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Committee reviews HB 12‑13 aimed at Medicaid transparency and small assisted living changes

Senate Health & Human Services Committee
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Summary

Sponsors said HB 12‑13 updates Medicaid reporting and eases some regulatory burdens on small assisted‑living residences; the Colorado Hospital Association urged an amendment to allow state‑directed payments to draw federal match.

Senator Doherty and Senator Ball told the committee that House Bill 12‑13 would clarify Medicaid reporting and update several technical provisions to reduce administrative burdens, including limited inspection exemptions for small assisted‑living residences and timeliness standards for back‑pay after rate updates. Catherine Mulrady of the Colorado Hospital Association said hospitals have identified a possible state‑directed payment mechanism that could net an estimated $150 million annually for Colorado but that statutory authority is needed before federal match paperwork can proceed. Michelle Pankauski of the Colorado Assisted Living Association urged changes to the Facility Guidelines Institute (FGI) requirement that, she said, are obstructing modest home‑style expansions that would add Medicaid beds. Senators asked technical questions about definitions such as the medical loss ratio and quality‑improvement activities; sponsors noted they expect further amendments on second reading.