HB 23-1130 CO

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Became Law

Effective January 1, 2025, with respect to step-therapy protocols (protocols) for health insurance, section 1 of the act 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 prescribed 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 prescribed by the person's health-care provider without requiring compliance with protocols. Section 2 of the act 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 act 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. The act appropriates $53,117 to the department of health care policy and financing (department) from the general fund for use by the executive director's office to implement the act, with the assumption that the department will receive an equal amount of federal funds to implement the act. APPROVED by Governor June 6, 2023 PORTIONS EFFECTIVE August 7, 2023 PORTIONS EFFECTIVE January 1, 2025 NOTE: This act was passed without a safety clause. (Note: This summary applies to this bill as enacted.)

• Dafna Michaelson Jenet · primary
• Robert Rodriguez Democratic · primary
• Chris Kolker Democratic · primary

1. Jun 6, 2023 Governor Signed · executive
2. May 5, 2023 Sent to the Governor · executive
3. May 5, 2023 Signed by the President of the Senate · upper
4. May 4, 2023 Signed by the Speaker of the House · lower
5. Apr 21, 2023 Senate Third Reading Passed - No Amendments · upper
6. Apr 20, 2023 Senate Second Reading Passed - No Amendments · upper
7. Apr 18, 2023 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole · upper
8. Apr 13, 2023 Senate Committee on Health & Human Services Refer Unamended to Appropriations · upper
9. Mar 16, 2023 Introduced In Senate - Assigned to Health & Human Services · upper
10. Mar 13, 2023 House Third Reading Passed - No Amendments · lower
11. Mar 11, 2023 House Second Reading Special Order - Passed with Amendments - Committee · lower
12. Mar 10, 2023 House Committee on Appropriations Refer Amended to House Committee of the Whole · lower
13. Feb 21, 2023 House Committee on Health & Insurance Refer Amended to Appropriations · lower
14. Jan 30, 2023 Introduced In House - Assigned to Health & Insurance · lower

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Signed Act (06/06/2023) · PDF
• Final Act (05/05/2023) · PDF
• Rerevised (04/21/2023) · PDF
• Revised (04/20/2023) · PDF
• Reengrossed (03/13/2023) · PDF
• Engrossed (03/11/2023) · PDF
• Introduced (01/30/2023) · PDF
• PA2 (03/11/2023) · PDF
• PA1 (02/22/2023) · PDF
• Committee Amendment · PDF