Amendments for HB20-1008

House Journal, February 20
49 HB20-1008 be amended as follows, and as so amended, be referred to
50 the Committee on Appropriations with favorable
51 recommendation:
52
53 Amend printed bill, page 3, line 13, strike "PERSON" and substitute
54 "PERSON, OTHER THAN A PRODUCER,".
55
1 Page 3, line 19, strike "CALENDAR" and substitute "FISCAL".
2
3 Page 4, line 13, after "DENIED" insert "IN THIS STATE".
4
5 Page 4, strike line 19 and substitute "SUBMITTED IN THIS STATE;".
6
7 Page 4, line 22, strike "MEMBERS," and substitute "MEMBERS IN THIS
8 STATE,".
9
10 Page 4, line 23, strike "PAID;" and substitute "PAID IN THIS STATE;".
11
12 Page 4, line 24, after "EXPENSES" insert "SUBMITTED IN THIS STATE".
13
14 Page 4, line 25, strike "ARRANGEMENT DENIED IN WHOLE OR IN PART," and
15 substitute "ARRANGEMENT, IN WHOLE OR IN PART, DENIED OR DETERMINED
16 TO BE INELIGIBLE FOR COST SHARING,".
17
18 Page 4, line 26, after "EXPENSES" insert "SUBMITTED IN THIS STATE".
19
20 Page 4, strike line 27 and substitute "DENIED OR DETERMINED TO BE
21 INELIGIBLE;".
22
23 Page 5, line 1, strike "DENIALS;" and substitute "DENIALS IN THIS STATE;".
24
25 Page 5, line 3, strike "ARRANGEMENT," and substitute "ARRANGEMENT IN
26 THIS STATE," and after "APPEALS" insert "IN THIS STATE,".
27
28 Page 5, strike lines 6 through 10 and substitute:
29 "(i) THE TOTAL AMOUNT PAID INTO THE HEALTH CARE
30 COST-SHARING ARRANGEMENT IN THE PREVIOUS CALENDAR YEAR BY
31 MEMBERS WHO ARE RESIDENTS OF THIS STATE; AND
32 (j) THE NAME, MAILING ADDRESS, E-MAIL ADDRESS, AND
33 TELEPHONE NUMBER OF AN INDIVIDUAL SERVING AS A CONTACT PERSON
34 FOR THE HEALTH CARE COST-SHARING ARRANGEMENT IN THIS STATE. THE
35 COMMISSIONER SHALL NOT MAKE THE HEALTH CARE COST-SHARING
36 ARRANGEMENT'S CONTACT PERSON INFORMATION AVAILABLE TO THE
37 PUBLIC.".
38
39 Page 5, strike lines 12 through 15 and substitute "2021, PRIOR TO
40 ENROLLING, ACCEPTING, OR RENEWING AN INDIVIDUAL OR GROUP IN A
41 HEALTH CARE COST-SHARING ARRANGEMENT IN THIS STATE, A PERSON,
42 OTHER THAN A PRODUCER, OFFERING, OPERATING, MANAGING, OR
43 ADMINISTERING THE HEALTH CARE COST-SHARING ARRANGEMENT SHALL
44 PROVIDE A WRITTEN DISCLOSURE, EITHER IN HARD COPY OR ELECTRONIC
45 FORMAT, TO BE SIGNED BY THE PROSPECTIVE OR RENEWING MEMBER OR
46 GROUP, CONTAINING THE FOLLOWING INFORMATION:".
47
48 Page 5, line 16, strike "PARTICIPATION" and substitute "A HEALTH CARE
49 COST-SHARING ARRANGEMENT IS NOT A QUALIFIED HEALTH PLAN, AND
50 PARTICIPATION".
51
52 Page 5, line 25, strike "INFORMATION REQUIRED" and substitute
53 "DISCLOSURES DETERMINED".
