reglab/statecodes huggingface dataset:
2023 Colorado Revised Statutes › Title 25 - PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1-101 — 25-59-106) › HEALTH CARE (§§ 25-21-101 — 25-59-106) › Article 59 - LIVING ORGAN DONATION (§§ 25-59-101 — 25-59-106) › Section 25-59-103 - Definitions

As used in this article 59, unless the context otherwise requires:
(1)
"Department" means the department of public health and environment.
(2)
"Health-care provider" means a hospital or other health facility licensed or certified pursuant to section 25-1.5-103 (1)(a).
(3)
"Health-care services related to living organ donation" means an organ donation recovery operation and all services required before and after the operation.
(4)
"Living organ donation" means the donation of an organ by a living organ donor.
(5)
"Living organ donor" means a living individual who has donated all or part of an organ.
(6)
"Major surgery" means a:
(a)
Surgical intervention that penetrates or exposes a body cavity;
(b)
Procedure that has the potential for inducing permanent anatomic or physiologic impairment; or
(c)
Procedure associated with orthopedics or extensive tissue dissection or transection.
(7)
"Nondirected living organ donor" means a living organ donor who does not have an intended recipient of the donated organ at the time of the donation.
(8)
"Organ" means all or part of a kidney, a lung, the liver, the pancreas, the intestine, or any other organ that requires major surgery to be donated and that, when donated, may lead to a life-saving organ donation, as determined by the department.
(9)
"Organ donation recovery operation" means a procedure to recover an organ from a living organ donor.
(10)
"Organ voucher program" means a program, as defined by each organization offering a program, that allows a nondirected living organ donor to designate individuals to be voucher holders who will be prioritized for a viable organ transplant from another nondirected living organ donor if the voucher holder is placed on a transplant waiting list and another voucher holder has not already redeemed a voucher.
(11)
"Transplant center" means a health-care provider that performs organ donation recovery operations or transplantation of organs recovered from a living organ donor.
Added by 2024 Ch. 331,§ 1, eff. 6/3/2024.
2023 Colorado Revised Statutes › Title 25 - PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1-101 — 25-59-106) › HEALTH CARE (§§ 25-21-101 — 25-59-106) › Article 59 - LIVING ORGAN DONATION (§§ 25-59-101 — 25-59-106) › Section 25-59-104 - Organ donation - benefits and recognition - legislative declaration

(1)
Living organ donors may benefit from the following:
(a)
Pursuant to section 8-2-132, a prohibition against an employer intimidating, threatening, coercing, discriminating, or retaliating against or taking an adverse action against an employee who is or becomes a living organ donor;
(b)
Pursuant to section 10-1-142, a prohibition against an insurer denying or limiting coverage or increasing premiums for a policy or contract for life insurance, disability income insurance, health insurance, or long-term care insurance due to the status of the person as a living organ donor;
(c)
Pursuant to section 10-16-104 (24), mandatory coverage under individual and group health benefit plans for health-care services related to living organ donation;
(d)
Pursuant to section 24-11-118, the establishment of the eleventh day of April each year as "Living Organ Donor Recognition Day";
(e)
Pursuant to section 25-59-105, a prohibition against a health-care provider billing or charging a living organ donor for any costs associated with providing health-care services related to living organ donation; and
(f)
Pursuant to section 25-59-106, a requirement that a transplant center advise a potential nondirected living organ donor, prior to performing an organ donation recovery operation, that an organ voucher program, as defined by each organization offering a program, may be available for the specific organ.
(2)
The general assembly finds and declares that none of the benefits described in subsection (1) of this section are valuable consideration, as defined in 42 U.S.C. sec. 274e, as amended.
Added by 2024 Ch. 331,§ 1, eff. 6/3/2024.
2023 Colorado Revised Statutes › Title 25 - PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1-101 — 25-59-106) › HEALTH CARE (§§ 25-21-101 — 25-59-106) › Article 59 - LIVING ORGAN DONATION (§§ 25-59-101 — 25-59-106) › Section 25-59-105 - [Formerly 25-1.5-116 (1)

