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Colorado House Bill HB1075

Colorado 2024 Regular Session

Colorado House Bill HB1075 Compare Versions

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11 Second Regular Session
22 Seventy-fourth General Assembly
33 STATE OF COLORADO
4-REENGROSSED
5-This Version Includes All Amendments
6-Adopted in the House of Introduction
4+ENGROSSED
5+This Version Includes All Amendments Adopted
6+on Second Reading in the House of Introduction
77 LLS NO. 24-0190.01 Christopher McMichael x4775
88 HOUSE BILL 24-1075
99 House Committees Senate Committees
1010 Health & Human Services
1111 Appropriations
1212 A BILL FOR AN ACT
1313 C
1414 ONCERNING CONSIDERATION OF A STATEWIDE UNIVERSAL101
1515 HEALTH-CARE PAYMENT SYSTEM , AND, IN CONNECTION102
1616 THEREWITH, CREATING AN
1717 ANALYSIS COLLABORATIVE FOR THE103
1818 PURPOSE OF ADVISING THE COLORADO SCHOOL OF PUBLIC104
1919 HEALTH IN CONDUCTING AN ANALYSIS OF DRAFT MODEL105
2020 LEGISLATION CONCERNING A STATEWIDE UNIVERSAL106
2121 HEALTH-CARE PAYMENT SYSTEM AND MAKING AN107
2222 APPROPRIATION.108
2323 Bill Summary
2424 (Note: This summary applies to this bill as introduced and does
2525 not reflect any amendments that may be subsequently adopted. If this bill
2626 passes third reading in the house of introduction, a bill summary that
2727 applies to the reengrossed version of this bill will be available at
2828 HOUSE
29-Amended 3rd Reading
30-April 22, 2024
31-HOUSE
3229 Amended 2nd Reading
3330 April 20, 2024
3431 HOUSE SPONSORSHIP
35-McCormick and Boesenecker, Amabile, Bacon, Brown, Daugherty, deGruy Kennedy,
36-Duran, Epps, Froelich, Garcia, Hamrick, Hernandez, Herod, Joseph, Kipp, Lieder, Lindsay,
37-Mabrey, Marvin, McCluskie, McLachlan, Ortiz, Parenti, Ricks, Rutinel, Sirota, Story, Titone,
38-Valdez, Velasco, Vigil, Weissman, Willford, Woodrow, Young
32+McCormick and Boesenecker,
3933 SENATE SPONSORSHIP
4034 Marchman and Jaquez Lewis,
4135 Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
4236 Capital letters or bold & italic numbers indicate new material to be added to existing law.
4337 Dashes through the words or numbers indicate deletions from existing law. http://leg.colorado.gov.)
4438 The bill requires the Colorado school of public health to analyze
4539 draft model legislation for implementing a single-payer, nonprofit,
4640 publicly financed, and privately delivered universal health-care payment
4741 system for Colorado that directly compensates providers. The Colorado
4842 school of public health must submit a report detailing its findings to the
4943 general assembly by October 1, 2025.
5044 The bill also creates the statewide health-care analysis advisory
5145 task force consisting of 21 members appointed by the general assembly
5246 and the governor, as well as executive directors of specified state
5347 departments, the commissioner of insurance, and the chief executive
5448 officer of the Colorado health benefit exchange or any designees of the
5549 executive directors, the commissioner, and the chief executive officer.
5650 The advisory task force is created for the purpose of advising the
5751 Colorado school of public health during the analysis.
5852 Be it enacted by the General Assembly of the State of Colorado:1
5953 SECTION 1. In Colorado Revised Statutes, add 23-20-146 as2
6054 follows:3
6155 23-20-146. Universal health-care payment system - research4
6256 and selection of draft model legislation - analysis - legislative5
6357 declaration - report - definitions - repeal. (1) Legislative declaration.6
6458 T
6559 HE GENERAL ASSEMBLY FINDS AND DECLARES THAT :7
6660 (a) T
6761 HE FINAL REPORT OF THE BLUE RIBBON COMMISSION FOR8
6862 HEALTH CARE REFORM , CREATED IN SECTION 10-16-131 BEFORE ITS9
6963 REPEAL, ISSUED IN JANUARY 2008 AND THE SEPTEMBER 1, 2021, REPORT10
7064 OF THE HEALTH CARE COST ANALYSIS TASK FORCE , CREATED IN SECTION11
7165 25.5-11-103
7266 BEFORE ITS REPEAL, BOTH CLEARLY SHOWED THAT A SINGLE ,12
7367 NONPROFIT SYSTEM FOR HEALTH CARE CAN SAVE MONEY , COVER13
7468 EVERYONE IN THE STATE, AND SUPPORT BETTER HEALTH CARE ;14
7569 (b) T
7670 O ACHIEVE BETTER, MORE AFFORDABLE, AND FAIRER HEALTH15
7771 CARE, THE PEOPLE OF COLORADO NEED ANSWERS TO VERY IMPORTANT16
7872 1075-2- QUESTIONS REGARDING UNIVERSAL HEALTH CARE ; AND1
7973 (c) A
8074 N ANALYSIS OF DRAFT MODEL LEGISLATION FOR A UNIVERSAL2
8175 HEALTH-CARE PAYMENT SYSTEM IS IMPORTANT IN ORDER TO DETERMINE3
8276 WHETHER SUCH A SYSTEM WOULD ACHIEVE THE GOALS OF BETTER , MORE4
8377 AFFORDABLE, AND FAIRER HEALTH CARE FOR ALL COLORADANS.5
8478 (2) A
8579 S USED IN THIS SECTION:6
8680 (a) "ANALYSIS COLLABORATIVE" MEANS THE STATEWIDE7
8781 HEALTH-CARE ANALYSIS COLLABORATIVE CREATED PURSUANT TO SECTION8
8882 25.5-1-135.9
8983 (b) "F
9084 EDERAL ACT" MEANS THE FEDERAL "PATIENT PROTECTION10
9185 AND AFFORDABLE CARE ACT", PUB.L. 111-148, AS AMENDED BY THE11
9286 FEDERAL "HEALTH CARE AND EDUCATION RECONCILIATION ACT OF12
9387 2010",
9488 PUB.L. 111-152.13
9589 (c) (I) "H
9690 EALTH-CARE PROVIDER" OR "PROVIDER" MEANS ANY14
9791 PERSON WHO IS LICENSED , CERTIFIED, REGISTERED, OR OTHERWISE15
9892 PERMITTED BY STATE LAW TO ADMINISTER HEALTH CARE IN THE ORDINARY16
9993 COURSE OF BUSINESS OR IN THE PRACTICE OF A PROFESSION .17
10094 (II) "H
10195 EALTH-CARE PROVIDER" OR "PROVIDER" INCLUDES A18
10296 PROFESSIONAL SERVICE CORPORATION , LIMITED LIABILITY COMPANY, OR19
10397 REGISTERED LIMITED LIABILITY PARTNERSHIP ORGANIZED PURSUANT TO20
10498 STATE LAW FOR THE PRACTICE OF A HEALTH -CARE PROFESSION.21
10599 (d) "M
106100 EDICAID" MEANS THE MEDICAL ASSISTANCE PROGRAMS22
107101 ESTABLISHED PURSUANT TO THE "COLORADO MEDICAL ASSISTANCE ACT",23
108102 ARTICLES 4 TO 6 OF TITLE 25.5.24
109103 (e) "M
110104 EDICARE" MEANS FEDERAL INSURANCE OR ASSISTANCE25
111105 PROVIDED BY THE "HEALTH INSURANCE FOR THE AGED ACT", TITLE XVIII26
112106 OF THE FEDERAL "SOCIAL SECURITY ACT", 42 U.S.C. SEC. 1395 ET SEQ.,27
113107 1075
114108 -3- AS AMENDED.1
115109 (f) (I) "R
116110 EPRODUCTIVE HEALTH CARE " MEANS HEALTH CARE AND2
117111 OTHER MEDICAL SERVICES RELATED TO THE REPRODUCTIVE PROCESSES ,3
118112 FUNCTIONS, AND SYSTEMS AT ALL STAGES OF LIFE.4
119113 (II) "R
120114 EPRODUCTIVE HEALTH CARE" INCLUDES FAMILY PLANNING5
121115 AND CONTRACEPTIVE CARE; ABORTION CARE; PRENATAL, POSTNATAL, AND6
122116 DELIVERY CARE; FERTILITY CARE; STERILIZATION SERVICES; AND7
123117 PREVENTION OF AND TREATMENTS FOR SEXUALLY TRANSMITTED8
124118 INFECTIONS AND REPRODUCTIVE CANCERS .9
125119 (g) (I) "R
126120 ESIDENT" MEANS A PERSON WHO IS LIVING, OTHER THAN10
127121 TEMPORARILY, WITHIN THE STATE AND WHO INTENDS TO ESTABLISH11
128122 C
129123 OLORADO AS THE PERSON'S PRIMARY STATE OF RESIDENCE.12
130124 (II) "R
131125 ESIDENT" INCLUDES COLORADO RESIDENTS WHO ARE13
132126 TEMPORARILY LIVING IN ANOTHER STATE OR WHO ARE TRAVELING OUT OF14
133127 STATE.15
134128 (h) "U
135129 NIVERSAL HEALTH-CARE SYSTEM" MEANS A SINGLE-PAYER,16
136130 NONPROFIT HEALTH-CARE PAYMENT SYSTEM THAT IS PUBLICLY FINANCED17
137131 AND PRIVATELY DELIVERED, UNDER WHICH EVERY RESIDENT OF THE STATE18
138132 HAS ACCESS TO ADEQUATE AND AFFORDABLE HEALTH CARE .19
139133 (3) (a) (I) N
140134 O LATER THAN JULY 1, 2024, THE COLORADO SCHOOL20
141135 OF PUBLIC HEALTH SHALL RESEARCH AND SELECT DRAFT MODEL21
142136 LEGISLATION THAT PROPOSES A UNIVERSAL HEALTH -CARE SYSTEM FOR22
143137 C
144138 OLORADO THAT DIRECTLY COMPENSATES PROVIDERS .23
145139 (II) T
146140 HE COLORADO SCHOOL OF PUBLIC HEALTH SHALL MAKE THE24
147141 DRAFT MODEL LEGISLATION IT SELECTS PUBLICLY AVAILABLE ON ITS25
148142 WEBSITE SO THAT INTERESTED PARTIES MAY EVALUATE AND REVIEW THE26
149143 DRAFT MODEL LEGISLATION.27
150144 1075
151145 -4- (b) THE DRAFT MODEL LEGISLATION SELECTED MUST BE CREATED1
152146 BY A COLORADO NONPROFIT ORGANIZATION THAT PRIORITIZES A2
153147 UNIVERSAL HEALTH-CARE SYSTEM THAT:3
154148 (I) P
155149 ROVIDES COMPREHENSIVE BENEFITS FOR MEDICAL CARE ,4
156150 INCLUDING DENTAL, HEARING, VISION, AND MENTAL HEALTH;5
157151 (II) P
158152 ROVIDES LONG-TERM CARE AND SUPPORT SERVICES TO ALL6
159153 RESIDENTS AT LEAST AT THE LEVEL OF COVERAGE AVAILABLE TO THOSE7
160154 RESIDENTS WHO ARE ELIGIBLE TO RECEIVE MEDICAL ASSISTANCE , AS8
161155 DEFINED IN SECTION 25.5-4-103 (13);9
162156 (III) R
163157 EQUIRES HEALTH-CARE DECISIONS TO BE MADE BY PATIENTS10
164158 AND THE PATIENTS' HEALTH-CARE PROVIDERS;11
165159 (IV) A
166160 LLOWS PATIENTS TO CHOOSE AMONG ALL PROVIDERS THAT12
167161 PARTICIPATE IN THE UNIVERSAL HEALTH -CARE SYSTEM;13
168162 (V) P
169163 ROVIDES COMPREHENSIVE HEALTH -CARE BENEFITS TO ALL14
170164 C
171165 OLORADO RESIDENTS;15
172166 (VI) I
173167 S FUNDED BY PREMIUMS, WHICH PREMIUMS ARE IN AMOUNTS16
174168 THAT ARE DETERMINED BASED ON AN INDIVIDUAL 'S ABILITY TO PAY;17
175169 (VII) P
176170 ROHIBITS DEDUCTIBLES AND COPAYMENTS ;18
177171 (VIII) E
178172 NSURES FAIR DRUG AND HOSPITAL PRICES AS WELL AS FAIR19
179173 PAYMENT TO PROVIDERS;20
180174 (IX) I
181175 S DELIVERED THROUGH A PUBLICLY ADMINISTERED21
182176 NONPROFIT ENTERPRISE THAT IS THE SOLE AGENCY PAYING FOR22
183177 HEALTH-CARE COSTS IN THE STATE; AND23
184178 (X) I
