(1) The board is the governing body of the exchange and has all the powers and duties necessary to implement this article. The board shall:
Appoint an executive director to administer the exchange, subject to approval by thecommittee;
Create an initial operational and financial plan, subject to approval by the committee;
Apply for planning and establishment grants made available to the exchange pursuantto the federal act and apply for, receive, and expend other gifts, grants, and donations. Each grant application is subject to the review and unanimous approval of the board chair and the chair and vice-chair of the committee prior to the submission of the application. If there is not unanimous approval, each grant application is subject to review and the majority approval of the committee.
Create technical and advisory groups to operate on an ongoing basis and to report tothe board and provide guidance at the direction of the board on issues that directly or indirectly affect consumers. The board shall use reasonable efforts to ensure that the technical and advisory groups reflect geographic diversity and diverse opinions on issues affecting consumers. The technical and advisory groups shall meet at least quarterly throughout the year to discuss issues related to the exchange and make recommendations to the board; except that, beginning two years after June 1, 2016, the groups shall meet only as necessary.
Provide a written report, on or before January 15 of each year, to the governor andthe general assembly concerning the planning and establishment of the exchange and present the report to the senate health and human services committee and the house of representatives health and environment committee, or their successor committees;
Review the internet portal operated and maintained by the secretary and the modeltemplate for an internet portal made available by the secretary for use by the state exchanges and review other appropriate internet portals. The review must include an examination as to whether the model template may be used to direct individuals and employers to health plans, to assist individuals and employers in determining whether they are eligible to participate in the exchange or eligible for a premium tax credit or cost-sharing reduction, and to present standardized information regarding health plans offered through the exchange to assist consumers in making health insurance choices.
Consider the desirability of structuring the exchange as one entity that includes twounderlying entities to operate in the individual and the small employer markets, respectively;
Consider the appropriate size of the small employer market under the exchange, taking into consideration the definition of "small employer" pursuant to section 10-16-102;
Consider the unique needs of rural Coloradans as they pertain to access, affordability,and choice in purchasing health insurance;
Consider the affordability and cost in the context of quality care and increased accessto purchasing health insurance; and
Investigate requirements, develop options, and determine waivers, if appropriate, toensure that the best interests of Coloradans are protected.
The board may enter into information-sharing agreements with federal and state agencies and other state exchanges to carry out its responsibilities under this article so long as the agreements include adequate protections with respect to the confidentiality of the information that is shared and comply with all state and federal laws, rules, and regulations.
The board may create a separate program that shares resources and infrastructurewith the exchange to offer ancillary products.
The board may enter into an agreement with the department of personnel to authorizeadministrative law judges employed by the office of administrative courts to hear and decide matters arising from eligibility and other determinations made by the exchange consistent with applicable state and federal law.
(a) The board, with public input, shall set a policy that makes clear which actions by the exchange require public scrutiny and shall make the policy available to the committee. In determining which actions require public scrutiny, the board shall consider the effects the exchange's actions have on consumers.
Prior to taking an action that requires public scrutiny, the exchange shall post noticeof the planned action on the exchange website at least three weeks prior to the date of the board meeting at which the action will be discussed. The exchange shall provide time for public comments and questions at the board meeting and post the final action on the exchange website.
The board may adopt an action without compliance with paragraph (b) of this subsection (5) if the board finds that immediate adoption is necessary to avoid disruption of the continuing operation of the exchange. The exchange shall make the action and the reasons for the action available to the public and the committee.
Source: L. 2011: Entire article added, (SB 11-200), ch. 246, p. 1076, § 1, effective June
1. L. 2013: (3) and (4) added, (HB 13-1245), ch. 258, p. 1360, § 2, effective May 23. L. 2014: (4) amended, (HB 14-1363), ch. 302, p. 1262, § 5, effective May 31. L. 2016: (1)(d) amended and (5) added, (HB 16-1148), ch. 40, p. 99, § 1, effective June 1.