On and after January 1, 2022, a health-care provider shall not bill or charge a living organ donor for any costs associated with providing health-care services related to living organ donation.
Added by 2024 Ch. 331,§ 1, eff. 6/3/2024.
2023 Colorado Revised Statutes › Title 25 - PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1-101 — 25-59-106) › HEALTH CARE (§§ 25-21-101 — 25-59-106) › Article 59 - LIVING ORGAN DONATION (§§ 25-59-101 — 25-59-106) › Section 25-59-106 - Organ transplantation - transplant center - required notice to nondirected living organ donors

(1)
Prior to conducting an organ donation recovery operation on a nondirected living organ donor, a transplant center shall advise the potential donor of the following information:
(a)
That the transplant center or another transplant center in Colorado has or may have an organ voucher program; and
(b)
That a national-level organ voucher program exists or may exist for the organ being donated.
(2)
A transplant center shall also provide to all organ donors and organ recipients information about benefits that may be available to organ donors and organ recipients at each transplant center in Colorado, including through partnering organizations and others. The information provided must include, at a minimum, information about available resources, supportive care and services, legal or other protections, and reimbursement for lost wages, travel, lodging, or dependent care. Transplant centers shall update the information provided at least annually.
(3)
At least two times prior to an organ donation, the first of which must be within twenty-four hours after a potential organ donor's initial screening, a transplant center shall provide to the potential organ donor the information required pursuant to subsections (1) and (2) of this section.
Added by 2024 Ch. 331,§ 1, eff. 6/3/2024.
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 25.5-1-101 - Short title

This title shall be known and may be cited as the "State Health Care Policy and Financing Act".
L. 93: Entire title added, p. 1097, § 15, effective 7/1/1994. L. 2006: Entire part amended, p. 1781, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-102 - Legislative declaration

(1)
The general assembly declares that state and local policymakers and health and human services administrators recognize that the management of and the delivery system for health and human services have become complex, fragmented, and costly and that the health and human services delivery system in this state should be restructured to adequately address the needs of Colorado citizens.
(2)
The general assembly further finds and declares that a continuing budget crisis makes it unlikely that funding sources will keep pace with the increasing demands of health and human services.
(3)
Therefore, the general assembly finds that it is appropriate to restructure principal departments responsible for overseeing the delivery of health and human services and to reform the state's health and human services administration and delivery system, using guiding principles and within the time frames set forth in article
1.7
of title
24
, C.R.S., as said article existed prior to July 1, 1997. It is the general assembly's intent that the departments of public health and environment, health care policy and financing, and human services be operational, effective July 1, 1994.
L. 93: Entire title added, p. 1097, § 15, effective 7/1/1994. L. 2006: Entire part amended, p. 1781, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-105.5 - Chief medical officer - qualifications

(1)
The executive director shall appoint a chief medical officer who shall:
(a)
Have a degree of doctor of medicine or doctor of osteopathy and be licensed to practice medicine in the state of Colorado;
(b)
Have at least two years of postgraduate experience in primary care; and
(c)
Have at least two years of experience in an administrative capacity in a health-care organization.
(2)
The chief medical officer shall, with the assistance of advisory committees of the state department, provide medical judgment and advice regarding all medical issues involving programs administered by the state department.
(3)
The chief medical officer shall receive a salary within the limits of moneys made available to the state department by appropriation of the general assembly or otherwise.
L. 2007: Entire section added, p. 1492, § 3, effective July 1. L. 2010: (1) amended and (3) added, (SB 10-167), ch. 296, p. 1377, §3, effective May 26.
For the legislative declaration contained in the 2007 act enacting this section, see section 1 of chapter 347, Session Laws of Colorado 2007. For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
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 25.5-1-106 - Restructure of health and human services - development of plan - participation of department required. (Deleted by amendment)

L. 93: Entire title added, p. 1101, § 15, effective 7/1/1994. L. 2006: Entire part amended, p. 1785, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-108 - Executive director - rules

