From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected].

us>
To: Kim Bimestefer - HCPF
Subject: Fwd: Facility Fees Follow Up
Date: Monday, March 13, 2023 11:41:53 AM
Attachments: CHA Response_Combatting Hospital Narratives on Facility Fees.docx
CHA Issue Summary - 3.2.23.pptx

FYI

---------- Forwarded message ---------

From: Katherine Mulready <[email protected]>
Date: Mon, Mar 13, 2023 at 10:41 AM
Subject: Facility Fees Follow Up
To: [email protected] <[email protected]>

Pls let me know if I can break down any of this further for you.  I’m running some additional
min/max/average numbers and will get those over to you, which will hopefully help with the
$9b impact figure. 

Katherine Blair Mulready

Senior Vice President & Chief Strategy Officer
c: 720.282.9285
www.cha.com

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
To: HB 23-1215 Stakeholders and Interested Members of the General Assembly
Re: CHA Response to CCHI Memo, “Colorado Hospital Landscape”
Date: March 9, 2023

Earlier today CHA received a copy of the Colorado Consumer Health Initiative (CCHI) memo entitled
“Colorado Hospital Landscape,” regarding House Bill (HB) 23-1215 and were asked for a response.
CHA values CCHI’s perspective, and as the document below illustrates, there is a considerable
amount of misinformation and misunderstanding circulating about hospitals and health care
financing.

With regard to CHA’s analysis of the impact of HB 23-1215 and position, the Association remains
committed to working with all parties to identify workable and data-driven policy solutions.
However, CHA firmly believes that on this particular issue, we are not operating with a shared set of
facts, particularly with regard to the level of impact, both financial and on hospitals’ ability to
provide needed health care services in Colorado communities. CHA hopes this response can
contribute to a productive and respectful dialogue about patient health care cost concerns, as well
as on facility fees, hospital profitability, and other issues, and welcome the opportunity to correct
the record.

The following document is an annotated response to the CCHI document, which was broken out
into four sections, linkable below for ease of access:
• Finances (p.2)
• Colorado Healthcare Access and Sustainability Enterprise (CHASE) Funding (p. 4)
• Administrative Costs (p. 6)
• Consolidation (p. 10)
Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)
Finances
Colorado hospitals are highly profitable and consistently have some of the highest costs to consumers in
the nation. The Colorado Department of Health Care Policy and Financing has done thorough reporting
of this, made stronger by All Payers Claims Database (the nonprofit institution which collects health
care costs data for a large swath of Coloradans through insurance carrier submissions) data which is
some of the best in the country.
● Hospital Insights Report 2022
● Hospital Expenditure Report 2023

CHA Response:
• Current Hospital Financial Conditions
o Nearly 60 percent of Colorado hospitals operate with unsustainable financial situations –
57 out of the 97 hospitals in the state. For hospitals with negative operating margins,
reimbursements do not cover the cost of patient care. While independent and rural
hospitals are more likely to be in this category, unsustainable finances impact all types of
hospitals – rural and urban, independent and health system, acute care and specialty. 1,2
o Remaining operating margins have been cut in half. While stimulus support helped keep
many hospitals afloat in 2020 and 2021, 2022 operating margins were 49 percent below
2019 levels. 3
o Based on 2022 year-end financial information, hospitals in Colorado are facing a serious
financial toll with no relief in sight. Hospitals have incurred unprecedented losses relative
to pre-pandemic levels, approximately $2.5 billion since 2019. 4
o Importantly, expenses are up and outpacing revenue. Total expenses in 2022 for Colorado
hospitals are 22 percent higher than pre-pandemic levels, led by rising expenses for
staffing – up 28 percent – and medical supplies – up 26 percent. 5
o Hospitals are seeing fewer patients, and these patients are sicker. While hospital
discharges and inpatient surgeries have decreased since 2019, patient days and length of
stay are on the rise, indicating that patients have more severe health needs than prior to
the pandemic. 6,7
• Hospital Affordability
o In 2020, Colorado’s health care system ranked as the top state in the mountain region
and 6th best state in the country for health system performance including measures of
quality, access, affordability, and treatment, according to the Commonwealth Fund 8
 2022 UPDATE: Unfortunately, the 2022 Commonwealth Scorecard drops Colorado
from 6th to 12th, largely due to poor performance related to mental health
indicators that were added, including suicide and alcohol deaths, individuals with
unmet mental health needs, and preventable hospitalizations. On the four
measures directly tied to affordability, three of four are at or outperforming the
national average. 9
o Colorado households spend the second lowest amount on hospital costs in the country,
and in 2020, Coloradans spent $4 billion less than the national average on hospital care. 10
o Hospital costs in Colorado are now 18% lower than the U.S. average and are rising at a
slower pace than national trends. In the last 10 years, Coloradans have saved $22.5 billion
dollars through lower hospital costs, compared to the U.S. average. 11

Page 2 of 14
Page 3 of 14
Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)
Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Funding
The Colorado Healthcare Affordability and Sustainability Enterprise is a government-owned business
housed in the Department of Healthcare Policy and Financing (HCPF). CHASE collects a fee from
hospitals in order to obtain matching federal funds to increase the money pool, expand the Health First
Colorado and Child Health Plan Plus program payments back to hospitals, and reduce cost-shifting onto
private payers. Essentially, CHASE funds Medicaid expansion in the state, among a few other priorities,
by collecting funds from the hospitals, increasing the funds, and reallocating them back to the hospitals.

A pre-publication, independent actuarial analysis of Colorado All-Payers Claims Database data showed
that the increased costs of medical care to consumers and insurance carriers when they go to off-
campus medical offices and clinics owned by hospitals, largely driven by facility fees, amounted to
approximately $140 million. This amounts to less than 0.01% of the total revenue hospitals make from
patient care. If these fees are reduced, the savings will make a meaningful difference for patients but
should have a negligible impact on CHASE funding. We also cannot pit patients against each other by
relying on high hospital profits that put Coloradans into crushing debt to support our crucial safety net
programs.

Hospitals are using CHASE funding to distract from the fact that they have provided no verified
estimates on how much profit they make from facility fees or where that funding goes. Hospitals across
Colorado are not uniform in charging patients facility fees. Some health systems have claimed this will
bankrupt them and close critical access clinics, but other independent practice or hospitals, like
Community Hospital in Grand Junction, do not charge for outpatient services.
● CHASE Funding and the Cost-Shifting Myth

CHA Response:
• The lack of understanding of the complexities of this issue – as evidenced by the difference
presented just in the impact to the CHASE Fee – show that this policy, while well intentioned, is
far from ready for adoption in Colorado.
• HB 23-1215 defines a “facility fee” as: “a fee a hospital or health system charges or bills for
outpatient hospital services provided in a hospital-based facility that is:
(I) Intended to compensate the hospital or health system for its operational expenses; and
(II) Separate and distinct from a professional fee charged or billed by a health-care provider for
professional medical services provided in a hospital-based facility.”
o Under this definition and because of billing requirements, the prohibition would cover
ALL reimbursements in hospital provider-based locations and result in an $8.9 billion loss
to hospital outpatient revenue
• CHASE Impacts and Medicaid Expansion12
o The CHASE fees assessed on hospitals are based on a 5.75% assessment net patient
revenue, so the loss to hospital outpatient revenue will lead to a $515 million reduction in
fees assessed on hospitals.
o In the current 2022-23 fee payment model:
 $487m in fees are used to support Medicaid expansion for 668,000 enrollees
• Federal match on this portion is $2.8 billion, for a total of $3.3 billion
 $40m in fees are used to support admin expense
 $464m in fees are used for supplemental payments to hospitals
o Per 25.5-4-402.4, if fees are insufficient to cover all demands (as would be the case if fees
were reduced by $515 million), then the Medicaid expansion line items are at
risk. Payments must go to other line items first.

Page 4 of 14
 o If fees do not cover the state share for Medicaid expansion, the JBC/legislature would
need to cover that portion ($487m currently) or coverage for these populations would
cease
• It is worth noting that while Community Hospital does not charge facility fees in some off-campus
outpatient settings, the hospital does in fact charge facility fees (as defined by HB 23-1215) in
their cancer care center and for outpatient services rendered on their hospital campus.

Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)

Administrative Costs
There are many ways that hospital services are compensated:
1. The professional fee (also known as the provider or physician fee) was designed to include
administrative and staffing costs associated with running a health care office, including the
ancillary staff like nurses and receptionists, and other non-medical needs like food service or
technical infrastructure.

CHA Response:
• This statement is true, in part, for independent practices but is not accurate for hospital
outpatient departments. According to the federal Centers for Medicare and Medicaid Services
(CMS), “For most services furnished in a physician’s office, Medicare makes payment to physicians
and other professionals at a single rate based on the full range of resources involved in furnishing
the service. In contrast, PFS rates paid to physicians and other billing practitioners in facility
settings, such as a hospital outpatient department (HOPD) or an ASC, reflect only the portion of
the resources typically incurred by the practitioner in the course of furnishing the service.” 13
• Put another way, both hospital outpatient departments and independent physician practices bill
for professional and administrative expenses. Hospitals are required by Medicare to bill them
separately (UB-04 for facility, CMS-1500 for professional fee), while independent practices are
required to bill on a single bill (CMS-1500), but both include “professional” and “technical” (i.e.,
administrative) components.
• Medicare pays a higher administrative fee for hospitals in recognition of the higher regulatory
burden the Medicare Conditions of Participation place on facilities, including 24/7/365
preparedness and response, among other obligations.
• In many HOPD clinics, the physicians are not employed by the hospital, and as such, the hospital is
not permitted bill the professional fee.
• Because Medicare policy tends to drive practice in the private market, private payers follow the
payment structure for hospital outpatient departments, impacting privately insured consumers.

Page 5 of 14
Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)
2. Facility fees are entirely separate from the professional fee, and originated in the emergency
department context to compensate for the complex care that such facilities must be ready to
provide and for the nature of the 24/7 facility. Facility fees were never envisioned to be used to
cover the cost of routine operational and staffing costs at non-emergency care locations.

CHA Response:
• This statement is partially true, but misunderstands the difference between “facility fees” used in
the emergency setting and charges bill on a UB-04 form for other outpatient settings to cover the
cost of everything besides the physician charge.
• “Facility fees” as they are commonly understood for emergency services as CPT codes 99281-
99285 are based on severity. HOWEVER, these codes are only used in the emergency
department. 14 Facility payments in non-emergency outpatient settings generally appear on bills as
“nursing services” or “medical technician” and cannot be billed as part of the professional fee on
the CMS-1500 form. They must be billed as facility charges on the UB-04 form (see above).

Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)

We recognize the importance of support staff and the need to cover operational expenses, however,
many health care locations do not charge facility fees for routine, non-emergency services–which tells us
there is not only another way to pay for them, but that facility fees are not necessary to keep the doors
open.
1. These providers operate their offices utilizing the professional fee, as intended (described above).
2. When health system-affiliated locations levy both a professional fee AND a facility fee, they increase
their profit above what independent providers receive for the exact same services.
3. This increases the out-of-pocket costs for consumers, and disadvantages independent and small
practices in the state who must pay the same operating costs without the market power advantage
enabling them to charge facility fees on services.

Resources:

Page 6 of 14
 ○ Hospital-affiliated and owned practices have on average 14% percent higher prices compared
to independent practices. (Capps et al 2018)
■ “The professional fee is intended to cover all costs of care in a nonfacility setting,
including the physician’s time and overhead costs, and is based on the estimated
average cost of each procedure…Private payers often follow Medicare’s example on all
of these reimbursement conventions.”

CHA Response:
• Outpatient facilities owned and operated by a hospital may have higher costs due to facility fees
because they have to adhere to the same strict regulations that apply to hospitals. Additional
capabilities and regulations increase the cost to operate a hospital-based clinic versus an
independent urgent care or an independent physician’s office that is not owned and operated by
a hospital. 15
• As noted recently by the American Hospital Association, “Hospitals are constantly open, held to
higher regulatory standards and the only point of access for those with the most severe chronic
conditions who receive emergency medical treatment regardless of ability to pay… Since the
hospital safety-net and emergency stand-by role are funded through the provision of all
outpatient services… cuts to all hospital outpatient departments would endanger the critical role
that hospital-based outpatient departments play in their communities, including access to care for
patients, especially the most medically complex.” 16

Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)

○ There is no evidence that the quality of care improves when an independent office is absorbed
by a hospital or a health system; instead, there is a growing body of evidence that quality may
actually be worse (KFF 2020).
○ Independent practices have integrated care models with necessary staff and administrators
outside of physicians and advanced practice clinicians without facility fees.
■ “Meanwhile, recent evidence suggests that small, physician-owned practices, while
providing a greater level of personalization and responsiveness to patient needs, have
lower average cost per patient fewer preventable hospital admissions, and lower
readmission rates than larger, independent- and hospital-owned practices.” (MHPC
2018)

CHA Response:
• Many independent physicians are joining larger hospital systems because they can’t keep up
with the administrative burden (e.g., processing insurance claims) of running their own
practice. Joining a larger hospital system allows independent physicians to transfer this
administrative burden to the hospital’s existing infrastructure and frees up the physician to
spend more time on patient care.
• Payment and policy changes over the past 10-15 years have pushed the health care system
toward developing more integrated care delivery systems.
• The value to patients of payment for hospital outpatient care (or “facility fees” as defined by
HB 23-1215) was questioned during this week’s stakeholder meeting and CHA was asked to
provide additional information, which we’ve provided here:

“Facility fees” help to facilitate integrated care for patients. Care integration improves patient
outcomes, bolsters care coordination, amplifies health system productivity, reduces fragmentation
and duplication, and is associated with lower overall costs. 17 Care integration promotes the use of
interprofessional, multidisciplinary, and team-based care which enriches the practice of guideline-
based and evidence-based care. Integrated care is designed to be collaborative, comprehensive,

Page 7 of 14
coordinated, transparent, and empowering. 18 This work plays a vital role in the provision of excellent
patient care. Care provided in an outpatient setting is an important part of integrated care.

Examples include:
• Cancer care. Multidisciplinary teams result in streamlined care at the time of diagnoses. Patients
engaged in such team-based care experience shorter wait times for diagnostic procedures
including CT scans and endoscopies resulting in a faster and better diagnosis, and higher degree of
patient satisfaction. 19,20, 21, 22
• Cardiac care. For the 5+ million patients in the nation with atrial fibrillation, integrated care
improves access to diagnostic testing, pharmacologic or procedural treatment, and patient
education. These systems of care reduce all-cause mortality and significantly reduce
cardiovascular-related acute hospitalizations. 23
• Mental health care. There is overwhelming evidence in support of integrated care for behavioral
health and substance use disorder diagnoses. This includes screening and diagnoses of psychosis,
depression, anxiety, post-traumatic stress disorder, and obsessive-compulsive disorders and
incorporates occupation therapists, speech language pathologists, physiotherapists, among
others. 24
• Gastrointestinal care. Patients with functional and inflammatory gastrointestinal issues achieve
greater improvement of symptoms, wellbeing, and quality of life while decreasing overall health
care utilization. Such care models include dieticians, physiotherapy, and hypnotherapy. 25, 26
• Neurological care. Examples of integrated care models can be found in neurovascular, spine,
trauma, and neurosurgical practices and functional/medical neurology and improve patient
satisfaction and quality of life and reduce hospital readmissions. 27, 28
• Rheumatologic care. For patients with lupus, enrollment in a primary care-based integrated care
management program resulted in decreased rates of emergency department visits and avoidable
hospitalizations. 29
• Orthopedic care. Specific for geriatric patients who have experienced a hip fracture, team-based
care leads to decreased time to surgery, shorter length of stay, improved postoperative clinical
outcomes, decreased mortality, and lower costs. 30, 31
• Diabetic and wound care. Integrated care has a positive impact on clinical outcomes as a result of
vigorous interventions that include self-monitoring of blood glucose, diet tracking, exercise
planning, and closer follow-ups. Collaborative approaches lead to improved ability to meet the
educational, behavioral, and psychosocial needs of patients and improve clinical outcomes
including reduced blood glucose and blood pressure. 32 In addition, outpatient wound care is
associated with greater limb salvage.

Page 8 of 14
Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)
○ Fox31 reporting demonstrated that facility fees are not charged uniformly across the board for
services delivered in hospital-affiliated settings

CHA Response:
• Facility fees are not charged uniformly across the industry. They are an integrated component
of a larger hospital reimbursement picture that varies hospital-to-hospital. However, like all
hospital care, they are scaled based on patient medical needs, circumstances and level of care
provided, and, in the private insurance market, are negotiated by hospitals and payers.
• Importantly, the patient stories that have recently been shared tend to be examples of
specialty and subspecialty care. Specialty care clinics and their staff have additional training to
care for patients with more severe medical conditions and history. Further, specialized
equipment and facilities are typically required for those higher-level visits.

Excerpt from CCHI Document, “Colorado Hospital Landscape” (3/9/23)

Consolidation
Colorado also has a highly consolidated share of hospitals, which strengthens market power and raises
prices for consumers. As hospitals buy other hospitals and previously independent offices, the large
systems own more and more of the options available to consumers. With few other choices for care,
hospitals have less market competition from other providers and thus are able to charge higher and
higher prices since consumers cannot go elsewhere. There is increasing evidence that in addition to
raising costs, consolidation also lowers the quality of care patients receive.
● CEPR CO Hospital Consolidation Report
● Study: The effect of hospital acquisitions of physician practices on prices and spending
● News article: Stop hospital consolidations to lower health care prices for all Americans

CHA Response:
• Colorado does not have high consolidation; to the contrary, Colorado has one of the most
competitive markets for hospitals in the country. According to the Herfindahl-Hirschman Index
(HHI), a commonly accepted measure of market concentration, Colorado metro markets are
measured as some of the lowest concentration in the U.S., which means there is more
competition. 33
• None of the articles linked above offer Colorado-specific support for the assertions made. In
contrast, the CEPR article referenced above cites a number of studies regarding hospital market
consolidation and in particular notes “90 percent of metropolitan areas have ‘highly
concentrated’ hospital markets” and concludes, “more concentration in a given market leads to
higher prices.” But neither the CEPR article nor cited sources in that article looked at Colorado
hospital market concentration, which – as shown below – is rated as highly competitive, thus
keeping prices low.

Page 9 of 14
Page 10 of 14
Endnotes

Page 11 of 14
1
Analysis conducted by CHA using CHA DATABANK, a private data source updated monthly by Colorado
hospitals- https://cha.com/center-for-health-information-and-data-analytics/databank/.

2
Colorado Rural Health Center, Snapshot of Rural Health in Colorado 2022-
https://coruralhealth.org/snapshot-of-rural-health.

3
Analysis conducted by CHA using CHA DATABANK, a private data source updated monthly by Colorado
hospitals. https://cha.com/center-for-health-information-and-data-analytics/databank/. See also:
Colorado Hospital Association, The Financial Health of Colorado Hospitals- https://cha.com/wp-
content/uploads/2023/01/CHA.301-Financial-Health_FINAL.pdf, and Colorado Hospital Association,
2022 Colorado Hospital Industry Update- https://cha.com/wp-content/uploads/2023/01/2022-Hospital-
Industry_Final.pdf (Jan 2023; numbers have been updated herein to include 2022 year-end financial
information).

4
Analysis conducted by CHA using CHA DATABANK, a private data source updated monthly by Colorado
hospitals. https://cha.com/center-for-health-information-and-data-analytics/databank/. See also:
Colorado Hospital Association, The Financial Health of Colorado Hospitals- https://cha.com/wp-
content/uploads/2023/01/CHA.301-Financial-Health_FINAL.pdf, and Colorado Hospital Association,
2022 Colorado Hospital Industry Update- https://cha.com/wp-content/uploads/2023/01/2022-Hospital-
Industry_Final.pdf (Jan 2023; numbers have been updated herein to include 2022 year-end financial
information).

5
Analysis conducted by CHA using CHA DATABANK, a private data source updated monthly by Colorado
hospitals. https://cha.com/center-for-health-information-and-data-analytics/databank/. See also:
Colorado Hospital Association, The Financial Health of Colorado Hospitals- https://cha.com/wp-
content/uploads/2023/01/CHA.301-Financial-Health_FINAL.pdf, and Colorado Hospital Association,
2022 Colorado Hospital Industry Update- https://cha.com/wp-content/uploads/2023/01/2022-Hospital-
Industry_Final.pdf (Jan 2023; numbers have been updated herein to include 2022 year-end financial
information).

6
Analysis conducted by CHA using CHA DATABANK, a private data source updated monthly by Colorado
hospitals. https://cha.com/center-for-health-information-and-data-analytics/databank/. See also:
Colorado Hospital Association, The Financial Health of Colorado Hospitals- https://cha.com/wp-
content/uploads/2023/01/CHA.301-Financial-Health_FINAL.pdf, and Colorado Hospital Association,
2022 Colorado Hospital Industry Update- https://cha.com/wp-content/uploads/2023/01/2022-Hospital-
Industry_Final.pdf (Jan 2023; numbers have been updated herein to include 2022 year-end financial
information).

7
American Hospital Association/Kauffman Hall, Current State of Hospital Finances: Fall 2022 Update-
https://www.aha.org/guidesreports/2022-09-15-current-state-hospital-finances-fall-2022-update.
8
Commonwealth Fund, 2020 State Scorecard on State Health System Performance-
https://2020scorecard.commonwealthfund.org/.

9
Commonwealth Fund, 2022 State Scorecard on State Health System Performance-
https://www.commonwealthfund.org/publications/scorecard/2022/jun/2022-scorecard-state-health-
system-performance.

Page 12 of 14
10
Centers for Medicare and Medicaid Services (CMS), National Healthcare Expenditure Data-
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/NationalHealthAccountsStateHealthAccountsResidence.

11
Centers for Medicare and Medicaid Services (CMS), National Healthcare Expenditure Data-
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/NationalHealthAccountsStateHealthAccountsResidence.

12
Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board-
https://hcpf.colorado.gov/colorado-healthcare-affordability-and-sustainability-enterprise-chase-board.
See also, Colorado Hospital Association, Hospital Payer Overview- https://cha.com/wp-
content/uploads/2023/01/CHA.301-Hospital-Payer_FINAL.pdf.

13
Centers for Medicare and Medicaid Services, Press Release: Calendar Year (CY) 2023 Medicare
Physician Fee Schedule Final Rule- https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2023-
medicare-physician-fee-schedule-final-rule.
14
American College of Emergency Physicians, ED Facility Level Coding Guidelines-
https://www.acep.org/administration/reimbursement/ed-facility-level-coding-guidelines/.

15
American Hospital Association, Hospital Outpatient Department (HOPD) Costs Higher than Physician
Offices Due to Additional Capabilities, Regulations- https://www.aha.org/system/files/2018-09/info-
hopd.pdf.

16
Inside Health Policy, MedPAC Discusses Site-Neutral Pay Expansion Amidst BCBSA’s Push-
https://insidehealthpolicy.com/daily-news/medpac-discusses-site-neutral-pay-expansion-amidst-bcbsa-
s-push

17
Rocks S, Berntson D, Gil-Salmerón A, et al. Cost and effects of integrated care: a systematic literature
review and meta-analysis. Eur J Health Econ. 2020;21(8):1211-1221. doi:10.1007/s10198-020-01217-5
18
Zonneveld N, Driessen N, Stüssgen RAJ, Minkman MMN. Values of Integrated Care: A Systematic
Review. Int J Integr Care. 2018;18(4):9. doi:10.5334/ijic.4172

19
Lucarini A, Garbarino GM, Orlandi P, et al. From “Cure” to “Care”: The Role of the MultiDisciplinary
Team on Colorectal Cancer Patients’ Satisfaction and Oncological Outcomes. JMDH. 2022;Volume
15:1415-1426. doi:10.2147/JMDH.S362550

20
Prabhu Das I, Baker M, Altice C, Castro KM, Brandys B, Mitchell SA. Outcomes of multidisciplinary
treatment planning in US cancer care settings: Multidisciplinary Treatment Planning. Cancer.
2018;124(18):3656-3667. doi:10.1002/cncr.31394

21
Richardson B, Preskitt J, Lichliter W, et al. The effect of multidisciplinary teams for rectal cancer on
delivery of care and patient outcome: has the use of multidisciplinary teams for rectal cancer affected
the utilization of available resources, proportion of patients meeting the standard of care, and does this
translate into changes in patient outcome? The American Journal of Surgery. 2016;211(1):46-52.
doi:10.1016/j.amjsurg.2015.08.015

22
Conron M, Denton E. Improving outcomes in lung cancer: the value of the multidisciplinary health care
team. JMDH. Published online March 2016:137. doi:10.2147/JMDH.S76762
Page 13 of 14
23
Khan A, Cereda A, Walther C, Aslam A. Multidisciplinary Integrated Care in Atrial Fibrillation (MICAF):
A Systematic Review and Meta-Analysis. Clin Med Res. 2022;20(4):219-230. doi:10.3121/cmr.2022.1702

24
Chan V, Toccalino D, Omar S, Shah R, Colantonio A. A systematic review on integrated care for
traumatic brain injury, mental health, and substance use. Fani N, ed. PLoS ONE. 2022;17(3):e0264116.
doi:10.1371/journal.pone.0264116
25
Basnayake C, Kamm MA, Stanley A, et al. Long-Term Outcome of Multidisciplinary Versus Standard
Gastroenterologist Care for Functional Gastrointestinal Disorders: A Randomized Trial. Clinical
Gastroenterology and Hepatology. 2022;20(9):2102-2111.e9. doi:10.1016/j.cgh.2021.12.005

26
Christian K, Cross RK. Improving Outcomes in Patients With Inflammatory Bowel Disease Through
Integrated Multi-Disciplinary Care—the Future of IBD Care. Clinical Gastroenterology and Hepatology.
2018;16(11):1708-1709. doi:10.1016/j.cgh.2018.07.021

Lee KS, Yordanov S, Stubbs D, Edlmann E, Joannides A, Davies B. Integrated care pathways in
27

neurosurgery: A systematic review. Farag E, ed. PLoS ONE. 2021;16(8):e0255628.

doi:10.1371/journal.pone.0255628

28
Eggers C, Dano R, Schill J, Fink GR, Hellmich M, Timmermann L. Patient-centered integrated healthcare
improves quality of life in Parkinson’s disease patients: a randomized controlled trial. J Neurol.
2018;265(4):764-773. doi:10.1007/s00415-018-8761-7

29
Williams JN, Taber K, Huang W, et al. The Impact of an Integrated Care Management Program on
Acute Care Use and Outpatient Appointment Attendance Among HIGH‐RISK Patients With Lupus. ACR
Open Rheumatology. 2022;4(4):338-344. doi:10.1002/acr2.11391

30
Patel JN, Klein DS, Sreekumar S, Liporace FA, Yoon RS. Outcomes in Multidisciplinary Team-based
Approach in Geriatric Hip Fracture Care: A Systematic Review. J Am Acad Orthop Surg. 2020;28(3):128-
133. doi:10.5435/JAAOS-D-18-00425

31
Wallace R, Angus LDG, Munnangi S, Shukry S, DiGiacomo JC, Ruotolo C. Improved outcomes following
implementation of a multidisciplinary care pathway for elderly hip fractures. Aging Clin Exp Res.
2019;31(2):273-278. doi:10.1007/s40520-018-0952-7

32
Siaw MYL, Lee JYC. Multidisciplinary collaborative care in the management of patients with
uncontrolled diabetes: A systematic review and meta-analysis. Int J Clin Pract. 2019;73(2):e13288.
doi:10.1111/ijcp.13288

33
Health Care Cost Institute, Hospital Concentration Index,- https://healthcostinstitute.org/hcci-
originals/hmi-interactive#HMI-Concentration-Index.

Page 14 of 14
HB 1215- CHA Issue
Summary
February 2023
 What is a facility fee?
A “facility fee” is better described as
Patients who receive care at an outpatient
“payment for outpatient care.” setting or hospital-owned physician’s
This fee pays for everything other than office are generally charged with two
the doctor – separate fees – a “professional fee” (pays
nurses, technicians, environmental
for the doctor and/or physician assistant)
services staff, medical records,
technology and procedure equipment, and a “facility fee” (pays for everyone and
and more. everything else).

“Facility fee” is a misnomer and actually

has little to do with a facility. This is the
only payment hospitals receive to support
the variety of staff and resources required
for outpatient care, including nurses,
patient care technicians, registration
professionals, environmental services,
imaging specialists, pharmacists,
equipment specialists, and more.
 About Facility Fees
• Both hospital outpatient departments and independent physician
practices bill for professional and administrative expenses.
• Hospitals are required by Medicare to bill them separately (UB-04 for
facility, CMS-1500 for professional fee), while independent practices are
required to bill on a single bill (CMS-1500), but both include
“professional” and “technical” (i.e., administrative) components.
• Medicare pays a higher administrative fee for hospitals in recognition
of the higher regulatory burden the Medicare Conditions of
Participation place on facilities, including 24/7/365 preparedness and
response, among other obligations.
• Similarly, the ASC Fee schedule rate is generally higher than the
independent professional schedule because of additional overhead
costs.
• Because Medicare policy tends to drive practice in the private
market, the private payers follow the payment structure for hospital
outpatient departments.
• Colorado Medicaid also pays “facility fees” through Enhanced
Ambulatory Patient Groupings (EAPGs)
• EAPGs are a “classification system designed to explain the amount and
type of resources used during an ambulatory [aka outpatient] visit”
• HCPF lists 234 discrete locations receiving EAPGs, less than 100 of which
are primary hospital locations
• Medicare considered and rejected a prohibition on facility payments
in 2016
What’s Driving Our Concerns
HB 1215 would prohibit hospitals from billing for most outpatient care

Will have •Half of Colorado’s hospitals are operating with unsustainable

finances (and not all are rural). This bill would cut $9 billion
catastrophic from hospitals and health systems, making 96% of hospitals
consequences financially unsustainable.

•Colorado has invested heavily in an integrated model of care

Disrupts gains in and is starting to see the benefits of that, with lower per capita
hospital costs, and patients getting care at the right time and
patient care right place.

•Removing all payment for outpatient care beyond the doctor

Threatens access will force locations to close and will result in more emergency
department use and inpatient care, driving up health care
and adds expense costs for everyone.
 What’s Driving Our Concerns
Unintended Consequences: Cutting Off Access to Care
COVID provides a tragic, but relevant, analogy for what happens when outpatient care is unavailable

Delayed Care Leads to Delayed Care Leads to Clinic Closures Loss of Access to Routine
Worse Health Outcomes Sicker Patients and Higher Dramatically Reduced Care Harms Those with
and More Deaths Costs Routine Health Screenings Chronic Conditions

Among those who delayed The average length of a patient Due to clinic facility closures The Centers for Disease
care, 57% of adults reported stay increased 9.9% by the end and fear, 9.4 million fewer Control and Prevention (CDC)
negative health care of 2021 compared to pre- cancer screenings occurred in data similarly showed 40.9% of
consequences due to delayed pandemic levels in 2019, and 2020. Delayed screening is individuals delayed routine
care (Harvard). In Colorado, hospital per patient costs rose associated with serious illness care during the pandemic,
31% of the “excess deaths” by 20.1% from 2019 to 2021 and greater costs as sicker including troubling data that
(those not anticipated based (AHA Report). patients utilize more services. 54.7% of those individuals had
on historical trends) from (National Cancer Institute). two more underlying medical
March 2020 through April conditions, including type one
2020 were not associated with diabetics that require routine
COVID-19 (National Center for medical care to maintain
Biotechnology Information). health. The CDC notes a
significant risk to patient
health from this data (CDC).
 What’s Driving Our Concerns
HB 1215 definition of “facility
fee”: Removing all payment for outpatient care beyond the doctor will force outpatient care
“a fee a hospital or health system locations to close, limiting access to care.
charges or bills for outpatient
hospital services provided in a
hospital-based facility that is:
• (I) Intended to compensate the
hospital or health system for
its operational expenses; and There are certain service lines that provide care in outpatient settings that struggle to self-
• (II) Separate and distinct from sustain, even within the current billing model. According to CHA member feedback, the
service lines at most risk include:
a professional fee charged or
billed by a health-care provider
for professional medical
services provided in a hospital-
based facility.”
Cancer infusion centers, behavioral health clinics, and multidisciplinary specialty clinics
used to treat complex, chronic conditions such as long-COVID and brain injury.
**Multidisciplinary specialty clinics are incredibly important to the patients who utilize
them but are especially vulnerable to closure given the high administrative costs associated
with running these types of clinics.
 What’s Driving Our Concerns
Top Outpatient Services provided by
Visits
Hospitals (2021)
COVID-19 Testing & Treatment 230,284
While clinics that Breast Cancer Screening 215,901
struggle to self- Preventative Care 219,243
sustain are at the Immunization 179,626
highest risk of Pre-surgery screening & Exam 91,746
closing, the risk of Treatment for High Blood Pressure 78,843
closure is a very real Screening for Colon Cancer 52,331
possibility for all Chemotherapy 48,144
outpatient clinics if Treatment for Thyroid related issues 43,465
HB 23-1215 passes as Treatment for Type 2 Diabetes 43,003
written. Treatment for back & joint pain 72,061
Prostate Cancer 39,996
Pediatric Sleep Apnea 37,866
Treatment for Chronic ischemic heart disease 31,629
Screening for sexually transmitted disease 30,852
 What’s Driving Our Concerns
Unintended Consequences: Medicaid Expansion & Medication Costs

HB1215 has devastating and far-reaching unintended consequences

Repealing Medicaid Expansion
• Significant cuts to hospitals lead to significant cuts to the “CHASE” Fee (aka the hospital provider fee), which funds
hospital-based care for Medicaid patients and covers the state’s share of expanded Medicaid coverage for 668,000
Coloradans in 2022.
• Without the fees hospitals pay, access for all Medicaid beneficiaries (1.6 million) would worsen, and the state would
either need to find $487 million in GF to cover the state’s share, or eliminate coverage for 668,000 Coloradans, also
sacrificing $2.8 billion in federal matching funds.

