reglab/housing_qa huggingface dataset:
CO Code § 10-16-1104 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1104. Commissioner Powers and Duties - Rules - Study and Report

  The commissioner has all powers necessary to implement this part 11 and is specifically authorized to:   Enter into contracts as necessary or proper to carry out the provisions and purposes of this part 11, including contracts for the administration of the reinsurance program and with appropriate administrative staff, consultants, and legal counsel;    Take legal action as necessary to avoid the payment of improper claims under the reinsurance program;    Establish administrative and accounting procedures for the operation of the reinsurance program;    Establish procedures and standards for carriers to submit claims under the reinsurance program;    Establish or adjust the payment parameters in accordance with section 10-16-1105 (2) for each benefit year;    Repealed.    In accordance with section 10-16-1109, apply for a state innovation waiver or an extension of a state innovation waiver; apply for federal funds; or apply for both a waiver or extension of a waiver and federal funds for the implementation and operation of the reinsurance program;    Apply for, accept, administer, and expend gifts, grants, and donations and any federal or state funds that may become available for the reinsurance program; and    Adopt rules as necessary to implement, administer, and enforce this part 11, including rules necessary to align state law with any federal program and rules. The rules shall be adopted in accordance with the “State Administrative Procedure Act”, article 4 of title 24, including the requirement to establish a representative group of participants pursuant to section 24-4-103 (2).         If the reinsurance program is approved pursuant to section 10-16-1109, the commissioner, during implementation of the program, shall evaluate the effect of the program on access to affordable, high-value health insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions and minimize any potential negative effects on those consumers.    After the second full year of operation of the program, the commissioner shall complete a study that evaluates:   The effects of the program on access to affordable, high-value health insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions; and    Health plan affordability, including cost sharing and premiums.       The commissioner shall issue a report on the study within one hundred twenty days after the end of the second full year of operation of the program, post the report on the division's website, and submit the report to the governor, the senate committee on health and human services or its successor committee, and the house of representatives health and insurance committee or its successor committee.         History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2178, § 1, effective May 17. L. 2020: (1)(f) repealed and (1)(g) amended,(SB 20-215), ch. 201, p. 998, § 3, effective June 30.
CO Code § 10-16-1106 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1106. Accounting - Reports - Audits

  The commissioner shall maintain an accounting for each benefit year of all:   Money expended for reinsurance payments and administrative and operational expenses;    Requests for reinsurance payments received from eligible carriers;    Reinsurance payments made to eligible carriers; and    Administrative and operational expenses incurred for the reinsurance program.       By November 1 of the year following the applicable benefit year or sixty calendar days after the final disbursement of reinsurance payments for the applicable benefit year, whichever is later, the commissioner shall make available to the public a report summarizing the reinsurance program's operations for each benefit year. The commissioner shall post the report on the division's website.    The reinsurance program is subject to audit by the state auditor. The commissioner shall ensure that all of the reinsurance program's contractors, subcontractors, and agents cooperate with the audit.    On or before November 1, 2020, and on or before November 1 of each year thereafter, the division shall include an update regarding the program in its report to the members of the applicable committees of reference in the senate and house of representatives as required by the “State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act”, part 2 of article 7 of title 2.     History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2183, § 1, effective May 17. L. 2020: (4) amended,(SB 20-215), ch. 201, p. 999, § 5, effective June 30.
CO Code § 10-16-1109 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1109. State Innovation Waiver - Federal Funding - Colorado Reinsurance Program

     For purposes of implementing and operating the reinsurance program as set forth in this part 11 for plan years starting on or after January 1, 2021, the commissioner may apply to the secretary of the United States department of health and human services for:   In accordance with section 1332 of the federal act, codified at 42 U.S.C. sec. 18052, and 45 CFR 155.1300:   One or more extensions of the initial two-year state innovation waiver received before June 30, 2020, of up to five years per extension; or    A new state innovation waiver of up to five years to follow the initial two-year state innovation waiver approved before June 30, 2020, and subsequent extensions of any new state innovation waiver approved by the secretary;       Federal funds for the reinsurance program; or    A new or extended state innovation waiver and federal funds.       An application for a state innovation waiver or for federal funds must clearly state that operation of the reinsurance program is contingent on approval of the waiver or funding request.    The commissioner shall ensure that a waiver application submitted pursuant to this section complies with the requirements specified in section 1332 of the federal act, codified at 42 U.S.C. sec. 18052, and 45 CFR 155.1308.    The commissioner shall include in a waiver application a request for a pass-through of federal funding in accordance with section 1332 (a)(3) of the federal act, 42 U.S.C. sec. 18052 (a)(3), to allow the state to obtain and use, for purposes of helping fund the reinsurance program, any federal funds that would, absent the waiver, be used to pay advance payment tax credits and cost-sharing reductions authorized under the federal act.       The commissioner shall notify the following in writing of any federal actions regarding the waiver or funding request:   The joint budget committee of the general assembly;    The senate committee on health and human services or any successor committee; and    The house of representatives committees on health and insurance and public health care and human services or any successor committees.        History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2186, § 1, effective May 17. L. 2020: (1)(a) amended,(SB 20-215), ch. 201, p. 1001, § 8, effective June 30.
CO Code § 10-16-1110 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1110. Repeal of Part - Notice to Revisor of Statutes

