The amount of increased federal financial participation in excess of 50% generated from appropriations out of the healthcare affordability and sustainability fee cash fund must be used to offset other general fund appropriations for the medical assistance program;
The amount of increased federal financial participation in excess of 50% for reimbursements and payments must be transferred from the medicaid nursing facility cash fund to the general fund for the medical assistance program expenditures; and
The appropriation to the university of Colorado for fee-for-service contracts for health services is reduced by the amount of federal financial participation that exceeds 50%.
The act adjusts the 2021-22 long bill appropriations as follows:The general fund appropriation for medical services premiums is decreased by $57,330,334;
The appropriation for medical services premiums is reduced by $10,231,185 from reappropriated funds received from the department of higher education;
The appropriation for medical services premiums is increased by $57,330,334, from fund the healthcare affordability and sustainability fee cash fund from the medicaid nursing facility cash fund; and
The decrease of the appropriation of $10,231,185 is based on the assumption that the anticipated amount of federal funds received for the 2021-22 state fiscal year by the department of health care policy and financing for medical services premiums will decrease by $13,127,686.
The act adjusts the 2021-22 long bill appropriations to the department of higher education as follows:The general fund appropriation for fee-for-service contracts with state institutions for specialty education programs is decreased by $10,231,185; and
The appropriation for the regents of the university of Colorado is reduced by $10,231,185.(Note: This summary applies to this bill as enacted.)

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Statutes affected:
Introduced (04/05/2021): 5-4-402.4, 5-6-203, 23-18-304
Engrossed (04/08/2021): 5-4-402.4, 5-6-203, 23-18-304
Reengrossed (04/09/2021): 5-4-402.4, 5-6-203, 23-18-304
Revised (04/15/2021): 5-4-402.4, 5-6-203, 23-18-304
Rerevised (04/19/2021): 5-4-402.4, 5-6-203, 23-18-304
Final Act (04/26/2021): 5-4-402.4, 5-6-203, 23-18-304
Signed Act (None): 5-4-402.4, 5-6-203, 23-18-304