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Bill No. Title Hearing RoomSenate SponsorsLobbyistsHouse CommitteeSenate CommitteeCustom SummaryOfficial SummaryPositionCategoryCommentStatusFull TextFiscal NotesHearing DateHearing TimeHouse Sponsors
HB19-1001 Hospital Transparency Measures To Analyze Efficacy House ChamberLobbyistsHealth and Insurance

The bill requires the department of health care policy and
financing (department), in consultation with the Colorado healthcare
affordability and sustainability enterprise board, to develop and prepare
an annual report detailing uncompensated hospital costs and the different
categories of expenditures made by hospitals in the state (hospital

expenditure report). In compiling the hospital expenditure report, the
department shall use publicly available data sources whenever possible.
Each hospital in the state is required to make available to the department
certain information, including:
  • Hospital cost reports submitted to the federal centers for
medicare and medicaid services;
  • Annual audited financial statements; except that, if a
hospital is part of a consolidated or combined group, the
hospital may submit a consolidated or combined financial
statement if the group's statement separately identifies the
information for each of the group's licensed hospitals;
  • The total amount of unreimbursed care;
  • The gross patient service revenue;
  • Any property, plant, equipment, and accumulated
  • All operating expenses;
  • Staffing information;
  • The total number of available beds and licensed beds;
  • The total number of inpatient surgeries;
  • The total number of births and newborn patient days;
  • The total number of admissions from the emergency
department; and
  • Other gross charges categorized by primary care provider.
The hospital expenditure report must include, but not be limited to:
  • A description of the methods of analysis and definitions of
report components by payer group;
  • Uncompensated care costs by payer group; and
  • The percentage that different categories of expenses
contribute to overall expenses of hospitals.
The department is required to submit the hospital expenditure
report to the governor, specified committees of the general assembly, and
the medical services board in the department. The department is also
directed to post the hospital expenditure report on the department's

cHouse Committee on Health & Insurance Refer Amended to House Committee of the Whole: 01/16/2019Full Text of BillFiscal Notes : 01/09/201901/25/20199:00 AMC. Kennedy (D)
HB19-1004 Proposal For Affordable Health Coverage Option Old State LibraryK. Donovan (D)LobbyistsHealth and Insurance

The bill requires the department of health care policy and

financing and the division of insurance in the department of regulatory
agencies (departments) to develop and submit a proposal (proposal) to
certain committees of the general assembly concerning the design, costs,
benefits, and implementation of a state option for health care coverage.
Additionally, the departments shall present a summary of the proposal at
the annual joint hearings with the legislative committees of reference
during the interim before the 2020 legislative session.
The proposal must contain a detailed analysis of a state option and
must identify the most effective implementation of a state option based
on affordability to consumers at different income levels, administrative
and financial burden to the state, ease of implementation, and likelihood
of success in meeting the objectives described in the bill. The proposal
must also identify any necessary changes to state law to implement the
In developing the proposal, the departments shall engage in a
stakeholder process that includes public and private health insurance
experts, consumers, consumer advocates, employers, providers, and
carriers. Further, the departments shall review any information relating to
a pilot program operated by the state personnel director as a result of
legislation that may be enacted during the 2019 legislative session.
The departments shall prepare and submit any necessary federal
waivers or state plan amendments to implement the proposal, unless a bill
is filed within the filing deadlines for the 2020 legislative session that
substantially alters the federal authorization required for the proposal and
the bill is not postponed indefinitely in the first committee.

cIntroduced In House - Assigned to Health & Insurance: 01/04/2019Full Text of BillFiscal Notes : 01/22/201901/23/20191:30 PMM. Catlin (R)
D. Roberts (D)
HB19-1009 Substance Use Disorders Recovery K. Priola (R)
B. Pettersen (D)
LobbyistsPublic Health Care and Human Services

Opioid and Other Substance Use Disorders Study Committee.
The bill:
  • Expands the housing voucher program currently within the
department of local affairs to include individuals with a
substance use disorder and appropriates $4.3 million each
of the next 5 fiscal years to support the program (section
  • Requires each recovery residence operating in Colorado to
be licensed by the department of public health and
environment (section 2); and
  • Creates the opioid crisis recovery fund for money the state
receives as settlement or damage awards resulting from
opioid-related litigation (section 3).

cIntroduced In House - Assigned to Public Health Care & Human Services + Appropriations: 01/04/2019Full Text of Bill J. Singer (D)
C. Kennedy (D)
HB19-1077 Pharmacist Dispense Drug Without Prescription In Emergency Old State LibraryB. Pettersen (D)
J. Tate (R)
LobbyistsHealth and Insurance

The bill allows a pharmacist to dispense an emergency supply of
a chronic maintenance drug to a patient without a prescription if:
  • The pharmacist is unable to obtain authorization to refill
the prescription from a health care provider;
  • The pharmacist has a record of a prescription in the name

of the patient who is requesting the emergency supply of
the chronic maintenance drug or, in the pharmacist's
professional judgment, the refusal to dispense an
emergency supply will endanger the health of the patient;
  • The amount of the chronic maintenance drug dispensed
does not exceed the amount of the most recent prescription
or the standard quantity or unit of use package dispensed of
the drug; and
  • The pharmacist has not dispensed an emergency supply of
the chronic maintenance drug to the same patient in the
previous 12-month period.
The bill requires the state board of pharmacy to promulgate rules
to establish standard procedures for dispensing chronic maintenance
drugs. A pharmacist, the pharmacist's employer, and the original
prescriber of the drug are not civilly liable for dispensing a chronic
maintenance drug unless there is negligence, recklessness, or willful or
wanton misconduct.

