Second Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 24-0190.01 Christopher McMichael x4775
HOUSE BILL 24-1075
House Committees Senate Committees
Health & Human Services
Appropriations
A BILL FOR AN ACT
C
ONCERNING CONSIDERATION OF A STATEWIDE UNIVERSAL101
HEALTH-CARE PAYMENT SYSTEM , AND, IN CONNECTION102
THEREWITH, CREATING AN
ANALYSIS COLLABORATIVE FOR THE103
PURPOSE OF ADVISING THE COLORADO SCHOOL OF PUBLIC104
HEALTH IN CONDUCTING AN ANALYSIS OF DRAFT MODEL105
LEGISLATION CONCERNING A STATEWIDE UNIVERSAL106
HEALTH-CARE PAYMENT SYSTEM AND MAKING AN107
APPROPRIATION.108
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
HOUSE
Amended 3rd Reading
April 22, 2024
HOUSE
Amended 2nd Reading
April 20, 2024
HOUSE SPONSORSHIP
McCormick and Boesenecker, Amabile, Bacon, Brown, Daugherty, deGruy Kennedy,
Duran, Epps, Froelich, Garcia, Hamrick, Hernandez, Herod, Joseph, Kipp, Lieder, Lindsay,
Mabrey, Marvin, McCluskie, McLachlan, Ortiz, Parenti, Ricks, Rutinel, Sirota, Story, Titone,
Valdez, Velasco, Vigil, Weissman, Willford, Woodrow, Young
SENATE SPONSORSHIP
Marchman and Jaquez Lewis,
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law. http://leg.colorado.gov.)
The bill requires the Colorado school of public health to analyze
draft model legislation for implementing a single-payer, nonprofit,
publicly financed, and privately delivered universal health-care payment
system for Colorado that directly compensates providers. The Colorado
school of public health must submit a report detailing its findings to the
general assembly by October 1, 2025.
The bill also creates the statewide health-care analysis advisory
task force consisting of 21 members appointed by the general assembly
and the governor, as well as executive directors of specified state
departments, the commissioner of insurance, and the chief executive
officer of the Colorado health benefit exchange or any designees of the
executive directors, the commissioner, and the chief executive officer.
The advisory task force is created for the purpose of advising the
Colorado school of public health during the analysis.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add 23-20-146 as2
follows:3
23-20-146. Universal health-care payment system - research4
and selection of draft model legislation - analysis - legislative5
declaration - report - definitions - repeal. (1) Legislative declaration.6
T
HE GENERAL ASSEMBLY FINDS AND DECLARES THAT :7
(a) T
HE FINAL REPORT OF THE BLUE RIBBON COMMISSION FOR8
HEALTH CARE REFORM , CREATED IN SECTION 10-16-131 BEFORE ITS9
REPEAL, ISSUED IN JANUARY 2008 AND THE SEPTEMBER 1, 2021, REPORT10
OF THE HEALTH CARE COST ANALYSIS TASK FORCE , CREATED IN SECTION11
25.5-11-103
BEFORE ITS REPEAL, BOTH CLEARLY SHOWED THAT A SINGLE ,12
NONPROFIT SYSTEM FOR HEALTH CARE CAN SAVE MONEY , COVER13
EVERYONE IN THE STATE, AND SUPPORT BETTER HEALTH CARE ;14
(b) T
O ACHIEVE BETTER, MORE AFFORDABLE, AND FAIRER HEALTH15
CARE, THE PEOPLE OF COLORADO NEED ANSWERS TO VERY IMPORTANT16
1075-2- QUESTIONS REGARDING UNIVERSAL HEALTH CARE ; AND1
(c) A
N ANALYSIS OF DRAFT MODEL LEGISLATION FOR A UNIVERSAL2
HEALTH-CARE PAYMENT SYSTEM IS IMPORTANT IN ORDER TO DETERMINE3
WHETHER SUCH A SYSTEM WOULD ACHIEVE THE GOALS OF BETTER , MORE4
AFFORDABLE, AND FAIRER HEALTH CARE FOR ALL COLORADANS.5
(2) A
S USED IN THIS SECTION:6
(a) "ANALYSIS COLLABORATIVE" MEANS THE STATEWIDE7
HEALTH-CARE ANALYSIS COLLABORATIVE CREATED PURSUANT TO SECTION8
25.5-1-135.9
(b) "F
EDERAL ACT" MEANS THE FEDERAL "PATIENT PROTECTION10
AND AFFORDABLE CARE ACT", PUB.L. 111-148, AS AMENDED BY THE11
FEDERAL "HEALTH CARE AND EDUCATION RECONCILIATION ACT OF12
2010",
PUB.L. 111-152.13
(c) (I) "H
EALTH-CARE PROVIDER" OR "PROVIDER" MEANS ANY14
PERSON WHO IS LICENSED , CERTIFIED, REGISTERED, OR OTHERWISE15
PERMITTED BY STATE LAW TO ADMINISTER HEALTH CARE IN THE ORDINARY16
COURSE OF BUSINESS OR IN THE PRACTICE OF A PROFESSION .17
(II) "H
EALTH-CARE PROVIDER" OR "PROVIDER" INCLUDES A18
PROFESSIONAL SERVICE CORPORATION , LIMITED LIABILITY COMPANY, OR19
REGISTERED LIMITED LIABILITY PARTNERSHIP ORGANIZED PURSUANT TO20
STATE LAW FOR THE PRACTICE OF A HEALTH -CARE PROFESSION.21
(d) "M
EDICAID" MEANS THE MEDICAL ASSISTANCE PROGRAMS22
ESTABLISHED PURSUANT TO THE "COLORADO MEDICAL ASSISTANCE ACT",23
ARTICLES 4 TO 6 OF TITLE 25.5.24
(e) "M
EDICARE" MEANS FEDERAL INSURANCE OR ASSISTANCE25
PROVIDED BY THE "HEALTH INSURANCE FOR THE AGED ACT", TITLE XVIII26
OF THE FEDERAL "SOCIAL SECURITY ACT", 42 U.S.C. SEC. 1395 ET SEQ.,27
1075
-3- AS AMENDED.1
(f) (I) "R
EPRODUCTIVE HEALTH CARE " MEANS HEALTH CARE AND2
OTHER MEDICAL SERVICES RELATED TO THE REPRODUCTIVE PROCESSES ,3
FUNCTIONS, AND SYSTEMS AT ALL STAGES OF LIFE.4
(II) "R
EPRODUCTIVE HEALTH CARE" INCLUDES FAMILY PLANNING5
AND CONTRACEPTIVE CARE; ABORTION CARE; PRENATAL, POSTNATAL, AND6
DELIVERY CARE; FERTILITY CARE; STERILIZATION SERVICES; AND7
PREVENTION OF AND TREATMENTS FOR SEXUALLY TRANSMITTED8
INFECTIONS AND REPRODUCTIVE CANCERS .9
(g) (I) "R
ESIDENT" MEANS A PERSON WHO IS LIVING, OTHER THAN10