Eliminating Lower Cost Drugs and Expanded Access for Vulnerable Coloradans
• Section 340B of the Public Health Service Act requires pharmaceutical manufacturers participating in Medicaid to sell outpatient
drugs at discounted prices to health care organizations that care for many uninsured and low-income patients. 340B hospitals
use the savings they receive on the discounted drugs and reinvest them in programs that enhance patient services and access
to care, as well as provide free or reduced priced prescription drugs to vulnerable patient populations.
• If hospital off-campus departments are no longer allowed to bill as such, expanded access to life-saving prescription drugs and
comprehensive health care services for low-income and uninsured individuals in in these clinics will cease.
Recent State Actions
• 19 states have considered various
policies on private market facility fees
in the past four years, with varying
results
• Successful bills have largely centered
on transparency and studies (~6 states)
• Broad prohibitions on facility fees
(including the NASHP model legislation
being advanced in CO) have been
considered and rejected in at least 3
states, with 2 states (CT, NY) adopting
much narrower provisions
From: Katherine Mulready on behalf of Katherine Mulready <[email protected]>
To: [email protected]
Subject: Facility Fees Follow Up
Date: Monday, March 13, 2023 10:42:13 AM
Attachments: CHA Response_Combatting Hospital Narratives on Facility Fees.docx
CHA Issue Summary - 3.2.23.pptx

Pls let me know if I can break down any of this further for you.  I’m running some additional
min/max/average numbers and will get those over to you, which will hopefully help with the $9b
impact figure. 

K
 
Katherine Blair Mulready
Senior Vice President & Chief Strategy Officer
c: 720.282.9285
www.cha.com

 
From: Oppenheim - GOVOffice, David on behalf of Oppenheim - GOVOffice, David <[email protected]>
To: Alec Garnett - GOVOffice
Subject: Fwd: Community Benefit Bill Introduced!
Date: Sunday, March 12, 2023 4:22:30 PM

---------- Forwarded message ---------

From: Donlin - HCPF, Jo <[email protected]>
Date: Sun, Mar 12, 2023 at 4:20 PM
Subject: Community Benefit Bill Introduced!
To: Kim Bimestefer - HCPF <[email protected]>, Allie Kimmel - GOVOffice
<[email protected]>, Arenales - GOVOffice, Elisabeth
<[email protected]>, David Oppenheim - GOVOffice
<[email protected]>, Nathanson - GovOffice, Isabelle
<[email protected]>, Kyra deGruy <[email protected]>,
Isabel Cruz <[email protected]>, Katie Wallat <[email protected]>, Bethany
Pray <[email protected]>, Nancy Dolson - HCPF <[email protected]>, Rachel
Reiter - HCPF <[email protected]>, Iris Hentze - HCPF <[email protected]>,
Ciara O'Neill - HCPF <[email protected]>, Parrott - HCPF, Rebecca
<[email protected]>, Bettina Schneider - HCPF <[email protected]>
CC: Judy Amabile

https://leg.colorado.gov/bills/hb23-1243

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf

--
David Oppenheim
Deputy Chief of Staff for Policy and Legislative Affairs

303-725-6271 (c)
200 E Colfax, Room 136 | Denver, CO 80203
[email protected] | www.colorado.gov/governor
From: Donlin - HCPF, Jo on behalf of Donlin - HCPF, Jo <[email protected]>
To: Kim Bimestefer - HCPF; Allie Kimmel - GOVOffice; Arenales - GOVOffice, Elisabeth; David Oppenheim -
GOVOffice; Nathanson - GovOffice, Isabelle; Kyra deGruy; Isabel Cruz; Katie Wallat; Bethany Pray; Nancy Dolson
- HCPF; Rachel Reiter - HCPF; Iris Hentze - HCPF; Ciara O"Neill - HCPF; Parrott - HCPF, Rebecca; Bettina
Schneider - HCPF
Cc: Judy Amabile
Subject: Community Benefit Bill Introduced!
Date: Sunday, March 12, 2023 4:20:37 PM

https://leg.colorado.gov/bills/hb23-1243

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Erin Miller; Tara Smith - DORA; Jill Mullen - DORA
Cc: Caitlin Westerson; Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana
Protopapa; Elisabeth Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice,
Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
Bethany Pray; Joe Sammen; Andrea Escalera
Subject: Re: PDAB and Colorado Option Legislation Update
Date: Friday, March 10, 2023 4:21:57 PM

Thank you, everyone, for all your support and testimony today. It went a bit longer than I had
anticipated, but both bills passed out of committee and are on their way to the House floor. 

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Thu, Mar 9, 2023 at 6:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 
I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB. As
you know, the hearing will be upon adjournment tomorrow, but right now we don't know the
timing -- I think it will depend on just how long the House stays on the floor tonight. As we
learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
 Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing of
the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all have
this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will be
there and her phone number is if you need to connect with her on anything.
Tara and I are also  available if you have questions.

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony
or be in-person or virtual as part of a panel – just let us know what’s most helpful.

Thanks,

Erin
 

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate the
efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me
know if you might be interested.

Thanks for all the support -

Deb
Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to
1 which seemed to work for the most people. Happy to talk offline with others, and if
we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]>

wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway - Dora,
Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

 
 

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am hoping
we can find a window of time early next week to talk about plans for the
committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

 
 

Thanks

Deb

Debra Judy

 
 

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

 
 

CONFIDENTIALITY NOTICE: This message is intended only for the use

of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail

and any attachments from your system.

 
 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to
whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain,
copy or disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all
copies of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message
or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by
return email.
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Caitlin Westerson
Cc: Nathanson - GovOffice, Isabelle; Isabel Cruz
Subject: Re: Facility fee follow up
Date: Friday, March 10, 2023 1:40:35 PM

 Thanks- the report is interesting- how do we know increases are attributable to facility fees
rather than increases in negotiating power from vertical integration?

On Fri, Mar 10, 2023 at 1:24 PM Caitlin Westerson <[email protected]> wrote:

Hi Elisabeth and Izzy--

Thanks so much for your time today--here are a few things I wanted to follow up on: 

1) Articles we shared: 

GJ Daily Sentinel article where the CEO of Community Hospital talks about not
charging facility fees; we have reached out but not gotten a response (in your
positions, though, you may have better luck)
Forbes article and PAI article about physician employment and acquisition in recent
years 
Medpac report that describes the Medicare payment and mechanisms

2) Attached is the actuarial analysis from NASHP (in partnership with HCPF) that looks at
providers who have affiliated with or been bought by health systems and what happened to
their prices and fees. This report is pre-publication so we would appreciate it if you didn't
share it with anyone. They found that:

Vertical integration of physicians by hospital systems can affect costs for both payers
and patients due to advantages in negotiated prices and changes in utilization.
For commercial payers in Colorado, physicians acquired by hospital systems
collectively had an additional 2-5% year-over-year cost increase for standard visits
compared to the average of physicians that were not identified as acquired during the
time period analyzed.
For commercial payers in Colorado, there was a 5% increase in costs (allowed
amount) for services from physicians that were identified as acquired during the time
period analyzed.
Medicaid and Medicare costs were analyzed, but no difference could be attributed to
vertical integration. 

I'm happy to facilitate a conversation with the people who wrote the report if that is helpful! 

3) After we talked, I spoke with a group of physicians in Colorado Springs who are very
supportive of the bill--they confirmed/explained that the professional fee for both Medicare
and commercial payers adequately accommodates for the overhead of outpatient clinics
(staff, admin, rent, etc.). I've included one of their emails below in case it is helpful--they
also said they are more than willing to talk 1:1. If you're interested in discussing with them,
I'm happy to make an introduction. 

They also wanted me to raise the fact that UC Health is not a good community partner
in the CO Springs area; they said they can't get privileges at any of their facilities and
 frequently hear stories from their patients on Medicaid who can't get seen there. 
They said UCHealth has told them they will only take Medicaid patients if the patient
comes through the ER--other physicians can't make referrals into their system for
Medicaid recipients. They were wondering if there is any requirement or
consequence for doing this--I'm not sure if you know the answer here? 

Email from docs:

My name is [NAME] and I am an otolaryngology head and neck surgeon in Colorado
Springs.  I am writing today in strong support of HB23-1215 and to ask what other measures
private practice physicians in my area might be able to do to further support this legislation.

I think we have seen how facility fees have negatively impacted both patients and private
practice physicians in the Colorado Springs area.   As a private practice physician, my group
of 11 provides high quality care with excellent access for our patient population (to include
Medicaid).  It seems highly unfair to have a state sponsored / subsidized entity come into our
market, see very limited underserved residents, and then collect facility fees for providing
exactly the same care that my practice does.  Somehow we manage to conduct a viable
business without the extra hidden facility fees that UC health charges for simple outpatient
clinic visits.

I think removing these hidden fees would go far toward leveling the playing field in our
community.  These fees obviously dramatically increase the cost of healthcare for patients,
insurers, and tax payers without any incremental improvement in quality of care.

Sincerely,

[NAME]
Colorado ENT & Allergy

Let us know if there is anything that we can do to be helpful or answer any questions you
have--looking forward to continuing the conversation! 

Best, 
Caitlin 

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of
it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Kim Bimestefer - HCPF
Subject: Fwd: Facility fee follow up
Date: Friday, March 10, 2023 1:31:17 PM
Attachments: Out Patient in CO Facility Fee Report DRAFT (1).pdf

 Report attached-  note it is  pre-publication.

---------- Forwarded message ---------

From: Caitlin Westerson <[email protected]>
Date: Fri, Mar 10, 2023 at 1:24 PM
Subject: Facility fee follow up
To: Elisabeth Arenales - GOVOffice <[email protected]>, Nathanson -
GovOffice, Isabelle <[email protected]>
Cc: Isabel Cruz <[email protected]>

Hi Elisabeth and Izzy--

Thanks so much for your time today--here are a few things I wanted to follow up on: 

1) Articles we shared: 

GJ Daily Sentinel article where the CEO of Community Hospital talks about not
charging facility fees; we have reached out but not gotten a response (in your positions,
though, you may have better luck)
Forbes article and PAI article about physician employment and acquisition in recent
years 
Medpac report that describes the Medicare payment and mechanisms

2) Attached is the actuarial analysis from NASHP (in partnership with HCPF) that looks at
providers who have affiliated with or been bought by health systems and what happened to
their prices and fees. This report is pre-publication so we would appreciate it if you didn't
share it with anyone. They found that:

Vertical integration of physicians by hospital systems can affect costs for both payers
and patients due to advantages in negotiated prices and changes in utilization.
For commercial payers in Colorado, physicians acquired by hospital systems
collectively had an additional 2-5% year-over-year cost increase for standard visits
compared to the average of physicians that were not identified as acquired during the
time period analyzed.
For commercial payers in Colorado, there was a 5% increase in costs (allowed amount)
for services from physicians that were identified as acquired during the time period
analyzed.
Medicaid and Medicare costs were analyzed, but no difference could be attributed to
vertical integration. 

I'm happy to facilitate a conversation with the people who wrote the report if that is helpful! 

3) After we talked, I spoke with a group of physicians in Colorado Springs who are very
supportive of the bill--they confirmed/explained that the professional fee for both Medicare
and commercial payers adequately accommodates for the overhead of outpatient clinics (staff,
admin, rent, etc.). I've included one of their emails below in case it is helpful--they also said
they are more than willing to talk 1:1. If you're interested in discussing with them, I'm happy
to make an introduction. 

They also wanted me to raise the fact that UC Health is not a good community partner
in the CO Springs area; they said they can't get privileges at any of their facilities and
frequently hear stories from their patients on Medicaid who can't get seen there. 
They said UCHealth has told them they will only take Medicaid patients if the patient
comes through the ER--other physicians can't make referrals into their system for
Medicaid recipients. They were wondering if there is any requirement or consequence
for doing this--I'm not sure if you know the answer here? 

Email from docs:

My name is [NAME] and I am an otolaryngology head and neck surgeon in Colorado
Springs.  I am writing today in strong support of HB23-1215 and to ask what other measures
private practice physicians in my area might be able to do to further support this legislation.

I think we have seen how facility fees have negatively impacted both patients and private
practice physicians in the Colorado Springs area.   As a private practice physician, my group
of 11 provides high quality care with excellent access for our patient population (to include
Medicaid).  It seems highly unfair to have a state sponsored / subsidized entity come into our
market, see very limited underserved residents, and then collect facility fees for providing
exactly the same care that my practice does.  Somehow we manage to conduct a viable
business without the extra hidden facility fees that UC health charges for simple outpatient
clinic visits.

I think removing these hidden fees would go far toward leveling the playing field in our
community.  These fees obviously dramatically increase the cost of healthcare for patients,
insurers, and tax payers without any incremental improvement in quality of care.

Sincerely,

[NAME]
Colorado ENT & Allergy

Let us know if there is anything that we can do to be helpful or answer any questions you
have--looking forward to continuing the conversation! 

Best, 
Caitlin 

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
Cost Implications of Vertical Integration of Physicians for
Commercial Payers

Martin McNamara
Steve Schramm
Andrew Hawn
Andrew Wilson

www.optumas.com CBIZ Optumas

7400 East McDonald Dr., Suite 101
Scottsdale, AZ 85250
480.588.2499
 Table of Contents Optumas

Table of Contents
Key Findings ................................................................................................................................................ 1
Background ................................................................................................................................................. 1
What is Vertical Integration? ................................................................................................................... 1
Implications for Payers ............................................................................................................................ 1
Analysis of Vertical Acquisitions ................................................................................................................. 1
Identifying Vertically Integrated Physician Practices ............................................................................... 2
Costs per Visit for Vertically Integrated Physician Practices .................................................................... 3
Acknowledgements .................................................................................................................................... 5

ii | P a g e
Vertical Integration of Physicians
Key Findings
• Vertical integration of physicians by hospital systems can affect costs for both payers and patients
due to advantages in negotiated prices and changes in utilization.
• For commercial payers in Colorado, physicians acquired by hospital systems collectively had an
additional 2-5% year-over-year cost increase for standard visits compared to the average of
physicians that were not identified as acquired during the time period analyzed.
• For commercial payers in Colorado, there was a 5% increase in costs (allowed amount) for services
from physicians that were identified as acquired during the time period analyzed.
• Medicaid and Medicare costs were analyzed, but no difference could be attributed to vertical
integration.

Background
What is Vertical Integration?
Vertical integration refers to the growing trend of independent physicians being acquired by health
systems and other private equity-backed staffing firms. Vertical integration or consolidation broadens
the revenue sources of a hospital and may also increase the bargaining power of the physician groups
with commercial insurers. The newly acquired and vertically integrated physicians also have the
potential to direct patients to the hospital that owns the practice or other integrated physician practices
via referrals. This has the potential to increase costs for patients and payers.

Implications for Payers

There are a few ways that vertical integration can lead to increased costs for payers:

• Vertical integration can enable physicians to charge facility fees on claims, which independent
physicians cannot charge. Facility fees were originally designed to compensate hospitals for “stand-
by” capacity required for emergency departments and inpatient services. But, they are increasingly
added to bills for diagnostic testing and other routine services performed in acquired physicians’
offices.
• Health systems with vertically integrated practices have greater negotiating power with payers to
achieve higher rates. Health systems can leverage their negotiating power to insert anti-competitive
contracting provisions in agreements with payers.
• Through patient referrals, vertically integrated practices can direct patients to their affiliated
hospitals and other affiliated providers within the health system, which may be more costly to
patients and payers.

Analysis of Vertical Acquisitions

Optumas worked with National Academy for State Health Policy (NASHP) and the Colorado Department
of Health Care Policy and Financing (HCPF) to request Colorado All Payer Claims Database (APCD) data
from Colorado’s Center for Improving Value in Health Care (CIVHC). The data covered the calendar years
2016 through 2020 and included information for physician and hospital costs for all payers. These data
were used in the analysis.

1|Page
Identifying Vertically Integrated Physician Practices
Optumas developed a methodology for identifying vertically integrated physicians based on changes to
the identified “billing provider” in claims data. Though it is not expected that this methodology would
identify every case of vertically integrated physician practices, it did identify approximately 2,000
physician group acquisitions for analysis. After reviewing our methodology for potential bias, Optumas
does not think it is likely that this process is identifying only a particular type or size of provider being
acquired when compared to a ‘typical’ provider/practice that has been acquired. Thus, we don’t think
our methodology has any inherent bias that would preclude the application of our estimated impact
(discussed later) to other providers/groups that had been acquired and we had not identified them.

The APCD data were analyzed and rendering as well as billing providers were arrayed over time. The
inflection point for a provider acquisition was identified as the month in which the “billing” provider
changes for a “rendering” provider. The billing provider is the provider that submits the claim, while the
rendering provider is the provider that actually performed the service. Typically, the physicians in a
group bill under their own name or under their group name up until the inflection point when they are
acquired. After the inflection point, billing shifts to the hospital-affiliated group that has acquired the
physician.

For example, Dr. Smith1 has claims billed under her name in the dataset from the start of the data
period through January 2017. In February 2018, Dr. Smith’s claims shift and start being billed under a
hospital-owned physician group in the dataset. Under this methodology, Dr. Smith would be counted as
independent through January 2017, then as a vertically integrated physician from February 2018 and
onward.

To test this methodology, a sample of physician records and websites were reviewed. In the sample, at a
similar time to the billing inflection point identified in the data, the physician’s information indicates an
acquisition.

This method identified almost 2,000 acquisitions in Colorado during the time period 2016-2019. The
specific counts by year are shown in Table 1. These counts includes acquisitions of individual physicians
within practices as well as acquisitions of the practice itself, as the physicians and practices have
different National Provider Identifiers (NPIs).

Table 1. Count of identified acquisitions by year.

Count of Acquired
Year Physicians and
Practices
2016 661
2017 402
2018 427
2019 508

1
Dr. Smith is a hypothetical physician using illustrative, derived sample data.

2|Page
Costs per Visit for Vertically Integrated Physician Practices
To determine if there are cost implications due to vertical integration of physician practices, Optumas
compared the per-visit costs of practices that were vertically integrated during the data period to per-
visit costs of practices that did not have an identified acquisition during the same period.

For this comparison, a visit is defined as a claim with an evaluation and management CPT code (99202-
99205 and 99212-99215) occurring in an office place of service (place of service code 11). All costs for
the claim are included, not only those associated with the evaluation and management code.

While all payers were evaluated, only commercial payers saw a significant increases in costs coinciding
with vertical integration. The lack of increase in this analysis for Medicaid and Medicare could be due to
the standardization of fee schedules for those payers. Other sources of cost differences for those
payers, such as changes in referral patterns, may exist for those payers, but were not evaluated in this
study.

The changes in average per-visit cost for commercial payers are shown in Figure 1.

Figure 1. Average per-visit costs for commercial payers by inflection year.

3|Page
Figure 2. Per-visit costs relative to baseline year (year of acquisition).

While per-visit costs increased for both physicians with an identified acquisition during the time period
and those without an identified acquisition, the costs for the acquired physicians increased a faster rate
over time period. Physicians acquired in 2017 saw an average year-over-year increase in per-visit costs
of 9.2%, while those without an identified acquisition only saw an average increase of 4.3%.

The average per-visit costs by year are shown in Table 2, and the year-over-year changes in per-visit
costs are shown in Table 3. The data for acquired providers after their acquisition date are shown in
bold.

Table 2. Average visit costs for commercial payers by inflection year. The bolded cells are post-acquisition data for providers that
were acquired during the time period.

Inflection Year
Data None
2016 2017 2018 2019
Year Identified
2016 $ 114.04 $ 115.47 $ 114.92 $ 114.60 $ 115.38
2017 $ 116.28 $ 119.62 $ 121.93 $ 116.56 $ 117.85
2018 $ 120.31 $ 133.53 $ 132.91 $ 129.17 $ 128.24
2019 $ 129.24 $ 144.72 $ 149.63 $ 145.79 $ 139.53

4|Page
Table 3. Year-over-year changes in per-visit costs for commercial payers by inflection year. The bolded cells are post-acquisition
data for providers that were acquired during the time period.

Inflection Year
None
Data Year 2016 2017 2018 2019
Identified
2016-2017 2.0% 3.6% 6.1% 1.7% 2.1%
2017-2018 3.5% 11.6% 9.0% 10.8% 8.8%
2018-2019 7.4% 8.4% 12.6% 12.9% 8.8%
Average 4.3% 7.8% 9.2% 8.4% 6.5%

The difference in costs between the non-acquired physicians and the acquired physicians amounts to
$3.5 million, which is a 5% increase in costs for those physicians to commercial payers.

This analysis only includes changes in per-visit costs. There may also be other changes in costs due to
factors such as practice and referral patterns which may contribute to cost changes.

Acknowledgements
The authors with CBIZ Optumas would like to thank Dr. Tom Cheek, MD (Optumas clinician), John
Bartholomew (HCPF contractor), Nancy Dolson (HCPF), January Montano (HCPF), Raine Henry (HCPF),
James Johnson (HCPF), Chris Underwood (HCPF), Rebecca Parrott (HCPF), Scott Lindblom (HCPF), Bettina
Schneider (HCPF), and Maureen Hensley-Quinn (NASHP) with generous funding provided by Arnold
Ventures.

5|Page
From: Caitlin Westerson on behalf of Caitlin Westerson <[email protected]>
To: Elisabeth Arenales - GOVOffice; Nathanson - GovOffice, Isabelle
Cc: Isabel Cruz
Subject: Facility fee follow up
Date: Friday, March 10, 2023 1:25:24 PM
Attachments: Out Patient in CO Facility Fee Report DRAFT (1).pdf

Hi Elisabeth and Izzy--

Thanks so much for your time today--here are a few things I wanted to follow up on: 

1) Articles we shared: 

GJ Daily Sentinel article where the CEO of Community Hospital talks about not
charging facility fees; we have reached out but not gotten a response (in your positions,
though, you may have better luck)
Forbes article and PAI article about physician employment and acquisition in recent
years 
Medpac report that describes the Medicare payment and mechanisms

2) Attached is the actuarial analysis from NASHP (in partnership with HCPF) that looks at
providers who have affiliated with or been bought by health systems and what happened to
their prices and fees. This report is pre-publication so we would appreciate it if you didn't
share it with anyone. They found that:

Vertical integration of physicians by hospital systems can affect costs for both payers
and patients due to advantages in negotiated prices and changes in utilization.
For commercial payers in Colorado, physicians acquired by hospital systems
collectively had an additional 2-5% year-over-year cost increase for standard visits
compared to the average of physicians that were not identified as acquired during the
time period analyzed.
For commercial payers in Colorado, there was a 5% increase in costs (allowed amount)
for services from physicians that were identified as acquired during the time period
analyzed.
Medicaid and Medicare costs were analyzed, but no difference could be attributed to
vertical integration. 

I'm happy to facilitate a conversation with the people who wrote the report if that is helpful! 

3) After we talked, I spoke with a group of physicians in Colorado Springs who are very
supportive of the bill--they confirmed/explained that the professional fee for both Medicare
and commercial payers adequately accommodates for the overhead of outpatient clinics (staff,
admin, rent, etc.). I've included one of their emails below in case it is helpful--they also said
they are more than willing to talk 1:1. If you're interested in discussing with them, I'm happy
to make an introduction. 

They also wanted me to raise the fact that UC Health is not a good community partner
in the CO Springs area; they said they can't get privileges at any of their facilities and
frequently hear stories from their patients on Medicaid who can't get seen there. 
They said UCHealth has told them they will only take Medicaid patients if the patient
comes through the ER--other physicians can't make referrals into their system for
 Medicaid recipients. They were wondering if there is any requirement or consequence
for doing this--I'm not sure if you know the answer here? 

Email from docs:

My name is [NAME] and I am an otolaryngology head and neck surgeon in Colorado
Springs.  I am writing today in strong support of HB23-1215 and to ask what other measures
private practice physicians in my area might be able to do to further support this legislation.

I think we have seen how facility fees have negatively impacted both patients and private
practice physicians in the Colorado Springs area.   As a private practice physician, my group
of 11 provides high quality care with excellent access for our patient population (to include
Medicaid).  It seems highly unfair to have a state sponsored / subsidized entity come into our
market, see very limited underserved residents, and then collect facility fees for providing
exactly the same care that my practice does.  Somehow we manage to conduct a viable
business without the extra hidden facility fees that UC health charges for simple outpatient
clinic visits.

I think removing these hidden fees would go far toward leveling the playing field in our
community.  These fees obviously dramatically increase the cost of healthcare for patients,
insurers, and tax payers without any incremental improvement in quality of care.

Sincerely,

[NAME]
Colorado ENT & Allergy

Let us know if there is anything that we can do to be helpful or answer any questions you
have--looking forward to continuing the conversation! 

Best, 
Caitlin 

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: Caitlin Westerson on behalf of Caitlin Westerson <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Cc: Isabel Cruz; Isabelle Nathanson - GovOffice
Subject: Re: Article about Mass and facility fees
Date: Friday, March 10, 2023 1:22:48 PM

Thanks! I reached out to MA advocates to see if they know/can explain the claim that facility
fees aren't charged there--will follow up asap! 

On Fri, Mar 10, 2023 at 12:29 PM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:

Suggests facility fees are charged in MA

https://www.bostonglobe.com/2022/06/09/opinion/hit-with-hidden-fee-your-doctors-bill-
health-care-consolidation-may-be-blame/
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabel Cruz; Caitlin Westerson; Isabelle Nathanson - GovOffice
Subject: Article about Mass and facility fees
Date: Friday, March 10, 2023 12:29:07 PM

Suggests facility fees are charged in MA

https://www.bostonglobe.com/2022/06/09/opinion/hit-with-hidden-fee-your-doctors-bill-
health-care-consolidation-may-be-blame/
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Joe Sammen on behalf of Joe Sammen <[email protected]>
To: Judy - DORA, Debra
Cc: Andrea Escalera; Bethany Pray; Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales
- GOVOffice; Erin Miller; Isabel Cruz; Isabelle Nathanson - GovOffice; Jill Mullen - DORA; Kimmel - GOVOffice,
Allie; Laura Pinky Reinsch; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; Tara Smith -
DORA; [email protected]; [email protected]
Subject: Re: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start Time
Date: Friday, March 10, 2023 11:53:19 AM

Sounds good!

On Fri, Mar 10, 2023 at 11:46 AM Judy - DORA, Debra <[email protected]> wrote:
Just confirmed with Rep. deGruy Kennedy that the committee is still planning on starting at
noon.

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Fri, Mar 10, 2023 at 10:13 AM Erin Miller <[email protected]> wrote:

Thanks for the update, Deb!

I’m back-to-back this afternoon, so planning to testify virtually.

Thanks!

Erin

 
From: Judy - DORA, Debra <[email protected]>
Sent: Friday, March 10, 2023 7:17 AM
To: Erin Miller <[email protected]>; Tara Smith - DORA <[email protected]>;
Jill Mullen - DORA <[email protected]>
Cc: Caitlin Westerson <[email protected]>; Laura Pinky Reinsch <laura@the-
impact-project.org>; [email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Isabel Cruz
<[email protected]>; Isabelle Nathanson - GovOffice
<[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>; Joe Sammen <[email protected]>;
Andrea Escalera <[email protected]>
Subject: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start
Time

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

The committee will be starting at noon today. PDAB will be heard first. 

Reach out with any questions

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.

On Thu, Mar 9, 2023 at 6:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 

I just wanted to touch base before tomorrow's hearing on both the CO Option and
PDAB. As you know, the hearing will be upon adjournment tomorrow, but right now
we don't know the timing -- I think it will depend on just how long the House stays on
the floor tonight. As we learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the
timing of the hearing. We appreciate all your efforts, and if you do know of someone
who will be available, please send their contact information so we can add them to the
list for the bill sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all
have this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp
 

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen
will be there and her phone number is if you need to connect with her on
anything. Tara and I are also  available if you have questions.

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written

testimony or be in-person or virtual as part of a panel – just let us know what’s most
helpful.

 
Thanks,

Erin

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>;
Elisabeth Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice,
Allie <[email protected]>; Lori Nguyen <[email protected]>;
Michael Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]>

wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate
the efforts underway to find providers and individuals who can testify at the
hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let
me know if you might be interested.
Thanks for all the support -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of

the individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law.
If you are not an intended recipient you are not authorized to
disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this e-
mail and any attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for
12:30 to 1 which seemed to work for the most people. Happy to talk offline with
others, and if we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb
Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of

the individual to whom it is addressed and may contain information that
is privileged, confidential and exempt from disclosure under applicable
law. If you are not an intended recipient you are not authorized to
disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this
e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 
 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson

<[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled
so move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]>

wrote:

My availability in green

below.

Thanks!

Erin

 
 

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna
Mizer <[email protected]>; Laura Pinky Reinsch
<[email protected]>; Caitlin Westerson
<[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway -
Dora, Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments,
and providing sensitive information.

 
 

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am
hoping we can find a window of time early next week to talk about
plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

 
 

And if I missed someone, please let them know -

Thanks

Deb

 
 

Debra Judy

 
Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.
 

CONFIDENTIALITY NOTICE: This message is intended only for the

use of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and
delete this e-mail

and any attachments from your system.

 
  

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or
entity to whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read,
print, retain, copy or disseminate this message or any part of it. If you have received this message in error, please
destroy and/or delete all copies of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He,

Him, His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--
 LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.

--
--
Joe Sammen | Co-Executive Director
Center for Health Progress

Contact Me: 720.987.9570 | @joemsammen | he/him/his

Contact Us: 720.583.1760 | www.centerforhealthprogress.org | @chprogress

Support the movement for health equity in Colorado! Donate today!

From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Erin Miller
Cc: Tara Smith - DORA; Jill Mullen - DORA; Caitlin Westerson; Laura Pinky Reinsch;
[email protected]; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice;
Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Lori Nguyen; Michael Nicoletti - DORA;
Rayna Hetlage; Susanna Mizer; [email protected]; Bethany Pray; Joe Sammen; Andrea Escalera
Subject: Re: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start Time
Date: Friday, March 10, 2023 11:46:38 AM

Just confirmed with Rep. deGruy Kennedy that the committee is still planning on starting at
noon.

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Fri, Mar 10, 2023 at 10:13 AM Erin Miller <[email protected]> wrote:

Thanks for the update, Deb!

I’m back-to-back this afternoon, so planning to testify virtually.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 10, 2023 7:17 AM
To: Erin Miller <[email protected]>; Tara Smith - DORA <[email protected]>;
Jill Mullen - DORA <[email protected]>
Cc: Caitlin Westerson <[email protected]>; Laura Pinky Reinsch <laura@the-
impact-project.org>; [email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Isabel Cruz
<[email protected]>; Isabelle Nathanson - GovOffice
<[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>; Joe Sammen <[email protected]>;
Andrea Escalera <[email protected]>
Subject: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start
Time

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

The committee will be starting at noon today. PDAB will be heard first. 

Reach out with any questions

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.
 

On Thu, Mar 9, 2023 at 6:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 

I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB.
As you know, the hearing will be upon adjournment tomorrow, but right now we don't
know the timing -- I think it will depend on just how long the House stays on the floor
tonight. As we learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing
of the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all
have this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will
be there and her phone number is if you need to connect with her on
anything. Tara and I are also  available if you have questions.
 