(1)
The executive director shall have authority to promulgate rules in connection with the policies and procedures governing the administration of the department including, but not limited to, rules concerning the following:
(a)
Matters of internal administration of the department, including organization, staffing, records, reports, systems, and procedures;
(b)
Fiscal and personnel administration for the department;
(c)
Accounting and fiscal reporting policies and procedures for disbursement of federal funds, contingency funds, and distribution of available appropriations;
(d)
Such other rules relating to those functions the executive director is required to carry out pursuant to the provisions of this title.
(2)
Nothing in this section shall be construed to affect any specific statutory provision granting rule-making authority in relation to a specific program to the executive director.
L. 94: Entire section added, p. 1556, § 1, effective July 1. L. 95: (4) amended, p.1105, § 43, effective May 31. L. 2006: Entire part amended, p. 1786, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-109 - Department of health care policy and financing cash fund

All moneys collected by the state department as fees or otherwise shall be transmitted to the state treasurer, who shall credit the same to the department of health care policy and financing cash fund, which fund is hereby created in the state treasury. Moneys in the fund shall be subject to annual appropriation by the general assembly for the direct and indirect costs of the state department's duties as provided by law.
L. 94: Entire section added, p. 1941, § 3, effective July 1. L. 2006: Entire part amended, p. 1787, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-109.5 - Clinical standards - development

(1)
The general assembly finds that:
(a)
It is important to collect and analyze objective clinical standards to maximize the scarce dollars available for medical care; and
(b)
The development of an ongoing, transparent measurement of health outcomes is essential to ensure quality health care for Coloradans.
(2)
(a)
The state department, following consultation with external clinical advisors, shall develop clinical standards and methods for collecting, analyzing, and disclosing information regarding clinical performance, including but not limited to immunization rates, medical home standards, clinical care guidelines, care coordination, case management, disease management, and coordination and integration of mental health services. The standards and methods shall be consistent with national guidelines and standards regarding the collection and analysis of health data, where feasible, and shall meet the federal reporting requirements established under Titles XIX and XXI of the federal "Social Security Act",
42 U.S.C. secs. 1396
and
1397
.
(b)
Repealed.
Amended by 2016 Ch. 22,§ 1, eff. 8/10/2016.
L. 2007: Entire section added, p. 1495, § 9, effective July 1. L. 2016: (2)(b) repealed, (HB 16-1081), ch. 22, p. 50, § 1, effective August 10.
For the legislative declaration contained in the 2007 act enacting this section, see section 1 of chapter 347, Session Laws of Colorado 2007.
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 25.5-1-110 - [Repealed]

L. 2002: Entire section added, p. 1612, § 1, effective June 7. L. 2003: (4) amended, p. 2009, § 89, effective May 22. L. 2006: Entire part amended, p. 1787, § 1, effective July 1.
Subsection (6) provided for the repeal of this section, effective July 1, 2005. (See L. 2002, p. 1612.)
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 25.5-1-111 - Waiver applications - authorization. (Deleted by amendment)

L. 2002: Entire section added, p. 1308, § 27, effective June 7. L. 2006: Entire part amended, p. 1787, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-112 - [Repealed]

L. 2004: Entire section added, p. 1995, § 9, effective June 5. L. 2006: Entire part amended, p. 1787, § 1, effective July 1.
Subsection (3) provided for the repeal of this section, effective July 1, 2005. (See L. 2004, p. 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-113 - Federal authorization - repeal. (Deleted by amendment)

L. 2005: Entire section added, p. 1230, § 9, effective June 3. L. 2006: Entire part amended, p. 1787, § 1, 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-113.5 - [Repealed]

Repealed by 2017 Ch. 6,§1, eff. 3/1/2017.
L. 2007: Entire section added, p. 1494, § 8, effective July 1. L. 2017: Entire section repealed, (HB 17-1060), ch. 6, p. 14, § 1, effective March 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-114 - Grants-in-aid - county supervision

