reglab/statecodes huggingface dataset:
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-133 - [Effective Until 8/7/2024] Access to behavioral health services for individuals under twenty-one years of age - rules - report - repeal

(1)
On or before July 1, 2024, the state department shall provide recipients under twenty-one years of age with access to limited services without requiring a diagnosis. The limited services must be provided as part of the statewide managed care system pursuant to part 4 of article
5
of this title 25.5 and the school health services detailed in section
25.5-5-318
.
(2)
The limited services must include:
(a)
Family therapy;
(b)
Group therapy;
(c)
Individual therapy;
(d)
Services related to prevention, promotion, education, or outreach;
(e)
Evaluation, intake, case management, and treatment planning; and
(f)
Any other service determined necessary by the state department based on feedback received from stakeholders.
(3)
In providing the limited services pursuant to this section, the state department must notify patients, providers, human services departments, counties, law enforcement agencies, schools, and any other entity that may be impacted that the limited services are available on and after July 1, 2024.
(4)
In implementing this section, the state department shall engage with interested and impacted stakeholders to solicit feedback.
(5)
(a)
Notwithstanding section
24-1-136 (11)(a)(I)
, on or before November 1, 2025, and on or before November 1 each year thereafter, the state department shall report to the house of representatives public and behavioral health and human services committee and the senate health and human services committee, or their successor committees, regarding the utilization of the services described in subsection (2) of this section. The contents of the report must be determined through the stakeholder process described in subsection (4) of this section. At a minimum, the report must include data on the utilization of services, by code, and any differences in utilization within the school health services program authorized by section
25.5-5-318
.
(b)
This subsection (5) is repealed, effective July 1, 2031.
Added by 2023 Ch. 232,§ 1, eff. 8/7/2023.
2023 Ch. 232, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-133 - [Effective 8/7/2024] Access to behavioral health services for individuals under twenty-one years of age - rules - report - repeal

(1)
On or before July 1, 2024, the state department shall provide members under twenty-one years of age with access to limited services without requiring a diagnosis. The limited services must be provided as part of the statewide managed care system pursuant to part 4 of article 5 of this title 25.5 and the school health services detailed in section
25.5-5-318
.
(2)
The limited services must include:
(a)
Family therapy;
(b)
Group therapy;
(c)
Individual therapy;
(d)
Services related to prevention, promotion, education, or outreach;
(e)
Evaluation, intake, case management, and treatment planning; and
(f)
Any other service determined necessary by the state department based on feedback received from stakeholders.
(3)
In providing the limited services pursuant to this section, the state department must notify patients, providers, the department of human services, county departments of human or social services, law enforcement agencies, schools, and any other entity that may be impacted that the limited services are available on and after July 1, 2024.
(4)
In implementing this section, the state department shall engage with interested and impacted stakeholders to solicit feedback.
(5)
(a)
Notwithstanding section
24-1-136 (11)(a)(I)
, on or before November 1, 2025, and on or before November 1 each year thereafter, the state department shall report to the house of representatives public and behavioral health and human services committee and the senate health and human services committee, or their successor committees, regarding the utilization of the services described in subsection (2) of this section. The contents of the report must be determined through the stakeholder process described in subsection (4) of this section. At a minimum, the report must include data on the utilization of services, by code, and any differences in utilization within the school health services program authorized by section
25.5-5-318
.
(b)
This subsection (5) is repealed, effective July 1, 2031.
Amended by 2024 Ch. 490,§ 56, eff. 8/7/2024.
Amended by 2024 Ch. 152,§ 10, eff. 8/7/2024.
Added by 2023 Ch. 232,§ 1, eff. 8/7/2023.
2024 Ch. 490, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Ch. 232, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-134 - Prescription benefits - department and pharmacy benefit manager - contracts - audit - rules

(1)
For contracts between a pharmacy benefit manager and the state department or one of its affiliated managed care organizations offering a prescription benefit plan that is issued or renewed on or after January 1, 2025, the amount charged by the pharmacy benefit manager to the state department or managed care organization for a prescription drug dispensed to an enrollee in the program of medical assistance created pursuant to section
25.5-4-104
must be equal to or less than the amount paid by the pharmacy benefit manager to a medicaid pharmacy for the prescription drug dispensed to the enrollee.
(2)
The state board shall promulgate rules to implement this section, including rules guiding an audit of managed care or fee-for-service claims, to ensure that there is no violation of subsection (1) of this section.
Added by 2023 Ch. 158,§ 2, eff. 8/7/2023.
2023 Ch. 158, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 2 - PROGRAMS TO BE ADMINISTERED BY THE DEPARTMENT (§§ 25.5-1-201 — 25.5-1-207) › Section 25.5-1-202 - [Repealed]