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written

testimony or be in-person or virtual as part of a panel – just let us know what’s most
helpful.

Thanks,

Erin

 
From: Caitlin Westerson <[email protected]>
Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>;
Elisabeth Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]>

wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate
the efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me
know if you might be interested.

Thanks for all the support -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for
12:30 to 1 which seemed to work for the most people. Happy to talk offline with
others, and if we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of

the individual to whom it is addressed and may contain information that
is privileged, confidential and exempt from disclosure under applicable
law. If you are not an intended recipient you are not authorized to
disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this
e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson

<[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]>

wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-
impact-project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway - Dora,
Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am
hoping we can find a window of time early next week to talk about plans
for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks
 

Deb

Debra Judy

 
Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

 
  

CONFIDENTIALITY NOTICE: This message is intended only for the

use of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and
delete this e-mail

and any attachments from your system.

--
 Caitlin Westerson (she/her)
STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or
entity to whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read,
print, retain, copy or disseminate this message or any part of it. If you have received this message in error, please destroy
and/or delete all copies of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org
 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the
error by return email.
From: Erin Miller on behalf of Erin Miller <[email protected]>
To: Judy - DORA, Debra; Tara Smith - DORA; Jill Mullen - DORA
Cc: Caitlin Westerson; Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana
Protopapa; Elisabeth Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice,
Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
Bethany Pray; Joe Sammen; Andrea Escalera
Subject: RE: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start Time
Date: Friday, March 10, 2023 10:13:41 AM

Thanks for the update, Deb!

 
I’m back-to-back this afternoon, so planning to testify virtually.
 
Thanks!
Erin
 
From: Judy - DORA, Debra <[email protected]>
Sent: Friday, March 10, 2023 7:17 AM
To: Erin Miller <[email protected]>; Tara Smith - DORA <[email protected]>; Jill Mullen -
DORA <[email protected]>
Cc: Caitlin Westerson <[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; [email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth Arenales -
GOVOffice <[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael Nicoletti - DORA
<[email protected]>; Rayna Hetlage <[email protected]>;
Susanna Mizer <[email protected]>; [email protected]; Bethany Pray
<[email protected]>; Joe Sammen <[email protected]>; Andrea
Escalera <[email protected]>
Subject: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start Time
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

The committee will be starting at noon today. PDAB will be heard first. 
Reach out with any questions

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual to
whom it is addressed and may contain information that is privileged, confidential and
exempt from disclosure under applicable law. If you are not an intended recipient you
are not authorized to disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this e-mail and any
attachments from your system.
 
 
On Thu, Mar 9, 2023 at 6:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 

I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB. As you
know, the hearing will be upon adjournment tomorrow, but right now we don't know the timing --
I think it will depend on just how long the House stays on the floor tonight. As we learn more from
the sponsors, we will keep you all posted 
 
For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity
 
For the CO Option, we have the following for testimony:
 

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 
 
If I've missed anyone, please let us know. Also, I know several of you were looking for providers
and consumers to testify and I know in some cases it is dependent on the timing of the hearing.
We appreciate all your efforts, and if you do know of someone who will be available, please send
their contact information so we can add them to the list for the bill sponsors. 
 
Please let us know if you are planning to be remote or in person. And I presume you all have this,
but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp
 
I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will be there and
her phone number is if you need to connect with her on anything. Tara and I are
also  available if you have questions.
 
Thank you everyone -
Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual
to whom it is addressed and may contain information that is privileged, confidential
and exempt from disclosure under applicable law. If you are not an intended recipient
you are not authorized to disseminate, distribute or copy this e-mail. Please notify the
sender immediately if you have received this e-mail by mistake and delete this e-mail
and any attachments from your system.
 
 
On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony or be
in-person or virtual as part of a panel – just let us know what’s most helpful.
 
Thanks,
Erin
 
From: Caitlin Westerson <[email protected]>
Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael <[email protected]>;
Diana Protopapa <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Erin Miller <[email protected]>; Isabel Cruz
<[email protected]>; Isabelle Nathanson - GovOffice
<[email protected]>; Kimmel - GOVOffice, Allie <[email protected]>; Lori
Nguyen <[email protected]>; Michael Nicoletti - DORA
<[email protected]>; Rayna Hetlage <[email protected]>;
Susanna Mizer <[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update
 
This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

 
On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:
Appreciate all of you who were able to join yesterday's call as we prepare for the committee
hearing on the CO Option on Friday. Regarding testimony, I appreciate the efforts underway
to find providers and individuals who can testify at the hearing. 
I also understand that the following organizations would be willing to testify
CCHI - CO Option and PDAB if needed
Centennial State Prosperity - CO Option and PDAB if needed
CCLP - PDAB
We would love to have a few more organizations available to testify -- please let me know if
you might be interested.
Thanks for all the support -
Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.
 
 
On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:
Good morning all, 
Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1
which seemed to work for the most people. Happy to talk offline with others, and if we
need to do some follow up Tues or Wed we can do that too. 
Thanks
Deb
Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.
 
 
On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]>
wrote:
I can do the first two.
 
Pinky
 
On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity
<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 
 
Best,
Austin 
 
On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:
None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 
 
On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:
 

My availability in green

below.
 

 
 

Thanks!
 

Erin
 

 
 

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin Miller
<[email protected]>; Rayna Hetlage
<[email protected]>
Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -
GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

 

 
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

 

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would
any

of these work on Monday?

 

 
 9:30-10 works for Erin
 

12:30 -1
 

1:30 -2
 

Please let me know. what is possible. 

 

And if I missed someone, please let them know -

 

Thanks
 

Deb
 

 
 
 

Debra Judy
 

Division of Insurance 
 

she/her/hers
 

 
 
 

P 303.894.2066 |  F 303.894.7455
 

1560 Broadway, Suite 850, Denver, CO 80202

 

[email protected] | www.dora.colorado.gov/insurance
 

 
 

P  Please consider the environment before printing

this email.
 

 
 

CONFIDENTIALITY NOTICE: This message is intended only for the use of

the individual to whom it is addressed and may contain information
that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate, distribute or
copy this e-mail. Please notify the sender immediately if you have
received this e-mail by mistake and delete this e-mail

and any attachments from your system.

 

 
  

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424
[email protected]| @USofCare | unitedstatesofcare.org
 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity
to whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain,
copy or disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete
all copies of it and notify the sender of the error by return email.

--
 

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
 Centennial State Prosperity

 
--
LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project

 
--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424
[email protected]| @USofCare | unitedstatesofcare.org
 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the
error by return email.
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Michael Stephen; Kelly Davies;
Arba Robinson; Lisa Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie
<[email protected]>; Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy
Solberg; Allison Heed; Daniel O"Neil; Adela Flores-Brennan <[email protected]>; Hannah Sieben;
Cliff Craig; Blake Simony; Kevin Patterson <[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron;
Brian Braun; Julie Susemihl; [email protected]; Jessalyn Hampton; Sharita Stevens;
[email protected]; Madi Guthrie; [email protected]; Dub Jones; Kate Lind; Allison Neswood
Subject: Canceled: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Kelly Davies; Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Arba Robinson; Lisa
Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie <[email protected]>;
Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy Solberg; Allison Heed; Daniel O"Neil;
Adela Flores-Brennan <[email protected]>; Cliff Craig; Blake Simony; Kevin Patterson
<[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron; Brian Braun; Julie Susemihl;
[email protected]; Jessalyn Hampton; Sharita Stevens; [email protected]; Madi Guthrie;
[email protected]; Dub Jones; Kate Lind; Allison Neswood
Subject: Canceled: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Michael Stephen; Arba Robinson;
Lisa Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie
<[email protected]>; Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy
Solberg; Allison Heed; Daniel O"Neil; Adela Flores-Brennan <[email protected]>; Hannah Sieben;
Cliff Craig; Blake Simony; Kevin Patterson <[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron;
Brian Braun; Julie Susemihl; [email protected]; Jessalyn Hampton; Sharita Stevens;
[email protected]; Madi Guthrie; [email protected]; Dub Jones; Kate Lind; Allison
Neswood; Kelly Davies
Subject: Canceled: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Kelly Davies; Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Arba Robinson; Lisa
Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie <[email protected]>;
Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy Solberg; Allison Heed; Daniel O"Neil;
Adela Flores-Brennan <[email protected]>; Cliff Craig; Blake Simony; Kevin Patterson
<[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron; Brian Braun; Julie Susemihl;
[email protected]; Jessalyn Hampton; Sharita Stevens; [email protected]; Madi Guthrie;
[email protected]; Dub Jones; Kate Lind; Allison Neswood
Subject: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Subject: Re: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:40:56 AM

Thank you!! Sorry, I thought it was at 8:30, just saw it got moved to 11. My apologies!

On Fri, Mar 10, 2023 at 8:37 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Just resent

On Fri, Mar 10, 2023 at 8:35 AM Isabel Cruz <[email protected]> wrote:

So sorry, I don't see a link in here. 

On Fri, Mar 10, 2023 at 8:33 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Elisabeth Arenales - GOVOffice
Subject: Re: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:38:41 AM

Thank you! I've asked to join :)

On Fri, Mar 10, 2023 at 8:37 AM Elisabeth Arenales - GOVOffice

<[email protected]> wrote:
US of Care Monthly Touch Base
Friday, Mar 10 · 11–11:45 AM
Google Meet joining info
Video call link:
Or dial:
More phone numbers:
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabel Cruz
Subject: Re: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:37:18 AM

Just resent

On Fri, Mar 10, 2023 at 8:35 AM Isabel Cruz <[email protected]> wrote:

So sorry, I don't see a link in here. 

On Fri, Mar 10, 2023 at 8:33 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Elisabeth Arenales - GOVOffice on behalf of Elisabeth Arenales - GOVOffice <[email protected]>
To: [email protected]
Subject: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:37:00 AM

US of Care Monthly Touch Base

Friday, Mar 10 · 11–11:45 AM
Google Meet joining info
Video call link:
Or dial:
More phone numbers:
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Cc: [email protected]; [email protected]
Subject: Re: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:35:29 AM

So sorry, I don't see a link in here. 

On Fri, Mar 10, 2023 at 8:33 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabel Cruz
Subject: Re: Facility Fees
Date: Friday, March 10, 2023 8:33:43 AM

Just sent 

On Fri, Mar 10, 2023 at 8:32 AM Isabel Cruz <[email protected]> wrote:

Hey can you resend! Sorry I can’t find the invite! 

On Thu, Mar 9, 2023 at 14:03 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
 I sent you an invite

On Thu, Mar 9, 2023 at 12:04 PM Isabel Cruz <[email protected]> wrote:

If that’s okay with you it works for me! 

On Thu, Mar 9, 2023 at 11:45 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
  Tomorrow morning works- Isabel, Caitlin, Izzy and I have a regular meeting
scheduled in the morning- ok if I add you to that?

On Thu, Mar 9, 2023 at 11:15 AM Isabel Cruz <[email protected]> wrote:

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]>

wrote:
Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we
have a 1:1 on scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom
it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or
disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and
notify the sender of the error by return email.
--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
 Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]
--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: [email protected]; [email protected]; [email protected]
Subject: US of Care Monthly Touch Base
Date: Friday, March 10, 2023 8:33:23 AM

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Subject: Re: Facility Fees
Date: Friday, March 10, 2023 8:32:34 AM

Hey can you resend! Sorry I can’t find the invite! 

On Thu, Mar 9, 2023 at 14:03 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
 I sent you an invite

On Thu, Mar 9, 2023 at 12:04 PM Isabel Cruz <[email protected]> wrote:

If that’s okay with you it works for me! 

On Thu, Mar 9, 2023 at 11:45 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
  Tomorrow morning works- Isabel, Caitlin, Izzy and I have a regular meeting scheduled
in the morning- ok if I add you to that?

On Thu, Mar 9, 2023 at 11:15 AM Isabel Cruz <[email protected]> wrote:

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]> wrote:

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a
1:1 on scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.
--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
 [email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Erin Miller; Tara Smith - DORA; Jill Mullen - DORA
Cc: Caitlin Westerson; Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana
Protopapa; Elisabeth Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice,
Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
Bethany Pray; Joe Sammen; Andrea Escalera
Subject: TIMING UPDATE - PDAB and Colorado Option Legislation Committee Start Time
Date: Friday, March 10, 2023 7:17:33 AM

The committee will be starting at noon today. PDAB will be heard first. 
Reach out with any questions

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Thu, Mar 9, 2023 at 6:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 
I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB. As
you know, the hearing will be upon adjournment tomorrow, but right now we don't know the
timing -- I think it will depend on just how long the House stays on the floor tonight. As we
learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
 Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing of
the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all have
this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will be
there and her phone number is if you need to connect with her on anything.
Tara and I are also  available if you have questions.

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony
or be in-person or virtual as part of a panel – just let us know what’s most helpful.

Thanks,

Erin
 

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate the
efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me
know if you might be interested.

Thanks for all the support -

Deb
Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to
1 which seemed to work for the most people. Happy to talk offline with others, and if
we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]>

wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway - Dora,
Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

 
 

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am hoping
we can find a window of time early next week to talk about plans for the
committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

 
 

Thanks

Deb

Debra Judy

 
 

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

 
 

CONFIDENTIALITY NOTICE: This message is intended only for the use

of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail

and any attachments from your system.

 
 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to
whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain,
copy or disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all
copies of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message
or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by
return email.
From: Joe Sammen on behalf of Joe Sammen <[email protected]>
To: Lori Copani
Cc: Andrea Escalera; Bethany Pray; Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales
- GOVOffice; Erin Miller; Isabel Cruz; Isabelle Nathanson - GovOffice; Jill Mullen - DORA; Judy - DORA, Debra;
Kimmel - GOVOffice, Allie; Laura Pinky Reinsch; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; Tara
Smith - DORA; [email protected]; [email protected]
Subject: Re: PDAB and Colorado Option Legislation Update
Date: Thursday, March 9, 2023 7:25:03 PM

Thanks Deb! I know Andrea is planning to testify remotely.

On Thu, Mar 9, 2023 at 6:09 PM Lori Copani <[email protected]> wrote:

Dr. Chet Cedars, retired family physician from alone Tree  is planning to testify virtually for
both. I signed him up today. 

On Thu, Mar 9, 2023 at 8:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 
I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB.
As you know, the hearing will be upon adjournment tomorrow, but right now we don't
know the timing -- I think it will depend on just how long the House stays on the floor
tonight. As we learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing
of the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all
have this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will
be there and her phone number is if you need to connect with her on
anything. Tara and I are also  available if you have questions.

Thank you everyone -

Deb
Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written

testimony or be in-person or virtual as part of a panel – just let us know what’s most
helpful.

Thanks,

Erin

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>;
Elisabeth Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]>

wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate the
efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me
know if you might be interested.

Thanks for all the support -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30
to 1 which seemed to work for the most people. Happy to talk offline with others,
and if we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law.
If you are not an intended recipient you are not authorized to
disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this e-
mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson

<[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]>

wrote:
 

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-
impact-project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>
Cc: Isabelle Nathanson - GovOffice <[email protected]>;
Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway - Dora,
Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am
hoping we can find a window of time early next week to talk about plans
for the committee -- Would any

of these work on Monday?

 
 

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
 

Debra Judy

 
Division of Insurance 

she/her/hers

 
 

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the

use of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate,
 distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and
delete this e-mail

and any attachments from your system.

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
 970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or
entity to whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read,
print, retain, copy or disseminate this message or any part of it. If you have received this message in error, please destroy
and/or delete all copies of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

 STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the
error by return email.
--
Lori Copani 
The Committee to Protect Health Care
www.CommitteetoProtect.org
​Click here to become a CTP Medical Member. Monthly support from medical professionals like you, allows us to continue fighting for
quality & affordable health care throughout the States.
--
--
Joe Sammen | Co-Executive Director
Center for Health Progress

Contact Me: 720.987.9570 | @joemsammen | he/him/his

Contact Us: 720.583.1760 | www.centerforhealthprogress.org | @chprogress

Support the movement for health equity in Colorado! Donate today!

From: Lori Copani on behalf of Lori Copani <[email protected]>
To: Judy - DORA, Debra
Cc: Andrea Escalera; Bethany Pray; Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales
- GOVOffice; Erin Miller; Isabel Cruz; Isabelle Nathanson - GovOffice; Jill Mullen - DORA; Joe Sammen; Kimmel -
GOVOffice, Allie; Laura Pinky Reinsch; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; Tara Smith -
DORA; [email protected]; [email protected]
Subject: Re: PDAB and Colorado Option Legislation Update
Date: Thursday, March 9, 2023 6:10:02 PM

Dr. Chet Cedars, retired family physician from alone Tree  is planning to testify virtually for
both. I signed him up today. 

On Thu, Mar 9, 2023 at 8:06 PM Judy - DORA, Debra <[email protected]> wrote:

Good evening all, 
I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB. As
you know, the hearing will be upon adjournment tomorrow, but right now we don't know the
timing -- I think it will depend on just how long the House stays on the floor tonight. As we
learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing of
the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all have
this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will be
there and her phone number is if you need to connect with her on anything.
Tara and I are also  available if you have questions.

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony
or be in-person or virtual as part of a panel – just let us know what’s most helpful.

Thanks,

Erin

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle
Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

 
This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate the
efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me
know if you might be interested.

Thanks for all the support -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]>

wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to
1 which seemed to work for the most people. Happy to talk offline with others, and if
we need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

 
 

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]>

wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

 
My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin
Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Conway - Dora,
Michael <[email protected]>; Michael Nicoletti

- DORA <[email protected]>
Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in

Health & Insurance next Friday, March 10, upon adjournment. I am hoping
we can find a window of time early next week to talk about plans for the
committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

 
12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
 

Debra Judy

 
Division of Insurance 

she/her/hers

 
 

P 303.894.2066 |  F 303.894.7455

 
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use

of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail

and any attachments from your system.

 
  

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to
whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain,
copy or disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all
copies of it and notify the sender of the error by return email.

--
 Austin Blumenfeld | He, Him,
His [email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message
or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by
return email.
--
Lori Copani 
The Committee to Protect Health Care
www.CommitteetoProtect.org
​Click here to become a CTP Medical Member. Monthly support from medical professionals like you, allows us to continue fighting for
quality & affordable health care throughout the States.
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Erin Miller; Tara Smith - DORA; Jill Mullen - DORA
Cc: Caitlin Westerson; Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana
Protopapa; Elisabeth Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice,
Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
Bethany Pray; Joe Sammen; Andrea Escalera
Subject: PDAB and Colorado Option Legislation Update
Date: Thursday, March 9, 2023 6:06:50 PM

Good evening all, 

I just wanted to touch base before tomorrow's hearing on both the CO Option and PDAB. As
you know, the hearing will be upon adjournment tomorrow, but right now we don't know the
timing -- I think it will depend on just how long the House stays on the floor tonight. As we
learn more from the sponsors, we will keep you all posted 

For the PDAB, we have the following scheduled to testify:

Bethany Pray, CCLP

Hope Stonner, CCHI
Austen Blumenfeld, Centennial State Prosperity

For the CO Option, we have the following for testimony:

Isabel Cruz, CCHI

Austin Blumenfeld, Centennial State Prosperity
Andrea Escalera, Center for Health Progress
Erin Miller, Children’s Campaign 

If I've missed anyone, please let us know. Also, I know several of you were looking for
providers and consumers to testify and I know in some cases it is dependent on the timing of
the hearing. We appreciate all your efforts, and if you do know of someone who will be
available, please send their contact information so we can add them to the list for the bill
sponsors. 

Please let us know if you are planning to be remote or in person. And I presume you all have
this, but just in case, here is the link to sign up to
testify: https://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/signIn.xsp

I won't be in the building tomorrow as I am still in COVID isolation, but Jill Mullen will be
there and her phone number is if you need to connect with her on anything. Tara
and I are also  available if you have questions.

Thank you everyone -

Deb

Debra Judy
Division of Insurance 
she/her/hers
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Tue, Mar 7, 2023 at 3:34 PM Erin Miller <[email protected]> wrote:

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony
or be in-person or virtual as part of a panel – just let us know what’s most helpful.

Thanks,

Erin

From: Caitlin Westerson <[email protected]>

Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>;
[email protected]; Conway - Dora, Michael
<[email protected]>; Diana Protopapa <[email protected]>; Elisabeth
Arenales - GOVOffice <[email protected]>; Erin Miller
<[email protected]>; Isabel Cruz <[email protected]>; Isabelle Nathanson -
GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Lori Nguyen <[email protected]>; Michael
Nicoletti - DORA <[email protected]>; Rayna Hetlage
<[email protected]>; Susanna Mizer
<[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the
committee hearing on the CO Option on Friday. Regarding testimony, I appreciate the
efforts underway to find providers and individuals who can testify at the hearing. 

I also understand that the following organizations would be willing to testify

CCHI - CO Option and PDAB if needed

Centennial State Prosperity - CO Option and PDAB if needed

CCLP - PDAB

We would love to have a few more organizations available to testify -- please let me know
if you might be interested.

Thanks for all the support -

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1
which seemed to work for the most people. Happy to talk offline with others, and if we
need to do some follow up Tues or Wed we can do that too. 

Thanks

Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
you are not an intended recipient you are not authorized to disseminate,
distribute or copy this e-mail. Please notify the sender immediately if you
have received this e-mail by mistake and delete this e-mail and any
attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <laura@the-impact-

project.org> wrote:
I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:

I just can’t do the 1:30-2pm one. 

Best,

Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]>

wrote:

None of these work for me but I can try to make whatever gets scheduled so
move forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

 
 

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin Miller
<[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>;

Kimmel - GOVOffice, Allie <[email protected]>; Elisabeth Arenales -
GOVOffice <[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

 
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health
& Insurance next Friday, March 10, upon adjournment. I am hoping we can
find a window of time early next week to talk about plans for the committee --
Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

 
 

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
 

Debra Judy

 
Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455
 

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use

of the individual to whom it is addressed and may contain
information that is privileged, confidential and

exempt from disclosure under applicable law. If you are not an

intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have
received this e-mail by mistake and delete this e-mail

and any attachments from your system.

 
  

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to
whom it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy
or disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all copies
of it and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him,

His
[email protected]
Executive Director
centennialstateprosperity.org
Centennial State Prosperity
  

--

LAURA "PINKY" REINSCH  She/Her/Hers

Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or
any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return
email.
From: Colorado Social Legislation Committee on behalf of Colorado Social Legislation Committee <[email protected]>
To: [email protected]
Subject: CSLC virtual luncheon on March 13: Medical Debt & Its Impacts
Date: Thursday, March 9, 2023 4:32:27 PM

Medical Debt
Dear CSLC members & friends,

You're invited to join us on Monday for our next program. We'll gather online
on Monday, March 13, at noon to discuss legislative approaches to dealing
with medical debt. One in 8 Coloradans has medical debt in collections, and
medical debt is also reported on consumer reports and credit reports in our
state. This compounds the harm for those facing debt by impacting financial
health and reducing economic stability, creating barriers for those affected
wherever consumer reports are used.

Contributing to medical debt are so-called "facility fees". These are often a
surprising and unaffordable out-of-pocket expense which ostensibly cover
overhead. Many insurance plans only partially cover facility fees, or do not
cover them at all. The fees vary wildly depending on the provider, and it can be
unclear how or why the fees are billed.

We look forward to seeing you there!



Register here to receive the zoom link

(link changes every week)

Legislation for consideration by CSLC

HB23-1126 - Consumer Reports not include Medical Debt information

HB23-1215 - Limits on Hospital Facility Fees

HB23-1209 - Analyze Statewide Publicly Financed Health Care

For legislation to be considered, please fill out our online form

or contact Chaer Robert, CSLC's Legislative Chair.

Panelists for March 13

Sen. Lisa Cutter

Senate District 20

Senator Lisa Cutter represents Senate District

20 in Jefferson County. She serves on the
Senate Health & Human Services Committee,
the Transportation & Energy Committee and
the Joint Technology Committee. Some of her
priority issues include mental care, healthcare,
public education, conservation, safety and
 wildfire mitigation.

She is a public relations and communications

professional, and owner of her small business
Cutter Communications. She served four year
in the House prior to running for the Senate.

Julia Char Gilbert

Colorado Center on Law & Policy

Julia Char Gilbert is the Connelly Policy Advocate

at Colorado Center on Law and Policy. She
supports CCLP’s legal and legislative efforts to
advance economic justice and racial equity in
Colorado. She has a background in public policy,
research, and community-based nonprofit work.
Most recently, she worked as a Policy Analyst at
the Colorado Health Institute and as an English
teacher in Spain, as part of the Fulbright Program.
Julia holds a bachelor’s degree in political science
from Yale, where she concentrated in health and
justice. She is also a graduate of the
Multidisciplinary Academic Program in Human
Rights.

Isabel Cruz
Colorado Consumer Health Initiative
Isabel serves as Policy Manager for the Colorado
Consumer Health Initiative. She is a passionate
advocate dedicated to amplifying the voices of
consumers and marginalized communities to
promote equity and wellness in Colorado.
Originally hailing from Brooklyn, Isabel earned her
BA in Sociology from Yale with a certificate from
the Multidisciplinary Academic Program in Human
Rights. With over 6 years of experience in
nonprofits across New York, New Haven, and
Denver, she has dedicated her career to building
power and nurturing leadership across diverse
stakeholders to advance social change. Isabel is
committed to bringing people together to advocate
for policy solutions that ensure all Coloradans can
access affordable and affirming healthcare.
 We look forward to seeing you on Monday!

Membership Information
Don't forget, you can become a CSLC member or renew your membership
for 2023 online right now!

Renewing your membership or becoming a new member is affordable and

easy. To pay online, simply follow the corresponding link below:

$5 student membership
$25 individual membership
$50 organizational membership

Upcoming Programs
March 20

March 27

April 3

2023 Executive Committee

Chair: Randle Loeb
Treasurer: Cynthia Wadle
Secretary & Membership Chair: MJ Coleman
Legislative Chair: Chaer Robert
Communications: Peter Severson, Emily Ochoa
Members at Large: Sarah Barnes, Susan Stark, Dave DeLay, Aubrey Wilde, Benjamin
Dunning

Contact:
[email protected]

Colorado Social Legislation Committee

www.cslc.org

See what's happening on our social sites:

‌ ‌
Colorado Social Legislation Committee | P.O. Box 181032, Denver, CO 80218

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From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabel Cruz
Subject: Re: Facility Fees
Date: Thursday, March 9, 2023 2:03:47 PM

 I sent you an invite

On Thu, Mar 9, 2023 at 12:04 PM Isabel Cruz <[email protected]> wrote:

If that’s okay with you it works for me! 

On Thu, Mar 9, 2023 at 11:45 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
  Tomorrow morning works- Isabel, Caitlin, Izzy and I have a regular meeting scheduled
in the morning- ok if I add you to that?

On Thu, Mar 9, 2023 at 11:15 AM Isabel Cruz <[email protected]> wrote:

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]> wrote:

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a
1:1 on scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
 970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.
--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Cc: Caitlin Westerson
Subject: Re: Facility Fees
Date: Thursday, March 9, 2023 12:04:25 PM

If that’s okay with you it works for me! 

On Thu, Mar 9, 2023 at 11:45 Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
  Tomorrow morning works- Isabel, Caitlin, Izzy and I have a regular meeting scheduled in
the morning- ok if I add you to that?

On Thu, Mar 9, 2023 at 11:15 AM Isabel Cruz <[email protected]> wrote:

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]> wrote:

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a 1:1
on scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org
 This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the
error by return email.
--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer
Assistance Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabel Cruz
Cc: Caitlin Westerson
Subject: Re: Facility Fees
Date: Thursday, March 9, 2023 11:45:22 AM

  Tomorrow morning works- Isabel, Caitlin, Izzy and I have a regular meeting scheduled in the
morning- ok if I add you to that?

On Thu, Mar 9, 2023 at 11:15 AM Isabel Cruz <[email protected]> wrote:

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]> wrote:

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a 1:1
on scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message
or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return
email.
 --
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Caitlin Westerson
Cc: Arenales - GOVOffice, Elisabeth
Subject: Re: Facility Fees
Date: Thursday, March 9, 2023 11:15:26 AM

I can do after 4:30 today or before 9:15 tomorrow!

Best,
Isabel 

On Thu, Mar 9, 2023 at 10:50 Caitlin Westerson <[email protected]> wrote:

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a 1:1 on
scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of
it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
--
Isabel Cruz (she, her, hers)
Policy Director
Colorado Consumer Health Initiative
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our new Consumer Assistance
Program at 303-839-1261, or email: [email protected]
From: Caitlin Westerson on behalf of Caitlin Westerson <[email protected]>
To: Arenales - GOVOffice, Elisabeth
Cc: Isabel Cruz
Subject: Re: Facility Fees
Date: Thursday, March 9, 2023 10:50:32 AM

Absolutely! 

I'm free any time after 2:30 today, and @Elisabeth Arenales - GOVOffice we have a 1:1 on
scheduled tomorrow morning at 8;30 too if that still works for you

On Thu, Mar 9, 2023 at 10:05 AM Arenales - GOVOffice, Elisabeth

<[email protected]> wrote:
Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Caitlin Westerson; Isabel Cruz
Subject: Facility Fees
Date: Thursday, March 9, 2023 10:05:36 AM

Hi-  I have a few questions about the bill. Would you have some time to talk?
Thanks.

Elisabeth

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Erin Miller on behalf of Erin Miller <[email protected]>
To: Caitlin Westerson; Judy - DORA, Debra
Cc: Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana Protopapa; Elisabeth
Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Lori Nguyen;
Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected]; Bethany Pray
Subject: RE: Colorado Option Legislation Update
Date: Tuesday, March 7, 2023 3:34:37 PM

The Children’s Campaign can testify if helpful/needed. Happy to submit written testimony or be in-
person or virtual as part of a panel – just let us know what’s most helpful.
 
Thanks,
Erin
 
From: Caitlin Westerson <[email protected]>
Sent: Tuesday, March 7, 2023 9:07 AM
To: Judy - DORA, Debra <[email protected]>
Cc: Laura Pinky Reinsch <[email protected]>; [email protected];
Conway - Dora, Michael <[email protected]>; Diana Protopapa
<[email protected]>; Elisabeth Arenales - GOVOffice <[email protected]>; Erin
Miller <[email protected]>; Isabel Cruz <[email protected]>; Isabelle Nathanson -
GovOffice <[email protected]>; Kimmel - GOVOffice, Allie <[email protected]>;
Lori Nguyen <[email protected]>; Michael Nicoletti - DORA
<[email protected]>; Rayna Hetlage <[email protected]>;
Susanna Mizer <[email protected]>; [email protected]; Bethany Pray
<[email protected]>
Subject: Re: Colorado Option Legislation Update
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

We can send a letter if it would be helpful--what do you think? 

 
On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:
Appreciate all of you who were able to join yesterday's call as we prepare for the committee
hearing on the CO Option on Friday. Regarding testimony, I appreciate the efforts underway to
find providers and individuals who can testify at the hearing. 
I also understand that the following organizations would be willing to testify
CCHI - CO Option and PDAB if needed
Centennial State Prosperity - CO Option and PDAB if needed
CCLP - PDAB
We would love to have a few more organizations available to testify -- please let me know if you
might be interested.
Thanks for all the support -
Deb
Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual
to whom it is addressed and may contain information that is privileged, confidential
and exempt from disclosure under applicable law. If you are not an intended recipient
you are not authorized to disseminate, distribute or copy this e-mail. Please notify the
sender immediately if you have received this e-mail by mistake and delete this e-mail
and any attachments from your system.
 
 
On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:
Good morning all, 
Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1 which
seemed to work for the most people. Happy to talk offline with others, and if we need to do
some follow up Tues or Wed we can do that too. 
Thanks
Deb

Debra Judy
Division of Insurance 
she/her/hers
 

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual
to whom it is addressed and may contain information that is privileged, confidential
and exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-mail.
Please notify the sender immediately if you have received this e-mail by mistake and
delete this e-mail and any attachments from your system.
 
 
On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]> wrote:
I can do the first two.
 
Pinky
 
On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity
<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 
 
Best,
Austin 
 
On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:
None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 
 
On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.
 

 
 

Thanks!
 
Erin
 

 
 

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

 

 
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and
providing sensitive information.

Good afternoon and happy Friday -

 

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 

 9:30-10 works for Erin

 

12:30 -1
 

1:30 -2
 

Please let me know. what is possible. 

