Bill Summary for Bill Number SB13-166

Date: 04/30/2013

Final
BILL SUMMARY for SB13-166

HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES

Votes: View-->	Action Taken:
Refer Senate Bill 13-166 to the Committee on Appro	PASS

02:16 PM -- Senate Bill 13-166

Representative Schafer, sponsor, presented Senate Bill 13-166 concerning deadlines for the development of the medical clean claims standards. This bill extends, by one year, the deadlines for the development and implementation of uniform standardized payment rules and claim edits. The new deadlines are as follows:

December 31, 2014 - the Medical Clean Claims Task Force must report its recommendations to the Department of Health Care Policy and Financing (HCPF) and the House and Senate Health Committees;

January 1, 2016 - commercial health plans must implement uniform standardized payment rules and claim edits; and

January 1, 2017- domestic, nonprofit health plans must implement uniform standardized payment rules and claim edits.

The bill specifies that the General Assembly may appropriate moneys to the HCPF to fund the work of the task force. The bill includes a General Fund appropriation of $100,000.

A health care provider submits a "clean claim" when all the information required by the payer is reported in the proper format and correctly coded. A clean claim facilitates timely payments to providers. The Medical Clean Claims Transparency and Uniformity Act was created by House Bill 10-1332. It required the executive director of HCPF to establish a task force of industry and government representatives to develop a uniform standardized set of payment rules and claim edits to be used by payers and health care providers in Colorado. The Colorado Medical Society Foundation serves as the custodian of funds for the task force and is authorized to solicit and collect monetary and in-kind gifts, grants, and donations to fund the task force.

Representative Schafer responded to questions regarding the task force and the fiscal analysis of the bill.

02:22 PM -- Barry Keene, representing the Medical Clean Claims Task Force, testified in support of the bill. He described what clean claims are and the function and purpose of the task force. Mr. Keene responded to questions from the committee regarding funding for the task force, the development of a uniform computer program for the clean claims standard, and the use of technical expertise from other states.

02:36 PM -- Marc Reece, representing the Colorado Association of Health Plans, testified in support of the bill. He discussed the insurance industry's role in the development standards and the need for financial support from both private and public stakeholders.

02:39 PM -- Marilynn Rissmiller, representing the Medical Clean Claims Task Force and the Colorado Medical Society, testified in support of the bill. She responded to questions from the committee regarding the proposed deadlines and how the task force might update the standards in the future.

02:41 PM

Representative Schafer concluded her presentation on Senate Bill 13-166.


BILL:	SB13-166
TIME:	02:41:51 PM
MOVED:	Schafer
MOTION:	Refer Senate Bill 13-166 to the Committee on Appropriations. The motion passed on a vote of 10-2 with one member excused.
SECONDED:	May
		VOTE
	Conti	Yes
	Everett	No
	Joshi	Yes
	Landgraf	Yes
	May	Yes
	McCann	Yes
	Schafer	Yes
	Singer	Yes
	Stephens	Yes
	Tyler	Yes
	Wilson	No
	Young	Yes
	Primavera	Excused

Final YES: 10 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS