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First Regular Session | 75th General Assembly
Colorado General Assembly
HB23-1130

Drug Coverage For Serious Mental Illness

Type Bill
Session 2023 Regular Session
Subjects
Health Care & Health Insurance

Concerning requirements for prescription drug coverage for serious mental illness, and, in connection therewith, making an appropriation.

Bill Summary:

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.)

Prime Sponsors

Senator Dafna Michaelson Jenet

Representative

Dafna Michaelson Jenet

Senator Robert Rodriguez

Senator

Robert Rodriguez

Senator Chris Kolker

Senator

Chris Kolker

Committees

House

Health & Insurance

Appropriations

Senate

Health & Human Services

Appropriations

Status

Became Law

Introduced

Passed

Became Law

Related Documents & Information

Date Version Documents
06/06/2023 Signed Act PDF
05/05/2023 Final Act PDF
04/21/2023 Rerevised PDF
04/20/2023 Revised PDF
03/13/2023 Reengrossed PDF
03/11/2023 Engrossed PDF
01/30/2023 Introduced PDF
Date Version Documents
03/11/2023 PA2 PDF
02/22/2023 PA1 PDF
Date Version Documents
07/28/2023 FN2 PDF
02/17/2023 FN1 PDF
Date Version Documents
04/17/2023 SA2 PDF
03/07/2023 SA1 PDF
Activity Vote Documents
Refer House Bill 23-1130 to the Committee of the Whole. The motion passed on a vote of 7-0. Vote summary
Hearing Summary
|
Committee Report:  PDF
Activity Vote Documents
Refer House Bill 23-1130 to the Committee on Appropriations. The motion passed on a vote of 5-1. Vote summary
Hearing Summary
|
Committee Report:  PDF
Activity Vote Documents
Adopt amendment J.001 The motion passed without objection. Vote summary
Refer House Bill 23-1130, as amended, to the Committee of the Whole. The motion passed on a vote of 11-0. Vote summary
Hearing Summary
|
Committee Report:  PDF
Activity Vote Documents
Adopt amendment L.001 (Attachment G). The motion passed without objection. Vote summary
Refer House Bill 23-1130, as amended, to the Committee on Appropriations. The motion passed on a vote of 11-0. Vote summary
Hearing Summary
|
Committee Report:  PDF
Date Calendar Motion Vote Vote Document
04/21/2023 Third Reading BILL
28
AYE
5
NO
2
OTHER
 		Vote record
Date Calendar Motion Vote Vote Document
03/13/2023 Third Reading BILL
57
AYE
3
NO
5
OTHER
 		Vote record
Date Amendment Number Committee/ Floor Hearing Status Documents
03/10/2023 J.001 HOU Appropriations Passed [*] PDF
02/21/2023 L.001 HOU Health & Insurance Passed [*] PDF

* Amendments passed in committee are not incorporated into the measure unless adopted by the full House or Senate.

** The status of Second Reading amendments may be subsequently affected by the adoption of an amendment to the Committee of the Whole Report. Refer to the House or Senate Journal for additional information.

Date Location Action
06/06/2023 Governor Governor Signed
05/05/2023 Governor Sent to the Governor
05/05/2023 Senate Signed by the President of the Senate
05/04/2023 House Signed by the Speaker of the House
04/21/2023 Senate Senate Third Reading Passed - No Amendments
04/20/2023 Senate Senate Second Reading Passed - No Amendments
04/18/2023 Senate Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
04/13/2023 Senate Senate Committee on Health & Human Services Refer Unamended to Appropriations
03/16/2023 Senate Introduced In Senate - Assigned to Health & Human Services
03/13/2023 House House Third Reading Passed - No Amendments
03/11/2023 House House Second Reading Special Order - Passed with Amendments - Committee
03/10/2023 House House Committee on Appropriations Refer Amended to House Committee of the Whole
02/21/2023 House House Committee on Health & Insurance Refer Amended to Appropriations
01/30/2023 House Introduced In House - Assigned to Health & Insurance
Effective Date Chapter # Title Documents
08/07/2023 394 Drug Coverage For Serious Mental Illness PDF

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