CO SB214

Directs the Colorado Department of Health Care Policy and Financing to prepare and submit a Section 1115 demonstration waiver to federal Centers for Medicare and Medicaid Services by March 30, 2019, to implement work requirements and other self-sufficiency measures in the state Medicaid program.

Requires able-bodied adults to become employed, actively seek employment, attend job or vocational training, or volunteer at least 20 hours per week at a nonprofit organization to maintain Medicaid eligibility, with exemptions for high school students, pregnant individuals, sole caregivers of children under five, and those receiving disability benefits.

Establishes a 5-year lifetime limit on Medicaid benefits, with exemptions for pregnant individuals, sole caregivers of children under five, those receiving disability benefits, full-time high school students, and employed individuals who continue to meet income eligibility requirements.

Requires monthly income verification for Medicaid recipients and authorizes the department to prohibit enrollment if applicants fail to report income changes or make false statements about work requirement compliance.

Authorizes the department to impose copayments on nonemergency emergency department use and ambulance services for nonemergency transportation, and requires annual reporting to the legislature on the waiver's preparation, submission, approval, and outcomes.