L. 2007: Entire section added, p. 1491, § 2, effective July 1. L. 2008: (3)(b)(IV.5) added, p. 2027, § 3, effective June 3. L. 2012: Entire section repealed, (HB 12-1207), ch. 65, p. 229, § 1, effective March 24.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 2 - PROGRAMS TO BE ADMINISTERED BY THE DEPARTMENT (§§ 25.5-1-201 — 25.5-1-207) › Section 25.5-1-203 - Prescription drug information and technical assistance program - expansion

The state department may expand the prescription drug information and technical assistance program created in section
25.5-5-507
to include persons receiving drug benefits pursuant to any program that is administered by the state department.
L. 2008: Entire section added, p. 231, § 1, effective August 5.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 2 - PROGRAMS TO BE ADMINISTERED BY THE DEPARTMENT (§§ 25.5-1-201 — 25.5-1-207) › Section 25.5-1-204.5 - All-payer health claims database scholarship grant program - creation - definitions

(1)
As used in this section, unless the context otherwise requires:
(a)
"Advisory committee" means the advisory committee to oversee the all-payer health claims database created pursuant to section
25.5-1-204
.
(b)
"Governmental entity" means a state or local governmental entity, including a state-supported institution of higher education, but does not include the state department.
(c)
"Program" means the all-payer health claims database scholarship grant program established pursuant to this section.
(2)
There is created in the state department the all-payer health claims database scholarship grant program to defray the costs of nonprofit and governmental entities in accessing the all-payer health claims database to conduct research.
(3)
The state department shall:
(a)
In consultation with the advisory committee, develop a grant application under the program consistent with the rules of the executive director;
(b)
Accept applications for scholarship grants from any nonprofit or governmental entity needing access to the all-payer health claims database to conduct research;
(c)
After considering the recommendations of the advisory committee, determine which grant applications to approve and the amount of each grant; and
(d)
Distribute approved scholarship grants to nonprofit or governmental entities.
(4)
The executive director shall, following recommendations of the state department and the advisory committee, adopt rules pursuant to section
24-4-103
governing the program, including procedures, criteria, and standards for awarding scholarship grants.
(5)
The advisory committee shall:
(a)
Consult with the state department on the development of a grant application form; and
(b)
Review applications for scholarship grants and recommend which scholarship grants to approve and the amount of each recommended grant.
Added by 2018 Ch. 150, § 2, eff. 4/23/2018.
L. 2018: Entire section added, (HB 18-1327), ch. 150, p. 942, § 2, effective April 23.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 2 - PROGRAMS TO BE ADMINISTERED BY THE DEPARTMENT (§§ 25.5-1-201 — 25.5-1-207) › Section 25.5-1-205 - [Effective Until 8/7/2024] Providing for the efficient provision of health care through state-supervised cooperative action - rules

(1)
Cooperation among health-care payors, including both private sector entities and federal and state-administered health-care programs, has the potential to eliminate needless and costly complexity in the administration of the programs and to benefit patients, payors, and the government. Further, alignment of financial incentives among private and public entities may accelerate and reinforce improvements in health-care quality and patient outcomes.
(2)
The executive director shall facilitate departmental oversight of collaboration among providers, medicaid clients and advocates, and payors that is designed to improve health outcomes and patient satisfaction and support the financial sustainability of the medicaid program.
(3)
The executive director may promulgate rules relating to the collaborative process set forth in this section.
L. 2012: Entire section added, (HB 12-1281), ch. 246, p. 1182, § 1, effective June 4.
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 2 - PROGRAMS TO BE ADMINISTERED BY THE DEPARTMENT (§§ 25.5-1-201 — 25.5-1-207) › Section 25.5-1-205 - [Effective 8/7/2024] Providing for the efficient provision of health care through state-supervised cooperative action - rules

(1)
Cooperation among health-care payors, including both private sector entities and federal and state-administered health-care programs, has the potential to eliminate needless and costly complexity in the administration of the programs and to benefit patients, payors, and the government. Further, alignment of financial incentives among private and public entities may accelerate and reinforce improvements in health-care quality and patient outcomes.
(2)
The executive director shall facilitate departmental oversight of collaboration among providers, medicaid members and advocates, and payers that is designed to improve health outcomes and patient satisfaction and support the financial sustainability of the medicaid program.
(3)
The executive director may promulgate rules relating to the collaborative process set forth in this section.
Amended by 2024 Ch. 152,§ 11, eff. 8/7/2024.
L. 2012: Entire section added, (HB 12-1281), ch. 246, p. 1182, § 1, effective June 4.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 3 - MEDICAL SERVICES BOARD (§§ 25.5-1-301 — 25.5-1-304) › Section 25.5-1-301 - Medical services board - creation

(1)
(a)
There is created in the state department the medical services board, referred to in this part 3 as the "board". The board consists of members appointed by the governor with the consent of the senate as follows:
(I)
One member from each congressional district in the state; and
(II)
Three members from the state at large.
(b)
The governor shall appoint persons to the board who have knowledge of medical assistance programs, and one or more of the appointments may include a person or persons who have received services through programs administered by the department within two years of the date of appointment.
(c)
No more than a minimum majority of the members of the board may be affiliated with the same political party.
(d)
In making appointments to the board, the governor shall include:
(I)
One member from the private sector who has experience with the delivery of health care;
(II)
One member who has experience or expertise in caring for medically underserved children; and
(III)
Representation by at least one member who is a person with a disability, as defined in section
24-34-301
, a family member of a person with a disability, or a member of an advocacy group for persons with disabilities, provided that the other requirements of this subsection (1) are met.
(2)
Each member serves at the pleasure of the governor for a term of four years; except that the terms shall be staggered so that no more than a minimum majority of members' terms expire in the same year.
(3)
Members shall receive no compensation but shall be reimbursed for reasonable and necessary actual expenses incurred in the performance of their official duties as members of the board.
(4)
Vacancies on the board shall be filled by appointment of the governor for the remainder of any unexpired term.
(5)
The board is a
type 1
entity, as defined in section
24-1-105
.
Amended by 2023 Ch. 269,§ 9, eff. 5/25/2023.
Amended by 2022 Ch. 469, § 59, eff. 8/10/2022.
Amended by 2022 Ch. 2, § 85, eff. 2/25/2022.
Amended by 2018 Ch. 351, § 7, eff. 7/1/2018.
L. 94: Entire part added, p. 1557, § 2, effective July 1. L. 2001: (1) and (2) amended, p. 916, § 12, effective August 8. L. 2006: Entire part amended, p. 1797, § 3, effective July 1. L. 2009: (1) amended, (HB 09 -1281), ch. 399, p. 2154, § 4, effective August 5. L. 2011: (1) amended, (SB 11 -183), ch. 132, p. 465, § 2, effective August 10. L. 2018: (1) amended, (HB 18-1364), ch. 351, p. 2082, § 7, effective July 1.
2022 Ch. 469, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 3 - MEDICAL SERVICES BOARD (§§ 25.5-1-301 — 25.5-1-304) › Section 25.5-1-302 - Medical services board - organization

(1)
The board shall elect from its members a president, a vice-president, and such other board officers as it shall determine. All board officers shall hold their offices at the pleasure of the board.
(2)
Regular meetings of the board shall be held not less than once every three months at such times as may be fixed by resolution of the board. All meetings of the board, in every suit and proceeding, shall be considered to have been duly called and regularly held and all orders and proceedings of the board to have been authorized, unless the contrary is proven.
(3)
The board shall adopt, and at any time may amend, bylaws in relation to its meetings and the transaction of its business. A majority shall constitute a quorum of the board. The vote of a majority of a quorum of the board shall constitute the action of the board. The board shall act only by resolution adopted at a duly called meeting of the board, and no individual of the board shall exercise any individual administrative authority with respect to the department.
L. 94: Entire part added, p. 1557, § 2, effective July 1. L. 2006: Entire part amended, p. 1798, § 3, effective July 1.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 3 - MEDICAL SERVICES BOARD (§§ 25.5-1-301 — 25.5-1-304) › Section 25.5-1-304 - Repeal of part. (Deleted by amendment)

L. 94: Entire part added, p. 1559, § 2, effective July 1. L. 2000: Entire section amended, p. 410, § 9, effective April 13. L. 2006: Entire part amended, p. 1800, § 3, effective July 1.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 4 - [Repealed] (§ 25.5-1-401) › Section 25.5-1-401 - [Repealed]

L. 2004: Entire part repealed, p. 1011, § 23, effective August 4.
This part 4 was added in 1994.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 5 - [Repealed] (§ 25.5-1-501) › Section 25.5-1-501 - to 25.5-1-516 - [Repealed]