185179 S DESIGNED TO PRIORITIZE BENEFITS AND ACCESS TO CARE24
186180 FOR PATIENTS WHILE PREVENTING BARRIERS TO CARE THAT ARE IMPOSED25
187181 FOR THE PURPOSE OF INCREASING PROFITS.26
188182 (4) T
189183 HE COLORADO SCHOOL OF PUBLIC HEALTH SHALL ANALYZE27
190184 1075
191185 -5- THE DRAFT MODEL LEGISLATION SELECTED PURSUANT TO SUBSECTION (3)1
192186 OF THIS SECTION. THE ANALYSIS MAY:2
193187 (a) I
194188 NCLUDE AN ESTIMATE OF THE FIRST-, SECOND-, FIFTH-, AND3
195189 TENTH-YEAR COSTS FOR OPERATING A UNIVERSAL HEALTH -CARE SYSTEM;4
196190 (b) I
197191 DENTIFY REIMBURSEMENT RATES FOR HEALTH -CARE5
198192 PROVIDERS AT LEVELS THAT RESULT IN NET INCOME THAT WILL ATTRACT6
199193 AND RETAIN NECESSARY HEALTH -CARE PROVIDERS;7
200194 (c) C
201195 ONSIDER A PROGRAM TO COVER HEALTH -CARE BENEFITS AT8
202196 ONE HUNDRED TWENTY PERCENT OF MEDICARE RATES FOR RESIDENTS AND9
203197 AT OTHER REIMBURSEMENT LEVELS AS DETERMINED APPROPRIATE BY THE10
204198 C
205199 OLORADO SCHOOL OF PUBLIC HEALTH ;11
206200 (d) C
207201 ONSIDER WHETHER THE BENEFITS OUTLINED IN THE DRAFT12
208202 MODEL LEGISLATION ARE THE SAME AS THE BENEFITS REQUIRED BY THE13
209203 FEDERAL ACT AND BY STATE LAW ;14
210204 (e) I
211205 DENTIFY HEALTH EXPENDITURES BY PAYER ;15
212206 (f) I
213207 DENTIFY COSTS BASED ON AN INDIVIDUAL 'S ABILITY TO PAY;16
214208 (g) DESCRIBE INCENTIVES AND FINANCIAL IMPLICATIONS FOR17
215209 HOSPITALS FROM A GLOBAL BUDGETING BASED REIMBURSEMENT SYSTEM18
216210 COMPARED TO A FEE-FOR-SERVICE BASED REIMBURSEMENT SYSTEM ;19
217211 (h) D
218212 ESCRIBE HOW A UNIVERSAL HEALTH-CARE SYSTEM PROVIDES20
219213 THE FOLLOWING:21
220214 (I) S
221215 ERVICES REQUIRED BY THE FEDERAL ACT AND BY STATE LAW ;22
222216 (II) S
223217 ERVICES COVERED UNDER MEDICARE ;23
224218 (III) M
225219 EDICAID SERVICES AND BENEFITS THAT MEET OR EXCEED24
226220 CURRENT SERVICES AND BENEFITS WITH PROVIDER REIMBURSEMENT RATES25
227221 THAT ARE EQUIVALENT TO OR HIGHER THAN CURRENT MEDICAID26
228222 REIMBURSEMENT RATES;27
229223 1075
230224 -6- (IV) MEDICAID SERVICES AND BENEFITS FOR INDIVIDUALS WITH1
231225 DISABILITIES WHO DO NOT OTHERWISE QUALIFY FOR MEDICAID ;2
232226 (V) C
233227 OVERAGE FOR WOMEN 'S HEALTH-CARE SERVICES AND3
234228 COMPREHENSIVE REPRODUCTIVE HEALTH CARE TO THE EXTENT THAT4
235229 THOSE SERVICES ARE ALLOWABLE BY STATE LAW ;5
236230 (VI) V
237231 ISION, HEARING, AND DENTAL SERVICES;6
238232 (VII) A
239233 CCESS TO PRIMARY AND SPECIALTY HEALTH -CARE7
240234 SERVICES IN RURAL COLORADO AND OTHER UNDERSERVED AREAS OR8
241235 POPULATIONS; AND9
242236 (VIII) B
243237 EHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE10
244238 DISORDER SERVICES;11
245239 (i) C
246240 ONSIDER OTHER COLLATERAL COSTS AS DETERMINED BY THE12
247241 C
248242 OLORADO SCHOOL OF PUBLIC HEALTH ;13
249243 (j) P
250244 ROVIDE A GENERAL COST ESTIMATE AND SUGGEST POTENTIAL14
251245 ADDITIONAL REVENUE SOURCES TO COVER LONG -TERM CARE AND SUPPORT15
252246 SERVICES FOR ALL RESIDENTS;16
253247 (k) E
254248 STIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL17
