SB 23-252 — Medical Price Transparency
Last action — Governor Signed
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 27, 2023. Enacted.
Signed by Governor Jared Polis (Democratic) on June 02, 2023.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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4 sponsors
4 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (2 D · 1 R) — cross-party backing.
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Cleared a recorded vote
Passed 3 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
The act requires hospitals to make public and post each hospital's medicare reimbursement rates. The act: Requires the department of health care policy and financing (state department) to conduct a performance assessment for each hospital to determine the hospital's adherence to federal transparency rules and publish the results on its website; Repeals sections of statute regarding hospital price transparency and debt collection that are currently under the administration and authority of the department of public health and environment and relocates these sections so that hospital price transparency and debt collection provisions are under the administration and authority of the state department; and Makes a violation of the hospital transparency requirements outlined in the act a deceptive trade practice under the "Colorado Consumer Protection Act". APPROVED by Governor June 2, 2023 EFFECTIVE June 2, 2023 NOTE: This act was passed without a safety clause and takes effect 90 days after sine die. (Note: This summary applies to this bill as enacted.)
Bill Text
What changed in the latest version
318 added · 309 removedPlain-language change summary
The amendment adds a new provision to Colorado law, specifying that violating Section 25.5-1-904 constitutes a deceptive trade practice under the definition in 6-1-105. Additionally, provisions related to hospital medical price transparency are being reorganized by repealing part 8 of article 3 of title 25 and relocating certain sections to part 9 of article 1 of title 25.5. This change clarifies the legal framework regarding hospital price disclosures, setting a standard for compliance within the state.
SENATEFirst BILLRegular 23-252Session BYSeventy-fourth SENATOR(S)General VanAssembly WinkleSTATE andOF Gonzales,COLORADO Buckner,REENGROSSED Coleman,This Cutter,Version Danielson,Includes Exum,All Fields,Amendments Hansen,Adopted Jaquezin Lewis,the Marchman,House Moreno,of Priola,Introduction Rodriguez;LLS NO.
also23-0554.04 REPRESENTATIVE(S)Kristen DaughertyForrestal andx4217 Hartsook,SENATE Amabile,BILL Bacon,23-252 Boesenecker,SENATE Bradley,SPONSORSHIP Brown,Van Dickson,Winkle English,and Froelich,Gonzales, Garcia,HOUSE GonzalesSPONSORSHIP -Gutierrez,Hamrick,Herod,Jodeh,Joseph,Kipp,Lieder,Lindsay,Daugherty Lindstedt,and Lukens,Hartsook, Lynch,Senate Mabrey,Committees Marshall,House Martinez,Committees Mauro,Health McCormick,& McLachlan,Human MichaelsonServices Jenet,A Ortiz,BILL Ricks,FOR Sharbini,AN Sirota,ACT Snyder,C Soper,ONCERNING Titone,HOSPITAL Valdez,MEDICAL Weissman,PRICE Woodrow,TRANSPARENCY McCluskie..
CONCERNINGHOSPITALMEDICALPRICETRANSPARENCY.Bill Summary (Note:
BeThis itsummary enactedapplies byto this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill passes third reading in the GeneralAssemblyhouse oftheof Stateintroduction, ofColorado:a bill summary that n applies to the reengrossed version of this bill will be available at d http://leg.colorado.gov.) E e 2 T d 2 N 3 6 The bill requires hospitals to make public a list of all standard S e a charges for all hospital items and services provided to patients.
The n M e standard charges include the gross billed charge, the payer-specific A negotiated charge, the minimum and maximum negotiated charges, and thediscountedcashprice.Thebillalsorequireseachhospitaltomaintain and make public a list of at least 300 shoppable services provided bythe i hospitalor,if thehospitaldoesnotprovide300shoppableservices,allof a 3 R 0 the hospital's shoppable services.
Each hospital is required to report its T d , N 2 1 Shading denotes HOUSE amendment.
Double underlining denotes SENATE amendment.
S e r Capital letters or bold & italic numbers indicate new material to be added to existing law.n Ap Dashes through the words or numbers indicate deletions from existing law.
e A updated lists to the department of health care policy and financing (state department).
The bill requires the state department to monitor hospital compliance with the price transparency requirements.
If the state department determines that a hospital is not in compliance, the state departmentisrequiredtoissueawrittennoticetothehospitalandrequire the hospital to submit a corrective action plan.
The bill repeals sections of statute regarding hospital price transparency and debt collection that are currently under the administration and authority of the department of public health and environment and relocates these sections so that hospital price transparency and debt collection are under the state department.
