CO SB041

Requires parties to health-care entity mergers, acquisitions, or affiliations to provide written notice to the attorney general at least 60 days before closing, with specific revenue thresholds triggering different notice requirements ($5 million, $15 million, or $30 million depending on transaction type)

Prohibits material change transactions that may substantially lessen competition, create a monopoly, or harm consumer welfare, with the attorney general authorized to challenge such transactions and courts empowered to enjoin or unwind them

Expands "covered transaction" definition for hospital transactions to include transfers of management, control, or operations, and increases notice period from 60 to 90 days; requires disclosure of charitable missions and services for nonprofit entities

Allows the attorney general to charge filing parties a reasonable fee up to $5,000 for pre-merger notifications (previously prohibited) and imposes civil penalties of up to $200 per day for failure to provide required information

Requires health-care providers who refer patients to entities in which they or immediate family members have a financial interest to disclose that relationship at the time of referral, with a $500 fine for three or more violations