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HB 24-1382 CO
Became Law

Insurance Coverage Pediatric Neuropsychiatric Syndrome

CO · session 2024A · Assembly / House · bill

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Introduced Mar 25, 2024

Latest action (Jun 3, 2024) Introduced In House - Assigned to Health & Human Services

Summary

To the extent the coverage is not in addition to the benefits provided pursuant to the health insurance benchmark plan, the act requires all individual and group health benefit plans to provide health insurance coverage for pediatric acute-onset neuropsychiatric syndrome (PANS) and includes pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS). The coverage provided for PANS and PANDAS must adhere to treatment recommended and be developed by a consortium of medical professionals convened to identify and publish clinical practice guidelines and evidence-based standards for the diagnosis and treatment of PANS and PANDAS. The coverage includes, among other treatments and therapies, antibiotics, medication and psychological and behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy if certain conditions are met. The mandatory coverage provision applies to large group policies and contracts issued or renewed in this state on or after January 1, 2025. For individual and small group policies and contracts, the division of insurance in the department of regulatory agencies (department) shall implement the coverage for individual and small group plans on or after January 1, 2026, if the federal department of health and human services (federal department) affirms the department's determination, or otherwise affirms, that the coverage does not require state defrayal of any increased costs for coverage of PANS and PANDAS or the department determines that the federal department's unreasonable delay precludes requiring defrayal. APPROVED by Governor June 3, 2024 EFFECTIVE June 3, 2024(Note: This summary applies to this bill as enacted.)

Sponsors (3)

Action history (14)

  1. Jun 3, 2024 Governor Signed · executive
  2. May 28, 2024 Sent to the Governor · executive
  3. May 28, 2024 Signed by the President of the Senate · upper
  4. May 28, 2024 Signed by the Speaker of the House · lower
  5. May 6, 2024 Senate Third Reading Passed - No Amendments · upper
  6. May 4, 2024 Senate Second Reading Special Order - Passed - No Amendments · upper
  7. May 4, 2024 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole · upper
  8. May 2, 2024 Senate Committee on Health & Human Services Refer Unamended to Appropriations · upper
  9. Apr 26, 2024 Introduced In Senate - Assigned to Health & Human Services · upper
  10. Apr 25, 2024 House Third Reading Passed - No Amendments · lower
  11. Apr 24, 2024 House Second Reading Special Order - Passed with Amendments - Committee · lower
  12. Apr 23, 2024 House Committee on Appropriations Refer Amended to House Committee of the Whole · lower
  13. Apr 10, 2024 House Committee on Health & Human Services Refer Amended to Appropriations · lower
  14. Mar 25, 2024 Introduced In House - Assigned to Health & Human Services · lower

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