Construction Litigation Reform


HB19-1004 Proposal For Affordable Health Coverage Option 
Short Title: Proposal For Affordable Health Coverage Option
Sponsors: D. Roberts | M. Catlin / K. Donovan
Summary:

The bill requires the department of health care policy and financing and the division of insurance in the department of regulatory agencies (departments) to develop and submit a proposal (proposal) to certain committees of the general assembly concerning the design, costs, benefits, and implementation of a state option for health care coverage. Additionally, the departments shall present a summary of the proposal at the annual joint hearings with the legislative committees of reference during the interim before the 2020 legislative session.

The proposal must contain a detailed analysis of a state option and must identify the most effective implementation of a state option based on affordability to consumers at different income levels, administrative and financial burden to the state, ease of implementation, and likelihood of success in meeting the objectives described in the bill. The proposal must also identify any necessary changes to state law to implement the proposal.

In developing the proposal, the departments shall engage in a stakeholder process that includes public and private health insurance experts, consumers, consumer advocates, employers, providers, and carriers. Further, the departments shall review any information relating to a pilot program operated by the state personnel director as a result of legislation that may be enacted during the 2019 legislative session.

The departments shall prepare and submit any necessary federal waivers or state plan amendments to implement the proposal, unless a bill is filed within the filing deadlines for the 2020 legislative session that substantially alters the federal authorization required for the proposal and the bill is not postponed indefinitely in the first committee.


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

Position:
Floor Votes:
Status: 1/23/2019 House Committee on Health & Insurance Refer Amended to Appropriations
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News: Roberts’ Bipartisan Public Health Care Option Bill Passes Committee
Roberts’ Bipartisan Public Health Care Option Bill Passes Committee
Audio, Floors and Committees:

HB19-1060 Repeal Colorado Department Of Public Health And Environment Facility Life Safety Statutes 
Short Title: Repeal Colorado Department Of Public Health And Environment Facility Life Safety Statutes
Sponsors: H. McKean / R. Zenzinger
Summary:

Statutory Revision Committee. In 2012, the general assembly transferred functions related to safety regulations for health facilities from the department of public health and environment (CDPHE) to the department of public safety. The bill repeals statutory provisions that:

  • Require CDPHE to adopt rules relating to fire safety of health facilities; and
  • Allow CDPHE to establish a life safety code for health facilities.
    (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Position:
Floor Votes: 01/28/2019 - House Floor Vote for HB19-1060
  ArndtY   BaisleyY   BeckerY   BeckmanY
  BenavidezY   BirdY   BockenfeldY   BuckY
  BucknerY   BuentelloY   CaraveoY   CarverY
  CatlinY   ColemanY   CutterY   District 57V
  DuranY   EsgarY   ExumY   FroelichY
  GalindoY   GarnettY   GeitnerY   Gonzales-GutierrezY
  GrayY   HansenY   HerodY   HootonY
  HumphreyY   JacksonY   Jaquez LewisY   KennedyY
  KippY   Kraft-TharpY   LandgrafY   LarsonY
  LewisY   ListonY   LontineY   McCluskieY
  McKeanY   McLachlanY   MeltonY   Michaelson JenetY
  MullicaY   NevilleY   PeltonY   RansomY
  RichY   RobertsY   SaineY   SandridgeY
  SingerY   SirotaY   SnyderY   SoperY
  SullivanY   TipperY   TitoneY   Valdez A.Y
  Valdez D.Y   Van WinkleY   WeissmanY   Williams D.Y
  WilsonY


02/15/2019 - Senate Floor Vote for HB19-1060
  BridgesY   CookeY   CoramE   CourtY
  CrowderY   DanielsonE   DonovanY   FenbergY
  FieldsY   FooteY   GarciaY   GardnerY
  GinalY   GonzalesY   HillE   HiseyY
  HolbertY   LeeY   LundeenY   MarbleE
  MorenoY   PettersenY   PriolaY   RankinY
  RodriguezY   ScottE   SmallwoodY   SonnenbergY
  StoryY   TateY   ToddY   Williams A.Y
  WinterY   WoodwardY   ZenzingerE


