HB 24-1010

  • Colorado House Bill
  • 2024 Regular Session
  • Introduced in House Mar 26, 2024
  • Passed House Mar 25, 2024
  • Passed Senate May 03, 2024
  • Governor

Insurance Coverage for Provider-Administered Drugs

Abstract

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.)

Bill Sponsors (4)

Votes


Actions


May 17, 2024

Office of the Governor

Governor Vetoed

May 14, 2024

Office of the Governor

Sent to the Governor

May 13, 2024

Senate

Signed by the President of the Senate

House

Signed by the Speaker of the House

May 04, 2024

House

House Considered Senate Amendments - Result was to Concur - Repass

May 03, 2024

Senate

Senate Third Reading Passed with Amendments - Floor

May 02, 2024

Senate

Senate Second Reading Passed with Amendments - Committee, Floor

May 01, 2024

Senate

Senate Second Reading Special Order - Laid Over to 05/01/2024 - No Amendments

Apr 30, 2024

Senate

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

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

Apr 24, 2024

Senate

Senate Committee on Health & Human Services Refer Amended to Appropriations

  • Referral-Committee
Appropriations Health & Human Services

Mar 26, 2024

Senate

Introduced In Senate - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Mar 25, 2024

House

House Third Reading Passed - No Amendments

Mar 22, 2024

House

House Second Reading Special Order - Passed with Amendments - Committee

Mar 12, 2024

House

House Second Reading Laid Over Daily - No Amendments

Mar 08, 2024

House

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

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

Feb 27, 2024

House

House Committee on Health & Human Services Refer Amended to Appropriations

  • Referral-Committee
Appropriations Health & Human Services

Jan 10, 2024

House

Introduced In House - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Bill Text

Bill Text Versions Format
Signed Act (05/17/2024) PDF
Final Act (05/13/2024) PDF
Rerevised (05/03/2024) PDF
Revised (05/02/2024) PDF
Reengrossed (03/25/2024) PDF
Engrossed (03/22/2024) PDF
Introduced (01/10/2024) PDF
PA3 (04/25/2024) PDF
PA2 (03/08/2024) PDF
PA1 (03/01/2024) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note SA1 (03/06/2024) PDF
Fiscal Note SA2 (04/29/2024) PDF
Fiscal Note FN1 (01/25/2024) PDF
Fiscal Note FN2 (03/27/2024) PDF
Fiscal Note FN3 (06/13/2024) 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.