(1)
The state department shall consult with and coordinate with the counties before making any changes that affect county operations in the implementation of this section, when possible under state statutes and federal statutes and regulations.
(2)
In administering any funds appropriated or made available to the state department for medical assistance administration, the state department has the power to:
(a)
Require as a condition for receiving grants-in-aid that each county in this state shall bear the proportion of the total expense of furnishing medical assistance administration as is fixed by law relating to such assistance;
(b)
Terminate any grants-in-aid to any county of this state if the laws and regulations providing such grants-in-aid and the minimum standards prescribed by rules of the state department thereunder are not complied with;
(c)
Undertake forthwith the administration of any or all medical assistance within any county of this state which has had any or all of its grants-in-aid terminated pursuant to paragraph (b) of this subsection (2); but the county shall continue to meet the requirements of paragraph (a) of this subsection (2);
(d)
Recover any moneys owed by a county to the state by reducing the amount of any payments due from the state in connection with the administration of medical assistance;
(e)
Take any other action which may be necessary or desirable for carrying out the provisions of this title.
(3)
The state department, under the supervision of the executive director, shall provide supervision of county departments for the effective administration of medical assistance as set out in the rules of the executive director and the rules of the state board pursuant to section
25.5-1-301
; except that nothing in this subsection (3) shall be construed to allow counties to continue to receive an amount equal to the increased funding in the event the said funding is no longer available from the federal government.
L. 2006: Entire part amended, p. 1787, § 1, effective July 1.
This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
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 25.5-1-115.5 - [Effective Until 8/7/2024] Medical assistance fraud - report

(1)
Notwithstanding the provisions of section
24-1-136 (11)(a)(I)
, on or before November 1, 2017, and on or before November 1 each year thereafter, the state department shall submit a written report to the joint budget committee; the judiciary committee and the public health care and human services committee of the house of representatives, or their successor committees; and to the judiciary committee and the health and human services committee of the senate, or their successor committees, concerning fraud in the medicaid program. The state department shall compile a single, comprehensive report that includes the information described in this subsection (1), as well as information that the attorney general provides to the state department pursuant to section
25.5-4-303.3
. The state department shall report to the general assembly concerning the fraudulent receipt of medicaid benefits, including, at a minimum:
(a)
Investigations of client fraud during the year;
(b)
Termination of client medicaid benefits due to fraud;
(c)
District attorney action, including, at a minimum, criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment;
(d)
Recoveries, including fines and penalties, restitution ordered, and restitution collected;
(e)
Trends in methods used to commit client fraud, excluding law enforcement-sensitive information; and
(f)
An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.
Amended by 2017 Ch. 298, § 1, eff. 8/9/2017.
Amended by 2017 Ch. 6, § 2, eff. 3/1/2017.
L. 2012: Entire section added, (SB 12-060), ch. 166, p. 577, § 1, effective August 8. L. 2017: IP(1) amended, (HB 17-1060), ch. 6, p. 14, § 2, effective March 1; IP(1), (1)(d), and (1)(e) amended and (1)(f) added, (SB 17-295), ch. 298, p. 1636, § 1, effective August 9.
Amendments to the introductory portion of subsection (1) by HB 17-1060 and SB 17-295 were harmonized.
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 25.5-1-115.5 - [Effective 8/7/2024] Medical assistance fraud - report

(1)
Notwithstanding section
24-1-136 (11)(a)(I)
, on or before November 1, 2017, and each November 1 thereafter, the state department shall submit a written report to the joint budget committee; to the house of representatives judiciary committee and the house of representatives public and behavioral health and human services committee, or their successor committees; and to the senate judiciary committee and the senate health and human services committee, or their successor committees, concerning fraud in the medicaid program. The state department shall compile a single, comprehensive report that includes the information described in this subsection (1), as well as information that the attorney general provides to the state department pursuant to section
25.5-4-303.3
. The state department shall report to the general assembly concerning the fraudulent receipt of medicaid benefits, including, at a minimum:
(a)
Investigations of Member fraud during the year;
(b)
Termination of Member medicaid benefits due to fraud;
(c)
District attorney action, including, at a minimum, criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment;
(d)
Recoveries, including fines and penalties, restitution ordered, and restitution collected;
(e)
Trends in methods used to commit Member fraud, excluding law enforcement-sensitive information; and
(f)
An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.
Amended by 2024 Ch. 152,§ 4, eff. 8/7/2024.
Amended by 2017 Ch. 298, § 1, eff. 8/9/2017.
Amended by 2017 Ch. 6, § 2, eff. 3/1/2017.
L. 2012: Entire section added, (SB 12-060), ch. 166, p. 577, § 1, effective August 8. L. 2017: IP(1) amended, (HB 17-1060), ch. 6, p. 14, § 2, effective March 1; IP(1), (1)(d), and (1)(e) amended and (1)(f) added, (SB 17-295), ch. 298, p. 1636, § 1, effective August 9.
Amendments to the introductory portion of subsection (1) by HB 17-1060 and SB 17-295 were harmonized.
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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-117 - County departments - district departments

(1)
Except as provided in subsection (2) of this section, there is established in each county of the state a county department of human or social services that consists of a county board of human or social services, a county director of human or social services, and any additional employees as may be necessary for the efficient performance of public assistance, as defined in section
26-2-103(7)
, and medical assistance.
(2)
Case management agencies established pursuant to part 17 of article
6
of this title 25.5 may act as state designated agencies and are authorized to carry out functions as specified in part 17 of article
6
of this title 25.5 that are otherwise performed by county departments of human or social services.
(3)
With the approval of the state department of human services, two or more counties may jointly establish a district department of human or social services. All duties and responsibilities for county departments of human or social services set forth in this title 25.5 also apply to district departments of human or social services.
Amended by 2021 Ch. 83, § 22, eff. 7/1/2024.
Amended by 2018 Ch. 38, § 108, eff. 8/8/2018.
L. 2006: Entire part amended, p. 1792, § 1, effective July 1. L. 2018: Entire section amended, (SB 18-092), ch. 444, p. 444, § 108, effective August 8. L. 2021: (2) amended, (HB 21 -1187), ch. 331, p. 331, § 22, effective 7/1/2024.
This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
2021 Ch. 83, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
For the legislative declaration in SB 18-092, see section 1 of chapter 38, Session Laws of Colorado 2018.
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 25.5-1-118 - Duties of county departments

(1)
The county departments or other state designated agencies, where applicable, shall serve as agents of the state department and shall be charged with the administration of medical assistance and related activities in the respective counties in accordance with the rules of the state department.
(2)
The county departments or other state designated agencies, where applicable, shall report to the state department at such times and in such manner and form as the state department may from time to time direct.
(3)
The county department or other state designated agencies, where applicable, in each county shall submit quarterly and annually to the board of county commissioners a budget containing an estimate and supporting data setting forth the amount of money needed to carry out the provisions of this title.
L. 2006: Entire part amended, p. 1793, § 1, effective July 1.
This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
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 25.5-1-119 - County staff

The county director, with the approval of the county board, shall appoint such staff as may be necessary as determined by the state department rules to administer medical assistance within the county. The staff shall be appointed and shall serve in accordance with a merit system for the selection, retention, and promotion of county department employees as described in section
26-1-120
, C.R.S. The salaries of the staff members shall be fixed in accordance with the rules and salary schedules prescribed by the state department or the department of human services, whichever is appropriate; except that, once a county transfers its county employees to a successor merit system as provided in section
26-1-120
, C.R.S., the salaries shall be fixed by the county commissioners.
L. 2006: Entire part amended, p. 1793, § 1, effective July 1.
This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
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 25.5-1-120 - Appropriations

