CO SB198

Requires parties to mergers, acquisitions, or contracting affiliations involving health-care, long-term care, or veterinary care entities to submit written notice to the Attorney General at least 60 days before the transaction's effective date

Establishes tiered disclosure requirements based on entity revenue: transactions involving entities with $80+ million annual revenue require the most comprehensive documentation including independent financial analyses and impact reports; $30+ million requires moderate disclosure; smaller transactions require basic information

Grants the Attorney General authority to assess whether proposed transactions are contrary to the public interest, considering factors such as impact on health outcomes, service access, costs, workforce, and market competition, with the ability to block or impose conditions on harmful transactions

Mandates 5-year post-transaction annual reporting to the Attorney General on compliance with any agreed conditions and charitable activities, with reports made publicly available on both the Attorney General's and parties' websites

Requires health-care providers who refer patients to entities in which they or immediate family members have financial interests to disclose those relationships at the time of referral, with violations constituting a deceptive trade practice