(1)The board is the governing
body of the exchange and has all the powers and duties necessary to implement
this article 22. The board shall:
(a)Appoint an executive director to administer the exchange, subject to
approval by the committee;
(b)Create an initial operational and financial plan, subject to approval by the
committee;
(c)Apply for planning and establishment grants made available to the
exchange pursuant to the federal act and apply for, receive, and expend other gifts,
grants, and donations. Each grant application is subject to the review and
unanimous approval of the board chair and the chair and vice-chair of the
committee prior to the submission of the application. If there is not unanimous
approval, each grant application is subject to review and the majorit
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(1) The board is the governing
body of the exchange and has all the powers and duties necessary to implement
this article 22. The board shall:
(a) Appoint an executive director to administer the exchange, subject to
approval by the committee;
(b) Create an initial operational and financial plan, subject to approval by the
committee;
(c) Apply for planning and establishment grants made available to the
exchange pursuant to the federal act and apply for, receive, and expend other gifts,
grants, and donations. Each grant application is subject to the review and
unanimous approval of the board chair and the chair and vice-chair of the
committee prior to the submission of the application. If there is not unanimous
approval, each grant application is subject to review and the majority approval of
the committee.
(d) Create technical and advisory groups to operate on an ongoing basis and
to report to the board and provide guidance at the direction of the board on issues
that directly or indirectly affect consumers. The board shall use reasonable efforts
to ensure that the technical and advisory groups reflect geographic diversity and
diverse opinions on issues affecting consumers. The technical and advisory groups
shall meet as necessary to discuss issues related to the exchange and to make
recommendations to the board.
(e) Provide a written open enrollment report to the governor and the general
assembly annually and present an open enrollment update to the senate health and
human services committee and the house of representatives health and human
services committee, or their successor committees, during each legislative session;
(f) Review the internet portal operated and maintained by the secretary and
the model template for an internet portal made available by the secretary for use
by the state exchanges and review other appropriate internet portals. The review
must include an examination as to whether the model template may be used to
direct individuals and employers to health plans, to assist individuals and employers
in determining whether they are eligible to participate in the exchange or eligible
for a premium tax credit or cost-sharing reduction, and to present standardized
information regarding health plans offered through the exchange to assist
consumers in making health insurance choices.
(g) Consider the desirability of structuring the exchange as one entity that
includes two underlying entities to operate in the individual and the small employer
markets, respectively;
(h) Consider the appropriate size of the small employer market under the
exchange, taking into consideration the definition of small employer pursuant to
section 10-16-102;
(i) Consider the unique needs of rural Coloradans as they pertain to access,
affordability, and choice in purchasing health insurance;
(j) Consider the affordability and cost in the context of quality care and
increased access to purchasing health insurance; and
(k) Investigate requirements, develop options, and determine waivers, if
appropriate, to ensure that the best interests of Coloradans are protected.
(2) The board may enter into information-sharing agreements with federal
and state agencies and other state exchanges to carry out its responsibilities under
this article so long as the agreements include adequate protections with respect to
the confidentiality of the information that is shared and comply with all state and
federal laws, rules, and regulations.
(3) The board may create a separate program that shares resources and
infrastructure with the exchange to offer ancillary products.
(4) The board may enter into an agreement with the department of personnel
to authorize administrative law judges employed by the office of administrative
courts to hear and decide matters arising from eligibility and other determinations
made by the exchange consistent with applicable state and federal law.
(5) (a) The board, with public input, shall set a policy that makes clear which
actions by the exchange require public scrutiny and shall make the policy available
to the committee. In determining which actions require public scrutiny, the board
shall consider the effects the exchange's actions have on consumers.
(b) Prior to taking an action that requires public scrutiny, the exchange shall
post notice of the planned action on the exchange website at least three weeks
prior to the date of the board meeting at which the action will be discussed. The
exchange shall provide time for public comments and questions at the board
meeting and post the final action on the exchange website.
(c) The board may adopt an action without compliance with paragraph (b) of
this subsection (5) if the board finds that immediate adoption is necessary to avoid
disruption of the continuing operation of the exchange. The exchange shall make
the action and the reasons for the action available to the public and the committee.