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First Regular Session | 75th General Assembly
Colorado General Assembly
SB18-266

Controlling Medicaid Costs

Type Bill
Session 2018 Regular Session
Subjects
Health Care & Health Insurance

Concerning controlling costs under the "Colorado Medical Assistance Act", and, in connection therewith, using data and technology, creating a hospital review program, and making and reducing an appropriation.

Bill Summary:

Accountable care collaborative - information to providers - claims review - cost-control strategies - report and evaluation - appropriation. The act directs the department of health care policy and financing (department) to provide information to providers participating in the accountable care collaborative regarding:

  • Cost and quality of medical services provided by hospitals and other medicaid providers; and
  • Cost and quality of available pharmaceuticals prescribed by medicaid providers.
The department may make the same information available to other medicaid providers.

The department shall automatically review claims to identify and correct improper coding prior to payment and may obtain commercial technology to conduct the reviews.

The department is authorized to pursue cost-control strategies, value-based payments, and other approaches to reduce the rate of expenditure growth in the medicaid program. The department shall allow recipients, providers, and stakeholders an opportunity to comment and shall report to the joint budget committee prior to implementing any strategies or measures. The department is required to contract for an independent evaluation of any measures pursued and to provide reports to the joint budget committee on the evaluations.

Subject to federal approval, the act also directs the department to design and implement an evidence-based hospital review program to ensure that utilization of hospital services is based on a recipient's need for care. Prior to implementing any changes, the department shall allow recipients, providers, and stakeholders an opportunity to comment and shall report to the joint budget committee. The act requires the department to report to the joint budget committee on the estimated savings from the changes and to report to its committees of reference at its SMART act hearings on the savings and impact on recipients.

The act appropriates $2,737,764 to the department of health care policy and financing.


(Note: This summary applies to this bill as enacted.)

Prime Sponsors

Senator Kevin Lundberg

Senator

Kevin Lundberg

Representative Dave Young

Representative

Dave Young

Committees

Senate

Appropriations

House

Appropriations

Status

Became Law

Introduced

Passed

Became Law

Related Documents & Information

Date Version Documents
05/29/2018 Signed Act PDF
05/11/2018 Final Act PDF
05/03/2018 Rerevised PDF
05/02/2018 Revised PDF
04/30/2018 Reengrossed PDF
04/27/2018 Engrossed PDF
04/20/2018 Introduced PDF
Date Version Documents
08/03/2018 FN2 PDF
04/23/2018 FN1 PDF
Date Version Documents
05/02/2018 SA2 PDF
04/24/2018 SA1 PDF
Activity Vote Documents
Refer Senate Bill 18-266 to the Committee of the Whole. The motion passed on a vote of 12-0. Vote summary
Hearing Summary
|
Committee Report:  PDF
Activity Vote Documents
Refer Senate Bill 18-266 to the Committee of the Whole. The motion passed on a vote of 7-0. Vote summary
Hearing Summary
|
Committee Report:  PDF
Date Calendar Motion Vote Vote Document
05/03/2018 Third Reading BILL
65
AYE
0
NO
0
OTHER
 		Vote record
Date Calendar Motion Vote Vote Document
05/03/2018 House Amendments REPASS
34
AYE
0
NO
1
OTHER
 		Vote record
05/03/2018 House Amendments CONCUR
34
AYE
0
NO
1
OTHER
 		Vote record
04/30/2018 Third Reading BILL
35
AYE
0
NO
0
OTHER
 		Vote record
Date Location Action
05/29/2018 Governor Governor Signed
05/11/2018 Governor Sent to the Governor
05/11/2018 House Signed by the Speaker of the House
05/11/2018 Senate Signed by the President of the Senate
05/03/2018 Senate Senate Considered House Amendments - Result was to Concur - Repass
05/03/2018 House House Third Reading Passed - No Amendments
05/02/2018 House House Second Reading Special Order - Passed with Amendments - Floor
05/02/2018 House House Committee on Appropriations Refer Unamended to House Committee of the Whole
04/30/2018 House Introduced In House - Assigned to Appropriations
04/30/2018 Senate Senate Third Reading Passed - No Amendments
04/27/2018 Senate Senate Second Reading Passed with Amendments - Floor
04/26/2018 Senate Senate Second Reading Laid Over Daily - No Amendments
04/24/2018 Senate Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
04/20/2018 Senate Introduced In Senate - Assigned to Appropriations
Effective Date Chapter # Title Documents
05/29/2018 264 Controlling Medicaid Costs PDF

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