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Legislative Year: 2023 Change

Bill Detail: HB23-1130

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Title Drug Coverage For Serious Mental Illness
Status Governor Signed (06/06/2023)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors
Senate Sponsors R. Rodriguez (D)
C. Kolker (D)
House Committee Health and Insurance
Senate Committee Health and Human Services
Date Introduced 01/30/2023

With respect to step-therapy protocols (protocols) for health
insurance, the bill defines serious mental illness and prohibits the
protocols from requiring a person to try more than one prescription drug
prior to receiving coverage for the drug recommended by the person's
health-care provider. If certain conditions are met and attested to by the
person's health-care provider, the carrier, private utilization review
organization, or pharmacy benefit manager must cover the drug
recommended by the person's health-care provider.
The bill defines serious mental illness for purposes of the
Colorado Medical Assistance Act in the same manner as the term is
defined for commercial health insurance. The bill requires the medical
services board to require a review for coverage of a new drug approved
by the federal food and drug administration for a serious mental illness
within 90 days after the drug is approved.

Committee Reports
with Amendments
Full Text
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Fiscal Notes Fiscal Notes (07/28/2023) (most recent)  
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