Category Archives: Colorado Legislature

May 13

7 winners and losers: Breakdown of the 2016 Colorado legislative session

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7 winners and losers: Breakdown of the 2016 Colorado legislative session

By: Megan Schrader

May 11, 2016 Updated: May 11, 2016 at 10:45 pm

photo - Colorado State Capitol Building
Colorado State Capitol Building 

The 2016 Colorado legislative session may go down in history as the year of little change.

The politically divided chambers in the General Assembly resulted in neither party having much success with their lengthy agendas.

That’s not necessarily a bad thing for political moderates or independents who don’t care about party agendas, but for everyone else, they’ve got something in the loss column this year.

That means 2017 won’t see major policy changes on things like clamping down on construction defects litigation or equal-pay legislation.

Here is a look at some of the winners and losers from the session, which concluded Wednesday:

WINNERS

The Joint Budget Committee

Any politician who can emerge from 120 days of politicking and still look like a high-functioning, level-headed individual. The three Democrats and three Republicans on the Joint Budget Committee received more than their share of accolades for crafting a 581-page budget that somehow managed to appease both sides. Sen. Kent Lambert, R-Colorado Springs, and Rep. Millie Hamner, D-Dillon, led the committee to a $25.8 billion budget that averted major cuts and – perhaps more significantly – the gridlock all too common across the nation when politicians dig in their heals.

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May 07

Colorado’s hospital provider charge: A tax masquerading as a fee

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(Editor’s note: This synopsis is excerpted from an Independence Institute Issue Paper on the Hospital Provider Fee Cash Fund, which can be found here:  http://www.i2i.org/the-hospital-provider-fee-fund/)

What is the Hospital Provider Fee?

In 2009, the Colorado General Assembly passed the Colorado Health Care Affordability Act of 2009, HB 09-1293, which imposed an up to 5.5 percent charge on hospital bills. It created the Hospital Provider Fee Cash Fund and the Hospital Provider Fee Oversight and Advisory Board within the Department of Health Care Policy and Financing (HCPF). Funds raised by the provider charge are deposited in the Cash Fund and do not revert to the General Fund. Payments made to hospitals by the Cash Fund are supplemental payments over and above Medicaid reimbursements made to hospitals for services rendered. The Act stipulates that “a hospital shall not include any amount of the provider fee as a separate line item in its billing statements.”

The provider fee raises revenue for the state

In FY 2014-15 provider charges collected $688 million. The revenue comes from payments of the charge and increases in federal Medicaid matching funds. Suppose a day in the hospital costs $1,000. If the federal match is 50 percent, Colorado Medicaid pays the hospital $1,000 and receives $500 from the federal government. Its net cost is $500. Continue reading →

Apr 30

Colorado Springs politician once again bucks Republicans

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Colorado Springs politician once again bucks Republicans

By: Megan Schrader •
April 29, 2016• Updated: April 29, 2016 at 6:10 pm

Kit RoupeDENVER – State Rep. Kit Roupe, R-Colorado Springs, was one of five Republicans to vote for a bill Friday that would allow the state to retain millions of dollars that otherwise would have to be returned to voters under the Taxpayer’s Bill of Rights.

House Bill 1420 passed 39-26 on Friday and is headed to the Senate, where its success depends on what committee it is assigned to by Senate President Bill Cadman, R-Colorado Springs.

The bill removes from the general fund revenue generated by a fee charged on hospital stays so that money no longer counts toward the TABOR threshold (the point where revenue has grown too fast and money must be returned to taxpayers). The hospital provider fee revenue would instead go to a separate enterprise fund, where it is exempt from TABOR and outside the purview of lawmakers.

“I began considering the switch of my vote when I learned that it really wasn’t a bed tax, per se, and that over the course of the last several years we’ve actually taken money that was not ours out of hospital provider fee to pay for balancing the state budget,” Roupe said.

The hospital provider fee was established by lawmakers in 2009 to help pay for the expansion of Medicaid in Colorado. The money is collected from hospitals, matched by the federal government then returned to hospitals based on which facilities treat the most Medicaid patients.

Republicans hammered Democrats on Thursday – when the bill was heard the first time – over the growing cost of Medicaid and the decision to implement the fee. At the time, several Republicans, including then-Attorney General John Suthers, warned the fee should go into an enterprise fund instead of the general fund.

Now Democrats agree, saying having the growing fee’s revenue in the general fund will crush the state’s ability to provide money for transportation infrastructure and education. House Speaker Dickey Lee Hullinghorst, D-Boulder, estimated it could cost state services $1 billion by 2020. Hullinghorst’s HB 1420 and companion House Bill 1450 recommend retaining that money by forgoing TABOR refunds and using the funds on prioritized projects. Continue reading →

Apr 30

In Colorado, School Funding Lags Despite A Booming Economy

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In Colorado, School Funding Lags Despite A Booming Economy

Jenny Brundin By Jenny Brundin Apr 29, 2016
 
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Audio: CPR’s Jenny Brundin Reports On School Funding

Douglas Bruce, a driving force behind the Taxpayer’s Bill Of Rights, celebrates the amendment’s passing in November 1992. Critics say it now limits how much money is spent on education in Colorado.

