Changes to Cover All Coloradans Program

HOUSE BILL 26-1411

BY REPRESENTATIVE(S) Brown and Sirota, Bacon, Boesenecker, Carter, Clifford, Duran, English, Froelich, Garcia, Goldstein, Jackson, Joseph, Lindsay, Mabrey, Nguyen, Rutinel, Rydin, Smith, Stewart R., Story, Titone, Velasco, Woodrow, Zokaie, McCluskie, Camacho, Mauro, McCormick, Phillips, Taggart; also SENATOR(S) Amabile and Kirkmeyer, Bridges.

CONCERNING CHANGES TO HEALTH INSURANCE BENEFITS FOR CERTAIN LOW-INCOME INDIVIDUALS WHO ARE NOT ELIGIBLE FOR MEDICAL ASSISTANCE

DUE TO THEIR IMMIGRATION

CONNECTION

THEREWITH,

MAKING

AND

STATUS,

AND,

REDUCING

IN AN

APPROPRIATION.

Be it enacted by the General Assembly of the State of Colorado: SECTION 1. In Colorado Revised Statutes,25.5-2-104, amend (l); and add (3.5) as follows: 25.5-2-104. State-funded health and medical care - rules. (1) (a) Beginning no later than January 1, 2025, There is created the state medical assistance program, referred to in this section as "state

Capital letters or bold & italic numbers indicate new material added to existing law; dashes through words or numbers indicate deletions from existing law and such material is not part of the act.

medical assistance". SUBJECT TO THE LIMITATIONS DETAILED IN SUBSECTION (1 )(b) OF THIS SECTION, state medical assistance includes all benefits and services at the same cost to the beneficiary as are BENEFITS AND SERVICES offered pursuant to the medical assistance program, defined in section 25.5-4-103 (13), such that, to the maximum extent possible, AN eligible individuals must not be INDIVIDUAL IS NOT able to tell that the pet son is THEY ARE enrolled in a different program from medical assistance, put suant to AS DEFINED IN section 25.5-4-103 (13). (b) PREGNANT WOMEN WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE PROGRAM SOLELY DUE TO THEIR IMMIGRATION STATUS AND CHILDREN UNDER NINETEEN YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE, AND WHO DO NOT MEET THE IMMIGRATION REQUIREMENTS FOR ELIGIBILITY ARE SUBJECT TO THE FOLLOWING LIMITATIONS ON BENEFITS:

(I) BEGINNING JULY 1, 2026, THEY ARE SUBJECT TO AN ANNUAL CAP ON DENT AL SERVICES IN THE AMOUNT OF ONE THOUSAND ONE HUNDRED DOLLARS;

(II)

BEGINNING JANUARY 1, 2027, THEY MUST BE OFFERED

BEHAVIORAL HEALTH SERVICES ON A FEE-FOR-SERVICE BASIS ONLY;

(III) BEGINNING JANUARY 1, 2027, THEY ARE NOT ELIGIBLE FOR SERVICES OFFERED THROUGH THE ACCOUNTABLE CARE COLLABORATIVE PURSUANT TO SECTION 25.5-5-419; AND

(IV)

BEGINNING JANUARY 1, 2027, THEY SHALL NOT RECEIVE

MANAGED CARE SERVICES PURSUANT TO PART 4 OF ARTICLE 5 OF THIS TITLE 25.5.

(c) BEGINNING JANUARY 1, 2027, CHILDREN UNDER NINETEEN YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE, AND WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE PROGRAM DUE TO THEIR IMMIGRATION STATUS, SHALL NOT RECEIVE, PURSUANT TO THE STATE MEDICAL ASSISTANCE PROGRAM CREATED IN THIS SECTION, LONG-TERM SERVICES AND SUPPORTS DESCRIBED IN SECTION 25.5-5-102 (l)(e); SECTION 25.5-5-202 (l)(c), (l)(n), AND (l)(p); HOME HEALTH

