§ 10-16-103 — Proposal of mandatory health-care coverage provisions

Colorado § 10-16-103

• Jurisdiction: Colorado
• Title 10: Insurance
• Art.: Health-care Coverage

Text

(1)
Every person or organization which seeks legislative action which would mandate a
health coverage or offering of a health coverage by an insurance carrier, nonprofit
hospital and health-care service corporation, health maintenance organization, or
prepaid dental care plan organization as a component of individual or group policies
shall submit a report to the legislative committee of reference addressing both the
social and financial impacts of such coverage, including the efficacy of the
treatment or service proposed.

(2) Guidelines for assessing the impact of proposed mandated or
mandatorily offered health coverage to the extent that information is available
shall include, but not be limited to, the following:

(a) The social impact of such mandatory coverage, including, but not limited
to, the following:

(I) The extent to which the treatment or service is generally utilized by a
significant portion of the population;

(II) The extent to which the insurance coverage is already generally available
to the general population;

(III) The extent to which the lack of coverage results in persons avoiding
necessary health-care treatments;

(IV) The extent to which the lack of coverage results in unreasonable
financial hardship;

(V) The level of public demand for the treatment or service, including the
public level of demand for insurance coverage of such treatment or service;

(VI) The level of interest of collective bargaining agents in negotiating
privately for inclusion of this coverage in group contracts;

(b) The financial impact of such mandatory coverage, including, but not
limited to, the following:

(I) The extent to which the coverage will increase or decrease the cost of the
treatment or service;

(II) The extent to which the coverage will increase the appropriate use of the
treatment or service;

(III) The extent to which the mandated treatment or service will be a
substitute for more expensive treatment or coverage;

(IV) The extent to which the coverage will increase or decrease the
administrative expenses of insurance companies and the premium and
administrative expenses of policyholders;

(V) The impact of this coverage on the total cost of health care in Colorado.

Legislative History

Source: L. 92: Entire article R&RE, p. 1620, � 1, effective July 1.