 
 

And if I missed someone, please let them know -

 

Thanks
 

Deb
 

 
 

 
 

Debra Judy
 

Division of Insurance 
 

she/her/hers
 

 
 

P 303.894.2066 |  F 303.894.7455
 

1560 Broadway, Suite 850, Denver, CO 80202

 

[email protected] | www.dora.colorado.gov/insurance
 

 
 

P  Please consider the environment before printing

this email.
 

 
 

 
 

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail
by mistake and delete this e-mail

and any attachments from your system.

 

 
 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424
[email protected]| @USofCare | unitedstatesofcare.org
 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom
it is addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or
disseminate this message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it
and notify the sender of the error by return email.

--

Austin Blumenfeld | He, Him, His

Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

 
--
LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project

 
--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424
[email protected]| @USofCare | unitedstatesofcare.org
 
This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Kelly Davies; Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Arba Robinson; Lisa
Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie <[email protected]>;
Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy Solberg; Allison Heed; Daniel O"Neil;
Adela Flores-Brennan <[email protected]>; Cliff Craig; Blake Simony; Kevin Patterson
<[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron; Brian Braun; Julie Susemihl;
[email protected]; Jessalyn Hampton; Sharita Stevens; [email protected]; Madi Guthrie;
[email protected]; Dub Jones; Kate Lind; Allison Neswood
Subject: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: Caitlin Westerson on behalf of Caitlin Westerson <[email protected]>
To: Judy - DORA, Debra
Cc: Laura Pinky Reinsch; [email protected]; Conway - Dora, Michael; Diana Protopapa; Elisabeth
Arenales - GOVOffice; Erin Miller; Isabel Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Lori
Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected]; Bethany Pray
Subject: Re: Colorado Option Legislation Update
Date: Tuesday, March 7, 2023 9:07:02 AM

We can send a letter if it would be helpful--what do you think? 

On Tue, Mar 7, 2023 at 9:05 AM Judy - DORA, Debra <[email protected]> wrote:

Appreciate all of you who were able to join yesterday's call as we prepare for the committee
hearing on the CO Option on Friday. Regarding testimony, I appreciate the efforts underway
to find providers and individuals who can testify at the hearing. 
I also understand that the following organizations would be willing to testify
CCHI - CO Option and PDAB if needed
Centennial State Prosperity - CO Option and PDAB if needed
CCLP - PDAB
We would love to have a few more organizations available to testify -- please let me know if
you might be interested.
Thanks for all the support -
Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:

Good morning all, 
Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1
which seemed to work for the most people. Happy to talk offline with others, and if we
need to do some follow up Tues or Wed we can do that too. 
Thanks
Deb
Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If you
are not an intended recipient you are not authorized to disseminate, distribute
or copy this e-mail. Please notify the sender immediately if you have received
this e-mail by mistake and delete this e-mail and any attachments from your
system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]>

wrote:
I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 

Best,
Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen

<[email protected]>; [email protected]; Erin Miller
<[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would
any
of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
Debra Judy

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.
 

CONFIDENTIALITY NOTICE: This message is intended only for the use of

the individual to whom it is addressed and may contain information that
is privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-
mail by mistake and delete this e-mail

and any attachments from your system.

 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.
--

Austin Blumenfeld | He, Him, His

Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

--
photo LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Laura Pinky Reinsch; [email protected]
Cc: Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice; Erin Miller; Isabel
Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna
Hetlage; Susanna Mizer; [email protected]; Bethany Pray
Subject: Re: Colorado Option Legislation Update
Date: Tuesday, March 7, 2023 9:05:01 AM

Appreciate all of you who were able to join yesterday's call as we prepare for the committee
hearing on the CO Option on Friday. Regarding testimony, I appreciate the efforts underway
to find providers and individuals who can testify at the hearing. 
I also understand that the following organizations would be willing to testify
CCHI - CO Option and PDAB if needed
Centennial State Prosperity - CO Option and PDAB if needed
CCLP - PDAB
We would love to have a few more organizations available to testify -- please let me know if
you might be interested.
Thanks for all the support -
Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:

Good morning all, 
Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1
which seemed to work for the most people. Happy to talk offline with others, and if we need
to do some follow up Tues or Wed we can do that too. 
Thanks
Deb

Debra Judy
Division of Insurance 
she/her/hers
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]>

wrote:
I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 

Best,
Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna
Hetlage <[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks
Deb

Debra Judy
Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail
by mistake and delete this e-mail

and any attachments from your system.

 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.
--

Austin Blumenfeld | He, Him, His

Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

--
photo LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
Joe Sammen; [email protected]; [email protected]
Subject: Invitation: CO Option Meeting @ Mon Mar 6, 2023 12:30pm - 1pm (MST) ([email protected])
Attachments: invite.ics

CO Option Meeting
Join with Google Meet – You have been invited by [email protected] to attend an event named CO Option Meeting on Monday Mar 6, 2023 ⋅
12:30pm – 1pm (Mountain Time - Denver).
 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]
Subject: Invitation: CO Option Meeting @ Mon Mar 6, 2023 12:30pm - 1pm (MST) ([email protected])
Attachments: invite.ics

CO Option Meeting
Join with Google Meet – You have been invited by [email protected] to attend an event named CO Option Meeting on Monday Mar 6, 2023 ⋅
12:30pm – 1pm (Mountain Time - Denver).
 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; laura@the-impact-
project.org; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Subject: Invitation: CO Option Meeting @ Mon Mar 6, 2023 12:30pm - 1pm (MST) ([email protected])
Attachments: invite.ics

CO Option Meeting
Join with Google Meet – You have been invited by [email protected] to attend an event named CO Option Meeting on Monday Mar 6, 2023 ⋅
12:30pm – 1pm (Mountain Time - Denver).
 
Learn more

 
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Judy - DORA, Debra
Cc: Laura Pinky Reinsch; [email protected]; Caitlin Westerson; Conway - Dora, Michael; Diana
Protopapa; Elisabeth Arenales - GOVOffice; Erin Miller; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice,
Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
Bethany Pray
Subject: Re: Colorado Option Legislation Update
Date: Monday, March 6, 2023 9:20:23 AM

I can be on at 12:30, thanks! 

On Mon, Mar 6, 2023 at 9:02 AM Judy - DORA, Debra <[email protected]> wrote:

Good morning all, 
Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1
which seemed to work for the most people. Happy to talk offline with others, and if we need
to do some follow up Tues or Wed we can do that too. 
Thanks
Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this
e-mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]>

wrote:
I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 

Best,
Austin 
On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:
None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

 
From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna
Hetlage <[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.
Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
Debra Judy

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance
 

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail
by mistake and delete this e-mail

and any attachments from your system.

 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of
the error by return email.
--

Austin Blumenfeld | He, Him, His

Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

--
photo LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Laura Pinky Reinsch; [email protected]
Cc: Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice; Erin Miller; Isabel
Cruz; Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Lori Nguyen; Michael Nicoletti - DORA; Rayna
Hetlage; Susanna Mizer; [email protected]; Bethany Pray
Subject: Re: Colorado Option Legislation Update
Date: Monday, March 6, 2023 9:02:33 AM

Good morning all, 

Not surprisingly, no time works for everyone. I will send you all an invite for 12:30 to 1 which
seemed to work for the most people. Happy to talk offline with others, and if we need to do
some follow up Tues or Wed we can do that too. 
Thanks
Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.

On Mon, Mar 6, 2023 at 8:02 AM Laura "Pinky" Reinsch <[email protected]>

wrote:
I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 

Best,
Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so move
forward with what works best for others 
On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna
Hetlage <[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.
Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a
window of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
Debra Judy

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

 
P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail
by mistake and delete this e-mail

and any attachments from your system.

 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this
message or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the
error by return email.
--

Austin Blumenfeld | He, Him, His

Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

--
photo LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project
From: Laura \"Pinky\" Reinsch on behalf of Laura \"Pinky\" Reinsch <[email protected]>
To: Centennial State Prosperity
Cc: Caitlin Westerson; Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice; Erin Miller; Isabel
Cruz; Isabelle Nathanson - GovOffice; Judy - DORA, Debra; Kimmel - GOVOffice, Allie; Lori Nguyen; Michael
Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected]; [email protected];
[email protected]
Subject: Re: Colorado Option Legislation Update
Date: Monday, March 6, 2023 8:02:22 AM

I can do the first two.

Pinky

On Fri, Mar 3, 2023 at 6:19 PM Centennial State Prosperity

<[email protected]> wrote:
I just can’t do the 1:30-2pm one. 

Best,
Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so move forward
with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

 
Thanks!

Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <laura@the-impact-
project.org>; Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing
sensitive information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a window
of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1
1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb
 

Debra Judy

Division of Insurance 

she/her/hers

 
P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-mail.
Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail
 and any attachments from your system.

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is
addressed. If you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message
or any part of it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return
email.
--
 Austin Blumenfeld | He, Him, His
Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org

--
photo LAURA "PINKY" REINSCH  She/Her/Hers
Colorado State Director, The Impact Project
From: Centennial State Prosperity on behalf of Centennial State Prosperity <[email protected]>
To: Caitlin Westerson
Cc: Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice; Erin Miller; Isabel Cruz; Isabelle
Nathanson - GovOffice; Judy - DORA, Debra; Kimmel - GOVOffice, Allie; Laura Pinky Reinsch; Lori Nguyen;
Michael Nicoletti - DORA; Rayna Hetlage; Susanna Mizer; [email protected];
[email protected]; [email protected]
Subject: Re: Colorado Option Legislation Update
Date: Friday, March 3, 2023 6:19:11 PM

I just can’t do the 1:30-2pm one. 

Best,
Austin 

On Fri, Mar 3, 2023 at 5:32 PM Caitlin Westerson <[email protected]> wrote:

None of these work for me but I can try to make whatever gets scheduled so move forward
with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!
Erin

From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <[email protected]>;
Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael
<[email protected]>; Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

 
This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health &
Insurance next Friday, March 10, upon adjournment. I am hoping we can find a window
of time early next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1
1:30 -2

Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
Debra Judy

Division of Insurance 

she/her/hers

 
P 303.894.2066 |  F 303.894.7455

1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is
privileged, confidential and

exempt from disclosure under applicable law. If you are not an intended
recipient you are not authorized to disseminate, distribute or copy this e-mail.
Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail

and any attachments from your system.

 --

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of
it. If you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
--
Austin Blumenfeld | He, Him, His
Executive Director [email protected]
Centennial State Prosperity centennialstateprosperity.org
From: Caitlin Westerson on behalf of Caitlin Westerson <[email protected]>
To: Erin Miller
Cc: Conway - Dora, Michael; Diana Protopapa; Elisabeth Arenales - GOVOffice; Isabel Cruz; Isabelle Nathanson -
GovOffice; Judy - DORA, Debra; Kimmel - GOVOffice, Allie; Laura Pinky Reinsch; Lori Nguyen; Michael Nicoletti -
DORA; Rayna Hetlage; Susanna Mizer; [email protected]; [email protected];
[email protected]
Subject: Re: Colorado Option Legislation Update
Date: Friday, March 3, 2023 5:32:17 PM

None of these work for me but I can try to make whatever gets scheduled so move forward
with what works best for others 

On Fri, Mar 3, 2023 at 5:25 PM Erin Miller <[email protected]> wrote:

My availability in green

below.

Thanks!

Erin

 
From: Judy - DORA, Debra <[email protected]>

Sent: Friday, March 3, 2023 4:50 PM

To: Diana Protopapa <[email protected]>; Isabel Cruz

<[email protected]>; [email protected]; Susanna Mizer
<[email protected]>; Laura Pinky Reinsch <[email protected]>;
Caitlin Westerson <[email protected]>;

[email protected]; Lori Nguyen <[email protected]>;

[email protected]; Erin Miller <[email protected]>; Rayna Hetlage
<[email protected]>

Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel -

GOVOffice, Allie <[email protected]>; Elisabeth Arenales - GOVOffice
<[email protected]>; Conway - Dora, Michael <[email protected]>;
Michael Nicoletti

- DORA <[email protected]>

Subject: Colorado Option Legislation Update

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.
Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health & Insurance
next Friday, March 10, upon adjournment. I am hoping we can find a window of time early
next week to talk about plans for the committee -- Would any

of these work on Monday?

 9:30-10 works for Erin

12:30 -1

1:30 -2
Please let me know. what is possible. 

And if I missed someone, please let them know -

Thanks

Deb

 
Debra Judy

Division of Insurance 

she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202

[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing

this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and

exempt from disclosure under applicable law. If you are not an intended recipient
you are not authorized to disseminate, distribute or copy this e-mail. Please
notify the sender immediately if you have received this e-mail by mistake and
delete this e-mail

and any attachments from your system.

--

Caitlin Westerson (she/her)

STATE EXTERNAL AFFAIRS AND PARTNERSHIPS DIRECTOR 
970.589.7424

[email protected]| @USofCare | unitedstatesofcare.org

This email from United States of Care (and any attachments) is confidential and is meant only for the individual(s) or entity to whom it is addressed. If
you are not the designated recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If
you have received this message in error, please destroy and/or delete all copies of it and notify the sender of the error by return email.
From: Erin Miller on behalf of Erin Miller <[email protected]>
To: Judy - DORA, Debra; Diana Protopapa; Isabel Cruz; [email protected]; Susanna Mizer; Laura Pinky Reinsch;
Caitlin Westerson; [email protected]; Lori Nguyen; [email protected]; Rayna
Hetlage
Cc: Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Elisabeth Arenales - GOVOffice; Conway - Dora,
Michael; Michael Nicoletti - DORA
Subject: RE: Colorado Option Legislation Update
Date: Friday, March 3, 2023 5:25:10 PM

My availability in green below.

 
Thanks!
Erin
 
From: Judy - DORA, Debra <[email protected]>
Sent: Friday, March 3, 2023 4:50 PM
To: Diana Protopapa <[email protected]>; Isabel Cruz <[email protected]>;
[email protected]; Susanna Mizer <[email protected]>; Laura Pinky Reinsch
<[email protected]>; Caitlin Westerson <[email protected]>;
[email protected]; Lori Nguyen <[email protected]>;
[email protected]; Erin Miller <[email protected]>; Rayna Hetlage
<[email protected]>
Cc: Isabelle Nathanson - GovOffice <[email protected]>; Kimmel - GOVOffice, Allie
<[email protected]>; Elisabeth Arenales - GOVOffice <[email protected]>;
Conway - Dora, Michael <[email protected]>; Michael Nicoletti - DORA
<[email protected]>
Subject: Colorado Option Legislation Update
 

This is an EXTERNAL email. Use caution when clicking links, opening attachments, and providing sensitive
information.

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health & Insurance next Friday,
March 10, upon adjournment. I am hoping we can find a window of time early next week to talk
about plans for the committee -- Would any of these work on Monday?
 9:30-10 works for Erin
12:30 -1
1:30 -2
Please let me know. what is possible. 
And if I missed someone, please let them know -
Thanks
Deb
 

Debra Judy
Division of Insurance 
she/her/hers
 
P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance
 
P  Please consider the environment before printing this email.
 
CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual to
whom it is addressed and may contain information that is privileged, confidential and
exempt from disclosure under applicable law. If you are not an intended recipient you
are not authorized to disseminate, distribute or copy this e-mail. Please notify the sender
immediately if you have received this e-mail by mistake and delete this e-mail and any
attachments from your system.
From: Judy - DORA, Debra on behalf of Judy - DORA, Debra <[email protected]>
To: Diana Protopapa; Isabel Cruz; [email protected]; Susanna Mizer; Laura Pinky Reinsch; Caitlin Westerson;
[email protected]; Lori Nguyen; [email protected]; Erin Miller; Rayna Hetlage
Cc: Isabelle Nathanson - GovOffice; Kimmel - GOVOffice, Allie; Elisabeth Arenales - GOVOffice; Conway - Dora,
Michael; Michael Nicoletti - DORA
Subject: Colorado Option Legislation Update
Date: Friday, March 3, 2023 4:50:43 PM

Good afternoon and happy Friday -

It looks like the CO Option bill, HB23 -1224, could be in committee in Health & Insurance
next Friday, March 10, upon adjournment. I am hoping we can find a window of time early
next week to talk about plans for the committee -- Would any of these work on Monday?
 9:30-10
12:30 -1
1:30 -2
Please let me know. what is possible. 
And if I missed someone, please let them know -
Thanks
Deb

Debra Judy
Division of Insurance 
she/her/hers

P 303.894.2066 |  F 303.894.7455
1560 Broadway, Suite 850, Denver, CO 80202
[email protected] | www.dora.colorado.gov/insurance

P  Please consider the environment before printing this email.

CONFIDENTIALITY NOTICE: This message is intended only for the use of the
individual to whom it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If you are not an
intended recipient you are not authorized to disseminate, distribute or copy this e-
mail. Please notify the sender immediately if you have received this e-mail by
mistake and delete this e-mail and any attachments from your system.
From: Google Calendar on behalf of [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
Joshua Benn - DPA; [email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Marc Williams - HCPF;
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Bridget Paris;
[email protected]; [email protected]; [email protected];
[email protected]; Susana Cole; [email protected]; Trevor Abeyta - HCPF;
[email protected]; [email protected]; [email protected]; [email protected]; [email protected];
[email protected]
Subject: Join us to hear all about it! - Obesity gets Addressed at Westminster Medical Clinic
Date: Thursday, March 2, 2023 4:17:11 PM

Westminster Medical Clinic is a local, small business celebrating 70 years in the

community, serving nearly 8,000 patients with a team who strives to be the
difference one person at a time in sickness, health, healing, and wellbeing. The
Clinic now offers a new medication-assisted, lifestyle program for weight-loss that is
unique in the Denver-metro area. Specifically, individuals in the program are
supported by a multidisciplinary team - a Primary Care Provider, Clinical
Pharmacist, and Health Coach - over 16 weeks. The goal of offering a program is
not only to lose weight or reduce risk of serious illness, but offer a program in a
primary care practice that works through the health insurance benefits of a person's
insurance plan and is easily accessible because of being in a primary care practice.
Our team identifies medication benefits and costs upfront, talks about risks and
benefits with the person as well as personal goals (reasons for pursuing the
program). Importantly, the program curriculum is set up to support life-long weight-
loss after the 16 weeks are completed. Even more importantly, the individuals in the
program at Westminster Medical Clinic are also patients for full primary care needs.
That means the team can support someone specializing in all of them, not just one
aspect of health and wellbeing.

We encourage employers to share this program with their employees because

getting such a program in an independently-owned, small business primary care
office is less expensive than if billed to a health plan through a corporate entity. We
get to work for the person(patient) and because we care about the cost, that means
it keeps costs down for a company. Westminster Medical Clinic has been
recognized and awarded for innovation and quality care for many years, including
working with employers in the past.
Join Westminster Medical Clinic and physician, Dr. Maria Villavert, along with the
Clinical Pharmacist and Health Coach, in sharing and celebrating the success of
the program to date, learning the details of the program, and ask the questions that
matter most to you as an employer. Our patients (maybe your employees) are
waiting, and counting on us to offer modern care. Let's do it together.
Obesity gets Addressed at Westminster Medical
Clinic
)Thursday Mar 16, 2023 ⋅ 12pm – 1pm (Mountain Time - Denver

.Caitlin Barba is inviting you to a scheduled Zoom meeting

Join Zoom Meeting

https://us02web.zoom.us/j/86068624151?
pwd=U2ovT2o3YXppeXUxcEJ6Q1VCandiZz09

Meeting ID: 860 6862 4151

Passcode: 445182
One tap mobile
US 445182#*,,,,86068624151#,,17193594580+
)US (San Jose 445182#*,,,,86068624151#,,16699009128+

Dial by your location

US 4580 359 719 1+        
)US (San Jose 9128 900 669 1+        
US 0468 205 253 1+        
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US 9171 444 669 1+        
US 2000 217 564 1+        
)US (New York 8656 558 646 1+        
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)US (Chicago 6799 626 312 1+        
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Meeting ID: 860 6862 4151
Passcode: 445182
Find your local number: https://us02web.zoom.us/u/kOOk78Drc

 - Description

Westminster Medical Clinic is a local, small business celebrating 70 years in the

community, serving nearly 8,000 patients with a team who strives to be the difference
one person at a time in sickness, health, healing, and wellbeing. The Clinic now
offers a new medication-assisted, lifestyle program for weight-loss that is unique in
the Denver-metro area. Specifically, individuals in the program are supported by a
multidisciplinary team - a Primary Care Provider, Clinical Pharmacist, and Health
Coach - over 16 weeks. The goal of offering a program is not only to lose weight or
reduce risk of serious illness, but offer a program in a primary care practice that
works through the health insurance benefits of a person's insurance plan and is
easily accessible because of being in a primary care practice. Our team identifies
medication benefits and costs upfront, talks about risks and benefits with the person
as well as personal goals (reasons for pursuing the program). Importantly, the
program curriculum is set up to support life-long weight-loss after the 16 weeks are
completed. Even more importantly, the individuals in the program at Westminster
Medical Clinic are also patients for full primary care needs. That means the team can
support someone specializing in all of them, not just one aspect of health and
 .wellbeing

We encourage employers to share this program with their employees because

getting such a program in an independently-owned, small business primary care
office is less expensive than if billed to a health plan through a corporate entity. We
get to work for the person(patient) and because we care about the cost, that means it
keeps costs down for a company. Westminster Medical Clinic has been recognized
and awarded for innovation and quality care for many years, including working with
 .employers in the past

Join Westminster Medical Clinic and physician, Dr. Maria Villavert, along with the
Clinical Pharmacist and Health Coach, in sharing and celebrating the success of the
program to date, learning the details of the program, and ask the questions that
matter most to you as an employer. Our patients (maybe your employees) are
 .waiting, and counting on us to offer modern care. Let's do it together

Location
https://us02web.zoom.us/j/86068624151?
pwd=U2ovT2o3YXppeXUxcEJ6Q1VCandiZz09
View map

Guests
organizer -
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
]Flores, Vicki [CO
Adam Fox
Jennifer Stroh
Kevin Vick
Nathan Cooper
Dwayne Stephens
Melissa Johnson
Theresa Roche
Dave Thomas
[email protected]
Karen Ragland
Edwin S. Pittaway
Jon Alvino
Trevor Abeyta - HCPF
Bridget Paris
)Briseno, Anthony (Denver
Kenneth Detweiler
Ben Taylor
Jennifer Whitener
Shelley Becker
John Ingold
Joshua Benn - DPA
Adam Barnett
Melissa Ekback , PHR, SHRM-CP
Joie Siegrist
Amie Baca-Oehlert
Todd Fukai
Otte, Bobby
Nikki Jost
Nikki Daniels
Amber Cruz
.James A. Hill, Ed.D
Marc Williams - HCPF
Vicki Mair
Jessica Linart
Kevin Vick
Heather Britton
Fieth, Gregory
Angelina Salazar
Mary Coleman
Kevin Patterson
Gena Trujillo
Edwin S. Pittaway
Elisabeth Arenales
Puetz, Benjamin
Lorie Robertson
 Amber Oeltjenbruns
Bradley Arnold
Susana Cole
Analisa Romano
Cheryl A. DeMars
Otte, Bobby
Stroh, Jennifer
[email protected]

Secured by Paubox - HITRUST CSF certified

From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Judy Amabile
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit Weekly Follow-up @ Weekly from 2pm to 2:30pm on Friday from Fri Mar
10 to Fri Mar 31 (MST) ([email protected])
Attachments: invite.ics

Community Benefit Weekly Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Weekly Follow-up on
Weekly from 2pm to 2:30pm on Friday from Friday Mar 10 to Friday Mar 31 (Mountain Time
 
This event has been updated

Changed: title, time

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
Judy Amabile [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit Weekly Follow-up @ Weekly from 2pm to 2:30pm on Friday from Fri Mar
10 to Fri Mar 31 (MST) ([email protected])
Attachments: invite.ics

Community Benefit Weekly Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Weekly Follow-up on
Weekly from 2pm to 2:30pm on Friday from Friday Mar 10 to Friday Mar 31 (Mountain Time
 
This event has been updated

Changed: title, time

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Judy Amabile
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit Weekly Follow-up @ Weekly from 2pm to 2:30pm on Friday from Fri Mar
10 to Fri Mar 31 (MST) ([email protected])
Attachments: invite.ics

Community Benefit Weekly Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Weekly Follow-up on
Weekly from 2pm to 2:30pm on Friday from Friday Mar 10 to Friday Mar 31 (Mountain Time
 
This event has been updated

Changed: title, time

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
Judy Amabile ; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Invitation: Community Benefit Follow-up @ Fri Mar 10, 2023 2pm - 2:30pm (MST) ([email protected])
Attachments: invite.ics

Community Benefit Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Follow-up on Friday Mar 10,
2023 ⋅ 2pm – 2:30pm (Mountain Time - Denver).
 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Judy Amabile
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Invitation: Community Benefit Follow-up @ Fri Mar 10, 2023 2pm - 2:30pm (MST)
([email protected])
Attachments: invite.ics

Community Benefit Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Follow-up on Friday Mar 10,
2023 ⋅ 2pm – 2:30pm (Mountain Time - Denver).
 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; Rebecca Parrott - HCPF; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Judy Amabile
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Cc: [email protected]
Subject: Invitation: Community Benefit Follow-up @ Fri Mar 10, 2023 2pm - 2:30pm (MST)
([email protected])
Attachments: invite.ics

Community Benefit Follow-up

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit Follow-up on Friday Mar 10,
2023 ⋅ 2pm – 2:30pm (Mountain Time - Denver).
 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Canceled event with note: HOLD - Community Benefit Meeting with Advocates @ Wed Mar 1, 2023 10am -
10:30am (MST) ([email protected])
Attachments: invite.ics

HOLD - Community Benefit Meeting with Advocates

 
This event has been canceled and removed from your calendar with a note:
"CCLP and CCHI cannot join, and YI won't meet without them. I sent an email to Rep Amabile, copying advocates, asking when her availability is
later this week/next week. Then we'll work around her availability, as we discussed in the 5:45 pm meeting yesterday. Thanks!"

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Canceled event with note: HOLD - Community Benefit Meeting with Advocates @ Wed Mar 1, 2023 10am -
10:30am (MST) ([email protected])
Attachments: invite.ics

HOLD - Community Benefit Meeting with Advocates

 
This event has been canceled and removed from your calendar with a note:
"CCLP and CCHI cannot join, and YI won't meet without them. I sent an email to Rep Amabile, copying advocates, asking when her availability is
later this week/next week. Then we'll work around her availability, as we discussed in the 5:45 pm meeting yesterday. Thanks!"

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Canceled event with note: HOLD - Community Benefit Meeting with Advocates @ Wed Mar 1, 2023 10am -
10:30am (MST) ([email protected])
Attachments: invite.ics

HOLD - Community Benefit Meeting with Advocates

 
This event has been canceled and removed from your calendar with a note:
"CCLP and CCHI cannot join, and YI won't meet without them. I sent an email to Rep Amabile, copying advocates, asking when her availability is
later this week/next week. Then we'll work around her availability, as we discussed in the 5:45 pm meeting yesterday. Thanks!"

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Tentatively Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST)
([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has replied "Maybe" to this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Declined: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has declined this invitation with a note:
"Declined because I am out of office"

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
Elisabeth Arenales - GOVOffice has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
Debra Judy - DORA has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
Debra Judy - DORA has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]
Subject: Updated invitation with note: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2
 
This event has been updated with a note:
"Added Zoom link"
Changed: location, conferencing

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]
Subject: Updated invitation with note: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2
 
This event has been updated with a note:
"Added Zoom link"
Changed: location, conferencing

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
Isabelle Nathanson - GovOffice has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
Isabelle Nathanson - GovOffice has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
Allie Kimmel - GOVOffice has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
Allie Kimmel - GOVOffice has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Tentatively Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has replied "Maybe" to this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [HOLD EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[HOLD EXTERNAL] Meeting

 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Learn more

 
From: [email protected]
To: [email protected]
Subject: Accepted: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
 
[email protected] has accepted this invitation.

 
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Subject: Updated invitation: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2
 
This event has been updated

Changed: title, conferencing, description

 
Description

CHANGED

Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Subject: Updated invitation: [EXTERNAL] Meeting @ Tue Feb 28, 2023 2:30pm - 3pm (MST)
([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2
 
This event has been updated

Changed: title, conferencing, description

 
Description

CHANGED

Topic: Go over strategy for CO Option before Healthcare Package launch on Thursday 3/2

When

Tuesday Feb 28, 2023 ⋅ 2:30pm – 3pm (Mountain Time - Denver)

Guests

Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]
Subject: Updated invitation: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST) ([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
Topic: Go over strategy for PDAB before Healthcare Package launch on Thursday 3/2
 
This event has been updated

Changed: title, location, conferencing, description

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]
Subject: Updated invitation: [EXTERNAL] Meeting @ Tue Feb 28, 2023 9:30am - 10am (MST)
([email protected])
Attachments: invite.ics

[EXTERNAL] Meeting
Topic: Go over strategy for PDAB before Healthcare Package launch on Thursday 3/2
 
This event has been updated

Changed: title, location, conferencing, description

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected]; [email protected];
Rebecca Parrott - HCPF; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; Judy Amabile
[email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit External Meeting @ Fri Feb 24, 2023 1:30pm - 2pm (MST)
([email protected])
Attachments: invite.ics

Community Benefit External Meeting

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit External Meeting on Friday
Feb 24, 2023 ⋅ 1:30pm – 2pm (Mountain Time - Denver).
 
This event has been updated

Changed: title

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; Rebecca Parrott - HCPF; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
Judy Amabile [email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit External Meeting @ Fri Feb 24, 2023 1:30pm - 2pm (MST)
([email protected])
Attachments: invite.ics

Community Benefit External Meeting

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit External Meeting on Friday
Feb 24, 2023 ⋅ 1:30pm – 2pm (Mountain Time - Denver).
 
This event has been updated

Changed: title

 
Learn more

 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; Rebecca Parrott - HCPF; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
Judy Amabile [email protected]; [email protected]
Cc: [email protected]
Subject: Updated invitation: Community Benefit External Meeting @ Fri Feb 24, 2023 1:30pm - 2pm (MST)
([email protected])
Attachments: invite.ics

Community Benefit External Meeting

Join with Google Meet – You have been invited by [email protected] to attend an event named Community Benefit External Meeting on Friday
Feb 24, 2023 ⋅ 1:30pm – 2pm (Mountain Time - Denver).
 
This event has been updated

Changed: title

 
Learn more

 
From: Bimestefer - HCPF, Kim on behalf of Bimestefer - HCPF, Kim <[email protected]>
To: Isabel Cruz
Cc: Donlin - HCPF, Jo; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 22, 2023 10:34:04 AM

Outstanding Isabel! Thx a ton. 

We truly appreciate it!
Go Team!

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 22, 2023 at 10:19 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Just wanted to update you that we were able to take a support position on the bill! I saw it was introduced, that's exciting. Please
let me know what you need on our end and we'll do our best to help as our capacity allows. 

Best, 
Isabel

On Wed, Feb 15, 2023 at 9:33 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
I am really afraid to wait that long. It's too risky....I don't think we're that lucky! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:32 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Amazing! Would it be okay to put this to our members at our next meeting on 2/24 or would you all still like us to go
through rapid response? Thanks for sending the introduced bill! 

Best, 
Isabel 

On Wed, Feb 15, 2023 at 9:30 AM Donlin - HCPF, Jo <[email protected]> wrote:

And here is the official bill.
https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
 The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Donlin - HCPF, Jo on behalf of Donlin - HCPF, Jo <[email protected]>
To: Isabel Cruz
Cc: Bimestefer - HCPF, Kim; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 22, 2023 10:34:01 AM

Thanks, Isabel

On Wed, Feb 22, 2023 at 10:19 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Just wanted to update you that we were able to take a support position on the bill! I saw it was introduced, that's exciting. Please
let me know what you need on our end and we'll do our best to help as our capacity allows. 

Best, 
Isabel

On Wed, Feb 15, 2023 at 9:33 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
I am really afraid to wait that long. It's too risky....I don't think we're that lucky! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:32 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Amazing! Would it be okay to put this to our members at our next meeting on 2/24 or would you all still like us to go
through rapid response? Thanks for sending the introduced bill! 

Best, 
Isabel 

On Wed, Feb 15, 2023 at 9:30 AM Donlin - HCPF, Jo <[email protected]> wrote:

And here is the official bill.
https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director
  

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

 https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

 
P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Bimestefer - HCPF, Kim
Cc: Donlin - HCPF, Jo; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 22, 2023 10:19:37 AM

Hi all: 

Just wanted to update you that we were able to take a support position on the bill! I saw it was introduced, that's exciting. Please
let me know what you need on our end and we'll do our best to help as our capacity allows. 