SERVICES DESCRIBED IN SECTION 25.5-5-102 (l)(t) FOR MEMBERS WHO REQUIRE ONGOING HOME HEALTH SERVICES FOLLOWING SIXTY DAYS OF ACUTE HOME HEALTH SERVICES; AND SERVICES DESCRIBED IN PART 19 OF ARTICLE 6 OF THIS TITLE 25.5 UNLESS THEY ALREADY RECEIVE THESE SERVICES ON OR BEFORE DECEMBER 31, 2026. (3.5) (a) FOR THE 2026-27 STATE FISCAL YEAR, ENROLLMENT IN STATE MEDICAL ASSISTANCE OF CHILDREN UNDER NINETEEN YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE, AND WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE PROGRAM DUE TO THEIR IMMIGRATION STATUS, IS SUBJECT TO AN ENROLLMENT CAP OF TWENTY-FIVE THOUSAND IF ONE OF THE FOLLOWING CONDITIONS IS MET: (I) ENROLLMENT OF THE CHILDREN DESCRIBED IN THIS SUBSECTION (3.5)(a) IN STATE MEDICAL ASSISTANCE EXCEEDS TWENTY-FIVE THOUSAND CHILDREN; OR

(II) EXPENDITURES FOR A FISCAL QUARTER OF THE 2026-27 STATE FISCAL YEAR EXCEED ONE QUARTER OF THE APPROPRIATION FOR STATE MEDICAL ASSISTANCE PLUS FIVE PERCENT TO ACCOUNT FOR COST FLUCTUATIONS DUE TO SEASONALITY.

(b) IF A CONDITION DETAILED IN SUBSECTION (3.5)(a) OF THIS SECTION IS MET, THE STATE DEPARTMENT MUST CAP THE ENROLLMENT OF THE CHILDREN DESCRIBED IN SUBSECTION (3.5)(a) OF THIS SECTION AT TWENTY-FIVE THOUSAND CHILDREN BEGINNING ON THE FIRST DAY OF THE MONTH

FOLLOWING

SIXTY

DAYS

AFTER THE

STATE

DEPARTMENT

DETERMINES THAT A CONDITION DETAILED IN SUBSECTION (3.5)(a) OF THIS SECTION IS MET. (c) THE STATE DEPARTMENT SHALL ADOPT RULES NECESSARY TO IMPLEMENT THE ENROLLMENT CAP DETAILED IN THIS SUBSECTION (3.5).

(d) ON OR BEFORE NOVEMBER 1, 2026, THE STATE DEPARTMENT SHALL SUBMIT A REPORT TO THE JOINT BUDGET COMMITTEE DETAILING WHAT IS DRIVING ENROLLMENT AND UTILIZATION OF STATE MEDICAL ASSISTANCE BY CHILDREN WHO ARE UNDER NINETEEN YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE, AND

WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE PROGRAM DUE TO THEIR IMMIGRATION STATUS. THE REPORT MUST INCLUDE STRATEGIES FOR REDUCING COSTS ASSOCIATED WITH ENROLLING THESE CHILDREN IN STA TE MEDICAL ASSISTANCE.

SECTION 2. In Colorado Revised Statutes, 25.5-5-201, amend (6)(a) and (6)(b) as follows: 25.5-5-201. Optional provisions - optional groups - rules.

(6) (a) Beginning no later than January 1, 2025, A pregnant person who is not a citizen and who is not eligible for medical assistance pursuant to subsection (4) of this section is eligible to receive medical assistance pursuant to this subsection (6)(a), SUBJECT TO THE LIMITATIONS DETAILED IN SECTION 25 .5-2- 104 (1 )(b ), if the individual meets the eligibility requirements other than those related to citizenship and immigration status. (b) A pregnant person who is eligible for medical assistance pursuant to this subsection (6) remains continuously eligible for aH medical services pursuant to the medical assistance program, SUBJECT TO THE LIMITATIONS DETAILED IN SECTION 25 .5-2-104 ( 1)(b ), for the twelve-month postpartum period, so long as eligibility remains in effect pursuant to subsection (4.5)(a) of this section. SECTION 3. In Colorado Revised Statutes, 25.5-8-107, repeal (l)(i) as follows: 25.5-8-107. Duties of the department - schedule of services premiums - copayments - subsidies - purchase of childhood immunizations.

( 1) In addition to any other duties pursuant to this article 8, the department has the following duties: (i) (I) The department shall develop and implement an outreach strategy fut Coloradans who become eligible for health coverage pmsuant to section 25.5-2-104, 25.5-2-105, 25.5-5-201 (6), or 25.5-8-109 (7). The state department shall work with stakeholders to develop an outreach strategy that includes.

