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HB 17-1173

signed

Health Care Providers And Carriers Contracts

Plain-English Summary

AI-generated

House Bill 17-1173, which has been signed into law in Colorado, aims to protect health care providers from negative consequences when they disagree with insurance companies about patient care or report issues that could harm patients. The bill requires contracts between insurers and healthcare providers to include clauses preventing insurers from penalizing providers for communicating with public officials about health care concerns, filing complaints, or participating in investigations related to patient care. This law affects both health care providers and insurance carriers, ensuring a safer environment for reporting any issues without fear of retaliation. Since the bill has been signed, it is now enforceable state law.

Official Summary

The bill requires a contract between a health insurance carrier (carrier) and a health provider (provider) to include a provision that prohibits a carrier from taking an adverse action against the provider due to a provider's disagreement with a carrier's decision on the provision of health care services. Current law requires the contract to state that the carrier cannot terminate the contract for these same reasons. The bill also requires the contract to contain provisions that prohibit a carrier from: Taking adverse actions for communicating with public officials on health care issues; filing complaints or reporting to public officials about conduct by a carrier that might negatively affect patient care; provides information in a forum concerning the required contract provisions; reporting alleged carrier violations; or participating in an investigation of an alleged violation. (Note: This summary applies to this bill as introduced.)

Details

Chamber
House
First action
2017-04-06
Latest action
2017-02-06
Last action desc.
Introduced In House - Assigned to Health, Insurance, & Environment
OpenStates
View source ↗

Related Legislation

This bill affects (0)

None found.

Affected by (11)

amends
SB 18-115(2018A)· signed
Apply Stark Laws To Medical Referrals Outside Medicaid
amends
SB 17-133(2017A)· failed
Insurance Commissioner Investigation Of Provider Complaints
relates
SB 17-206(2017A)· failed
Out-of-network Providers Payments Patient Notice
relates
SB 23-188(2023A)· signed
Protections For Accessing Reproductive Health Care
relates
HB 26-1241(2026A)· failed
Carrier to Notify Provider Material Change Contract
relates
HB 25-1174(2025A)· signed
Reimbursement Requirements for Health Insurers
relates
HB 22-1284(2022A)· signed
Health Insurance Surprise Billing Protections
relates
SB 24-163(2024A)· signed
Arbitration of Health Insurance Claims
relates
HB 25-1151(2025A)· signed
Arbitration of Health Insurance Claims
relates
HB 18-1007(2018A)· signed
Substance Use Disorder Payment And Coverage
repeals
SB 26-178(2026A)· signed
Health Insurance Affordability Measures

Votes

Refer House Bill 17-1173 to the Committee of the Whole with a recommendation that it be placed on the consent calendar. The motion passed on a vote of 7-0.
2017-03-20 · House · passYes: 7 · No: 0 · Other:
Refer House Bill 17-1173, as amended, to the Committee of the Whole. The motion passed on a vote of 8-3.
2017-03-20 · House · passYes: 8 · No: 3 · Other:
Adopt amendment L.001 (Attachment A) to House Bill 17-1173. The motion passed without objection.
2017-03-20 · House · passYes: 0 · No: 0 · Other: