Bill Summary for Bill Number SB14-159

Date: 05/01/2014

Final
BILL SUMMARY for SB14-159

HOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT

Votes: View-->	Action Taken:
Refer Senate Bill 14-159 to the Committee on Appro	PASS

03:54 PM -- SB 14-159

Representative Primavera presented Senate Bill 14-159. The Medical Clean Claims Task Force (task force) was created under House Bill 10-1332 to develop a standardized set of payment rules and claim edits to be used by payers and health care providers in Colorado when claims are undisputed (clean claims). This bill modifies the deadlines for developing and implementing the standard payment rules and claim edits and adds a year-long public review period to test the long-term governance process for the rules and edits. The new deadlines are as follows:

December 31, 2014 - task force reports to the executive director of the HCPF and the House and Senate health committees on a set of recommended rules and edits;
January 1, 2015 - December 31, 2015 - task force makes rules and edits available for public review and comment;
January 31, 2016 - task force submits final rules and edits to the executive director of the Department of Health Care Policy and Financing (HCPF) and the House and Senate health committees;
January 1, 2016 - December 31, 2016 - task force assists users with questions on rules and edits; and
January 1, 2017 - all payers except insurance plans subject to the "Employee Retirement Income Security Act of 1974" implement and use rules and edits.

The executive director of the HCPF is directed to work with the federal Department of Health and Human Services to encourage and facilitate the use of the rules and edits nationally. The task force is repealed on December 31, 2016.

Representative Primavera provided two handouts to the committee (Attachments G and H).

140501 AttachG.pdf

140501 AttachH.pdf

04:01 PM -- Barry Keene, representing the Clean Claims Task Force, testified in support of the bill and provided a handout (Attachment I). He discussed the task force's need for legal services. Mr. Keene responded to questions about why the task force needs to be extended, the position of the health insurance plans on the bill, and why the task force does not use the Attorney's General Office for its legal needs.

140501 AttachI.pdf

04:12 PM -- Clare Pramuk, Legislative Council Staff, stated that Mr. Keene had accurately explained the bill's fiscal note concerning legal fees.

04:13 PM

Representative Primavera made concluding remarks about the bill.


BILL:	SB14-159
TIME:	04:13:59 PM
MOVED:	Primavera
MOTION:	Refer Senate Bill 14-159 to the Committee on Appropriations. The motion passed on a vote of 11-0.
SECONDED:	Swalm
		VOTE
	Fields	Yes
	Ginal	Yes
	Humphrey	Yes
	Joshi	Yes
	Landgraf	Yes
	McNulty	Yes
	Primavera	Yes
	Singer	Yes
	Swalm	Yes
	Schafer	Yes
	McCann	Yes

Final YES: 11 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

04:15 PM

Representative McCann made announcements about the committee's schedule and adjourned the committee.