Dafna Michaelson Jenet
Primary
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.)
Governor Signed
Sent to the Governor
Signed by the President of the Senate
Signed by the Speaker of the House
Senate Third Reading Passed - No Amendments
Senate Second Reading Passed - No Amendments
Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
Senate Committee on Health & Human Services Refer Unamended to Appropriations
Introduced In Senate - Assigned to Health & Human Services
House Third Reading Passed - No Amendments
House Second Reading Special Order - Passed with Amendments - Committee
House Committee on Appropriations Refer Amended to House Committee of the Whole
House Committee on Health & Insurance Refer Amended to Appropriations
| Bill Text Versions | Format |
|---|---|
| Signed Act (06/06/2023) | |
| Final Act (05/05/2023) | |
| Rerevised (04/21/2023) | |
| Revised (04/20/2023) | |
| Reengrossed (03/13/2023) | |
| Engrossed (03/11/2023) | |
| Introduced (01/30/2023) | |
| PA2 (03/11/2023) | |
| PA1 (02/22/2023) | |
| Committee Amendment |
| Document | Format |
|---|---|
| Fiscal Note SA1 (03/07/2023) | |
| Fiscal Note SA2 (04/17/2023) | |
| Fiscal Note FN1 (02/17/2023) | |
| Fiscal Note FN2 (07/28/2023) |
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