Amendments for SB19-004

Senate Journal, March 14
After consideration on the merits, the Committee recommends that SB19-004 be amended
as follows, and as so amended, be referred to the Committee on Appropriations with
favorable recommendation.

Amend printed bill, page 2, strike lines 2 through 13.

Strike pages 3 through 5.

Page 6, strike lines 1 through 17 and substitute:

"SECTION 1. Legislative declaration. (1) The general
assembly hereby finds and declares that:
(a) Currently, premiums for health insurance across the nine
health insurance geographic rating regions in Colorado, as well as the
number of insurance carriers available and the number and variety of
plans offered in the different regions, vary significantly;
(b) Premiums in rural areas, especially in the eastern plains and
the western slope areas of the state, are considerably higher than
premiums in metropolitan areas, and the number of carriers and the
diversity of plans they offer are very limited in those areas. In fact, only
one carrier is currently offering plans on the health benefit exchange in
some rural areas of the state.
(c) Many Coloradans in rural areas are cost-burdened in that they
spend more than twenty percent of their household income on premiums
for health insurance but earn too much to qualify for subsidies available
under federal law;
(d) Because of the financial burden high-cost health insurance
places on individuals in rural areas of the state, a considerable number of
these cost-burdened individuals may not purchase health insurance in
2019, exacerbating the problems of few carriers, few plan options, and
high costs of health insurance in rural regions of the state as well as
increasing the number of uninsured individuals in those areas; and
(e) It is therefore important to modernize the laws authorizing
health care cooperatives to enable consumers to help control health care
costs by negotiating rates on a collective basis directly with providers.".

Renumber succeeding sections accordingly.

Page 1, strike lines 103 through 105.

Page 1, line 106, strike "PLANS AND".


Health &
Human
Services

Senate Journal, April 2
SB19-004 by Senator(s) Donovan; also Representative(s) Roberts--Concerning measures to address
the high costs of health insurance in the state, and, in connection therewith, authorizing the
state personnel director to implement a pilot program to allow residents of a specified
region to participate in state employee medical benefit plans and modifying the health care
coverage cooperatives laws to include consumer protections and allow consumers to
collectively negotiate rates directly with providers.

Amendment No. 1, Health & Human Services Committee Amendment.
(Printed in Senate Journal, March 14, pages 457-458 and placed in members' bill files.)

Amendment No. 2(L.006), by Senator Donovan.

Amend printed bill, page 18, strike lines 22 through 24 and substitute:

"SECTION 14. Act subject to petition - effective date. This act
takes effect at 12:01 a.m. on the day following the expiration of the
ninety-day period after final adjournment of the general assembly
(August 2, 2019, if adjournment sine die is on May 3, 2019); except that,
if a referendum petition is filed pursuant to section 1 (3) of article V of
the state constitution against this act or an item, section, or part of this act
within such period, then the act, item, section, or part will not take effect
unless approved by the people at the general election to be held in
November 2020 and, in such case, will take effect on the date of the
official declaration of the vote thereon by the governor.".


Amendment No. 3(L.005), by Senator Donovan.

Amend printed bill, page 9, strike lines 25 through 27.

Page 10, strike lines 1 through 3.

Renumber succeeding sections accordingly.


As amended, ordered engrossed and placed on the calendar for third reading and final
passage.



House Journal, April 12
52 SB19-004 be amended as follows, and as so amended, be referred to
53 the Committee of the Whole with favorable
54 recommendation:
55
1 Amend reengrossed bill, page 6, line 1, after "EMPLOYER" insert "FULLY
2 INSURED", and strike "OR".
3
4 Page 6, strike line 2 and substitute "EMPLOYER FULLY INSURED MARKET,
5 OR THE EMPLOYER SELF-INSURED MARKET.".
6
7 Page 6, after line 19 insert:
8
9 "SECTION 5. In Colorado Revised Statutes, 10-16-1004, amend
10 (5) as follows:
11
12 10-16-1004. Health care coverage cooperatives - establishment
13 - fees. (5) (a) Except as allowed by section 10-16-1014 OR SUBSECTION
14 (5)(b) OF THIS SECTION, the division of insurance shall not participate in
15 the formation or administration of a health care coverage cooperative
16 created pursuant to this part 10.
17 (b) THE COMMISSIONER MAY PROVIDE TECHNICAL ASSISTANCE IN
10 18 THE FORMATION OF A COOPERATIVE CREATED PURSUANT TO THIS PART
19 SO LONG AS THE COOPERATIVE IS NOT FORMED OR ADMINISTERED BY THE
20 COMMISSIONER AS AN ENTITY OR INSTRUMENTALITY OF THE STATE.
21
22 SECTION 6. In Colorado Revised Statutes, 10-16-1008, amend
23 (1) as follows:
24
25 10-16-1008. Administrative structure of cooperatives - board
26 of directors - officers - employees. (1) (a) (I) The affairs of the
27 cooperative shall be managed in accordance with the legal structure
28 required of the entity and, EXCEPT AS PROVIDED IN SUBSECTION (1)(a)(II)
29 OF THIS SECTION, governed by persons elected by the members from their
30 own number. The governing body of the cooperative shall adopt bylaws
31 and rules for the cooperative.
32 (II) THE MEMBERS OF THE COOPERATIVE MAY ELECT TO THE
33 GOVERNING BODY UP TO THREE INDIVIDUALS WHO ARE NOT ABLE TO JOIN
34 THE COOPERATIVE AS MEMBERS, BUT AT LEAST EIGHTY PERCENT OF THE
35 GOVERNING BOARD MUST CONSIST OF MEMBERS OF THE COOPERATIVE.
36 (b) Members of a cooperative shall be entitled to equal
37 participation and benefit from the cooperative; except that a cooperative
38 at its option may extend voting rights to eligible employees.
39 (c) The governing body of the cooperative shall meet at such
40 times and places as it determines necessary to operate the cooperative in
41 accordance with this part 10.".
42
43 Renumber succeeding sections accordingly.
44
45 Page 13, line 25, strike the first "and", and strike "(1)(e)" and substitute
46 "(1)(e); and add (2)".
47
48 Page 14, after line 17 insert:
49
50 "(2) THE TECHNICAL ASSISTANCE THE COMMISSIONER MAY
51 PROVIDE PURSUANT TO SUBSECTION (1) OF THIS SECTION MAY INCLUDE:
52 (a) PROVIDING TECHNICAL ASSISTANCE IN THE FORMATION OF A
53 COOPERATIVE PURSUANT TO THIS PART 10 SO LONG AS THE COOPERATIVE
54 IS NOT FORMED OR ADMINISTERED BY THE COMMISSIONER AS AN ENTITY
55 OR INSTRUMENTALITY OF THE STATE;
56
1 (b) EDUCATING COMMUNITIES, BUSINESSES, AND NONPROFIT
2 ORGANIZATIONS ABOUT COOPERATIVES; AND
3 (c) ADVERTISING OR OTHERWISE PUBLICIZING SUCCESSFUL
4 COOPERATIVES THAT HAVE BEEN FORMED IN THE STATE.".
5
6