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Legislative Year: 2020 Change

Bill Detail: SB20-043

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Title Out-of-network Provider Reimbursement Rate
Status Governor Signed (03/11/2020)
Bill Subjects
  • Health Care & Health Insurance
  • Insurance
House Sponsors D. Valdez (D)
Senate Sponsors J. Tate (R)
House Committee Health and Insurance
Senate Committee Health and Human Services
Date Introduced 01/08/2020

Statutory Revision Committee. House Bill 19-1174, enacted
January 1, 2020, requires a health insurance carrier to reimburse an
out-of-network health care provider who provides emergency services or
covered nonemergency services to a covered person at an in-network
facility the greater of:
  • 110% of the carrier's median in-network rate of
reimbursement; or
  • The sixtieth percentile of the in-network rate of
reimbursement for the same service in the same geographic
area for the prior year based on claims from the all-payer
claims database.
The bill corrects a conforming amendment that was made in House
Bill 19-1174 that inaccurately stated the reimbursement rate.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (01/22/2020) (most recent)  
Additional Bill Documents Bill Documents
  • Past bill versions
  • Past fiscal notes
  • Committee activity and documents
  • Bill History
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