Colorado Code § 10-22-113

Colorado affordable health care coverage easy enrollment program - advisory committee - creation - appointments - duties - definitions - repeal
Open in Lexace · Ask the AI about this section
(1) There is
hereby created the Colorado affordable health care coverage easy enrollment program for the
purpose of leveraging the individual income tax filing process to maximize the enrollment of
eligible uninsured individuals in a health-care coverage affordability program.
(2) (a) For the purpose of guiding the implementation and administration of the program,
there is hereby created the affordable health care coverage easy enrollment advisory committee.
The executive directors of the exchange and the department of revenue, or their designees, shall
serve as co-chairs of the advisory committee. On or before September 1, 2020, the board shall
appoint nine additional members, as specified in subsection (2)(b) of this section, to serve on the
advisory committee. In making the appointments, the board shall consider the geographic,
economic, ethnic, and other characteristics of the state.
(b) Members of the advisory committee must include:
(I) A representative of the department of health care policy and financing;
(II) A representative of the division;
(III) A representative of consumer advocacy groups;
(IV) A representative of small employers, as defined in section 10-16-102 (61);
(V) A representative of insurers;
(VI) A health-care consumer;
(VII) A health coverage guide or other person with expertise in the process of applying
for federal insurance or assistance as provided by:
(A) Title XIX of the federal "Social Security Act", as amended, and the "Colorado
Medical Assistance Act", articles 4, 5, and 6 of title 25.5; or
(B) The children's basic health plan, as defined in article 8 of title 25.5;
(VIII) An insurance producer, as defined in section 10-2-103 (6); and
(IX) A provider of income tax preparation services.
(c) Of the members first appointed, in order to ensure staggered terms, the initial term of
office of five of the members is two years and the initial term of office of four of the members is
four years. Thereafter, the term of office of all members is four years.
(d) Members of the advisory committee may be removed for cause by the board or by a
majority vote of the advisory committee members.
(e) The advisory committee shall meet as often as necessary to carry out its duties
pursuant to this section.
(f) Members of the advisory committee are not entitled to receive per diem or other
compensation for performance of services for the advisory committee but may be reimbursed for
actual and necessary expenses, including any required dependent care and dependent or
attendant travel, food, and lodging, while engaged in the performance of official duties of the
advisory committee.
(g) This subsection (2) is repealed, effective September 1, 2030.
(3) (a) The advisory committee shall:
(I) Determine the minimum information necessary to collect through the state individual
income tax forms to identify uninsured individuals and allow the exchange to assess whether
they are potentially eligible for enrollment in a health-care coverage affordability program or
other creditable coverage;
(II) Determine the procedures that will be used to transfer tax filer information from the
department of revenue to the exchange in order to facilitate the program;
(III) Recommend revisions to the state individual income tax form, supplemental
schedules, or both to be implemented by the department of revenue pursuant to section 39-22-
5202 that are needed to implement the program. The recommendations must include:
(A) A question asking if the tax filer wants the exchange to assess whether the uninsured
individuals in the tax household are potentially eligible for a health-care coverage affordability
program or other creditable coverage using information from the tax filer's state individual
income tax return and other sources available to the exchange;
(B) For tax filers that want the exchange to assess potential eligibility, a request for: The
identity of the uninsured individuals and any additional information, including the household
size of the tax filer, that is not otherwise available to the exchange and that is deemed essential
by the advisory committee for making assessments of potential eligibility; except that the request
for additional information shall not include requests for citizenship, immigration, or health
status;
(IV) Draft recommended instructions for the individual tax form instruction booklet that
explain how to answer the questions added to the tax return form or schedules pursuant to
section 39-22-5202 (1)(b) and the effects of indicating that the tax filer would like the exchange
to assess the eligibility of uninsured household members;
(V) Determine the process that the exchange will use under the program to assess
potential eligibility for and assist with enrollment in a health-care coverage affordability
program or other creditable coverage including:
(A) A timeline for assessing each individual's potential eligibility for a health-care
coverage affordability program or other creditable coverage;
(B) A process to notify individuals regarding the outcomes of assessments of potential
eligibility, which process is designed to maximize health-care coverage enrollment levels; and
(C) A process for handling uninsured individuals whose status as United States citizens
cannot be verified through information available to the exchange; and
(VI) Determine the feasibility of and, if feasible, recommend a process for automatic
enrollment, through the program, of eligible uninsured individuals in a medical assistance
program under the "Colorado Medical Assistance Act", articles 4, 5, and 6 of title 25.5, or other
zero-net-premium creditable coverage.
(b) This subsection (3) is repealed, effective September 1, 2030.
(4) The exchange, through procedures determined by the advisory committee, shall:
(a) Assess whether uninsured individuals identified through the program are potentially
eligible for a health-care coverage affordability program or other creditable coverage;
(b) Notify the uninsured individuals regarding their potential eligibility;
(c) Enroll or assist with enrolling the uninsured individuals in creditable coverage; and
(d) Not take additional steps to determine eligibility for or enroll an uninsured individual
identified through the program if the exchange cannot verify that the uninsured individual is a
United States citizen until the individual provides affirmative consent using procedures
developed by the advisory committee pursuant to subsection (3)(a)(V)(C) of this section.
(5) As used in this section:
(a) (I) "Advisory committee" means the affordable health care coverage easy enrollment
advisory committee.
(II) This subsection (5)(a) is repealed, effective September 1, 2030.
(b) "Creditable coverage" has the same meaning as set forth in section 10-16-102 (16).
(c) "Program" means the Colorado affordable health care coverage easy enrollment
program.
(d) "Uninsured individual" means an individual who does not have creditable coverage.

‹ Prev All Colorado sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.