CO HB1003

Merges Colorado's existing Disabled Children Care Program and Pediatric Hospice Care Program into a single Children with Complex Health Needs Waiver Program to streamline home- and community-based services

Eligible children must be under 19 years of age, qualify for Medicaid, and have a life-limiting illness or require nursing facility or hospital level of care

Required services include respite care, palliative care (pain and symptom management), and bereavement counseling for children and families

Directs the state to seek federal exemptions from pediatric hospice requirements including mandatory do-not-resuscitate orders, the 6-month life expectancy certification, and the prohibition on concurrent curative care

Takes effect July 1, 2025, with the repeal of the existing separate programs taking effect July 1, 2026