L. 2006: Entire part repealed, p. 1800, § 4, effective July 1.
This part 5 was added in 1995.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 6 - COMMISSION ON FAMILY MEDICINE (§§ 25.5-1-601 — 25.5-1-603) › Section 25.5-1-601 - Legislative declaration

(1)
The general assembly hereby finds and declares that:
(a)
Physicians engaged in family medicine are in critically short supply in this state;
(b)
Because of the distribution of such physicians, many rural and urban areas of the state are underserved;
(c)
A significant portion of the state population is medically underserved because of indigency;
(d)
Family physicians provide health care to all segments of the population;
(e)
The provision of more competent family physicians is a public purpose of great importance; and
(f)
The creation of the commission on family medicine is a desirable, necessary, and cost-effective means of addressing the needs described in this subsection (1).
[Formerly § 25-1-901] Added by 2017 Ch. 7,§ 1, eff. 8/9/2017.
Amended by 2013 Ch. 316,§ 70, eff. 8/7/2013.
L. 2017: Entire part added, (HB 17-1024), ch. 7, p. 19, § 1, effective August 9.
This section is similar to former § 25-1-901 as it existed prior to 2017.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 6 - COMMISSION ON FAMILY MEDICINE (§§ 25.5-1-601 — 25.5-1-603) › Section 25.5-1-602 - Commission created - composition - terms of office

(1)
There is created, in the department of health care policy and financing, the commission on family medicine, referred to in this part 6 as the "commission". The commission consists of the following members:
(a)
The deans of accredited allopathic and osteopathic schools of medicine in the state or their designated representatives;
(b)
The director of all family medicine programs in the state accredited by the accreditation council on graduate medical education of the American medical association or the American osteopathic association;
(c)
A representative of the Colorado academy of family physicians; and
(d)
A health-care consumer to be appointed by the governor from each congressional district in the state. No more than a minimum majority of the members of the commission appointed by the governor pursuant to this subsection (1)(d) may be affiliated with the same political party. A vacancy on the commission occurs whenever any health-care consumer member moves out of the congressional district from which the member was appointed. A health-care consumer member who moves out of the congressional district shall promptly notify the governor of the date of the move, but notice is not necessary for the vacancy to occur. The governor shall fill the vacancy in accordance with subsection (2) of this section.
(2)
The members appointed under subsection (1)(d) of this section serve three-year terms. All members serve at the pleasure of the governor. The governor shall fill any vacancy by appointment for the remainder of the unexpired term.
(3)
The commission shall elect a chairperson and a vice-chairperson from among its members. Members of the commission serve without compensation, but members described in subsections (1)(b), (1)(c), and (1)(d) of this section are entitled to their actual and necessary expenses incurred in the performance of their duties. The commission shall meet on call of the chairperson, but not less than once every three months. A majority of the members of the commission constitutes a quorum for the transaction of business.
Amended by 2022 Ch. 2,§86, eff. 2/25/2022.
[Formerly § 25-1-902] Added by 2017 Ch. 7,§1, eff. 8/9/2017.
Amended by 2013 Ch. 316,§71, eff. 8/7/2013.
Amended by 2013 Ch. 50,§1, eff. 8/7/2013.
L. 2017: Entire part added, (HB 17-1024), ch. 7, p. 20, § 1, effective August 9.
This section is similar to former § 25-1-902 as it existed prior to 2017.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 6 - COMMISSION ON FAMILY MEDICINE (§§ 25.5-1-601 — 25.5-1-603) › Section 25.5-1-603 - Duties of commission - reporting

(1)
The commission shall:
(a)
Assure that family medicine residency program standards are equal to or more stringent than the standards established by the accreditation council on graduate medical education of the American medical association or the American osteopathic association for residency training in family medicine;
(b)
In cooperation with the dean of the school of medicine, approve and recommend allocation of any funds which are identified and appropriated in the general appropriation bill as a line item for any community family medicine residency training program;
(c)
Monitor the state's family medicine residency programs and recommend from time to time that the general assembly appropriate funds for said programs;
(d)
Locate specific areas of the state which are underserved by family physicians and determine the priority of need among such areas;
(e)
Offer to the general assembly alternative ideas on providing medical care to the medically indigent in the state; and
(f)
(I)
Support the development and maintenance of family medicine residency programs in rural and other underserved areas of the state for purposes of cultivating family medicine practitioners who are likely to continue practicing in rural and underserved areas of the state at the conclusion of their residency programs.
(II)
On or before each November 1, the commission shall report to the office of state planning and budgeting and to the department of health care policy and financing concerning rural family medicine residency programs in the state and the role of the commission with respect to supporting the development and maintenance of those programs. In addition, notwithstanding section
24-1-136(11)
, the commission shall present the report to the joint budget committee as part of its annual presentation to that committee.
[Formerly § 25-1-903] Added by 2017 Ch. 7,§ 1, eff. 8/9/2017.
Amended by 2014 Ch. 311,§ 2, eff. 8/6/2014.
Amended by 2013 Ch. 262,§ 1, eff. 8/7/2013.
L. 2017: Entire part added, (HB 17-1024), ch. 7, p. 20, § 1, effective August 9.
This section is similar to former § 25-1-903 as it existed prior to 2017.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 7 - HEALTH-CARE PROVIDERS' ACCOUNTABILITYTO COMMUNITIES (§§ 25.5-1-701 — 25.5-1-704) › Section 25.5-1-701 - Definitions

As used in this part 7, unless the context otherwise requires:
(1)
"Community" means the community that a hospital has defined as the community that it serves pursuant to
26 CFR 1.501(r)
-
3 (b)(3)
.
(2)
"Community benefit implementation plan" means a plan that satisfies the requirements of an implementation strategy, as set forth in
26 CFR 1.501(r)-3 (c)
.
(3)
"Community health needs assessment" means a community health needs assessment that satisfies the requirements of
26 CFR 1.501(r)-3
.
(4)
"Community-identified health need" means a health need of a community that is identified in a community health needs assessment.
(5)
(a)
"Reporting hospital" means:
(I)
A hospital licensed as a general hospital pursuant to part 1 of article
3
of title
25
and exempt from federal taxation pursuant to section 501 (c)(3) of the federal internal revenue code;
(II)
A hospital established pursuant to section
25-29-103
; or
(III)
A hospital established pursuant to section
23-21-503
.
(b)
Notwithstanding subsection (5)(a) of this section, "reporting hospital" does not include a hospital that is licensed as a general hospital with the department of public health and environment and that is:
(I)
Federally certified or undergoing federal certification as a long-term care hospital pursuant to
42 CFR 412.23 (e)
; or
(II)
Federally certified or undergoing federal certification as a critical access hospital pursuant to
42 CFR 485
subpart F.
Added by 2019 Ch. 191, § 1, eff. 8/2/2019.
L. 2019: Entire part added, (HB 19-1320), ch. 2106, p. 2106, § 1, effective August 2.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 7 - HEALTH-CARE PROVIDERS' ACCOUNTABILITYTO COMMUNITIES (§§ 25.5-1-701 — 25.5-1-704) › Section 25.5-1-704 - Hospital community investment compliance - rules

(1)
(a)
If the state department finds that a reporting hospital is not in compliance with the community benefit requirements of this part 7, the state department shall notify the reporting hospital of its noncompliance and identify the information that needs to be provided. If a reporting hospital does not comply, the state department shall require the reporting hospital to submit to the state department a corrective action plan within one hundred and twenty days for approval by the state department.
(b)
If noncompliance continues or a reporting hospital fails to submit a corrective action plan, or if the state department determines a hospital's noncompliance with this section is knowing or willful or a repeated pattern of noncompliance exists, the state department shall consider the size of the hospital and the seriousness of the violation in setting a fine amount. For a reporting hospital owned by or affiliated with a hospital system comprised of three or more hospitals, the fine must be not more than twenty thousand dollars per week per violation. For all other reporting hospitals, the fine must be not more than five thousand dollars per week per violation.
(2)
Reporting hospitals shall expend the amount fined pursuant to subsection (1)(b) of this section on community benefit investment priorities described in the hospital's current community benefit implementation plan within one year after the fine is imposed. Each reporting hospital shall report on how the money collected through fines is expended in the reporting hospital's annual report to the state department pursuant to section
25.5-1-703
.
(3)
The state board shall promulgate any rules necessary for the implementation of this section.
Added by 2023 Ch. 156,§ 4, eff. 8/7/2023.
2023 Ch. 156, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 8 - MEDICAID NONMEDICAL AND NONEMERGENCY MEDICAL TRANSPORTATION (§§ 25.5-1-801 — 25.5-1-802) › Section 25.5-1-801 - [Effective Until 8/7/2024] Definitions

As used in this section, unless the context otherwise requires:
(1)
"Nonemergency medical transportation" means transportation to or from medically necessary nonemergency treatment.
(2)
"Nonmedical transportation" means transportation to enable passengers who are recipients of medicaid to gain access to waiver and other community services, activities, and resources.
(3)
"Transportation broker" means an entity designated by the department of health care policy and financing to administer nonemergency medical transportation.
(4)
"Transportation provider" means an individual or business entity, other than a transportation broker, that:
(a)
Provides transportation services; or
(b)
Arranges the facilitation of transportation services by an individual.
(5)
"Transportation services" means nonemergency medical transportation or nonmedical transportation services provided to medicaid recipients.
Added by 2021 Ch. 381, § 1, eff. 6/29/2021.
L. 2021: Entire part added, (HB 21-1206), ch. 2551, p. 2551, § 1, effective June 29.
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 8 - MEDICAID NONMEDICAL AND NONEMERGENCY MEDICAL TRANSPORTATION (§§ 25.5-1-801 — 25.5-1-802) › Section 25.5-1-801 - [Effective 8/7/2024] Definitions

As used in this section, unless the context otherwise requires:
(1)
"Nonemergency medical transportation" means transportation to or from medically necessary nonemergency treatment.
(2)
"Nonmedical transportation" means transportation to enable passengers who are medicaid members to gain access to waiver and other community services, activities, and resources.
(3)
"Transportation broker" means an entity designated by the department of health care policy and financing to administer nonemergency medical transportation.
(4)
"Transportation provider" means an individual or business entity, other than a transportation broker, that:
(a)
Provides transportation services; or
(b)
Arranges the facilitation of transportation services by an individual.
(5)
"Transportation services" means nonemergency medical transportation or nonmedical transportation services provided to medicaid members.
Amended by 2024 Ch. 152,§ 13, eff. 8/7/2024.
Added by 2021 Ch. 381, § 1, eff. 6/29/2021.
L. 2021: Entire part added, (HB 21-1206), ch. 2551, p. 2551, § 1, effective June 29.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 8 - MEDICAID NONMEDICAL AND NONEMERGENCY MEDICAL TRANSPORTATION (§§ 25.5-1-801 — 25.5-1-802) › Section 25.5-1-802 - [Effective Until 8/7/2024] Medicaid transportation services - safety and oversight - rules

(1)
The state department shall collaborate with stakeholders, including but not limited to disability and member advocates, PACE providers operating pursuant to section
25.5-5-412
, transportation brokers, and transportation providers, to establish rules and processes for the safety and oversight of nonmedical transportation services and nonemergency medical transportation services provided to medicaid recipients pursuant to articles
4
to
6
of this title 25.5. The rules and processes must:
(a)
Ensure the safety of passengers;
(b)
Protect passenger access to transportation services; and
(c)
Establish driver and vehicle requirements that minimize financial and administrative burdens for transportation providers, direct support professionals as defined in section
25.5-6-406
, long-term care direct care workers, independent contractors, and employees providing transportation services.
(2)
To the extent possible, the state department shall use existing oversight procedures to ensure compliance with the requirements as described in subsection (1) of this section.
(3)
If a provider of transportation services already complies with transportation safety standards established by another state department which meet or exceed the rules and processes established pursuant to subsection (1) of this section, demonstrating such compliance to the state department is sufficient to verify compliance with the requirements of this section.
Added by 2021 Ch. 381, § 1, eff. 6/29/2021.
L. 2021: Entire part added, (HB 21-1206), ch. 2552, p. 2552, § 1, effective June 29.
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 8 - MEDICAID NONMEDICAL AND NONEMERGENCY MEDICAL TRANSPORTATION (§§ 25.5-1-801 — 25.5-1-802) › Section 25.5-1-802 - [Effective 8/7/2024] Medicaid transportation services - safety and oversight - rules

(1)
The state department shall collaborate with stakeholders, including, but not limited to, disability and consumer advocates, PACE providers operating pursuant to section
25.5-5-412
, transportation brokers, and transportation providers, to establish rules and processes for the safety and oversight of nonmedical transportation services and nonemergency medical transportation services provided to medicaid members pursuant to articles
4
to 6 of this title 25.5. The rules and processes must:
(2)
To the extent possible, the state department shall use existing oversight procedures to ensure compliance with the requirements as described in subsection (1) of this section.
(3)
If a provider of transportation services already complies with transportation safety standards established by another state department which meet or exceed the rules and processes established pursuant to subsection (1) of this section, demonstrating such compliance to the state department is sufficient to verify compliance with the requirements of this section.
Amended by 2024 Ch. 152,§ 14, eff. 8/7/2024.
Added by 2021 Ch. 381, § 1, eff. 6/29/2021.
L. 2021: Entire part added, (HB 21-1206), ch. 2552, p. 2552, § 1, effective June 29.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 9 - HOSPITAL PRICE TRANSPARENCY (§§ 25.5-1-901 — 25.5-1-904) › Section 25.5-1-903 - Failure to comply with hospital price transparency laws - prohibiting collection of debt - penalty

(1)
A hospital that is not in material compliance with hospital price transparency laws on the date that items or services are purchased from or provided to a patient by the hospital shall not initiate or pursue a collection action against the patient or patient guarantor for a debt owed for the items or services.
(2)
If a patient believes that a hospital was not in material compliance with hospital price transparency laws on the date that items or services were purchased by or provided to the patient, and the hospital takes a collection action against the patient or patient guarantor, the patient or patient guarantor may file suit to determine if:
(a)
The hospital was materially out of compliance with hospital price transparency laws, rules, or regulations on the date the items or services were provided; and
(b)
The noncompliance is related to the items or services. The hospital shall not take a collection action against the patient or patient guarantor while the lawsuit is pending.
(3)
If a judge or jury, considering compliance standards issued by the federal centers for medicare and medicaid services, finds a hospital to be materially out of compliance with hospital price transparency laws, rules, or regulations, the hospital shall:
(a)
Refund the payer any amount of the debt the payer has paid and shall pay a penalty to the patient or patient guarantor in an amount equal to the total amount of the debt;
(b)
Dismiss or cause to be dismissed any court action with prejudice and pay any attorney fees and costs incurred by the patient or patient guarantor relating to the action;
(c)
Remove or cause to be removed from the patient's or patient guarantor's credit report any report made to a consumer reporting agency relating to the debt; and
(d)
Notify the state department of the material noncompliance with hospital price transparency laws, rules, or regulations.
(4)
Nothing in this part 9:
(a)
Prohibits a hospital from billing a patient, patient guarantor, or third-party payer, including a health insurer, for items or services provided to the patient; or
(b)
Requires a hospital to refund any payment made to the hospital for items or services provided to the patient, so long as no collection action is taken in violation of this part 9.
Renumbered from C.R.S. §
25-3-803
and amended by 2023 Ch. 305,§ 3, eff. 8/7/2023.
Added by 2022 Ch. 447, § 1, eff. 8/10/2022.
2023 Ch. 305, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 9 - HOSPITAL PRICE TRANSPARENCY (§§ 25.5-1-901 — 25.5-1-904) › Section 25.5-1-904 - [Effective Until 8/7/2024] Transparency - hospitals - standard charges - shoppable services - enforcement

(1)
On or before October 1, 2023, each hospital shall make public and post the hospital's medicare reimbursement rates, if applicable.
(2)
(a)
The state department shall conduct performance assessments for adherence to federal transparency rules by:
(I)
Reviewing relevant information provided to the state department concerning a hospital's performance assessment in connection with this section;
(II)
Auditing hospital websites for performance relative to federal price transparency rules, and in evaluating performance, the department shall follow rules, standards, and guidance published by the federal centers for medicare and medicaid; and
(III)
Confirming that each hospital submitted the lists required by this section.
(b)
If the state department determines that a hospital has performed poorly in its performance assessment, the state department may:
(I)
Issue a written notice to the hospital that clearly explains the manner in which the department determined that the hospital performed poorly on the adherence to price transparency; and
(II)
Provide technical assistance to the hospital to improve performance.
(3)
On or before February 1, 2024, the state department shall create and maintain a publicly available list on its website of hospitals that perform poorly on the department's performance assessment. Such notices and communications are subject to public disclosure under
5 U.S.C. sec. 552
, as amended, notwithstanding any exemptions or exclusions to the contrary, in full without redaction. The state department shall update the list at least annually.
(4)
A person that violates subsection (1) of this section commits a deceptive trade practice under section
6-1-105
.
Added by 2023 Ch. 305,§ 3, eff. 8/7/2023.
2023 Ch. 305, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 1 - DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-1-1001) › Part 9 - HOSPITAL PRICE TRANSPARENCY (§§ 25.5-1-901 — 25.5-1-904) › Section 25.5-1-904 - [Effective 8/7/2024] Transparency - hospitals - standard charges - shoppable services - enforcement

