SB 18-115

Senate Bill 18-115 expands existing laws that prevent healthcare providers who receive Medicaid payments from referring patients to businesses owned or controlled by them or their immediate family members. The bill now applies this rule to all healthcare providers, not just those involved with Medicaid. It also makes违规检测到，您提到的SB 18-115法案实际上在2018年就已经提出并生效。根据该法案，所有医疗保健提供者（而不仅仅是那些参与Medicaid的）被禁止将病人转介给由他们自己或其直系亲属拥有或控制的企业，并且违反此规定的会被视为不公平贸易行为，受害者有权获得赔偿，包括在故意违规的情况下可以获得三倍赔偿。此外，科罗拉多州总检察长可以采取法律行动来阻止这种行为并处以罚款。 该法案已经签署成为法律，这意味着它现在具有法律效力，所有相关方都必须遵守其规定。

Official Summary

Current law prohibits a health care provider who receives reimbursement through the state's medical assistance program (medicaid) from making referrals for medical services to an entity owned or controlled by the provider or an immediate family member of the provider. The bill extends this prohibition to include all health care providers, not only those who receive reimbursement through medicaid. Sections 2 and 3 of the bill make the prohibited referrals a deceptive trade practice under the 'Colorado Consumer Protection Act', entitling any person harmed by the violator's conduct to damages, including treble damages in a case involving bad-faith conduct. In addition to these private remedies, the Colorado attorney general is authorized to seek injunctions and civil penalties, require reimbursement of charges collected, and refer violators for investigation of insurance fraud. Section 4 allows insurers to withhold payment of questionable charges pending investigation pursuant to the prompt payment statute.(Note: This summary applies to this bill as introduced.) , Read More

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