Best, 
Isabel

On Wed, Feb 15, 2023 at 9:33 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
I am really afraid to wait that long. It's too risky....I don't think we're that lucky! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:32 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Amazing! Would it be okay to put this to our members at our next meeting on 2/24 or would you all still like us to go
through rapid response? Thanks for sending the introduced bill! 

Best, 
Isabel 

On Wed, Feb 15, 2023 at 9:30 AM Donlin - HCPF, Jo <[email protected]> wrote:

And here is the official bill.
https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

 
P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform
 --
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

 
P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Nathanson - GovOffice, Isabelle on behalf of Nathanson - GovOffice, Isabelle <[email protected]>
To: [email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected]; [email protected];
[email protected]; [email protected]
Subject: Monthly Check In: Gov/LG Office + CCHI + CCLP
Date: Tuesday, February 21, 2023 7:45:38 PM

Hi all - let’s meet virtually tomorrow since the weather report looks bad! Talk to you soon! --
Isabelle Nathanson
Health Policy Advisor
She/her/hers Pronouns

C (720) 660 1173

200 E. Colfax Ave. Denver CO 80203

Please consider the environment before printing this email.

Under the Colorado Open Records Act (CORA), all messages sent by or to me on this state-owned e-mail account may be
subject to public disclosure.
From: Allie Kimmel - GOV Office on behalf of Allie Kimmel - GOV Office <[email protected]>
To: Nathanson - GovOffice, Isabelle
Cc: David Oppenheim - GOVOffice
Subject: Re: Delta DLR Fact Sheet and Milliman Study
Date: Tuesday, February 21, 2023 5:30:44 PM

On Tue, Feb 21, 2023 at 12:38 PM Nathanson - GovOffice, Isabelle

<[email protected]> wrote:

---------- Forwarded message ---------

From: Arenales - GOVOffice, Elisabeth <[email protected]>
Date: Mon, Feb 20, 2023 at 6:57 PM
Subject: Fwd: Delta DLR Fact Sheet and Milliman Study
To: Isabelle Nathanson - GovOffice <[email protected]>

---------- Forwarded message ---------

From: Jennifer Miles <[email protected]>
Date: Mon, Feb 20, 2023 at 6:40 PM
Subject: Delta DLR Fact Sheet and Milliman Study
To: Deb Judy <[email protected]>, Kate Harris <[email protected]>, Arenales -
GOVOffice, Elisabeth <[email protected]>

Hi Elisabeth, Deb and Kate,

As you may know, I am working on the Dental Loss Ratio legislation being brought forward
by the CO Dental Association. I am representing Delta Dental of CO and their Delta Dental
of CO Foundation (DDCOF). I wanted to share a few important things with you:

1. Attached Fact Sheet on the topic from DDCO – they support reporting and
transparency and are ok with regulation of outliers, but an 80% DLR would lead to
premium increases, esp. in the small group and individual markets. Without the
transparency first, we can’t know where to set a reasonable DLR. This fact sheet
includes a link to the Milliman study, also available at this link and attached to this
email: https://www.nadp.org/wp-content/uploads/legacy/default-document-
library/massachusetts-dlr-report-final.pdf
2. As an FYI, we have provided the following information to sponsors, CDA, and
consumer advocacy groups (CCLP, CCHI, Healthier Colorado): A link to the existing
DOI rules (see esp. H.2 and H.3) that require CO dental insurance plans to have a
DLR of 60% of higher, with a requirement that “rate filings shall be submitted when
 the actual loss ratio falls either above or below the expected loss ratio as filed with the
Division”. It’s important to note that we do not have any plans in CO with a DLR
anywhere close to 35% (as was cited in Massachusetts) as a result of these existing
CO rules that apply to dental (and other non-medical) insurance plans.
3. DDCOF is advocating to have the MLR standards apply that would allow a nonprofit
dental plan to subtract a capped amount of their community benefit donations from the
premium revenue in the denominator of any DLR equation. Here is a link to the MLR
Annual Reporting Form Filing Instructions (see esp. Section 3.2c). This allows for
parity with for-profit plans that are allowed to subtract taxes. Also, see the DDCOF
website for more information on what they fund.

Feel free to let me know if you have any questions about the information above or anything
else on this topic.

Take care,

Jennifer Miles, MSW

President and Founding Partner

Frontline Public Affairs

1410 Grant St, Suite B104

Denver, CO 80203

303-668-3979

[email protected]

www.frontlinepublicaffairs.com

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
 Isabelle Nathanson
Health Policy Advisor
She/her/hers Pronouns

C (720) 660 1173

200 E. Colfax Ave. Denver CO 80203

Please consider the environment before printing this email.

Under the Colorado Open Records Act (CORA), all messages sent by or to me on this state-owned e-mail account may
be subject to public disclosure.

--
Allie Jennings (Kimmel)
Legislative Director

C 413.575.6332
136 State Capitol, Denver, CO 80203
[email protected]  I  governor.colorado.gov

Please consider the environment before printing this email.

Under the Colorado Open Records Act (CORA), all messages sent by or to me on this state-owned e-mail account may be
subject to public disclosure.
From: Nathanson - GovOffice, Isabelle on behalf of Nathanson - GovOffice, Isabelle <[email protected]>
To: David Oppenheim - GOVOffice; Allie Kimmel - GOVOffice
Subject: Fwd: Delta DLR Fact Sheet and Milliman Study
Date: Tuesday, February 21, 2023 12:38:11 PM
Attachments: DDCO DLR Fact Sheet_February 2023[1].pdf
Massachusetts.DLR Report.final.newchartpdf[1][1].pdf

---------- Forwarded message ---------

From: Arenales - GOVOffice, Elisabeth <[email protected]>
Date: Mon, Feb 20, 2023 at 6:57 PM
Subject: Fwd: Delta DLR Fact Sheet and Milliman Study
To: Isabelle Nathanson - GovOffice <[email protected]>

---------- Forwarded message ---------

From: Jennifer Miles <[email protected]>
Date: Mon, Feb 20, 2023 at 6:40 PM
Subject: Delta DLR Fact Sheet and Milliman Study
To: Deb Judy <[email protected]>, Kate Harris <[email protected]>, Arenales -
GOVOffice, Elisabeth <[email protected]>

Hi Elisabeth, Deb and Kate,

As you may know, I am working on the Dental Loss Ratio legislation being brought forward
by the CO Dental Association. I am representing Delta Dental of CO and their Delta Dental of
CO Foundation (DDCOF). I wanted to share a few important things with you:

1. Attached Fact Sheet on the topic from DDCO – they support reporting and transparency
and are ok with regulation of outliers, but an 80% DLR would lead to premium
increases, esp. in the small group and individual markets. Without the transparency first,
we can’t know where to set a reasonable DLR. This fact sheet includes a link to the
Milliman study, also available at this link and attached to this
email: https://www.nadp.org/wp-content/uploads/legacy/default-document-
library/massachusetts-dlr-report-final.pdf
2. As an FYI, we have provided the following information to sponsors, CDA, and
consumer advocacy groups (CCLP, CCHI, Healthier Colorado): A link to the existing
DOI rules (see esp. H.2 and H.3) that require CO dental insurance plans to have a DLR
of 60% of higher, with a requirement that “rate filings shall be submitted when the
actual loss ratio falls either above or below the expected loss ratio as filed with the
Division”. It’s important to note that we do not have any plans in CO with a DLR
anywhere close to 35% (as was cited in Massachusetts) as a result of these existing CO
rules that apply to dental (and other non-medical) insurance plans.
 3. DDCOF is advocating to have the MLR standards apply that would allow a nonprofit
dental plan to subtract a capped amount of their community benefit donations from the
premium revenue in the denominator of any DLR equation. Here is a link to the MLR
Annual Reporting Form Filing Instructions (see esp. Section 3.2c). This allows for
parity with for-profit plans that are allowed to subtract taxes. Also, see the DDCOF
website for more information on what they fund.

Feel free to let me know if you have any questions about the information above or anything
else on this topic.

Take care,

Jennifer Miles, MSW

President and Founding Partner

Frontline Public Affairs

1410 Grant St, Suite B104

Denver, CO 80203

303-668-3979

[email protected]

www.frontlinepublicaffairs.com

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]

--
Isabelle Nathanson
Health Policy Advisor
She/her/hers Pronouns
C (720) 660 1173
200 E. Colfax Ave. Denver CO 80203

Please consider the environment before printing this email.

Under the Colorado Open Records Act (CORA), all messages sent by or to me on this state-owned e-mail account may be
subject to public disclosure.
Delta Dental of Colorado Supports Reporting & Transparency Focus in DLR Legislation
Delta Dental of Colorado is committed to providing high-quality, affordable, and accessible
oral health care coverage to its 1.5 million members statewide. As the largest oral health
insurance carrier and nonprofit oral health funder in the state, we support legislation that
builds on current regulatory oversight with a focus on reporting and transparency.

Background
Draft legislation in Colorado would establish new dental loss ratio (DLR) standards. The idea of
a DLR is built on the Affordable Care Act policy that requires medical plans comply with a
federal minimum Medical Loss Ratio (MLR) standard requiring health plans spend at least 80%
of premium revenue on paying claims, with the remaining 20% allowed to be spent on
administrative functions (this ACA policy specifically exempted dental coverage).

Any Colorado DLR legislation should:

• Consider Dental Loss Ratio/Medical Loss Ratio Differences: The ACA did not include
dental in the MLR for good reason. Dental premiums are on average only 1/20th the
amount of a medical premium, but they share the same administrative costs as medical
plans such as salaries, agent commissions, taxes, contributions to reserves, facilities,
utilities, claims and operations technology, and marketing. A minimum DLR leaves very
little for a dental plan to cover these costs as the graphic below shows:

● Impact of a Minimum DLR: A minimum DLR standard will increase premiums as found
in a recent analysis of Massachusetts legislation.1 Because consumers are very price
sensitive on affordable insurance products such as dental, any increased premiums will
lead to decreased coverage and access. In recent years, 75% of persons with dental
benefits saw a dentist compared to only 47% of those without.

● Emphasize Reporting & Transparency: While Massachusetts has passed a dental MLR
(DLR) into law, no state currently implements a similar requirement. There are no clear
indications of how a dental loss ratio requirement like Massachusetts’ may affect the
dental benefits in Colorado. A first step toward effective policy development would be
requiring a division of insurance to publish reports with existing dental loss ratios and
evaluate those ratios to identify problematic outliers.

● Leverage the ACA MLR Definition: Several states have derived their DLR calculations
from federal definitions of MLR developed for the Affordable Care Act. This is critical to
allow plans to fully demonstrate activities that contribute directly to a patient’s oral
health as well as fraud prevention. Federal MLR utilizes the following equation:

1 A recent Milliman study found that a carrier would need to increase premiums by nearly 38% and increase claims by

more than 60% to meet the DLR threshold of 83% for claims expenses while retaining enough revenue to administer
the business.
https://www.nadp.org/wp-content/uploads/legacy/default-document-library/massachusetts-dlr-report-final.pdf
MILLIMAN RESEARCH REPORT

Minimum Dental Loss Ratios:

Considerations and Industry
Analysis
A Discussion of Potential Implications of Massachusetts Initiative Petition
for a Law to Implement Medical Loss Ratios for Dental Benefit Plans

Commissioned by the National Association of Dental Plans

June 2022

Joanne Fontana FSA, MAAA

Tory Carver FSA, MAAA
Ali LaRocco
Gabe Youngblood
MILLIMAN RESEARCH REPORT

Table of Contents
SCOPE AND PURPOSE ............................................................................................................................................... 4
EXECUTIVE SUMMARY: KEY FINDINGS ................................................................................................................... 4
BACKGROUND ............................................................................................................................................................. 6
LOSS RATIO BASICS............................................................................................................................................... 6
MASSACHUSETTS INITIATIVE PETITION BASICS ................................................................................................ 6
RESEARCH AND SUMMARY OF FINDINGS ............................................................................................................... 7
PREVAILING DENTAL LOSS RATIOS ..................................................................................................................... 7
COMMENTARY ON COVID-19 ................................................................................................................................ 9
DISCUSSION AND IMPLICATIONS ........................................................................................................................... 10
WHAT DO THE DENTAL LOSS RATIO STATISTICS TELL US ABOUT POTENTIAL IMPACT OF THE
MASSACHUSETTS INITIATIVE PETITION? .......................................................................................................... 10
WHY MIGHT A MINIMUM DLR RULE RESULT IN PREMIUM INCREASES ON SOME DENTAL POLICIES? ..... 11
VALUE OF REBATES COMPARED WITH ADMINISTRATIVE COST OF REBATE PROGRAM .......................... 13
CAVEATS AND LIMITATIONS ................................................................................................................................... 14
ACKNOWLEDGMENT OF QUALIFICATION .......................................................................................................... 14
APPENDIX 1: 2021 AND 2019 STATUTORY FINANCIAL RESULTS, GROUP AND INDIVIDUAL DENTAL LINES
OF BUSINESS ............................................................................................................................................................. 15

Minimum Dental Loss Ratios: Considerations and Industry Analysis 3 June 2022
MILLIMAN RESEARCH REPORT

Scope and Purpose

Initiative Petition 21-13, “For a Law to Implement Medical Loss Ratios for Dental Benefit Plans” would implement an
83 percent minimum loss ratio on dental benefit plans providing dental care to Massachusetts enrollees. The
proposal would also require dental insurers to issue rebate payments to enrollees should loss ratio requirements not
be met and permits the insurance commissioner to disallow premium rate increases above a particular threshold. To
provide independent research related to this proposal, the National Association of Dental Plans (NADP) engaged
Milliman to review prevailing dental loss ratios, both nationally and in Massachusetts in particular, based on publicly
available information as well as a dental carrier survey conducted by NADP. In addition, NADP asked Milliman to
summarize considerations and potential effects associated with implementation of a dental minimum loss ratio
provision in Massachusetts for various stakeholders including dental plans, policyholders, and providers.

Executive Summary: Key Findings

Milliman documented prevailing industry dental loss ratios from two sources:

• 2021 and 2019 statutory financial statements for all U.S. life or health insurers with a dental line of business;
and
• 2019 Massachusetts dental insurer financial results compiled via a carrier survey conducted by NADP in
April 2021.

We used this information to estimate Dental Loss Ratios (DLRs) consistent with the methodology in the
Massachusetts proposal, and to model the potential effect of a minimum loss ratio on dental premiums and on the
likely magnitude of rebates. Key findings from this work are as follows:

DLRs for Individual/Small Group and Large Group Dental Lines of Business

• The Massachusetts carrier survey, which included financial data for individual/small group segments as well
as large group, indicated that DLRs for individual/small group business were lower than large group DLRs,
and at approximately 68%, they average well below the 83% proposed threshold.
• With a smaller average case size, fixed administrative expenses must be allocated among fewer
policyholders, which tends to result in larger administrative expenses as a proportion of premium than for
blocks of larger cases. Higher administrative expense ratios lead to lower DLRs, and as such, a minimum
loss ratio threshold is more likely to affect the individual and small group markets than the large group
market.
• Notably, the average large group segment loss ratio from the Massachusetts carrier survey, at 79.3%, was
also below the 83% proposed threshold. Large group business tends to have higher loss ratios than for
blocks of smaller sized cases, but even the large size segment’s prevailing average loss ratio would not
comply with the proposal.
• The Massachusetts data is corroborated by broader nationwide financial data, which suggests that 78% of
carriers would have group dental DLRs below the 83% threshold.

DLRs by Carrier Size

• Smaller companies (as defined by revenue) tend to have lower DLRs and would have a relatively more
difficult time meeting the 83% minimum threshold. From the Massachusetts survey respondents, the largest
three insurers averaged almost a 77% DLR, while the smallest three averaged 60%. Similar to the
differentials by line of business just described, smaller dental insurers have fewer policyholders over which
to allocate any fixed costs required to operate the business.
• There is significant overlap in Massachusetts between smaller dental insurers and those focused in the
individual/small group markets. These insurers are the most likely to struggle with the proposed minimum
DLR rule.
• National group dental DLRs indicated a similar relationship between carrier size and DLR, with DLRs
ranging from an average of 81% for the largest 5 reporting carriers down to an average of 65% for the 61 st
through 85th largest companies.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 4 June 2022
MILLIMAN RESEARCH REPORT

Modeling of Premiums and Rebates under Massachusetts Initiative Petition

• Under a representative scenario, a smaller carrier or small group and individual market focused carrier
would need to increase premiums by almost 38%, from $35 to over $50, and increase claims by over 60%,
to meet the DLR threshold while retaining enough revenue to administer the business. Increasing premiums
in order to comply could be particularly difficult under the proposal, which allows the state insurance
commissioner to disapprove rate increases above particular thresholds.
• Claims would need to be increased by either:
1. Increasing the plan’s benefits -- potentially beyond what is competitively offered and/or beyond
what consumers desire or want to pay for. Consumers could derive value from increased benefits if
they are interested in paying more for such plans, but otherwise the potential reduction in
availability of more affordable plans could reduce consumer choice.
2. Increasing reimbursement to providers. Paying higher fees to providers alone would increase
provider revenue but dilute the overall value of the dental benefit to consumers due to the
corresponding premium increase.
• Carriers may also eliminate lines of business, such as individual and small group, as administrative
expenses as a percent of premium are higher in these segments, making it harder to meet minimum DLR
thresholds. Another option would be for carriers to discontinue leaner benefit options with lower premiums if
the administrative expenses cannot be funded. These leaner, lower premium options may be appealing to
price-driven consumers who would potentially be left with fewer affordable options.
• Rebates associated with a DLR rule are likely to be small, in some cases below the $20 de minimis
threshold set for medical plans under the ACA. As a comparison, 2020 rebates associated with the
commercial age <65 medical market averaged $205 per person nationwide and $117 per person in
Massachusetts1.
• The cost of the process required to calculate, track, and distribute rebates could outweigh the value of the
rebates themselves and could have the effect of pushing DLRs lower due to the increased administrative
burden.

The remainder of this report discusses these findings in more detail and presents the methodologies and
assumptions used in developing the results.

1
https://www.cms.gov/files/document/2020-rebates-state.pdf

Minimum Dental Loss Ratios: Considerations and Industry Analysis 5 June 2022
MILLIMAN RESEARCH REPORT

Background
LOSS RATIO BASICS
Conceptually, a loss ratio represents the proportion of premium directed toward patient care; i.e., how much of each
premium dollar is used to pay health providers for services to plan enrollees. The “traditional” loss ratio calculation is
simply the ratio of claims cost to premium; this general insurance concept is used broadly across all types of
insurance. The Affordable Care Act (ACA) introduced a modified Medical Loss Ratio (MLR) concept for health plans,
allowing taxes and fees to be subtracted from the premium used in the denominator, and allowing quality
improvement expenses to be added to the numerator. ACA MLR reporting occurs using a three-year experience
period, in order to enhance the credibility and stability of the calculation and smooth year-to-year fluctuations. After
an initial phase-in period, the ACA established minimum MLRs of 80% for individual and small group medical plans
and 85% for large group medical plans. Health insurers were required to pay rebates to policyholders within a line of
business whenever the MLR was less than the minimum threshold. Other types of coverage, such as those with a
lower premium basis and those without the obvious quality improvement activities for which managed medical plans
can receive MLR credit, require different loss ratio constructs. In fact, the ACA recognized special lines of business,
such as coverage for citizens living abroad and mini-med plans, as having unique cost structures warranting a
customized or transitional MLR formula. Recognizing the relatively low benefit costs relative to administrative
expenses, and in order to maintain the viability of these products, lower minimum MLR criteria were adopted for these
types of plans2.

The ACA did not establish loss ratio minimums for dental plans. In the years since, some states have considered
Dental Loss Ratio (DLR) regulations, notably California’s 2014 law3 which requires dental carriers to publicly report
annual loss ratio data according to an ACA-style MLR calculation but does not explicitly set a minimum DLR
threshold. In 2021, the state of Maine considered a proposal to implement a DLR, which was ultimately modified to
require dental insurers to provide informational financial reporting instead of implementing a minimum DLR4. In
theory, minimum DLR rules should recognize the key differences between dental coverage and medical: the
significantly lower premium base off which to recoup the costs of administering the business, the difficulty in defining
measurable quality improvement activities that would count in the DLR numerator, and the voluntary nature of dental
coverage necessitating a range of price points and coverage levels depending on consumer desires.

MASSACHUSETTS INITIATIVE PETITION BASICS

In the state of Massachusetts, residents may propose initiative petitions for statewide law and constitutional
amendments. The process for submitting an initiative petition differs from the traditional legislative process in that
ultimately the decision to implement the proposed change is voted on by Massachusetts residents during a general
election. Massachusetts procedures require that the Attorney General certify the petition complies with the state’s
constitutional petition requirements. This report discusses the requirements of the Initiative Petition as certified by the
Attorney General and submitted by the Secretary of State to the Clerk of the house of representatives on January 28,
20225.

The Massachusetts initiative petition contains the following key provisions, based on the January 28, 2022 version
provided to the Clerk of the Massachusetts House of Representatives by the Secretary of the Commonwealth:

• An 83% minimum DLR requirement for plans providing dental care services to enrollees in the state, for
plans issued or renewed on or after January 1, 2024.

• A rebate provision under which carriers must rebate members of individual and group dental plans if the loss
ratio is lower than 83%. Rebates must be made to the enrollee for the amount of premium revenue received
by the difference between the minimum loss ratio and the carrier’s DLR.

2
To ease the transition to higher MLR standards for mini-med plans, their MLR numerators were multiplied by 2.00 in 2011, 1.75 in 2012, 1.50 in 2013, and 1.25 starting in
2014, making it easier to pass the minimum MLR. For expatriate plans, the numerator is multiplied by 2.00 in recognition of their higher administrative costs.
3
https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1962
4
http://legislature.maine.gov/legis/bills/getPDF.asp?paper=SP0417&item=1&snum=130
5
https://www.mass.gov/doc/21-13-initiative-petition-for-a-law-to-implement-medical-loss-ratios-for-dental-benefit-plans/download

Minimum Dental Loss Ratios: Considerations and Industry Analysis 6 June 2022
MILLIMAN RESEARCH REPORT

• The petition language states that the DLR shall be calculated following the formula below. This methodology
differs from that proposed in other states and from the formula used for MLR calculation under the ACA as it
does not allow for the subtraction of federal and state taxes, licensing, and regulatory fees from the
denominator. Without the ability to subtract these items in the calculation, carriers will have relatively more
difficulty reaching the proposed 83% loss ratio. One consequence of this formula is that future increases in
taxes and fees would leverage fully onto the amount of revenue available for dental plan administration
expense while meeting the minimum DLR.

reimbursement for clinical dental services

premium revenue

Research and Summary of Findings

PREVAILING DENTAL LOSS RATIOS
To understand the potential impact of this bill, Milliman documented prevailing industry dental loss ratios from two
sources:

• 2021 and 2019 statutory financial statements for all U.S. life or health insurers with dental specific financial
data available6;
• 2019 Massachusetts dental insurer financial results compiled via a carrier survey conducted by NADP in
April 2021

Dental Insurer Financial Statement Filings

We used the S&P Global database to compile publicly available 2021 and 2019 statutory financial statements for all
U.S. life or health insurers reporting results for the commercial dental line of business. The data is aggregated to
entity levels (rather than statutory company levels), as defined by S&P Global. The financial information from these
statements is national, not specific to Massachusetts. The financial data is shown separately for Group Dental and
Individual Dental lines of business in Table 1. We have summarized results by descending dental book of business
revenue, to illustrate the different DLRs by size of the insurer’s dental block. Reading up from the bottom of each
chart, you see that as plan size increases, DLR also tends to increase due to emerging economies of scale, reducing
administrative cost as a percent of premium. In 2021, we observed that the largest company in the individual market
appeared to allow that market segment to operate at a loss, which may not be sustainable for organizations with
smaller scope of operations or a greater proportion of their business in the individual segment. Company-specific loss
ratios vary widely; detail for all companies is shown as a scatterplot in Appendix 1. We included 2019 statutory
financial results as confirmation that 2021 results were not significantly affected by the continuing COVID-19
pandemic.

6
National data Source: National Association of Insurance Commissioners. Annual Statement Database, as delivered by S&P Global, Inc. All Rights Reserved.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 7 June 2022
MILLIMAN RESEARCH REPORT

TABLE 1A. 2021 STATUTORY FINANCIAL RESULTS FOR COMMERCIAL DENTAL INSURERS – NATIONAL**

TABLE 1B. 2019 STATUTORY FINANCIAL RESULTS FOR COMMERCIAL DENTAL INSURERS – NATIONAL**
2019 Group Dental Line of Business
Totals (in 000s)
Dental # with
Company Size Member- Loss Ratio = # Companies Estimated
(based on revenue) months Revenue Claims Claims/Revenue in Bucket DLR < 83%
Total 651,436 $11,596,068 $9,172,851 79.1% 78 61
Top 1 to 5 452,457 $5,735,880 $4,637,617 80.9% 5 4
Top 6 to 10 41,373 $1,622,126 $1,270,192 78.3% 5 5
Top 11 to 20 62,608 $1,875,162 $1,462,901 78.0% 10 7
Top 21 to 40 74,707 $1,873,130 $1,436,595 76.7% 20 15
Top 41 to 60 18,474 $432,241 $328,217 75.9% 20 17
Top 61 to 78 1,817 $57,530 $37,328 64.9% 18 13

2019 Individual Dental Line of Business

Totals (in 000s)
Dental # with
Company Size Member- Loss Ratio = # Companies Estimated
(based on revenue) months Revenue Claims Claims/Revenue in Bucket DLR < 83%
Total 83,541 $2,077,089 $1,530,543 73.7% 55 45
Top 1 to 5 63,234 $1,336,806 $1,008,184 75.4% 5 4
Top 6 to 10 7,600 $261,274 $193,223 74.0% 5 5
Top 11 to 20 7,413 $283,337 $199,058 70.3% 10 7
Top 21 to 40 4,534 $174,754 $116,089 66.4% 20 17
Top 41 to 55 760 $20,917 $13,988 66.9% 15 12

**National data includes carriers that are grouped at an entity level, as defined by S&P Global.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 8 June 2022
MILLIMAN RESEARCH REPORT

NADP Survey of Dental Carriers in Massachusetts

We also compiled loss ratio statistics specific to Massachusetts based on a survey of dental insurers operating in the
state conducted by NADP in April 2021. Ten carriers operating in Massachusetts including major national as well as
smaller regional dental insurers responded to the survey, and NADP provided Milliman anonymized results for
analysis. Respondents summarized financial metrics separately for the large group, small group, and individual
dental markets; we calculated estimated DLR (claims/premium). The compiled results for large group and combined
small group/individual markets are shown in Table 2.

TABLE 2. 2019 FINANCIAL RESULTS FOR COMMERCIAL DENTAL INSURERS - MASSACHUSETTS

Similar to the above national statistics, we also summarized DLRs, using methodology consistent with the
Massachusetts proposal, according to the size of the carrier’s book of business as measured by premium revenue in
the state.

TABLE 3. 2019 DLRs FOR MASSACHUSETTS COMMERCIAL DENTAL INSURERS, BY CARRIER SIZE

COMMENTARY ON COVID-19
We based our national market study on 2021 financial results. Because the COVID-19 pandemic continued into
2021, we also reviewed 2019 financial results for comparability, to ensure that 2021 results were a reasonable basis
for analysis. We found that loss ratio levels as well as patterns by company size were broadly consistent between
2019 and 2021. The national statutory financial results from 2019 and 2021 are contained in the appendices to this
report.

For the NADP carrier survey, 2019 data was collected and used in this report. 2020 data was not used because of
the significant impact of COVID-19 on the dental market during that time period, and 2021 data was not available as
of the time of the NADP survey request.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 9 June 2022
MILLIMAN RESEARCH REPORT

Discussion and Implications

WHAT DO THE DENTAL LOSS RATIO STATISTICS TELL US ABOUT POTENTIAL IMPACT OF THE
MASSACHUSETTS INITIATIVE PETITION?
Both the national statistics from statutory financial statements and the Massachusetts-specific statistics from the
NADP carrier survey tell a similar story.

1. National industry DLRs for group dental insurers average around 80% in total, with results varying
by insurer; few dental carriers operate at or above the proposed 83% minimum DLR.

The nationwide financial data in Table 1 suggests that overall, 66/85 or 78% of carriers would have group
dental DLRs below the 83% threshold. On average, smaller dental carriers and/or those focused on the
individual/small group markets would be more likely to have difficulty attaining the minimum DLR, while
larger, multi-line, or nationwide dental insurers, and insurers focused on the large group dental line of
business, are less likely to have difficulty. That being said, there were carriers across the size spectrum
with DLRs below 83%. Based on the Massachusetts data from the carrier survey, the prevailing average
loss ratio is 75.9%, again with lower loss ratios for smaller companies and for companies focused on
smaller case sizes.

2. The majority of DLRs in the individual and small group dental market average well below the 83%
threshold. Dental insurers with blocks of business more heavily focused in the small group and/or
individual segments may have a more difficult time reaching an 83% DLR.

The majority of national individual market participants also operate at dental loss ratios below the proposed
threshold, and in Massachusetts specifically, the NADP carrier survey results suggest an average DLR of
68.2% for individual/small group markets, which is well below 83%. With a smaller average case size in the
individual/small group markets, fixed administrative expenses must be allocated among fewer
policyholders, which tends to result in administrative expenses comprising a larger portion of premium than
for blocks of larger cases. This is borne out in the Massachusetts survey results; as shown in Table 4, the
small group/individual lines of business show much higher administrative costs as a percentage of
premium.

TABLE 4. 2019 ADMINSTRATIVE EXPENSE RATIOS AND PROFIT MARGIN

FOR COMMERCIAL DENTAL INSURERS - MASSACHUSETTS

Higher administrative expense ratios lead to lower DLRs, and as such, a minimum loss ratio threshold is
more likely to affect the individual and small group markets. Furthermore, it does not appear that loss ratio
minimums could be achieved in the individual or small group markets by reducing margin as profit margins
are low across the board in Massachusetts.

3. Smaller companies (as defined by revenue) tend to have lower DLRs and would have a more
difficult time meeting the 83% minimum threshold.

While some large national dental carriers operate closer to an 83% DLR, Table 1 and Table 3 clearly show
that smaller dental companies operate at lower DLRs on average, both on a nationwide basis and in
Massachusetts’ dental market. National group dental DLRs show a downward trend as company size
(measured by revenue) declines. From the Massachusetts survey respondents, the largest three insurers
averaged a 76.7% DLR, while the smallest three averaged 60.4%. Similar to the differentials by line of
business just described, smaller dental insurers have fewer policyholders over which to allocate any fixed
costs required to operate the business.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 10 June 2022
MILLIMAN RESEARCH REPORT

4. There is significant overlap in Massachusetts between smaller dental insurers and those focused in
the individual/small group markets. These insurers are the most likely to struggle with a minimum
DLR rule.

Table 5 shows that Carriers 8-10 in the survey, the smallest 3 responding carriers by revenue, generate
more than half of their dental revenue from the individual and small group lines of business and a far
greater proportion than larger insurers.

TABLE 5. OVERLAP BETWEEN CARRIER SIZE AND

PROPORTION OF REVENUE FROM INDIVIDUAL AND SMALL GROUP MARKET

The insurers most affected by a minimum loss ratio provision may determine that protective actions such as
increasing premiums, exiting unprofitable segments, or exiting the Massachusetts dental insurance market
are necessary. Options for compliance with minimum DLR requirements may be more limited for locally
focused insurers that lack presence in other states, other dental lines of business, or other insurance lines,
with premium increases being the most obvious option. Raising premiums may not be a viable option for
insurers in Massachusetts under the current proposal. Section (d) of the initiative petition directs the
insurance commissioner to disapprove any filed rate increase above a certain percentage. This provision
could effectively prohibit insurers from obtaining premium increases to maintain administrative capabilities
and achieve the proposed 83% loss ratio threshold.

WHY MIGHT A MINIMUM DLR RULE RESULT IN PREMIUM INCREASES ON SOME DENTAL POLICIES?
As demonstrated above, dental insurers in Massachusetts, across all markets (large group, small group, and
individual) and of varying sizes (large and small insurers based on revenue) are not currently operating at the
proposed DLR and will be affected by a minimum DLR requirement. To continue operating, dental carriers must
generate enough in dental premium dollars to pay dental claims and administer the policies while complying with the
minimum DLR. With the DLR minimum significantly above the prevailing level for the smallest insurers or those
operating in the individual and small group markets, they will have to make cost structure changes in order to comply.
Given that large savings in administrative expenses are unlikely, carriers could lower their profit margins or increase
claims payments to providers, either via greater covered services for policyholders or increases in provider fees, in
order to achieve the required relationship among claim costs, administrative and other non-claims costs, and
premiums which a minimum DLR implies. Furthermore, dental coverage is a voluntary benefit that currently includes
a wide variety of benefit levels to meet the preferences of different individuals and employers. A potential outcome of
a high minimum DLR is that lower premium plans with leaner benefits may no longer be offered, potentially reducing
consumer choice in dental plans designs.