cIntroduced In House - Assigned to Health & Insurance: 01/11/2019Full Text of BillFiscal Notes : 01/22/201901/23/20191:30 PMD. Roberts (D)
HB19-1083 Athletic Trainers License Legislative Services Building Hearing Room AA. Williams (D)
J. Cooke (R)
LobbyistsBusiness Affairs and Labor

The bill changes the terms describing the regulation of athletic
trainers from registration to license and licensure and from
registrant and registered athletic trainer to licensee.

cIntroduced In House - Assigned to Business Affairs and Labor: 01/14/2019Full Text of Bill 02/06/20191:30 PME. Hooton (D)
K. Van Winkle (R)
HB19-1088 Modify Income Tax Credit Health Care Preceptors House Committee Room 0107K. Donovan (D)LobbyistsRural Affairs and Agriculture

The bill makes the following modifications to the existing income

tax credit for health care preceptors working in health care professional
shortage areas:
  • Clarifies the definition of preceptorship to specify that
the period of time for which the period of personalized
instruction, training, and supervision must be provided to
be eligible to claim the tax credit is not less than 4 working
weeks or 20 business days per calendar year; and
  • Extends the existing sunset date under which the tax credit
would expire to tax years commencing prior to January 1,

cIntroduced In House - Assigned to Rural Affairs & Agriculture + Finance: 01/14/2019Full Text of Bill 01/28/20191:30 PMP. Buck (R)
HB19-1089 Exemption From Garnishment For Medical Debt Legislative Services Building Hearing Room ALobbyistsFinance

The bill exempts a person's earnings from garnishment if the
person's family income does not exceed 400% of current federal poverty
guidelines and the judgment is for medical debt. A writ of continuing
garnishment must include notice that a person's earnings may be exempt
if those criteria are met, notice of the judgment debtor's right to object
and have a hearing on that objection, and a statement that, to the best of

the judgment creditor's knowledge, the judgment debtor's earnings are not
The bill takes effect on January 1, 2020, and applies to judgments
entered on or after that date.

cIntroduced In House - Assigned to Finance: 01/14/2019Full Text of Bill 01/31/2019no specified timeA. Valdez (D)
K. Tipper (D)
HB19-1095 Physician Assistants Supervision And Liability R. Fields (D)LobbyistsHealth and Insurance

The bill establishes supervisory requirements for physician

assistants who:
  • Have practiced for less than 3 years;
  • Have practiced for 3 years or more; or
  • Have practiced for at least 12 months and are making a
substantive change in their scope of practice or practice
Current law states that a licensed physician may be responsible for
the direction and supervision of up to 4 physician assistants at any one
time and may be responsible for the direction and supervision of more
than 4 physician assistants upon receiving specific approval from the
Colorado medical board (board). The bill eliminates this restriction.
The bill adds 2 more physician assistants as members of the board,
for a total of 3 physician assistant members. Current law requires the
president of the board to establish a licensing panel consisting of 3
members of the board. The bill adds a fourth member to the licensing
panel; that is, a person who is a physician assistant member of the board.
The bill states that a physician assistant who has practiced for at
least 3 years may be liable for damages resulting from negligence in
providing care to a patient; except that a physician assistant is not liable
for any such damages that occur as a result of the physician assistant
following a direct order from a supervising physician.
Current law requires that when persons licensed to practice
medicine form professional service corporations for the practice of
medicine, the articles of incorporation of such corporations must state that
one or more licensed physician assistants may be a shareholder of the
corporation as long as the physician shareholders maintain majority
ownership of the corporation. The bill removes this requirement.

cIntroduced In House - Assigned to Health & Insurance: 01/14/2019Full Text of Bill L. Cutter (D)
L. Landgraf (R)
SB19-041 Health Insurance Contract Carrier And Policyholder Legislative Services Building Hearing Room BJ. Smallwood (R)LobbyistsHealth and Human Services

Current law requires a contract between a health insurance carrier
and a policyholder to contain a provision that requires the policyholder to
pay premiums for each individual covered under the policy through the

date that the policyholder notifies the carrier that an individual covered
under the policy is no longer covered. The bill requires the contract to
state that, in the alternative, the policyholder is required to pay premiums
to the carrier through the date that the individual covered under the policy
is no longer eligible or covered if the policyholder notifies the carrier
within 10 business days after the date of ineligibility or noncoverage.

cIntroduced In Senate - Assigned to Health & Human Services: 01/04/2019Full Text of BillFiscal Notes : 01/11/201901/23/2019no specified time
SB19-079 Electronic Prescribing Controlled Substances N. Todd (D)
K. Priola (R)
LobbyistsBusiness, Labor and Technology

Sections 1 to 14 of the bill require podiatrists, physicians,
physician assistants, advanced practice nurses, and optometrists, starting
July 1, 2021, and dentists and practitioners serving rural communities or
in a solo practice, starting July 1, 2023, to prescribe schedule II, III, or IV
controlled substances only via a prescription that is electronically
transmitted to a pharmacy unless a specified exception applies.

Prescribers are required to indicate on license renewal questionnaires
whether they have complied with the electronic prescribing requirement.
Section 15 specifies that pharmacists need not verify the
applicability of an exception to electronic prescribing when they receive
an order for a controlled substance in writing, orally, or via facsimile
transmission and may fill the order if otherwise valid under the law.

cIntroduced In Senate - Assigned to Business, Labor, & Technology: 01/14/2019Full Text of Bill D. Esgar (D)
L. Landgraf (R)
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