1. (1)

   1. (a) The state department shall assess, enforce, and collect any civil penalties that are recommended by the department of public health and environment pursuant to the authority granted under section 25-1-107.5, C.R.S.
   2. (b) Prior to the denial of medicaid payments or the assessment of a civil money penalty against a nursing facility, the nursing facility shall be offered by the state department an opportunity for a hearing in accordance with the provisions of section 24-4-105, C.R.S. Enforcement and collection of the denial of medicaid payments or civil money penalty shall occur following the decision reached at such hearing.

2. (2) In conjunction with the authority granted under subsection (1) of this section, the state board shall promulgate rules that:

   1. (a) Provide any nursing facility assessed a civil penalty the opportunity to appeal such assessment;
   2. (b) Govern the procedures for such appeals, including the right of a nursing facility to thirty days' notice prior to the collection of any civil money penalty; and
   3. (c) Are otherwise necessary to implement this section.

3. (3)

   1. (a) Any civil penalties collected by the state department pursuant to this section shall be transmitted to the state treasurer, who shall credit the same to the nursing home penalty cash fund, which fund is hereby created.

   2. (b)

      1. (I) On and after July 1, 2021, the money in the fund is subject to annual appropriation by the general assembly to the state department and the department of public health and environment for the purposes set forth in section 25-1-107.5. Pursuant to section 25-1-107.5 (4)(b)(II)(B), the money in the fund is continuously appropriated to the state department and the department of public health and environment for the purpose of emergency funding needs.
      2. (II) Such moneys shall be used in the manner prescribed in section 25-1-107.5, C.R.S., and the rules promulgated thereunder.

   3. (c)

      1. (I) For state fiscal years commencing on or before July 1, 2024, and on or after July 1, 2026, all interest derived from the deposit and investment of money in the nursing home penalty cash fund shall be credited to the nursing home penalty cash fund.
      2. (II) For the state fiscal year commencing on July 1, 2025, in accordance with section 24-36-114 (1), the state treasurer shall credit all interest and income derived from the deposit and investment of money in the nursing home penalty cash fund to the general fund.

      3. (III)

         1. (A) On June 30, 2025, the state treasurer shall transfer four hundred sixty-two thousand nine hundred twenty-nine dollars from the nursing home penalty cash fund to the general fund.
         2. (B) This subsection (3)(c)(III) is repealed, effective July 1, 2026.
   4. (d) At the end of any fiscal year, all unexpended and unencumbered moneys remaining in the fund shall remain therein and shall not be credited or transferred to the general fund or any other fund.

Source: L. 2006: Entire article added with relocations, p. 1933, § 7, effective July 1. L. 2021: (3)(b)(I) amended, (SB 21-128), ch. 302, p. 1817, § 2, effective June 23. L. 2025: (3)(c) amended, (SB 25-317), ch. 385, p. 2161, § 42, effective June 3.

Editor's note: This section is similar to former § 26-4-505 as it existed prior to 2006.

Cross references: For the legislative declaration in SB 25-317, see section 1 of chapter 385, Session Laws of Colorado 2025.