Status: 2/15/2019 Senate Third Reading Passed - No Amendments
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

HB19-1089 Exemption From Garnishment For Medical Debt 
Short Title: Exemption From Garnishment For Medical Debt
Sponsors: K. Tipper | A. Valdez / B. Pettersen | D. Moreno
Summary:

The bill exempts a person's earnings from garnishment if the person's family income does not exceed 400% of current federal poverty guidelines and the judgment is for medical debt. A writ of continuing garnishment must include notice that a person's earnings may be exempt if those criteria are met, notice of the judgment debtor's right to object and have a hearing on that objection, and a statement that, to the best of the judgment creditor's knowledge, the judgment debtor's earnings are not exempt.

The bill takes effect on January 1, 2020, and applies to judgments entered on or after that date.


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

Position:
Floor Votes:
Status: 2/4/2019 House Committee on Finance Postpone Indefinitely
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

HB19-1150 Recreate Consumer Insurance Council 
Short Title: Recreate Consumer Insurance Council
Sponsors: B. Titone / J. Danielson
Summary:

The consumer insurance council, which was an advisory body appointed by the commissioner of insurance to provide advice to the commissioner on insurance matters of interest to the public, was created in 2008 and sunsetted on July 1, 2018.

The bill recreates and reenacts the consumer insurance council and its duties and responsibilities, as they existed on June 30, 2018, with the following modifications:

  • The council's authority to issue annual consumers' choice awards to health insurers is not reenacted;
  • The council is to consist of at least 6 members and not more than 15 members, consumers not engaged in the insurance industry may serve on the council, the council is to reflect the state's demographic diversity in addition to geographic diversity but need not include representation from each congressional district in the state, and the commissioner is to timely appoint members to the council;
  • Members are to be reimbursed for actual and necessary expenses incurred in serving on the council;
  • The council is to meet quarterly and may request to meet up to 4 more times per year; and
  • The council is authorized to submit recommendations to the commissioner, and the commissioner is required to timely respond to council recommendations.

The council is scheduled for sunset review and repeal on September 1, 2029.


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

Position:
Floor Votes:
Status: 2/13/2019 House Committee on Health & Insurance Refer Amended to Appropriations
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

HB19-1168 State Innovation Waiver Reinsurance Program 
Short Title: State Innovation Waiver Reinsurance Program
Sponsors: J. McCluskie | J. Rich / K. Donovan | B. Rankin
Summary:

The bill authorizes the commissioner of insurance to apply to the secretary of the United States department of health and human services for a state innovation waiver, for federal funding, or both, to allow the state to implement and operate a reinsurance program to assist health insurers in paying high-cost insurance claims. The state cannot implement the program absent waiver or funding approval from the secretary. The program is established as an enterprise for purposes of section 20 of article X of the state constitution. The division of insurance is to include an update regarding the program in its annual "SMART Act" report, and the program is subject to sunset review and repeal in 5 years.


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

Position:
Floor Votes:
Status: 2/1/2019 Introduced In House - Assigned to Health & Insurance
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:
Fiscal Notes Status: Fiscal note currently unavailable
Calendar Notification: Wednesday, February 27 2019
Health & Insurance
1:30 p.m. Room 0107
(1) in house calendar.
News:
Audio, Floors and Committees:

HB19-1174 Out-of-network Health Care Services 
Short Title: Out-of-network Health Care Services
Sponsors: D. Esgar | M. Catlin / B. Gardner | B. Pettersen
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.)

Position:
Floor Votes:
Status: 2/7/2019 Introduced In House - Assigned to Health & Insurance
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:
Fiscal Notes Status: Fiscal note currently unavailable
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

HB19-1176 Health Care Cost Savings Act of 2019 
Short Title: Health Care Cost Savings Act of 2019
Sponsors: E. Sirota | S. Jaquez Lewis / M. Foote
Summary:

The bill creates the health care cost analysis task force (task force). The president of the senate, the minority leader of the senate, the speaker of the house of representatives, and the minority leader of the house of representatives shall each appoint 2 legislative members to the task force. The governor shall appoint 9 members to the task force. The executive directors of the departments of human services, public health and environment, and health care policy and financing, or their designees, also serve on the task force.

