HB 19-1004 Summary

• Directs the Department of Health Care Policy and Financing and Division of Insurance to develop a proposal for a state health insurance option by November 15, 2019, leveraging existing state infrastructure to increase affordability and competition.

• Requires the proposal to include actuarial analysis of premiums and cost-sharing, provider rates, eligibility criteria, budget impact, effects on existing markets, and determination of plan structure (fully at-risk, managed care, fee-for-service, or accountable care collaborative).

• Mandates consultation with the Colorado Health Benefit Exchange and stakeholder engagement including insurers, consumers, employers, providers, and advocates during proposal development.

• Authorizes the state department and division to prepare and submit federal waivers or state plan amendments after legislative review to obtain maximum available federal funding for implementation.

• Appropriates $75,000 for fiscal year 2018-19 and $150,000 for fiscal year 2019-20 to the Department of Health Care Policy and Financing; appropriates $115,500 for fiscal year 2018-19 and $231,000 for fiscal year 2019-20 to the Division of Insurance.