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CO SB115

Bill

Status

Failed

2/14/2018

Primary Sponsor

Irene Aguilar

Click for details

Origin

Senate

2018 Regular Session

AI Summary

  • 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.

  • Defines "designated health services" to include clinical laboratory services, physical therapy, radiology, durable medical equipment, home health services, prescription drugs, and hospital services.

  • 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.

  • 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.

  • 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

Committee Referrals

State, Veterans, & Military Affairs1/29/2018

Full Bill Text

No bill text available