Colorado Revised Statutes Title 25. Health § 25-3-121. Health-care facilities--emergency and nonemergency services--required disclosures--rules--definitions

(a) The timing for providing the disclosures for emergency and nonemergency services with consideration given to potential limitations relating to the federal “Emergency Medical Treatment and Labor Act”, 42 U.S.C. sec. 1395dd;

(b) Requirements regarding how the disclosures must be made, including requirements to include the disclosures on billing statements, billing notices, or other forms or communications with covered persons;

(c) The contents of the disclosures, including the consumer's rights and payment obligations pursuant to the consumer's health benefit plan;

(d) Disclosure requirements specific to health-care facilities, including whether a health-care provider delivering services at the facility is out of network, the types of services an out-of-network health-care provider may provide, and the right to request an in-network health-care provider to provide services;  and

(e) Requirements concerning the language to be used in the disclosures, including use of plain language, to ensure that carriers, health-care facilities, and health-care providers use language that is consistent with the disclosures required by this section and sections 10-16-704(12) and 12-30-112 and the rules adopted pursuant to this subsection (2) and sections 10-16-704(12)(b) and 12-30-112(3).

(a) “Carrier” has the same meaning as defined in section 10-16-102(8).

(b) “Covered person” has the same meaning as defined in section 10-16-102(15).

(c) “Emergency services” has the same meaning as defined in section 10-16-704(5.5)(e)(II).

(d) “Geographic area” has the same meaning as defined in section 10-16-704(3)(d)(VI)(A).

(e) “Health benefit plan” has the same meaning as defined in section 10-16-102(32).

(f) “Medicare reimbursement rate” has the same meaning as defined in section 10-16-704(3)(d)(VI)(B).

(g) “Out-of-network facility” means a health-care facility that is not a participating provider, as defined in section 10-16-102(46).