First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
INTRODUCED
LLS NO. 25-0511.01 Brita Darling x2241
HOUSE BILL 25-1317
House Committees Senate Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING THE CORRECTION OF A DEFECT IN LAW THAT101
INCORRECTLY REFERENCES THE STANDARD FOR PROVIDER102
SELF-PAY ESTIMATES FOR HEALTH -CARE SERVICES.103
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
http://leg.colorado.gov/
.)
Statutory Revision Committee. Under current law, an individual
may request a self-pay estimate of the total cost of an anticipated
health-care service (self-pay estimate) from the designated billing or
patient services personnel representing the health-care provider or
health-care facility providing the service. Unless the patient suffers a
HOUSE SPONSORSHIP
Bradley and Carter,
SENATE SPONSORSHIP
Exum,
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. medical emergency or other unforeseen circumstance that affects the
services provided, the statute states that the final cost of the health-care
service must be no more than 15% higher than the self-pay estimate or
$400, whichever is less.
The bill corrects a mistake in the statutory language by clarifying
that the $400 qualifier relates to the permissible dollar amount above the
cost estimated in the self-pay estimate rather than the maximum allowable
cost of the health-care service, regardless of the service provided.
Further, when referencing the exception in statute that, due to an
emergency or unforeseen circumstance, the total cost of services may
exceed the self-pay estimate by more than 15% or $400, the bill removes
the language "whichever is less", as that language is inapplicable when
the exception applies.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 25-49-106, amend2
(1)(b) as follows:3
25-49-106. Required disclosure to self-pay recipients - estimate4
of total cost of health-care services upon request - deceptive trade5
practice - definition. (1) (b) (I) Except as provided in subsection6
(1)(b)(II) of this section, the final cost of the health-care service for which7
the self-pay estimate was made must be no more than fifteen percent8
higher than the total estimated cost indicated in the self-pay estimate or9
NO MORE THAN four hundred dollars HIGHER THAN THE TOTAL ESTIMATED10
COST INDICATED IN THE SELF-PAY ESTIMATE, whichever is less.11
(II) The final cost of the health-care service for which the self-pay12
estimate was made may be more than fifteen percent
HIGHER OR MORE13
THAN FOUR HUNDRED DOLLARS higher than the self-pay estimate or four
14
hundred dollars if a medical emergency occurs that is associated with the15
health-care service or if an additional, unforeseen, medically necessary16
health-care service is required during the provision of the health-care17
service. The health-care provider or health-care facility shall make all18
HB25-1317-2- reasonable efforts to obtain the consent of the recipient or, if the recipient1
is incapacitated, the recipient's authorized agent prior to providing any2
emergency or unforeseen, medically necessary health-care service that3
will increase by more than fifteen percent
OR BY MORE THAN FOUR4
HUNDRED DOLLARS the total cost indicated in the self-pay estimate. or
5
four hundred dollars, whichever is less.6
SECTION 2. Act subject to petition - effective date. This act7
takes effect at 12:01 a.m. on the day following the expiration of the8
ninety-day period after final adjournment of the general assembly; except9
that, if a referendum petition is filed pursuant to section 1 (3) of article V10
of the state constitution against this act or an item, section, or part of this11
act within such period, then the act, item, section, or part will not take12
effect unless approved by the people at the general election to be held in13
November 2026 and, in such case, will take effect on the date of the14
official declaration of the vote thereon by the governor.15
HB25-1317
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