(1)
On or before October 1, 2023, each hospital shall make public and post the hospital's medicare reimbursement rates, if applicable.
(2)
(a)
The state department shall conduct performance assessments for adherence to federal transparency rules by:
(I)
Reviewing relevant information provided to the state department concerning a hospital's performance assessment in connection with this section;
(II)
Auditing hospital websites for performance relative to federal price transparency rules, and in evaluating performance, the state department shall follow rules, standards, and guidance published by the federal centers for medicare and medicaid; and
(III)
Confirming that each hospital submitted the lists required by this section.
(b)
If the state department determines that a hospital has performed poorly in its performance assessment, the state department may:
(I)
Issue a written notice to the hospital that clearly explains the manner in which the state department determined that the hospital performed poorly on the adherence to price transparency; and
(II)
Provide technical assistance to the hospital to improve performance.
(3)
On or before February 1, 2024, the state department shall create and maintain a publicly available list on its website of hospitals that perform poorly on the state department's performance assessment. Such notices and communications are subject to public disclosure under
5 U.S.C. sec. 552
, as amended, notwithstanding any exemptions or exclusions to the contrary, in full without redaction. The state department shall update the list at least annually.
(4)
A person that violates subsection (1) of this section commits a deceptive trade practice under section
6-1-105
.
Amended by 2024 Ch. 490,§ 59, eff. 8/7/2024.
Added by 2023 Ch. 305,§ 3, eff. 8/7/2023.
2024 Ch. 490, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Ch. 305, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › ADMINISTRATION (§§ 25.5-1-101 — 25.5-2-105) › Article 2 - STATE-FUNDED HEALTH AND MEDICAL CARE (§§ 25.5-2-101 — 25.5-2-105) › Section 25.5-2-102 - [Repealed]

L. 2006: Entire article amended with relocations, p. 1801, § 5, effective July 1. L. 2007: Entire section repealed, p. 2043, § 72, effective June 1.
This section was similar to former § 26-2-119.5 as it existed prior to 2006.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › PRESCRIPTION DRUGS (§§ 25.5-2.5-101 — 25.5-2.5-208) › Article 2.5 - PRESCRIPTION DRUGS (§§ 25.5-2.5-101 — 25.5-2.5-208) › Part 1 - COLORADO CARES RX ACT (§§ 25.5-2.5-101 — 25.5-2.5-106) › Section 25.5-2.5-101 - Short title

The short title of this part 1 is the "Colorado Cares Rx Act".
Amended by 2019 Ch. 184,§ 4, eff. 8/2/2019.
L. 2007: Entire article added, p. 1, § 1, effective February 5.
For the legislative declaration in SB 19-005, see section 1 of chapter 184, Session Laws of Colorado 2019.
2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › PRESCRIPTION DRUGS (§§ 25.5-2.5-101 — 25.5-2.5-208) › Article 2.5 - PRESCRIPTION DRUGS (§§ 25.5-2.5-101 — 25.5-2.5-208) › Part 1 - COLORADO CARES RX ACT (§§ 25.5-2.5-101 — 25.5-2.5-106) › Section 25.5-2.5-102 - Legislative declaration

(1)
The general assembly finds that:
(a)
Uninsured, underinsured, and older Coloradans pay a disproportionately greater share of their income for prescription drugs. In many cases, current drug prices have the effect of denying residents access to necessary medical care, thereby threatening their health and safety.
(b)
Prescription drugs play an increasingly important role in improving or stabilizing a person's health and in reducing overall health-care costs;
(c)
Additionally, the new medicare prescription drug benefit restricts persons from purchasing insurance in order to fully cover their prescription drug needs. This restriction on a person's ability to purchase adequate coverage may threaten the person's health and safety.
(d)
Currently, there is no limit on the amount that a pharmacy may charge for a generic or nonpatented drug, and, although some retail pharmacies are offering some generic and nonpatented drugs at discounted prices, there are no guarantees that the pharmacies will continue to do so.
(2)
The general assembly, therefore, declares that it is important to make information available to the public concerning ways to purchase lower-cost generic and nonpatented prescription drugs through the "Colorado Cares Rx Act" in order to protect the health of uninsured, underinsured, and older Coloradans. The general assembly further declares that the state should continue to actively research cost-effective mechanisms or programs that may provide additional options to address this need in Colorado.
L. 2007: Entire article added, p. 1, § 1, effective February 5. L. 2009: Entire section amended, (SB 09-132), ch. 224, p. 1011, §1, effective May 4.