Bill Summary for Bill Number HB09-1061

Date: 02/11/2009

Final
BILL SUMMARY for HB09-1061

HOUSE COMMITTEE ON BUSINESS AFFAIRS AND LABOR

Votes: View-->	Action Taken:
Moved amendment L.004 (Attachment A), as amended. Moved amendment L.006 (Attachment B) to amendment Moved to refer House Bill 09-1061, as amended, to	Pass Without Objection Pass Without Objection PASS

09:36 AM -- House Bill 09-1061

Representative McGihon, prime sponsor, presented House Bill 09-1061 concerning required health care disclosures involving insurance carrier business relationships with intermediary entities. This bill requires health insurance companies to provide the Division of Insurance, Department of Regulatory Agencies, a list of the average reimbursement rates for the 25 most common outpatient procedures. In addition, companies are to provide detailed disclosures to the division regarding all business relationships with intermediaries that perform any of the following:

set standards of care and practice guidelines;
prior authorizations;
select participating in-network providers;
negotiate or set reimbursement rates;
obtain insurance contracts for health care providers; and
issue credentials to providers.

Insurance companies are to distribute these disclosures to their policyholders upon issuance or renewal of an insurance policy. The division will post all the information provided under HB09-1061 on the division's website. The sponsor distributed and discussed a strike below amendment L.004 (Attachment A) and a technical amendment to the strike below, amendment L.006 (Attachment B). Representative McGihon stated that the bill does not apply to Pharmacy Benefits Managers. Representative Balmer asked if the sponsor would be open to an amendment to state that in the bill.

09:44 AM -- Betsy Murray and Martin Lavine, representing the Colorado Chapter of the American Physical Therapy Association, testified in support of the bill.

09:48 AM -- Edie Sonn, representing the Colorado Medical Society, testified in support of the bill.

09:49 AM -- Ben Price, the Executive Director of the Colorado Association of Health Plans, testified in support of the amendments to the bill.

09:50 AM

There was a discussion about the strike below that adds that a violation of the bill would be an unfair or deceptive trade practice and the possible increase of litigation. Representative Stephens questioned why the bill was necessary since there are already remedies available for the acts provided in the bill.


BILL:	HB09-1061
TIME:	10:01:50 AM
MOVED:	Gagliardi
MOTION:	Moved amendment L.004 (Attachment A), as amended. The motion passed without objection.
SECONDED:	Soper
		VOTE
	Balmer
	Bradford
	Gagliardi
	Liston	Excused
	Priola
	Ryden
	Scanlan
	Soper
	Stephens
	Casso
	Rice	Excused

Not Final YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB09-1061
TIME:	10:12:30 AM
MOVED:	Gagliardi
MOTION:	Moved amendment L.006 (Attachment B) to amendment L.004 (Attachment A). The motion passed without objection.
SECONDED:	Ryden
		VOTE
	Balmer
	Bradford
	Gagliardi
	Liston	Excused
	Priola
	Ryden
	Scanlan
	Soper
	Stephens
	Casso
	Rice	Excused

Not Final YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB09-1061
TIME:	10:15:00 AM
MOVED:	Soper
MOTION:	Moved to refer House Bill 09-1061, as amended, to the Committee on Finance. The motion passed 5-4.
SECONDED:	Gagliardi
		VOTE
	Balmer	No
	Bradford	No
	Gagliardi	Yes
	Liston	Excused
	Priola	No
	Ryden	Yes
	Scanlan	Yes
	Soper	Yes
	Stephens	No
	Casso	Yes
	Rice	Excused

Final YES: 5 NO: 4 EXC: 2 ABS: 0 FINAL ACTION: PASS

10:16 AM

The committee recessed.