TEMPORARILY, WITHIN THE STATE AND WHO INTENDS TO ESTABLISH11
C
OLORADO AS THE PERSON'S PRIMARY STATE OF RESIDENCE.12
(II) "R
ESIDENT" INCLUDES COLORADO RESIDENTS WHO ARE13
TEMPORARILY LIVING IN ANOTHER STATE OR WHO ARE TRAVELING OUT OF14
STATE.15
(h) "U
NIVERSAL HEALTH-CARE SYSTEM" MEANS A SINGLE-PAYER,16
NONPROFIT HEALTH-CARE PAYMENT SYSTEM THAT IS PUBLICLY FINANCED17
AND PRIVATELY DELIVERED, UNDER WHICH EVERY RESIDENT OF THE STATE18
HAS ACCESS TO ADEQUATE AND AFFORDABLE HEALTH CARE .19
(3) (a) (I) N
O LATER THAN JULY 1, 2024, THE COLORADO SCHOOL20
OF PUBLIC HEALTH SHALL RESEARCH AND SELECT DRAFT MODEL21
LEGISLATION THAT PROPOSES A UNIVERSAL HEALTH -CARE SYSTEM FOR22
C
OLORADO THAT DIRECTLY COMPENSATES PROVIDERS .23
(II) T
HE COLORADO SCHOOL OF PUBLIC HEALTH SHALL MAKE THE24
DRAFT MODEL LEGISLATION IT SELECTS PUBLICLY AVAILABLE ON ITS25
WEBSITE SO THAT INTERESTED PARTIES MAY EVALUATE AND REVIEW THE26
DRAFT MODEL LEGISLATION.27
1075
-4- (b) THE DRAFT MODEL LEGISLATION SELECTED MUST BE CREATED1
BY A COLORADO NONPROFIT ORGANIZATION THAT PRIORITIZES A2
UNIVERSAL HEALTH-CARE SYSTEM THAT:3
(I) P
ROVIDES COMPREHENSIVE BENEFITS FOR MEDICAL CARE ,4
INCLUDING DENTAL, HEARING, VISION, AND MENTAL HEALTH;5
(II) P
ROVIDES LONG-TERM CARE AND SUPPORT SERVICES TO ALL6
RESIDENTS AT LEAST AT THE LEVEL OF COVERAGE AVAILABLE TO THOSE7
RESIDENTS WHO ARE ELIGIBLE TO RECEIVE MEDICAL ASSISTANCE , AS8
DEFINED IN SECTION 25.5-4-103 (13);9
(III) R
EQUIRES HEALTH-CARE DECISIONS TO BE MADE BY PATIENTS10
AND THE PATIENTS' HEALTH-CARE PROVIDERS;11
(IV) A
LLOWS PATIENTS TO CHOOSE AMONG ALL PROVIDERS THAT12
PARTICIPATE IN THE UNIVERSAL HEALTH -CARE SYSTEM;13
(V) P
ROVIDES COMPREHENSIVE HEALTH -CARE BENEFITS TO ALL14
C
OLORADO RESIDENTS;15
(VI) I
S FUNDED BY PREMIUMS, WHICH PREMIUMS ARE IN AMOUNTS16
THAT ARE DETERMINED BASED ON AN INDIVIDUAL 'S ABILITY TO PAY;17
(VII) P
ROHIBITS DEDUCTIBLES AND COPAYMENTS ;18
(VIII) E
NSURES FAIR DRUG AND HOSPITAL PRICES AS WELL AS FAIR19
PAYMENT TO PROVIDERS;20
(IX) I
S DELIVERED THROUGH A PUBLICLY ADMINISTERED21
NONPROFIT ENTERPRISE THAT IS THE SOLE AGENCY PAYING FOR22
HEALTH-CARE COSTS IN THE STATE; AND23
(X) I
S DESIGNED TO PRIORITIZE BENEFITS AND ACCESS TO CARE24
FOR PATIENTS WHILE PREVENTING BARRIERS TO CARE THAT ARE IMPOSED25
FOR THE PURPOSE OF INCREASING PROFITS.26
(4) T
HE COLORADO SCHOOL OF PUBLIC HEALTH SHALL ANALYZE27
1075
-5- THE DRAFT MODEL LEGISLATION SELECTED PURSUANT TO SUBSECTION (3)1
OF THIS SECTION. THE ANALYSIS MAY:2
(a) I
NCLUDE AN ESTIMATE OF THE FIRST-, SECOND-, FIFTH-, AND3
