Amendments for HB20-1349

House Journal, March 12
54 HB20-1349 be amended as follows, and as so amended, be referred to
55 the Committee on Appropriations with favorable
1 recommendation:
2
3 Amend printed bill, page 2, strike lines 2 through 4.
4
5 Page 3, strike lines 1 through 8.
6
7 Renumber succeeding sections accordingly.
8
9 Page 6, line 9, after "MEDICARE." insert "FOR A HOSPITAL THAT IS
10 REIMBURSED THROUGH THE MEDICARE PROSPECTIVE PAYMENT SYSTEM,
11 THE MEDICARE REIMBURSEMENT RATE IS BASED ON THE PROSPECTIVE
12 PAYMENT SYSTEM RATES. FOR A CRITICAL ACCESS HOSPITAL, THE
13 MEDICARE REIMBURSEMENT RATE IS BASED ON ALLOWABLE COSTS AS
14 REPORTED IN MEDICARE COST REPORTS AND THE HISTORICAL
15 COST-TO-CHARGE RATIOS FOR THE SPECIFIC HOSPITAL.".
16
17 Page 11, line 10, strike "10-16-1207;" and substitute "10-16-1208;".
18
19 Page 12, line 1, after "STATE," insert "WITH AN AFFIRMATIVE VOTE OF THE
20 MAJORITY OF THE VOTING MEMBERS OF THE BOARD,".
21
22 Page 12, after line 10 insert:
23
24 "(c) FOR THE SOLE PURPOSE OF SATISFYING THE REQUIREMENT IN
25 SUBSECTION (1)(b) OF THIS SECTION, A LICENSED HEALTH CARE COVERAGE
26 COOPERATIVE AS DEFINED IN SECTION 10-16-1002 (2) THAT IS OPERATING
27 IN A COUNTY IS CONSIDERED ONE OF THE TWO REQUIRED CARRIERS FOR
28 THAT COUNTY. UPON RATE-FILING BY A LICENSED HEALTH CARE
29 COVERAGE COOPERATIVE AND A CARRIER, IN THE INDIVIDUAL, SMALL
30 GROUP, OR LARGE GROUP MARKET, THE COMMISSIONER SHALL EXEMPT
31 THE CARRIER FROM OFFERING THE COLORADO OPTION PLAN IN THAT
32 COUNTY.".
33
34 Reletter succeeding paragraph accordingly.
35
36 Page 14, line 9, strike "TO MITIGATE" and substitute "DESIGNED TO
37 PREVENT".
38
39 Page 14, line 11 after "LINE;" insert "AND".
40
41 Page 14, strike lines 13 through 16 and substitute "BASED ON THE
42 ACTUARIAL VALUE OF SILVER PLANS.".
43
44 Page 16, lines 10 and 11, strike "HOSPITAL-BASED HEALTH CARE
45 PROVIDERS IN COLORADO" and substitute "A STATEWIDE,
46 MULTI-SPECIALTY ASSOCIATION REPRESENTING PHYSICIANS".
47
48 Page 16, strike lines 16 through 22 and substitute:
49
50 "(5) (a) THE COMMISSIONER MAY, IN CONSULTATION WITH THE
51 DEPARTMENT OF HEALTH CARE POLICY AND FINANCING AND THE BOARD,
52 EXEMPT A HOSPITAL FROM OR CHANGE THE HOSPITAL REIMBURSEMENT
53 RATE FORMULA IF THE HOSPITAL:
54 (I) DEMONSTRATES THAT THE HOSPITAL REIMBURSEMENT RATE
55 FOR THAT HOSPITAL WILL REQUIRE THE HOSPITAL TO CEASE CURRENT
1 LEVELS OF SERVICE AS A DIRECT RESULT OF THE COLORADO OPTION PLAN;
2 OR
3 (II) IS NEGOTIATING A CONTRACT IN GOOD FAITH WITH A LICENSED
4 HEALTH CARE COVERAGE COOPERATIVE AS DEFINED IN SECTION
5 10-16-1002 (2) TO SET REIMBURSEMENT RATES.".
6
7 Page 17, strike lines 3 through 16 and substitute:
8
9 "10-16-1207. Colorado option plan - expansion into the small
10 group market - rules. (1) ON OR AFTER JULY 1, 2024, WITH AN
11 AFFIRMATIVE VOTE OF THE MAJORITY OF THE BOARD AND IN
12 CONSULTATION WITH THE DEPARTMENT OF HEALTH CARE POLICY AND
13 FINANCING AND AFTER CONSIDERATION OF THE EVALUATION REQUIRED IN
14 SECTION 12-16-1208, THE COMMISSIONER MAY PROMULGATE RULES TO
15 EXPAND THE COLORADO OPTION PLAN TO THE SMALL GROUP MARKET.
16 (2) IN PROMULGATING RULES PURSUANT TO SUBSECTION (1) OF
17 THIS SECTION, THE COMMISSIONER SHALL:
18 (a) ENSURE THAT A COLORADO OPTION PLAN OFFERED IN THE
19 SMALL GROUP MARKET MEETS ALL OF THE CRITERIA REQUIRED IN SECTION
20 10-16-1205 FOR THE COLORADO OPTION PLAN OFFERED IN THE INDIVIDUAL
21 MARKET; AND
22 (b) CONSIDER WHETHER PARTICIPATION IN A LICENSED HEALTH
23 CARE COVERAGE COOPERATIVE, AS DEFINED IN SECTION 10-16-1002 (2),
24 WOULD MEET THE REQUIREMENTS TO OFFER THE COLORADO OPTION PLAN
25 IN THE SMALL GROUP MARKET.".
26
27 Renumber succeeding C.R.S. section accordingly.
28
29 Page 17, line 21, after "FINDINGS" insert "AT A PUBLIC MEETING OF THE
30 BOARD PURSUANT TO SECTION 10-16-1204 (2) AND".
31
32 Page 19, line 19, after "PLAN" add "IN THE RELEVANT NETWORK AREA".
33
34 Page 19, line 23, strike "SHALL" and substitute "MAY".
35
36