SB25-290: Stabilization Payments for Safety Net Providers

A consensus proposal to stabilize the safety net in the short term

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What SB25-290 Does

  • Preserves access to essential safety net health care for thousands of Coloradans.

  • Provides immediate support to a broad cross-section of safety net health care providers, including Community Health Centers (FQHCs), rural clinics, comprehensive community behavioral health providers and other primary care clinics, which have been financially struggling in the wake of 575,000 Coloradans losing Medicaid health insurance.

  • Creates short term mitigation for infrastructure losses while long term, comprehensive solutions can be developed.


How SB25-290 Works

SB25-290 establishes a new Provider Stabilization Fund that will consist of a minimum of $100M from available state revenue, private contributions, and federal matching funds available through Medicaid.

  • Payments will be made to qualifying safety net providers beginning in the 2025-26 fiscal year and are anticipated to continue through at least 2027-28 fiscal year. Payments will be based on volume of care provided to low income uninsured Coloradans.

  • The new fund would be established within the existing CHASE Enterprise, meaning it will not impact the TABOR limit, and will be overseen by a new Provider Stabilization Fund Support Board established to advise the CHASE Board on implementation of this fund.


How SB25-290 Is Different

  • Consensus: This is the best thinking of consumer advocates and safety net providers on how we can act immediately to stabilize existing infrastructure in the short term

  • Beneficiaries: A broad group of impacted safety net providers are eligible

  • Timing: Funding from this plan would begin flowing immediately in 2025

  • Funding Source: Funding from state, private and federal funds ensure no group of health care providers experiences negative impacts to revenue