255249 HEALTH-CARE SYSTEM ON VARIOUS SOCIOECONOMIC GROUPS , INCLUDING18
256250 A RACIAL EQUITY IMPACT ASSESSMENT ;19
257251 (l) E
258252 STIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL20
259253 HEALTH-CARE SYSTEM ON HEALTH -CARE FACILITIES, PRIVATE HEALTH21
260254 INSURANCE COMPANIES, AND THE COLORADO OPTION HEALTH INSURANCE22
261255 PLAN;23
262256 (m) ESTIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL24
263257 HEALTH-CARE SYSTEM ON HEALTH PLANS THAT ARE REGULATED BY THE25
264258 FEDERAL "EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974", 2926
265259 U.S.C. SEC. 1001 ET SEQ., AS AMENDED, INCLUDING MULTIEMPLOYER27
266260 1075
267261 -7- TAFT-HARTLEY HEALTH-CARE TRUST FUNDS;1
268262 (n) EVALUATE THE FEASIBILITY OF IMPLEMENTING A UNIVERSAL2
269263 HEALTH-CARE SYSTEM BY EXPANDING OR MODIFYING THE COLORADO3
270264 OPTION HEALTH INSURANCE PLAN ;4
271265 (o) ESTIMATE THE IMPACT OF A UNIVERSAL HEALTH -CARE SYSTEM5
272266 ON THE COST AND DEVELOPMENT OF SPECIALTY PHARMACEUTICALS AND6
273267 TREATMENT FOR RARE DISEASES ;7
274268 (p) ESTIMATE THE IMPACT OF A UNIVERSAL HEALTH -CARE SYSTEM8
275269 ON THE PRICE OF PHARMACEUTICALS ; AND9
276270 (q) PROVIDE ANY ADDITIONAL INFORMATION THE COLORADO10
277271 SCHOOL OF PUBLIC HEALTH FINDS RELEVANT .11
278272 (5) THE COLORADO SCHOOL OF PUBLIC HEALTH MAY UTILIZE AN12
279273 ACTUARIAL CONSULTANT IN CONDUCTING THE ANALYSIS PURSUANT TO13
280274 SUBSECTION (4) OF THIS SECTION.14
281275 (6) ON OR BEFORE DECEMBER 31, 2025, THE COLORADO SCHOOL15
282276 OF PUBLIC HEALTH SHALL SUBMIT A REPORT DETAILING ITS FINDINGS FROM16
283277 THE ANALYSIS COMPLETED PURSUANT TO SUBSECTION (4) OF THIS SECTION17
284278 TO THE HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES18
285279 COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES COMMITTEE ,19
286280 OR THEIR SUCCESSOR COMMITTEES .20
287- 21
288-(7) THE COLORADO SCHOOL OF PUBLIC HEALTH SHALL SUBMIT AN22
281+(7) (a) 21
282+(b) THE COLORADO SCHOOL OF PUBLIC HEALTH SHALL SUBMIT AN22
289283 APPLICATION TO THE ALL-PAYER HEALTH CLAIMS DATABASE SCHOLARSHIP23
290284 GRANT PROGRAM, ESTABLISHED IN SECTION 25.5-1-204.5, TO ACQUIRE24
291285 FUNDING TO COVER ANY DATA OR SOFTWARE COSTS THAT MAY BE25
292286 INCURRED BY THE COLORADO SCHOOL OF PUBLIC HEALTH IN CONDUCTING26
293287 THE ANALYSIS REQUIRED PURSUANT TO SUBSECTION (4) OF THIS SECTION.27
294288 1075
295289 -8- (8) THIS SECTION IS REPEALED, EFFECTIVE DECEMBER 1, 2026.1
296290 SECTION 2. In Colorado Revised Statutes, add 25.5-1-135 as2
297291 follows:3
298292 25.5-1-135. Statewide health-care analysis advisory task force4
299293 - creation - membership - duties - repeal. (1) (a) T
300294 HERE IS CREATED IN5
301295 THE STATE DEPARTMENT THE STATEWIDE HEALTH -CARE ANALYSIS6
302296 COLLABORATIVE, REFERRED TO IN THIS SECTION AS THE "ANALYSIS7
303297 COLLABORATIVE", FOR THE PURPOSE OF ADVISING THE COLORADO SCHOOL8
304298 OF PUBLIC HEALTH IN COMPLETING THE ANALYSIS REQUIRED BY SECTION9
305299 23-20-146.10
306300 (b) T
307301 HE
308302 ANALYSIS COLLABORATIVE IS MERELY ADVISORY AND THE11
