§ 10-16-1104 — Commissioner powers and duties - rules - study and report

Colorado § 10-16-1104

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

Text

(1)
The commissioner has all powers necessary to implement this part 11 and is
specifically authorized to:

(a) Enter into contracts as necessary or proper to carry out the provisions
and purposes of this part 11, including contracts for the administration of the
reinsurance program and with appropriate administrative staff, consultants, and
legal counsel;

(b) Take legal action as necessary to avoid the payment of improper claims
under the reinsurance program;

(c) Establish administrative and accounting procedures for the operation of
the reinsurance program;

(d) Establish procedures and standards for carriers to submit claims under
the reinsurance program;

(e) Establish or adjust the payment parameters in accordance with section
10-16-1105 (2) for each benefit year;

(f) Repealed.

(g) In accordance with section 10-16-1109, apply for a state innovation waiver
or an extension of a state innovation waiver; apply for federal funds; or apply for
both a waiver or extension of a waiver and federal funds for the implementation and
operation of the reinsurance program;

(h) Apply for, accept, administer, and expend gifts, grants, and donations and
any federal or state funds that may become available for the reinsurance program;
and

(i) Adopt rules as necessary to implement, administer, and enforce this part
11, including rules necessary to align state law with any federal program and rules.
The rules shall be adopted in accordance with the State Administrative Procedure
Act, article 4 of title 24, including the requirement to establish a representative
group of participants pursuant to section 24-4-103 (2).

(2) (a) If the reinsurance program is approved pursuant to section 10-16-1109,
the commissioner, during implementation of the program, shall evaluate the effect
of the program on access to affordable, high-value health insurance for consumers
who are eligible for premium tax credit subsidies and cost-sharing reductions and
minimize any potential negative effects on those consumers.

(b) After the second full year of operation of the program, the commissioner
shall complete a study that evaluates:

(I) The effects of the program on access to affordable, high-value health
insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions; and

(II) Health plan affordability, including cost sharing and premiums.

(c) The commissioner shall issue a report on the study within one hundred
twenty days after the end of the second full year of operation of the program, post
the report on the division's website, and submit the report to the governor, the
senate committee on health and human services or its successor committee, and
the house of representatives health and insurance committee or its successor
committee.

Legislative History

Source: L. 2019: Entire part added, (HB 19-1168), ch. 204, p. 2178, � 1, effective May 17. L. 2020: (1)(f) repealed and (1)(g) amended, (SB 20-215), ch. 201, p. 998, � 3, effective June 30.