(1)
(a)
For carrying out the duties and obligations of the state department and county departments under the provisions of this title and for matching such federal funds or meeting maintenance of effort requirements as may be available for public assistance and welfare activities in the state, including medical assistance administration and related activities, the general assembly, in accordance with the constitution and laws of the state of Colorado, shall make adequate appropriations for the payment of such costs, pursuant to the budget prepared by the executive director.
(b)
If the federal law shall provide federal funds, in cash or in another form such as medical assistance, not otherwise provided for in this title, the state department is authorized to make such payments or offer such services in accordance with the requirements accompanying said federal funds within the limits of available state appropriations.
(c)
When the executive director determines that adequate appropriations for the payment of the costs described in paragraph (a) of this subsection (1) have not been made and that an overexpenditure of an appropriation will occur based upon the state department's estimates, the state board may take actions consistent with state and federal law to bring the rate of expenditure into line with available funds. The general assembly declares that case load and utilization based on medical necessity are legitimate reasons for supplemental funding.
(2)
The general assembly shall appropriate from the general fund to the state department moneys for the costs of administering medical assistance programs and the state's share of the costs of administering such functions by the county departments amounts sufficient for the proper and efficient performance of the duties imposed upon them by law, including a legal advisor appointed by the attorney general. The general assembly shall make two separate appropriations, one for the administrative costs of the state department and another for the administrative costs of the county departments. Any applicable matching federal funds shall be apportioned in accordance with the federal regulations accompanying such funds. Any unobligated and unexpended balances of appropriated state general funds remaining at the end of each fiscal year shall be credited to the state general fund.
(3)
The expenses of training personnel for special skills relating to medical assistance, as such expenses shall be determined and approved by the state department, may be paid from state and federal funds available for such training purposes.
L. 2006: Entire part amended, p. 1793, § 1, effective July 1.
This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
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 25.5-1-123 - Medical homes for children - legislative declaration - duties of the department

(1)
The general assembly hereby finds and declares that:
(a)
The best medical care for infants, children, and adolescents is provided through a medical home, as defined in section
25.5-1-103
, and that is consistent with the joint principles of a patient-centered medical home. Those principles shall include a whole-person orientation, care that is coordinated and integrated across all elements of the complex health-care system and the patient's community, and care that provides for quality and safety of the patient where qualified health-care practitioners provide primary care and help manage and facilitate all aspects of medical care.
(b)
Infants, children, and adolescents and their families work best with a health-care practitioner who knows the family and who develops a partnership of mutual responsibility and trust;
(c)
Medical care provided through emergency departments, walk-in clinics, and other urgent-care facilities is often more costly and less effective than care given by a physician with prior knowledge of the child and his or her family; and
(d)
The state department should strive to find a medical home for each child receiving services through the state medical assistance program, articles
4
,
5
, and
6
of this title, or the children's basic health plan, article
8
of this title.
(2)
On or before July 1, 2008, the state department, in conjunction with the Colorado medical home initiative in the department of public health and environment, shall develop systems and standards to maximize the number of children enrolled in the state medical assistance program or the children's basic health plan who have a medical home. The systems and standards developed shall include, but need not be limited to, ways to ensure that a medical home shall offer family-centered, compassionate, culturally effective care and sensitive, respectful communication to a child and his or her family.
(3)
Repealed.
Amended by 2017 Ch. 6, § 3, eff. 3/1/2017.
L. 2007: Entire section added, p. 1488, § 2, effective May 31. L. 2017: (3) repealed, (HB 17-1060), ch. 6, p. 15, § 3, effective March 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 1 - GENERAL PROVISIONS (§§ 25.5-1-101 — 25.5-1-134) › Section 25.5-1-125 - [Repealed]

L. 2008: Entire section added, p. 2057, § 1, effective June 3. L. 2010: (2)(b)(VI) amended, (HB 10-1422), ch. 419, p. 2109, §137, effective August 11. L. 2013: Entire section repealed, (HB 13-1139), ch. 120, p. 407, § 1, effective August 7.
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 25.5-1-126 - Discounted prices for durable medical equipment and supplies

