h_sa_2017a_2017-04-13t13:03:45z0 Hearing Summary

Date: 04/13/2017

Location: LSB A

01:04 PM -- SB17-004



Representative Wist, bill sponsor, presented Senate Bill 17-004. Currently, Medicaid recipients are not responsible for any remaining costs after payment by Medicaid, Medicare, or a private insurer if the services are eligible for reimbursement under Medicaid. This limitation applies regardless of whether or not the provider is enrolled as a Medicaid provider. Under this bill, a Medicaid client is liable for the cost of the medical services provided by a non-enrolled health care provider, even in cases where the service is reimbursable under Medicaid, if the client and non-enrolled medical provider enter into a written contract that outlines:



• the specific medical services provided;

• the customary costs for the services provided;

• the cost of services to the recipient; and

• the terms of payment.



The agreement between the client and medical provider must also include a statement that informs the recipient that they would not be liable for the cost of reimbursable medical services if the services are obtained from an enrolled Medicaid provider.



Representative Wist answered questions from the committee.



01:16 PM -- Zach Lynkiewicz, Department of Health Care Policy and Financing, testified in opposition to the bill. Mr. Lynkiewicz answered questions from the committee.



01:22 PM -- Paul Ritzma, Department of Health Care Policy and Financing, answered questions from the committee.





01:26 PM



The committee recessed.





01:29 PM



The committee back to order.





01:30 PM



Mr. Ritzma and Mr. Lynkiewicz continued answering questions from the committee.



01:41 PM -- A.W. Schnellbacher, Jr., AARP Colorado, testified in opposition to the bill. Mr. Schnellbacher answered questions from the committee.



01:52 PM -- Heidi Haines, The Arc of Colorado, testified in opposition to the bill. Ms. Haines answered questions from the committee.





01:56 PM



Representative Foote laid over Senate Bill 17-004 and House Bill 17-1259 to a date to be determined.





01:57 PM



The committee adjourned.