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SB 12-134 Hospital Payment Assistance Program

SB 12-134 Hospital Payment Assistance Program

Ratings: (0)|Views: 814 |Likes:
Published by Andrea Rael
Bill to be signed into law by Gov. Hickenlooper 05/07/2012
Bill to be signed into law by Gov. Hickenlooper 05/07/2012

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Published by: Andrea Rael on May 07, 2012
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05/07/2012

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SENATE BILL 12-134BY SENATOR(S) Aguilar, Boyd, Carroll, Foster, Nicholson, Bacon, Giron,Guzman, Mitchell, Morse, Schwartz, Steadman;also REPRESENTATIVE(S) Acree, Casso, Court, Ferrandino, Fields,Fischer, Hamner, Hullinghorst, Jones, Kagan, Kefalas, Kerr A., Kerr J.,Labuda, Lee, Levy, Massey, Miklosi, Pabon, Pace, Peniston, Schafer S.,Singer, Summers, Todd, Tyler, Vigil, Williams A., Young.C
ONCERNING FINANCIAL ASSISTANCE IN
C
OLORADO HOSPITALS
. 
 Be it enacted by the General Assembly of the State of Colorado:
SECTION 1.
In Colorado Revised Statutes,
add
25-3-112 asfollows:
25-3-112. Hospitals - charges for the uninsured - collectionsprotection - charity care information.
(1) E
ACH HOSPITAL SHALL MAKEINFORMATION AVAILABLE TO EACH PATIENT ABOUT THE HOSPITAL
'
SFINANCIAL ASSISTANCE
,
CHARITY CARE
,
AND PAYMENT PLAN POLICIES
.
 
E
ACHHOSPITAL SHALL COMMUNICATE THIS INFORMATION IN A CLEAR ANDUNDERSTANDABLE MANNER AND IN LANGUAGES APPROPRIATE TO THECOMMUNITIES AND PATIENTS THE HOSPITAL SERVES
.
 
T
HE HOSPITAL SHALL
:(a) P
OST THE INFORMATION CONSPICUOUSLY ON ITS WEB SITE
;
NOTE: This bill has been prepared for the signatures of the appropriate legislativeofficers and the Governor. To determine whether the Governor has signed the billor taken other action on it, please consult the legislative status sheet, the legislativehistory, or the Session Laws.
________
Capital letters indicate new material added to existing statutes; dashes through words indicatedeletions from existing statutes and such material not part of act.
 
(b) M
AKE THE INFORMATION AVAILABLE IN PATIENT WAITING AREAS
;(c) M
AKE THE INFORMATION AVAILABLE TO EACH PATIENT
,
WHENPOSSIBLE
,
BEFORE THE PATIENT
'
S DISCHARGE FROM THE HOSPITAL
;
AND
(d) I
NCLUDE THE INFORMATION IN EACH PATIENT
'
S BILLINGSTATEMENT
.(2) (a) W
HEN POSSIBLE
,
EACH HOSPITAL SHALL OFFER TO SCREENEACH UNINSURED PATIENT FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE ASDESCRIBED BY THIS SUBSECTION
(2).
 
E
ACH HOSPITAL SHALL OFFERFINANCIAL ASSISTANCE FOR QUALIFIED PATIENTS ON A COMMUNITY
-
SPECIFICBASIS
.
 
I
N DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE
,
EACHHOSPITAL SHALL
,
AT A MINIMUM
,
TAKE INTO CONSIDERATION FEDERAL
,
STATE
,
AND LOCAL GOVERNMENT REQUIREMENTS
.(b) F
OR PURPOSES OF THIS SECTION
,
A QUALIFIED PATIENT IS ANINDIVIDUAL
:(I) W
HO IS UNINSURED
;(II) W
HOSE ANNUAL FAMILY INCOME IS NOT MORE THAN TWOHUNDRED FIFTY PERCENT OF THE FEDERAL POVERTY GUIDELINES
;
AND
(III) W
HO RECEIVED A SERVICE AT A HOSPITAL FOR WHICH THE
"C
OLORADO
I
NDIGENT
C
ARE
P
ROGRAM
"
ESTABLISHED IN PART
1
OF ARTICLE
3
OF TITLE
25.5,
 
C.R.S.
WAS NOT AVAILABLE
.(3) A
HOSPITAL SHALL LIMIT THE AMOUNTS CHARGED FOREMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TOINDIVIDUALS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCEPOLICY DESCRIBED IN SUBSECTION
(2)
OF THIS SECTION TO NOT MORE THANTHE LOWEST NEGOTIATED RATE FROM A PRIVATE HEALTH PLAN
.(4) B
EFORE INITIATING COLLECTION PROCEEDINGS
,
A HOSPITALSHALL
:(a) O
FFER A QUALIFIED PATIENT A REASONABLE PAYMENT PLAN
;
AND
PAGE 2-SENATE BILL 12-134
 
(b) A
LLOW FOR AT LEAST THIRTY DAYS PAST THE DUE DATE OF ANYSCHEDULED PAYMENT THAT IS NOT PAID IN FULL
.
 
A
HOSPITAL MUST ALLOWTHE THIRTY
-
DAY PERIOD ONLY FOR THE FIRST LATE PAYMENT
.(5) N
OTHING IN THIS SECTION LIMITS OR AFFECTS A HOSPITAL
'
S RIGHTTO PURSUE THE COLLECTION OF PERSONAL INJURY
,
BODILY INJURY
,
LIABILITY
,
UNINSURED
,
UNDERINSURED
,
MEDICAL PAYMENTREHABILITATION
,
DISABILITY
,
HOMEOWNER
'
S
,
BUSINESS OWNER
'
S
,
WORKERS
'
COMPENSATION
,
OR FAULT
-
BASED INSURANCE
.(6) F
OR THE PURPOSES OF THIS SECTION
,
 
"
HOSPITAL
"
MEANS AHOSPITAL LICENSED PURSUANT TO PART
1
OF ARTICLE
3
OF THIS TITLE ORCERTIFIED PURSUANT TO SECTION
25-1.5-103
 
(1) (a) (II).
SECTION 2.
 
Act subject to petition - effective date.
This acttakes effect at 12:01 a.m. on the day following the expiration of theninety-day period after final adjournment of the general assembly (August8, 2012, if adjournment sine die is on May 9, 2012); except that, if areferendum petition is filed pursuant to section 1 (3) of article V of the stateconstitution against this act or an item, section, or part of this act withinsuch period, then the act, item, section, or part will not take effect unlessPAGE 3-SENATE BILL 12-134

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