Second Regular Session
               Seventieth General Assembly
                    STATE OF COLORADO
                                                 INTRODUCED
                                                           
                                                           
 LLS NO. 16-0843.01 Christy Chase x2008  SENATE BILL 16-139
                   SENATE SPONSORSHIP
 Roberts and Hodge,
 
                    HOUSE SPONSORSHIP
 Coram,
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Senate Committees
 House Committees
 
 
 Health & Human Services
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                         A BILL FOR AN ACT
       Concerning a requirement that the Colorado commission on
            affordable health care develop a proposal under any
            applicable federal law to enable the state to operate
            a global payment system pilot program for hospitals in
            certain areas of the state.
       
       
                           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.)
       
            The bill directs the Colorado commission on affordable health care
       to develop a proposal under any applicable federal law to enable the state
       to modify the system for reimbursing hospitals located in certain rural
       areas of the state for treating medicare and privately insured patients
       using a total-cost-of-care model rather than a fee-for-service model. The
       commission is to develop and submit the proposal to the governor and
       specified legislative committees within 60 days after the bill takes effect
       and present its proposal to a joint meeting of the legislative committees.
       
       
       
       Be it enacted by the General Assembly of the State of Colorado:
            SECTION 1.  In Colorado Revised Statutes, 25-46-102, amend
       (1); and add (1.5) and (7) as follows:
            25-46-102.  Definitions. As used in this article:
            (1)  "Commission" means the Colorado commission on affordable
       health care established under section 25-46-103. "Affordable care
       act" means the "Patient Protection and Affordable Care Act",
       Pub.L. 111-148, as amended by the "Health Care and Education
       Reconciliation Act of 2010", Pub.L. 111-152.
            (1.5)  "Commission" means the Colorado commission on
       affordable health care established under section 25-46-103.
            (7)  "Medicare" means federal insurance or assistance as
       provided by Title XVIII of the federal "Social Security Act", as
       amended, 42 U.S.C. sec. 1305 et seq.
            SECTION 2.  In Colorado Revised Statutes, 25-46-104, add (2.5)
       as follows:
            25-46-104.  Duties of commission - mission - staffing - report.
       (2.5) (a)  In addition to the powers and duties specified in
       subsection (2) of this section, within sixty days after the
       effective date of this subsection (2.5), the commission shall
       develop a proposal under any applicable federal law to enable
       the state to operate a global payment system pilot program
       that focuses on a total cost-of-care model rather than a
       fee-for-service model for the reimbursement of hospitals for
       medicare patients. The proposal must include at least the
       following components:
            (I)  Designation of the geographic areas in which the state
       will operate the pilot program, focusing primarily on the two
       nonmetropolitan statistical areas designated by the Colorado
       division of insurance for the 2016 calendar year as the east and
       west geographic rating areas and the Grand Junction
       metropolitan statistical area;
            (II)  Designation of the specific hospitals required to
       participate in the pilot program;
            (III)  A general description of a total-cost-of-care
       reimbursement model for hospital reimbursement, including how
       the state might propose that the federal government modify
       medicare reimbursement and how that modification is intended
       to impact health insurance premiums;
            (IV)  Specification of what agency or entity will operate
       the pilot program and who will provide oversight of the agency
       or entity operating the pilot program; and
            (V)  A recommendation indicating which state department
       or agency, or combination of departments or agencies, should
       pursue the proposal with the federal government.
            (b)  The commission shall develop the proposal within the
       time specified in paragraph (a) of this subsection (2.5), submit the
       proposal to the governor and the legislative committees
       specified in subsection (8) of this section, and present the
       proposal to a joint meeting of the legislative committees during
       the 2016 legislative session.
            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.