     The commissioner shall notify the revisor of statutes in writing, by e-mail sent to revisorofstatutes.ga@state.co.us, upon receipt from the secretary of the United States department of health and human services of notice of approval or denial of the waiver or funding requested under section 10-16-1109.      If the notice from the commissioner states that the waiver or funding was denied, this part 11 is repealed, effective upon the date identified in the notice that the waiver or funding was denied or, if the notice does not specify that date, upon the date of the notice of denial to the revisor of statutes. (b) (I) If the notice from the commissioner states that the waiver or funding was denied, this part 11 is repealed, effective upon the date identified in the notice that the waiver or funding was denied or, if the notice does not specify that date, upon the date of the notice of denial to the revisor of statutes.    If the notice from the commissioner states that the waiver or funding was approved, this subsection (1) is repealed, effective upon the date identified in the notice that the waiver or funding was approved or, if the notice does not specify that date, upon the date of the notice of approval to the revisor of statutes.          Repealed.      History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2187, § 1, effective May 17. L. 2020: (2) repealed,(SB 20-215), ch. 201, p. 1001, § 9, effective June 30.    Editor's note:   As of publication date, the revisor of statutes has not received the notice required by this section.
CO Code § 10-16-1201 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 12 - Health Insurance Affordability Act|§ 10-16-1201. Short Title

 The short title of this part 12 is the “Health Insurance Affordability Act”.   History. Source: L. 2020: Entire part added,(SB 20-215), ch. 201, p. 986, § 1, effective June 30.
CO Code § 10-16-1202 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 12 - Health Insurance Affordability Act|§ 10-16-1202. Legislative Declaration

  The general assembly finds and declares that:   The state, carriers, and hospitals share a common commitment to ensuring all Coloradans have access to affordable health care coverage because access to coverage improves health outcomes and provides financial security for Coloradans;    Hospitals within the state incur the costs of uncompensated care to uninsured and underinsured populations;    The economic downturn due to COVID-19 and its impacts on group and individual health care coverage in the state creates economic challenges for carriers from the potential lost revenue if people drop insurance coverage;    This part 12 is enacted to provide the following services and benefits to carriers:   Reducing the number of Coloradans who lack health care coverage by helping Coloradans to maintain consistent coverage;    Providing stability in the insurance market;    Reducing the movement of individuals between insured and uninsured status;    Offsetting the costs carriers would otherwise pay for covered persons' high medical costs so that premiums are set at more affordable levels; and    Creating a healthier risk pool for all carriers by establishing a path for consistent coverage for individuals; and       This part 12 is enacted to provide the following services and benefits to hospitals:   Reducing the amount of uncompensated care provided by hospitals;    Reducing the need of providers to shift costs of providing uncompensated care to other payers; and    Expanding access to high-quality, affordable health care for low-income and uninsured Coloradans.          The general assembly further finds and declares that, consistent with the determination of the Colorado supreme court in , 896 P.2d 859 (Colo. 1995), the power to impose taxes is inconsistent with enterprise status under section 20 of article X of the state constitution, and the health insurance affordability fees and special assessments charged and collected by the health insurance affordability enterprise are fees, not taxes, because the fees and assessments are imposed for the specific purpose of allowing the enterprise to defray the costs of providing the business services specified in section 10-16-1204 (1)(a) to the carriers and hospitals that pay the fees and assessments and are collected at rates that are reasonably calculated based on the benefits received by those carriers and hospitals.    Nicholl v. E-470 Public Highway Authority  History. Source: L. 2020: Entire part added,(SB 20-215), ch. 201, p. 986, § 1, effective June 30.
CO Code § 10-16-1203 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 12 - Health Insurance Affordability Act|§ 10-16-1203. Definitions