(Courtesy Denver Public Library, Rocky Mountain News archives / Jay Koelzer)

This story is part of the NPR reporting project “School Money,” a nationwide collaboration between NPR’s Ed Team and 20 member station reporters exploring how states pay for their public schools and why many are failing to meet the needs of their most vulnerable students. Colorado’s economy is hot. The unemployment rate is 3 percent. And shiny new skyscrapers are rising all over Denver as revelers pour fistfuls of cash into downtown bars and restaurants.

But no one invited Colorado’s public schools to the party.

“They have outdated technology, larger class sizes. They’ve lost the opportunity to offer certain programs. They can’t retain teachers. They can’t attract teachers,” says Tracie Rainey with the Colorado School Finance Project, a nonprofit research group.  “They’ve had fewer school days, furlough days, all sorts of maintenance issues.”

The list goes on. Many educators and parents had hoped that, as Colorado’s economy roared back from the Great Recession, the nearly $5 billion that lawmakers had cut from the state’s public schools would come back with it.

They were wrong.

“I was told that an improved economy would mean cuts would continue,” says Shannon Bird. The concerned mother of two school-age children lives north of Denver and has made several trips to the state Capitol to lobby for more funding. “Lawmakers told me their hands are tied.”

How is it that the nation’s 14th richest state ranks 42nd in how much it spends per student? Especially in a year that taxpayers can expect rebate checks from the state totaling $156 million?

Most Restrictive In The Country

The simple answer is, that’s what voters wanted. In 1992, they amended the state’s constitution with something called the Taxpayer’s Bill of Rights, or TABOR.

 

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Apr 30

Republicans join Democrats to change hospital provider fee

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Republicans join Democrats to change hospital provider fee

Brown, Coram join Democrats

By Peter Marcus Herald staff writer

Reps. J. Paul Brown of Ignacio and Don Coram of Montrose on Friday joined majority Democrats to support restructuring a hospital fee to pay for state services. Three other Republicans also supported the bill, which passed 39-26.

Getty Images/iStockphoto

Reps. J. Paul Brown of Ignacio and Don Coram of Montrose on Friday joined majority Democrats to support restructuring a hospital fee to pay for state services. Three other Republicans also supported the bill, which passed 39-26.

 DENVER – Two Southwest Colorado Republicans resisted pressure from conservative interests Friday and supported a restructuring of a hospital fee to pay for state services.

Related stories

Reps. J. Paul Brown of Ignacio and Don Coram of Montrose joined majority Democrats to support the bill, which passed 39-26. Three other Republicans also supported it.

A second companion bill directs where the anticipated savings – expected to be about $730 million next year – would go.

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Apr 29

House OKs hospital provider fee and road funding bills

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A desire to fix roads and fund schools led at least two House Republicans on Thursday to join Democrats to give preliminary approval to a bill that frees up about $700 million in state revenue for those purposes.
The legislation would re-categorize revenue collected under the seven-year-old hospital provider fee, which now goes into the state’s general fund and is subject to spending caps imposed by the Taxpayer’s Bill of Rights.
Colorado House Minority Leader Brian DelGrosso and House Speaker Dickey Lee Hullinghorst debate the hospital-provider fee bill.

Most Republicans question the constitutionality of changing how the hospital provider fee revenue is accounted for, calling it a “magic trick.” The fee program collects money from the hospitals for each patient they treat and leverages the money to bring in the same amount of federal funds.
GOP members argue that the maneuver alsol would cost Coloradans the chance to get Taxpayer’s Bill of Rights refunds for many years.
But House Speaker Dickey Lee Hullinghorst — the Boulder County Democrat who sponsored both the hospital provider fee bill originally said the legislation allocates money that doesn’t come in through tax collections and puts it toward transportation, higher education, K-12 schools and other priorities.

A coalition of more than 100 business and civic groups back the measure. Hullinghorst argued that money that will be put toward these needs will improve the state economy much more than sending small refunds back to residents.
“I believe this bill is the most important we will consider this session for one single reason — its adoption ultimately would touch the lives of every single Coloradan,” Hullinghorst told the House during a roughly 3-1/2-hour debate. Continue reading →

Apr 28

Research & Commentary: Colorado’s Hospital Provider Tax and TABOR Collide

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Research & Commentary: Colorado’s Hospital Provider Tax and TABOR Collide

Matthew Glans –
February 8, 2016
Funding Medicaid programs has proven to be an increasingly difficult task for many states.
In 2009, the Colorado General Assembly passed legislation creating a hospital provider fee (HPF) as part of its effort to provide health care for those Coloradoans who cannot afford private medical coverage and do not qualify for Medicaid. The HPF is assessed on hospitals based on the number of patients they treat and the number of outpatient services provided.