The task force is required to issue a request for proposals and select an analyst to complete a health care cost analysis of 4 health care financing systems. The health care financing systems to be analyzed are:

  • The current health care financing system, in which residents receive health care coverage from private and public insurance carriers or are uninsured;
  • A public option system in which health benefit plans are sold through, and revenues and premiums are received from, the Colorado health benefit exchange, with additional funding as necessary through the general fund;
  • A multi-payer universal health care financing system, in which competing insurance carriers or health maintenance organizations receive payments from a public financing authority; and
  • A publicly financed and privately delivered universal health care system that directly compensates providers.

The analyst is required to use the same specified criteria when conducting the analysis of each health care financing system.

The task force is required to report the findings of the analyst to the general assembly.

The task force may seek, accept, and expend gifts, grants, and donations for the analysis. The general assembly may appropriate money to the health care cost analysis cash fund for the purposes of the task force, the analysis, and reporting requirements.


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

Position:
Floor Votes:
Status: 2/12/2019 Introduced In House - Assigned to Health & Insurance
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:
Fiscal Notes Status: Fiscal note currently unavailable
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

SB19-004 Address High-cost Health Insurance Pilot Program 
Short Title: Address High-cost Health Insurance Pilot Program
Sponsors: K. Donovan / D. Roberts
Summary:

Sections 1 and 2 of the bill authorize the state personnel director to explore the feasibility of offering and, if feasible, to develop and implement a one-year pilot program in a limited geographic region of the state affected by high health insurance premiums to provide access to individuals in that region to participate in the group medical benefit plans offered to state employees. The pilot program would be available:

  • In the portions of Eagle and Garfield counties that are within the service area of the state group benefit plans;
  • To a limited number of individuals whose household income is more than 400 % but not more than 500 % of the federal poverty line; and
  • In the 2019-20 benefit plan year.

Section 2 outlines the factors for the state personnel director to consider in determining the feasibility of the pilot program.

Sections 3 through 15 modernize laws authorizing health care cooperatives in the state to incorporate consumer protections such as coverage for preexisting conditions and to encourage consumers to help control health care costs by negotiating rates on a collective basis directly with providers.
(Note: This summary applies to this bill as introduced.)

Position:
Floor Votes:
Status: 1/4/2019 Introduced In Senate - Assigned to Health & Human Services
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: Thursday, February 21 2019
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM LSB-B
(3) in senate calendar.
News:
Audio, Floors and Committees:

SB19-005 Import Prescription Drugs From Canada 
Short Title: Import Prescription Drugs From Canada
Sponsors: R. Rodriguez | J. Ginal / S. Jaquez Lewis
Summary:

The bill creates the "Colorado Wholesale Importation of Prescription Drugs Act", under which the department of health care policy and financing (department) shall design a program to import prescription pharmaceutical products from Canada for sale to Colorado consumers. The program design must ensure both drug safety and cost savings for Colorado consumers. The department shall submit the program design to the secretary of the United States department of health and human services and request the secretary's approval of the program, as required by federal law, to import Canadian pharmaceutical products.

If the secretary approves the program, the department shall implement the program. The department shall adopt a funding mechanism to cover the program's administrative costs, and the department shall annually report on the program to the general assembly.


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

Position:
Floor Votes:
Status: 1/31/2019 Senate Committee on Health & Human Services Refer Amended to Appropriations
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News: Colorado Lawmakers Advance Bid To Import Cheap Prescription Drugs From Canada
Audio, Floors and Committees:

SB19-015 Create Statewide Health Care Review Committee 
Short Title: Create Statewide Health Care Review Committee
Sponsors: J. Ginal / S. Beckman
Summary:

The bill recreates the former health care task force, renamed as the statewide health care review committee, to study health care issues that affect Colorado residents throughout the state. The committee consists of the members of the house of representatives committees on health and insurance and public health care and human services and the senate committee on health and human services. The committee is permitted to meet up to 2 times during the interim between legislative sessions, including 2 field trips.
(Note: This summary applies to this bill as introduced.)

