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HB 24-1010 CO
Vetoed

Insurance Coverage for Provider-Administered Drugs

CO · session 2024A · Assembly / House · bill

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Introduced Jan 10, 2024

Latest action (May 17, 2024) Introduced In House - Assigned to Health & Human Services

Summary

For the treatment of cancer or a life-threatening disease or for the treatment of a symptom, complication, or consequence of cancer or a life-threatening disease, the act prohibits a carrier, with respect to a health benefit plan issued on or after January 1, 2025, from: Requiring a provider-administered drug to be dispensed only by specific network pharmacies; If a provider-administered drug is otherwise covered by the carrier for the covered person, limiting or excluding coverage for the drug based on the covered person's choice of participating provider; Requiring a participating provider to bill for or be reimbursed for the delivery and administration of a provider-administered drug under the pharmacy benefit instead of the medical benefit without informed, written consent of the covered person and written attestation by the covered person's participating provider that a delay in the drug's administration will not place the covered person at an increased health risk; or Requiring a covered person to pay additional fees, copayments, or coinsurance based on the covered person's choice of pharmacy. The act also requires the reimbursement rate for covered provider-administered drugs to be at the carrier's in-network negotiated rate for participating providers. The act appropriates $7,333 to the department of regulatory agencies for use by the division of insurance from the division of insurance cash fund to implement the act. VETOED by Governor May 17, 2024(Note: This summary applies to this bill as enacted.)

Sponsors (4)

  • Iman Jodeh Democratic · primary
  • Matt Soper Republican · primary
  • Dafna Michaelson Jenet · primary
  • Perry Will · primary

Action history (17)

  1. May 17, 2024 Governor Vetoed · executive
  2. May 14, 2024 Sent to the Governor · executive
  3. May 13, 2024 Signed by the President of the Senate · upper
  4. May 13, 2024 Signed by the Speaker of the House · lower
  5. May 4, 2024 House Considered Senate Amendments - Result was to Concur - Repass · lower
  6. May 3, 2024 Senate Third Reading Passed with Amendments - Floor · upper
  7. May 2, 2024 Senate Second Reading Passed with Amendments - Committee, Floor · upper
  8. May 1, 2024 Senate Second Reading Special Order - Laid Over to 05/01/2024 - No Amendments · upper
  9. Apr 30, 2024 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole · upper
  10. Apr 24, 2024 Senate Committee on Health & Human Services Refer Amended to Appropriations · upper
  11. Mar 26, 2024 Introduced In Senate - Assigned to Health & Human Services · upper
  12. Mar 25, 2024 House Third Reading Passed - No Amendments · lower
  13. Mar 22, 2024 House Second Reading Special Order - Passed with Amendments - Committee · lower
  14. Mar 12, 2024 House Second Reading Laid Over Daily - No Amendments · lower
  15. Mar 8, 2024 House Committee on Appropriations Refer Amended to House Committee of the Whole · lower
  16. Feb 27, 2024 House Committee on Health & Human Services Refer Amended to Appropriations · lower
  17. Jan 10, 2024 Introduced In House - Assigned to Health & Human Services · lower

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