TENTH-YEAR COSTS FOR OPERATING A UNIVERSAL HEALTH -CARE SYSTEM;4
(b) I
DENTIFY REIMBURSEMENT RATES FOR HEALTH -CARE5
PROVIDERS AT LEVELS THAT RESULT IN NET INCOME THAT WILL ATTRACT6
AND RETAIN NECESSARY HEALTH -CARE PROVIDERS;7
(c) C
ONSIDER A PROGRAM TO COVER HEALTH -CARE BENEFITS AT8
ONE HUNDRED TWENTY PERCENT OF MEDICARE RATES FOR RESIDENTS AND9
AT OTHER REIMBURSEMENT LEVELS AS DETERMINED APPROPRIATE BY THE10
C
OLORADO SCHOOL OF PUBLIC HEALTH ;11
(d) C
ONSIDER WHETHER THE BENEFITS OUTLINED IN THE DRAFT12
MODEL LEGISLATION ARE THE SAME AS THE BENEFITS REQUIRED BY THE13
FEDERAL ACT AND BY STATE LAW ;14
(e) I
DENTIFY HEALTH EXPENDITURES BY PAYER ;15
(f) I
DENTIFY COSTS BASED ON AN INDIVIDUAL 'S ABILITY TO PAY;16
(g) DESCRIBE INCENTIVES AND FINANCIAL IMPLICATIONS FOR17
HOSPITALS FROM A GLOBAL BUDGETING BASED REIMBURSEMENT SYSTEM18
COMPARED TO A FEE-FOR-SERVICE BASED REIMBURSEMENT SYSTEM ;19
(h) D
ESCRIBE HOW A UNIVERSAL HEALTH-CARE SYSTEM PROVIDES20
THE FOLLOWING:21
(I) S
ERVICES REQUIRED BY THE FEDERAL ACT AND BY STATE LAW ;22
(II) S
ERVICES COVERED UNDER MEDICARE ;23
(III) M
EDICAID SERVICES AND BENEFITS THAT MEET OR EXCEED24
CURRENT SERVICES AND BENEFITS WITH PROVIDER REIMBURSEMENT RATES25
THAT ARE EQUIVALENT TO OR HIGHER THAN CURRENT MEDICAID26
REIMBURSEMENT RATES;27
1075
-6- (IV) MEDICAID SERVICES AND BENEFITS FOR INDIVIDUALS WITH1
DISABILITIES WHO DO NOT OTHERWISE QUALIFY FOR MEDICAID ;2
(V) C
OVERAGE FOR WOMEN 'S HEALTH-CARE SERVICES AND3
COMPREHENSIVE REPRODUCTIVE HEALTH CARE TO THE EXTENT THAT4
THOSE SERVICES ARE ALLOWABLE BY STATE LAW ;5
(VI) V
ISION, HEARING, AND DENTAL SERVICES;6
(VII) A
CCESS TO PRIMARY AND SPECIALTY HEALTH -CARE7
SERVICES IN RURAL COLORADO AND OTHER UNDERSERVED AREAS OR8
POPULATIONS; AND9
(VIII) B
EHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE10
DISORDER SERVICES;11
(i) C
ONSIDER OTHER COLLATERAL COSTS AS DETERMINED BY THE12
C
OLORADO SCHOOL OF PUBLIC HEALTH ;13
(j) P
ROVIDE A GENERAL COST ESTIMATE AND SUGGEST POTENTIAL14
ADDITIONAL REVENUE SOURCES TO COVER LONG -TERM CARE AND SUPPORT15
SERVICES FOR ALL RESIDENTS;16
(k) E
STIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL17
HEALTH-CARE SYSTEM ON VARIOUS SOCIOECONOMIC GROUPS , INCLUDING18
A RACIAL EQUITY IMPACT ASSESSMENT ;19
(l) E
STIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL20
HEALTH-CARE SYSTEM ON HEALTH -CARE FACILITIES, PRIVATE HEALTH21
INSURANCE COMPANIES, AND THE COLORADO OPTION HEALTH INSURANCE22
PLAN;23
(m) ESTIMATE THE IMPACT OF IMPLEMENTING A UNIVERSAL24
