Title 25, Public Health and Environment
0 chapters · 1,375 sections in this title.
Colo. Rev. Stat. § 25-37-101 Applicability of article
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A person or entity that contracts with a health-care provider shall comply with this article and shall include the provisions required by this article in the contract. Source: L. 2010: Entire article amended with relocations, (HB 10-1332), ch. 300, p. 1413, � 1, effective May 26.…
Colo. Rev. Stat. § 25-37-102 Definitions
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As used in this article 37, unless the context otherwise requires: (1) Category of coverage means one of the following types of coverage offered by a person or entity: (a) Health maintenance organization plans; (b) Any other commercial plan or contract that is not a health mainte…
Colo. Rev. Stat. § 25-37-103 Health-care contracts - required provisions - permissible provision
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(1) (a) A person or entity shall provide, with each health-care contract, a summary disclosure form disclosing, in plain language, the following: (I) The terms governing compensation and payment; (II) Any category of coverage for which the health-care provider is to provide servi…
Colo. Rev. Stat. § 25-37-103.5 Pharmacy benefit managers - contracts with pharmacies - maximum allowable cost pricing. (Repealed)
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C.R.S. 25-37-103.5Statutes current through Chapter 65 of the 2026 Regular Session, effective as of April 20, 2026. The text of this section is not final. It will not be final until compared to, and updated from, the text provided by the Colorado Office of Legislative Legal Servic…
Colo. Rev. Stat. § 25-37-104 Material change in health-care contract - written advance notice
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(1) A material change to a contract shall occur only if the person or entity provides in writing to the health-care provider the proposed change and gives ninety days’ notice before the effective date of the change. The writing shall be conspicuously entitled “notice of material …
Colo. Rev. Stat. § 25-37-105 Contract modification by operation of law
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Notwithstanding section 25-37-103 (3), a contract may be modified by operation of law as required by any applicable state or federal law or regulation, and the person or entity may disclose this change by any reasonable means. Source: L. 2010: Entire article amended with relocati…
Colo. Rev. Stat. § 25-37-106 Clean claims - development of standardized payment rules and code edits - task force to develop - legislative recommendations - short title - applicability. (Repealed)
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C.R.S. 25-37-106Statutes current through Chapter 65 of the 2026 Regular Session, effective as of April 20, 2026. The text of this section is not final. It will not be final until compared to, and updated from, the text provided by the Colorado Office of Legislative Legal Services…
Colo. Rev. Stat. § 25-37-107 Claim adjudication information - balance owing
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Upon completion of processing of a claim, the person or entity shall provide information to the health-care provider stating how the claim was adjudicated and the responsibility for any outstanding balance of any party other than the person or entity. Source: L. 2010: Entire arti…
Colo. Rev. Stat. § 25-37-108 Assignment of rights - requirements
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(1) A person or entity shall not assign, allow access to, sell, rent, or give the person's or entity's rights to the health-care provider's services pursuant to the person's or entity's contract unless the person or entity complies with the requirements of this section. (2) A per…
Colo. Rev. Stat. § 25-37-109 Waiver of rights prohibited
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Except as permitted by this article, a person or entity shall not require, as a condition of contracting, that a health-care provider waive or forego any right or benefit to which the health-care provider may be entitled under state or federal law, rule, or regulation that provid…
Colo. Rev. Stat. § 25-37-110 Provider declining service to new patients - notice - definition
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(1) Upon sixty days' notice, a health-care provider may decline to provide service pursuant to a contract to new patients covered by the person or entity. The notice shall state the reason or reasons for this action. (2) As used in this section, new patients means those patients …
Colo. Rev. Stat. § 25-37-111 Termination of contract - effect on payment terms - right to terminate - termination of pharmacy contracts
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(1) A term for compensation or payment shall not survive the termination of a contract, except for a continuation of coverage required by law or with the agreement of the health-care provider. (2) In addition to the right to terminate a contract in accordance with section 25-37-1…
Colo. Rev. Stat. § 25-37-112 Disclosure to third parties - confidentiality
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A contract shall not preclude its use or disclosure to a third party for the purpose of enforcing the provisions of this article or enforcing other state or federal law. The third party shall be bound by the confidentiality requirements set forth in the contract or otherwise. Sou…
Colo. Rev. Stat. § 25-37-113 Article inapplicable - when
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(1) This article 37 does not apply to: (a) An exclusive contract with a single medical group in a specific geographic area to provide or arrange for health-care services; however, this article shall apply to contracts for health-care services between the medical group and other m…
Colo. Rev. Stat. § 25-37-114 Enforcement
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(1) With respect to the enforcement of this article, including arbitration, there shall be available: (a) Private rights of action at law and in equity; (b) Equitable relief, including injunctive relief; (c) Reasonable attorney fees when the health-care provider is the prevailing…
Colo. Rev. Stat. § 25-37-115 Providers obligated to comply with law
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No provision of this article shall be used to justify any act or omission by a health-care provider that is prohibited by any applicable professional code of ethics or state or federal law prohibiting discrimination against any person. Source: L. 2010: Entire article amended with…
Colo. Rev. Stat. § 25-37-116 Copyrights protected
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Nothing in this article, including the designation of standards, code sets, rules, edits, or related specifications, divests copyright holders of their copyrights in any work referenced in this article. Source: L. 2010: Entire article amended with relocations, (HB 10-1332), ch. 3…