Consideration Slate

This list contains bills for LCAC consideration

HB19-1174 Out-of-network Health Care Services 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Tuesday, March 19 2019
GENERAL ORDERS - SECOND READING OF BILLS
(1) in house calendar.
Short Title: Out-of-network Health Care Services
Summary:

The bill:

  • Requires health insurance carriers, health care providers, and health care facilities to provide patients covered by health benefit plans with information concerning the provision of services by out-of-network providers and in-network and out-of-network facilities;
  • Outlines the disclosure requirements and the claims and payment process for the provision of out-of-network services;
  • Requires the commissioner of insurance, the state board of health, and the director of the division of professions and occupations in the department of regulatory agencies to promulgate rules that specify the requirements for disclosures to consumers, including the timing, the format, and the contents and language in the disclosures;
  • Establishes the reimbursement amount for out-of-network providers that provide health care services to covered persons at an in-network facility and for out-of-network providers or facilities that provide emergency services to covered persons; and
  • Creates a penalty for failure to comply with the payment requirements for out-of-network health care services.
    (Note: This summary applies to this bill as introduced.)

Status: 3/15/2019 House Committee on Appropriations Refer Amended to House Committee of the Whole
Fiscal Notes Status: Fiscal impact for this bill
House Sponsors: Esgar and Catlin
Senate Sponsors: Gardner and Pettersen

HB19-1210 Local Government Minimum Wage 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: NOT ON CALENDAR
Short Title: Local Government Minimum Wage
Summary:

The bill allows a unit of local government to enact laws establishing a minimum wage within its jurisdiction.


(Note: This summary applies to this bill as introduced.)

Status: 3/13/2019 Introduced In Senate - Assigned to Business, Labor, & Technology
Fiscal Notes Status: Fiscal impact for this bill
House Sponsors: Melton and Galindo, Arndt, Benavidez, Buckner, Buentello, Caraveo, Coleman, Duran,Exum, Gonzales-Gutierrez, Herod, Jackson, Kennedy, McLachlan, Michaelson Jenet,Mullica, Singer, Sirota, Sullivan, Weissman
Senate Sponsors: Danielson and Moreno, Court, Fields, Foote, Ginal, Gonzales, Lee, Pettersen, Rodriguez,Story, Todd, Zenzinger

HB19-1211 Prior Authorization Requirements Health Care Service 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Wednesday, March 20 2019
Health & Insurance
1:30 p.m. Room 0107
(2) in house calendar.
Short Title: Prior Authorization Requirements Health Care Service
Summary:

With regard to the prior authorization process used by carriers or private utilization review organizations (organizations) acting on behalf of carriers to review and determine whether a particular health care service prescribed by a health care provider is approved as a covered benefit under the patient's health benefit plan, the bill requires carriers and organizations to:

  • Publish and update their prior authorization requirements and restrictions;
  • Comply with deadlines established in the bill for making a determination on a prior authorization request;
  • Use current, clinically based prior authorization criteria that are aligned with other quality initiatives of the carrier or organization and with other carriers' and organizations' prior authorization criteria for the same health care service;
  • Limit the use of prior authorization to providers whose prescribing or ordering patterns differ significantly from the patterns of their peers after adjusting for patient mix and other relevant factors; and
  • Exempt from prior authorization providers with an 80% approval rate of prior authorization requests over the previous 12 months, and conduct annual reevaluation of a provider's eligibility for the exemption.

If a carrier or organization fails to make a determination within the time required or fails to apply prior authorization requirements or exempt providers from prior authorization requirements, the request is deemed approved.

An approved prior authorization request is valid for at least 180 days and continues for the duration of the prescribed or ordered course of treatment and the covered person's plan year.

The commissioner of insurance is authorized to adopt rules as necessary to implement the bill.


(Note: This summary applies to this bill as introduced.)

Status: 2/25/2019 Introduced In House - Assigned to Health & Insurance
Fiscal Notes Status: Fiscal impact for this bill
House Sponsors: Michaelson Jenet
Senate Sponsors:

HB19-1226 Bond Reform 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: NOT ON CALENDAR
Short Title: Bond Reform
Summary:

Under current law, if a defendant is arrested for certain crimes and the court determines that the public would be in significant peril if the accused is released, the defendant is not bailable. The bill removes from the list of crimes that are not bailable the crime of possession of a weapon by a previous offender and sex assault crimes.

