SB12-023 - Improve Eligible Persons Access To PACE Program

Passed/Signed into Law
Concerning The Program Of All-Inclusive Care For The Elderly, And, In Connection Therewith, Addressing Enrollment Of Persons Who Are Eligible For The Pace Program, Addressing How The Pace Program Works With Accountable Care Collaborative And Similar Integrative Involving The Medicaid Population In Colorado, And Removing Pace Providers From Licensing As A Home Care Agency. Initiatives

The bill removes organizations providing a program of all-inclusive care for the elderly (PACE) from licensure by the department of public health and environment as home care agencies.

The bill requires the department of health care policy and financing (department) staff, the single entry point system staff, county department staff, and PACE program staff to fully inform an eligible person, prior to enrolling the person in an accountable care organization or collaborative, a managed care organization, or other risk-bearing entity that serves medicaid or medicaid-eligible beneficiaries, about the benefits available through the PACE program in the area where the eligible person resides and that PACE enrollment is an option for the eligible person. The medical services board (board) is required to adopt rules regarding these requirements.

The term "eligible person", for purposes of the PACE program, is amended to include dually eligible persons. A "dually eligible person" is defined as a person who is eligible for assistance or benefits under both medicaid and medicare. The bill also defines "accountable care organization or collaborative" and "regional care collaborative organization".

An eligible person who is enrolled in an accountable care organization or collaborative, a managed care organization, or other risk-bearing entity may elect to withdraw from or terminate such enrollment and enroll in and receive services from a PACE program. The board's rules shall define how such election is made.

The department shall provide quarterly to each PACE provider a list of all eligible persons residing in the area served by such PACE provider who have not elected to participate in the PACE program.

House Committees

Latest update: April 12, 2012
04/12/2012 Governor Action - Signed
04/02/2012 Sent to the Governor
03/30/2012 Signed by the Speaker of the House
03/28/2012 Signed by the President of the Senate
03/21/2012 House Third Reading Passed
03/20/2012 House Second Reading Passed
03/15/2012 House Committee on Health and Environment Refer Unamended to House Committee of the Whole
03/09/2012 Introduced In House - Assigned to Health and Environment
03/06/2012 Senate Third Reading Passed
03/05/2012 Senate Second Reading Passed with Amendments
02/29/2012 Senate Committee on Health and Human Services Refer Amended to Senate Committee of the Whole
02/02/2012 Senate Committee on Health and Human Services Witness Testimony and/or Committee Discussion Only
01/11/2012 Introduced In Senate - Assigned to Health and Human Services