Each hospital pays a different amount for the tax, ranging from millions of dollars to nothing at all. The Denver Post reported preliminary state figures estimate the state’s hospitals paid $688.5 million in fees from October 2014 through September 2015. The federal government matched the fees, paying $1.2 billion.

The provider tax became a more important issue in Colorado after the Affordable Care Act (ACA) was passed in 2010. The Colorado legislature added an expansion of Medicaid to the hospital provider fee program in 2013, growing the program to roughly $2.4 billion during the state’s 2014–15 fiscal year. The fee is matched by the federal government, and it is used to provide expanded Medicaid coverage and increased enrollment in Colorado’s Child Health Plan Plus program.

The amount of revenue generated by HPF has grown rapidly over the past year. Revenue in 2015 increased by around 30 percent compared to the previous year, because the state’s Medicaid program is only now appearing in fee revenue. All told, the program funds an expanded Medicaid population of around 300,000 people.

Linda Gorman of the Independence Institute argues HPF has generated controversy ever since its inception. The original legislation creating the tax attempted to hide the true nature of the tax by calling it a “fee.” Even the federal government referred to the provider fee as a tax in a letter approving its payment.

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Apr 28

Colorado Legislators May Push HPF Through Constitutional Loophole

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Colorado Legislators May Push HPF Through Constitutional Loophole

April 27, 2016
 A bill that would exempt Colorado’s Hospital Provider Fee (HPF) program from the state constitution’s Taxpayer’s Bill of Rights (TABOR) has advanced to hearings on the House floor.

The House Committee on Appropriations voted 7–6 on March 29 to refer House Bill 1420, sponsored by House Speaker Dickey Lee Hullinghorst (D-Boulder County) and Sen. Larry Crowder (R-Alamosa County), to the Committee of the Whole.

HB 1420 would establish the Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) as a government-owned business to administer the state’s HPF. HPF is the vehicle by which Colorado expanded Medicaid under the Affordable Care Act (ACA) in 2014 and by which the state collected almost $700 million in revenue the following year.

CHASE’s designation as an “enterprise” would exempt the program from the state constitution’s TABOR, which mandates voters shall decide at the ballot whether Colorado must refund to taxpayers surplus revenue collected by the state, except when the surplus comes from a state “enterprise.”

If passed, CHASE will take effect on July 1, 2016, provided the federal Centers for Medicare and Medicaid Services (CMS) determine the program complies with federal law, according to the bill’s fiscal note.

Word Games

Linda Gorman, director of the Health Care Policy Center at the Independence Institute, says the bill manipulates the meaning of “enterprise” in order to circumvent the state’s constitution.

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Apr 20

Colorado’s Budget Settled, But Debate Coming On Taxes, Refunds

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Colorado’s Budget Settled, Debate Coming On Taxes, Refunds « CBS Denver .

April 19, 2016 1:57 PM

Speaker Dickey Lee Hullinghorst and other Democrats, including Gov. John Hickenlooper, want the fee set aside to avoid refunds under the Taxpayer’s Bill of Rights, free millions of dollars for Colorado’s underfunded roads and schools, and give momentum to pending ballot initiatives that would ease TABOR’s grip on state finances.

It’s a debate that some thought settled well before both chambers approved the $27 billion budget last week. Not so, said Hullinghorst, a Boulder Democrat.

“In this budget we managed to get by, but next year it will be twice as bad with cuts in education and higher education,” she said. The House could debate her bill this week.

Hullinghorst said reclassifying the fee can provide at least five years’ flexibility to spend more on schools and roads, and tackle TABOR and other constitutional restrictions on budget writers’ room to maneuver.

TABOR requires refunds whenever total state income surpasses a cap that’s based on inflation and population, not the economy’s performance.

 

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Apr 03

Budget fix still crucial for Colorado

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Budget fix still crucial for Colorado

Lawmakers should reclassify hospital provider fee

By The Denver Post Editorial Board

POSTED:   04/01/2016 05:00:00 PM MDT

Colorado legislators are seeking to reclassify the state hospital provider fee into a separate enterprise fund that would allow Colorado to remain below

Colorado legislators are seeking to reclassify the state hospital provider fee into a separate enterprise fund that would allow Colorado to remain below revenue limits imposed by the Taxpayer s Bill of Rights without refunding money. (Steve Nehf, Denver Post file)

Yes, Colorado lawmakers, it’s still important to deal with a projected budgetary crunch triggered by future tax refunds even if they are no longer likely in the next fiscal year.

The problem is only being delayed for one year. Refunds will almost certainly be required in the following years under the Taxpayer’s Bill of Rights unless the economy entirely tanks. And yet they will come at the expense of critical transportation, capital maintenance and education funding. Indeed, transportation funding is already slated to decline in next year’s budget.

In other words, lawmakers still have urgent reason this session to reclassify the hospital provider fee into a separate “enterprise fund” to allow the state to remain below TABOR revenue limits without refunding money.

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