Colorado Code § 25-4-1401

Drug assistance program - program fund - HIV medications rebate fund - created - legislative declaration - no entitlement created
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(1) (a) The general assembly
recognizes that:
(I) Medical science is making strides in treating individuals who have AIDS or HIV;
(II) There are effective biomedical strategies to reduce new HIV infections;
(III) Individuals at risk of HIV may also be at risk of other infectious diseases that can
exacerbate the outcomes of an HIV infection;
(IV) Individuals of lower income face barriers accessing biomedical interventions,
particularly if they lack health insurance coverage or if their health insurance includes
unaffordable premiums or cost-sharing requirements; and
(V) Both the public health and quality of life would benefit from providing assistance
with such costs and encouraging prompt and sustained treatment, eventually preventing further
transmission of HIV, viral hepatitis, and sexually transmitted infections through prevention,
cure, or viral suppression.
(b) Therefore, the general assembly declares that the purpose of this section is to
implement the drug assistance program for qualifying individuals of lower income who have
medical or preventive needs concerning AIDS or HIV, viral hepatitis, or a sexually transmitted
infection.
(c) Nothing in this section shall be construed to establish any entitlement to services
from the department of public health and environment.
(2) (a) Subject to available appropriations, the department of public health and
environment is authorized to implement and administer a drug assistance program, referred to in
this section as the "state program", to provide assistance with indicated screening, general
medical, preventive, and pharmaceutical costs for eligible individuals.
(b) The general assembly may annually appropriate moneys from the general fund to
assist with indicated screening, general medical, preventive, and pharmaceutical costs for
individuals participating in the state program.
(c) The state program is also funded with federal funds available under the federal "Ryan
White C.A.R.E. Act of 1990", as amended.
(d) (I) The HIV medications rebate fund, referred to in this subsection (2)(d) as the
"fund", is created in the state treasury. The fund consists of any money received based on
charges in excess of a federal price agreement and any additional money the general assembly
appropriates to the fund. The general assembly shall continuously appropriate money in the fund
to the department of public health and environment for use for the state program. Any money
remaining in the fund at the end of a state fiscal year remains in the fund and shall not be
credited or transferred to the general fund or any other fund.
(II) The fund is not subject to the limit on uncommitted reserves in a cash fund
established in section 24-75-402 (3).
(e) For activities of the state program funded by the drug assistance program fund that
exceed the appropriation from the drug assistance program fund, if there are sufficient
uncommitted moneys in the AIDS and HIV prevention fund, the program may use moneys
appropriated for the implementation and administration of the state program from the AIDS and
HIV prevention fund as authorized by section 25-4-1405.
(3) To be eligible to participate in the state program, an individual must:
(a) Have a medical indication for treatment or prevention of HIV or AIDS, viral
hepatitis, or another sexually transmitted infection;
(b) Have a prescription from an authorized provider for a pharmaceutical product or
combination of pharmaceutical products, as applicable, that are included on the drug formulary
for the state program; and
(c) Meet income eligibility requirements as determined by the department of public
health and environment in consultation with the subcommittee of the advisory group on AIDS
policy established in subsection (5) of this section.
(4) Notwithstanding any other provision of this part 14 to the contrary, if a person meets
the eligibility requirements set forth in subsection (3) of this section, he or she is eligible for
programs and services that provide for the investigation, identification, testing, preventive care,
or treatment of HIV infection or AIDS regardless of his or her race, religion, gender, ethnicity,
national origin, or immigration status.
(5) A subcommittee of an advisory group convened by the governor to make
recommendations for HIV and AIDS policy in the state shall serve in an advisory role to the
department of public health and environment in implementing the state program and shall
provide advice and recommendations to the department of public health and environment
concerning:
(a) Which pharmaceutical products should be listed on the drug formulary for the state
program;
(b) Income and other eligibility requirements for the state program; and
(c) The uses of funding for the state program pursuant to paragraphs (a) to (e) of
subsection (2) of this section.
(6) If at any time the department of public health and environment, in consultation with
the subcommittee of the advisory group on HIV and AIDS policy established in subsection (5) of
this section, determines that the drug assistance program is reaching the program's fiscal
limitations, the department, in consultation with the subcommittee, shall implement a policy of
giving preference to the highest-priority applicants of lower income, who otherwise meet the
eligibility requirements in subsection (3) of this section, for enrollment into the program in the
following rank order:
(a) Individuals diagnosed with HIV or AIDS;
(b) Individuals in need of treatment to prevent HIV infection;
(c) Individuals diagnosed with other sexually transmitted infections that can be
prevented or cured through currently available pharmaceutical treatments;
(d) Individuals diagnosed with viral hepatitis;
(e) Individuals with emerging care, treatment, or prevention needs concerning HIV, viral
hepatitis, or other sexually transmitted infections.
(7) (a) The drug assistance program fund is created in the state treasury. The principal of
the fund consists of tobacco litigation settlement moneys transferred by the state treasurer to the
fund pursuant to section 24-75-1104.5 (1.7)(f), C.R.S. Subject to annual appropriation by the
general assembly, the department of public health and environment may expend moneys from
the fund for the state program. Any unexpended or unencumbered money remaining in the fund
at the end of any fiscal year remains in the fund and shall not be credited or transferred to the
general fund or any other fund.
(b) The department of public health and environment and the advisory group shall
determine how the moneys appropriated for the state program pursuant to this subsection (7) are
to be used.

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