The bill makes a violation of the hospital transparency requirements outlined in the bill a deceptive trade practice under the "Colorado Consumer Protection Act".
Be it enacted by the General Assembly of the State of Colorado:
InColoradoRevisedStatutes,6-1-105,addIn (1)(bbbb)Colorado Revised Statutes, 6-1-105, add (1)(uuu) as follows:
(bbbb)(uuu) VIOLATESSECTION25.5-1-904.V IOLATES SECTION 25.5-1-904.
Capital letters or bold & italic numbers indicate added to existing law;
dashes through words or numbers indicate deletionsinglaw andsuch material is notpart of the act.
PART 9 HOSPITAL PRICE TRANSPARENCY 25.5-1-901.[Formerly25.5-1-901. 25-3-801] Legislative declaration.(1) The general assembly finds and declares that:
(a)[Formerly Section25-3-801] 1001Legislative ofdeclaration. the "Patient Protection and Affordable Care Act", of 2010", Pub.L.
111-148,(1) asThe amendedgeneral byassembly sectionfinds 10101 of the "Health Care and Educationdeclares Reconciliationthat: Act of2010", Pub.L.
(a) Section 1001 of the "Patient Protection and Affordable Care Act", of 2010",Pub.L.
111-148, as amended by section 10101 of the -2- 252 "Health Care and Education Reconciliation Act of 2010", Pub.L.
78-410, in part, by adding a new section 2718 (e), requiring, in part, that each hospital operating within the United States establish, update, and make publicapublic listofthehospital'sstandarda list of the hospital's standard charges forthefor itemsandservicesthatthe items and services that the hospital provides;
(b) EffectiveEffectiveJanuary1,2021,thefederalcentersformedicareand Januarymedicaidservices 1,published 2021, the federal centers for medicare and medicaid servicespublished the final ruleruletoimplementthelaw,codified to implement the law, codified at 45 CFR 180;
(c) In its summary of the final rule, CMS states that information on hospital standard charges is necessary for the public to "make more informed decisions about their care" and that the "impact of these final policieswillhelptoincreasemarketcompetition,andultimatelydrivedownpolicies will help to increase market competition, and ultimately drive down the cost of health care services, making them more affordable for all patients";
(d) OnOnJuly9,2021,PresidentBiden,buildinguponeffortsofpast Julypresidents,issuedthe"ExecutiveOrderonPromotingCompetitioninthe 9, 2021, President Biden, building upon efforts of past presidents, issued the "Executive Order on Promoting Competition in the American Economy", directing the secretary of the United States department of health and human services tosupportto support new and existingpriceexisting price transparency initiatives forospitals;for hospitals;
(e) Health-care price transparency is in the best interest of all PAGE 2 -SENATE BILL 23-252 Coloradans, including:
(I) ThestateThestategovernment,whichpurchaseshealth-careservicesfor government, which purchases health-care services for almost a qualkiquarterE ONE-FOURTHFOURTH of all Coloradans;
(II) ColoradoColoradobusinesses,whichfundemployeemedicalexpenses; businesses, which fund employee medical expenses;
and (III) Colorado residents, who ultimately bear the brunt of high -3- 252 health-care costs in the form of higher taxes, lower wages, and residents' own out-of-pocket spending;
(f) Moreover, health-care prices in ColoradoareamongtheColorado are among the highest in the nation;
(g) However,However,notallColoradohospitalsareincompliancewithall not all Colorado hospitals are in compliance with all of the disclosure requirements under federal law and other state laws governing health-care price transparency;
and (h) Thislackofcompliancewithhealth-carepricetransparencylawsThis lack of compliance with health-care price transparency laws by Colorado hospitals decreases the likelihood that Colorado consumers will be fully aware of affordable health-care options before purchasing itemsandservicesitems fromhospitals,placinghealth-careconsumersatand services from hospitals, placing health-care consumers at greater risk of collection actions and other adverse actions relating to unpaid medical bills.
(2) Therefore, the general assembly finds and declares that it is imperative to protect Colorado health-care consumers from collection actions and other adverse actions taken bybyColorado Colorado hospitals during the timetimewhenthehospitalwasnotinmaterialcompliancewithhospitalprice when the hospital was not in material compliance with hospital price transparency laws intended to protect health-care consumers.
