SB 25-294 — Behavioral Health Services for Medicaid Members
Last action — Governor Signed
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced April 15, 2025. Enacted.
Signed by Governor Jared Polis (Democratic) on May 31, 2025.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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19 sponsors
4 primary, 15 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (13 D · 4 R) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
The act excludes from the statewide managed care program (program) services for medicaid members in a qualified residential treatment program or a psychiatric residential treatment facility and in the care and custody of a county department of human or social services until July 1, 2026. The act excludes from the program residential child health-care program services in counties that have a written agreement regarding services. No later than December 1, 2025, the act requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies). The act requires HCPF to implement the policies no later than July 1, 2026. (Note: This summary applies to this bill as enacted.)
Bill Text
What changed in the latest version
23 added · 16 removedPlain-language change summary
The amendments to SB 25-294 clarify that the bill focuses on providing residential behavioral health services specifically for Medicaid members who are under the care of county human or social services departments. This change is important as it emphasizes the inclusion of this vulnerable population in the support system, potentially improving their access to necessary mental health resources. The adjustments also streamline the language regarding the state's managed care system, ensuring clearer guidelines on service delivery.
First Regular Session Seventy-fifth General Assembly STATE OF COLORADO ENGROSSEDREENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO.
25-0996.01 Shelby Ross x4510 SENATE BILL 25-294 SENATE SPONSORSHIP Amabile and Kirkmeyer, BridgesBridges,Catlin,Cutter,Exum,Jodeh,Kipp, Michaelson Jenet, Wallace HOUSE SPONSORSHIP Bird and Taggart, Sirota Senate Committees House Committees Appropriations A BILL FOR AN ACT C ONCERNING RESIDENTIAL BEHAVIORAL HEALTH SERVICES FOR MEDICAID MEMBERS WHO ARE IN THE CUSTODY OF A COUNTY DEPARTMENT OF HUMAN OR SOCIAL SERVICES .
Bill Summary d (Note:
This summary applies to this bill as introduced and does d e 5 notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill E a 0 passes third reading in the house of introduction, a bill summary that T U , N g 2 applies to the reengrossed version of this bill will be available at S d r http://leg.colorado.gov/.) e A d Joint Budget Committee.
The bill excludes from the statewide managed care program the services delivered to medicaid members who areinaqualifiedresidentialtreatmentprogramorapsychiatricresidential ed treatment facility and in the care and custody of a county department of nd e 5 human or social services until July 1, 2026.
mE 2a T0 nA 2U , N gn 2 Shading denotes HOUSE amendment.
ES da ir Capital letters or bold & italic numbers indicate new material to be added to existing law.plaw.e A Dashes through the words or numbers indicate deletions from existing law.
d A No later than December 1, 2025, the bill requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies).
View plain text versions (7)
- Engrossed Reengrossed (04/23/2025) pdf
- Engrossed Engrossed (04/22/2025) Current pdf
- Signed Act (05/31/2025) View text pdf
- Final Act (05/12/2025) View text pdf
- Rerevised (04/30/2025) View text pdf
- Revised (04/29/2025) View text pdf
- Introduced Introduced (04/15/2025) pdf
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Governor Signed
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Signed by the President of the Senate
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Sent to the Governor
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Signed by the Speaker of the House
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House Third Reading Passed - No Amendments
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House Committee on Appropriations Refer Unamended to House Committee of the Whole
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House Second Reading Special Order - Passed - No Amendments
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Senate Third Reading Passed - No Amendments
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Introduced In House - Assigned to Appropriations
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Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
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Senate Second Reading Special Order - Passed - No Amendments
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Introduced In Senate - Assigned to Appropriations
Sponsors
- Mandy Lindsay · Cosponsor
- Sheila Lieder · Cosponsor
- Ryan Gonzalez · Cosponsor
- Regina English · Cosponsor
- Kyle Brown · Cosponsor
- Jennifer Bacon · Cosponsor
- Katie Wallace · Cosponsor
- Cathy Kipp · Cosponsor
- Iman Jodeh · Cosponsor
- Tony Exum · Cosponsor
- Lisa Cutter · Cosponsor
- Marc Catlin · Cosponsor
- Emily Sirota · Cosponsor
- Jeff Bridges · Cosponsor
- Rick Taggart · Primary
- Shannon Bird · Primary
- Barbara Kirkmeyer · Primary
- Judy Amabile · Primary
- Michaelson Jenet · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →4 sponsors · 15 co-sponsors · 82 not signed on · 14 voted No
Sponsors (4)
- Rick Taggart Republican
- Shannon Bird
- Barbara Kirkmeyer Republican
- Judy Amabile Democrat
Co-sponsors (15)
- Mandy Lindsay Democrat
- Sheila Lieder Democrat
- Ryan Gonzalez Republican
- Regina English Democrat
- Kyle Brown Democrat
- Jennifer Bacon Democrat
- Katie Wallace Democrat
- Cathy Kipp Democrat
- Iman Jodeh Democrat
- Tony Exum Democrat
- Lisa Cutter Democrat
- Marc Catlin Republican
- Emily Sirota Democrat
- Jeff Bridges Democrat
- Michaelson Jenet
Not signed on (82)
82 members have not signed on to this bill.