HEALTH-CARE SYSTEM ON HEALTH PLANS THAT ARE REGULATED BY THE25
FEDERAL "EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974", 2926
U.S.C. SEC. 1001 ET SEQ., AS AMENDED, INCLUDING MULTIEMPLOYER27
1075
-7- TAFT-HARTLEY HEALTH-CARE TRUST FUNDS;1
(n) EVALUATE THE FEASIBILITY OF IMPLEMENTING A UNIVERSAL2
HEALTH-CARE SYSTEM BY EXPANDING OR MODIFYING THE COLORADO3
OPTION HEALTH INSURANCE PLAN ;4
(o) ESTIMATE THE IMPACT OF A UNIVERSAL HEALTH -CARE SYSTEM5
ON THE COST AND DEVELOPMENT OF SPECIALTY PHARMACEUTICALS AND6
TREATMENT FOR RARE DISEASES ;7
(p) ESTIMATE THE IMPACT OF A UNIVERSAL HEALTH -CARE SYSTEM8
ON THE PRICE OF PHARMACEUTICALS ; AND9
(q) PROVIDE ANY ADDITIONAL INFORMATION THE COLORADO10
SCHOOL OF PUBLIC HEALTH FINDS RELEVANT .11
(5) THE COLORADO SCHOOL OF PUBLIC HEALTH MAY UTILIZE AN12
ACTUARIAL CONSULTANT IN CONDUCTING THE ANALYSIS PURSUANT TO13
SUBSECTION (4) OF THIS SECTION.14
(6) ON OR BEFORE DECEMBER 31, 2025, THE COLORADO SCHOOL15
OF PUBLIC HEALTH SHALL SUBMIT A REPORT DETAILING ITS FINDINGS FROM16
THE ANALYSIS COMPLETED PURSUANT TO SUBSECTION (4) OF THIS SECTION17
TO THE HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES18
COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES COMMITTEE ,19
OR THEIR SUCCESSOR COMMITTEES .20
21
(7) THE COLORADO SCHOOL OF PUBLIC HEALTH SHALL SUBMIT AN22
APPLICATION TO THE ALL-PAYER HEALTH CLAIMS DATABASE SCHOLARSHIP23
GRANT PROGRAM, ESTABLISHED IN SECTION 25.5-1-204.5, TO ACQUIRE24
FUNDING TO COVER ANY DATA OR SOFTWARE COSTS THAT MAY BE25
INCURRED BY THE COLORADO SCHOOL OF PUBLIC HEALTH IN CONDUCTING26
THE ANALYSIS REQUIRED PURSUANT TO SUBSECTION (4) OF THIS SECTION.27
1075
-8- (8) THIS SECTION IS REPEALED, EFFECTIVE DECEMBER 1, 2026.1
SECTION 2. In Colorado Revised Statutes, add 25.5-1-135 as2
follows:3
25.5-1-135. Statewide health-care analysis advisory task force4
- creation - membership - duties - repeal. (1) (a) T
HERE IS CREATED IN5
THE STATE DEPARTMENT THE STATEWIDE HEALTH -CARE ANALYSIS6
COLLABORATIVE, REFERRED TO IN THIS SECTION AS THE "ANALYSIS7
COLLABORATIVE", FOR THE PURPOSE OF ADVISING THE COLORADO SCHOOL8
OF PUBLIC HEALTH IN COMPLETING THE ANALYSIS REQUIRED BY SECTION9
23-20-146.10
(b) T
HE
ANALYSIS COLLABORATIVE IS MERELY ADVISORY AND THE11
C
OLORADO SCHOOL OF PUBLIC HEALTH IS THE ENTITY RESPONSIBLE FOR12
CONDUCTING THE ANALYSIS PURSUANT TO SECTION 23-20-146.13
(2) O
N OR BEFORE AUGUST 1, 2024, THE PRESIDENT OF THE14
SENATE, THE MINORITY LEADER OF THE SENATE , THE SPEAKER OF THE15
