SB 22-236

  • Colorado Senate Bill
  • 2022 Regular Session
  • Introduced in Senate May 03, 2022
  • Passed Senate May 03, 2022
  • Passed House May 10, 2022
  • Signed by Governor Jun 07, 2022

Review Of Medicaid Provider Rates

Abstract

Joint Budget Committee. Current law requires the department of health care policy and financing (state department) to establish a schedule for a review of provider rates paid under medicaid so that each provider rate is reviewed at least every 5 years and to provide the schedule to the joint budget committee (JBC). Beginning August 1, 2023, the bill requires the state department to establish a schedule so that each provider rate is reviewed at least every 3 years and to provide the schedule to the medicaid provider rate review advisory committee (advisory committee) in addition to the JBC. Current law authorizes the advisory committee or the JBC, by a majority vote, to direct the state department to conduct a review of a provider rate that is not scheduled for review during that year. Effective August 1, 2023, if the state department determines the request for an out-of-cycle review cannot be conducted, the bill requires the state department to provide written notification to the advisory committee and the JBC within 30 days after the request is made stating the reasons the out-of-cycle request cannot be conducted. Effective August 1, 2023, the bill requires the state department to utilize information made available by the state department concerning the prior authorization process and billing structure for provider rates if such information is relevant to the review in order to minimize rate disparities for services in professional classifications that are eligible for reimbursement under medicaid. Effective August 1, 2023, the bill requires the state department to conduct a public meeting at least quarterly to inform the state department's review of provider rates. Current law requires the advisory committee consist of 24 members. Effective August 1, 2023, the bill decreases the advisory committee to 7 members and requires the members to have proven expertise related to medicaid in one or more specific areas. The advisory committee is currently scheduled to sunset September 1, 2025. The bill moves the sunset to September 1, 2036. On or before December 1, 2024, and each December 1 thereafter, the bill requires the advisory committee to present to the JBC an overview of the provider rate review process, a summary of the provider rates that were reviewed, and the strategies for responding to the findings of the provider rate review. (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Bill Sponsors (4)

Votes


Actions


Jun 07, 2022

Office of the Governor

Governor Signed

May 25, 2022

Office of the Governor

Sent to the Governor

House

Signed by the Speaker of the House

Senate

Signed by the President of the Senate

May 10, 2022

Senate

Senate Considered House Amendments - Result was to Concur - Repass

House

House Third Reading Passed - No Amendments

May 06, 2022

House

House Third Reading Laid Over Daily - No Amendments

May 05, 2022

House

House Second Reading Special Order - Passed with Amendments - Committee

House

House Committee on Appropriations Refer Amended to House Committee of the Whole

  • Committee-Passage
  • Referral-Committee
House Committee of the Whole Appropriations

May 03, 2022

House

Introduced In House - Assigned to Appropriations

  • Introduction
Appropriations

Senate

Senate Third Reading Passed - No Amendments

May 02, 2022

Senate

Senate Second Reading Special Order - Passed - No Amendments

Senate

Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole

  • Committee-Passage
Appropriations

Apr 28, 2022

Senate

Introduced In Senate - Assigned to Appropriations

  • Introduction
Appropriations

Bill Text

Bill Text Versions Format
Signed Act (06/07/2022) PDF
Final Act (05/25/2022) PDF
Rerevised (05/10/2022) PDF
Revised (05/05/2022) PDF
Reengrossed (05/03/2022) PDF
Engrossed (05/02/2022) PDF
Introduced (04/28/2022) PDF
PA1 (05/05/2022) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note SA1 (05/01/2022) PDF
Fiscal Note SA2 (05/04/2022) PDF
Fiscal Note FN1 (04/30/2022) PDF

Sources

Data on Open States is updated periodically throughout the day from the official website of the Colorado General Assembly.

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