Under Colorado state law, the CO APCD collects claims information from insurance companies and public payer programs, such as Health First (Colorado’s Medicaid Program), about health care services received by Colorado residents. Federal laws, including the Health Insurance Portability and Accountability Act (HIPAA), permit such disclosures from payers to be made. Because the CO APCD is designed to facilitate the reporting of aggregated health care and health quality data in a manner that results in transparent and public reporting of safety, quality, efficiency and cost information for all Coloradans, there is not a mechanism for individuals to opt-out. Like other states that support APCDs, CO APCD law requires that all state and federal laws be strictly met in order to protect the database and the sensitive information it holds.