Colorado § 10-16-1307 - Advisory board - members - rules.

§ 10-16-1307. Advisory board - members - rules.

(1) (a) The commissioner shall consult with an advisory board to implement this part 13. The governor shall appoint the members of the advisory board on or before July 1, 2022, and shall ensure that the membership of the advisory board has demonstrated experience and expertise in most of the areas listed in subsection (2) of this section.

(b) To the extent possible, the governor shall appoint advisory board members who are diverse with regard to race, ethnicity, immigration status, age, ability, sexual orientation, gender identity, and geography. In considering the racial and ethnic diversity of the advisory board, the governor shall attempt to ensure that at least one-third of the members are people of color. In considering the geographic diversity of the advisory board, the governor shall attempt to appoint members from both rural and urban areas of the state.

(2) The governor may appoint up to eleven members to the advisory board and, to the extent practicable, shall include individuals who:

(a) Have faced barriers to health access, including people of color, immigrants, and Coloradans with low incomes;

(b) Have experience purchasing the standardized plan;

(c) Represent consumer advocacy organizations;

(d) Have expertise in health equity;

(e) Have expertise in health benefits for small businesses;

(f) Represent carriers or who have experience with designing a health insurance plan and setting rates;

(g) Represent hospitals or who have experience with contracts between hospitals and carriers;

(h) Represent health-care providers or who have experience with contracts between health-care providers and carriers;

(i) Represent an employee organization that represents employees in the health-care industry; or

(j) Are licensed or retired physicians practicing or who practiced in this state.

(3) The members serve at the pleasure of the governor.

(4) In addition to consulting with the commissioner pursuant to subsection (1)(a) of this section, the advisory board may:

(a) Consider recommendations to streamline prior authorization and utilization management processes for the standardized plan;

(b) Recommend ways to keep health-care services in the communities where patients live; and

(c) Consider whether alternative payment models may be appropriate for particular services, taking into consideration the impacts of such models on health outcomes for people of color.

(5) The division shall provide technical and administrative support to assist the advisory board.

Source: L. 2021: Entire part added, (HB 21-1232), ch. 241, p. 1289, § 1, effective June 16.