HOUSE OF REPRESENTATIVES, AND THE MINORITY LEADER OF THE HOUSE16
OF REPRESENTATIVES SHALL EACH APPOINT ONE MEMBER OF THE GENERAL17
ASSEMBLY TO THE
ANALYSIS COLLABORATIVE.18
(3) (a) ON OR BEFORE AUGUST 1, 2024, THE EXECUTIVE DIRECTOR19
OF THE STATE DEPARTMENT SHALL INVITE THE FOLLOWING20
REPRESENTATIVES TO PARTICIPATE IN THE ANALYSIS COLLABORATIVE :21
(I) O
NE MEMBER WHO REPRESENTS A STATEWIDE HOSPITAL22
ASSOCIATION;23
(II) O
NE MEMBER WHO REPRESENTS ORGANIZED LABOR ;24
(III) ONE MEMBER WHO REPRESENTS AN ORGANIZATION THAT25
ADVOCATES FOR COMMUNITIES WITH DISABILITIES ;26
(IV) O
NE MEMBER WHO IS A REPRODUCTIVE HEALTH -CARE27
1075
-9- ADVOCATE;1
(V) O
NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION OF2
PHYSICIANS;3
(VI) O
NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION4
OF MENTAL HEALTH-CARE PROVIDERS;5
(VII) O
NE MEMBER WHO IS A STATE TAX EXPERT OR AN EXPERT ON6
SECTION 20 OF ARTICLE X OF THE STATE CONSTITUTION;7
(VIII) O
NE MEMBER WHO IS A RURAL HEALTH -CARE ADVOCATE;8
(IX) O
NE MEMBER WHO IS A REGISTERED NURSE REPRESENTING A9
STATEWIDE ASSOCIATION OF NURSES ;10
(X) O
NE MEMBER WHO REPRESENTS A COLORADO ADVOCACY11
ORGANIZATION FOR PEOPLE EXPERIENCING HOMELESSNESS ;12
(XI) O
NE MEMBER WHO REPRESENTS AN ADVOCACY13
ORGANIZATION FOR HEALTH-CARE CONSUMERS;14
(XII) O
NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION15
OF DENTISTS;16
(XIII) O
NE MEMBER WHO REPRESENTS AN ADVOCACY17
ORGANIZATION FOR HISTORICALLY MARGINALIZED COMMUNITIES ;18
(XIV) O
NE MEMBER WHO REPRESENTS AN ADVOCACY19
ORGANIZATION FOR LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER20
COMMUNITIES;21
(XV) O
NE MEMBER WHO REPRESENTS A STATEWIDE ASSOCIATION22
OF PHARMACISTS;23
(XVI) O
NE MEMBER WHO REPRESENTS SMALL EMPLOYER24
INTERESTS;
25
(XVII) O
NE MEMBER WHO REPRESENTS LARGE EMPLOYER26INTERESTS;27
1075
-10- (XVIII) ONE MEMBER WHO REPRESENTS A PHARMACY BENEFIT1
MANAGEMENT FIRM, AS DEFINED IN SECTION 10-16-102 (49);2
(XIV) ONE MEMBER WHO REPRESENTS A SELF-INSURED EMPLOYER3
THAT PROVIDES HEALTH INSURANCE TO ITS EMPLOYEES UNDER A HEALTH4
INSURANCE PLAN COVERED BY THE FEDERAL "EMPLOYEE RETIREMENT5
INCOME SECURITY ACT OF 1974", 29 U.S.C. SEC. 1001 ET SEQ., AS6
AMENDED; AND7
(XV) ONE MEMBER WHO REPRESENTS MANAGEMENT OF8
ORGANIZED LABOR THAT PROVIDES HEALTH INSURANCE COVERAGE FOR9
INDIVIDUALS WHO ARE INSURED UNDER A HEALTH INSURANCE PLAN10
COVERED BY THE FEDERAL "EMPLOYEE RETIREMENT INCOME SECURITY11
ACT OF 1974", 29 U.S.C. SEC. 1001 ET SEQ., AS AMENDED.12
(b) IN INVITING REPRESENTATIVES TO PARTICIPATE IN THE13
ANALYSIS COLLABORATIVE PURSUANT TO SUBSECTION (3)(a) OF THIS14
SECTION, THE EXECUTIVE DIRECTOR SHALL ENSURE THAT THE INVITEES :15
(I) H
AVE DEMONSTRATED AN ABILITY TO REPRESENT THE16
INTERESTS OF ALL COLORADANS AND, REGARDLESS OF THE
INVITEES'17
BACKGROUNDS OR AFFILIATIONS , ARE ABLE TO PRESENT OBJECTIVE ,18
NONPARTISAN, FACTUAL, AND EVIDENCE -BASED IDEAS AND TO19
OBJECTIVELY ADVISE THE COLORADO SCHOOL OF PUBLIC HEALTH20
CONCERNING A SINGLE-PAYER, NONPROFIT, UNIVERSAL HEALTH-CARE21
PAYMENT SYSTEM; AND22
(II) R
EFLECT THE SOCIAL, DEMOGRAPHIC, AND GEOGRAPHIC23
DIVERSITY OF THE STATE, INCLUDING HISTORICALLY MARGINALIZED24
COMMUNITIES.25 26
(c) IF A VACANCY OCCURS ON THE ANALYSIS COLLABORATIVE, THE27
1075
-11- EXECUTIVE DIRECTOR MAY INVITE A NEW REPRESENTATIVE TO FILL THE1
VACANCY.2
(4) T
HE EXECUTIVE DIRECTORS OF THE DEPARTMENT OF HUMAN3
SERVICES AND THE STATE DEPARTMENT , THE COMMISSIONER OF4
INSURANCE, AND THE CHIEF EXECUTIVE OFFICER OF THE COLORADO5
HEALTH BENEFIT EXCHANGE CREATED IN ARTICLE 22 OF TITLE 10, OR THE6
DESIGNEE OF AN EXECUTIVE DIRECTOR, THE COMMISSIONER, OR THE CHIEF7
EXECUTIVE OFFICER, SHALL SERVE ON THE
ANALYSIS COLLABORATIVE .8
(5) (a) T
HE EXECUTIVE DIRECTOR OF THE STATE DEPARTMENT , OR9
THE EXECUTIVE DIRECTOR 'S DESIGNEE SERVING ON THE
ANALYSIS10
COLLABORATIVE, SHALL CALL THE FIRST MEETING OF THE ANALYSIS11
COLLABORATIVE.12
13
(b) THE ANALYSIS COLLABORATIVE SHALL MEET AT LEAST TWO14
TIMES BEFORE OCTOBER 1, 2025, AND THE EXECUTIVE DIRECTOR OF THE15
STATE DEPARTMENT, OR THE EXECUTIVE DIRECTOR'S DESIGNEE SERVING16
ON THE ANALYSIS COLLABORATIVE, MAY CONVENE ADDITIONAL MEETINGS17
OF THE ANALYSIS COLLABORATIVE AS DETERMINED BY CONSULTING WITH18
THE MEMBERS OF THE ANALYSIS COLLABORATIVE AND THE SCHOOL OF19
PUBLIC HEALTH.20
(c) ALL MEETINGS OF THE ANALYSIS COLLABORATIVE MUST BE21
OPEN TO THE PUBLIC, AND THE ANALYSIS COLLABORATIVE SHALL POST22
NOTICE OF A MEETING AT LEAST ONE WEEK IN ADVANCE OF THE MEETING23
ON THE COLORADO SCHOOL OF PUBLIC HEALTH 'S WEBSITE AND THE STATE24
DEPARTMENT'S WEBSITE.25
(d) ALL MEETINGS OF THE ANALYSIS COLLABORATIVE SHALL BE26
HELD VIRTUALLY AND ALLOW FOR ATTENDANCE AND PARTICIPATION BY27
1075
-12- MEMBERS OF THE ANALYSIS COLLABORATIVE AND MEMBERS OF THE1
PUBLIC VIRTUALLY.2
(e) THE ANALYSIS COLLABORATIVE MAY HOLD MEETINGS WITHOUT3
A QUORUM OF THE MEMBERS PRESENT .4
(6) A
T THE FIRST MEETING OF THE
ANALYSIS COLLABORATIVE, A5
REPRESENTATIVE FROM THE ENTITY PROVIDING THE DRAFT MODEL6
LEGISLATION SELECTED BY THE COLORADO SCHOOL OF PUBLIC HEALTH7