We illustrate these counterbalancing effects with a simple example using a representative medium dental insurer
focused on smaller groups and individual coverage, with an assumed current DLR of 70%, an administrative expense
ratio of 23%, profit of 5%, and average premiums of $38 per member per month (PMPM). This insurer currently
spends 23% x $38 = $8.75 PMPM on administration.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 11 June 2022
MILLIMAN RESEARCH REPORT

Table 6 illustrates potential financial outcome scenarios for this hypothetical insurer under the 83% DLR proposed by
the Massachusetts Initiative Petition.

TABLE 6. 83% DLR IMPACT ANALYSIS ON SAMPLE MEDIUM DENTAL INSURER

The scenarios summarized in Table 6 are as follows:

• In Scenario 1, we simply apply the 83% DLR with no other changes to the insurer’s cost structure.
Compliance with the higher DLR requires the carrier to reduce premiums but leaves them with a loss of
12.3%.
• Scenario 2 assumes that the insurer is able to improve administrative efficiency by 10%, reducing the PMPM
administration cost to $7.88 PMPM. Once the 83% DLR is applied, this scenario results in a loss of 9.6%,
indicating that even with measurable efficiency improvements, the carrier may find it impossible to operate
under the proposed threshold.
• In Scenario 3, we assume that the insurer increases premiums enough so that after claims payment, $7.88
PMPM administrative expenses, and taxes and fees, the insurer breaks even. In order to make this happen,
premiums must increase by 38%, from $35 to over $50, and claims must be increased by over 63%, from
$26.60 to $43.58. Claims would need to be increased by either increasing the plan’s benefits -- potentially
beyond what is competitively offered and/or beyond what consumers desire or want to pay for -- or by
increasing reimbursement to providers. This potential result of premium increases via higher than
necessary benefits or higher payments to dentists seems counter to the intent of the DLR regulation to
“increase the value of dental insurance”.

The simplified scenarios do not account for other potential barriers to sustaining an 83% DLR. For example, we did
not attempt to model potential loss of membership; if employer groups or individuals seek lower cost plans from other
insurers in the market, affected companies could lose market share, further eroding their ability to spread fixed
administrative costs, and deteriorating their competitive position. Based on these dynamics, we expect that the
implementation of an 83% minimum DLR would primarily affect individual and small group dental plans, as well as
smaller dental insurers focused on those markets.

Rate Increases under the proposal in Massachusetts

While rate increases via increased benefits or increased provider reimbursement are one potential response by
insurers required to comply with a minimum loss ratio rule, section (d) of the initiative petition may make that difficult
for insures to implement. As mentioned above, section (d)’s language allows the commissioner to disapprove
requested rate increases under certain conditions. This may leave carriers with fewer options for continuing to offer
dental benefit to Massachusetts enrollees, and could result in carriers exiting the Massachusetts markets, thus
decreasing consumer choice and/or leading to carrier consolidation.

Scenario 3 shown in Table 6 presumes that insurers are able to adjust premiums in order to comply with the minimum
loss ratio. If insurers are not permitted to adjust premiums due to the provisions in section (d) of the initiative petition,
then Scenario 3 would not be possible, and insurers would be more likely to be relegated to scenarios resembling 1
and 2, operating at a significant loss.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 12 June 2022
MILLIMAN RESEARCH REPORT

VALUE OF REBATES COMPARED WITH ADMINISTRATIVE COST OF REBATE PROGRAM

Rebate provisions in minimum loss ratio rules are intended to ensure that the end consumer receives remuneration
when insurers operate at a loss ratio lower than the minimum threshold. In recognition of the administrative burden
associated with the rebating process, medical minimum loss ratio regulations include measures such as (1) a de
minimis rebate threshold of $20 below which policyholder rebates are not required, (2) the ability to credit the rebate
toward future premium payments instead of issuing many small rebate checks, and (3) the ability to pay a lump sum
rebate to the group policyholder instead of individual rebates to each employee.

The Massachusetts initiative petition contemplates rebates for individual and group dental plans if the loss ratio is
lower than 83%; rebates must be made to the enrollee for the amount of premium revenue received multiplied by the
difference between the minimum loss ratio and the carrier’s DLR.

While 2020 rebates associated with the medical market in the commercial age <65 market averaged $205 per person
nationwide and $117 per person in Massachusetts7, rebates associated with a DLR rule are likely to be small, often
below the $20 de minimis threshold set for medical plans. Furthermore, the cost of the process required to calculate,
track, and distribute rebates could outweigh the value of the rebates themselves and could have the effect of pushing
DLR lower due to the increased administrative burden.

To illustrate the potential magnitude of rebates under the Massachusetts initiative petition, we developed illustrative
scenarios based loosely on the Massachusetts market results. We used two different assumed premium levels: (1)
based on the assumptions for the sample medium dental carrier from Table 6, and (2) a lower premium
representative of a larger carrier or large group focused carrier. We calculated annual rebates under various actual
DLR scenarios that would necessitate a rebate under the proposal. Rebates are small, particularly compared to
medical rebates, even for carriers with DLRs well below the 83% threshold; and, for carriers with a DLR above
approximately 78%, the rebates are likely to fall below the ACA medical $20 de minimis threshold. The de minimis
rebate level was set to avoid undue administrative burden on health insurers. Dental insurers would face the same
administrative tasks in managing a rebate program, with far greater administrative cost pressure due to the smaller
premium over which to recoup those administrative costs, for considerably less financial benefit to consumers.

TABLE 7. ILLUSTRATIVE REBATE CALCULATIONS

@ DLR that produces
Illustrative Rebate Calculation @ 76% DLR @ 78% DLR @ 80% DLR @ 82% DLR
$20 annual rebate
PMPM Premium $38.00 $38.00 $38.00 $38.00 $38.00
Assumed DLR 76.00% 78.00% 78.61% 80.00% 82.00%
Minimum DLR 83.00% 83.00% 83.00% 83.00% 83.00%
Calculated Annual Rebate $31.92 $22.80 $20.00 $13.68 $4.56
PMPM Premium $33.00 $33.00 $33.00 $33.00 $33.00
Assumed DLR 76.00% 78.00% 77.95% 80.00% 82.00%
Minimum DLR 83.00% 83.00% 83.00% 83.00% 83.00%
Calculated Annual Rebate* $27.72 $19.80 $20.00 $11.88 $3.96

7
https://www.cms.gov/files/document/2020-rebates-state.pdf

Minimum Dental Loss Ratios: Considerations and Industry Analysis 13 June 2022
MILLIMAN RESEARCH REPORT

Caveats and Limitations

This Milliman report has been prepared for the specific purpose of providing NADP with research and analysis related
to dental loss ratios to aid in understanding the potential impact of minimum loss ratio legislation being considered in
Massachusetts. This information may not be appropriate, and should not be used, for any other purpose.

This report has been prepared for NADP. NADP may share this information with outside entities with Milliman’s
permission. Milliman does not intend to benefit, and assumes no duty or liability to, other parties who receive this
work product. Any third party recipient of this work product who desires professional guidance should not rely upon
Milliman’s work product, but should engage qualified professionals for advice appropriate to its own specific needs.
Any releases of this report to a third party should be in its entirety. This report must be read in its entirety and
specialized knowledge of the industry is necessary to fully understand the report and its conclusions.

The results presented herein are estimates based on carefully constructed actuarial models. Differences between
our estimates and actual amounts depend on the extent to which future experience conforms to the assumptions
made for this analysis. It is certain that actual experience will not conform exactly to the assumptions used in this
analysis. Actual amounts will differ from projected amounts to the extent that actual experience deviates from
expected experience.

The illustrations presented in this report do not mimic the actual experience of any particular dental plan. They are
meant to demonstrate the mechanics of complying with minimum loss ratio rules while maintaining a specified
administrative expense structure, and the implications to claim costs and premiums of doing so. It is important to
note that results will differ if the starting assumptions differ, or if other levers aside from provider compensation or
profit are adjusted (e.g. if commissions are altered in response to an increased loss ratio requirement).

In performing this analysis, we relied on data and other information provided by NADP. We have not audited or
verified this data and other information but reviewed it for general reasonableness. If the underlying data or
information is inaccurate or incomplete, the results of our analysis may likewise be inaccurate or incomplete.

The material in this report represents the opinion of the author and is not representative of the views of Milliman.
Milliman is not advocating for, or endorsing, any specific views in this report related to minimum DLR requirements.

Milliman does not provide legal advice, and recommends that NADP consult with its legal advisors regarding legal
matters.

The terms of Milliman’s Consulting Services Agreement with NADP signed on March 24, 2011 apply to this report and
its use.

ACKNOWLEDGMENT OF QUALIFICATION
We, Joanne Fontana and Tory Carver, are actuaries for Milliman. We are members of the American Academy of
Actuaries and meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion
contained herein.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 14 June 2022
MILLIMAN RESEARCH REPORT

Appendix 1: 2021 and 2019 Statutory Financial Results,

Group and Individual Dental Lines of Business8
1A: 2021 National Statutory Financial Results for Commercial Dental Insurers – Group Line of Business

1B: 2019 National Statutory Financial Results for Commercial Dental Insurers – Group Line of Business
(for display purposes one company’s results with 304M members and 73.6% loss ratio was removed from graph)

8 National data Source: National Association of Insurance Commissioners. Annual Statement Database, as delivered by S&P Global, Inc. All Rights Reserved.

Minimum Dental Loss Ratios: Considerations and Industry Analysis 15 June 2022
MILLIMAN RESEARCH REPORT

1C: 2021 National Statutory Financial Results for Commercial Dental Insurers – Individual Line of Business
for display purposes the following company results were removed from graph:
Membership (millions) Loss Ratio
44.2 83.7%
42.4 129.9%
8.1 50.8%

1D: 2019 National Statutory Financial Results for Commercial Dental Insurers – Individual Line of Business
for display purposes the following company results were removed from graph:
Membership (millions) Loss Ratio
46.5 83.0%
8.5 53.3%

Minimum Dental Loss Ratios: Considerations and Industry Analysis 16 June 2022
From: Davis - GovOffice, Brandon on behalf of Davis - GovOffice, Brandon <[email protected]>
To: Kara Veitch - GovOffice
Cc: Kimmel - GOVOffice, Allie; Goldstein - GovOffice, Jenna
Subject: Fwd: HB23-1187 fact sheet
Date: Tuesday, February 21, 2023 12:24:29 PM
Attachments: HB23-1187 Factsheet.docx

FYI Factsheet for HB23-1187 Alternative Sentencing for Pregnant Persons. 

---------- Forwarded message ---------

From: Mayra Valdez <[email protected]>
Date: Tue, Feb 21, 2023 at 11:59 AM
Subject: Re: HB23-1187 fact sheet
To: Davis - GovOffice, Brandon <[email protected]>

Hi Brandon, 

Yes, I have attached the factsheet. Let me know if you have any

questions. 

-Mayra 

On Tue, Feb 21, 2023 at 11:31 AM Davis - GovOffice, Brandon

<[email protected]> wrote:
Hi Mayra, 

I wanted to see if you could resend a fact sheet or any other helpful materials you have for
HB23-1187? Thanks! 

Best, 

--
Brandon L. Davis
Policy Advisor 
Governor's Office of Policy & Research
Pronouns (he, him, his)

200 E Colfax, Room 136 | Denver, CO 80203

https://www.colorado.gov/governor
Under the Colorado Open Records Act (CORA), all messages sent by or to me on
this state-owned e-mail account may be subject to public disclosure.

--
Brandon L. Davis
Policy Advisor 
Governor's Office of Policy & Research
Pronouns (he, him, his)

200 E Colfax, Room 136 | Denver, CO 80203

https://www.colorado.gov/governor
Under the Colorado Open Records Act (CORA), all messages sent by or to me on
this state-owned e-mail account may be subject to public disclosure.
 Support: HB23-1187: Alternatives in the Criminal Justice System &
Pregnant People
Representatives Bacon and Amabile
Senators Gonzales and Fields
The Problem:
Caring for incarcerated pregnant people represents a unique challenge, and even
programs with the best intentions are not optimal for this critical developmental
time. While incarcerated, pregnant people have had their complaints of
contractions, bleeding, and labor ignored and have delivered babies in their jail cells
or prison cells.1 A pregnant person can also experience harmful medical conditions
such as an ectopic pregnancy, preeclampsia, or placental abruption which can cause
long-term physical and mental health trauma for the pregnant person.

Once the baby is born, the postpartum period is considered an essential time frame
for the newborn to develop healthy physiologic responses and benefit from the
attachment and bonding that occurs. In fact, bonding between newborn and parent
can greatly improve the overall health of them both. Bonding and breastfeeding
during this time may prevent or reduce long-term health risks such as
premenopausal breast cancer, ovarian cancer and type 2 diabetes for the parent,
and heart disease, hypertension, obesity and increased likelihood of depression and
diabetes for the child.

According to a report from the Colorado Dept. of Corrections, 14 pregnant people

were incarcerated in 2022 alone, and that doesn’t include people who may have
been pregnant or postpartum while in jail.

HB23-1187 clarifies that pregnancy and the postpartum period are explicit
qualifications for alternative sentencing options at every stage of the criminal
justice process, so that all pregnant people in Colorado have the chance to manage
their reproductive health, give birth, and take care of their infants in community.

What the bill does:

This policy allows the court to defer or delay the sentence of a person who is
pregnant or in the postpartum period to physically and mentally heal from
pregnancy and allows time for the parent and newborn to develop a healthy bond,

1
Jonathan Lambert, “Pregnant behind Bars: What We Do and Don't Know about Pregnancy and
Incarceration,” NPR (NPR, March 21, 2019), https://www.npr.org/sections/health-
shots/2019/03/21/705587775/pregnant-behind-bars-what-we-do-and-dont-know-about-pregnancy-and-
incarceration.
or to give them a sentence that does not include incarceration. It also ensures that
information related to substance use discovered in the course of prenatal care is not
admissible by the court in a criminal proceeding.

How the bill works:

It requires the court to assume that a pregnant or postpartum defendant should not
be detained or incarcerated (this is called a “presumption”). If the pregnant or
postpartum defendant is subject to a mandatory sentence or does not qualify for
bond because of the crime charged, those requirements apply and they would be
detained or incarcerated. If those requirements don't apply, the full range of bail,
sentencing, and post-incarceration options are available. Those include: bail,
diversion, deferred judgment, deferred sentence, stay of execution, and
unaccompanied furlough.

If the District Attorney thinks the pregnant or postpartum defendant should still be
detained or incarcerated, they can make that case, but the bar is higher. This
makes the alternatives to incarceration more accessible because they don’t have to
overcome the presumption. This bill does not create new alternatives, but makes a
clearer and easier pathway to those alternatives when someone is pregnant or
postpartum.

A pregnant person needs control over their environment for a healthy pregnancy
and birth experience. With HB23-1187 pregnant people facing criminal charges or
sentencing have the chance to give birth in community and spend time with their
newborn.

Supporting Organizations:
Elephant Circle, Soul 2 Soul Sisters, ACLU of Colorado, Children’s Campaign,
Colorado Center on Law and Policy, Colorado Consumer Health Initiative, Colorado
Criminal Justice Reform Coalition, COLOR, Healthier Colorado, New Era Colorado,
Office of Respondent Parents’ Counsel, Planned Parenthood of Rocky Mountain,
ProgressNow, Reimagining Policing Taskforce, Together Colorado, Women’s
Foundation of Colorado, Young Invincibles,
From: Arenales - GOVOffice, Elisabeth on behalf of Arenales - GOVOffice, Elisabeth <[email protected]>
To: Isabelle Nathanson - GovOffice
Subject: Fwd: Delta DLR Fact Sheet and Milliman Study
Date: Monday, February 20, 2023 6:57:00 PM
Attachments: DDCO DLR Fact Sheet_February 2023[1].pdf
Massachusetts.DLR Report.final.newchartpdf[1][1].pdf

---------- Forwarded message ---------

From: Jennifer Miles <[email protected]>
Date: Mon, Feb 20, 2023 at 6:40 PM
Subject: Delta DLR Fact Sheet and Milliman Study
To: Deb Judy <[email protected]>, Kate Harris <[email protected]>, Arenales -
GOVOffice, Elisabeth <[email protected]>

Hi Elisabeth, Deb and Kate,

As you may know, I am working on the Dental Loss Ratio legislation being brought forward
by the CO Dental Association. I am representing Delta Dental of CO and their Delta Dental of
CO Foundation (DDCOF). I wanted to share a few important things with you:

1. Attached Fact Sheet on the topic from DDCO – they support reporting and transparency
and are ok with regulation of outliers, but an 80% DLR would lead to premium
increases, esp. in the small group and individual markets. Without the transparency first,
we can’t know where to set a reasonable DLR. This fact sheet includes a link to the
Milliman study, also available at this link and attached to this
email: https://www.nadp.org/wp-content/uploads/legacy/default-document-
library/massachusetts-dlr-report-final.pdf
2. As an FYI, we have provided the following information to sponsors, CDA, and
consumer advocacy groups (CCLP, CCHI, Healthier Colorado): A link to the existing
DOI rules (see esp. H.2 and H.3) that require CO dental insurance plans to have a DLR
of 60% of higher, with a requirement that “rate filings shall be submitted when the
actual loss ratio falls either above or below the expected loss ratio as filed with the
Division”. It’s important to note that we do not have any plans in CO with a DLR
anywhere close to 35% (as was cited in Massachusetts) as a result of these existing CO
rules that apply to dental (and other non-medical) insurance plans.
3. DDCOF is advocating to have the MLR standards apply that would allow a nonprofit
dental plan to subtract a capped amount of their community benefit donations from the
premium revenue in the denominator of any DLR equation. Here is a link to the MLR
Annual Reporting Form Filing Instructions (see esp. Section 3.2c). This allows for
parity with for-profit plans that are allowed to subtract taxes. Also, see the DDCOF
website for more information on what they fund.

 
Feel free to let me know if you have any questions about the information above or anything
else on this topic.

Take care,

Jennifer Miles, MSW

President and Founding Partner

Frontline Public Affairs

1410 Grant St, Suite B104

Denver, CO 80203

303-668-3979

[email protected]

www.frontlinepublicaffairs.com

--
Elisabeth Arenales, J.D.
Senior Policy Advisor
Deputy Director, Office of Saving People Money on Health Care
Office of Governor Jared Polis
Pronouns: she/her/hers
[email protected]
From: Jennifer Miles on behalf of Jennifer Miles <[email protected]>
To: Deb Judy; Kate Harris; Arenales - GOVOffice, Elisabeth
Subject: Delta DLR Fact Sheet and Milliman Study
Date: Monday, February 20, 2023 6:41:09 PM
Attachments: DDCO DLR Fact Sheet_February 2023[1].pdf
Massachusetts.DLR Report.final.newchartpdf[1][1].pdf

Hi Elisabeth, Deb and Kate,

 
As you may know, I am working on the Dental Loss Ratio legislation being brought forward by the CO
Dental Association. I am representing Delta Dental of CO and their Delta Dental of CO Foundation
(DDCOF). I wanted to share a few important things with you:
 
1. Attached Fact Sheet on the topic from DDCO – they support reporting and transparency and
are ok with regulation of outliers, but an 80% DLR would lead to premium increases, esp. in
the small group and individual markets. Without the transparency first, we can’t know where
to set a reasonable DLR. This fact sheet includes a link to the Milliman study, also available at
this link and attached to this email: https://www.nadp.org/wp-
content/uploads/legacy/default-document-library/massachusetts-dlr-report-final.pdf
2. As an FYI, we have provided the following information to sponsors, CDA, and consumer
advocacy groups (CCLP, CCHI, Healthier Colorado): A link to the existing DOI rules (see esp.
H.2 and H.3) that require CO dental insurance plans to have a DLR of 60% of higher, with a
requirement that “rate filings shall be submitted when the actual loss ratio falls either above
or below the expected loss ratio as filed with the Division”. It’s important to note that we do
not have any plans in CO with a DLR anywhere close to 35% (as was cited in Massachusetts) as
a result of these existing CO rules that apply to dental (and other non-medical) insurance
plans.
3. DDCOF is advocating to have the MLR standards apply that would allow a nonprofit dental
plan to subtract a capped amount of their community benefit donations from the premium
revenue in the denominator of any DLR equation. Here is a link to the MLR Annual Reporting
Form Filing Instructions (see esp. Section 3.2c). This allows for parity with for-profit plans that
are allowed to subtract taxes. Also, see the DDCOF website for more information on what
they fund.
 
Feel free to let me know if you have any questions about the information above or anything else on
this topic.
 
Take care,
 
Jennifer Miles, MSW
President and Founding Partner
Frontline Public Affairs
1410 Grant St, Suite B104
Denver, CO 80203
303-668-3979
[email protected]
www.frontlinepublicaffairs.com
From: Bimestefer - HCPF, Kim on behalf of Bimestefer - HCPF, Kim <[email protected]>
To: Isabel Cruz
Cc: Donlin - HCPF, Jo; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 15, 2023 9:33:57 AM

I am really afraid to wait that long. It's too risky....I don't think we're that lucky! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:32 AM Isabel Cruz <[email protected]> wrote:

Hi all: 

Amazing! Would it be okay to put this to our members at our next meeting on 2/24 or would you all still like us to go
through rapid response? Thanks for sending the introduced bill! 

Best, 
Isabel 

On Wed, Feb 15, 2023 at 9:30 AM Donlin - HCPF, Jo <[email protected]> wrote:

And here is the official bill.
https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf
For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
 303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

 
P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Donlin - HCPF, Jo
Cc: Bimestefer - HCPF, Kim; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 15, 2023 9:32:48 AM

Hi all: 

Amazing! Would it be okay to put this to our members at our next meeting on 2/24 or would you all still like us to go
through rapid response? Thanks for sending the introduced bill! 

Best, 
Isabel 

On Wed, Feb 15, 2023 at 9:30 AM Donlin - HCPF, Jo <[email protected]> wrote:

And here is the official bill.
https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
 introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

 
 

P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Donlin - HCPF, Jo on behalf of Donlin - HCPF, Jo <[email protected]>
To: Bimestefer - HCPF, Kim
Cc: Isabel Cruz; Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 15, 2023 9:30:10 AM

And here is the official bill.

https://leg.colorado.gov/bills/hb23-1201

On Wed, Feb 15, 2023 at 9:25 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Thx a ton, Isabel.
As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 
 Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]

--
Jo Donlin
Legislative Liaison

Policy, Communications and Administration Office

 
P 303.866.xxxx  | C 720-610-7795 | F 303.866.2573 | State Relay: 711

1570 Grant Street, Denver, CO  80203

[email protected] | Colorado.gov/hcpf
From: Bimestefer - HCPF, Kim on behalf of Bimestefer - HCPF, Kim <[email protected]>
To: Isabel Cruz
Cc: Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Donlin - HCPF, Jo; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 15, 2023 9:25:06 AM

Thx a ton, Isabel.

As of now, It looks like the Committee Meeting will not be next week, if that helps. 
Let me know if you want me at your meeting to discuss the bill. 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

On Wed, Feb 15, 2023 at 9:23 AM Isabel Cruz <[email protected]> wrote:

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 
 Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]
From: Isabel Cruz on behalf of Isabel Cruz <[email protected]>
To: Bimestefer - HCPF, Kim
Cc: Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Donlin - HCPF, Jo; Iris Hentze - HCPF; Hope Stonner
Subject: Re: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Wednesday, February 15, 2023 9:23:31 AM

Hi Kim: 

Thanks for your proactive outreach on this, we will put this bill to our membership through our rapid response decision
making process ASAP and should have an answer by the end of the week if it goes smoothly but latest early next week
if people have questions or concerns. Please keep me posted as you learn more about committee timing and we'll do
our very best to jump in the mix in a timely manner! 

Appreciate your continued partnership on Rx issues and beyond. 

Best, 
Isabel 

On Tue, Feb 14, 2023 at 7:23 AM Bimestefer - HCPF, Kim <[email protected]> wrote:
Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform

--
Isabel Cruz (she/ella)
Policy Manager
Colorado Consumer Health Initiative
303 E. 17th Avenue Ste 400
Denver, CO 80203
office: (303) 839-1261
cell: (718) 483-2305
[email protected] 

Need Help with your health insurance or medical bills?  Call our Consumer Assistance Program at 303-839-1261, or email: [email protected]
From: Cahill - GOVOffice, Conor on behalf of Cahill - GOVOffice, Conor <[email protected]>
To: Maria De Cambra - GOVOffice; David Oppenheim - GOVOffice; Allie Kimmel - GOVOffice; Eleni Angelides -
GOVOffice
Subject: Fwd: AG Weiser, legislators and consumer groups push bill to reduce medical debt burden
Date: Tuesday, February 14, 2023 12:29:54 PM

---------- Forwarded message ---------

From: News from Attorney General Phil Weiser <[email protected]>
Date: Tue, Feb 14, 2023 at 11:52 AM
Subject: AG Weiser, legislators and consumer groups push bill to reduce medical debt burden
To: <[email protected]>
Attorney General Phil Weiser, state legislator and consumer groups push legislation
to reduce medical debt burden for consumers

Feb. 14, 2023 (DENVER)—Attorney General Phil Weiser today joined state legislators and consumer
health advocates at the State Capitol in support of Senate Bill 23-093, legislation that would
provide Coloradans with additional consumer protections from high interest rates for medical debt
and confusing debt collection practices that lead to long-lasting debt and financial instability.

Debt incurred from medical costs can be financially devastating for patients. When combined with
high interest rates and complicated collections practices, consumers may never be able to pay off
their medical debt. According to a 2022 report from the federal Consumer Financial Protection
Bureau, Coloradans overall held more than $1.3 billion in medical debt and over 12% of Coloradans
have medical debt in collections.

For Coloradans who reported problems paying off medical debt, a survey by the Colorado Health
Institute found that 46.2% of such individuals accumulated credit card debt for medical expenses,
37.2% were unable to pay for necessities like food, heat, or rent, 15.7% took out a loan, and 5.4%
declared bankruptcy. And national data from the U.S. Census Bureau shows that communities of
color, younger households with children, veterans, and those without a college degree are more
likely to be burdened by medical debt.

Reflecting his commitment to addressing this issue, Weiser recently took action against Flatirons,
a Colorado-based medical billing company, for sending deceptive billing notices on behalf of
surgical assistants who were not covered by patients’ insurance. Weiser said Colorado has made a
number of improvements to better protect patients in health care transactions and medical debt
collection, but that SB23-093 is needed to more fully address the significant challenges associated
with medical debt.
 
“Consumers are often surprised by the costs of health care services and incur medical debt as a
result. It’s important we create protections and ensure that health care providers and debt
collectors operate fairly and responsibly. The negative impact on consumers is felt for years,
creating trauma, and often leading to a painful cycle of debt. We will remain focused on this issue
and continue to stand up for and protect consumers,” Weiser stated.

The legislation establishes new protections for Colorado consumers burdened with medical debt
by:

Capping the medical debt interest rate at 3% to keep debt from spiraling to levels where a
patient is unable to pay off. 
Pausing collections on medical debt as patients appeal their coverage and prohibiting
reporting the debt to a consumer reporting agency until a certain amount of time after an
individual fails to fulfill the terms of a payment plan. 
Requiring medical debt creditors or debt collectors to verify total debt owed upon request
by a patient and to provide a copy of a payment plan, thereby helping consumers know just
how much to properly budget for debt payments.
Requiring a health-care provider or health-care facility to provide, upon request, an
estimate of the total cost of medical services to a person who intends to self-pay for the
service, helping these consumers better aware of upfront the cost of services.
Reinstating the attorney general’s authority to protect consumers from deceptive trade
practices related to billing practices, surprise billing, and balance billing whether they seek in
or out-of-network care.

State Sen. Lisa Cutter, a prime sponsor of SB23-093 said: “Medical debt is crushing hardworking
Colorado families and limiting their ability to live the American Dream. Folks dealing with illnesses
or injuries should be focused on getting better instead of worrying about how their treatment will
affect their credit score. Our new legislation creates critical new consumer protections that will put
a cap on interest rates, improve accountability for providers and debt collectors, and prevent
thousands of Coloradans from falling into a tangled web of medical debt.”

“Every day, Coloradans are forced to choose between paying for necessities like food, heat, or rent
and life-saving medical care,” said state Sen. Sonya Jaquez Lewis. “Increasing transparency, capping
interest rates, and cracking down on deceptive trade practices will be a game changer for patients
seeking life-saving health care. I’m so proud to sponsor Senate Bill 93 and fight on behalf of the
people of Colorado to bring down health care costs and ease the burden for those facing medically-
incurred debt.”

Organizations at today’s news conference supporting SB23-093 include the Colorado Consumer
Health Initiative, The Bell Policy Center, CoPIRG, and Towards Justice.

“We often see cases where a consumer receives a medical bill with unexpected high out-of-pocket
costs, they can’t pay it, it goes to collections and their already unaffordable bill grows substantially
because of high interest rates. SB23-093 is an important step in addressing pressing medical debt
issues that disproportionately impact consumers with the biggest barriers to accessing and
affording care,” said Isabel Cruz, CCHI’s policy manager. “We look forward to continuing our work
with the attorney general, legislators, and partners to ensure that Coloradans can access necessary
medical care without having to worry about financial ruin while we address the root causes of the
high cost of care.”

The bill is scheduled for a hearing on Thursday, Feb. 23 at 1:30 p.m. in the Senate Health and
Human Services Committee.

For more information about the challenges presented by medical debt and efforts in Colorado and
nationwide to address this crisis, please click here for an issue brief from the Attorney General’s
Office.
###

Media Contact:
Lawrence Pacheco
Chief Communications Officer
(720) 508-6553 office | (720) 245-4689 cell
[email protected]

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 Denver, CO 80203

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From: Bimestefer - HCPF, Kim on behalf of Bimestefer - HCPF, Kim <[email protected]>
To: Isabel Cruz
Cc: Elisabeth Arenales; Nathanson - GovOffice, Isabelle; Donlin - HCPF, Jo; Iris Hentze - HCPF
Subject: Rx Spread Pricing Prohibition Bill - Seeking Your Review, Support & Testimony
Date: Tuesday, February 14, 2023 7:23:04 AM
Attachments: RxSpreadPricingBillSummaryDoc.docx
RxSpreadPricingProhibitionBill.pdf

Hi Isabel.
As we discussed last week, Enclosed is the Rx Spread Pricing Prohibition bill - the final draft that will be
introduced.  I have also included a Fact Sheet that explains the bill and why it is needed. We would truly appreciate
your support for this important employer-focused affordability bill, including your testimony. The
carrier/PBM opposition will be fierce. 
The bill has bipartisan sponsors, and the House Committee Chair is one of the bill sponsors. I believe the first
House Committee hearing may be as soon as next week - so time is critical as we discussed last week.  
We are glad to spend more time with you on these two documents or answer questions. Feel free to email or call
anytime.  
Thank you again! I appreciate you! 

Kim Bimestefer

Executive Director

P: 303.866.4167 

Mailing Address: 1570 Grant Street, Denver, CO  80203

Office Address: 303 E. 17th Avenue, Denver, CO 80203

[email protected]  |  Colorado.gov/hcpf

For Scheduling Please Email: [email protected]

P: 720.951.7659

For Speaking Requests Please Click This Link:

https://docs.google.com/forms/d/e/1FAIpQLSescEgfTzfcPlsGwuViPB2NFjfUnaoDJihuenE9iWopp69CmA/viewform
 1570 Grant Street
Denver, CO 80203

Prescription Drug Spread Pricing Prohibition

HCPF Fact Sheet

What does this bill do?

This bill will save employers and Taft-Hartley trusts money on employee benefit costs by
reducing their prescription drug costs. It accomplishes this by prohibiting their contracted
PBMs or insurance carrier affiliates from “spread pricing”. Prescription drug "spread pricing"
occurs when a pharmacy benefit manager (PBM) or its health insurance carrier affiliate
charges its policyholder or employer client a higher price than it pays the pharmacy for
dispensing the same drug to the same covered member. Since the practice of spread pricing
is not commonly understood, many employers are unaware they may be charged by their
PBM or carrier more than the pharmacy is being paid for drugs dispensed to their employees
and dependents. As a result, the employer pays more for the health benefits provided to
their employees and the PBM/insurance carrier keeps the “spread” as profit. This bill will
save employers money on health care by prohibiting prescription drug “spread pricing.

Second, the bill creates transparency for employers and Taft-Hartley trusts on the critical
prescription drug pricing factors in place with their PBM or insurance carrier, thereby
reducing the chance that PBMs or carriers will attempt to preserve the profits created by
historic spread pricing practices through backdoor adjustments in other pricing factors. Last,
it provides clarity on the savings from the spread pricing prohibition created through this bill
so that each employer can make proactive, voluntary decisions on how they may wish to
leverage the savings, such as increasing wages, financing benefits, reducing out of pocket
costs for their covered employees, etc.

Why is this bill needed?

This bill is needed because:
- Spread pricing has inappropriately and unnecessarily driven up the costs of prescription
drugs for plan sponsors, employers and consumers and because employers as well as
individuals are paying higher prices for prescription drugs then they should be due to this
practice.
- Employers are struggling to keep pace with rising wages and health care costs. This
employer-focused policy helps all Colorado employers - be they insured or self-insured - save
money on health care, which they can then invest however they see fit, including raising
wages, lowering out of pocket costs or covering other expenses at their option. Employer
sponsored plans provide coverage to about 50% of Coloradans, meaning this employer-
focused policy will drive meaningful impact.

Improving health care equity, access and outcomes for the people we serve while
saving Coloradans money on health care and driving value for Colorado.
www.colorado.gov/hcpf
HCPF Rx Spread Pricing Prohibition Fact Sheet Page 2 of 2

- The PBM industry has gone through tremendous mergers and acquisitions over the last
decade, with only a handful of PBMs now controlling over 80% of the Colorado market (i.e.:
United/OptumRx, CVS-Aetna, Cigna/ESI, Anthem/IngenioRx). While this market power
results in PBMs negotiating lower reimbursements with pharmacies, those lower prices are
not always passed along to the PBM or carrier’s employer client; the employers and Taft-
Hartley trusts are paying higher prices and the PBM is keeping the difference in the form of
profits through the practice of spread pricing, at the expense of Colorado employers and
their covered employees/members.
- The vast difference in PBM contracted pricing terms provided to small, medium and large
employers is just one indicator of the significant savings that could be achieved by
prohibiting spread pricing - across all types of employers and across the various types of
drugs - generic, brand, and especially specialty. Given the prominence of small and medium
sized employers in Colorado, and the prominence of our Taft-Hartley trusts, this policy is
especially important for Colorado.

What are the consequences if this bill isn’t passed?

If this bill isn’t passed, PBMs and their insurance carrier affiliates will continue to spread
price, and employers, their employer sponsored plans and Taft-Hartley trusts will continue
to pay more for their prescription drug costs then they should. We will also miss an
opportunity to save Coloradans money on health care given that they pay a portion of health
care costs through premium contributions and out of pocket costs.

For more information, contact:

Jo Donlin, HCPF Legislative Liaison, 720.610.7795, [email protected]
Iris Hentze, HCPF Senior Legislative Analyst, 720.692.4288, [email protected]

Improving health care equity, access and outcomes for the people we serve while
saving Coloradans money on health care and driving value for Colorado.
www.colorado.gov/hcpf
 First Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
DRAFT

LLS NO. 23-0773.02 Kristen Forrestal x4217 HOUSE BILL

HOUSE SPONSORSHIP
Daugherty and Soper,

SENATE SPONSORSHIP
(None),

House Committees Senate Committees

A BILL FOR AN ACT

101 CONCERNING PRESCRIPTION DRUG BENEFITS CONTRACT TERM
102 REQUIREMENTS.

Bill Summary

(Note: This summary applies to this bill as introduced and does

not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov.)

For group benefit plan contracts between a pharmacy benefit

manager (PBM) or a health insurance carrier (carrier) and an employer,
certificate holder, or policyholder, the bill requires that the amount
charged by the PBM or carrier to the employer, certificate holder, or
policyholder for a prescription drug be equal to or less than the amount
paid by the PBM or carrier to the contracted pharmacy for the drug.

Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.

Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law.
 The bill creates transparency requirements for PBMs and carriers
regarding prescription drug benefits and grants audit authority to the
department of health care policy and financing for self-funded plans and
to the commissioner of insurance for fully insured plans, on request of the
office of the attorney general, to ensure compliance with the
requirements.
A violation of the requirements of the bill is a deceptive trade
practice under the "Colorado Consumer Protection Act", with regard to
self-funded plans, and a deceptive trade practice in the business of
insurance, with regard to fully insured plans.

1 Be it enacted by the General Assembly of the State of Colorado:

2 SECTION 1. In Colorado Revised Statutes, add part 16 to article
3 1 of title 6 as follows:
4 PART 16
5 PHARMACY BENEFIT MANAGER CONTRACTS
6 6-1-1601. Definitions. AS USED IN THIS PART 16, UNLESS THE

7 CONTEXT OTHERWISE REQUIRES:

8 (1) "BENEFICIARY" MEANS A PERSON ENTITLED TO RECEIVE

9 HEALTH BENEFITS OR SERVICES UNDER AN EMPLOYER-SPONSORED PLAN.

10 (2) "CARRIER" MEANS ANY ENTITY THAT OFFERS HEALTH

11 COVERAGE IN THIS STATE.

12 (3) "CONTRACTED PHARMACY" MEANS A PHARMACY THAT HAS

13 CONTRACTED WITH A CARRIER, A PHARMACY BENEFIT MANAGER, OR AN

14 AFFILIATE OF THE CARRIER OR PBM.

15 (4) "DEPARTMENT" MEANS THE DEPARTMENT OF HEALTH CARE

16 POLICY AND FINANCING.

17 (5) "EMPLOYER-SPONSORED PLAN" MEANS A PLAN THAT PROVIDES

18 FOR HEALTH BENEFITS, INCLUDING PLANS THAT ARE CLASSIFIED AS

19 SELF-INSURED OR INSURED OR REGULATED BY THE FEDERAL "EMPLOYEE

20 RETIREMENT INCOME SECURITY ACT", 29 U.S.C. 1001, ET SEQ., OFFERED

-2- DRAFT
1 BY:

2 (a) A PERSON, TAFT-HARTLEY TRUST, MUNICIPALITY, STATE, OR

3 LABOR UNION;

4 (b) ANY PLAN SPONSOR, INCLUDING AN EMPLOYER; OR

5 (c) AN EMPLOYER COALITION OR AGGREGATION OF EMPLOYERS
6 WORKING TOGETHER TO NEGOTIATE IMPROVED CONTRACT TERMS WITH A

7 PHARMACY BENEFIT MANAGER.

8 (6) "INGREDIENT COST" MEANS THE ACTUAL AMOUNT PAID TO A

9 PHARMACY BY A PHARMACY BENEFIT MANAGER FOR A PRESCRIPTION

10 DRUG, NOT INCLUDING A DISPENSING FEE OR PATIENT COST-SHARING

11 AMOUNT.

12 (7) "PERSON" MEANS AN INDIVIDUAL, CORPORATION, BUSINESS

13 TRUST, ESTATE, TRUST, PARTNERSHIP, UNINCORPORATED ASSOCIATION, OR

14 TWO OR MORE OF SUCH ENTITIES HAVING A JOINT OR COMMON INTEREST,

15 OR ANY OTHER LEGAL OR COMMERCIAL ENTITY.

16 (8) "PHARMACY" MEANS AN ENTITY WHERE MEDICINAL DRUGS ARE

17 DISPENSED AND SOLD, INCLUDING A RETAIL PHARMACY, MAIL-ORDER

18 PHARMACY, SPECIALTY PHARMACY, HOSPITAL OUTPATIENT SETTING, OR

19 OTHER RELATED PHARMACY.

20 (9) "PHARMACY BENEFIT MANAGEMENT" MEANS:

21 (a) ARRANGING TO PROCURE PRESCRIPTION DRUGS AT A

22 NEGOTIATED RATE FOR DISPENSATION WITHIN THIS STATE TO

23 BENEFICIARIES; AND

24 (b) ADMINISTERING OR MANAGING PRESCRIPTION DRUG BENEFITS

25 INCLUDING PHARMACY NETWORK CONTRACTING, CLAIMS PROCESSING AND

26 MANAGEMENT, AND PAYMENT OF CLAIMS TO PHARMACIES FOR

27 PRESCRIPTION DRUGS DISPENSED TO BENEFICIARIES.

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1 (10) "PHARMACY BENEFIT MANAGER " OR "PBM" MEANS AN

2 ENTITY THAT PERFORMS ANY ASPECT OF PHARMACY BENEFIT

3 MANAGEMENT. "PHARMACY BENEFIT MANAGER" OR "PBM" INCLUDES:

4 (a) A PERSON IN A CONTRACTUAL, EMPLOYMENT, AFFILIATE, OR

5 OWNERSHIP RELATIONSHIP WITH AN ENTITY PERFORMING PHARMACY

6 BENEFIT MANAGEMENT, AS WELL AS THE CONTRACTING PARTY FOR THE

7 PHARMACY BENEFIT MANAGER AND ITS AFFILIATES, IF APPLICABLE ; AND

8 (b) ANY OTHER AFFILIATE CONTRACTING WITH A CONTRACTED

9 EMPLOYER TO PROVIDE PHARMACY BENEFIT MANAGEMENT SERVICES.

10 (11) "TAFT-HARTLEY TRUST" MEANS A MULTI-EMPLOYER, JOINTLY

11 MANAGED BENEFIT TRUST SPONSORED BY JOINT BOARDS OF BOTH LABOR

12 AND MANAGEMENT TRUSTEES REPRESENTING PARTICIPANTS FROM MANY

13 ORGANIZATIONS, USUALLY WITHIN THE SAME INDUSTRIES OR LABOR

14 UNION.

15 6-1-1602. Pharmacy benefit managers - contract terms -

16 transparency requirements - rules. (1) FOR A CONTRACT BETWEEN A
17 PHARMACY BENEFIT MANAGER OR ITS CARRIER AFFILIATE AND A PERSON

18 OFFERING AN EMPLOYER-SPONSORED PLAN THAT IS ISSUED OR RENEWED

19 ON OR AFTER JANUARY 1, 2025, THE AMOUNT CHARGED BY THE CARRIER

20 OR PBM TO THE PERSON OFFERING AN EMPLOYER-SPONSORED PLAN FOR

21 A PRESCRIPTION DRUG DISPENSED TO A BENEFICIARY MUST BE EQUAL TO

22 OR LESS THAN THE AMOUNT PAID BY THE CARRIER OR PBM TO A

23 CONTRACTED PHARMACY FOR SUCH PRESCRIPTION DRUG DISPENSED TO

24 SUCH BENEFICIARY RESIDING IN COLORADO.

25 (2) (a) A CARRIER OR PHARMACY BENEFIT MANAGER SHALL

26 DISCLOSE TO EACH EMPLOYER THAT HAS A CONTRACT IN EFFECT WITH THE

27 CARRIER OR PBM AT ANY TIME DURING CALENDAR YEAR 2025 THE

-4- DRAFT
1 PRESCRIPTION DRUG CONTRACT TERMS REQUIRED BY THIS SUBSECTION (2).

2 FOR CONTRACTS IN EFFECT DURING CALENDAR YEAR 2023 OR 2024, OR

3 BOTH , THE DISCLOSURE MUST ALSO INCLUDE ANY CHANGES IN TERMS

4 BETWEEN EACH CALENDAR YEAR.

5 (b) THE DISCLOSURES PURSUANT TO THIS SUBSECTION (2) MUST

6 INCLUDE:

7 (I) THE INGREDIENT COST AVERAGE REIMBURSEMENT RATE FOR:

8 (A) GENERIC DRUGS DISPENSED AT RETAIL PHARMACIES;
9 (B) BRAND-NAME DRUGS DISPENSED AT RETAIL PHARMACIES;
10 (C) SPECIALTY DRUGS DISPENSED AT RETAIL PHARMACIES;
11 (D) GENERIC DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
12 (E) BRAND-NAME DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
13 (F) SPECIALTY DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
14 AND

15 (G) SPECIALTY DRUGS DISPENSED AT ANY SPECIALTY PHARMACY,

16 INCLUDING A PHARMACY THAT IS FULLY OR PARTIALLY OWNED BY A

17 CONTRACTING PBM, CARRIER, OR THE PBM'S OR CARRIER'S HOLDING

18 COMPANIES OR AFFILIATES;

19 (II) THE AVERAGE DISPENSING FEE PAID TO EACH TYPE OF

20 PHARMACY , INCLUDING RETAIL, MAIL-ORDER , AND SPECIALTY

21 PHARMACIES;

22 (III) THE CHARGE PER PRIOR AUTHORIZATION;

23 (IV) UTILIZATION MANAGEMENT PROGRAMS AND ASSOCIATED

24 FEES;

25 (V) ANY OTHER CONTRACTED SERVICES AND ASSOCIATED FEES;

26 (VI) THE AVERAGE REBATE PER PRESCRIPTION AND PER

27 REBATABLE PRESCRIPTION; AND

-5- DRAFT
1 (VII) THE REBATE GUARANTEE, WHERE APPLICABLE.
2 (c) FOR CONTRACTS BETWEEN A CARRIER OR PHARMACY BENEFIT
3 MANAGER AND AN EMPLOYER THAT ARE RENEWED IN CALENDAR YEAR

4 2025, THE CARRIER OR PBM SHALL CALCULATE AND COMMUNICATE TO

5 THE EMPLOYER THE VALUE OF THE DIFFERENCE BETWEEN THE CONTRACT

6 TERMS IN THE 2025 RENEWED CONTRACTS AND THE CONTRACTS THAT

7 WERE IN EFFECT IN CALENDAR YEAR 2024, ANNUALIZING THE FIRST SIX

8 MONTHS OF 2024 ACTUAL DATA FOR EACH RESPECTIVE EMPLOYER. THE
9 VALUE COMMUNICATED SHALL INCLUDE ANNUAL AGGREGATE SAVINGS,

10 ANNUAL AGGREGATE SAVINGS PER EMPLOYEE PER YEAR , AND ANNUAL

11 AGGREGATE SAVINGS PER BENEFICIARY PER YEAR.

12 (d) A CARRIER OR PHARMACY BENEFIT MANAGER SHALL PROVIDE

13 TO EACH EMPLOYER, FOR VOLUNTARY CONSIDERATION, OPTIONS TO

14 REPURPOSE AGGREGATE SAVINGS IN THE FORM OF REDUCTIONS TO

15 OUT-OF-POCKET COSTS SUCH AS DEDUCTIBLES, COPAYMENT AMOUNTS,

16 COINSURANCE, OR PREMIUM CONTRIBUTIONS. THE CARRIER OR PBM

17 SHALL PROVIDE THE INFORMATION TO EMPLOYERS NO LESS THAN NINETY

18 DAYS BEFORE THE DATE OF THE CALENDAR YEAR 2025 CONTRACT

19 RENEWAL.

20 (e) A CARRIER OR PBM SHALL PROVIDE THE INFORMATION

21 SPECIFIED IN SUBSECTIONS (2)(b), (2)(c), AND (2)(d) OF THIS SECTION TO

22 ALL CONTRACTED EMPLOYERS FOR CONTRACTS IN EFFECT DURING

23 CALENDAR YEAR 2025, INCLUDING CONTRACTED EMPLOYERS THAT MAY

24 NOT RECEIVE A RENEWAL NOTICE DUE TO A MULTIYEAR CONTRACTUAL

25 AGREEMENT OR FOR ANY OTHER REASON, EXCEPT NOTICE OF

26 TERMINATION.

27 (3) THE EXECUTIVE DIRECTOR OF THE DEPARTMENT SHALL, IN

-6- DRAFT
1 ACCORDANCE WITH THE "STATE ADMINISTRATIVE PROCEDURE ACT",
2 ARTICLE 4 OF TITLE 24, PROMULGATE RULES TO IMPLEMENT SUBSECTION

3 (2) OF THIS SECTION.

4 6-1-1603. Audits - rules. (1) THE OFFICE OF THE ATTORNEY

5 GENERAL MAY REQUEST THE DEPARTMENT TO CONDUCT AN AUDIT OF A

6 CARRIER OR PHARMACY BENEFIT MANAGER TO ENSURE COMPLIANCE WITH

7 THIS PART 16. THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OR THE

8 EXECUTIVE DIRECTOR'S DESIGNEE, IN COLLABORATION WITH THE DIVISION

9 OF INSURANCE, AS APPROPRIATE, MAY AUDIT, PURSUANT TO RULES

10 PROMULGATED BY THE EXECUTIVE DIRECTOR OF THE DEPARTMENT, A

11 CARRIER OR PBM TO DETERMINE IF THERE IS A VIOLATION OF THIS PART

12 16.
13 (2) THE DEPARTMENT MAY DETERMINE A CARRIER'S OR PBM'S
14 COMPLIANCE WITH THIS PART 16 BASED ON A SAMPLING OF DATA OR

15 BASED ON A FULL AUDIT OF ALL HEALTH BENEFIT CLAIMS. THE SAMPLING

16 OF DATA AND ANY EXTRAPOLATION FROM THE DATA USED TO DETERMINE

17 PENALTIES MUST BE REASONABLY VALID FROM A STATISTICAL

18 STANDPOINT AND IN ACCORDANCE WITH GENERALLY ACCEPTED AUDITING

19 STANDARDS. ANY CARRIER OR PBM THAT DOES NOT COMPLY WITH A

20 DEPARTMENT REQUEST FOR THE DATA REQUIRED TO COMPLETE AN AUDIT

21 VIOLATES THIS PART 16 AND MAY BE PENALIZED FOR EACH DATA ELEMENT

22 MISSING FROM THE RESPONSE TO THE REQUEST.

23 (3) INFORMATION OBTAINED THROUGH AN AUDIT CONDUCTED

24 PURSUANT TO THIS SECTION IS CONSIDERED PROPRIETARY AND

25 CONFIDENTIAL INFORMATION, AVAILABLE ONLY TO THE DEPARTMENT, THE

26 COMMISSIONER OF INSURANCE, THEIR AUDIT DESIGNEES, AND THE

27 ATTORNEY GENERAL'S OFFICE, AND IS NOT SUBJECT TO DISCLOSURE

-7- DRAFT
1 UNLESS SPECIFICALLY REQUIRED BY STATE OR FEDERAL LAW.

2 6-1-1604. Unfair or deceptive trade practice - enforcement. A

3 VIOLATION OF THIS PART 16 IS AN UNFAIR OR DECEPTIVE TRADE PRACTICE

4 AND SHALL BE ENFORCED BY THE ATTORNEY GENERAL, WHO HAS ALL

5 POWERS AND AUTHORITY GRANTED IN SECTIONS 6-1-107 TO 6-1-113 FOR

6 THE PURPOSES OF ENFORCING THIS PART 16.

7 SECTION 2. In Colorado Revised Statutes, add 10-16-158 as

8 follows:
9 10-16-158. Contracts - health benefit plans - pharmacy benefit
10 managers - policyholders - transparency requirements - rules -
11 definitions. (1) FOR A CONTRACT BETWEEN A CARRIER OR PHARMACY
12 BENEFIT MANAGER AND A CERTIFICATE HOLDER OR POLICYHOLDER THAT

13 IS ISSUED OR RENEWED ON OR AFTER JANUARY 1, 2025, THE AMOUNT

14 CHARGED BY THE CARRIER OR PBM TO THE CERTIFICATE HOLDER OR

15 POLICYHOLDER FOR A PRESCRIPTION DRUG DISPENSED TO A COVERED

16 PERSON MUST BE EQUAL TO OR LESS THAN THE AMOUNT PAID BY THE

17 CARRIER OR PBM TO A CONTRACTED PHARMACY FOR SUCH PRESCRIPTION

18 DRUG DISPENSED TO SUCH COVERED PERSON RESIDING IN COLORADO.

19 (2) (a) FOR GROUP HEALTH BENEFIT PLANS IN EFFECT DURING

20 CALENDAR YEAR 2025, A CARRIER OR PHARMACY BENEFIT MANAGER

21 SHALL DISCLOSE TO EACH CERTIFICATE HOLDER OR POLICYHOLDER THE

22 PRESCRIPTION DRUG CONTRACT TERMS REQUIRED BY THIS SUBSECTION (2).

23 FOR GROUP HEALTH BENEFIT PLANS IN EFFECT DURING CALENDAR YEAR

24 2023 OR 2024, OR BOTH, THE DISCLOSURE MUST ALSO INCLUDE ANY

25 CHANGES IN TERMS BETWEEN EACH CALENDAR YEAR.

26 (b) THE DISCLOSURES PURSUANT TO THIS SUBSECTION (2) MUST

27 INCLUDE:

-8- DRAFT
1 (I) THE INGREDIENT COST AVERAGE REIMBURSEMENT RATE FOR:
2 (A) GENERIC DRUGS DISPENSED AT RETAIL PHARMACIES;
3 (B) BRAND-NAME DRUGS DISPENSED AT RETAIL PHARMACIES;
4 (C) SPECIALTY DRUGS DISPENSED AT RETAIL PHARMACIES;
5 (D) GENERIC DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
6 (E) BRAND-NAME DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
7 (F) SPECIALTY DRUGS DISPENSED AT MAIL-ORDER PHARMACIES;
8 AND

9 (G) SPECIALTY DRUGS DISPENSED AT ANY SPECIALTY PHARMACY,

10 INCLUDING A PHARMACY THAT IS FULLY OR PARTIALLY OWNED BY A

11 CONTRACTING PBM, CARRIER, OR THE PBM'S OR CARRIER'S HOLDING

12 COMPANIES OR AFFILIATES;

13 (II) THE AVERAGE DISPENSING FEE PAID TO EACH TYPE OF

14 PHARMACY, INCLUDING EACH RETAIL, MAIL-ORDER, AND SPECIALTY

15 PHARMACY;

16 (III) THE CHARGE PER PRIOR AUTHORIZATION;

17 (IV) UTILIZATION MANAGEMENT PROGRAMS AND ASSOCIATED

18 FEES;

19 (V) ANY OTHER CONTRACTED SERVICES AND ASSOCIATED FEES;

20 (VI) THE AVERAGE REBATE PER PRESCRIPTION AND PER

21 REBATABLE PRESCRIPTION; AND

22 (VII) THE REBATE GUARANTEE, WHERE APPLICABLE.

23 (c) FOR CONTRACTS BETWEEN A CARRIER OR PHARMACY BENEFIT
24 MANAGER AND A CERTIFICATE HOLDER OR POLICYHOLDER THAT ARE

25 RENEWED IN CALENDAR YEAR 2025, THE CARRIER OR PBM SHALL

26 CALCULATE AND COMMUNICATE TO THE CERTIFICATE HOLDER OR

27 POLICYHOLDER THE VALUE OF THE DIFFERENCE BETWEEN THE CONTRACT

-9- DRAFT
1 TERMS IN THE 2025 RENEWED CONTRACTS AND THE CONTRACTS THAT

2 WERE IN EFFECT IN CALENDAR YEAR 2024, ANNUALIZING THE FIRST SIX

3 MONTHS OF 2024 ACTUAL DATA FOR EACH RESPECTIVE CERTIFICATE

4 HOLDER OR POLICYHOLDER. THE VALUE COMMUNICATED SHALL INCLUDE

5 ANNUAL AGGREGATE SAVINGS, ANNUAL AGGREGATE SAVINGS PER

6 EMPLOYEE PER YEAR, AND ANNUAL AGGREGATE SAVINGS PER COVERED

7 PERSON PER YEAR.

8 (d) A CARRIER OR PHARMACY BENEFIT MANAGER SHALL PROVIDE

9 TO EACH CERTIFICATE HOLDER OR POLICYHOLDER, FOR VOLUNTARY

10 CONSIDERATION, OPTIONS TO REPURPOSE AGGREGATE SAVINGS IN THE

11 FORM OF REDUCTIONS TO OUT-OF-POCKET COSTS SUCH AS DEDUCTIBLES,

12 COPAYMENT AMOUNTS, COINSURANCE, OR PREMIUM CONTRIBUTIONS. THE

13 CARRIER OR PBM SHALL PROVIDE THE INFORMATION TO CERTIFICATE

14 HOLDERS OR POLICYHOLDERS NO LESS THAN NINETY DAYS BEFORE THE

15 DATE OF THE CALENDAR YEAR 2025 CONTRACT RENEWAL.

16 (e) A CARRIER OR PBM SHALL PROVIDE THE INFORMATION

17 SPECIFIED IN SUBSECTIONS (2)(b), (2)(c), AND (2)(d) OF THIS SECTION TO

18 ALL CERTIFICATE HOLDERS AND POLICYHOLDERS FOR CONTRACTS IN

19 EFFECT DURING CALENDAR YEAR 2025, INCLUDING CERTIFICATE HOLDERS

20 AND POLICYHOLDERS THAT MAY NOT RECEIVE A RENEWAL NOTICE DUE TO

21 A MULTIYEAR CONTRACTUAL AGREEMENT OR FOR ANY OTHER REASON,

22 EXCEPT NOTICE OF TERMINATION.

23 (3) THE COMMISSIONER, IN COLLABORATION WITH THE EXECUTIVE

24 DIRECTOR OF THE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING,

25 SHALL PROMULGATE RULES TO IMPLEMENT THIS SECTION.

26 (4) (a) THE COMMISSIONER MAY CONDUCT AN AUDIT OR MARKET

27 CONDUCT EXAMINATION OF A CARRIER OR PHARMACY BENEFIT MANAGER

-10- DRAFT
1 TO ENSURE COMPLIANCE WITH THIS SECTION AND MAY, AS APPROPRIATE,

2 CONDUCT THE AUDIT OR MARKET CONDUCT EXAMINATION IN

3 CONJUNCTION WITH THE DEPARTMENT OF HEALTH CARE POLICY AND

4 FINANCING. THE COMMISSIONER, PURSUANT TO ANY RULES PROMULGATED

5 BY THE DIVISION IN COLLABORATION WITH THE EXECUTIVE DIRECTOR OF

6 THE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING, AS

7 APPROPRIATE, MAY AUDIT A CARRIER OR PBM ANNUALLY TO DETERMINE

8 IF THERE IS A VIOLATION OF THIS SECTION.

9 (b) THE COMMISSIONER MAY DETERMINE A CARRIER'S OR PBM'S

10 COMPLIANCE WITH THIS SECTION BASED ON A SAMPLING OF DATA OR

11 BASED ON A FULL CLAIMS AUDIT . THE SAMPLING OF DATA AND ANY

12 EXTRAPOLATION FROM THE DATA USED TO DETERMINE PENALTIES MUST

13 BE REASONABLY VALID FROM A STATISTICAL STANDPOINT AND IN

14 ACCORDANCE WITH GENERALLY ACCEPTED AUDITING STANDARDS. A

15 CARRIER OR PBM THAT DOES NOT COMPLY WITH A DIVISION REQUEST FOR

16 THE DATA REQUIRED TO COMPLETE AN AUDIT VIOLATES THIS SECTION AND

17 MAY BE SUBJECT TO PENALTIES.

18 (c) INFORMATION OBTAINED THROUGH AN AUDIT CONDUCTED

19 PURSUANT TO THIS SUBSECTION (4) IS PROPRIETARY AND CONFIDENTIAL

20 INFORMATION, AVAILABLE ONLY TO THE DEPARTMENT OF HEALTH CARE

21 POLICY AND FINANCING, THE COMMISSIONER, THEIR AUDITING DESIGNEES,

22 AND THE ATTORNEY GENERAL'S OFFICE, AND IS NOT SUBJECT TO

23 DISCLOSURE UNLESS SPECIFICALLY REQUIRED BY STATE OR FEDERAL LAW.

24 (5) THE FAILURE OF A CARRIER OR PBM TO COMPLY WITH THIS

25 SECTION IS AN UNFAIR METHOD OF COMPETITION AND AN UNFAIR OR A

26 DECEPTIVE ACT OR PRACTICE IN THE BUSINESS OF INSURANCE PURSUANT

27 TO SECTION 10-3-1104 (1).

-11- DRAFT
1 (6) AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE
2 REQUIRES:

3 (a) "CONTRACTED PHARMACY" MEANS A PHARMACY THAT HAS

4 CONTRACTED WITH A CARRIER, A PHARMACY BENEFIT MANAGER , OR AN

5 AFFILIATE OF THE CARRIER OR PBM.

6 (b) "INGREDIENT COST" MEANS THE ACTUAL AMOUNT PAID TO A

7 PHARMACY BY A PHARMACY BENEFIT MANAGER FOR A PRESCRIPTION

8 DRUG, NOT INCLUDING A DISPENSING FEE OR PATIENT COST-SHARING

9 AMOUNT.

10 (c) "PHARMACY" MEANS AN ENTITY WHERE MEDICINAL DRUGS ARE

11 DISPENSED AND SOLD, INCLUDING A RETAIL PHARMACY, MAIL-ORDER

12 PHARMACY, SPECIALTY PHARMACY, HOSPITAL OUTPATIENT SETTING, OR

13 OTHER RELATED PHARMACY.

14 SECTION 3. Act subject to petition - effective date. This act

15 takes effect at 12:01 a.m. on the day following the expiration of the
16 ninety-day period after final adjournment of the general assembly; except
17 that, if a referendum petition is filed pursuant to section 1 (3) of article V
18 of the state constitution against this act or an item, section, or part of this
19 act within such period, then the act, item, section, or part will not take
20 effect unless approved by the people at the general election to be held in
21 November 2024 and, in such case, will take effect on the date of the
22 official declaration of the vote thereon by the governor.

-12- DRAFT
From: Cahill - GOVOffice, Conor on behalf of Cahill - GOVOffice, Conor <[email protected]>
To: David Oppenheim - GOVOffice; Maria De Cambra - GOVOffice; Allie Kimmel - GOVOffice; Eleni Angelides -
GOVOffice
Subject: Fwd: MEDIA ADVISORY: AG Weiser, state legislators, consumer advocates to discuss new bill addressing medical
billing practices that harm consumers
Date: Monday, February 13, 2023 11:58:07 AM

---------- Forwarded message ---------

From: News from Attorney General Phil Weiser <[email protected]>
Date: Mon, Feb 13, 2023 at 11:53 AM
Subject: MEDIA ADVISORY: AG Weiser, state legislators, consumer advocates to discuss
new bill addressing medical billing practices that harm consumers
To: <[email protected]>
FOR PLANNING PURPOSES ONLY ***MEDIA ADVISORY***

Attorney General Phil Weiser, state legislators, consumer advocates to discuss new
bill addressing medical billing practices that harm consumers

What: Attorney General Phil Weiser, state Sen. Lisa Cutter, state Sen. Sonya Jaquez Lewis, state
representatives, and consumer advocates will discuss Senate Bill 23-093, a new bill that aims to
ensure consumers and patients are treated fairly and allowed to receive needed health care while
not being subjected to crushing medical debt or confusing collections practices. 

Debt incurred from medical costs can be financially devastating for patients. And when combined
with high interest rates and complicated collections practices, consumers may never be able to pay
off such debts. The new bill outlines regulations to address high interest rates and ensure
consumers are provided necessary information before they are billed.

Who: Attorney General Phil Weiser

State Sen. Lisa Cutter
State Sen. Sonya Jaquez Lewis
State Rep. Mike Weissman
State Rep. Kyle Brown
Sharon Cravitz, a consumer
Isabel Cruz, Colorado Consumer Health Initiative

When: 11:30 a.m. Tuesday, Feb. 14, 2023

Where: Colorado State Capitol, Room 351, 3rd floor

200 E. Colfax Ave., Denver
The news conference will be livestreamed at www.facebook.com/COSenDem.

Other: Please RSVP to [email protected] or [email protected]

###

Media Contact:
Lawrence Pacheco
Director of Communications
(720) 508-6553 office | (720) 245-4689 cell
[email protected]

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Colorado Attorney General's Office | 1300 Broadway 10th Floor, Ralph L. Carr Judicial Center,
Denver, Colo. 80203
Colorado Attorney General's Office | 1300 Broadway 10th Flr, Ralph L. Carr Judicial Center,
Denver, CO 80203

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From: Robert Smith on behalf of Robert Smith <[email protected]>
To: Heather Britton; Melissa Ekback , PHR, SHRM-CP; Fieth, Gregory; Gena Trujillo; Melissa Johnson; Jennifer
Whitener; Josh Benn, DPA; Lorie Robertson; Jennifer Stroh; Jessica Linart; Mary Coleman; Edwin S. Pittaway;
Nathan Cooper; Dave Thomas; Theresa Roche; Ben Taylor; Otte, Bobby; Briseno, Anthony (Denver); Dwayne
Stephens; James A. Hill, Ed.D.; Kevin Vick; Kevin Patterson; [email protected]; Elizabeth Traister;
Adam Fox; Adam Barnett; Bradley Arnold; Julia Floca, PHR, SHRM-CP; Judy Mackey;
[email protected]; Layla Holt; Nikki Jost; Puetz, Benjamin; Rachel Beck; Richard B. Stull; Patti
Russell; Shelley Becker; Todd Fukai; Bergman, Timothy
Cc: Bonnie Martin; Kenneth Detweiler; Michael Conway; Chris Skisak; Gloria Sachdev, PharmD; Cheryl A. DeMars;
Bartlett, Marilyn; Barb Sandusky; Anne Ladd; Whaley, Christopher
Subject: The Conundrum of US Healthcare: What"s Clear Amid the Complexity?
Date: Monday, February 13, 2023 5:52:39 AM

Dear CBGH Members, Colleagues, and Friends....