309303 C
310304 OLORADO SCHOOL OF PUBLIC HEALTH IS THE ENTITY RESPONSIBLE FOR12
311305 CONDUCTING THE ANALYSIS PURSUANT TO SECTION 23-20-146.13
312306 (2) O
313307 N OR BEFORE AUGUST 1, 2024, THE PRESIDENT OF THE14
314308 SENATE, THE MINORITY LEADER OF THE SENATE , THE SPEAKER OF THE15
315309 HOUSE OF REPRESENTATIVES, AND THE MINORITY LEADER OF THE HOUSE16
316310 OF REPRESENTATIVES SHALL EACH APPOINT ONE MEMBER OF THE GENERAL17
317311 ASSEMBLY TO THE
318312 ANALYSIS COLLABORATIVE.18
319313 (3) (a) ON OR BEFORE AUGUST 1, 2024, THE EXECUTIVE DIRECTOR19
320314 OF THE STATE DEPARTMENT SHALL INVITE THE FOLLOWING20
321315 REPRESENTATIVES TO PARTICIPATE IN THE ANALYSIS COLLABORATIVE :21
322316 (I) O
323317 NE MEMBER WHO REPRESENTS A STATEWIDE HOSPITAL22
324318 ASSOCIATION;23
325319 (II) O
326320 NE MEMBER WHO REPRESENTS ORGANIZED LABOR ;24
327321 (III) ONE MEMBER WHO REPRESENTS AN ORGANIZATION THAT25
328322 ADVOCATES FOR COMMUNITIES WITH DISABILITIES ;26
329323 (IV) O
330324 NE MEMBER WHO IS A REPRODUCTIVE HEALTH -CARE27
331325 1075
332326 -9- ADVOCATE;1
333327 (V) O
334328 NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION OF2
335329 PHYSICIANS;3
336330 (VI) O
337331 NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION4
338332 OF MENTAL HEALTH-CARE PROVIDERS;5
339333 (VII) O
340334 NE MEMBER WHO IS A STATE TAX EXPERT OR AN EXPERT ON6
341335 SECTION 20 OF ARTICLE X OF THE STATE CONSTITUTION;7
342336 (VIII) O
343337 NE MEMBER WHO IS A RURAL HEALTH -CARE ADVOCATE;8
344338 (IX) O
345339 NE MEMBER WHO IS A REGISTERED NURSE REPRESENTING A9
346340 STATEWIDE ASSOCIATION OF NURSES ;10
347341 (X) O
348342 NE MEMBER WHO REPRESENTS A COLORADO ADVOCACY11
349343 ORGANIZATION FOR PEOPLE EXPERIENCING HOMELESSNESS ;12
350344 (XI) O
351345 NE MEMBER WHO REPRESENTS AN ADVOCACY13
352346 ORGANIZATION FOR HEALTH-CARE CONSUMERS;14
353347 (XII) O
354348 NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION15
355349 OF DENTISTS;16
356350 (XIII) O
357351 NE MEMBER WHO REPRESENTS AN ADVOCACY17
358352 ORGANIZATION FOR HISTORICALLY MARGINALIZED COMMUNITIES ;18
359353 (XIV) O
360354 NE MEMBER WHO REPRESENTS AN ADVOCACY19
361355 ORGANIZATION FOR LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER20
362356 COMMUNITIES;21
363357 (XV) O
364358 NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION22
365359 OF PHARMACISTS;23
366360 (XVI) O
367361 NE MEMBER WHO REPRESENTS SMALL EMPLOYER24
368362 INTERESTS;
369363 25
370364 (XVII) O
371365 NE MEMBER WHO REPRESENTS LARGE EMPLOYER26INTERESTS;27
372366 1075
373367 -10- (XVIII) ONE MEMBER WHO REPRESENTS A PHARMACY BENEFIT1
374368 MANAGEMENT FIRM, AS DEFINED IN SECTION 10-16-102 (49);2
375369 (XIV) ONE MEMBER WHO REPRESENTS A SELF-INSURED EMPLOYER3
376370 THAT PROVIDES HEALTH INSURANCE TO ITS EMPLOYEES UNDER A HEALTH4
377371 INSURANCE PLAN COVERED BY THE FEDERAL "EMPLOYEE RETIREMENT5
378372 INCOME SECURITY ACT OF 1974", 29 U.S.C. SEC. 1001 ET SEQ., AS6
379373 AMENDED; AND7
380374 (XV) ONE MEMBER WHO REPRESENTS MANAGEMENT OF8
381375 ORGANIZED LABOR THAT PROVIDES HEALTH INSURANCE COVERAGE FOR9
382376 INDIVIDUALS WHO ARE INSURED UNDER A HEALTH INSURANCE PLAN10
383377 COVERED BY THE FEDERAL "EMPLOYEE RETIREMENT INCOME SECURITY11
384378 ACT OF 1974", 29 U.S.C. SEC. 1001 ET SEQ., AS AMENDED.12
385379 (b) IN INVITING REPRESENTATIVES TO PARTICIPATE IN THE13
386380 ANALYSIS COLLABORATIVE PURSUANT TO SUBSECTION (3)(a) OF THIS14
387381 SECTION, THE EXECUTIVE DIRECTOR SHALL ENSURE THAT THE INVITEES :15
388382 (I) H
389383 AVE DEMONSTRATED AN ABILITY TO REPRESENT THE16
390384 INTERESTS OF ALL COLORADANS AND, REGARDLESS OF THE
391385 INVITEES'17
392386 BACKGROUNDS OR AFFILIATIONS , ARE ABLE TO PRESENT OBJECTIVE ,18
393387 NONPARTISAN, FACTUAL, AND EVIDENCE -BASED IDEAS AND TO19
394388 OBJECTIVELY ADVISE THE COLORADO SCHOOL OF PUBLIC HEALTH20
395389 CONCERNING A SINGLE-PAYER, NONPROFIT, UNIVERSAL HEALTH-CARE21
396390 PAYMENT SYSTEM; AND22
397391 (II) R
398392 EFLECT THE SOCIAL, DEMOGRAPHIC, AND GEOGRAPHIC23
399393 DIVERSITY OF THE STATE, INCLUDING HISTORICALLY MARGINALIZED24
400394 COMMUNITIES.25 26
401395 (c) IF A VACANCY OCCURS ON THE ANALYSIS COLLABORATIVE, THE27
402396 1075
403397 -11- EXECUTIVE DIRECTOR MAY INVITE A NEW REPRESENTATIVE TO FILL THE1
404398 VACANCY.2
405399 (4) T
406400 HE EXECUTIVE DIRECTORS OF THE DEPARTMENT OF HUMAN3
407401 SERVICES AND THE STATE DEPARTMENT , THE COMMISSIONER OF4
408402 INSURANCE, AND THE CHIEF EXECUTIVE OFFICER OF THE COLORADO5
409403 HEALTH BENEFIT EXCHANGE CREATED IN ARTICLE 22 OF TITLE 10, OR THE6
410404 DESIGNEE OF AN EXECUTIVE DIRECTOR, THE COMMISSIONER, OR THE CHIEF7
411405 EXECUTIVE OFFICER, SHALL SERVE ON THE
412406 ANALYSIS COLLABORATIVE .8
413407 (5) (a) T
414408 HE EXECUTIVE DIRECTOR OF THE STATE DEPARTMENT , OR9
415409 THE EXECUTIVE DIRECTOR 'S DESIGNEE SERVING ON THE
416410 ANALYSIS10
417411 COLLABORATIVE, SHALL CALL THE FIRST MEETING OF THE ANALYSIS11
418412 COLLABORATIVE.12
419413 13
420414 (b) THE ANALYSIS COLLABORATIVE SHALL MEET AT LEAST TWO14
421415 TIMES BEFORE OCTOBER 1, 2025, AND THE EXECUTIVE DIRECTOR OF THE15
422416 STATE DEPARTMENT, OR THE EXECUTIVE DIRECTOR'S DESIGNEE SERVING16
423417 ON THE ANALYSIS COLLABORATIVE, MAY CONVENE ADDITIONAL MEETINGS17
424418 OF THE ANALYSIS COLLABORATIVE AS DETERMINED BY CONSULTING WITH18
425419 THE MEMBERS OF THE ANALYSIS COLLABORATIVE AND THE SCHOOL OF19
426420 PUBLIC HEALTH.20
427421 (c) ALL MEETINGS OF THE ANALYSIS COLLABORATIVE MUST BE21
428422 OPEN TO THE PUBLIC, AND THE ANALYSIS COLLABORATIVE SHALL POST22
429423 NOTICE OF A MEETING AT LEAST ONE WEEK IN ADVANCE OF THE MEETING23
430424 ON THE COLORADO SCHOOL OF PUBLIC HEALTH 'S WEBSITE AND THE STATE24
431425 DEPARTMENT'S WEBSITE.25
432426 (d) ALL MEETINGS OF THE ANALYSIS COLLABORATIVE SHALL BE26
433427 HELD VIRTUALLY AND ALLOW FOR ATTENDANCE AND PARTICIPATION BY27
434428 1075
435429 -12- MEMBERS OF THE ANALYSIS COLLABORATIVE AND MEMBERS OF THE1
436430 PUBLIC VIRTUALLY.2
437431 (e) THE ANALYSIS COLLABORATIVE MAY HOLD MEETINGS WITHOUT3
438432 A QUORUM OF THE MEMBERS PRESENT .4
439433 (6) A
440434 T THE FIRST MEETING OF THE
