HB 24-1229 Summary

• Establishes presumptive eligibility for persons in need of long-term services and supports under Colorado's medical assistance program if they declare pertinent information about income, assets, and immigration status when the state receives federal authorization and sufficient spending authority.

• Requires the state department to assess individuals for appropriate level of care and may require collection of any other information mandated by federal authorization.

• Permits the state department to implement the presumptive eligibility program as a pilot program rather than statewide if federal authorization or spending authority is limited.

• Directs the state department to modify state plans and waivers for home- and community-based service programs and other federal authorizations under Title 25.5 to comply with the presumptive eligibility requirements.

• Takes effect January 1, 2026 for the presumptive eligibility provisions, with other portions effective 90 days after final adjournment, subject to possible voter approval if a referendum petition is filed by November 2024.