Second Regular Session
             Sixty-seventh General Assembly
                    STATE OF COLORADO
                                                 INTRODUCED
                                                           
                                                           
 LLS NO. 10-0169.01 Brita Darling        HOUSE BILL 10-1031
                    HOUSE SPONSORSHIP
 McCann,  Apuan, Massey
 
                   SENATE SPONSORSHIP
 Foster and Schwartz,  Boyd
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 House Committees
 Senate Committees
 
 
 Health and Human Services
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                         A BILL FOR AN ACT
       Concerning the administration of dental services provided
            under medicaid.
       
       
                           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://www.leg.state.co.us/billsummaries.)
       
            Health Care Task Force.  This bill requires the department of
       health care policy and financing (department) to enter into a contract with
       a single entity for the administration of dental services under medicaid
       (medicaid dental services).  Medicaid dental services are primarily
       provided to children and are distinct from the dental services provided
       under the children's basic health plan that is currently administered by a
       single entity.
            The bill requires the department to monitor the contract for
       compliance and performance.  The contracting entity will be required to
       provide any data and information necessary for the department to monitor
       and evaluate the contracting entity's performance.
            The department is not required to enter into a contract for the
       administration of medicaid dental services if no suitable proposals are
       received by the department or if the department determines that
       contracting for the administration of medicaid dental services is not
       cost-effective or efficient for the state or does not result in the
       improvement of services provided to clients.
       
       
       
       Be it enacted by the General Assembly of the State of Colorado:
            SECTION 1.  Part 2 of article 4 of title 25.5, Colorado Revised
       Statutes, is amended BY THE ADDITION OF A NEW SECTION to
       read:
            25.5-4-211.  Administration of dental services.  (1)  As used in
       this section, unless the context otherwise requires, "dental
       provider" means a licensed professional who provides covered
       dental services pursuant to this article and articles 5 and 6 of
       this title.
            (2) (a)  The state department shall contract with a single,
       qualified entity for the administration of dental services
       pursuant to section 25.5-5-102 (1) (d) and (1) (g), that will result
       in greater efficiency to the state and will facilitate better
       access for both clients and dental providers.  The contract
       shall be awarded through a competitive bidding process in
       accordance with the "Procurement Code", articles 101 to 112 of
       title 24, C.R.S.
            (b)  The contract shall specifically provide that the
       contracting entity is prohibited from requiring dental providers
       to participate in any other public or private program or to
       accept any other insurance products as a condition of
       participating as a dental provider.
            (c) (I)  The state department shall retain policy-making
       authority, including but not limited to policies concerning
       covered benefits and rate setting, and shall monitor compliance
       with the contract and the performance of the contracting
       entity.
            (II)  The contracting entity shall comply with federal
       reporting requirements and shall provide the state department
       with data and information necessary for the state department
       to monitor compliance with the contract and evaluate the
       performance of the contracting entity.
            (3)  Notwithstanding the provisions of paragraph (a) of
       subsection (2) of this section, the state department shall not be
       required to enter into a contract with an entity for the
       administration of dental services pursuant to section 25.5-5-102
       (1) (d) and (1) (g), if the state department does not receive a
       proposal meeting the state department's contracting
       requirements or terms, or if the state department determines
       that entering into a contract for these services is not
       cost-effective or efficient for the state or does not improve the
       overall quality of services provided to clients.
            SECTION 2.  Act subject to petition - effective date.  This act
       shall take effect at 12:01 a.m. on the day following the expiration of the
       ninety-day period after final adjournment of the general assembly (August
       11, 2010, if adjournment sine die is on May 12, 2010); except that, if a
       referendum petition is filed pursuant to section 1 (3) of article V of the
       state constitution against this act or an item, section, or part of this act
       within such period, then the act, item, section, or part shall not take effect
       unless approved by the people at the general election to be held in
       November 2010 and shall take effect on the date of the official
       declaration of the vote thereon by the governor.