441435 ANALYSIS COLLABORATIVE, A5
442436 REPRESENTATIVE FROM THE ENTITY PROVIDING THE DRAFT MODEL6
443437 LEGISLATION SELECTED BY THE COLORADO SCHOOL OF PUBLIC HEALTH7
444438 PURSUANT TO SECTION 23-20-146 (3) SHALL PRESENT THE DRAFT MODEL8
445439 LEGISLATION TO THE ANALYSIS COLLABORATIVE FOR FEEDBACK .9
446440 (7) N
447441 ONLEGISLATIVE
448442 ANALYSIS COLLABORATIVE MEMBERS10
449443 INVITED PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION ARE NOT11
450444 ENTITLED TO RECEIVE PER DIEM OR OTHER COMPENSATION FOR12
451445 PERFORMANCE OF SERVICES FOR THE ANALYSIS COLLABORATIVE BUT MAY13
452446 BE REIMBURSED FOR ACTUAL AND NECESSARY EXPENSES INCURRED IN THE14
453447 PERFORMANCE OF OFFICIAL DUTIES OF THE ANALYSIS COLLABORATIVE.15
454448 L
455449 EGISLATORS WHO SERVE ON THE
456450 ANALYSIS COLLABORATIVE ARE16
457451 REIMBURSED PURSUANT TO SECTION 2-2-307 (3).17
458452 (8) T
459453 HIS SECTION IS REPEALED, EFFECTIVE DECEMBER 1, 2026.18 SECTION 3. In Colorado Revised Statutes, 23-18-308, add19
460454 (1)(m) as follows:20
461455 23-18-308. Fee-for-service contracts - grants to local district21
462456 colleges - limited purpose - repeal. (1) Subject to available22
463457 appropriations, the department shall enter into fee-for-service contracts23
464458 for the following purposes:24
465459 (m) THE COLORADO SCHOOL OF PUBLIC HEALTH'S ANALYSIS OF25
466460 MODEL LEGISLATION RELATED TO A STATEWIDE UNIVERSAL HEALTH-CARE26
467461 SYSTEM CONDUCTED PURSUANT TO SECTION 23-20-146.27
468462 1075
469463 -13- SECTION 4. Appropriation. (1) For the 2024-25 state fiscal1
470464 year, $240,735 is appropriated to the department of higher education. This2
471465 appropriation is from the general fund. To implement this act, the3
472466 department may use this appropriation for the college opportunity fund4
473467 program to be used for limited purpose fee-for-service contracts with5
474468 state institutions.6
475469 (2) For the 2024-25 state fiscal year, $240,735 is appropriated to7
476470 the department of higher education. This appropriation is from8
477471 reappropriated funds received from the limited purpose fee-for-service9
478472 contracts with state institutions under subsection (1) of this section. To10
479473 implement this act, the department may use this appropriation for the11
480474 regents of the university of Colorado for allocation to the school of public12
481475 health.13
482476 (3) For the 2024-25 state fiscal year, $448 is appropriated to the14
483477 legislative department. This appropriation is from the general fund. To15
484478 implement this act, the department may use this appropriation for the16
485479 general assembly.17
486480 SECTION 5. Safety clause. The general assembly finds,18
487481 determines, and declares that this act is necessary for the immediate19
488482 preservation of the public peace, health, or safety or for appropriations for20
489483 the support and maintenance of the departments of the state and state21
490484 institutions.22
491485 1075
492486 -14-