§ 10-16-1310 — Reports required - repeal

(1) (a) The commissioner shall
contract with an independent third-party organization to prepare three separate
reports as specified in subsection (1)(d) of this section, to the extent that
information is available regarding the implementation of this part 13 as it relates to
the staffing, wages, benefits, training, and working conditions of hospital workers.

(b) In choosing an independent third-party contractor, the commissioner
shall consider organizations with experience conducting in-person interviews with
health-care employers and employees in Colorado.

(c) The independent third-party contractor may make policy
recommendations related to information in the reports and may include data
collected from employers, employees, and other third-party sources.

(d) The independent third-party contractor shall deliver the reports to the
commissioner as follows:

(I) The first report by July 1, 2023;

(II) The second report by July 1, 2024; and

(III) The third report by July 1, 2025.

(2) The commissioner shall monitor whether there are an adequate number
of health-care providers in the carriers' standardized plan network and the
percentage of premiums attributable to health-care providers in the network. As
part of the rate and form filing required pursuant to section 10-16-107, each carrier
shall provide to the commissioner information on whether there are an adequate
number of health-care providers in the carrier's standardized plan network and the
reduction in premiums as a result of health-care provider participation in the
network.

(3) (a) The commissioner shall contract with an independent third-party
organization to evaluate how to phase in, to the extent practicable, to a hospital's
reimbursement rate methodology described in section 10-16-1306:

(I) A quality metric adjustment; and

(II) An acuity adjustment as measured by a hospital's case-mix index.

(b) The evaluation must be completed by December 31, 2022.

(4) This section is repealed, effective July 1, 2026.

Legislative History

Source: L. 2021: Entire part added, (HB 21-1232), ch. 241, p. 1291, � 1, effective June 16.