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CO SB115
Bill
AI Summary
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Extends Colorado's existing Stark law prohibition on self-dealing medical referrals from only Medicaid-funded providers to all health care providers, regardless of insurance type.
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Defines "designated health services" to include clinical laboratory services, physical therapy, radiology, durable medical equipment, home health services, prescription drugs, and hospital services.
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Classifies prohibited self-referrals as deceptive trade practices under the Colorado Consumer Protection Act, allowing harmed individuals to pursue damages including treble damages for bad-faith conduct.
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Authorizes the Colorado Attorney General to seek injunctions, civil penalties, require reimbursement of collected charges, and refer violators for investigation of medical assistance or insurance fraud.
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Allows health insurers to withhold payment of claims suspected to violate the self-referral prohibition during investigation under prompt payment requirements.
Legislative Description
Apply Stark Laws To Medical Referrals Outside Medicaid
Last Action
Senate Committee on State, Veterans, & Military Affairs Postpone Indefinitely
2/14/2018