2015 CASCA Bill List

May 6th 2015
The 2015 Legislative Session came to a close on May 6, 2015. The status updates on your bill list now show the final legislative result and will be updated automatically with the Governor’s action, which is required by June 6. Miles Consulting will provide a Year End Report via email. It’s been a pleasure working with you and we look forward to wrap-up meetings and bringing the session activities to a close.


HB15-1029 Health Care Delivery Via Telemedicine Statewide 
Sponsors: BUCK / KEFALAS
Summary: Under current law, health benefit plans issued, amended, or renewed in this state cannot require in-person health care delivery for a person covered under the plan who resides in a county with 150,000 or fewer residents if the care can be appropriately delivered through telemedicine and the county has the technology necessary for care delivery via telemedicine. Starting January 1, 2016, the bill removes the population restrictions and precludes a health benefit plan from requiring in-person care delivery when telemedicine is appropriate, regardless of the geographic location of the health care provider and the recipient of care. A provider need not demonstrate that a barrier to in-person care exists for coverage of telemedicine under a health benefit plan to apply. In addition, carriers:
* Must reimburse providers who deliver care through telemedicine on the same basis that the carrier is responsible for coverage of services delivered in person;
* Cannot charge deductible, copayment, or coinsurance amounts that are not equally imposed on all terms and services covered under the health benefit plan; and
* Cannot impose an annual or lifetime dollar maximum that applies separately to telemedicine services.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 03/20/2015 Governor Signed
Position:
News: Colorado's telehealth expansion signed into law
Hickenlooper Signs Ginal Telehealth Bill
Calendar Notification: NOT ON CALENDAR

HB15-1151 Floor For Medicaid Provider Rates 
Sponsors: RANKIN / LAMBERT
Summary: Joint Budget Committee. Current law authorizes the medical services board by rule to establish payment rates for services under medicaid. The bill requires those rates to be not less than 60% of:
* The rate for the equivalent service under medicare; or
* If there is no equivalent medicare rate, the average fair market rate for the service.
Fiscal Notes:

Fiscal Note

Amendments:
Status: 03/12/2015 House Committee on Health, Insurance, & Environment Postpone Indefinitely
Position:
News:
Calendar Notification: NOT ON CALENDAR

HB15-1242 Patient Caregiver Designation Hospital Requirement 
Sponsors: DANIELSON / AGUILAR
Summary: The bill requires each general hospital to give each patient or the patient's legal guardian the opportunity to designate a caregiver within 24 hours after the patient's admission to the hospital and prior to the patient's release from the hospital or transfer to another facility. The hospital is required to:
* Record the designation of the caregiver in the patient's medical record;
* Consult with the patient regarding the capabilities and limitations of the caregiver;
* Provide a discharge plan to the patient; and
* Provide the caregiver with instructions and training concerning the aftercare of the patient.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 05/08/2015 Governor Signed
Position:
News: Better Care for CO Seniors
Calendar Notification: NOT ON CALENDAR

HB15-1389 Create New Hospital Provider Fee Enterprise 
Sponsors: HULLINGHORST
Summary: The bill creates the health care affordability enterprise (enterprise) as a type 2 agency and government-owned business within the department of health care policy and financing (HCPF) for the purpose of charging and collecting a new hospital provider fee that replaces the existing hospital provider fee and participating in the implementation and administration of the state hospital provider fee program (program) created by the "Health Care Affordability Act of 2009" on and after July 1, 2016. The bill does not take effect if the federal centers for medicare and medicaid services determine that it does not comply with federal law. The enterprise is designated as an enterprise for purposes of the taxpayer's bill of rights (TABOR) so long as it meets TABOR requirements. The primary powers and duties of the enterprise are to:
* Charge and collect a new hospital provider fee;
* Leverage new hospital provider fee revenue collected to obtain federal matching money, working with or through HCPF and the state medical services board to the extent required by federal law or otherwise necessary; and
* Expend money from a newly created new hospital provider fee cash fund for the purposes of the program;
* Issue revenue bonds payable from its revenues;
* Enter into agreements with HCPF as necessary to collect and expend new hospital provider fee revenue;
* Engage the services of private consultants and legal counsel; and
* Adopt and amend or repeal policies for the regulation of its affairs and the conduct of its business. The powers, duties, and functions of the existing hospital provider fee oversight and advisory board (advisory board) are transferred, by a type 3 transfer, to the enterprise on July 1, 2016, and the advisory board is abolished. The current members of the advisory board continue to serve as members of the enterprise board, and future enterprise board appointments are done in the same way as current advisory board appointments. The bill specifies that unlike hospital provider fees charged and collected by HCPF before July 1, 2016, so long as the enterprise qualifies as a TABOR-exempt enterprise, new hospital provider fee revenue does not count against either the TABOR state fiscal year spending limit or the referendum C cap, the higher statutory state fiscal year spending limit established after the voters of the state approved referendum C in 2005. The bill clarifies that termination of the authority of HCPF to charge and collect hospital provider fees and creation of a new enterprise to charge and collect a new hospital provider fee does not constitute qualification of an enterprise for purposes of TABOR or state law and therefore does not require or authorize downward adjustment of the TABOR fiscal year spending limit or the referendum C cap.
Fiscal Notes:

Fiscal Note

Amendments:
Status: 05/05/2015 Senate Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-019 Health Exchange Audit 
Sponsors: SONNENBERG / NORDBERG
Summary: Legislative Audit Committee. The bill allows the state auditor to conduct a performance audit of the Colorado health benefit exchange and submit a written report to the legislative audit committee with any findings and recommendations. The authority to conduct performance audits continues as long as the state auditor or the legislative audit committee deems it appropriate.
Fiscal Notes:

Fiscal Note

Amendments:
Status: 04/03/2015 Governor Signed
Position:
News: Hickenlooper signs Connect for Health Colorado audit bill
Colorado legislators pass expanded audit of health insurance exchange
Calendar Notification: NOT ON CALENDAR

SB15-074 Transparency In Direct Pay Health Care Prices 
Sponsors: NEVILLE T. / JOSHI
Summary: The bill creates the "Transparency in Health Care Prices Act", which requires health care professionals and health care facilities to make available to the public the direct pay prices they assess for common health care services they provide. Health care professionals and facilities are not required to submit their direct pay prices to any government agency for review or approval. Additionally, the act prohibits health insurers and health systems from penalizing a person who pays directly for health care services. Any Colorado citizen may seek injunctive relief against the person allegedly violating the act, and the prevailing party is entitled to reasonable attorney fees and costs.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 03/16/2015 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-228 Medicaid Provider Rate Review 
Sponsors: STEADMAN / RANKIN
Summary: Joint Budget Committee. The bill establishes a process for the department of health care policy and financing (department) to review provider fee rates. It requires the department to establish a schedule of rates to be reviewed so that every rate is reviewed every 5 years. It authorizes out-of-cycle review of rates at the request of the joint budget committee (JBC) or the medicaid provider rate review advisory committee (committee) established pursuant to the bill. In reviewing rates, the department first conducts an analysis of the access, services, quality, and utilization of the service and provides a report to the JBC and the committee. The department then conducts a review of the report, including public meetings, with stakeholders. The department works with the office of state planning and budgeting to develop recommendations within the overall state budget. Finally, the department submits a report to the JBC on the review and its recommendations on or before November 1 of each year. The bill requires leadership in both houses to appoint members of the committee and establishes duties for the committee.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 06/05/2015 Governor Signed
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-256 CO Health Insurance Exchange Oversight Committee 
Sponsors: ROBERTS / MCCANN
Summary: The bill changes the name of the legislative health benefit exchange implementation review committee to the Colorado health insurance exchange oversight committee. The bill allows the committee to meet for an unlimited number of times during the legislative session at the call of the chair and up to 10 times per year when the legislature is not in session. The bill changes the number of bills or measures that the committee may report to the legislative council in any year from 5 bills or measures to 8 bills or measures.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 06/05/2015 Governor Signed
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-259 Out-of-network Health Care Provider Charges 
Sponsors: AGUILAR / LONTINE
Summary: The bill requires a health care provider who provides out-of-network covered services at an in-network facility or emergency services to:
* Submit a claim for the entire cost of the services to the covered person's health insurance carrier;
* Not collect payment from the covered person except for a deductible, copayment, or coinsurance; and
* Not balance bill the covered person but instead submit a demand for the remaining amount of the bill to the health insurance carrier and attempt to negotiate payment, if necessary. The bill requires a health insurance carrier to provide written notice of the covered person's out-of-network obligations. The health care facility must inform the covered person about the legal protections against balance billing. A failure to provide disclosure is a deceptive trade practice.
Fiscal Notes:

Fiscal Note

Amendments:
Status: 04/20/2015 Senate Committee on Business, Labor, & Technology Postpone Indefinitely
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-265 Health Insurance Hospital Liens 
Sponsors: CADMAN / HULLINGHORST
Summary: The bill requires a hospital to submit charges for hospital care and services to a patient's payer of benefits, as defined in the bill, before a lien for hospital care is created.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 05/29/2015 Governor Signed
Position:
News:
Calendar Notification: NOT ON CALENDAR

SB15-275 Protections Information Provided General Assembly 
Sponsors: LAMBERT / HULLINGHORST
Summary: The bill recognizes that members of the general assembly may need to receive confidential information during the course of their official duties in making decisions and voting on legislation with respect to all areas of state government. The bill encourages members of the general assembly to use this confidential information when it is necessary for carrying out official duties. Because of the general assembly's oversight over the health care system in Colorado, the bill specifically directs the governor and state agencies to consider the general assembly and its members a health oversight agency under federal law when any member of the general assembly receives individually identifiable health information. The bill requires members of the general assembly that receive confidential information, including individually identifiable health information, to keep the information confidential and only use it as necessary for the consideration of official actions of the general assembly. The bill changes the Colorado whistleblower protection law to protect state employees from retaliatory disciplinary action when they give information to members of the general assembly. The bill specifies that if a state employee gives confidential information to a member of the general assembly, the member of the general assembly shall keep that information confidential and not make it available for public inspection.
Fiscal Notes:

Fiscal Note

Amendments: Amendments
Status: 05/01/2015 Senate Second Reading Lost with Amendments - Floor
Position:
News:
Calendar Notification: NOT ON CALENDAR