Senate Bill 25-193 Engrossed

A Bill for an Act

• Page 1, Line 101Concerning the continuation of the primary care payment

• Page 1, Line 102reform collaborative.

Bill Summary

(Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov/.)

Sunset Process - Senate Health and Human Services Committee. In 2019, the division of insurance within the department of regulatory agencies (department) established the primary care payment reform collaborative (collaborative) to, among other things, advise in the development of affordability standards and targets for carrier investments in primary care, identify barriers to the adoption of alternative payment models by health-care providers and insurers, and develop recommendations to address barriers.

The bill implements the recommendations of the department's sunset review and report by:

• Continuing the collaborative for 7 years, until September 1, 2032; and
• Scheduling the next sunset review to take place pursuant to the sunset review structure for advisory committees.

• Page 2, Line 1Be it enacted by the General Assembly of the State of Colorado:

• Page 2, Line 2SECTION 1.  In Colorado Revised Statutes, 10-16-150, amend(1)(g)(II), (1)(g)(III), (2)(a), and (7); and add (1)(g)(IV) as follows:

• Page 2, Line 310-16-150.  Primary care payment reform collaborative -

• Page 2, Line 4created - powers and duties - report - definition - repeal.(1)  The

• Page 2, Line 5commissioner shall convene a primary care payment reform collaborative to:

• Page 2, Line 6(g)  Develop recommendations to increase the use of alternative

• Page 2, Line 7payment models that are not paid on a fee-for-service or per-claim basis to:

• Page 2, Line 8(II)  Align primary care reimbursement by all consumers of primary care; and

• Page 2, Line 9(III)  Direct investment toward higher value primary care services with an aim toward reducing health disparities; and

• Page 2, Line 10(IV)  Ensure the development and consideration of

• Page 2, Line 11alternative payment models that are responsive to the needs of primary care delivery in pediatrics.

• Page 2, Line 12(2)  The commissioner shall invite representatives from the following to participate in the primary care payment reform collaborative:

• Page 2, Line 13(a)  Health-care providers, including primary care providers and

• Page 2, Line 14pediatric primary care providers;

• Page 3, Line 1(7)  This section is repealed, effective September 1, 2025

• Page 3, Line 2September 1, 2032. Before the repeal, the functions of the primary care

• Page 3, Line 3payment reform collaborative are scheduled for review in accordance with section 24-34-104 section 2-3-1203.

• Page 3, Line 4SECTION 2.  In Colorado Revised Statutes, 2-3-1203, add (23.5)(a)(II) as follows:

• Page 3, Line 52-3-1203.  Sunset review of advisory committees - legislative

• Page 3, Line 6declaration - definition - repeal. (23.5) (a)  The following statutory

• Page 3, Line 7authorizations for the designated advisory committees will repeal on September 1, 2032:

• Page 3, Line 8(II)  The primary care payment reform collaborative created in section 10-16-150.

• Page 3, Line 9SECTION 3.  In Colorado Revised Statutes, 24-34-104, repeal (26)(a)(VIII) as follows:

• Page 3, Line 1024-34-104.  General assembly review of regulatory agencies

• Page 3, Line 11and functions for repeal, continuation, or reestablishment - legislative

• Page 3, Line 12declaration - repeal. (26) (a)  The following agencies, functions, or both, are scheduled for repeal on September 1, 2025:

• Page 3, Line 13(VIII)  The primary care payment reform collaborative established in section 10-16-150;

• Page 3, Line 14SECTION 4.  Act subject to petition - effective date. This act

• Page 3, Line 15takes effect at 12:01 a.m. on the day following the expiration of the

• Page 3, Line 16ninety-day period after final adjournment of the general assembly; except

• Page 3, Line 17that, if a referendum petition is filed pursuant to section 1 (3) of article V

• Page 3, Line 18of the state constitution against this act or an item, section, or part of this

• Page 3, Line 19act within such period, then the act, item, section, or part will not take

• Page 3, Line 20effect unless approved by the people at the general election to be held in

• Page 4, Line 1November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.