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h_hie_2017a_2017-02-21t10:40:14z0 Hearing Summary

Date: 02/21/2017

Location: HCR 0107

Final

BILL SUMMARY for HB17-1173



HOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT


Votes: View--> Action Taken:
Adopt amendment L.001 (Attachment A) to House Bill

Refer House Bill 17-1173, as amended, to the Commi
Pass Without Objection

PASS







10:40 AM -- HB 17-1173



Representative Hansen presented House Bill 17-1173 to the committee. This bill expands the required protections for health care providers in contracts with health insurance carriers by prohibiting a carrier from taking any adverse action against a provider for expressing his or her disagreement with a carrier's decision. The bill defines adverse action to include limiting, restricting, denying, terminating or otherwise conditioning a provider's participation in one or more provider networks, including participation in a narrow network or location within a tiered network.



In addition, the bill states that the contract between carriers and providers must prohibit a carrier from taking any adverse action against a provider due to the provider:



communicating with public officials or others about public policy issues relating to health care items or services;

filing a complaint or making a report to a governmental agency about policies or practices of a carrier that negatively impact the quality of, or access to, patient care;

providing testimony, evidence, opinion, or other public activity in any forum concerning a violation or possible violation of the required contractual provisions;

reporting violations or possible violation of the law to an appropriate authority; or

• participating in any investigation into a violation or possible violation of the required contractual provisions.



A covered person or provider who is aggrieved by a violation of the required contractual protections by the carrier may seek injunctive relief in court and seek recovery of reasonable court costs and attorney fees.





10:51 AM --
Virginia Morrison Love, representing America's Health Insurance Plans, and Sara Orrange, representing Colorado Association of Health Plans, testified against the bill.



11:04 AM --
Benjamin Kupersmit, representing the Colorado Medical Society, testified in support of the bill.



11:11 AM --
Katie Reilly and Amy Cardone, representing Colorado Medical Society, testified in support of the bill.



11:43 AM -- Brad Young, representing RxPlus Pharmacies, testified in support of the bill.





11:44 AM



Representative Hansen distributed Amendment L.001 (Attachment A).



170221 AttachA.pdf170221 AttachA.pdf

BILL: HB17-1173
TIME: 11:45:37 AM
MOVED: Esgar
MOTION: Adopt amendment L.001 (Attachment A) to House Bill 17-1173. The motion passed without objection.
SECONDED: Lontine
VOTE
Beckman
Covarrubias
Danielson
Humphrey
Kennedy
Landgraf
Lontine
Ransom
Singer
Esgar
Ginal
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL: HB17-1173
TIME: 11:49:19 AM
MOVED: Esgar
MOTION: Refer House Bill 17-1173, as amended, to the Committee of the Whole. The motion passed on a vote of 8-3.
SECONDED: Singer
VOTE
Beckman
No
Covarrubias
Yes
Danielson
Yes
Humphrey
No
Kennedy
Yes
Landgraf
Yes
Lontine
Yes
Ransom
No
Singer
Yes
Esgar
Yes
Ginal
Yes
Final YES: 8 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS







11:55 AM



The committee adjourned.








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