2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 3 - MEDICAL SERVICES BOARD (§§ 25.5-1-301 — 25.5-1-304) › Section 25.5-1-303 - [Effective 7/1/2025] Powers and duties of the board - scope of authority - rules

(1)
The board shall have the authority set forth in subsection (3) of this section over the following programs administered by the state department:
(a)
The "Colorado Medical Assistance Act", as specified in articles
4
,
5
, and
6
of this title;
(b)
[Repealed by 2024 amendment.]
(c)
Repealed.
(d)
The "Children's Basic Health Plan Act", as specified in article
8
of this title;
(e)
The old age pension health and medical care program, as specified in section
25.5-2-101
;
(f)
Programs, services, and supports for persons with intellectual and developmental disabilities, as specified in article
10
of this title.
(2)
Nothing in this section shall be construed to affect any specific statutory provision granting rule-making authority to the board in relation to a specific program.
(3)
The board shall adopt rules in connection with the programs set forth in subsection (1) of this section governing the following:
(a)
The implementation of legislative and departmental policies and procedures for such programs; except that no rules shall be promulgated for any policy or procedure which governs the administration of the state department as specified in section
25.5-1-108 (1)
;
(b)
The establishment of eligibility requirements for persons receiving services from the state department;
(c)
The establishment of the type of benefits that a recipient of services may obtain if eligibility requirements are met, subject to the authorization, requirements, and availability of such benefits;
(d)
The requirements, obligations, and rights of clients and recipients;
(e)
The establishment of a procedure to resolve disputes that may arise between clients and the state department or clients and providers;
(f)
The requirements, obligations, and rights of providers, including policies and procedures related to provider payments that may affect client benefits;
(g)
The establishment of a procedure to resolve disputes that may arise between providers and between the state department and providers.
(4)
At the request of the executive director, the board shall advise the executive director as to any proposed policies or rules governing programs administered by the state department that are not set forth in subsection (1) of this section.
(5)
The board shall have no authority over the revenue of the state department.
(6)
All rules and orders of the department of human services in connection with the old age pension health and medical care program shall continue to be effective until revised, amended, repealed, or nullified pursuant to law.
(7)
The rules issued by the state board shall be binding upon the county departments. At any public hearing relating to a proposed rule-making, interested persons shall have the right to present their data, views, or arguments orally. Proposed rules of the state board shall be subject to the provisions of section
24-4-103
, C.R.S.
(8)
To the extent that rules are promulgated by the state board of human services for programs or providers that receive either medicaid only or both medicaid and nonmedicaid funding, the rules shall be developed in cooperation with the state department and shall not conflict with state statutes or federal statutes or regulations.
(9)
The rules and orders of the department of human services and the state board of human services in connection with the programs, services, and supports specified in paragraph (f) of subsection (1) of this section shall continue to be effective until revised, amended, repealed, or nullified pursuant to law.
Amended by 2024 Ch. 152,§ 12, eff. 8/7/2024.
Amended by 2024 Ch. 76,§ 23, eff. 7/1/2025.
Amended by 2013 Ch. 323, § 43, eff. 3/1/2014.
L. 94: Entire part added, p. 1558, § 2, effective July 1. L. 95: (3)(e) to (3)(g) amended, p. 928, § 32, effective May 25. L. 99: (1)(c) amended and (1)(e) added, p. 701, § 7, effective July 1. L. 2001: (1)(f) and (7) added, pp. 916, 917, §§ 13, 14, effective August 8. L. 2003: (7) amended, p. 2009, § 90, effective May 22; (4) amended and (8) added, p. 2584, § 4, effective July 1. L. 2006: Entire part amended, p. 1798, § 3, effective July 1. L. 2007: (1)(c) repealed, p. 2042, § 71, effective June 1. L. 2011: (1)(e) and (6) amended, (SB 11 -210), ch. 187, p. 722, § 8, effective 7/15/2012. L. 2013: (1)(f) and (9) added, (HB 13-1314), ch. 323, p. 1808, § 43, effective 3/1/2014.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2024 Ch. 76, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
For the legislative declaration contained in the 1999 act amending subsection (1)(c) and enacting subsection (1)(e), see section 1 of chapter 203, Session Laws of Colorado 1999.