First Regular Session
               Seventieth General Assembly
                    STATE OF COLORADO
                                                 INTRODUCED
                                                           
                                                           
 LLS NO. 15-0788.01 Jerry Barry          HOUSE BILL 15-1151
                    HOUSE SPONSORSHIP
 Rankin, Hamner, Young
 
                   SENATE SPONSORSHIP
 Lambert, Grantham, Steadman
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 House Committees
 Senate Committees
 
 
 Health, Insurance, & Environment
 
 
 
 Appropriations
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                         A BILL FOR AN ACT
       Concerning reimbursement rates under the Colorado
            medical assistance act, and, in connection therewith,
            making an appropriation.
       
       
                           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.)
       
            Joint Budget Committee. Current law authorizes the medical
       services board by rule to establish payment rates for services under
       medicaid. The bill requires those rates to be not less than 60% of:
                 The rate for the equivalent service under medicare; or
                 If there is no equivalent medicare rate, the average fair
                 market rate for the service.
       
       
       
       Be it enacted by the General Assembly of the State of Colorado:
            SECTION 1.  In Colorado Revised Statutes, 25.5-4-401, add (1)
       (b.5) as follows:
            25.5-4-401.  Providers - payments - rules. (1) (b.5) (I)   On and
       after July 1, 2015, the state department rules promulgated for
       the payment of providers under this article and articles 5 and
       6 of this title must provide that payment rates for services are
       not less than sixty percent of:
            (A)  The rate for the equivalent service under medicare,
       Title XVIII of the federal "Social Security Act", as amended; or
            (B)  If the service does not have an equivalent medicare
       rate, the average fair market rate for the service.
            (II)  If any provision of this paragraph (b.5) is found to be
       in conflict with any federal law or regulation, such conflicting
       portion of this paragraph (b.5) is declared to be inoperative to
       the extent of the conflict.
            SECTION 2.  Appropriation. For the 2015-16 state fiscal year,
       $_____ is appropriated to the department of health care policy and
       financing for medical services premiums. This appropriation consists of
       $____ from the general fund, $______ from the _____ fund created in
       section _____, C.R.S., and $______ federal funds. To implement this act,
       the department may use this appropriation for any provider rate increases
       necessary to comply with the minimum standards in section 25.5-4-401
       (1) (b.5) (I), C.R.S.
            SECTION 3.  Safety clause. The general assembly hereby finds,
       determines, and declares that this act is necessary for the immediate
       preservation of the public peace, health, and safety.