The bill requires each judicial district to develop:

  • A pretrial screening process; and
  • A chief judge administrative order specifying written criteria for the immediate release of certain defendants without any monetary conditions.

The office of the state court administrator shall develop statewide standards and guidelines for the pretrial screening process and written criteria for immediate release of certain defendants without any monetary conditions.

The bill creates a presumption that a defendant should be released with the least restrictive conditions possible and without monetary conditions unless the court finds one or more of the following:

  • The person poses a substantial risk of danger to the safety of any person or the community; or
  • There is a substantial risk that the person will not appear in court as required; or
  • There is a substantial risk that the person will attempt to obstruct the criminal process; and
  • There are no reasonable nonmonetary conditions of release that reasonably assure:
  • The safety of any person or the community;
  • That the person will appear in court as required; or
  • That the person will not attempt to obstruct the criminal justice process.

The bill requires the court to consider the results of empirically developed and validated risk assessment instruction when making determinations about the type of bond and conditions of release, but the assessment cannot be the sole basis for the decision. The bill outlines the other factors to consider in selecting the type of bond and conditions of release.

The bill delineates the types of bond that a court can set:

  • An unsecured personal recognizance bond, which may include an amount specified by the court;
  • An unsecured personal recognizance bond with additional nonmonetary conditions of release designed specifically to reasonably ensure the appearance of the person in court and the safety of any person or persons or the community;
  • A bond with secured monetary conditions; and
  • A bond with secured real estate conditions when the court determined that release on an unsecured personal recognizance bond without monetary conditions will not reasonably ensure the appearance of the person in court or the safety of any person or persons or the community.

The bill requires all counties and cities and counties to develop a pretrial services program by July 1, 2020. A community advisory board is established in each county or city and county to develop the plan for the pretrial services program. The chief judge shall approve the plan developed by the community advisory board prior to implementing and starting the pretrial services program. The bill creates a funding program to allow judicial districts to develop and sustain pretrial programs. The office of the state court administrator shall develop minimum standards for pretrial services programs, and the bill specifies other criteria for pretrial services programs.

The bill specifies how a defendant, prosecuting attorney, or bonding and release commissioner can ask for a review and modification of bond.


(Note: This summary applies to this bill as introduced.)

Status: 3/14/2019 House Committee on Judiciary Witness Testimony and/or Committee Discussion Only
Fiscal Notes Status: Fiscal impact for this bill
House Sponsors: Herod and Soper
Senate Sponsors: Lee

HB19-1233 Investments In Primary Care To Reduce Health Costs 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Tuesday, March 26 2019
Health & Insurance
Upon Adjournment Room 0107
(1) in house calendar.
Short Title: Investments In Primary Care To Reduce Health Costs
Summary:

The bill:

  • Establishes a primary care payment reform collaborative in the division of insurance in the department of regulatory agencies;
  • Requires the commissioner of insurance to establish affordability standards for premiums, including adding targets for carrier investments in primary care; and
  • Requires the department of health care policy and financing and carriers who offer health benefit plans to state employees to set targets for investment in primary care.
    (Note: This summary applies to this bill as introduced.)

Status: 3/8/2019 Introduced In House - Assigned to Health & Insurance
Fiscal Notes Status: Fiscal note currently unavailable
House Sponsors: Froelich and Caraveo
Senate Sponsors: Ginal and Moreno

HB19-1244 Expand Peace Officer Mental Health Support Program 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Thursday, March 28 2019
Judiciary
1:30 p.m. Room 0112
(1) in house calendar.
Short Title: Expand Peace Officer Mental Health Support Program
Summary:

Under current law, only county sheriffs' offices and municipal police departments may apply for a grant from the peace officers mental health support grant program (program). The bill opens the program to additional "eligible applicants", which include other types of law enforcement agencies as well as organizations that provide services and programs that promote the mental health wellness of peace officers. The bill also specifies new permissible uses of grant money and requires grant recipients to report to the department of local affairs concerning their use of grant money.
(Note: This summary applies to this bill as introduced.)

Status: 3/15/2019 Introduced In House - Assigned to Judiciary
Fiscal Notes Status: Fiscal note currently unavailable
House Sponsors: Coleman and Carver, Singer
Senate Sponsors: Fields and Gardner, Cooke, Tate

SB19-134 Out-of-network Health Care Disclosures And Charges 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Thursday, March 21 2019
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM SCR 352
(4) in senate calendar.
Short Title: Out-of-network Health Care Disclosures And Charges
Summary:

The bill:

  • Sets the reimbursement rate that a health insurance carrier must pay a health care facility if a covered person is treated for emergency services;
  • Requires in-network health care facilities and health care providers to make disclosures to patients covered by a health benefit plan concerning the provision of services by an out-of-network provider;
  • Outlines the claims and payment process, including reimbursement rates for the provision of out-of-network services for health care facilities and health care providers; and
  • Authorizes arbitration for the payment of health care claims that are in dispute if certain criteria are met.

