Amendments for HB23-1226
House Journal, March 29
52 Amend printed bill, page 2, line 5, after "portion" insert "(4)(a)(I),".
53
54 Page 2, line 6, strike "(2)(b)(II)(G),".
55
56 Page 2, line 7, after "(2)(b)(III)(Q)," insert "(2)(b)(IV),".
1 Page 2, line 7, strike "and (2)(g)" and substitute "(2)(g), and (4.5)".
2
3 Page 2, line 11, after "UNCOMPENSATED" insert "CARE".
4
5 Page 3, line 15, strike "subsection (2)(b)(III)(N)" and substitute
6 "subsection SUBSECTIONS (2)(b)(II)(D), (2)(b)(III)(N), (2)(b)(III)(O),
7 (2)(b.5)(I), AND (2)(b.5)(II)".
8
9 Page 3, line 20, strike "subsection (2)(b)(III)(N)" and substitute
10 "subsection SUBSECTIONS (2)(b)(II)(D), (2)(b)(III)(N), (2)(b)(III)(O),
11 (2)(b.5)(I), AND (2)(b.5)(II)".
12
13 Page 4, strike lines 17 through 22 and substitute:
14
15 "(D) SUMMARIES OF THE HOSPITAL'S AGGREGATE AMOUNT BY
16 FISCAL YEAR OF CASH, INVESTMENTS, OR OTHER ASSET TRANSFERS OF
17 EQUITY OR FUND BALANCE TO AND FROM RELATED PARTIES, INCLUDING
18 BUT NOT LIMITED TO THE HOSPITAL'S PARENT ORGANIZATION. THE
19 HOSPITAL SHALL INCLUDE A SUMMARY OF THE PURPOSES OF THE
20 TRANSFERS AND A SUMMARY OF WHETHER THE TRANSFERS WERE MADE
21 WITHIN OR OUTSIDE OF COLORADO.".
22
23 Page 4, strike lines 23 through 27.
24
25 Page 5, line 1, strike "(F)" and substitute "(E)".
26
27 Page 5, line 4, strike "(G)" and substitute "(F)".
28
29 Page 5, line 23, after "COMPENSATION." insert "THE COMPENSATION
30 REPORTED MUST INDICATE WHAT PERFORMANCE MEASURES WERE
31 INCLUDED IN THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE EVALUATION
32 GENERATED BY THE HOSPITAL'S GOVERNING BOARD, INCLUDING, AT A
33 MINIMUM, QUALITY OF CARE OUTCOMES PERFORMANCE; PATIENT
34 SATISFACTION PERFORMANCE; COMMUNITY BENEFIT PERFORMANCE;
35 CONSUMER AND EMPLOYER AFFORDABILITY PERFORMANCE; MARKET
36 SHARE PERFORMANCE; PROFITS OR MARGINS; REVENUE GROWTH; CHANGE
37 IN DAYS CASH ON HAND OR CASH RESERVES; AND WORKFORCE.".
38
39 Page 6, after line 7 insert:
40
41 "(IV) IN A FORM AND MANNER SPECIFIED BY THE STATE
42 DEPARTMENT, A QUARTERLY FINANCIAL REPORT THAT INCLUDES AN
43 INCOME STATEMENT, BALANCE SHEET, AND STATEMENT OF CASH FLOWS
44 IF THE HOSPITAL IS OWNED OR AFFILIATED WITH A HOSPITAL SYSTEM THAT
45 IS COMPRISED OF THREE OR MORE HOSPITALS OR THAT HAS MORE THAN
46 ONE BILLION DOLLARS IN RESERVES, AND FOR ALL OTHER HOSPITALS, A
47 QUARTERLY FINANCIAL REPORT THAT INCLUDES AN INCOME STATEMENT
48 AND BALANCE SHEET. THE QUARTERLY FINANCIAL REPORT MUST BE
49 REPORTED NO LATER THAN SIXTY DAYS AFTER THE END OF EACH
50 QUARTER.".
51
52 Page 7, line 13, after "NONCOMPLIANCE" insert "WITHIN SIXTY DAYS".
53
54 Page 7, line 16, after "TIMELINE" insert "OF SIXTY DAYS".
55
56
1 Page 7, line 26, strike "NOT TO" and substitute "WHICH, FOR HOSPITALS
2 OWNED OR AFFILIATED WITH A HOSPITAL SYSTEM COMPRISED OF THREE OR
3 MORE HOSPITALS, MUST NOT".
4
5 Page 7, line 27, after "DOLLARS" insert "PER VIOLATION".
6
7 Page 8, line 1, strike "ACTION." and substitute "AND, FOR ALL OTHER
8 HOSPITALS, MUST NOT EXCEED FIVE THOUSAND DOLLARS PER WEEK UNTIL
9 THE HOSPITAL TAKES CORRECTIVE ACTION.".
10
11 Page 8, after line 6 insert:
12
13 "(I) The public health care and human services committee of the
14 house of representatives HEALTH AND INSURANCE COMMITTEE AND THE
15 HOUSE OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND
16 HUMAN SERVICES COMMITTEE, or any successor committee;".
17
18 Page 8, after line 13 insert:
19
20 "(4.5) THE STATE DEPARTMENT SHALL REPORT ON THE ANNUAL
21 HOSPITAL TRANSPARENCY REPORT DURING THE STATE DEPARTMENT'S
22 "SMART ACT" HEARING.".