(1)
The state department shall work with one or more nonprofit organizations to develop a link of approved vendors who are willing to sell durable medical equipment and medical supplies at discounted prices to persons who have applied for, but are not yet receiving, benefits under the "Colorado Medical Assistance Act". The state department shall provide the exclusive criteria for a nonprofit organization to use to approve a vendor for placement on the approved vendor list.
(2)
The state department shall maintain a link of approved vendors developed pursuant to this section and shall:
(a)
Make the link available on the state department's website; and
(b)
Provide copies of the list to county departments and to sites authorized to accept medical assistance applications pursuant to section
25.5-4-205 (1)
, through the survey given to applicants.
L. 2010: Entire section added, (HB 10 - 10 29), ch. 219, p. 958, § 1, effective May 10.
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 25.5-1-127 - [Effective Until 8/7/2024] Third-party benefit denials information

The state department shall provide information to recipients of benefits under this title concerning their right to appeal a denial of benefits by a third party and shall post information on the state department's website concerning recipients' abilities to appeal a third party's denial of benefits, including but not limited to providing a link to information on the insurance commissioner's website regarding such appeals.
L. 2010: Entire section added, (SB 10 -002), ch. 366, p. 1727, § 2, effective June 7.
This section is set out more than once due to postponed, multiple, or conflicting amendments.
For the legislative declaration in the 2010 act adding this section, see section 1 of chapter 366, Session Laws of Colorado 2010.
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 25.5-1-127 - [Effective 8/7/2024] Third-party benefit denials information

The state department shall provide information to members who receive benefits under this title 25.5 concerning the members' right to appeal a denial of benefits by a third party and shall post information on the state department's website concerning members' abilities to appeal a third party's denial of benefits, including but not limited to providing a link to information on the insurance commissioner's website regarding appeals.
Amended by 2024 Ch. 152,§ 7, eff. 8/7/2024.
L. 2010: Entire section added, (SB 10 -002), ch. 366, p. 1727, § 2, effective June 7.
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.
For the legislative declaration in the 2010 act adding this section, see section 1 of chapter 366, Session Laws of Colorado 2010.
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 25.5-1-128 - [Effective Until 8/7/2024] Provider payments - compliance with state fiscal requirements - definitions - rules

(1)
(a)
Notwithstanding any provision of law to the contrary, when the state department has regulatory authority over a program and when the provider has already signed a state department-approved provider application to provide a service or to bill the state department or its authorized contractor for a service, the state department-approved provider application shall serve to fulfill the requirements of a commitment voucher and the fiscal requirements of section
24-30-202 (1)
, C.R.S.
(b)
The executive director may promulgate rules to exempt a provider who provides services through a program as described in paragraph (a) of this subsection (1) for any program the state department is authorized by law to administer, including but not limited to:
(I)
The "Colorado Medical Assistance Act", articles
4
to 6 of this title;
(II)
The "Children's Basic Health Plan Act", article
8
of this title;
(III)
The "Colorado Indigent Care Program", part 1 of article
3
of this title;
(IV)
The school health services program authorized by section
25.5-5-318
;
(V)
Programs that are funded through the primary care fund, created in section
24-22-117 (2)(b)
, C.R.S.; and
(VI)
The state-funded old age pension health and medical care program pursuant to article
2
of this title.
(2)
As used in this section, unless the context otherwise provides, "provider" means a health-care provider, a mental health-care provider, a pharmacist, a home health agency, a general provider as defined in section
25.5-3-103 (3)
, school district as defined in section
25.5-5-318 (1)(a)
, or any other entity that provides health care, health-care coordination, outreach, enrollment, or administrative support services to recipients through fee-for-service, the primary care physician program, a managed care entity, a behavioral health organization, a medical home, or any system of care that coordinates health care or services as defined and authorized through rules promulgated by the state board or by the executive director.
L. 2012: Entire section added, (HB 12-1054), ch. 14, p. 36, § 1, effective March 15.
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 25.5-1-130 - [Effective Until 8/7/2024] Improving access to behavioral health services for individuals at risk of entering the criminal or juvenile justice system - duties of the state department

