Colorado § 25-38-103 - Definitions.

Full text of Colorado Colorado Revised Statutes § 25-38-103 — Definitions., with citation guidance and answers to common questions.

§ 25-38-103. Definitions.

As used in this article 38, unless the context otherwise requires:

(1) "Carrier" shall have the same meaning as set forth in section 10-16-102, C.R.S.

(2) "Commissioner" means the commissioner of insurance.

(3) "Consumer" includes members of the public, health-care consumers and potential health-care consumers, purchasers of health insurance plans, or patients.

(3.5) "Dentist" means a dentist licensed under the "Dental Practice Act", article 220 of title 12.

(4) "Designation" means an award, assignment, characterization, or representation of the cost efficiency, quality, or other assessment or measurement of the care or clinical performance of any physician or dentist that is disclosed or intended for disclosure to the public or persons actually or potentially covered by a health plan, by use of a grade, star, tier, rating, profile, or any other form of designation. "Designation" does not include:

(a) Information that is derived solely from health plan member feedback such as satisfaction ratings; or

(b) Information for programs designed to assist health plan members with estimating a physician's or dentist's routine fees or costs.

(5) "Health-care entity" means any carrier or other entity that provides a plan of health-care coverage to beneficiaries under a plan.

(6) "Methodology" means the method by which a designation is determined, including, but not limited to, the use of algorithms or studies, evaluation of data, application of guidelines, or performance measures.

(7) "Physician" means any physician licensed under the "Colorado Medical Practice Act", article 240 of title 12.

Source: L. 2008: Entire article added, p. 2013, § 1, effective September 1. L. 2015: (3.5) added and IP(4) and (4)(b) amended, (HB 15-1191), ch. 95, p. 271, § 3, effective August 5. L. 2019: IP, (3.5), and (7) amended, (HB 19-1172), ch. 136, p. 1706, § 172, effective October 1.

Frequently Asked Questions About Colorado § 25-38-103

What does Colorado Revised Statutes § 25-38-103 cover?

Section 25-38-103 ("Definitions.") is part of the Colorado Revised Statutes, the codified statutory law of Colorado. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Colorado § 25-38-103?

A common citation format is "Colorado Revised Statutes § 25-38-103" (Colorado). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Colorado law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Colorado official source linked on this page or consult a licensed Colorado attorney.

How does Colorado § 25-38-103 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Colorado can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Colorado.