23
24 Page 8, line 18, strike "INCLUDE A CLEAR,".
25
26 Page 8, strike lines 19 through 24 and substitute "FOLLOW INDUSTRY
27 STANDARD BILLING PRACTICES, INCLUDING, AT A MINIMUM, THE DATE OF
28 SERVICE, THE PATIENT'S NAME, THE PROVIDER'S NAME, A DESCRIPTION OF
29 THE SERVICES PROVIDED, AND THE CHARGES FOR EACH SERVICE.".
House Journal, April 21
23 Amendment No. 1, Appropriations Report, dated April 14, 2023, and
24 placed in member's bill file; Report also printed in House Journal,
25 April 14, 2023.
26
27 Amendment No. 2, Health & Insurance Report, dated March 28, 2023,
28 and placed in member's bill file; Report also printed in House Journal,
29 March 29, 2023.
30
31 Amendment No. 3, by Representative deGruy Kennedy:
32
33 Amend the Health and Insurance Committee Report, dated March 28,
34 2023, page 1, strike lines 13 through 19 and substitute:
35
36 ""(D) AN ANNUAL SUMMARY OF THE HOSPITAL'S TRANSFERS OF
37 CASH, EQUITY, INVESTMENTS, OR OTHER ASSETS TO AND FROM RELATED
38 PARTIES, INCLUDING BUT NOT LIMITED TO THE HOSPITAL'S PARENT
39 ORGANIZATION. THE SUMMARY MUST INCLUDE THE PURPOSE OF THE
40 TRANSFERS AND WHETHER THE TRANSFERS WERE MADE WITHIN OR
41 OUTSIDE OF COLORADO. A HOSPITAL MAY AGGREGATE THE TRANSFERS
42 FOR EACH ENTITY RECEIVING OR MAKING THE TRANSFER.".".
43
44 Page 2, strike lines 1 through 3 and substitute:
45
46 "Page 4, strike lines 23 through 27 and substitute:
47
48 "(E) A HOSPITAL-SPECIFIC STATEMENT OF CASH FLOW WITHIN A
49 TIME FRAME SPECIFIED ANNUALLY BY THE STATE DEPARTMENT, BUT NOT
50 LESS THAN ONE HUNDRED TWENTY DAYS AFTER THE HOSPITAL'S FISCAL
51 YEAR END.".".
52
53 Page 2, strike lines 14 through 23 and substitute:
54
55
1 ""(IV) (A) A QUARTERLY FINANCIAL REPORT THAT INCLUDES AN
2 INCOME STATEMENT AND BALANCE SHEET. IF A HOSPITAL IS OWNED OR
3 AFFILIATED WITH A HEALTH SYSTEM THAT IS COMPRISED OF THREE OR
4 MORE HOSPITALS OR THAT HAS MORE THAN ONE BILLION DOLLARS IN
5 RESERVES, THE HEALTH SYSTEM MAY SUBMIT A CONSOLIDATED
6 QUARTERLY FINANCIAL REPORT.
7 (B) ANY QUARTERLY FINANCIAL REPORT MADE PUBLICLY
8 AVAILABLE MUST CLEARLY STATE THAT THE QUARTERLY FINANCIAL
9 REPORT IS UNAUDITED, IF APPLICABLE. THE STATE DEPARTMENT SHALL
10 PROVIDE ANY ANALYSIS, REPORT, OR PRESENTATION BASED ON THE
11 QUARTERLY FINANCIAL REPORT TO EACH HOSPITAL AT LEAST FIFTEEN
12 DAYS PRIOR TO THE PUBLIC RELEASE OF THE ANALYSIS, REPORT, OR
13 PRESENTATION.".".
14
15 Amendment No. 4, by Representative deGruy Kennedy:
16
17 Amend printed bill, page 6, strike lines 10 through 15 and substitute:
18
19 "(I) FOR EACH FISCAL YEAR 2014-15 THROUGH 2019-20, A
20 SUMMARY OF THE HOSPITAL'S TRANSFERS OF CASH, EQUITY, INVESTMENTS,
21 OR OTHER ASSETS TO AND FROM RELATED PARTIES, INCLUDING BUT NOT
22 LIMITED TO THE HOSPITAL'S PARENT ORGANIZATION. THE SUMMARY MUST
23 INCLUDE THE PURPOSE OF THE TRANSFERS AND WHETHER THE TRANSFERS
24 WERE MADE WITHIN OR OUTSIDE OF COLORADO. A HOSPITAL MAY
25 AGGREGATE THE TRANSFERS FOR EACH ENTITY RECEIVING OR MAKING THE
26 TRANSFER.".
27
28 As amended, ordered engrossed and placed on the Calendar for Third
29 Reading and Final Passage.
30