10 Colo. Code Regs. § 2505-10-8.5003

Current through Register Vol. 47, No. 16, August 25, 2024

Section 10 CCR 2505-10-8.5003 - DEPARTMENT REQUIREMENTS

1. The Departmentshall develop a website or web-based reporting platform for each Reporting Hospital to submit its reports and ensure that the reports are available to the public on the Department's website.

2. The Department shall review each Reporting Hospital's Community Health Needs Assessment and each Reporting Hospital's annual Community Benefit Implementation Plan before the release of the report authorized in C.R.S. § 25.5-4-402.8, to identify the highest priority areas reported by Reporting Hospital's Communities.

3. As part of the report authorized in C.R.S. § 25.5-4-402.8, the Department shall submit to the General Assembly a report that includes the following:

a. Community Benefits as defined in Part I and Part II of the Schedule H as a percentage of total expenses.

b. Community Benefit as defined in Part I and Part II of the Schedule H as a percentage of total operating expenses.

c. The amount each Reporting Hospital invested in the following areas, including that amount as a percentage of total Community Benefit spending in Part I and II of Schedule H:

i. Free or Discounted Health Care Services that addressed Community identified health needs;

ii. Programs that Address Behavioral Health

iii. Programs that Address Social Determinants of Health;

iv. Programs that Address Community Based Health Care;

v. Provider Recruitment, Education, Research and Training; and

vi. All services and programs that addressed Community identified health needs.

d. Community Benefits as defined in Part I and Part II of the Schedule H as a percentage of Reporting Hospital's patient revenues.

e. A summary of Community Benefits as defined in Part I and Part II of the Schedule H for each Reporting Hospitals compared to comparable categories expensed by for profit hospitals within Colorado, if available.

f. The reported Medicaid Shortfall for each Reporting Hospital.

g. Relevant service line spending or activity reported by each Reporting Hospital that are not reportable as Community Benefit to the Internal Revenue Service but do address Community-Identified Health Needs.

h. A summary of Community Benefit legislation or activities being performed outside of Colorado.

i. A summary of each Reporting Hospital's Community Benefit spending and evidence that shows how the spending improves Community health outcomes.

j. A summary of each Reporting Hospital's compliance with Community Benefit requirements. Reporting Hospitals deemed non-compliant with Community Benefit reporting will be provided an opportunity to comment on the department's assessment of compliance prior to the publication of the report pursuant to C.R.S. § 25.5-1-703.

k. The highest priority areas as reported by Communities from the Reporting Hospital's Community Health Needs Assessment and Implementation Plan compared to the Reporting Hospital's reported spending.

l. The highest priority areas as identified in Local Public Health Agencies community health assessments and public health improvement plans to the extent possible that the information is provided to the Department.

m. Legislative recommendations for the General Assembly.

n. The estimated federal and state income tax exemptions and the property tax exemptions received by each Reporting Hospital, which shall be calculated by the Colorado Department of Revenue.

o. Any other information the Department determines will be useful for the General Assembly and members of the public to understand the effectiveness of Reporting Hospitals' Community Benefit and other financial implications to the Reporting Hospital, such as Medicaid Shortfall.

4. The Departmentshall post the reports submitted to the General Assembly to a public web page created for that purpose.

5. The Department shall provide documentation submitted by Reporting Hospital's under Section 8.5002.B to Local Public Health Agencies upon request. Information that contains personally identifiable information shall be deidentified prior to delivery to Local Public Health Agencies.

10 CCR 2505-10-8.5003

47 CR 14, July 25, 2024, effective 8/30/2024