Colorado Capitol Watch


Welcome Visitor

Forgot password?
Subscribe for Current Session

My CCW Tools

Look Up Bills

Look Up Legislators

Legislative Year: 2024 Change

Bill Detail: HB24-1149

Return to list of bills

emailSend an email to your legislator

Title Prior Authorization Requirements Alternatives
Status Senate Committee on Health & Human Services Refer Unamended to Appropriations (04/03/2024)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors S. Bird (D)
L. Frizell (R)
Senate Sponsors D. Roberts (D)
B. Kirkmeyer (R)
House Committee Health and Human Services
Senate Committee Health and Human Services
Date Introduced 01/30/2024

With regard to prior authorization requirements imposed by
carriers, private utilization review organizations (organizations), and
pharmacy benefit managers (PBMs) for certain health-care services and
prescription drug benefits covered under a health benefit plan, the bill
requires carriers, organizations, and PBMs, as applicable, to adopt a
program, in consultation with participating providers, to eliminate or
substantially modify prior authorization requirements in a manner that
removes administrative burdens on qualified providers and their patients
with regard to certain health-care services, prescription drugs, or related
benefits based on specified criteria. Additionally, a carrier or organization
is prohibited from denying a claim for a health-care procedure a provider
provides, in addition or related to an approved surgical procedure, under
specified circumstances or from denying an initially approved surgical
procedure on the basis that the provider provided an additional or a
related health-care procedure.
The bill extends the duration of an approved prior authorization for
a health-care service or prescription drug benefit from 180 days to a
calendar year.
Carriers are required to post, on their public-facing websites,
specified information regarding:
  • The number of prior authorization requests that are
approved, denied, and appealed;
  • The number of prior authorization exemptions or
alternatives to prior authorization requirements provided
pursuant to a program developed and offered by the carrier,
an organization, or a PBM; and
  • The prior authorization requirements as applied to
prescription drug formularies for each health benefit plan
the carrier or PBM offers.
The bill applies to conduct occurring on or after January 1, 2026.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (02/27/2024) (most recent)  
Additional Bill Documents Bill Documents
  • 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
Copyright © 2008-2024 State Capitol Watch