NOTE: The governor signed this measure on 5/11/2013.
      
      
      HOUSE BILL 13-1196
      
      
      BY REPRESENTATIVE(S) Stephens, Conti, Fields, Gerou, Hullinghorst,
      Primavera, Schafer, Scott, Young;
      also SENATOR(S) Newell.
      
      
      Concerning reporting relating to the medicaid coordinated care
           system.
       
      
      Be it enacted by the General Assembly of the State of Colorado:
      
           SECTION 1.  In Colorado Revised Statutes, add 25.5-5-417 as
      follows:
      
           25.5-5-417.  Reducing unnecessary duplicative services in the
      accountable care collaborative program - repeal. (1) (a)  The general
      assembly finds and declares that:
      
           (I)  The state department has created a medicaid
      coordinated care system known and referred to in this section as
      the "accountable care collaborative" to improve client health
      and reduce costs in the medicaid program;
      
           (II)  One of the primary goals of the accountable care
      collaborative is to reduce costs to the medicaid program through
      coordination between the primary care medical providers, the
      regional care collaborative organizations, and the statewide
      data and analytics contractor;
      
           (III)  Additionally, the accountable care collaborative is
      also evaluating the payment system used for the medicaid
      program to improve client health outcomes through more
      effective payment systems;
      
           (IV)  The state department has entered into contracts with
      regional organizations for the accountable care collaborative;
      
           (V)  These regional care collaborative organizations,
      referred to in this section as "RCCOs", receive a per-member,
      per-month payment to perform a number of functions that include
      but are not limited to supporting community-based care
      coordination, being accountable for health and cost outcomes,
      and ensuring care coordination for all clients; and
      
           (VI)  Despite care coordination and accountability efforts,
      there remains within the medicaid system waste and duplication of
      services that are increasing state medicaid costs and preventing
      maximum efficiency in the medicaid system.
      
           (b)  Therefore, the general assembly declares that, in an
      effort to bring greater transparency to cost-containment efforts
      by the accountable care collaborative, the state department
      shall report annually to the general assembly concerning
      efforts to reduce waste and duplication within the accountable
      care collaborative.
      
           (2)  As part of the annual report required pursuant to part
      2 of article 7 of title 2, C.R.S., the state department shall provide
      information concerning the following:
      
           (a)  The specific efforts within the accountable care
      collaborative, including a summary of technology-based efforts,
      to identify and implement best practices relating to cost
      containment, and reducing avoidable, duplicative, variable, and
      inappropriate use of health care resources, and the outcome of
      those efforts, including cost savings if known;
      
           (b)  Any statutes or policies or procedures that prevent the
      RCCOs from realizing efficiencies and reducing waste within the
      medicaid system; and
      
           (c)  Any other efforts by the RCCOs or the state department
      to ensure that those who provide care for medicaid clients are
      aware of and actively participate in reducing waste within the
      medicaid system.
      
           (3)  The state department shall indicate on its report the
      counties being served by each RCCO.
      
           (4)  This section is repealed, effective July 15, 2018.
      
           SECTION 2.  Act subject to petition - effective date. This act
      takes 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
      7, 2013, if adjournment sine die is on May 8, 2013); 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 will not take effect unless
      approved by the people at the general election to be held in November 2014
      and, in such case, will take effect on the date of the official declaration of
      the vote thereon by the governor.
      
      
      
      
      ________________________________________________________
      Mark Ferrandino                         John P. Morse
      SPEAKER OF THE HOUSE                     PRESIDENT OF
      OF REPRESENTATIVES                         THE SENATE
      
      
      
      
      
      
      ____________________________  ____________________________
      Marilyn Eddins                      Cindi L. Markwell
      CHIEF CLERK OF THE HOUSE                 SECRETARY OF
      OF REPRESENTATIVES                         THE SENATE
      
      
      
      
                  APPROVED________________________________________
      
      
      
      
      
                                    _________________________________________
                                    John W. Hickenlooper
                                    GOVERNOR OF THE STATE OF COLORADO