(A) Funding fur eomrnunity-based organizations to partner with the department on outt each, (B) A method fut pt0viding infurmation related to eligibility and em ollment that can be pt O'V ided to nonpt ofit partners, school distr iets, and charter schools fut outreach purposes, and

(C) At a minimurn, pto'Viding infurmation related to eligibility and cover age in English, Spanish, and in each language spoken by at least two-and-one-half percent of the population of any county who speak English less than 'Very well, as defined by the United States bureau of the census Amer iean community sm vey, and who speak the minor icy language at-home; (II) App10ximately twelve and twenty-fuur months after implementation of the strategy required pm suant to subsection ( 1)(i)(I) of this section, the department shall eon vene stakeholders, including dir eetly impacted indi'V iduals, ser vice p10 videt s, and adv oeacy 01 ganizations that are div er se with J egar d to I ace, ethnicity, imntigr ation status, sexual 01 ientation, and gender identity and who are affected by higher rates of health disparities and inequities. The department shall report on the outreach and em ollment strategy outcomes, including enrollment of eligible per sons into these p10grams compared to those per sons \l\ ho are eligible fur coverage, but not en10lled.

SECTION 4. In Colorado Revised Statutes, repeal 25.5-2-105. SECTION 5. In Colorado Revised Statutes, 24-75-109, repeal (l)(a.8) as follows: 24-75-109. Controller may allow expenditures in excess of appropriations - limitations - appropriations for subsequent fiscal year restricted - repeal. (1) For the purpose of closing the state's books, and subject to the provisions of this section, the controller may, on or after May 1 of any fiscal year and before the forty-fifth day after the close thereof, upon approval of the governor, allow any department, institution, or agency of the state, including any institution of higher education, to make an expenditure in excess of the amount authorized by an item of appropriation for such fiscal

year if: (a.8) The ove1expenditure is by the department of health ea1e policy and financing fo1 the state child1 en's basic health plan, established pm suant to section 25.5-2-105, or

SECTION 6. In Colorado Revised Statutes, 25.5-4-201, amend ( 1) as follows: 25.5-4-201. Cash system of accounting- financial administration of medical services premiums - medical programs administered by department of human services - federal contributions - rules. ( 1) The state department shall utilize the cash system of accounting, as enunciated by the governmental accounting standards board, regardless of the source ofrevenues involved, for all activities of the state department relating to the financial administration of any nonadministrative expenditure that qualifies for federal financial participation under Title XIX of the federal "Social Security Act", and for the administration of the state-funded health and medical care program, created pursuant to section 25.5-2-104, and fm the state children's basic health plan, c1eated pursuant to section 25.5-2-105, except for expenditures under the program for the medically indigent, aiticle 3 of this title 25.5.

SECTION 7. In Colorado Revised Statutes, 25.5-5-335, amend (2)(a), (2)(b ), and (7)(b) as follows: 25.5-5-335. Continuous medical coverage for children and adults feasibility study - federal authorization - rules - report - definition. (2) At a minimum, the feasibility study must consider the costs; implementation factors, including county workload, training, and administrative burdens on the counties, information technology systems, upgrades, and associated costs; potential health benefits for individuals and communities, including disadvantaged and marginalized groups; impacts of increased use of preventive and high-value health services; administrative savings, including, but not limited to, reducing or eliminating eligibility processing for populations during the continuous eligibility period; reductions in administrative turnover and coverage loss; and, to the extent practicable, social and economic impacts with respect to the following:

(a) Allowing an eligible child, as defined in this article 5 and articles 2, 3, 6, and 8 of this title 25.5, including children eligible under sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104, to remain continuously eligible for medical assistance and the children's basic health plan for twenty-four months after the last day of the month in which the child was enrolled; (b) Allowing an eligible child, as defined in this article 5 and articles 2, 3, 6, and 8 of this title 25.5, including children eligible under sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104 who are less than six years of age OLD, to remain continuously eligible for medical assistance or-the childt en's basic health plan without regard to a change in household income until the child reaches six years of age OLD; (7) (b) For purposes of seeking federal authorization pursuant to subsection (7)(a) of this section, an eligible child is as defined in this article 5 and articles 2, 3, 6, and 8 of this title 25.5, including a child eligible pursuant to sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104, and must be under three years of age OLD. An eligible child shall retnain REMAINS continuously eligible without regard to household income until the eligible child reaches three years of age OLD; except that a child is no longer eligible and must be disenrolled from a medical assistance program if the state department becomes aware that the child has moved out of the state, the state department or county possesses facts indicating that the family has requested the child's voluntary disenrollment, the state department determines eligibility was erroneously granted, or the child is deceased.

SECTION 8. Appropriation - adjustments to 2026 long bill. (1) For the 2026-27 state fiscal year, $3,378,166 is appropriated to the department of health care policy and financing. This appropriation is from the general fund. To implement this act, the department may use this appropriation as follows: (a) $2,286,549 for Medicaid management information system maintenance and projects; (b) $1,017,700 for Colorado benefits management systems, operating and contract expenses; and (c) $73,917 for behavioral health fee-for-service payments, which

amount is subject to the "(M)" notation as defined in the annual general appropriation act for the same fiscal year. (2) For the 2026-27 state fiscal year, the general assembly anticipates that the department of health care policy and financing will receive $137,274 in federal funds for behavioral health fee-for-service payments to implement this act. The appropriation in subsection ( 1)( c) of this section is based on the assumption that the department will receive this amount of federal funds. (3) Except as provided in subsection (5) of this section, to implement this act, general fund appropriations made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy and financing are decreased as follows: (a) $262,500 for general professional services and special projects; (b) $271,951 for medical and long-term care services for Medicaid-eligible individuals, which amount is subject to the "(M)" notation as defined in the annual general appropriation act for the same fiscal year; (c) $753,747 for behavioral health capitation payments, which amount is subject to the "(M)" notation as defined in the annual general appropriation act for the same fiscal year; and (d) $12,914,525 for health benefits for children lacking access due to immigration status. (4) The decrease of the appropriations in subsection (3) of this section is based on the assumption that the anticipated amount of federal funds received for the 2026-27 state fiscal year by the department of health care policy and financing will decrease as follows: (a) $487,500 for general professional services and special projects, which is subject to the "(I)" notation as defined in the annual general appropriation act for the same fiscal year; (b) $505,052 for medical and long-term care services for Medicaid-eligible individuals; and

(c) $1,399,814 for behavioral health capitation payments. (5) Subsection (3) of this section does not require a reduction of an appropriation in the annual general appropriation act for the 2026-27 state fiscal year if either: (a) The amount of the general fund appropriation made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy and financing is less than the amount of the adjustments required in subsection (3) of this section for: (I) General professional services and special projects; (II) Medical and long-term care services for Medicaid-eligible individuals; (III) Behavioral health capitation payments; or (IV) Health benefits for children lacking access due to immigration status; or (b) The annual general appropriation act for the 2026-27 state fiscal year does not include an appropriation to the department of health care policy and financing for: (I) General professional services and special projects; (II) Medical and long-term care services for Medicaid-eligible individuals; (III) Behavioral health capitation payments; or (IV) Health benefits for children lacking access due to immigration status.

SECTION 9. Appropriation - adjustments to 2026 long bill. (1) Except as provided in subsection (3) of this section, to implement this act, the cash funds appropriation from the adult dental fund created in section 25.5-5-207 (4)(a), C.R.S., made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy

and financing for medical and long-term care services for Medicaid-eligible individuals is decreased by $280,827. (2) The decrease of the appropriations in subsection ( 1) of this section is based on the assumption that the anticipated amount of federal funds received for the 2026-27 state fiscal year by the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals will decrease by $521,535. (3) Subsection ( 1) of this section does not require a reduction of an appropriation in the annual general appropriation act for the 2026-27 state fiscal year if either: (a) The amount of the cash funds appropriation from the adult dental fund created in section 25.5-5-207 (4)(a), C.R.S., made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals is less than the amount of the adjustment required in subsection (1) of this section; or (b) The annual general appropriation act for the 2026-27 state fiscal year does not include an appropriation to the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals.

SECTION 10. Appropriation - adjustments to 2026 long bill. (1) Except as provided in subsection (3) of this section, to implement this act, the general fund appropriation made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals is decreased by $280,827, which amount is subject to the "(M)" notation as defined in the annual general appropriation act for the same fiscal year. (2) The decrease of the appropriations in subsection (1) of this section is based on the assumption that the anticipated amount of federal funds received for the 2026-27 state fiscal year by the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals will decrease by $521,535.

PAGE IO-HOUSE BILL 26-1411

(3) Subsection (1) of this section does not require a reduction of an appropriation in the annual general appropriation act for the 2026-27 state fiscal year if either: ( a) The amount of the general fund appropriation made in the annual general appropriation act for the 2026-27 state fiscal year to the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals is less than the amount of the adjustment required in subsection ( 1) of this section; or (b) The annual general appropriation act for the 2026-27 state fiscal year does not include an appropriation to the department of health care policy and financing for medical and long-term care services for Medicaid-eligible individuals.