PURSUANT TO SECTION 23-20-146 (3) SHALL PRESENT THE DRAFT MODEL8
LEGISLATION TO THE ANALYSIS COLLABORATIVE FOR FEEDBACK .9
(7) N
ONLEGISLATIVE
ANALYSIS COLLABORATIVE MEMBERS10
INVITED PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION ARE NOT11
ENTITLED TO RECEIVE PER DIEM OR OTHER COMPENSATION FOR12
PERFORMANCE OF SERVICES FOR THE ANALYSIS COLLABORATIVE BUT MAY13
BE REIMBURSED FOR ACTUAL AND NECESSARY EXPENSES INCURRED IN THE14
PERFORMANCE OF OFFICIAL DUTIES OF THE ANALYSIS COLLABORATIVE.15
L
EGISLATORS WHO SERVE ON THE
ANALYSIS COLLABORATIVE ARE16
REIMBURSED PURSUANT TO SECTION 2-2-307 (3).17
(8) T
HIS SECTION IS REPEALED, EFFECTIVE DECEMBER 1, 2026.18 SECTION 3. In Colorado Revised Statutes, 23-18-308, add19
(1)(m) as follows:20
23-18-308. Fee-for-service contracts - grants to local district21
colleges - limited purpose - repeal. (1) Subject to available22
appropriations, the department shall enter into fee-for-service contracts23
for the following purposes:24
(m) THE COLORADO SCHOOL OF PUBLIC HEALTH'S ANALYSIS OF25
MODEL LEGISLATION RELATED TO A STATEWIDE UNIVERSAL HEALTH-CARE26
SYSTEM CONDUCTED PURSUANT TO SECTION 23-20-146.27
1075
-13- SECTION 4. Appropriation. (1) For the 2024-25 state fiscal1
year, $240,735 is appropriated to the department of higher education. This2
appropriation is from the general fund. To implement this act, the3
department may use this appropriation for the college opportunity fund4
program to be used for limited purpose fee-for-service contracts with5
state institutions.6
(2) For the 2024-25 state fiscal year, $240,735 is appropriated to7
the department of higher education. This appropriation is from8
reappropriated funds received from the limited purpose fee-for-service9
contracts with state institutions under subsection (1) of this section. To10
implement this act, the department may use this appropriation for the11
regents of the university of Colorado for allocation to the school of public12
health.13
(3) For the 2024-25 state fiscal year, $448 is appropriated to the14
legislative department. This appropriation is from the general fund. To15
implement this act, the department may use this appropriation for the16
general assembly.17
SECTION 5. Safety clause. The general assembly finds,18
determines, and declares that this act is necessary for the immediate19
preservation of the public peace, health, or safety or for appropriations for20
the support and maintenance of the departments of the state and state21
institutions.22
1075
-14-