54
55 Page 5, line 26, strike "RULE." and substitute "RULE TO ADDRESS
1 CONSUMER CONFUSION OR TO ENSURE CONSUMERS HAVE NECESSARY
2 INFORMATION TO MAKE INFORMED DECISIONS.".
3
4 Page 5, line 27, strike "PRIOR TO ENROLLING,".
5
6 Page 6, strike lines 1 and 2 and substitute "A PERSON, OTHER THAN A
7 PRODUCER,".
8
9 Page 6, line 4, strike "PROVIDE A WRITTEN DISCLOSURE,".
10
11 Page 6, strike line 5 and substitute "DISPLAY PROMINENTLY ON ITS
12 WEBSITE, IF THE PERSON HAS A WEBSITE, AND IN ITS WRITTEN MARKETING
13 MATERIALS".
14
15 Page 6, line 6, strike "CONTAINING".
16
17 Page 6, strike lines 8 through 13 and substitute:
18 "(c) ON AND AFTER JANUARY 1, 2021, A PRODUCER OFFERING A
19 HEALTH CARE COST-SHARING ARRANGEMENT IN THIS STATE SHALL
20 PROVIDE A WRITTEN OR ELECTRONIC DISCLOSURE TO A PROSPECTIVE
21 CLIENT BEFORE SELLING THE ARRANGEMENT TO THE CLIENT. THE
22 DISCLOSURE MUST INCLUDE THE FOLLOWING INFORMATION:
23 (I) A HEALTH CARE COST-SHARING ARRANGEMENT IS NOT A
24 QUALIFIED HEALTH PLAN, AND PARTICIPATION OR MEMBERSHIP IN A
25 HEALTH CARE COST-SHARING ARRANGEMENT DOES NOT GUARANTEE
26 PAYMENT OF BILLS OR MEDICAL EXPENSES;
27 (II) A MEMBER OF A HEALTH CARE COST-SHARING ARRANGEMENT
28 REMAINS PERSONALLY RESPONSIBLE FOR PAYMENT OF ALL BILLS OR
29 MEDICAL EXPENSES;
30 (III) A MEMBER OF A HEALTH CARE COST-SHARING ARRANGEMENT
31 MAY BE SUBJECT TO CERTAIN PREEXISTING CONDITION EXCLUSIONS OR
32 OTHER LIMITATIONS; AND
33 (IV) ANY OTHER DISCLOSURES DETERMINED BY THE
34 COMMISSIONER BY RULE TO ADDRESS CONSUMER CONFUSION OR TO
35 ENSURE CONSUMERS HAVE NECESSARY INFORMATION TO MAKE INFORMED
36 DECISIONS.".
37
38 Renumber succeeding subsections accordingly.
39
40 Page 6, line 16, after "EXPENSES" insert "FROM A MEMBER OF THE HEALTH
41 CARE COST-SHARING ARRANGEMENT OR".
42
43 Page 6, line 20, strike "OF SERVICE FOR WHICH".
44
45 Page 6, line 21, strike "MADE." and substitute "MADE TO THE HEALTH
46 CARE COST-SHARING ARRANGEMENT.".
47
48 Page 6, line 22, after "PAY" insert "OR FACILITATE THE PAYMENT OF".
49
50 Page 6, line 23, strike "FULL OR" and substitute "ACCORDANCE WITH THE
51 HEALTH CARE COST-SHARING ARRANGEMENT GUIDELINES OR FAILS TO".
52
53 Page 6, line 25, strike "REQUEST." and substitute "REQUEST OR A
54 DETERMINATION THAT THE EXPENSES ARE INELIGIBLE FOR COST
55 SHARING.".
1 Page 6, line 26, after "PAYS" insert "OR FACILITATES THE PAYMENT OF".
2
3 Page 6, lines 26 and 27, strike "ONLY A PORTION OF THE MEDICAL
4 EXPENSES WITHIN THE SPECIFIED PERIOD," and substitute "AN AMOUNT OR
5 PORTION OF THE MEDICAL EXPENSES THAT IS LESS THAN WHAT THE
6 HEALTH CARE COST-SHARING ARRANGEMENT GUIDELINES SPECIFY,".
7
8 Page 7, line 2, before "PORTION" insert "REMAINING".
9
10 Page 7, line 3, strike "THAT ARE UNPAID." and substitute "OR A
11 DETERMINATION THAT THE REMAINING PORTION OF THE MEDICAL
12 EXPENSES IS INELIGIBLE FOR COST SHARING. IF THE MEDICAL EXPENSE IS
13 DENIED OR DETERMINED TO BE INELIGIBLE FOR COST SHARING AND THE
14 MEMBER OF THE HEALTH CARE COST-SHARING ARRANGEMENT ALSO HAS
15 COVERAGE UNDER A QUALIFIED HEALTH PLAN, A MEDICAL ASSISTANCE
16 PROGRAM ADMINISTERED PURSUANT TO ARTICLES 4, 5, AND 6 OF TITLE
17 25.5, OR OTHER COVERAGE FOR WHICH A THIRD-PARTY PAYER MAY BE
18 RESPONSIBLE FOR PAYING FOR THE MEMBER'S MEDICAL EXPENSES, THE
19 PROVIDER MAY BILL APPROPRIATE THIRD-PARTY PAYERS FOR ANY UNPAID
20 BALANCE OWED FOR HEALTH CARE THE PROVIDER PROVIDED TO THE
21 MEMBER.".
22
23 Page 7, line 11, strike "(7)" and substitute "(6)".
24
25 Page 7, line 19, after "SECTION;" add "OR".
26
27 Page 7, strike lines 20 and 21.
28
29 Reletter succeeding sub-subparagraph accordingly.
30
31 Page 7, line 23, strike "(5)" and substitute "(4)".
32
33 Page 7, line 27, strike "(7)(a)" and substitute "(6)(a)".
34
35 Page 8, line 2, strike "(7)(a)." and substitute "(6)(a).".
36
37 Page 8, strike lines 4 and 5 and substitute "REQUIRED BY SUBSECTION (3)
38 OF THIS SECTION, THE".
39
40 Page 8, line 13, strike "(8)" and substitute "(7)".
41
42 Page 8, line 25, strike "10-3-903.7 (8);" and substitute "10-3-903.7;".
43
44 Strike "ARRANGEMENT;" and substitute "ARRANGEMENT IN THIS STATE;"
45 on: Page 3, lines 24 and 27; and Page 4, line 3.
46
47 After "ARRANGEMENT" insert "IN THIS STATE" on: Page 4, lines 5, 9, and
48 line 17.
49
50

House Journal, February 28
1 HB20-1008 be amended as follows, and as so amended, be referred to
2 the Committee of the Whole with favorable
3 recommendation:
4
5 Amend printed bill, page 9, before line 1 insert:
6
7 "SECTION 4. Appropriation. For the 2020-21 state fiscal year,
8 $28,347 is appropriated to the department of regulatory agencies for use
9 by the division of insurance. This appropriation is from the division of
10 insurance cash fund created in section 10-1-103 (3), C.R.S., and is based
11 on an assumption that the division will require an additional 0.4 FTE. To
12 implement this act, the division may use this appropriation for personal
13 services.".
14
15 Renumber succeeding section accordingly.
16
17 Page 1, line 102, strike "ARRANGEMENTS." and substitute
18 "ARRANGEMENTS, AND, IN CONNECTION THEREWITH, MAKING AN
19 APPROPRIATION.".
20
21