HB 25-1002 CO

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Became Law

The act clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria. The act also specifies criteria to be used for conducting utilization review, service intensity, and the level of care for covered persons. In addition, the act prohibits: A health benefit plan from limiting coverage for chronic behavioral, mental health, or substance use disorders to short-term symptom reduction; and A health insurance carrier from reversing or altering a determination of medical necessity except in the case of fraud. The act requires carriers that provide benefits for mental health conditions or substance use disorders to offer meaningful benefits for mental health conditions and substance use disorders. The act describes how to determine whether the benefits provided are meaningful benefits. The commissioner of insurance is authorized to adopt rules to: Establish carrier utilization review compliance; Specify data testing requirements for plan design and application of parity compliance; Set standard definition for coverage requirements; Establish timelines for carriers to provide comparative analysis information to the division of insurance; and Establish time periods for visits with a provider for treatment of a behavioral, mental health, or substance use disorder after an initial visit with a provider.(Note: This summary applies to this bill as enacted.)

• Kyle Brown Democratic · primary
• Lindsay Gilchrist Democratic · primary
• Judy Amabile Democratic · primary
• Byron Pelton Republican · primary

1. Mar 20, 2025 Governor Signed · executive
2. Mar 13, 2025 Sent to the Governor · executive
3. Mar 13, 2025 Signed by the President of the Senate · upper
4. Mar 12, 2025 Signed by the Speaker of the House · lower
5. Feb 28, 2025 House Considered Senate Amendments - Result was to Concur - Repass · lower
6. Feb 27, 2025 House Considered Senate Amendments - Result was to Laid Over Daily · lower
7. Feb 26, 2025 Senate Third Reading Passed - No Amendments · upper
8. Feb 25, 2025 Senate Second Reading Passed with Amendments - Committee · upper
9. Feb 20, 2025 Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole · upper
10. Feb 12, 2025 Introduced In Senate - Assigned to Health & Human Services · upper
11. Feb 10, 2025 House Third Reading Passed - No Amendments · lower
12. Feb 7, 2025 House Second Reading Special Order - Passed with Amendments - Committee, Floor · lower
13. Jan 31, 2025 House Second Reading Laid Over Daily - No Amendments · lower
14. Jan 29, 2025 House Committee on Health & Human Services Refer Amended to House Committee of the Whole · lower
15. Jan 8, 2025 Introduced In House - Assigned to Health & Human Services · lower