Show all 82 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 4 | 0 | 0 | 0 |
| Democrat | 42 | 0 | 0 | 0 |
| Republican | 7 | 12 | 0 | 0 |
| Total | 53 | 12 | 0 | 0 |
| % of votes cast | 82% | 18% | 0% | 0% |
How each member voted (65)
| Member | Party | Vote |
|---|---|---|
| Armagost | — | Yea |
| Bird | — | Yea |
| Pugliese | — | Yea |
| Garcia Sander | — | Yea |
| Alex Valdez | Democrat | Yea |
| Amy Paschal | Democrat | Yea |
| Andrew Boesenecker | Democrat | Yea |
| Bob Marshall | Democrat | Yea |
| Brianna Titone | Democrat | Yea |
| Cecelia Espenoza | Democrat | Yea |
| Chad Clifford | Democrat | Yea |
| Eliza Hamrick | Democrat | Yea |
| Elizabeth Velasco | Democrat | Yea |
| Emily Sirota | Democrat | Yea |
| Gretchen Rydin | Democrat | Yea |
| Jacque Phillips | Democrat | Yea |
| Jamie Jackson | Democrat | Yea |
| Javier Mabrey | Democrat | Yea |
| Jennifer Bacon | Democrat | Yea |
| Jenny Willford | Democrat | Yea |
| Julie McCluskie | Democrat | Yea |
| Junie Joseph | Democrat | Yea |
| Karen McCormick | Democrat | Yea |
| Katie Stewart | Democrat | Yea |
| Kyle Brown | Democrat | Yea |
| Lesley Smith | Democrat | Yea |
| Lindsay Gilchrist | Democrat | Yea |
| Lisa Feret | Democrat | Yea |
| Lorena Garcia | Democrat | Yea |
| Mandy Lindsay | Democrat | Yea |
| Manny Rutinel | Democrat | Yea |
| Matthew Martinez | Democrat | Yea |
| Meg Froelich | Democrat | Yea |
| Meghan Lukens | Democrat | Yea |
| Michael Carter | Democrat | Yea |
| Monica Duran | Democrat | Yea |
| Naquetta Ricks | Democrat | Yea |
| Rebekah Stewart | Democrat | Yea |
| Regina English | Democrat | Yea |
| Sean Camacho | Democrat | Yea |
| Sheila Lieder | Democrat | Yea |
| Steven Woodrow | Democrat | Yea |
| Tammy Story | Democrat | Yea |
| Tisha Mauro | Democrat | Yea |
| William Lindstedt | Democrat | Yea |
| Yara Zokaie | Democrat | Yea |
| Anthony Hartsook | Republican | Nay |
| Brandi Bradley | Republican | Nay |
| Carlos Barron | Republican | Yea |
| Chris Richardson | Republican | Nay |
| Dan Woog | Republican | Nay |
| Dusty Johnson | Republican | Yea |
| Jarvis Caldwell | Republican | Yea |
| Ken DeGraaf | Republican | Nay |
| Larry Don Suckla | Republican | Nay |
| Mary Bradfield | Republican | Yea |
| Matt Soper | Republican | Nay |
| Max Brooks | Republican | Nay |
| Rebecca Keltie | Republican | Nay |
| Rick Taggart | Republican | Yea |
| Ron Weinberg | Republican | Nay |
| Ryan Gonzalez | Republican | Yea |
| Scott Bottoms | Republican | Nay |
| Stephanie Luck | Republican | Nay |
| Ty Winter | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 21 | 0 | 0 | 0 |
| Republican | 9 | 2 | 0 | 0 |
| Unaffiliated | 3 | 0 | 0 | 0 |
| Total | 33 | 2 | 0 | 0 |
| % of votes cast | 94% | 6% | 0% | 0% |
How each member voted (35)
| Member | Party | Vote |
|---|---|---|
| Lundeen | — | Yea |
| President | — | Yea |
| Winter F. | — | Yea |
| Cathy Kipp | Democrat | Yea |
| Chris Kolker | Democrat | Yea |
| Dafna Michaelson Jenet | Democrat | Yea |
| Dylan Roberts | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Yea |
| Jessie Danielson | Democrat | Yea |
| Judy Amabile | Democrat | Yea |
| Julie Gonzales | Democrat | Yea |
| Katie Wallace | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lindsey Daugherty | Democrat | Yea |
| Lisa Cutter | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Matt Ball | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| Nick Hinrichsen | Democrat | Yea |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Yea |
| Byron Pelton | Republican | Yea |
| Cleave Simpson | Republican | Yea |
| Janice Rich | Republican | Yea |
| John Carson | Republican | Nay |
| Larry Liston | Republican | Yea |
| Lisa Frizell | Republican | Yea |
| Marc Catlin | Republican | Yea |
| Mark Baisley | Republican | Nay |
| Rod Pelton | Republican | Yea |
| Scott Bright | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 25-294 do?
- The act excludes from the statewide managed care program (program) services for medicaid members in a qualified residential treatment program or a psychiatric residential treatment facility and in the care and custody of a county department of human or social services until July 1, 2026. The act excludes from the program residential child health-care program services in counties that have a written agreement regarding services. No later than December 1, 2025, the act requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies). The act requires HCPF to implement the policies no later than July 1, 2026. (Note: This summary applies to this bill as enacted.)
- Who sponsors SB 25-294?
- SB 25-294 is sponsored by Mandy Lindsay (Democrat), Sheila Lieder (Democrat), Ryan Gonzalez (Republican), Regina English (Democrat), Kyle Brown (Democrat), Jennifer Bacon (Democrat), Katie Wallace (Democrat), Cathy Kipp (Democrat), Iman Jodeh (Democrat), Tony Exum (Democrat), Lisa Cutter (Democrat), Marc Catlin (Republican), Emily Sirota (Democrat), Jeff Bridges (Democrat), Rick Taggart (Republican), Shannon Bird, Barbara Kirkmeyer (Republican), Judy Amabile (Democrat), and Michaelson Jenet.
- What is the current status of SB 25-294?
- This bill has been enacted into law. Introduced April 15, 2025. Enacted.
- Where can I track SB 25-294?
- Track SB 25-294 free on One Click Politics — get push/email alerts when it moves.
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