Follow our legislation tracking here. We try to keep up to date during the legislative session, but things move pretty fast. If you have a question or update you want to see, let us know!
Last updated: July 13, 2020
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Bill Number |
Title |
Bill Summary |
Sponsors |
Issues |
Status |
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HB20-1008 HCAC Position: Support |
Health care cost sharing consumer protections |
Concerning protections for consumers who participate in health care cost-sharing arrangements. Require health care cost sharing arrangements to (1) report specific information to the DOI regarding its operations, financial statements, membership, and bills submitted, paid, and denied: (2) provide disclosures to consumers (via website and through brokers); and (3) respond to requests for payment within a certain time period. |
House: Senate: |
Consumer Protection Subjects: |
5/28/2020 House laid over to 12/31/2020. |
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HB20-1061 HCAC Position: Support |
HIV Prevention Medications |
Concerning pharmacist’s ability to provide HIV infection prevention medications to patients. Can’t require patients to do step therapy or get preauthorization for HIV prevention treatments (PrEP and PEP); allows pharmacists to prescribe and be reimbursed. |
House: Senate: |
Access, Affordability & Health Coverage Subject: |
7/02/2020 Sent to the Governor |
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HB20-1078 HCAC Position: Support |
Concerning prescription drug claims submitted by a pharmacy, and, in connection therewith, prohibiting retroactive fees. |
Pharmacy benefit management firm claims payments. Prohibits PBMs from retroactively reducing payments on a clean claim submitted by a pharmacy unless the PBM determines, through an audit, conducted in accordance with state law, that the claim was not a clean claim. Health insurers that contract with PBMs must assure that PBMs are complying with this prohibition and the reporting requirements and are subject to penalties for failure to do so. Concerning the prevention of substance use disorders. Requires the commissioner of insurance to promulgate rules that establish diagnoses of covered conditions for which nonpharmacological alternatives to opioids are appropriate (PT, OT, Acupuncture). |
House: Senate: |
Health Care Costs (prescription drugs) Subject: Health Care & Health Insurance |
04/01/2020 Governor Signed |
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HB20-1085 HCAC Position: Support |
Prevention of substance use disorders. |
Concerning the prevention of substance use disorders. Requires the commissioner of insurance to promulgate rules that establish diagnoses of covered conditions for which nonpharmacological alternatives to opioids are appropriate (PT, OT, Acupuncture). |
House: Senate: |
Access Subject: Health Care & Health Insurance |
07/02/2020 Governor Vetoed |
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HB20-1086 HCAC Position: Monitor |
Insurance coverage mental health wellness exam. |
Concerning health insurance coverage for an annual mental health wellness examination performed by a qualified mental health provider. Adds requirement, part of preventive services, for annual mental health wellness exams of 60 minutes (to comply with parity laws). |
House: Senate: |
Access Affordability & Health Coverage Subject: |
06/10/2020 Postponed Indefinitely |
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HB20-1092 HCAC Position: Support |
Reimbursement to federally qualified health centers. |
Concerning Medicaid reimbursement to federally qualified health centers, and, in conjunction therewith, making cost report changes and requiring reimbursement for telemedicine. Requires Medicaid to reimburse for telemedicine and clinical pharmacy at FQHCs. |
House: Senate: |
Access Affordability & Health Coverage Subject: |
06/16/2020 Lay over unamended |
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HB20-1140 HCAC Position: Oppose |
Direct primary care services for Medicaid recipients. |
Concerning access to direct primary care services for Colorado Medicaid recipients. Allows Medicaid Recipients to buy a DPC arrangement; requires HCPF to Produce report about “indirect and direct” cost savings as a result. |
Senate: House: |
Access Affordability & Health Coverage Subject: Health Care & Health Insurance, Public Health |
03/11/2020 Postponed Indefinitely |
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HB20-1160 HCAC Position: Support |
Drug Price Transparency Insurance Premium Reductions. |
Requires manufacturers, PBMs, insurers to report data on prescription drugs to DOI, which is then directed to issue an annual report; industries are also required to notice price increases; insurance carriers adjust premiums for rebates. |
House: Senate: |
Health Care |
06/01/2020 House second reading; laid over daily |
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HB20-1198 HCAC Position: Support |
Pharmacy Benefits Carrier & PBM Requirement. |
Insurers and PBMs submit info to DOI: prohibits modifying rx formulary mid year; prohibits reimbursing nonaffiliated pharmacies less. |
House: Senate: |
Affordability & Health Coverage |
06/10/2020 Postponed Indefinitely |
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HB20-1236 HCAC Position: Support |
Health Care Coverage Easy Enrollment Program. |
Creates the CO Affordable Health Coverage Easy Enrollment Program, which leverages tax filings to connect people without insurance to affordable coverage options. Allows Coloradans to indicate on tax forms that they want the exchange to look into eligibility. Establishes program and advisory committee. |
House: Senate: |
Affordability & Health Coverage |
07/06/2020 Governor Signed |
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HB20-1349 HCAC Position: Support |
Colorado Affordable Health Care Option Concerning the Colorado option plan to be implemented by executive agencies in order to create more affordable health benefit plans for health care consumers in this state. |
Beginning January 1, 2022, the bill requires a health insurance carrier that offers an individual health benefit plan in this state to offer a Colorado option plan in the Colorado counties where the carrier offers the individual health benefit plan. The commissioner of insurance is required to develop and implement a Colorado option plan that must: (1) be offered to Colorado residents who purchase health insurance in the individual market; (2) implement a standardized plan that allows consumers to easily compare health benefit plans and provides first-dollar, predictable coverage for certain services; includes the essential health benefit package; provides different, specific levels of coverage; (3) include a hospital reimbursement rate formula; (4) require hospital participation; (5) require a minimum medical loss ratio of 85%; and (5) require carriers and pharmacy benefit management firms to pass rebate savings through to consumers and document the savings and pass-through in a form and manager determined by the commissioner.
