s_sa_2016a_2016-04-13t13:30:53z0 Hearing Summary

Date: 04/13/2016

01:31 PM -- HB16-1326



Senator Crowder presented House Bill 16-1326 to the committee. This bill sets various requirements for contracts between health insurance carriers that provide benefits for physical rehabilitation services and intermediaries that are contracted to perform certain cost and utilization management duties on behalf of a carrier. The requirements include basing coverage authorizations and medical necessity of health care determinations on generally accepted and evidence-based standards and criteria of clinical practice and disclosing that requirement and process to the carrier's policyholders. Authorizations and medical necessity determinations must be performed by a provider who is licensed and actively practicing in Colorado, and whose scope of practice includes development of a plan of care. The bill requires that care for a recurring condition only be categorized as a new episode if the same provider has not treated the policyholder within 30 days. In addition, the bill prohibits the inclusion of certain provisions in contracts between a carrier and an intermediary.



01:33 PM -- Charlie Sheffield, representing Colorado Association of Health Plans, testified against the bill.



01:40 PM -- Patrick Boyle, representing Colorado Competitive Council, testified against the bill.



01:48 PM -- Dan O'Connell, representing Colorado Association of Commerce and Industry, testified against the bill.



01:53 PM -- Dr. Elizabeth Kraft, representing Anthem Blue Cross Blue Shield, testified against the bill.



02:02 PM -- Dr. Audrey Waldron, representing Colorado Physical Therapy Association, testified in support of the bill.



02:06 PM -- Lisa Ralston, representing herself, testified in support of the bill.



02:14 PM -- Timothy Flynn, representing himself, testified in support of the bill.



02:18 PM -- Dr. Cameron MacDonald, representing Colorado American Physical Therapy Association, testified in support of the bill.



02:27 PM -- Dr. Rachel Wendt, representing Colorado Chiropractic Association, testified in support of the bill.



02:31 PM -- Representative Ken Summers, representing himself, testified in support of the bill.



02:38 PM -- Cindy Sovine-Miller, representing herself, testified in support of the bill.





02:40 PM



Senator Crowder wrapped up his presentation to the committee.

BILL:	HB16-1326
TIME:	02:41:11 PM
MOVED:	Sonnenberg
MOTION:	Refer House Bill 16-1326 to the Committee of the Whole. The motion failed on a vote of 2-3.
SECONDED:
		VOTE
	Hill	No
	Jones	Yes
	Ulibarri	Yes
	Sonnenberg	No
	Scott	No
YES: 2 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: FAIL