 As used in this part 12, unless the context otherwise requires:    “Board” means the health insurance affordability board created in section 10-16-1207.    “Children's basic health plan” has the meaning set forth in section 25.5-8-103 (2).    “Enterprise” means the Colorado health insurance affordability enterprise created in section 10-16-1204.    “Federal poverty line” has the same meaning as “poverty line”, as defined in 42 U.S.C. sec. 9902 (2).    “Fee” means the health insurance affordability fee established and assessed pursuant to section 10-16-1205.    “Fund” means the health insurance affordability cash fund created in section 10-16-1206.    “Household income” has the same meaning as set forth in 26 U.S.C. sec. 36B (d)(2) of the federal “Internal Revenue Code of 1986”, as amended.    “Medicaid” means federal insurance or assistance as provided by Title XIX of the federal “Social Security Act”, as amended, and the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5.    “Medicare” means federal insurance or assistance provided by the “Health Insurance for the Aged Act”, Title XVIII of the federal “Social Security Act”, as amended, 42 U.S.C. sec. 1395 et seq.    “Premium tax credit” means the refundable tax credit available pursuant to the federal act to assist certain individuals in purchasing a health benefit plan on the exchange.    “Public benefit corporation” means a public benefit corporation formed pursuant to part 5 of article 101 of title 7 that is organized and operated by the exchange pursuant to section 10-22-106 (3) for the purpose of administering and operating a subsidy to reduce the costs of health care coverage offered under a state-subsidized individual health coverage plan.    “Qualified individual” means an individual, regardless of immigration status, who:   Is a Colorado resident;    Has a household income of not more than three hundred percent of the federal poverty line; and    Is not eligible for the premium tax credit, medicaid, medicare, or the children's basic health plan.       “Reinsurance program” means the Colorado reinsurance program created in part 11 of this article 16.    “Reinsurance program cash fund” means the reinsurance program cash fund created in section 10-16-1107.    “State-subsidized individual health coverage plan” means a subsidized individual health coverage plan offered by carriers to qualified individuals through the public benefit corporation.     History. Source: L. 2020: Entire part added,(SB 20-215), ch. 201, p. 987, § 1, effective June 30.
CO Code § 10-16-1206 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 12 - Health Insurance Affordability Act|§ 10-16-1206. Health Insurance Affordability Cash Fund - Creation

  There is hereby created in the state treasury the health insurance affordability cash fund. The fund consists of:   The fees collected from carriers pursuant to section 10-16-1205 (1)(a)(I);    The special assessments collected from hospitals pursuant to section 10-16-1205 (1)(a)(II);    An amount of premium tax revenues deposited in the fund pursuant to section 10-3-209 (4)(a)(III), not to exceed, in any year, ten percent of the total amount the enterprise collects from carriers and hospitals under section 10-16-1205 (1)(a);    The revenue collected from revenue bonds issued pursuant to section 10-16-1204 (1)(b)(II);    Money that may be allocated to the fund pursuant to section 10-16-1308; and    All interest and income derived from the deposit and investment of money in the fund.       Money in the fund shall not be transferred to any other fund, except as provided in section 10-16-1205 (2), and shall not be used for any purpose other than the purposes specified in this part 12.    All money in the fund is continuously available and appropriated to the enterprise to use in accordance with this part 12.    The fund is part of the enterprise established pursuant to section 10-16-1204 (1).     History. Source: L. 2020: Entire part added,(SB 20-215), ch. 201, p. 994, § 1, effective June 30. L. 2021: (1)(d) and (1)(e) amended and (1)(f) added,(HB 21-1232), ch. 241, p. 1293, § 3, effective June 16.
CO Code § 10-16-1208 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 12 - Health Insurance Affordability Act|§ 10-16-1208. Limitation on Authority - Public Option

 Nothing in this part 12 authorizes the enterprise, the board, or the commissioner to establish, administer, operate, or require participation by carriers or hospitals in a state or public option health coverage plan.   History. Source: L. 2020: Entire part added,(SB 20-215), ch. 201, p. 997, § 1, effective June 30.
CO Code § 10-16-1301 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 13 - Colorado Standardized Health Benefit Plan|§ 10-16-1301. Short Title

 The short title of this part 13 is the “Colorado Standardized Health Benefit Plan Act”.   History. Source: L. 2021: Entire part added,(HB 21-1232), ch. 241, p. 1278, § 1, effective June 16.
CO Code § 10-16-1302 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 13 - Colorado Standardized Health Benefit Plan|§ 10-16-1302. Legislative Declaration - Intent

  The general assembly, through the exercise of its powers to protect the health, peace, safety, and general welfare of the people of Colorado, hereby finds that:   Health insurance coverage has been demonstrated to have a positive impact on people's health outcomes as well as their financial security and well-being;    Ensuring that all people have access to affordable, quality, continuous, and equitable health care is a challenge that public officials and policy experts have faced for decades despite seemingly constant efforts to address the issue;    Although great strides have been made in increasing access to health-care coverage through federal and state legislation, not enough has been accomplished to address the affordability of health insurance in Colorado, particularly in the state's rural areas and for Coloradans who have historically and systemically faced barriers to health, including people of color, immigrants, and Coloradans with low incomes;    The health-care system is a complex system wherein consumers rely on health insurance carriers to negotiate the rates paid to health-care providers, pharmaceutical companies, and hospitals for services provided and expect that the negotiated rates are closely tied to the amount of the health insurance premiums paid;    Despite efforts to address access to and affordability of health care, underlying health-care costs continue to rise, thus driving up the costs of health insurance premiums, often at disproportionate rates in rural areas of the state; and    In order to ensure that health insurance is affordable for Coloradans, it is critical that the state establish a standardized plan for carriers to offer in the state and set premium reduction targets for carriers to achieve.        History. Source: L. 2021: Entire part added,(HB 21-1232), ch. 241, p. 1278, § 1, effective June 16.
CO Code § 10-16-1307 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 13 - Colorado Standardized Health Benefit Plan|§ 10-16-1307. Advisory Board - Members - Rules

     The commissioner shall consult with an advisory board to implement this part 13. The governor shall appoint the members of the advisory board on or before July 1, 2022, and shall ensure that the membership of the advisory board has demonstrated experience and expertise in most of the areas listed in subsection (2) of this section.    To the extent possible, the governor shall appoint advisory board members who are diverse with regard to race, ethnicity, immigration status, age, ability, sexual orientation, gender identity, and geography. In considering the racial and ethnic diversity of the advisory board, the governor shall attempt to ensure that at least one-third of the members are people of color. In considering the geographic diversity of the advisory board, the governor shall attempt to appoint members from both rural and urban areas of the state.       The governor may appoint up to eleven members to the advisory board and, to the extent practicable, shall include individuals who:   Have faced barriers to health access, including people of color, immigrants, and Coloradans with low incomes;    Have experience purchasing the standardized plan;    Represent consumer advocacy organizations;    Have expertise in health equity;    Have expertise in health benefits for small businesses;    Represent carriers or who have experience with designing a health insurance plan and setting rates;    Represent hospitals or who have experience with contracts between hospitals and carriers;    Represent health-care providers or who have experience with contracts between health-care providers and carriers;    Represent an employee organization that represents employees in the health-care industry; or    Are licensed or retired physicians practicing or who practiced in this state.       The members serve at the pleasure of the governor.    In addition to consulting with the commissioner pursuant to subsection (1)(a) of this section, the advisory board may:   Consider recommendations to streamline prior authorization and utilization management processes for the standardized plan;    Recommend ways to keep health-care services in the communities where patients live; and    Consider whether alternative payment models may be appropriate for particular services, taking into consideration the impacts of such models on health outcomes for people of color.       The division shall provide technical and administrative support to assist the advisory board.     History. Source: L. 2021: Entire part added,(HB 21-1232), ch. 241, p. 1289, § 1, effective June 16.
CO Code § 10-16-1308 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 13 - Colorado Standardized Health Benefit Plan|§ 10-16-1308. Federal Waiver - Commissioner Application - Use of Money

  On or after June 16, 2021, the commissioner may apply to the secretary of the United States department of health and human services for a state innovation waiver to waive one or more requirements of the federal act as authorized by section 1332 of the federal act to capture all applicable savings to the federal government as a result of the implementation of this part 13.      Upon approval of the 1332 waiver application, the commissioner may use any federal money received through the waiver for the implementation of this part 13 or for the Colorado health insurance affordability enterprise created in section 10-16-1204. The commissioner may allocate federal money to the health insurance affordability cash fund created in section 10-16-1206 for the purposes described in section 10-16-1205 (1)(b) for use by the Colorado health insurance affordability enterprise to increase the value, affordability, quality, and equity of health-care coverage for all Coloradans, with a focus on increasing the value, affordability, quality, and equity of health-care coverage for Coloradans historically and systemically disadvantaged by health and economic systems.    The implementation and operation of section 10-16-1305 (2) is contingent on the approval of the 1332 waiver application and the receipt of federal funds.         History. Source: L. 2021: Entire part added,(HB 21-1232), ch. 241, p. 1291, § 1, effective June 16.