The Colorado option advisory board is created to advise and make recommendations to the commissioner on all aspects of the Colorado Option Plan.
The bill authorizes the commissioner to promulgate rules to develop, implement, and operate the Colorado option plan, including: (1) expanding to the small group market; (2) establishing a hospital reimbursement rate formula; and (3) requiring carriers to offer the Colorado option plan in specific counties.
If a hospital refuses to participate in the Colorado option plan, the CDPHE may issue a warning, impose fines, or suspend, revoke or impose conditions on the hospital’s license.
The commissioner, in consultation with the board, is required to evaluate the Colorado option plan beginning July 1, 2024, and each year thereafter. |
House: Senate: |
Health Care & Health Insurance |
06/16/2020 Lay over unamended |
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SB20-005 HCAC Position: Monitor |
Covered person cost-sharing collection by carriers |
Concerning a restructuring of the payment of cost-sharing amounts owed by certain covered persons. Requires carriers to collect cost sharing (co-pays, coinsurance, and deductibles), rather than health care facilities and providers, in one consolidated bill. |
Senate: House: |
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1/8/20 Assigned to Health & Human Services 1/23/20 Refer amended to Appropriations |
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SB20-007 HCAC Position: Support |
Treatment opioid and other substance use disorders. |
Concerning treatment for substance use disorders. |
Senate: House: |
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1/8/20 |
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SB20-022 HCAC Position: Support |
Increase medical providers for senior citizens |
Concerning modifications to the Colorado Health Service Corps program administered by the department of public health and environment to expand the availability of geriatric care providers in shortage areas of the state. Allows geriatric advanced practice providers in shortage areas to participate in loan repayment programs; requires annual general funds (fiscal note $225,000). |
Senate: House: |
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1/8/20 Assigned to Health & Human Services 1/30/20 Refer to Appropriations |
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SB20-028 HCAC Position: Support |
Substance use disorder recovery. |
Concerning measures to assist an individual’s recovery from a substance use disorder. |
Senate: House: |
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SB20-033 HCAC Position: Support |
Allow Medicaid buy-in program after age 65. |
Concerning access to Medicaid buy-in program for certain working adults with disabilities who have become ineligible for the program due to age. Authorizes working adults with disabilities who are over 65 to continue to participate in the existing Medicaid buy-in program, as a state funded program, if the person meets specific requirements. |
Senate: House: |
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1/8/20 Assigned to Health & Human Services
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SB20-043 HCAC Position: Support |
Out-of-network reimbursement rate. |
Concerning a correction to the rate of reimbursement that an out-of-network health care provider is entitled to receive from a health insurance carrier for services provided to a covered person at an in-network facility when the health care provider submits a claim to the carrier within the specified time period to confirm with existing law. Corrects a conforming amendment that was made in HB19-1174 that inaccurately states the reimbursement rate. |
Senate: House: |
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SB20-045 HCAC Position:
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CDPHE hospital license requirements. |
Senate: House: |
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SB20-107 HCAC Position: Support |
Drug Production Costs Transparency Analysis Report. |
Annual reporting requirements for HCPF to collect prescription drug production cost data regarding the 20 highest cost drugs by price and by volume for HCPF, DHD, DOC, and DPO; HCPF directed to get info from pharma manufactuers on drugs on the list, investigate basis for WAC on each drug list. Annual report due to legislature every year. |
Senate: House: |
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SB20-113 HCAC Position:
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CDPHE hospital license requirements. |
Senate: House: |
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SB20-119 HCAC Position: Support |
Expand Canadian Rx Drug Import Program. |
Allows HCPF to expand the drug importation program to import drugs from other countries, pending federal legislation. |
Senate: House:Jacquez-Lewis (D) |
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SB20-127 HCAC Position: Monitor |
Committee Actuarial Review Health Care Plan Legislation. |
Creates DOI committee to review legislation related to plan benefit designs for financial impact, people affected, utilization patterns. Allows DOI commissioner to promulgate rules as needed. |
Senate: House: |
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SB20-145 HCAC Position: Oppose |
Repeal Colorado Reinsurance Program. |
Concerning the repeal of the Colorado Reinsurance Program after one year of operation. This bill repeals the Colorado reinsurance program in 2022 and limits the operation of the program to one benefit year. |
Senate: House: |
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1/27/20 Assigned to Finance
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SB20-156 HCAC Position: Support |
Protecting Preventive Health Care Coverage. |
Codifies coverage for existing preventive health services; expands coverage for some preventive services; defines family planning services. |
Senate: House: |
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