NOTE: The governor signed this measure on 4/5/2016.
      
      
      SENATE BILL 16-127
      
      
      BY SENATOR(S) Tate, Baumgardner, Cooke, Crowder, Hill, Holbert,
      Jahn, Marble, Scott, Woods;
      also REPRESENTATIVE(S) Arndt, Brown, Klingenschmitt.
      
      
      Concerning the repeal of the "Medical Clean Claims
           Transparency and Uniformity Act".
      
      
      Be it enacted by the General Assembly of the State of Colorado:
      
           SECTION 1.  In Colorado Revised Statutes, amend 25-37-101 as
      follows:
      
           25-37-101.  Applicability of article. Except as provided in section
      25-37-106, A person or entity that contracts with a health care provider
      shall comply with this article and shall include the provisions required by
      this article in the contract.
      
           SECTION 2.  In Colorado Revised Statutes, 25-37-102, repeal (4)
      as follows:
      
           25-37-102.  Definitions. As used in this article, unless the context
      otherwise requires:
      
           (4)  "Edit" means a practice or procedure, consistent with the
      standardized set of payment rules and claim edits developed pursuant to
      section 25-37-106, pursuant to which one or more adjustments are made
      regarding procedure codes, including the CPT code sets and the HCPCS,
      that results in:
      
           (a)  Payment for some, but not all, of the codes;
      
           (b)  Payment for a different code;
      
           (c)  A reduced payment as a result of services provided to a patient
      that are claimed under more than one code on the same service date;
      
           (d)  A modified payment related to a permissible and legitimate
      modifier used with a procedure code, as specified in section 25-37-106 (2);
      or
      
           (e)  A reduced payment based on multiple units of the same code
      billed for a single date of service.
      
           SECTION 3.  In Colorado Revised Statutes, repeal 25-37-106.
      
           SECTION 4.  Effective date. This act takes effect July 1, 2016.
      
           SECTION 5.  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.
      
      
      
      
      ____________________________  ____________________________
      Bill L. Cadman                Dickey Lee Hullinghorst
      PRESIDENT OF                     SPEAKER OF THE HOUSE
      THE SENATE                         OF REPRESENTATIVES
      
      
      
      
      
      
      ____________________________  ____________________________
      Effie Ameen                            Marilyn Eddins
      SECRETARY OF                 CHIEF CLERK OF THE HOUSE
      THE SENATE                         OF REPRESENTATIVES
      
      
      
      
                  APPROVED________________________________________
      
      
      
      
      
                                    _________________________________________
                                    John W. Hickenlooper
                                    GOVERNOR OF THE STATE OF COLORADO