APPROPRIATION FROM ITEM& SUBTOTAL

TOTAL

GENERAL FUND

GENERAL FUND EXEMPT

CASH FUNDS $

REAPPROPRIA TED FUNDS

FEDERAL FUNDS

SECTION 11. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2025. In Session Laws of Colorado 2025, section 2 of chapter 476, (SB 25-206), amend Part VI (l)(A) and the affected totals as Part VI is amended by section 5 of chapter 150, (SB 25-228), and section 17 of chapter 151, (SB 25-270), and as Part VI (l)(A) and the affected totals are further amended by section I ofHB 26-1155 as follows:

Section 2. Appropriation. PART VI DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

(1) EXECUTIVE DIRECTOR'S OFFICE (A) General Administration

Personal Services

76,144,403 (795.8 FTE)

Health, Life, and Dental

Short-tenn Disability

Paid Family and Medical Leave Insurance

Unfunded Liability Amortization Equalization Disbursement Payments

APPROPRIATION FROM ITEM& SUBTOTAL $

TOTAL

Salary Survey

Step Pay PERA Direct Distribution

Workers' Compensation

Operating Expenses

Legal Services

Administrative Law Judge Services

Payment to Risk Management and Property Funds

Leased Space

Payments to OIT

CORE Operations

General Professional Services and Special Projects

GENERAL FUND $

GENERAL FUND EXEMPT $

CASH FUNDS $

REAPPROPRIA TED FUNDS $

FEDERAL FUNDS $

APPROPRIATION FROM ITEM& SUBTOTAL $

GENERAL FUND

TOTAL

GENERAL FUND EXEMPT $

CASH FUNDS

REAPPROPRIATED FUNDS $

14, I 04,503•

FEDERAL FUNDS $

3,852,606b

• Of this amount, $12,618,763 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,$399,810 shall be from the Healthcare Affordability and Sustainability Nursing Facility Provider Fee Cash Fund created in Section 25.5-4-402.4 (5.5)(a), C.R.S., $361,397 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $278,999 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $204,488 shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $131,531 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $59,140 shall be from the Healthcare Affordability and Sustainability Intermediate Care Facility Fee Cash Fund created in Section 25.5-4-402.4 (5.7)(a), C.R.S., and $50,375 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S. b Of this amount, $1,374,082 shall be transferred from the Department of Human Services from the Health Care and Economic Security Staff Development Center line item appropriation,

$881,600 shall be from statewide indirect cost recoveries, $839,181 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff Development Center line item appropriation in this department, $577,832 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality Education Programs line item, $95,773 shall be from the Department of Personnel and Administration, $57,678 shall be from the Department ofEarly Childhood, and $26,460 shall be from the Department of Public Health and Environment from the Women, Infants, and Children Supplemental Food Grant line item. TOTALS PART VI (HEALTH CARE POLICY AND FINANCING) 25

$ l 8,980,783,085

$ I ,293,261,386•

$2,} 68,909,052h

• Of this amount, $1,292,968,309 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $293,077 shall be General Fund Exempt pursuant to Section 24-22-117 (I)( c)(I)(B.5), C.R.S. Said $293,077 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S.

APPROPRIATION FROM ITEM& SUBTOTAL $

GENERAL FUND

TOTAL $

b Of this amount, $22,134,496 contains an (1) notation.

c Of this amount, $422,806,064 $422,562,314 contains an (I) notation.

GENERAL FUND EXEMPT $

CASH FUNDS $

REAPPROPRIATED FUNDS $

FEDERAL FUNDS $

SECTION 12. Effective date. This act takes effect upon passage; except that section 8 of this act takes effect only if the annual general appropriation act for the 2026-27 state fiscal year becomes law, in which case section 8 takes effect upon the effective date of this act or of the annual general appropriation act for state fiscal year 2026-27, whichever is later; section 9 of this act takes effect only if House Bill 26-1401 does not become law, in which case section 9 takes effect upon the effective date of this act; and section 10 of this act takes effect only if House Bill 26-1401 becomes law, in which case section 10 takes effect upon the effective date of this act or of House Bill 26-1401, whichever is later. SECTION 13. Safety clause. The general assembly finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, or safety or for appropriations for

the support and maintenance of the departments of the state and state institutions.

Julie McCluskie SPEAKER OF THE HOUSE OF REPRESENTATIVES

James Rashad Coleman, Sr. PRESIDENT OF THE SENATE

Vanessa Reilly CHIEF CLERK OF THE HOUSE OF REPRESENTATIVES

Esther van Mourik SECRETARY OF THE SENATE

APPROVED on Thursday June 4th 2026 at 12:30pm (Date and Time)

Jared S. Polis GOVERNOR OF THE STATE OF COLORADO