SB 23-195

  • Colorado Senate Bill
  • 2023 Regular Session
  • Introduced in Senate Apr 19, 2023
  • Passed Senate Apr 19, 2023
  • Passed House Apr 29, 2023
  • Signed by Governor Jun 05, 2023

Calculation Of Contributions To Meet Cost Sharing

Abstract

For health benefit plans issued or renewed on or after January 1, 2025, the act requires a health insurer or pharmacy benefit manager to include in the calculation of a covered person's contributions toward cost-sharing requirements, including any annual limitation on a covered person's out-of-pocket costs, any payments made by or on behalf of the covered person for a prescription drug if: The prescription drug does not have a generic equivalent or, for a biological product, a biosimilar drug or interchangeable biological product; or The prescription drug has a generic equivalent, a biosimilar drug, or an interchangeable biological product, but the covered person is using the brand-name drug after obtaining prior authorization, complying with a step-therapy protocol, or otherwise receiving approval from the carrier or pharmacy benefit manager if those utilization management processes are not otherwise prohibited by law. The commissioner of insurance is authorized to adopt rules necessary to implement the act. The act applies to health benefit plans issued or renewed on or after January 1, 2025. APPROVED by Governor June 5, 2023 EFFECTIVE August 7, 2023 NOTE: This act was passed without a safety clause and takes effect 90 days after sine die. (Note: This summary applies to this bill as enacted.)

Bill Sponsors (4)

Votes


Actions


Jun 05, 2023

Office of the Governor

Governor Signed

May 10, 2023

Office of the Governor

Sent to the Governor

Senate

Signed by the President of the Senate

May 09, 2023

House

Signed by the Speaker of the House

May 04, 2023

Senate

Senate Considered House Amendments - Result was to Concur - Repass

May 03, 2023

Senate

Senate Considered House Amendments - Result was to Laid Over Daily

Senate

Senate Considered House Amendments - Result was to Laid Over Daily

Apr 29, 2023

House

House Third Reading Passed - No Amendments

Apr 27, 2023

House

House Third Reading Laid Over Daily - No Amendments

Apr 26, 2023

House

House Second Reading Special Order - Passed with Amendments - Committee

House

House Committee on Appropriations Refer Unamended to House Committee of the Whole

  • Committee-Passage
  • Referral-Committee
Appropriations House Committee of the Whole

Apr 25, 2023

House

House Committee on Public & Behavioral Health & Human Services Refer Amended to Appropriations

  • Referral-Committee
Appropriations Health & Human Services

Apr 19, 2023

House

Introduced In House - Assigned to Public & Behavioral Health & Human Services

  • Introduction
Public & Behavioral Health & Human Services Health & Human Services

Senate

Senate Third Reading Passed - No Amendments

Apr 18, 2023

Senate

Senate Second Reading Special Order - Passed with Amendments - Committee

Apr 17, 2023

Senate

Senate Second Reading Special Order - Laid Over Daily - No Amendments

Apr 14, 2023

Senate

Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole

  • Committee-Passage
  • Referral-Committee
Appropriations Senate Committee of the Whole

Mar 30, 2023

Senate

Senate Committee on Health & Human Services Refer Amended to Appropriations

  • Referral-Committee
Appropriations Health & Human Services

Mar 16, 2023

Senate

Introduced In Senate - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Bill Text

Bill Text Versions Format
Signed Act (06/05/2023) PDF
Final Act (05/10/2023) PDF
Rerevised (04/29/2023) PDF
Revised (04/26/2023) PDF
Reengrossed (04/19/2023) PDF
Engrossed (04/18/2023) PDF
Introduced (03/16/2023) PDF
PA2 (04/26/2023) PDF
PA1 (03/31/2023) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note SA1 (04/13/2023) PDF
Fiscal Note SA2 (04/25/2023) PDF
Fiscal Note FN1 (03/28/2023) PDF
Fiscal Note FN2 (04/20/2023) PDF
Fiscal Note FN3 (07/31/2023) PDF

Sources

Data on Open States is updated periodically throughout the day from the official website of the Colorado General Assembly.

If you notice any inconsistencies with these official sources, feel free to file an issue.