Modification of Preventive Health Care Coverage Requirements (C.R.S. 10-16-104)
Clarifies that preventive health-care services required for coverage are those listed in subsections (18)(b)(I) to (18)(b)(XI).
Ensures compliance with recommendations from the U.S. Preventive Services Task Force (USPSTF), the Advisory Committee on Immunization Practices (ACIP), and comprehensive screening guidelines.
If these guidelines are repealed or modified, the Commissioner of Insurance may adopt rules to maintain compliance with the guidelines in effect as of January 2025 or follow recommendations from the Nurse-Physician Advisory Task Force for Colorado Health Care.
Authority of the Commissioner of Insurance
Grants authority to adopt and enforce rules related to preventive health-care coverage.
Allows the Commissioner to require additional preventive services beyond those explicitly listed if recommended by the USPSTF, ACIP, comprehensive guidelines, or the Nurse-Physician Advisory Task Force.
Summary
Current law mandates mandatory insurance coverage of certain
preventive health-care services (preventive services) in accordance with the recommendations of the United States preventive services task force, recommendations established by the advisory committee on immunization practices, or preventive care or screening as provided in the comprehensive guidelines supported by the health resources and services administration in the United States department of health and human services (authorities).
The bill requires that, in the event that any of these authorities is
repealed, modified, or otherwise no longer in effect, the commissioner of insurance may adopt rules to require compliance with the recommendations and comprehensive guidelines regarding the coverage of those preventive services as the recommendations and guidelines existed in January 2025.
