2016 Colorado Revised Statutes
Title 30 - Government - County
County Powers and Functions
Article 12 - Local Access to Health Care Pilot Program
§ 30-12-104. Pilot program - local access to health care

(1) (a) The board and the association are authorized to create pilot programs in their respective geographical areas of governance to provide access to health care services to individuals employed by employers located in Pueblo county or in the San Luis valley, respectively. If the board and association each create a pilot program, the pilot programs shall operate independent of each other, and an employer and eligible individuals employed by that employer shall be allowed to participate only in the pilot program operated in the geographical area in which the employer is located. The board or association may contract with a nonprofit corporation to operate the pilot program and deliver, either directly or indirectly, health care to eligible individuals and their families. The contractor shall be governed by a board of directors and shall be administered by officers, all of whom shall be appointed with the advice and consent of the board or association. The board, the association, and the individual members of the board and the association shall not be responsible for any financial obligations of the pilot program.

(b) In order to support economic development in Pueblo county and the San Luis valley and to strengthen existing employers in these communities, the contractor operating a pilot program in either Pueblo county or the San Luis valley may give preference in the selection of vendors to perform the various functions of the applicable pilot program to local entities with infrastructure in place that are capable of performing the daily functions of a pilot program, including implementing health benefit designs, paying hospital and professional claims for services, providing employer group billings, providing actuarial and underwriting experience, and managing enrollment and eligibility for participation in a pilot program.

(2) The contract entered into between the board or the association and a contractor for the operation of a pilot program shall clearly state the scope of the contract, the amount of fees that may be charged by the contractor to eligible individuals for participation in the pilot program, and that the contractor is responsible for the operation of the pilot program.

(3) The board, association, or contractor, as appropriate, shall direct individuals seeking access to the pilot program who are eligible for the "Colorado Medical Assistance Act", articles 4, 5, and 6 of title 25.5, C.R.S., the "Children's Basic Health Plan Act", article 8 of title 25.5, C.R.S., medicare pursuant to Title XVIII of the federal "Social Security Act", as amended, or the "Colorado Indigent Care Program" established in part 1 of article 3 of title 25.5, C.R.S., to the appropriate state or federal program.