As used in this sccsectionPART9, ion PART 9, unless thecontextthe context otherwise requires:
(1)(1)"Collection "Collection action" means any of the following actions taken with respect to a debt for items and services that were purchased from or providedprovidedtoapatientbyahospitalonadateduringwhichthehospitalwas to a patient bya hospital on a date duringwhich the hospital was not in material compliance with hospital pricetransparencyprice transparency laws:
PAGE 3 -SENATE BILL 23-252 (a) AttemptingAttemptingtocollectadebtfromapatientorpatientguarantor tobyreferringthedebt,directlyorindirectly,toadebtcollector,acollection collect-4- a252 debt from a patient or patient guarantor by referring the debt, directly or indirectly, to a debt collectorcollection agency, or other third party retained by or on behalf of the hospital;
(b) SuingthepatientSuing the patient or patient guarantororenforcinganguarantor or enforcing an arbitration or mediation clause in any hospital documents, including contracts, agreements, statements, or bills;
or (c) Directly or indirectlycausingindirectly causing a report to be made to a consumer reporting agency.
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(2)(2)(a) (a) "Collection agency" means any:
(I) Personwhoengagesinabusiness,thePerson principalpurposeofwhichwho engages in a business, the principal purpose of which is the collection of debts;
(A) RegularlyRegularlycollectsorattemptstocollect,directlyorindirectly, collects or attempts to collect, directly or indirectly, debts owed or due or asserted to be owed or due to another;
(C) DirectlyDirectlyorindirectlysolicitsforcollectiondebtsowedordue or indirectly solicits for collection debts owed or due or asserted to be owed or due to another;
(I) AnyAnyofficeroremployeeof officeracreditorwhile,inthenameof or employee of a creditor while, in the name of the creditor, collecting debts forsuchfor such creditor;
(II) Any person while acting as a collection agency for another person, both of whom are related by common ownership or affiliated by control,corporatecontrol,if ifthepersonactingasacollectionagencydoessoonly the person actingas a collection agency does so only corporate for creditors to whom it is so related or affiliated and if the principal business of the person is not the collectionofcollection of debts;
(III) Any officer or employee oftheUnitedof the United States or anystateany tothestate PAGEto 4the -SENATEextent BILLthat 23-252collecting extentthator collectingorattemptingtoattempting collectanyto collect any debt is intheperformancein the performance of the officer's or employee's official duties;
(IV)-5- Any252 person(IV) whileAnypersonwhileservingorattemptingtoservelegalprocess servingon orany attemptingother toperson servein legalconnection processwith onanythe otherpersonjudicial inconnectionwiththejudicialenforcement enforcementofof anydebt;any debt;
(V) Any debt-management services provider operating in compliancewithorexemptcompliance fromthewith "UniformDebt-Managementor exempt from the "Uniform Debt-Management Services Act", part 2 of article 19 of title 5;
(VI) AnyAnypersoncollectingorattemptingtocollectanydebtowed person collecting or attempting to collect any debt owed or due or asserted to be owed or due another to the extent that:
(A) The activity is incidental to a bona fidefiduciaryfide fiduciary obligation or a bona fide escrow arrangement;
(B) The activityactivityconcerns concerns a debt that was extended bybythe the person;
(C) TheTheactivityconcernsadebtthatwasnotindefaultatthetime activity concerns a debt that was not in default at the time it was obtained by the person;
or (D) TheactivityThe concernsaactivity concerns a debt obtained bythepersonby the person as asecureda secured party in a commercial credit transaction involving the creditor;
(VII) AnyAnypersonwhoseprincipalbusinessisthemakingofloans personor whose principal business is the makingservicing of loansdebt or theservicingofdebt not in default and who acts asaas a loan correspondent, seller and servicer for the owner, or holder of a debt that is secured by a deed of trust on real property, whether or not theebtthe debt is also secured by an interest in personalproperty;personal property;
(VIII) A limited gamingorgaming or racing licenseeactinglicensee acting pursuant to article 33 of title 44.
(c) Notwithstanding the provisions of subsection (2)(b) of this section, "collection agency" includes anyanyperson person who, in the process of collecting the person's own debts, uses another name that would indicate that athirda third person is collectingorcollecting or attempting to collectsuchcollect such debts.
-6- 252 (3) (a) "Consumer reporting agency" means any person that, for monetary fees or dues or on a cooperative nonprofit basis, regularly PAGE 5-SENATE BILL 23-252 engages, in whole or in part, in the practice of assembling or evaluating consumer credit information or other information on consumers for the purpose of furnishing consumer reports to third parties.
"Consumer reportingreportingagency"includesanypersondefinedin15U.S.C.sec.1681a(f) agency"or includessection any5-18-103 person(4). defined in 15 U.S.C.
sec.
1681a (f) or section 5-18-103 (4).
(4)(4)(a) (a) "Debt" means any obligation or alleged obligation of a consumer to pay money arising out of a transaction, whether or not the obligation has been reduced to judgment.
(5) "Debt collector" means any person employed or engaged by a collectionagencytoperformthecollectioncollection ofdebtsowedagency ordueorassertedto perform the collection of debts owed or due or asserted to be owed or due to another.
(6) "Federal centers for medicare and medicaidservices"medicaid services" or "CMS" means the centers for medicare and medicaid services in the United States department of health and human services.
(7)(7)"Hospital" "Hospital" means, consistent with 45 CFR 180.20, a hospital:
(a) LicensedLicensedorcertifiedbythedepartmentUBLICHEALTHAND orENVIRONMENT certifiedpursuant byto the departmentOF PUBLIC HEALTH AND section 25-1.5-103 (1)(a);
or ENVIRONMENT pursuant to (b) Approved by the department OF PUBLIC HEALTH AND -7- 252 ENVIRONMENT asmeetingthestandardsestablishedas forlicensingahospital.meeting the standards established for licensing a hospital.
4 (8) "Hospital pricetransparencyprice laws"meanssectiontransparencylaws" 2718(e)ofthemeans section 2718 (e) of the "Public Health Service(PHS)Service Act",(PHS)t", Pub.L.
PAGE25.5-1-903. 6-SENATE BILL 23-252 25.5-1-903.[Formerly 25-3-8031Failure to comply with hospital price transparency laws - prohibiting collection of debt - penalty.
(1)(a)[Formerly Exrept-as-provided-hr25-3-803] sabseetiorr(-1--)(b)-ofthis-seetionTon-and-afterFailure Augustto ,2022,Acomply hospitalthatwith isnot inmaterial compliancewith hospital price transparency laws on- theprohibiting date that items or services are purchased from or provided to a patient by the hospital shall not initiate or pursue a collection actionof against thepatient or patient guarantor for a debt owed- forpenalty. the items or services.
5(1) p(a) caExcept yas tncprovided acparttlicntpursuanttoin (2)subsection If(1)(b) aof patientthis believessection, thaton aand after August 10, 2022, A hospital wasthat is not in material compliance with hospital price transparency laws onaon THEdatethe undate orthat aftt,L Atignst-1-0720227that items or services wereare purchased byfrom or provided to thea patient,patient andby the hospital takesshallnotinitiateorpursueacollectionactionagainstthepatientorpatient guarantor for a collectiondebt actionowed againstfor the patientitems or patientservices. guarantor,thepatient orpatient guarantor may filesuit to determine if:
(a)(b) TheThis hospitalpart was8 materiallyapplies, outon ofand complianceafter withFebruary15, the2023, hospitalto pricetransparencycritical laws,andaccess rules,andhospitals ORregulationsonlicensed theand dateofcertified scrviccby THEITEMSORSERVICESWEREthe PROVIDED;anddepartment ifpursuant (b) The noncompliance is related to the42 itemsCFR or485 services.subpart F.
The(2) If a patient believes that a hospital shallwas not takein material compliance with hospital price transparency laws on a date on or after August 10, 2022,that items or services were purchased by or provided to the patient, and the hospital takes a collection action against the patient or patient guarantor, the patient or patient guarantor whilemay thefile lawsuitsuit ispending.to determine if:
(3)-8- A-hospitaEthat-has-beerrfound-byIFajudge252 or(a) jury,The consideringhospital compliancewas standards issued by the federal centers for medicare and medicaid services, FINDSAHOSPITAL to be materially out of compliance with hospitalthe pricehospitalpricetransparencylaws,andrules,andOR transparencyregulationsonthedate laws,of andserviceHE rules,ITEMS andOR ORregulations,SERVICES THEWERE HOSPITALSHALL:PROVIDED ;
(a)and ShallRefundthepayeranyif amountofthedebt(b) thepayerThe haspaidnoncompliance andis shallrelated pay a penalty to the patientitems or patientguarantorservices. in an amount equal to the total amount of the debt;
(b)The Shallhospital Dismissshall ornot causetake toa becollection dismissed any court action withagainst prejudice and pay any attorney fees and costs incurred by the patient or PAGEpatient 7-SENATEguarantor BILLwhile 23-252 patienguarantor relating to the action;andlawsuit (c)is Removepending. or cause to be removedfrom the patient's or patient guarantor's crereport any report made to a consumer reporting agency relating to the debt;
AND(3) (d)A NOTIFYhospital THEthat STATEhas DEPARTMENTbeen OFfound THEby MATERIALF NONCOMPLIANCEWITHHOSPITALPRICETRANSPARENCYLAWS,a RULES,ORjudge REGULATIONS.or jury, considering compliance standards issued by the federal centers for medicareandmedicaidservices, FINDSAHOSPITAL tobemateriallyoutof compliance with hospital price transparency laws, andules, and OR regulations,HE HOSPITAL SHALL :
(4)Nothing(a) ShallRefund the payer any amount of the debt the payer has paid and shall pay a penalty to the patient or patient guarantor in thisan part-8amount PART9:equal to the total amount of the debt;
(a)(b) ProhibitsShallDismiss aor hospfromcause billingto abe patient,dismissed patientany guarantor,court oraction third-partywith payer,prejudice includingand apay healthany insurer,attorney forfees itemsand costs incurred by the patient or servicespatient providedguarantor relating to thpatient;the action;
orand (b)(c) RequiresRemove aor hospitalcause to refundbe anyremoved paymentfrom made to the hospitalpatient's foror itemspatient orservicesguarantor's providedcredit toreport theanyreport patient,madetoaconsumer soreporting longasagency norelating collectionto actionthe isdebt; taken in violation opart 8PART9.
25.5-1-904.(d) N OTIFY THE STATE DEPARTMENT OF THE MATERIAL NONCOMPLIANCEWITHHOSPITALPRICETRANSPARENCYLAWS ,RULES ,OR REGULATIONS .
(4) Nothing in this part 8RT 9:
(a) Prohibits a hospital from billing a patient, patient guarantor, or third-party payer, including a health insurer, for items or services provided to the patient;
or -9- 252 (b) Requiresahospitaltorefundanypaymentmadetothehospital for items or services provided to the patient, so long as no collection action is taken in violation of this part 8 25.5-1-904.
(1) ONORBEFOREOCTOBER1,2023,On EACHHOSPITALSHALLMAKEPUBLICANDor POSTTHEHOSPITAL'SMEDICAREbefore REIMBURSEMENTRATES,October IFAPPLICABLE.1, 2023, EACH HOSPITAL SHALL MAKE PUBLIC AND POST THE HOSPITAS MEDICARE REIMBURSEMENT RATES ,IF APPLICABL.
(2) (a) HE STATE DEPARTMENT SHALL CONDUCT PERFORMANCE (2)ASSESSMENTS (a)FOR THEADHERENCE STATETO DEPARTMENTSHALLFEDERAL ASSESSMENTSFORADHERENCETOFEDERALTRANSPARENCY TRANSPARENCYRULESBY:RULES BY :
(I) REVIEWINGRELEVANTRVIEWINGRELEVANTINFORMATIONPROVIDEDTOTHESTATE INFORMATIONPROVIDEDTOTHESTATE DEPARTMENT CONCERNING A HOSPITAL'SHOSPITAL S PERFORMANCE ASSESSMENT IN CONNECTIONWITHTHISSECTION;CONNECTION WITH THIS SECTION;
(II) AUDITINGHOSPITALWEBSITESFORPERFORMANCEADITINGHOSPITALWEBSITESFORPEFORMANCERELATIVETO RELATIVETOFEDERAL FEDERALPRICEPRICE TRANSPARENCYRULES,ANDINTRANSPARENCY EVALUATINGPERFORMANCE,RULES THE, AND IN EVALUATING PERFORMANCE ,THE DEPARTMENT SHALL FOLLOW RULES,RULES STANDARDS,,STANDARDS AND, GUIDANCEANDGUIDANCEPUBLISHEDBYTHEFEDERALCENTERSFORMEDICAREAND MEDICAID;ANDMEDICAID PUBLISHEDBYTHEFEDERAL;AND CENTERSFORMEDICAREAND (III) CONFIRMING THAT EACH HOSPITAL SUBMITTED THE LISTS REQUIRED BYTHISSECTION.BY THIS SECTIO.
PAGE(b) 8I -SENATETHE BILLSTATE 23-252DEPARTMENT (b)DETERMINES IFTHESTATETHAT DEPARTMENTDETERMINESTHATAHOSPITALHASA HOSPITAL HAS PERFORMED POORLY IN ITS PERFORMANCE ASSESSMENT,ASSESSMENT THE,THE STATE DEPARTMENTMAY:DEPARTMENT MAY :
(I) ISSUEISUE A WRITTEN NOTICE TO THE HOSPITAL THAT CLEARLY EXPLAINS THEMANNERINWHICHTHEDEPARTMENTDETERMINEDTHATTHETHE MANNER IN WHICH THE DEPARTMENT DETERMINED THAT THE HOSPITAL PERFORMED POORLY ON THE ADHERENCE TO PRICE TRANSPARENCY;ANDTRANSPARENCY ;AND (II) PROVIDETECHNICALASSISTANCEPROVIDE TECHNICAL ASSISTANCE TO THEHOSPITALTOIMPROVETHE PERFORMANCE.HOSPITAL TO -10- 252 IMPROVE PERFORMANCE .
(3) ON OR BEFORE FEBRUARY 1, 2024,2024THE THE STATE DEPARTMENT SHALLCREATEANDMAINTAINAPUBLICLYAVAILABLELISTONITSSHALL CREATE AND MAINTAIN A PUBLICLY AVAILABLE LIST ON ITS WEBSITE OFHOSPITALSTHATPERFORMPOORLYONTHEDEPARTMENT'SPERFORMANCEOF ASSESSMENT.SUCHNOTICESANDCOMMUNICATIONSARESUBJECTTOPUBLICHOSPITALS DISCLOSUREUNDER5THAT U.S.C.PERFORM POORLY ON THE DEPARTMENT S PERFORMANCEASSESSMENT .SUCH NOTICES AND COMMUNICATIONSARE SUBJECT TO PUBLIC DISCLOSURE UNDER5U.S.C.SEC .552,AS AMENDED , NOTWITHSTANDINGANYEXEMPTIONSOREXCLUSIONSTOTHECONTRARY , IN FULL WITHOUT REDACTION .
SEC.HE STATE DEPARTMENT SHALL UPDATE THE LIST AT LEAST ANNUALLY.
552,(4) ASAMENDED,A NOTWITHSTANDINGPERSON ANYTHAT EXEMPTIONSORVIOLATES EXCLUSIONSTOTHESUBSECTION CONTRARY,(1)OR IN(5)OF FULLTHIS WITHOUTSECTION REDACTION.COMMITS A DECEPTIVE TRADE PRACTICE UNDER SECTION 6-1-105.
THE STATE DEPARTMENTSHALL UPDATETHE LISTAT LEAST ANNUALLY.
(4) A PERSON THAT VIOLATES SUBSECTION (1) OF THIS SECTION COMMITSADECEPTIVETRADEPRACTICEUNDERSECTION6-1-105.
This act takes effect at2:01at 12:01 a.m.
on the day following the expiration of the ninety-dayninety-dayperiodafterfinaladjournmentofthegeneralassembly;except periodfterthat, finalif adjournmenta referendum petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approved by the people at the general assembly;election to be held in November 2024 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
except-11- that,252 if aferendum petition is filed pursuant to section 1rticle V ofthestateconstitution againstthisactoran item,section,t ofthisact within such period, then the act, section, or part will noteffect unless approved by the people atthe general electiono be held in PAGE 9 -SENATE BILL 23-252 November2024 and, in such case,will take effect on the date ofthe official declaration of the vote thereon by the governor.
S byeFenberg Tulie McClus le PRESSENATEOF SPEAKER OF THE HOUSE THE OF REPRESENTATIVES C M a t b e .a -tiltin g ° Cindi L.
Markwell Robin Jones SECRETARY OF CHIEF CLERK 0 THE HOUSE THE SENATE OF REPRESENTATIVES APPROVED cV-,(4-1 ' ,..L,..,7 03,A -TA4 )AL, (Date and Time) Jar RNOR T E STATE OF OLORADO PAGE 10-SENATE BILL23-252 State ofColorado Senate Bill No.
23-252 By Senator(s) Van Winkle and Gonzales, Buckner, et al.;
Also Representative(s) Daugherty and Hartsook, Amabile, et al.
An Act CONCERNING HOSPITALMEDICAL PRICE TRANSPARENCY.
STATE OF COLORADO, SS.
THIS ACT ORIGINATED IN THE SENATE Secretary of the Senate STATE OF COLORADO, ) GOVERNORS OFFICE ) SS.
This Act was filed in my office this day of Mc4V i A.D.
20 `),3 , at 1 1 1 1 o'cl ck L.
ove or By ..lr.,,cir,b C (b\r,1 e•-•,, STATE OF COLORADO, ) SECRETARY'S OFFICE ) SS.
This Act was filedn my office this day of , at o'clock M.
Secretaryof State By
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View plain text versions (8)
- Engrossed Reengrossed (04/19/2023) pdf
- Engrossed Engrossed (04/18/2023) Current pdf
- Signed Act (06/02/2023) View text pdf
- Final Act (05/08/2023) View text pdf
- Rerevised (05/07/2023) View text pdf
- Revised (05/06/2023) View text pdf
- PA1 (04/14/2023) View text pdf
- Introduced Introduced (03/27/2023) pdf
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Governor Signed
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Sent to the Governor
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Signed by the President of the Senate
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Signed by the Speaker of the House
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House Third Reading Passed - No Amendments
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House Second Reading Special Order - Passed - No Amendments
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House Second Reading Laid Over Daily - No Amendments
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House Committee on Public & Behavioral Health & Human Services Refer Unamended to House Committee of the Whole
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Senate Third Reading Passed with Amendments - Floor
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Introduced In House - Assigned to Public & Behavioral Health & Human Services
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Senate Second Reading Passed with Amendments - Committee, Floor
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Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole
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Introduced In Senate - Assigned to Health & Human Services
Sponsors
- Anthony Hartsook · Primary
- Lindsey Daugherty · Primary
- Julie Gonzales · Primary
- Van Winkle · Primary
Sponsorship breakdown
Export CSV (upgrade) →4 sponsors · 0 co-sponsors · 97 not signed on · 9 voted No
Sponsors (4)
- Anthony Hartsook Republican
- Lindsey Daugherty Democrat
- Julie Gonzales Democrat
- Van Winkle
Co-sponsors (0)
None.
Not signed on (97)
97 members have not signed on to this bill.
Show all 97 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 33 | 0 | 0 | 0 |
| Unaffiliated | 20 | 0 | 0 | 0 |
| Republican | 8 | 3 | 0 | 1 |
| Total | 61 | 3 | 0 | 1 |
| % of votes cast | 94% | 5% | 0% | 2% |
How each member voted (65)
| Member | Party | Vote |
|---|---|---|
| Armagost | — | Yea |
| Bird | — | Yea |
| Bockenfeld | — | Yea |
| Dickson | — | Yea |
| Epps | — | Yea |
| Evans | — | Yea |
| Gonzales-Gutierrez | — | Yea |
| Herod | — | Yea |
| Holtorf | — | Yea |
| Lynch | — | Yea |
| McLachlan | — | Yea |
| Ortiz | — | Yea |
| Parenti | — | Yea |
| Pugliese | — | Yea |
| Sharbini | — | Yea |
| Vigil | — | Yea |
| Winter T. | — | Yea |
| Young | — | Yea |
| Michaelson Jenet | — | Yea |
| deGruy Kennedy | — | Yea |
| Alex Valdez | Democrat | Yea |
| Andrew Boesenecker | Democrat | Yea |
| Bob Marshall | Democrat | Yea |
| Brianna Titone | Democrat | Yea |
| Cathy Kipp | Democrat | Yea |
| Eliza Hamrick | Democrat | Yea |
| Elizabeth Velasco | Democrat | Yea |
| Emily Sirota | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| Javier Mabrey | Democrat | Yea |
| Jennifer Bacon | Democrat | Yea |
| Jenny Willford | Democrat | Yea |
| Judy Amabile | Democrat | Yea |
| Julie McCluskie | Democrat | Yea |
| Junie Joseph | Democrat | Yea |
| Karen McCormick | Democrat | Yea |
| Kyle Brown | Democrat | Yea |
| Lindsey Daugherty | Democrat | Yea |
| Lorena Garcia | Democrat | Yea |
| Mandy Lindsay | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Matthew Martinez | Democrat | Yea |
| Meg Froelich | Democrat | Yea |
| Meghan Lukens | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| Monica Duran | Democrat | Yea |
| Naquetta Ricks | Democrat | Yea |
| Regina English | Democrat | Yea |
| Sheila Lieder | Democrat | Yea |
| Steven Woodrow | Democrat | Yea |
| Tammy Story | Democrat | Yea |
| Tisha Mauro | Democrat | Yea |
| William Lindstedt | Democrat | Yea |
| Anthony Hartsook | Republican | Yea |
| Brandi Bradley | Republican | Yea |
| Ken DeGraaf | Republican | Nay |
| Lisa Frizell | Republican | Yea |
| Lynda Zamora Wilson | Republican | Yea |
| Marc Catlin | Republican | Yea |
| Mary Bradfield | Republican | Yea |
| Matt Soper | Republican | Yea |
| Rick Taggart | Republican | Nay |
| Ron Weinberg | Republican | Yea |
| Scott Bottoms | Republican | Not Voting |
| Stephanie Luck | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 4 | 0 | 0 | 1 |
| Democrat | 11 | 0 | 0 | 2 |
| Unaffiliated | 16 | 0 | 0 | 1 |
| Total | 31 | 0 | 0 | 4 |
| % of votes cast | 89% | 0% | 0% | 11% |
How each member voted (35)
| Member | Party | Vote |
|---|---|---|
| Buckner | — | Yea |
| Fields | — | Yea |
| Gardner | — | Yea |
| Ginal | — | Yea |
| Hansen | — | Yea |
| Lundeen | — | Yea |
| Moreno | — | Yea |
| Pelton B. | — | Yea |
| Pelton R. | — | Yea |
| Priola | — | Yea |
| Smallwood | — | Yea |
| Will | — | Yea |
| Zenzinger | — | Not Voting |
| Fenberg | — | Yea |
| Jaquez Lewis | — | Yea |
| Van Winkle | — | Yea |
| Winter F. | — | Yea |
| Chris Kolker | Democrat | Yea |
| Dylan Roberts | Democrat | Yea |
| James Coleman | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Not Voting |
| Jessie Danielson | Democrat | Yea |
| Julie Gonzales | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lisa Cutter | Democrat | Yea |
| Nick Hinrichsen | Democrat | Not Voting |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Not Voting |
| Cleave Simpson | Republican | Yea |
| Janice Rich | Republican | Yea |
| Larry Liston | Republican | Yea |
| Mark Baisley | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 1 | 4 | 0 | 0 |
| Democrat | 10 | 2 | 0 | 1 |
| Unaffiliated | 11 | 5 | 0 | 1 |
| Total | 22 | 11 | 0 | 2 |
| % of votes cast | 63% | 31% | 0% | 6% |
How each member voted (35)
| Member | Party | Vote |
|---|---|---|
| Buckner | — | Yea |
| Fields | — | Yea |
| Gardner | — | Nay |
| Ginal | — | Yea |
| Hansen | — | Yea |
| Lundeen | — | Nay |
| Moreno | — | Yea |
| Pelton B. | — | Nay |
| Pelton R. | — | Nay |
| Priola | — | Yea |
| Smallwood | — | Yea |
| Will | — | Nay |
| Zenzinger | — | Not Voting |
| Fenberg | — | Yea |
| Jaquez Lewis | — | Yea |
| Van Winkle | — | Yea |
| Winter F. | — | Yea |
| Chris Kolker | Democrat | Yea |
| Dylan Roberts | Democrat | Nay |
| James Coleman | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Yea |
| Jessie Danielson | Democrat | Yea |
| Julie Gonzales | Democrat | Yea |
| Kyle Mullica | Democrat | Nay |
| Lisa Cutter | Democrat | Yea |
| Nick Hinrichsen | Democrat | Not Voting |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Nay |
| Cleave Simpson | Republican | Nay |
| Janice Rich | Republican | Nay |
| Larry Liston | Republican | Nay |
| Mark Baisley | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 23-252 do?
- The act requires hospitals to make public and post each hospital's medicare reimbursement rates. The act: Requires the department of health care policy and financing (state department) to conduct a performance assessment for each hospital to determine the hospital's adherence to federal transparency rules and publish the results on its website; Repeals sections of statute regarding hospital price transparency and debt collection that are currently under the administration and authority of the department of public health and environment and relocates these sections so that hospital price transparency and debt collection provisions are under the administration and authority of the state department; and Makes a violation of the hospital transparency requirements outlined in the act a deceptive trade practice under the "Colorado Consumer Protection Act". APPROVED by Governor June 2, 2023 EFFECTIVE June 2, 2023 NOTE: This act was passed without a safety clause and takes effect 90 days after sine die. (Note: This summary applies to this bill as enacted.)
- Who sponsors SB 23-252?
- SB 23-252 is sponsored by Anthony Hartsook (Republican), Lindsey Daugherty (Democrat), Julie Gonzales (Democrat), and Van Winkle.
- What is the current status of SB 23-252?
- This bill has been enacted into law. Introduced March 27, 2023. Enacted.
- Where can I track SB 23-252?
- Track SB 23-252 free on One Click Politics — get push/email alerts when it moves.
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