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Taxpayer Group Opposes Intervention In Healthcare Case

Oct 16, 2017 | by William Perry Pendley

DENVER, CO.  A Colorado group that defends the rights of taxpayers today filed its opposition to a motion by the Colorado Hospital Association to intervene in the group’s lawsuit alleging that a state statute violates the Colorado Constitution’s Taxpayer’s Bill of Rights (TABOR).  On June 26, 2015, the TABOR Foundation filed a complaint in Denver district court alleging that its members should have been allowed to vote on the levying of a “Hospital Provider Charge” on Colorado hospitals, which since enactment in 2009, allowed Colorado’s Department of Health Care Policy and Financing to collect tens of millions of dollars.  Although the 2009 act provided that the funds collected would be kept separate from the general fund, in fiscal year 2010-11, some tax proceeds were put in the general fund.  The Foundation sought declaratory and injunctive relief and refund of revenues collected, with the payment of interest, as required by TABOR.  As of October 16, 2015, a motion by the State defendants to dismiss the lawsuit had been briefed fully.  On May 30, 2017, Governor Hickenlooper signed S.B. 17-267, creating the Colorado Healthcare Affordability and Sustainability Enterprise to administer the Hospital Provider Charge beginning on July 1, 2017.  On June 30, the Foundation amended its lawsuit to challenge S.B. 17-267 and the creation of the Enterprise.  On September 25, 2017, the Association filed its motion to intervene.

“The Association’s motion is two years too late, it lacks a legally protectable interest, any interest it may have is more than adequately represented by the State defendants, which include the State of Colorado, and the case will neither impair nor impede its ability to protect its purported interest,” said William Perry Pendley of Mountain States Legal Foundation (MSLF), which represents the TABOR Foundation.

Federal regulations allow States to impose a “tax” on healthcare services and then leverage that “tax” to receive federal matching funds.  Yet, to stay eligible for federal Medicaid funds, State health care-related taxes must be broad based, uniform, generally redistributive, and cannot violate the “hold harmless” provision of the regulations, that is, a State cannot guarantee it will reimburse a hospital—either directly or indirectly—for taxes paid to the State. 

The provision of services in exchange for a fee is what causes a fee to differ from a tax.  Colorado, however, uses a formula to assess healthcare taxes and redistributes funds in a way that guarantees some hospitals will not receive any funds in return.  Thus, contrary to holdings of the Colorado Supreme Court and the Supreme Court of the United States that a fee must be a charge for services provided to the fee payer, a Jefferson County hospital paid $2.1 million in taxes for no services.  Ten Colorado hospitals paid more taxes than the State services received.

Mountain States Legal Foundation, created in 1977, is a nonprofit, public-interest legal foundation dedicated to individual liberty, the right to own and use property, limited and ethical government, and the free enterprise system.  Its offices are in suburban Denver, Colorado.

For more information:  TABOR Foundation v. Colorado Department of Health Care Policy And Financing


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