Colorado Code
Part 7 - Consumer Protection Standards Act for the Operation of Managed Care Plans
§ 10-16-704. Network Adequacy - Rules - Legislative Declaration - Definitions

(A) The nonparticipating provider's bill charges;
(B) A negotiated rate; or

Source: L. 97: Entire part added, p. 1325, § 2, effective July 1. L. 2001: (1), (2), IP(9), (9)(a), IP(9)(b), and (9)(b)(V) amended and (2.5), (2.7), (9)(a.3), (9)(a.5), (9)(a.7), (9)(a.9), (10), and (11) added, pp. 1154, 1158, §§ 4, 5, effective January 1, 2002. L. 2002: (1)(c), (9)(a.7), and (9)(b)(II) amended and (2)(g) to (2)(l) added, pp. 1296, 1297, §§ 12, 13, effective January 1, 2003; (4.5) added, p. 884, § 1, effective January 1, 2003. L. 2003: (4.5)(m) amended, p. 618, § 20, effective July 1. L. 2006: (3) amended, p. 1566, § 1, effective June 2; (2)(m) added, p. 588, § 1, effective September 1. L. 2010: (3)(c) repealed, (SB 10-183), ch. 308, p. 1452, § 1, effective May 27. L. 2013: (1.5) and (5.5) added and (2)(g)(III) amended, (HB 13-1266), ch. 217, p. 982, § 36, effective May 13. L. 2015: (1)(a), (9)(a.5), and (11) amended, (HB 15-1029), ch. 38, p. 96, § 3, effective January 1, 2017. L. 2017: (1.5)(a)(II) amended, (SB 17-249), ch. 283, p. 1550, § 21, effective June 1. L. 2019: (4.5)(f) and (4.5)(j) amended, (SB 19-041), ch. 85, p. 301, § 2, effective August 2; IP(2)(b)(II), (2)(b)(II)(B), and (2)(l) amended, (HB 19-1172), ch. 136, p. 1658, § 55, effective October 1; (3)(a)(III), IP(5.5)(a), (5.5)(a)(V), and (5.5)(b) amended and (3)(d), (5.5)(c), (5.5)(d), (5.5)(e), and (12) to (16) added, (HB 19-1174), ch. 171, p. 1983, § 4, effective January 1, 2020.
Cross references: For the legislative declaration contained in the 2001 act amending subsections (1), (2), (9)(a), and (9)(b)(V) and the introductory portions to subsections (9) and (9)(b) and enacting subsections (2.5), (2.7), (9)(a.3), (9)(a.5), (9)(a.7), (9)(a.9), (10), and (11), see section 1 of chapter 300, Session Laws of Colorado 2001.