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Legislative Year: 2025 Change
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Bill Detail: HB25-1033

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Title Medicaid Third-Party Liability Payments
Status Governor Signed (03/07/2025)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors S. Lieder (D)
L. Garcia Sander (R)
Senate Sponsors M. Weissman (D)
House Committee Health and Human Services
Senate Committee Health and Human Services
Date Introduced 01/08/2025
AI Summary

House Bill 25-1033, titled "Medicaid Third-Party Liability Payments," was introduced on January 8, 2025, and has passed the House with a vote of 55 in favor, 7 against, and 2 excused. 

Key Provisions:

  • Third-Party Payer Reimbursement:

    • The bill mandates that third-party payers reimburse the Department of Health Care Policy and Financing (HCPF) for healthcare items and services provided to Medicaid members, regardless of prior authorization requirements. 
  • Response Time for Claims:

    • Third-party payers are required to respond to HCPF's inquiry regarding a claim for payment within 60 days of receipt. The response must be either payment of the claim or a written denial. 

This legislation aligns Colorado's Medicaid statutes with recent federal law changes, aiming to streamline the reimbursement process and ensure timely responses from third-party payers.

Summary

The bill requires third-party payers to reimburse the department of
health care policy and financing (state department) for health-care items
and services rendered to a medicaid member regardless of whether prior
authorization was obtained.
The bill requires third-party payers to respond to the state
department's inquiry regarding a claim for payment no later than 60 days
after receiving the state department's inquiry. The third party must
respond either by paying the claim or issuing a written denial of the claim
to the state department.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (01/10/2025) (most recent)  
Additional Bill Documents Bill Documents
Including:
  • Past bill versions
  • Past fiscal notes
  • Committee activity and documents
  • Bill History
 
Lobbyists Lobbyists
Audio [This feature is available by subscription.]  
Votes House and Senate Votes
Vote Totals Vote Totals by Party
 
 
 
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