Feb 17, 2017

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Legislative Update: Feb. 17, 2017

by | Feb 17, 2017

Good news, bad news
Three proposals intended to ensure that Medicaid clients do not lose access to health care were approved by legislative committees this week.

The first bill in the package, HB 1126 would ensure that an administrative law judge reviews the sufficiency of Medicaid termination notices at the beginning of an appeal hearing. The second bill in the package, HB 1143 would direct the state to audit communications with Medicaid clients for legal sufficiency, clarity and accuracy. Both bills were approved by the House Public Health Care and Human Services Committee with near-unanimous support on Monday.

The third bill in the package, SB 121, requires the Colorado Department of Health Care Policy and Financing to engage in a process to improve Medicaid client communications – including client letters and notices – that addresses denial, reduction, suspension, or termination of Medicaid benefits. The measure was unanimously approved by the Senate Health and Human Services Committee on Thursday.

All three bills were recommended and developed by CCLP and the Colorado Cross-Disability Coalition after an interim legislative committee held three hearings about Medicaid correspondence last summer. CCLP will continue to strongly support these measures as they advance throughout session.

Two other bills that CCLP strongly supported did not fare as well this week: SB 118, developed by Colorado Skills2Compete and CCLP, would have made it easier for students to make wise investments by requiring private occupational schools to provide info about education outcomes. Another bill, SB 98, would have allowed residents to have an opportunity to purchase manufactured housing communities, while giving landowners tax incentives for entering into such deals. That bill offered a viable, non-intrusive solution to Colorado’s affordable housing problem. Unfortunately, both measures were killed by the Senate State, Veterans and Military Affairs Committee, 3-2 on Monday.

Regardless of these setbacks, CCLP will continue its efforts to ensure transparency among private occupational schools and to give Coloradans more affordable-housing options.

Bill to Watch: HB 1002
In 2014, CCLP championed a successful bill to introduce a child-care tax credit for workers earning less than $25,000 a year. The bill established an alternative calculation method for those who did not qualify for child-care tax credits because they earned too little to owe federal income tax.

Since the passage of the bill, over 32,000 families have claimed the credit — providing a total of $4.9 million to help defray the cost of child care for low-income working parents. With the current law set to expire on Jan. 1, 2018, House Bill 1002, sponsored by Rep. Brittany Pettersen, D-Lakewood, would expand this important tax credit for three more income tax years.

HB 1002 is scheduled to be heard by the House Finance Committee on Monday, Feb. 27 at 1:30 p.m. As the lead organization behind HB 1002, CCLP strongly supports the legislation. Learn more about HB 1002 in this CCLP fact sheet.

– By Bob Mook

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To maintain health and well-being, people of all ages need access to quality health care that improves outcomes and reduces costs for the community. Health First Colorado, the state's Medicaid program, is public health insurance for low-income Coloradans who qualify. The program is funded jointly by a federal-state partnership and is administered by the Colorado Department of Health Care Policy & Financing.

Benefits of the program include behavioral health, dental services, emergency care, family planning services, hospitalization, laboratory services, maternity care, newborn care, outpatient care, prescription drugs, preventive and wellness services, primary care and rehabilitative services.

In tandem with the Affordable Care Act, Colorado expanded Medicaid eligibility in 2013 - providing hundreds of thousands of adults with incomes less than 133% FPL with health insurance for the first time increasing the health and economic well-being of these Coloradans. Most of the money for newly eligible Medicaid clients has been covered by the federal government, which will gradually decrease its contribution to 90% by 2020.

Other populations eligible for Medicaid include children, who qualify with income up to 142% FPL, pregnant women with household income under 195% FPL, and adults with dependent children with household income under 68% FPL.

Some analyses indicate that Colorado's investment in Medicaid will pay off in the long run by reducing spending on programs for the uninsured.


Hunger, though often invisible, affects everyone. It impacts people's physical, mental and emotional health and can be a culprit of obesity, depression, acute and chronic illnesses and other preventable medical conditions. Hunger also hinders education and productivity, not only stunting a child's overall well-being and academic achievement, but consuming an adult's ability to be a focused, industrious member of society. Even those who have never worried about having enough food experience the ripple effects of hunger, which seeps into our communities and erodes our state's economy.

Community resources like the Supplemental Nutrition Assistance Program (SNAP), formerly known as Food Stamps, exist to ensure that families and individuals can purchase groceries, with the average benefit being about $1.40 per meal, per person.

Funding for SNAP comes from the USDA, but the administrative costs are split between local, state, and federal governments. Yet, the lack of investment in a strong, effective SNAP program impedes Colorado's progress in becoming the healthiest state in the nation and providing a better, brighter future for all. Indeed, Colorado ranks 44th in the nation for access to SNAP and lost out on more than $261 million in grocery sales due to a large access gap in SNAP enrollment.

See the Food Assistance (SNAP) Benefit Calculator to get an estimate of your eligibility for food benefits.


Every child deserves the nutritional resources needed to get a healthy start on life both inside and outside the mother's womb. In particular, good nutrition and health care is critical for establishing a strong foundation that could affect a child's future physical and mental health, academic achievement and economic productivity. Likewise, the inability to access good nutrition and health care endangers the very integrity of that foundation.

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides federal grants to states for supplemental foods, health care referrals, and nutrition information for low-income pregnant, breastfeeding and non-breastfeeding postpartum women and to infants and children up to age five who are found to be at nutritional risk.

Research has shown that WIC has played an important role in improving birth outcomes and containing health care costs, resulting in longer pregnancies, fewer infant deaths, a greater likelihood of receiving prenatal care, improved infant-feeding practices, and immunization rates

Financial Security:
Colorado Works

In building a foundation for self-sufficiency, some Colorado families need some extra tools to ensure they can weather challenging financial circumstances and obtain basic resources to help them and their communities reach their potential.

Colorado Works is Colorado's Temporary Assistance for Needy Families (TANF) program and provides public assistance to families in need. The Colorado Works program is designed to assist participants in becoming self-sufficient by strengthening the economic and social stability of families. The program provides monthly cash assistance and support services to eligible Colorado families.

The program is primarily funded by a federal block grant to the state. Counties also contribute about 20% of the cost.


Child care is a must for working families. Along with ensuring that parents can work or obtain job skills training to improve their families' economic security, studies show that quality child care improves children's academic performance, career development and health outcomes.

Yet despite these proven benefits, low-income families often struggle with the cost of child care. Colorado ranks among the top 10 most expensive states in the country for center-based child care. For families with an infant, full-time enrollment at a child care center cost an average of $15,140 a year-or about three-quarters of the total income of a family of three living at the Federal Poverty Level (FPL).

The Colorado Child Care Assistance Program (CCCAP) provides child care assistance to parents who are working, searching for employment or participating in training, and parents who are enrolled in the Colorado Works Program and need child care services to support their efforts toward self-sufficiency. Most of the money for CCCAP comes from the federal Child Care and Development Fund. Each county can set their own income eligibility limit as long as it is at or above 165% of the federal poverty level and does not exceed 85% of area median income.

Unfortunately, while the need is growing, only an estimated one-quarter of all eligible children in the state are served by CCCAP. Low reimbursement rates have also resulted in fewer providers willing to accept CCCAP subsidies.