The commissioner of insurance is required to submit a report annually to the general assembly concerning unanticipated out-of-network services.


(Note: This summary applies to this bill as introduced.)

Status: 2/7/2019 Introduced In Senate - Assigned to Health & Human Services
Fiscal Notes Status: Fiscal impact for this bill
House Sponsors: Soper, Larson
Senate Sponsors: Fields and Tate, Williams A.

SB19-195 Child And Youth Behavioral Health System Enhancements 
CBHC Bill Summary:
CBHC Contact:
Position:
Calendar Notification: Thursday, March 21 2019
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM SCR 352
(2) in senate calendar.
Short Title: Child And Youth Behavioral Health System Enhancements
Summary:

The bill creates the office of children and youth behavioral health policy coordination (office) in the office of the governor. The bill also creates the children and youth behavioral health policy coordination commission (commission) and the children and youth behavioral health advisory council (council) in the office.

The commission consists of 15 members, which must be appointed no later than September 1, 2019. The primary duties and responsibilities of the commission include:

  • Providing leadership to increase and enhance efficient and effective behavioral health services to children and youth;
  • Coordinating efforts between state agencies and departments to increase public understanding and awareness of child and youth behavioral health needs;
  • Recommending shared policies to remove administrative barriers in order to facilitate collaboration between communities, state departments, and political subdivisions of the state;
  • Monitoring and receiving updates related to network adequacy for access to behavioral health services in the state;
  • Compiling and disseminating information regarding best practices for delivering and funding behavioral health services;
  • Receiving and acting on recommendations;
  • Recommending funds contained in each department's budget that can be identified for collaborative service delivery systems; and
  • Beginning January 1, 2020, and each January 1 thereafter, recommending performance measures for each department, office, and county represented on the commission that will quantify and demonstrate the effectiveness of the behavioral health system in Colorado.

The commission shall consult and collaborate with other organizations that incorporate child behavioral health strategies when developing proposals, activities, and implementation planning.

Beginning October 1, 2019, the commission shall work collaboratively with the department of health care policy and financing and the department of human services (departments) to implement wraparound services for children and youth at risk of out-of-home placement. No later than July 1, 2020, the commission shall:

  • Recommend to the departments programmatic utilization of a single standardized assessment tool to facilitate identification of behavioral health issues and other needs;
  • Recommend to the departments developmentally appropriate and culturally competent statewide behavioral health standardized screening tools for primary care providers serving children, youth, and caregivers in the perinatal period;
  • Design and recommend a child and youth behavioral health delivery system pilot program that addresses the challenges of fragmentation and duplication of behavioral health services.

The council consists of 25 members, who must be appointed no later than September 1, 2019. The primary duties, responsibilities, and functions of the council include:

  • Assisting the commission in fulfilling its duties;
  • Reviewing the commission's data on performance measures and providing input to the commission to ensure continuous quality improvement;
  • Identifying, monitoring, soliciting input, and providing policy and budgetary recommendations on emerging children and youth behavioral health issues affecting the quality and availability of behavioral health services reported by local collaborative management programs; and
  • Submitting any formal recommendations to the commission.

On or before July 1, 2020, and each July 1 thereafter, the governor shall ensure that an annual external evaluation of the commission and council is conducted by an independent organization, which evaluation must be made publicly available in an electronic format.

On or before July 1, 2020, and each July 1 thereafter, the commission shall submit an annual report to the governor and the health and human services committee of the senate and the public health care and human services committee of the house of representatives (committees). On or before January 15, 2021, and annually thereafter, the commission shall present the annual report and submit a progress report on any recommendations to the committees.

The commission and council are scheduled to repeal on September 1, 2024, after review by the department of regulatory agencies.


(Note: This summary applies to this bill as introduced.)

Status: 3/13/2019 Introduced In Senate - Assigned to Health & Human Services
Fiscal Notes Status: Fiscal note currently unavailable
House Sponsors: Kraft-Tharp and Landgraf
Senate Sponsors: Fields and Gardner