Position:
Floor Votes:
Status: 1/17/2019 Senate Committee on Health & Human Services Refer Unamended to Appropriations
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

SB19-021 Board Of Health Approval For Legal Services 
Short Title: Board Of Health Approval For Legal Services
Sponsors: D. Moreno / H. McKean
Summary:

Statutory Revision Committee. The bill removes the requirement that the state board of health (state board) approve the retention of counsel when the executive director of the department of public health and environment seeks to bring an action to enjoin, prosecute, or enforce public health laws or standards and the local district attorney fails to act.

The bill also removes the requirement that an agency, through its county or district board of health or through its public health director, acquire the approval of the state board before retaining counsel to defend the agency and its officers and employees against actions brought against them.


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Position:
Floor Votes: 01/23/2019 - Senate Floor Vote for SB19-021
  BridgesY   CookeY   CoramY   CourtY
  CrowderY   DanielsonY   DonovanY   FenbergY
  FieldsY   FooteY   GarciaY   GardnerY
  GinalY   GonzalesY   HillY   HiseyY
  HolbertY   LeeY   LundeenY   MarbleY
  MorenoY   PettersenY   PriolaY   RankinY
  RodriguezY   ScottY   SmallwoodY   SonnenbergY
  StoryY   TateY   ToddY   Williams A.Y
  WinterY   WoodwardY   ZenzingerY


02/11/2019 - House Floor Vote for SB19-021
  ArndtY   BaisleyY   BeckerY   BeckmanY
  BenavidezY   BirdY   BockenfeldY   BuckY
  BucknerY   BuentelloY   CaraveoY   CarverY
  CatlinY   ColemanY   CutterY   District 57V
  DuranY   EsgarY   ExumY   FroelichY
  GalindoY   GarnettY   GeitnerY   Gonzales-GutierrezY
  GrayY   HansenY   HerodY   HootonY
  HumphreyY   JacksonY   Jaquez LewisY   KennedyY
  KippY   Kraft-TharpY   LandgrafE   LarsonY
  LewisY   ListonY   LontineY   McCluskieY
  McKeanY   McLachlanY   MeltonY   Michaelson JenetY
  MullicaY   NevilleY   PeltonY   RansomY
  RichY   RobertsY   SaineY   SandridgeY
  SingerY   SirotaY   SnyderY   SoperY
  SullivanY   TipperY   TitoneY   Valdez A.Y
  Valdez D.Y   Van WinkleY   WeissmanY   Williams D.Y
  WilsonY


Status: 2/14/2019 Signed by the President of the Senate
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

SB19-098 Cost-based Reimbursement For Rural Hospitals 
Short Title: Cost-based Reimbursement For Rural Hospitals
Sponsors: L. Crowder
Summary:

The bill requires Colorado's program of medical assistance to pay rural critical access hospitals and sole community hospitals for outpatient hospital services pursuant to a cost-based reimbursement methodology using 100% of actual cost.

Prior to implementing the cost-based reimbursement methodology for outpatient hospital services, the department of health care policy and financing (state department) shall convene a stakeholder group consisting of representatives of the affected hospitals and other persons or entities to consult with the state department on the elements of the cost-based reimbursement methodology and its implementation.

The bill makes a conforming amendment.


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

Position:
Floor Votes:
Status: 2/12/2019 Senate Committee on Finance Postpone Indefinitely
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:

Fiscal Note

Fiscal Notes Status: Fiscal impact for this bill
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees:

SB19-134 Out-of-network Health Care Disclosures And Charges 
Short Title: Out-of-network Health Care Disclosures And Charges
Sponsors: R. Fields | J. Tate / M. Soper
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.)

Position:
Floor Votes:
Status: 2/7/2019 Introduced In Senate - Assigned to Health & Human Services
Bank Impact:
Comment:
CBA Notes:
Fiscal Notes:
Fiscal Notes Status: Fiscal note currently unavailable
Calendar Notification: NOT ON CALENDAR
News:
Audio, Floors and Committees: