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CO HB1330

Bill

Status

Passed

4/23/2018

Primary Sponsor

David Young

Click for details

Origin

House of Representatives

2018 Regular Session

AI Summary

  • Creates supplemental state payments to qualified providers for office-administered oncology drugs who experienced reimbursement reductions in fiscal year 2017-18 due to federal rule changes published February 1, 2016.

  • Defines "qualified providers" as entities enrolled as of July 1, 2017, that provided office-administered drugs under Medicaid between July 1-December 31, 2017, and experienced documented reimbursement reductions for oncology-related drugs.

  • Requires the State Department to allocate $754,000 in general fund appropriations proportionate to each provider's documented reimbursement reduction, based on the difference between pre-implementation and post-implementation fee schedules.

  • Mandates supplemental payments be distributed no later than December 31, 2018, allows providers 30 days to request recalculation after notification, and permits recovery of payments if fraudulent claims are discovered.

  • Authorizes the statute to expire July 1, 2019, and includes an emergency safety clause.

Legislative Description

Supplemental Payment Office-administered Drugs Medicaid

Last Action

Governor Signed

4/23/2018

Committee Referrals

Appropriations4/2/2018
Appropriations3/26/2018

Full Bill Text

No bill text available