HB 25-1002

  • Colorado House Bill
  • 2025 Regular Session
  • Introduced in House Feb 12, 2025
  • Passed House Feb 10, 2025
  • Senate
  • Governor

Medical Necessity Determination Insurance Coverage

Abstract

The bill 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 bill requires that every health benefit plan must provide coverage for: The placement, including admission, continued stay, transfer, and discharge of a covered person and determinations relating to mental health disorders in accordance with criteria developed by the American Academy of Child and Adolescent Psychiatry or the American Association for Community Psychiatry; and Medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria. The bill also specifies criteria to be used for utilization review, service intensity, the level of care for covered persons, and provider reimbursement. (Note: This summary applies to this bill as introduced.)

Bill Sponsors (34)

Votes


Feb 10, 2025

Actions


Feb 12, 2025

Senate

Introduced In Senate - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Feb 10, 2025

House

House Third Reading Passed - No Amendments

Feb 07, 2025

House

House Second Reading Special Order - Passed with Amendments - Committee, Floor

Jan 31, 2025

House

House Second Reading Laid Over Daily - No Amendments

Jan 29, 2025

House

House Committee on Health & Human Services Refer Amended to House Committee of the Whole

  • Committee-Passage
  • Referral-Committee
House Committee of the Whole Health & Human Services

Jan 08, 2025

House

Introduced In House - Assigned to Health & Human Services

  • Introduction
Health & Human Services

Bill Text

Bill Text Versions Format
Reengrossed (02/10/2025) PDF
Engrossed (02/07/2025) PDF
Introduced (01/08/2025) PDF
PA1 (01/30/2025) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note FN1 (01/27/2025) 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.