7 | 7 | | LLS NO. 25-0406.01 Clare Haffner x6137 |
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8 | 8 | | SENATE BILL 25-193 |
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9 | 9 | | Senate Committees House Committees |
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10 | 10 | | Health & Human Services |
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11 | 11 | | Appropriations |
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12 | 12 | | A BILL FOR AN ACT |
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13 | 13 | | C |
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14 | 14 | | ONCERNING THE CONTINUATION OF THE PRIMARY CARE PAYMENT101 |
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15 | 15 | | REFORM COLLABORATIVE .102 |
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16 | 16 | | Bill Summary |
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17 | 17 | | (Note: This summary applies to this bill as introduced and does |
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18 | 18 | | not reflect any amendments that may be subsequently adopted. If this bill |
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19 | 19 | | passes third reading in the house of introduction, a bill summary that |
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20 | 20 | | applies to the reengrossed version of this bill will be available at |
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21 | 21 | | http://leg.colorado.gov/ |
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22 | 22 | | .) |
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23 | 23 | | Sunset Process - Senate Health and Human Services |
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24 | 24 | | Committee. In 2019, the division of insurance within the department of |
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25 | 25 | | regulatory agencies (department) established the primary care payment |
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26 | 26 | | reform collaborative (collaborative) to, among other things, advise in the |
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27 | 27 | | development of affordability standards and targets for carrier investments |
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37 | 34 | | HOUSE SPONSORSHIP |
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38 | 35 | | Garcia Sander and McCormick, |
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39 | 36 | | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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40 | 37 | | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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41 | 38 | | Dashes through the words or numbers indicate deletions from existing law. models by health-care providers and insurers, and develop |
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42 | 39 | | recommendations to address barriers. |
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43 | 40 | | The bill implements the recommendations of the department's |
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44 | 41 | | sunset review and report by: |
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45 | 42 | | ! Continuing the collaborative for 7 years, until September 1, |
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46 | 43 | | 2032; and |
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47 | 44 | | ! Scheduling the next sunset review to take place pursuant to |
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48 | 45 | | the sunset review structure for advisory committees. |
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49 | 46 | | Be it enacted by the General Assembly of the State of Colorado:1 |
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50 | 47 | | SECTION 1. In Colorado Revised Statutes, 10-16-150, amend2 |
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51 | 48 | | (1)(g)(II), (1)(g)(III), (2)(a), and (7); and add (1)(g)(IV) as follows:3 |
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52 | 49 | | 10-16-150. Primary care payment reform collaborative -4 |
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53 | 50 | | created - powers and duties - report - definition - repeal. (1) The5 |
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54 | 51 | | commissioner shall convene a primary care payment reform collaborative6 |
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55 | 52 | | to:7 |
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56 | 53 | | (g) Develop recommendations to increase the use of alternative8 |
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57 | 54 | | payment models that are not paid on a fee-for-service or per-claim basis9 |
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58 | 55 | | to:10 |
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59 | 56 | | (II) Align primary care reimbursement by all consumers of11 |
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60 | 57 | | primary care; and12 |
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61 | 58 | | (III) Direct investment toward higher value primary care services13 |
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62 | 59 | | with an aim toward reducing health disparities; |
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63 | 60 | | AND |
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64 | 61 | | 14 |
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65 | 62 | | (IV) E |
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66 | 63 | | NSURE THE DEVELOPMENT AND CONSIDERATION OF |
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67 | 64 | | 15 |
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68 | 65 | | ALTERNATIVE PAYMENT MODELS THAT ARE RESPONSIVE TO THE NEEDS OF16 |
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69 | 66 | | PRIMARY CARE DELIVERY IN PEDIATRICS.17 |
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70 | 67 | | (2) The commissioner shall invite representatives from the18 |
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71 | 68 | | following to participate in the primary care payment reform collaborative:19 |
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72 | 69 | | (a) Health-care providers, including primary care providers |
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73 | 70 | | AND |
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74 | 71 | | 20 |
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75 | 72 | | PEDIATRIC PRIMARY CARE PROVIDERS ;21 |
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76 | 73 | | 193-2- (7) This section is repealed, effective September 1, 20251 |
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77 | 74 | | S |
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78 | 75 | | EPTEMBER 1, 2032. Before the repeal, the functions of the primary care2 |
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79 | 76 | | payment reform collaborative are scheduled for review in accordance3 |
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80 | 77 | | with section 24-34-104 |
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81 | 78 | | SECTION 2-3-1203.4 |
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82 | 79 | | SECTION 2. In Colorado Revised Statutes, 2-3-1203, add5 |
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83 | 80 | | (23.5)(a)(II) as follows:6 |
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84 | 81 | | 2-3-1203. Sunset review of advisory committees - legislative7 |
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85 | 82 | | declaration - definition - repeal. (23.5) (a) The following statutory8 |
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86 | 83 | | authorizations for the designated advisory committees will repeal on9 |
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87 | 84 | | September 1, 2032:10 |
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88 | 85 | | (II) T |
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89 | 86 | | HE PRIMARY CARE PAYMENT REFORM COLLABORATIVE11 |
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90 | 87 | | CREATED IN SECTION 10-16-150.12 |
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91 | 88 | | SECTION 3. In Colorado Revised Statutes, 24-34-104, repeal13 |
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92 | 89 | | (26)(a)(VIII) as follows:14 |
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93 | 90 | | 24-34-104. General assembly review of regulatory agencies15 |
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94 | 91 | | and functions for repeal, continuation, or reestablishment - legislative16 |
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95 | 92 | | declaration - repeal. (26) (a) The following agencies, functions, or both,17 |
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96 | 93 | | are scheduled for repeal on September 1, 2025:18 |
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97 | 94 | | (VIII) The primary care payment reform collaborative established |
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98 | 95 | | 19 |
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99 | 96 | | in section 10-16-150;20 |
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100 | 97 | | SECTION 4. Act subject to petition - effective date. This act21 |
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101 | 98 | | takes effect at 12:01 a.m. on the day following the expiration of the22 |
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102 | 99 | | ninety-day period after final adjournment of the general assembly; except23 |
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103 | 100 | | that, if a referendum petition is filed pursuant to section 1 (3) of article V24 |
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104 | 101 | | of the state constitution against this act or an item, section, or part of this25 |
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105 | 102 | | act within such period, then the act, item, section, or part will not take26 |
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106 | 103 | | effect unless approved by the people at the general election to be held in27 |
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107 | 104 | | 193 |
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108 | 105 | | -3- November 2026 and, in such case, will take effect on the date of the1 |
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109 | 106 | | official declaration of the vote thereon by the governor.2 |
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110 | 107 | | 193 |
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111 | 108 | | -4- |
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