I likely won't have reason to email you again before retiring at the end of March. 
We've documented what we could about hospital prices and profits as well as
healthcare costs, outcomes, and trends overall.  And - with the help of any number of
people - we've probably said and done all we could about the possibilities for and
promise of purchaser-led health reform.  The Colorado Purchasing Alliance is in
place and poised to be increasingly effective at improving healthcare value - with
adequate participation from resolved plan sponsors.

Nevertheless, with this email, I would like to share several excellent articles about the
healthcare bazaar into which you all courageously venture each year or two (and over
the entrance to which should be a sign with either the traditional free-market warning
of "Caveat Emptor" - or perhaps more ironically (but appropriately),  the
admonishment Milton offered in Paradise Lost: "Abandon all hope, ye who enter
here).   In either case, below you will find the articles.

One of my key career conclusions is that it's unlikely that ANY US marketplace
functions as inefficiently and ineffectively as healthcare.  Why?  Well, partly because
it's complex but mostly, due to that complexity, I think it's because we purchase
nothing else in the manner that we purchase healthcare - through surrogates without
effective means or strategies to improve outcomes, reduce waste, or control
costs.  Yes, healthcare is challenging.  Healthcare can be SO complex that seemingly
contradictory statements can be made and BOTH can be true.  (Colorado's hospital
association deftly relies on and plays on this fact, obfuscating issues rather than
contributing to a solution.)  But, complexity notwithstanding, plan sponsors have a
responsibility to rise to the occasion and purchase care with accountability.  ONLY
plan sponsors have the both means and the incentive to address the root issue:
Pricing to what the market will bear - without either transparency or
accountability. 

Putting both complexity and CHAs' sophistry aside, however, at day's end,
here's what seems simply, eggregiously, and heart-breakingly clear: drug
manufacturers, health systems, and health plans are making historic profits while
healthcare is the leading cause of bankruptcy for American families - and third leading
cause of avoidable death.   And here's what's equally clear: this is exactly the
outcome that employers and other commercial plan sponsors are financing!!!
 (Medicare and, in Colorado at least, Medicaid seem to me to be doing a much more
diligent job as prudent purchasers.  In fact, in Colorado, I view Medicaid as a model -
not only for the country but for other health plans.)

There is a solution: the approach prescribed in Dr. David Blumenthal's 2018 editorial
in the Harvard Business Review about how plan sponsors could create a functional
market that serves purchasers and patients.  It's what we've created with The
Colorado Purchasing Alliance. I don't know a better way.  As Peter Drucker put it so
simply:  

If you want something new, you must stop doing something old.

After March, should you happen to ski A-Basin on a weekday, keep an eye out for
me!

Bob

Recommended Articles

"Salve Lucrum: The Existential Threat of Greed in US Health Care,"  In this
recent JAMA editorial, Dr. Don Berwick - humanistic, pediatrician, founder of the
Institute for Healthcare Improvement,  and long-time cheerleader for better
outcomes ("because our children and our parents deserve better") -  bluntly
calls out the greed driving US healthcare.   As the always inspirational Dr.
Berwick states so eloquently....

"Profit may have its place in motivating innovation and higher quality in
health care, as in any industry.  But the klepto-capitalist behaviors that
raise prices, salaries, market power, and government payment to extreme
levels hurt patients and families, vulnerable institutions, governmental
programs, small and large businesses, and workforce morale. Those
behaviors, mostly legal but nonetheless wrong, have now accumulated
to a level that poses an existential threat to a sustainable, equitable, and
compassionate health care system."    (Emphasis added.)

If you haven't time for any of the following articles, please read this one by Dr.
Berwick.  It should rinse away any remaining delusions about focus of the
healthcare "market."

"U.S. Health Care from a Global Perspective, 2022: Accelerating Spending,

Worsening Outcomes."   Being an outlier in healthcare spending among
OECD countries (since we're also the richest of the bunch) isn't, ipso facto, a
bad thing.   If more spending meant better outcomes and health, we could very
reasonably justify it.   BUT, when you realize that, despite (and, in some cases
because of ) our high level of spending, "Americans are more likely to die
younger, and from avoidable causes, than residents of peer countries," it
unavoidably suggests plan sponsors are not being prudent purchasers.  I say
"unavoidably" because in a free market, the people buying healthcare are
the ones shaping what gets delivered and how it gets delivered by how they
 chose to spend their money.   (See last article.) Using surrogates - e.g., health
plans and consultants - doesn't sidestep that responsibility (as the Consolidated
Appropriations Act put into law).

“We’re Still Gonna Say No”: Inside UnitedHealthcare’s Effort to Deny

Coverage to Chronically Ill Patients.    Having run a small health plan I can
tell you that, even under the best of circumstances, even when all the parties
genuinely want what's best for the patient, some decisions about the costs
and efficacy of care options can be excruciatingly difficult.  (I've chaired
some heart-wrenching meetings with patients and parents of patients.)  But the
minute profit enters the picture, what's in the patient's best interest can get
crumpled up like a half-finished Happy Meal and tossed casually out the window
alongside a littered road leading to increased bottom lines - and higher C-Suite
salaries.   While the immediate issue in the case presented here is
egregious drug pricing (making Dr. Berwick's case above), this article points to
a fundamental problem that's driving so many families, even with health
insurance, into bankruptcy:  Pricing to what the market will bear.  CEPR
documented that this pricing strategy is driving market consolidation in
Colorado. This is why the next article is important.

"Value-Based Care: What It Is and Why It’s Needed."   As we've uniquely
documented for CBGH members, across and within Colorado's hospitals, you
can get some of the very best care in the country at various (not all) hospitals
for various services and pay roughly half the price you'll pay for some of the
very worst care in the country at another.   THAT's the behavior that Dr.
Berwick points to but which Colorado's plan sponsors are financing and
perpetuating  through obsolete contracting and benefits practices
- however much we prefer to displace responsibility.

Robert J. Smith, MBA

Executive Director
Colorado Business Group on Health
   Working Together to Improve Health Care Value
215 S. Wadsworth Blvd, Suite 500
Lakewood, CO 80226
http://www.cbghealth.org

303.304-1496  Cell
303.922-0939  Office

Like Us on Facebook! 
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
[email protected]; Reece, Marc <[email protected]>; Alan Schmitz; Ilana Rivera; Mike Stahl; Kelly
Guthner; Renata Robinson; Mara Baer; Christy Blakely; Kevin Patterson
Cc: Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Michael Stephen; Kelly Davies;
Arba Robinson; Lisa Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie
<[email protected]>; Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy
Solberg; Daniel O"Neil; Adela Flores-Brennan <[email protected]>; Hannah Sieben; Ashley
Blevins; Blake Simony; Kevin Patterson <[email protected]>; Samuel Talbott; Dorian Wilson; Tim Catron;
Brian Braun; Jessalyn Hampton; Sharita Stevens; [email protected]; Dub Jones; Madi Guthrie;
Julie Susemihl; Cliff Craig; [email protected]; Allison Heed; [email protected]
Subject: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
Zoom Link: https://c4hco.zoom.us/u/kdPjEW4aHR
From: C4 Calendar
To: Ezra Watland; Board Members; Board Members Support; C4 Leadership; Carolyn Pickton; Lorez Meinhold; Annie
Lee; Ashton Hall; Karen Cuplin; Mike Conway; Dick Thompson; Patrick Gordon; Policy & Marketing/Comms;
Christy Blakely; Renata Robinson; [email protected]; Mike Stahl; Kelly Guthner; Reece, Marc
<[email protected]>; Kevin Patterson; Alan Schmitz; Ilana Rivera; Mara Baer
Cc: Beth Deines; Molly McClurg; Leslie Chadwick; Patty Becker; Jessalyn Hampton; Michael Stephen; Kelly Davies;
Arba Robinson; Lisa Sevier; Shawn Palmer; David Hague; Jessica Smith; Paykoc - GOVOFFICE, Carrie
<[email protected]>; Jacqueline Espy; Monica Caballeros; Stephanie Gray; Nina Schwartz; Nancy
Solberg; Allison Heed; Daniel O"Neil; Adela Flores-Brennan <[email protected]>; Hannah Sieben;
Cliff Craig; Ashley Blevins; Blake Simony; Kevin Patterson <[email protected]>; Samuel Talbott; Dorian
Wilson; Tim Catron; Brian Braun; Julie Susemihl; [email protected]; Jessalyn Hampton; Sharita
Stevens; [email protected]; Madi Guthrie; [email protected]; Dub Jones
Subject: C4HCO Board Meeting
Attachments: image001.png

Connect for Health Colorado Board meetings are scheduled on the second Monday of each month from 12:00 pm to 3:00 pm.
 
All Board members have been invited and are welcome to attend the meeting via video conference.
 
Meeting Materials will be forthcoming and available on the website closer to the meeting date.
 
 
Ilana Rivera
Office and  Administrative Lead
 
Office: 720-765-2880  Cell: 407-227-6604
4600 South Ulster Street | Suite 300 | Denver, CO 80237

 
CONFIDENTIALITY NOTICE: Proprietary/Confidential Information belonging to Connect for Health Colorado and its affiliates may be contained in
this message. If you are not a recipient indicated or intended in this message (or responsible for delivery of this message to such person), or you think
for any reason this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such case, you
should destroy this message, and are asked to notify the sender by reply email. Thank you.
 
 
From: Robert Smith on behalf of Robert Smith <[email protected]>
To: Heather Britton; Vicki Mair; Melissa Ekback , PHR, SHRM-CP; Fieth, Gregory; Gena Trujillo; Melissa Johnson;
Jennifer Whitener; Josh Benn, DPA; Lorie Robertson; Jennifer Stroh; Jessica Linart; Mary Coleman; Kenneth
Detweiler; Edwin S. Pittaway; Nathan Cooper; Dave Thomas; Theresa Roche; Elisabeth Arenales; Briseno,
Anthony (Denver); James A. Hill, Ed.D.; Trevor Abeyta - HCPF; Analisa Romano; Barb Sandusky; Ben Taylor;
Dwayne Stephens; Cheryl A. DeMars; Edwin S. Pittaway; Todd Fukai; Flores, Vicki [CO]; Jennifer Whitener;
[email protected]; John Ingold; Kevin Vick; Kevin Patterson; Nikki Daniels; Nikki Jost; Otte, Bobby;
Amie Baca-Oehlert; Amber Oeltjenbruns; Bridget Paris; Shelley Becker; Kevin Vick; Williams, Marc; Adam
Barnett; Adam Fox; Susana Cole; Jon Alvino; Amber Cruz; Angelina Salazar; Bradley Arnold; Puetz, Benjamin
Cc: Bonnie Martin
Subject: Re: March 16th Strategy Session: "Obesity gets Addressed at Westminster Medical Clinic"
Date: Thursday, February 9, 2023 3:28:55 PM

By the way, in case you didn't see this...

"UnitedHealth, CVS/Aetna, Cigna pulled in close to a trillion dollars last year, mostly as drug
middlemen."  

I can't imagine why these plans would suggest you shouldn't carve out your PBM as we've been suggesting.

On Thu, Feb 9, 2023 at 2:50 PM Robert Smith <[email protected]> wrote:

Good afternoon, CBGH Members and Friends...

As you know, chronic diseases directly and indirectly drive the majority of healthcare costs
for your employee health plan and obesity can be the largest contributor to chronic diseases. 
According the Centers for Disease Control's site on the Heath Effects of Overweight and
Obesity, "people who are overweight or have obesity, compared to those with healthy weight,
are at increased risk for as many as 12 serious diseases and health conditions - including
various cancers as one of the conditions."

Because of the impact of obesity on both your enrollees' health and your plan's
finances, I'm hoping you will accept the invite that I'm about to send you to (virtually)
attend a CBGH Strategy Session on March 16h at Noon.  The program, "Obesity
Gets Addressed at Westminster Medical Clinic," will feature (you guessed it!)
physicians from WMC - an independent primary care practice which, in 2021, won a
prestigious  "Advanced Primary Care Practice Award" from the Primary Care
Collaborative as "an organization....that serves as a model for transformation
through innovation as reflected in the Shared Principles of Primary Care, including
patient- and family-centered, team-based care and high value."   As Ann Greiner,
PCC’s President and CEO put it in announcing the award....

“If you want to see the future of primary care, look at Westminster Medical Clinic. It
is the embodiment of the Shared Principles of Primary Care, which envision a patient-
centered, team-based approach to delivering comprehensive primary care."

Please plan to participate on March 16th.  You will learn, among other things, how
this practice manages to get the HgA1c for 9 out of 10 of its patients who live
with diabetes under control!!!

Bob

About Westminster Medical Clinic:   Established in 1952, is an independently owned

practice serving 6,500 people. WMC uses a team-based approach that includes physicians,
 PAs, a nurse practitioner, a certified health coach, behavioral health professionals, a clinical
pharmacist, and a Patient Advisory Council (PAC), all supported by medical assistants, care
coordinators, program coordinators, technology, and administrative management.
Multidisciplinary care teams hold monthly gatherings to develop comprehensive, shared-
care plans.

--
Robert J. Smith, MBA
Executive Director
Colorado Business Group on Health
   Working Together to Improve Health Care Value
215 S. Wadsworth Blvd, Suite 500
Lakewood, CO 80226
http://www.cbghealth.org

303.304-1496  Cell
303.922-0939  Office

Like Us on Facebook! 

--
Robert J. Smith, MBA
Executive Director
Colorado Business Group on Health
   Working Together to Improve Health Care Value
215 S. Wadsworth Blvd, Suite 500
Lakewood, CO 80226
http://www.cbghealth.org

303.304-1496  Cell
303.922-0939  Office

Like Us on Facebook! 
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected];
[email protected]; [email protected]; Flores, Vicki [CO]; Adam
Fox; Jennifer Stroh; Kevin Vick; Melissa Johnson; Theresa Roche; Dave Thomas; [email protected];
Karen Ragland; Jon Alvino; Trevor Abeyta - HCPF; Bridget Paris; Briseno, Anthony (Denver); Kenneth Detweiler;
Ben Taylor; Jennifer Whitener; Shelley Becker; John Ingold; Joshua Benn - DPA; Adam Barnett; Melissa Ekback ,
PHR, SHRM-CP; Joie Siegrist; Amie Baca-Oehlert; Todd Fukai; Otte, Bobby; Nikki Jost; Amber Cruz; James A. Hill,
Ed.D.; Marc Williams - HCPF; Vicki Mair; Kevin Vick; Heather Britton; Fieth, Gregory; Angelina Salazar; Mary
Coleman; Kevin Patterson; Gena Trujillo; Puetz, Benjamin; Lorie Robertson; Amber Oeltjenbruns; Bradley Arnold;
Susana Cole; Analisa Romano; Cheryl A. DeMars; Nathan Cooper; Dwayne Stephens; Edwin S. Pittaway; Nikki
Daniels; Jessica Linart; Edwin S. Pittaway
Subject: Invitation: Obesity gets Addressed at Westminster Medical Clinic @ Thu Mar 16, 2023 12pm - 1pm (MDT)
([email protected])
Attachments: invite.ics

Obesity gets Addressed at Westminster Medical Clinic

Caitlin Barba is inviting you to a scheduled Zoom meeting.Join Zoom Meetinghttps://us02web.zoom.us/j/86068624151?
pwd=U2ovT2o3YXppeXUxcEJ6Q1VCandiZz09Meeting ID: 860 6862 4151Passcode: 445182One tap mo
 
Caitlin Barba is inviting you to a scheduled Zoom meeting.

Join Zoom Meeting

Learn more

 
From: Robert Smith on behalf of Robert Smith <[email protected]>
To: Heather Britton; Vicki Mair; Melissa Ekback , PHR, SHRM-CP; Fieth, Gregory; Gena Trujillo; Melissa Johnson;
Jennifer Whitener; Josh Benn, DPA; Lorie Robertson; Jennifer Stroh; Jessica Linart; Mary Coleman; Kenneth
Detweiler; Edwin S. Pittaway; Nathan Cooper; Dave Thomas; Theresa Roche; Elisabeth Arenales; Briseno,
Anthony (Denver); James A. Hill, Ed.D.; Trevor Abeyta - HCPF; Analisa Romano; Barb Sandusky; Ben Taylor;
Dwayne Stephens; Cheryl A. DeMars; Edwin S. Pittaway; Todd Fukai; Flores, Vicki [CO]; Jennifer Whitener;
[email protected]; John Ingold; Kevin Vick; Kevin Patterson; Nikki Daniels; Nikki Jost; Otte, Bobby;
Amie Baca-Oehlert; Amber Oeltjenbruns; Bridget Paris; Shelley Becker; Kevin Vick; Williams, Marc; Adam
Barnett; Adam Fox; Susana Cole; Jon Alvino; Amber Cruz; Angelina Salazar; Bradley Arnold; Puetz, Benjamin
Cc: Caitlin Barba; [email protected]; [email protected];
[email protected]; [email protected]; Bonnie Martin
Subject: March 16th Strategy Session: "Obesity gets Addressed at Westminster Medical Clinic"
Date: Thursday, February 9, 2023 2:51:00 PM

Good afternoon, CBGH Members and Friends...

As you know, chronic diseases directly and indirectly drive the majority of healthcare costs for
your employee health plan and obesity can be the largest contributor to chronic diseases. 
According the Centers for Disease Control's site on the Heath Effects of Overweight and
Obesity, "people who are overweight or have obesity, compared to those with healthy weight,
are at increased risk for as many as 12 serious diseases and health conditions - including
various cancers as one of the conditions."

Because of the impact of obesity on both your enrollees' health and your plan's
finances, I'm hoping you will accept the invite that I'm about to send you to (virtually)
attend a CBGH Strategy Session on March 16h at Noon.  The program, "Obesity
Gets Addressed at Westminster Medical Clinic," will feature (you guessed it!)
physicians from WMC - an independent primary care practice which, in 2021, won a
prestigious  "Advanced Primary Care Practice Award" from the Primary Care
Collaborative as "an organization....that serves as a model for transformation through
innovation as reflected in the Shared Principles of Primary Care, including patient-
and family-centered, team-based care and high value."   As Ann Greiner, PCC’s
President and CEO put it in announcing the award....

“If you want to see the future of primary care, look at Westminster Medical Clinic. It
is the embodiment of the Shared Principles of Primary Care, which envision a patient-
centered, team-based approach to delivering comprehensive primary care."

Please plan to participate on March 16th.  You will learn, among other things, how
this practice manages to get the HgA1c for 9 out of 10 of its patients who live
with diabetes under control!!!

Bob

About Westminster Medical Clinic:   Established in 1952, is an independently owned

practice serving 6,500 people. WMC uses a team-based approach that includes physicians,
PAs, a nurse practitioner, a certified health coach, behavioral health professionals, a clinical
pharmacist, and a Patient Advisory Council (PAC), all supported by medical assistants, care
coordinators, program coordinators, technology, and administrative management.
Multidisciplinary care teams hold monthly gatherings to develop comprehensive, shared-care
plans.

--
Robert J. Smith, MBA
Executive Director
Colorado Business Group on Health
   Working Together to Improve Health Care Value
215 S. Wadsworth Blvd, Suite 500
Lakewood, CO 80226
http://www.cbghealth.org

303.304-1496  Cell
303.922-0939  Office

Like Us on Facebook! 
From: Ruthven - GovOffice, Misti on behalf of Ruthven - GovOffice, Misti <[email protected]>
To: Steve Holloway
Cc: Amelia Hetherington - GovOffice; Arenales - GOVOffice, Elisabeth; Bailey - HCPF, Candace; Charlie Arnowitz -
GOVOffice; Chen - GOVOffice, Edwin; Colin Laughlin - HCPF; Dunker, Eric; Edmond Toy - GOVOffice; Farestad -
CDHS, Kimberly; Isabelle Nathanson - GovOffice; Jacquline Arcelin - DORA; Jarett Hughes - GOVOffice; John
Kelly - GovOffice; Josh Winkler - GovOffice; Karen McGovern - DORA; Kendall Einhorn - CDLE; Kristin Ingstrup -
CDHS; Nicky Joseph - GOVOffice Intern; Noah Strayer - GOVOffice; Patty Salazar - DORA; Renise Walker - CDLE;
Ronne Hines - DORA; Sherry Wolfe - GovOffice; Silva - HCPF, Bonnie; Simmerman - CDHS, Wendy; Stephanie
Mufic - CDLE; Thomas Hartman - CDLE; [email protected]; [email protected];
[email protected]
Subject: Re: ANNOUNCEMENT: Practice-based Health Education Grant Program - Request for Applications (RFA) #41324
Date: Thursday, January 12, 2023 10:35:32 AM

Thanks Steve!

On Thu, Jan 12, 2023 at 10:30 AM Steve Holloway <[email protected]> wrote:

FYI

Steve Holloway, MPH

Health Access Branch Director

preferred pronouns: he/him/his

C 303.246.5116
4300 Cherry Creek Drive South, Denver, CO 80246-1530
[email protected] | cdphe.colorado.gov/health-access-branch

---------- Forwarded message ---------

From: Jacobsen - CDPHE, Kathy <[email protected]>
Date: Thu, Dec 29, 2022 at 11:27 AM
Subject: ANNOUNCEMENT: Practice-based Health Education Grant Program - Request
for Applications (RFA) #41324
To: Dianna Orf <[email protected]>, Shao Yeung <[email protected]>, Kimberly
Whitten <[email protected]>, Erickson, Whitney
<[email protected]>, Deborah Lively <[email protected]>,
Timothy Dienst <[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, Ryan Biehle <[email protected]>,
<[email protected]>, Bridget Garcia <[email protected]>, Colleen Casper
<[email protected]>, Kelly Erb <[email protected]>,
<[email protected]>, Erica Pike <[email protected]>,
<[email protected]>, Suzanne Smith <[email protected]>, <[email protected]>,
Cathy Witt <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, Aubrey Hill <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
Heather Craiglow - CDEC <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
Braun, Patricia MD <[email protected]>, <[email protected]>, Pirrie, Shannon
M <[email protected]>, <[email protected]>,
<[email protected]>, Elias Provencio-Vasquez RN PhD <eli.provencio-
[email protected]>, Kevin Laudner <[email protected]>,
<[email protected]>, Salvador Aceves SVP CFO <[email protected]>, Susan
Clough VP <[email protected]>, Longshore, Mark
<[email protected]>, Root, Melissa <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, Holly Kingsbury <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>, Andrea
Carlstrom <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, Tara Smith - DORA
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, Christine McGroarty - CDPHE
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, Diana Herrero - CDPHE
<[email protected]>, Elise Lowe-Vaughn - CDLE <Elise.Lowe-
[email protected]>, Zimmer, Lorena <[email protected]>,
<[email protected]>, Hambidge, Simon MD, PhD
<[email protected]>, Phyllis Albritton <[email protected]>,
Elaine McManis - CDPHE <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, Kristin Ingstrup - CDHS
<[email protected]>, Wendy Simmerman - CDHS
<[email protected]>, <[email protected]>,
<[email protected]>, Sara Schmitt <[email protected]>,
<[email protected]>, Sara Leahy <[email protected]>,
<[email protected]>, Seward, Chet <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, Danny Barela <[email protected]>,
<[email protected]>, Donnie Woodyard - CDPHE
<[email protected]>, Edwards, Lindsay L <[email protected]>, Lynne
Jones <[email protected]>, CDPHE Health Access Branch HAB
<[email protected]>, <[email protected]>,
Theresa Buxton PhD RN <[email protected]>
Cc: Stephen Holloway - CDPHE <[email protected]>, Tamara Davis - CDPHE
<[email protected]>, Haywood - CDPHE, Alicia <[email protected]>,
Tracy Miller - CDPHE <[email protected]>, Carrie Cortiglio - CDPHE
<[email protected]>, Curt Drennen - CDPHE <[email protected]>,
Alberto Garcia - CDPHE <[email protected]>

Dear Stakeholders:

The Primary Care Office at the Colorado Department of Public Health and
Environment is
pleased to announce a new funding opportunity available through the Practice-
based Health
Education Grant Program (PBHE).

Request for Applications (RFA) #41324 is the culmination of several months of

work
between the Primary Care Office and its internal and external stakeholders
throughout
Colorado in response to Senate Bill 22-226, signed into law during the 2022
regular session
of the Colorado General Assembly.

RFA #41324 is being posted as an open RFA, which means there will be multiple
opportunities
to submit applications in response to this RFA throughout the RFA life cycle, with
the first
application cohort closing on January 31, 2023.

RFA #41324 will open on Friday, December 30, 2022.  Interested applicants can
find more
information about the PBHE program as well as access to the RFA document, all
required 
application attachments, and guidance documents on the PBHE website.

General questions related to the Practice-based Health Education Grant Program

can be 
directed to Kathy Jacobsen, Academic Programs Workforce Supervisor, via email
at
[email protected].  

Questions specific to RFA #41324 should be sent to the following email address as
indicated
in the RFA document: [email protected].

Take care,
Kathy J.

KATHY JACOBSEN, MS
Academic Programs Workforce Supervisor
Health Access Branch | Primary Care Office
 
Pronouns: She/Her/Hers | Why Pronouns Matter

4300 Cherry Creek Drive South, Denver,

CO 80246
[email protected]  |  Website

My working hours may not be your working hours. Please do 

not feel obligated to reply outside of your normal work schedule.

I am working remotely.  The quickest way to reach me is via email.

From: Steve Holloway on behalf of Steve Holloway <[email protected]>
To: Amelia Hetherington - GovOffice; Silva - HCPF, Bonnie; Bailey - HCPF, Candace; Charlie Arnowitz - GOVOffice;
Colin Laughlin - HCPF; Edmond Toy - GOVOffice; Chen - GOVOffice, Edwin; Arenales - GOVOffice, Elisabeth;
Dunker, Eric; Isabelle Nathanson - GovOffice; Jacquline Arcelin - DORA; Jarett Hughes - GOVOffice; John Kelly -
GovOffice; Josh Winkler - GovOffice; Karen McGovern - DORA; Kendall Einhorn - CDLE; Farestad - CDHS,
Kimberly; Kristin Ingstrup - CDHS; Misti Ruthven - GovOffice; [email protected]; Nicky Joseph -
GOVOffice Intern; Noah Strayer - GOVOffice; [email protected]; Patty Salazar - DORA;
[email protected]; Renise Walker - CDLE; Ronne Hines - DORA; Sherry Wolfe - GovOffice; Stephanie
Mufic - CDLE; Thomas Hartman - CDLE; Simmerman - CDHS, Wendy
Subject: Fwd: ANNOUNCEMENT: Practice-based Health Education Grant Program - Request for Applications (RFA) #41324
Date: Thursday, January 12, 2023 10:30:50 AM

FYI

Steve Holloway, MPH

Health Access Branch Director

preferred pronouns: he/him/his

C 303.246.5116
4300 Cherry Creek Drive South, Denver, CO 80246-1530
[email protected] | cdphe.colorado.gov/health-access-branch

---------- Forwarded message ---------

From: Jacobsen - CDPHE, Kathy <[email protected]>
Date: Thu, Dec 29, 2022 at 11:27 AM
Subject: ANNOUNCEMENT: Practice-based Health Education Grant Program - Request for
Applications (RFA) #41324
To: Dianna Orf <[email protected]>, Shao Yeung <[email protected]>, Kimberly
Whitten <[email protected]>, Erickson, Whitney <[email protected]>,
Deborah Lively <[email protected]>, Timothy Dienst <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>, Ryan
Biehle <[email protected]>, <[email protected]>, Bridget Garcia
<[email protected]>, Colleen Casper <[email protected]>, Kelly Erb
<[email protected]>, <[email protected]>, Erica Pike
<[email protected]>, <[email protected]>, Suzanne Smith <[email protected]>,
<[email protected]>, Cathy Witt <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, Aubrey Hill
<[email protected]>, <[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
Heather Craiglow - CDEC <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
Braun, Patricia MD <[email protected]>, <[email protected]>, Pirrie, Shannon
M <[email protected]>, <[email protected]>,
<[email protected]>, Elias Provencio-Vasquez RN PhD <eli.provencio-
[email protected]>, Kevin Laudner <[email protected]>,
<[email protected]>, Salvador Aceves SVP CFO <[email protected]>, Susan
Clough VP <[email protected]>, Longshore, Mark
<[email protected]>, Root, Melissa <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, Holly Kingsbury <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>, Andrea
Carlstrom <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, Tara Smith - DORA <[email protected]>,
<[email protected]>, <[email protected]>, <[email protected]>,
Christine McGroarty - CDPHE <[email protected]>, <colleenlampron@afl-
enterprises.com>, <[email protected]>, <[email protected]>, Diana
Herrero - CDPHE <[email protected]>, Elise Lowe-Vaughn - CDLE <Elise.Lowe-
[email protected]>, Zimmer, Lorena <[email protected]>,
<[email protected]>, Hambidge, Simon MD, PhD
<[email protected]>, Phyllis Albritton <[email protected]>, Elaine
McManis - CDPHE <[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>, Kristin Ingstrup - CDHS
<[email protected]>, Wendy Simmerman - CDHS
<[email protected]>, <[email protected]>,
<[email protected]>, Sara Schmitt <[email protected]>,
<[email protected]>, Sara Leahy <[email protected]>,
<[email protected]>, Seward, Chet <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, <[email protected]>,
<[email protected]>, Danny Barela <[email protected]>,
<[email protected]>, Donnie Woodyard - CDPHE
<[email protected]>, Edwards, Lindsay L <[email protected]>, Lynne
Jones <[email protected]>, CDPHE Health Access Branch HAB
<[email protected]>, <[email protected]>, Theresa
Buxton PhD RN <[email protected]>
Cc: Stephen Holloway - CDPHE <[email protected]>, Tamara Davis - CDPHE
<[email protected]>, Haywood - CDPHE, Alicia <[email protected]>,
Tracy Miller - CDPHE <[email protected]>, Carrie Cortiglio - CDPHE
<[email protected]>, Curt Drennen - CDPHE <[email protected]>, Alberto
Garcia - CDPHE <[email protected]>

Dear Stakeholders:

The Primary Care Office at the Colorado Department of Public Health and
Environment is
pleased to announce a new funding opportunity available through the Practice-
based Health
Education Grant Program (PBHE).

Request for Applications (RFA) #41324 is the culmination of several months of work
between the Primary Care Office and its internal and external stakeholders
throughout
Colorado in response to Senate Bill 22-226, signed into law during the 2022 regular
session
of the Colorado General Assembly.

RFA #41324 is being posted as an open RFA, which means there will be multiple
opportunities
to submit applications in response to this RFA throughout the RFA life cycle, with
the first
application cohort closing on January 31, 2023.

RFA #41324 will open on Friday, December 30, 2022.  Interested applicants can
find more
information about the PBHE program as well as access to the RFA document, all
required 
application attachments, and guidance documents on the PBHE website.

General questions related to the Practice-based Health Education Grant Program

can be 
directed to Kathy Jacobsen, Academic Programs Workforce Supervisor, via email at
[email protected].  

Questions specific to RFA #41324 should be sent to the following email address as
indicated
in the RFA document: [email protected].

Take care,
Kathy J.

KATHY JACOBSEN, MS
Academic Programs Workforce Supervisor
Health Access Branch | Primary Care Office
 
Pronouns: She/Her/Hers | Why Pronouns Matter
4300 Cherry Creek Drive South, Denver,
CO 80246
[email protected]  |  Website

My working hours may not be your working hours. Please do 

not feel obligated to reply outside of your normal work schedule.

I am working remotely.  The quickest way to reach me is via email.