Senator Ginal, bill sponsor, presented House Bill 19-1233. The bill establishes a primary care payment reform collaborative in the Department of Regulatory Agencies (DORA). The collaborative will consist of representatives of several entities involved with health care financing and delivery, as outlined by the bill. Among other responsibilities, the collaborative is directed to advise in the development of affordability standards and targets for carrier investments in primary care, and report on current health insurer practices that direct greater resources toward innovation and improvement in primary care. The collaborative will convene by July 15, 2019, and will publish primary care payment reform recommendations each year by October 15. The collaborative is repealed September 1, 2025, following a sunset review. The bill creates several standards and targets related to primary care spending. The Commissioner of Insurance is required to establish affordability standards for premiums, which must include targets for carrier investments in primary care. It requires insurance carriers that offer state employee health benefit plans and the Department of Health Care Policy and Financing (HCPF) to adopt targets for investments in primary care in alignment with the standards set by the commissioner. The administrator of the all-payer health claims database must provide an annual primary care spending report to the commissioner for use by the collaborative beginning August 31, 2019. The report must include, among other things, the percentage of medical expenses allocated to primary care for various payers.