(1)
On or before March 1, 2020, the state department shall develop measurable outcomes to monitor efforts to prevent medicaid recipients from becoming involved in the criminal or juvenile justice system.
(2)
On or before July 1, 2021, the state department shall work collaboratively with managed care entities to create incentives for behavioral health providers to accept medicaid recipients with severe behavioral health disorders. The incentives may include, but need not be limited to, higher reimbursement rates, quality payments to managed care entities for adequate networks, establishing performance measures and performance improvement plans related to network expansion, transportation solutions to incentivize medicaid recipients to attend health-care appointments, and incentivizing providers to conduct outreach to medicaid recipients to ensure that they are engaged in needed behavioral health services, including technical assistance with billing procedures. The state department may seek any federal authorization necessary to create the incentives described in this subsection (2).
Amended by 2020 Ch. 70, § 56, eff. 9/14/2020.
Added by 2019 Ch. 226, § 2, eff. 5/20/2019.
L. 2019: Entire section added, (SB 19-222), ch. 2265, p. 2265, § 2, effective May 20. L. 2020: (2) amended, (SB 20 -136), ch. 300, p. 300, § 56, effective September 14.
This section is set out more than once due to postponed, multiple, or conflicting amendments.
For the legislative declaration in SB 19-222, see section 1 of chapter 226, Session Laws of Colorado 2019. For the legislative declaration in SB 20-136, see section 1 of chapter 70, Session Laws of Colorado 2020.
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 25.5-1-130 - [Effective 8/7/2024] Improving access to behavioral health services for individuals at risk of entering the criminal or juvenile justice system - duties of the state department

(1)
On or before March 1, 2020, the state department shall develop measurable outcomes to monitor efforts to prevent medicaid members from becoming involved in the criminal or juvenile justice system.
(2)
On or before July 1, 2021, the state department shall work collaboratively with managed care entities to create incentives for behavioral health providers to accept medicaid members with severe behavioral health disorders. The incentives may include, but need not be limited to, higher reimbursement rates, quality payments to managed care entities for adequate networks, establishing performance measures and performance improvement plans related to network expansion, transportation solutions to incentivize medicaid members to attend health-care appointments, and incentivizing providers to conduct outreach to medicaid members to ensure that they are engaged in needed behavioral health services, including technical assistance with billing procedures. The state department may seek any federal authorization necessary to create the incentives described in this subsection (2).
Amended by 2024 Ch. 152,§ 9, eff. 8/7/2024.
Amended by 2020 Ch. 70, § 56, eff. 9/14/2020.
Added by 2019 Ch. 226, § 2, eff. 5/20/2019.
L. 2019: Entire section added, (SB 19-222), ch. 2265, p. 2265, § 2, effective May 20. L. 2020: (2) amended, (SB 20 -136), ch. 300, p. 300, § 56, effective September 14.
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.
For the legislative declaration in SB 19-222, see section 1 of chapter 226, Session Laws of Colorado 2019. For the legislative declaration in SB 20-136, see section 1 of chapter 70, Session Laws of Colorado 2020.
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 25.5-1-131 - Insurance ombudsman - consumer advocate - duties

(1)
There is hereby created in the state department the office of the insurance ombudsman to act as the advocate for consumer interests in matters related to access to and the affordability of the standardized health benefit plan created pursuant to section
10-16-1304
. The ombudsman shall:
(a)
Interact with consumers regarding their access to, the affordability of, and coverage issues with the standardized plan;
(b)
Evaluate data to assess the standardized plan's network and affordability; and
(c)
Represent the interests of consumers in public hearings held pursuant to section
10-16-1306
.
(2)
In the performance of the ombudsman's duties, the ombudsman shall act independently of the state department. Any recommendations made or positions taken by the ombudsman do not reflect those of the state department.
Added by 2021 Ch. 241,§7, eff. 6/16/2021.