Colo. Rev. Stat. §§ 10-16-1201 through 10-16-1208: Colorado Health Care Coverage Act– Health Insurance Affordability Act – Colorado
Status: Enacted Year Enacted: 2020
Statutes contain the Health Insurance Affordability Act; creates the health insurance affordability board.
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Colo. Rev. Stat. §§ 10-16-701 through 10-16-709: Consumer Protection Standards Act for the Operation of Managed Care Plans – Colorado
Status: Enacted Year Enacted: 1997
Stipulates that a health plan/ carrier’s managed care plan must maintain an adequate network of providers to assure that all covered benefits will be accessible to covered persons. Provides protections against surprise billing.
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Colo. Rev. Stat. §§ 10-18-101 through 10-18-109: Medicare Supplement Insurance – Colorado
Status: Enacted Year Enacted: 1989
Statutes govern medicare supplement insurance. Provides loss ratio standards and filing requirements.
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Colo. Rev. Stat. §§ 25.5-1-101 through 25.5-1-130: State Health Care Policy and Financing Act – General Provisions – Colorado
Status: Enacted Year Enacted: 1993
Mandates the development of clinical standards to measure healthcare outcomes. It further states that development of these standards should be ongoing and that the standards must transparently measure quality outcomes in healthcare.
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Colo. Rev. Stat. §§ 25.5-11-101 through 25.5-11-106: Health Care Cost Savings Act of 2019 – Colorado
Status: Enacted Year Enacted: 2019
Creates the health care cost analysis task force for the purpose of developing comprehensive fiscal analyses of current and alternative health care financing systems.
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Colo. Rev. Stat. §§ 25.5-2.5-101 through 25.5-2.5-103: Colorado Cares Rx Act – Colorado
Status: Enacted Year Enacted: 2007
The State shall make information regarding prescription drugs available to the public, including but not limited to, ways in which the uninsured can access lower cost prescription drugs and contact information for lower cost programs.
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Colo. Rev. Stat. §§ 25.5-4-201 through 25.5-4-214: Colorado Medical Assistance Act — General Medical Assistance – Colorado
Status: Enacted Year Enacted: 2006
Allows the state to purchase health insurance for a recipient eligible for medical assistance through a group plan, if a group plan would be cost effective.
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Colo. Rev. Stat. §§ 6-20-201 & 6-20-202: Hospital Disclosures to Consumers – Notification of Debt by a Health Care Provider – Colorado
Status: Enacted Year Enacted: 2004
When a person has health benefit coverage to provide payment for care or treatment rendered by a health care provider and the person has notified the health care provider of coverage within thirty days after …
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Conn. Gen. Stat. § 17-241 – Connecticut
Status: Enacted
Beginning on October 2017, no contract entered into between a health care provider, or any agent or vendor retained by the health care provider to provide data or analytical services to evaluate and manage health …
Conn. Gen. Stat. § 17b-261m. Administrative services organization. Contract for services. Establishment of rates: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2010
States that the Commissioner of Social Services may contract with an administrative services organization to provide care coordination, utilization management, disease management, customer services review, as well as provide network management, credentialing of providers and …
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Conn. Gen. Stat. § 17b-28. Council on Medical Assistance Program Oversight. Duties. Appointments. Standing subcommittee. Report: General Provision – Connecticut
Status: Enacted Year Enacted: 1994
Establishes a Council on Medical Assistance Program Oversight, which is tasked with monitoring and making recommendations about available services comparable to those already in the Medicaid state plan, sufficiency of accessible primary care providers, specialty …
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Conn. Gen. Stat. § 19a-193b. Collection of payment by an ambulance service: Emergency Medical Services – Connecticut
Status: Enacted Year Enacted: 2015
States that ambulance services shall make a good faith effort to determine whether a person has health insurance coverage prior to attempting to collect paymentfor emergency services. If a person has health insurance coverage, such …
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Conn. Gen. Stat. § 19a-681. Definitions. Filing of current pricemaster. Charges to be in accordance with detailed schedule of charges on file. Penalty: Health Systems Planning Unit – Connecticut
Status: Enacted Year Enacted: 1995
(a) For purposes of this section: (1) “Detailed patient bill” means a patient billing statement that includes, in each line item, the hospital’s current pricemaster code, a description of the charge and the billed amount; …
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Conn. Gen. Stat. § 19a-903. Prohibited Billing Practices Re Hospital-Acquired Conditions: Public Health and Well-Being—Miscellaneous Provisions – Connecticut
Status: Enacted Year Enacted: 2009
No hospital or outpatient surgical facility shall seek payment for any increased costs that are incurred as the direct result of a hospital-acquired condition, identified as nonpayable by Medicare pursuant to Section 5001(c) of the …
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Conn. Gen. Stat. § 19a-904a. Notice to patients re coverage by health insurance policy. Understandable language in documents submitted to patients or insureds. Collection from insured of money owed by health carrier: Public Health and Well-Being — Miscellaneous Provisions – Connecticut
Status: Enacted Year Enacted: 2015
States that on or after January 1, 2016, health care providers shall determine whether an admission, procedure or service for nonemergency care is covered under his or her insurance policy before conducting the service. If …
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Conn. Gen. Stat. § 38a-182. Agreements with subscribers. Agreement requirements. Evidence of coverage: Health Care and Related Health Groups—Health Care Centers – Connecticut
Status: Enacted Year Enacted: 1971
Governs the agreements issued by health care centers to subscribers and dictates the required provisions in the agreements. See definition section 38a-175.
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