HB 20-1085

  • Colorado House Bill
  • 2020 Regular Session
  • Introduced in House Jun 09, 2020
  • Passed House Jun 09, 2020
  • Passed Senate Jun 11, 2020
  • Governor

Prevention Of Substance Use Disorders

Abstract

The act requires a health benefit plan, beginning January 1, 2022, to provide coverage for nonpharmacological treatment as an alternative to opioids. The required coverage must include, at a cost-sharing amount not to exceed the cost-sharing amount for a primary care visit for nonpreventive services and without a prior authorization requirement, at least 6 physical therapy visits, 6 occupational therapy visits,6 chiropractic visits, and 6 acupuncture visits per year. The act requires an insurance carrier (carrier) that provides prescription drug benefits to provide coverage, beginning January 1, 2022, for at least one atypical opioid that is approved by the federal food and drug administration (FDA) for the treatment of acute or chronic pain at the lowest cost-sharing tier of the carrier's formulary with no requirement for step therapy or prior authorization and to not require step therapy for any additional FDA-approved atypical opioids. The act precludes a carrier that has a contract with a physical therapist, occupational therapist, or acupuncturist from: Prohibiting the physical therapist, occupational therapist, or acupuncturist from, or penalizing the physical therapist, occupational therapist, or acupuncturist for, providing a covered person information on the amount of the covered person's financial responsibility for the covered person's physical therapy, occupational therapy, or acupuncture services; or Requiring the physical therapist, occupational therapist, or acupuncturist to charge or collect a copayment from a covered person that exceeds the total charges submitted by the physical therapist, occupational therapist, or acupuncturist. The commissioner of insurance is required to take action against a carrier that the commissioner determines is not complying with these prohibitions. The act requires the executive director of the department of regulatory agencies to promulgate rules that limit the supply of a benzodiazepine that a prescriber may prescribe to patient who has not had a prescription for benzodiazepine in the last 12 months. Current law limits an opioid prescriber from prescribing more than a 7-day supply of an opioid to a patient who has not had an opioid prescription within the previous 12 months unless certain conditions apply, and this prescribing limitation is set to repeal on September 1, 2021. The act continues the prescribing limitation indefinitely. The act requires the Colorado medical board (board) to consult with the center for research into substance use disorder prevention, treatment, and recovery support strategies to promulgate rules establishing competency-based continuing education requirements for physicians and physician assistants concerning prescribing practices for opioids. With regard to the prescription drug monitoring program (program), the act: Modifies requirements for adding prescription information to the program; (program) Prohibits the state board of pharmacy from charging practitioners or pharmacists a fee for registering or maintaining an account with the program; Continues indefinitely the requirement that a health care provider query the program before prescribing a second fill for an opioid; Requires each health care provider to query the program before prescribing a second fill for a benzodiazepine, unless certain exceptions apply; Requires the board to promulgate rules designating additional controlled substances and other prescription drugs to be tracked by the program; and In addition to current law allowing medical examiners and coroners to query the program when conducting an autopsy, allows medical examiners and coroners to query the program when conducting a death investigation. The act appropriates $18,540 from the division of professions and occupations cash fund to the department of regulatory agencies to implement the act, with $2,550 allocated to the Colorado medical board and $15,990 reappropriated to the department of law to provide legal services to the department of regulatory agencies. (Note: This summary applies to this bill as enacted.)

Bill Sponsors (4)

Votes


Actions


Jul 02, 2020

Office of the Governor

Governor Vetoed

Jun 29, 2020

Office of the Governor

Sent to the Governor

House

Signed by the Speaker of the House

Senate

Signed by the President of the Senate

Jun 11, 2020

Senate

Senate Third Reading Passed - No Amendments

Jun 10, 2020

Senate

Senate Second Reading Special Order - Passed - No Amendments

Senate

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

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

Senate

Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Appropriations

  • Referral-Committee
State, Veterans, & Military Affairs Appropriations

Jun 09, 2020

Senate

Introduced In Senate - Assigned to State, Veterans, & Military Affairs

  • Introduction
State, Veterans, & Military Affairs

House

House Third Reading Passed with Amendments - Floor

Jun 08, 2020

House

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

House

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

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

Feb 19, 2020

House

House Committee on Health & Insurance Refer Amended to Appropriations

  • Referral-Committee
Appropriations

Jan 10, 2020

House

Introduced In House - Assigned to Health & Insurance

  • Introduction
Health & Insurance

Bill Text

Bill Text Versions Format
Signed Act (07/02/2020) PDF
Final Act (06/29/2020) PDF
Rerevised (06/11/2020) PDF
Revised (06/10/2020) PDF
Reengrossed (06/09/2020) PDF
Engrossed (06/08/2020) PDF
Introduced (01/10/2020) PDF
PA2 (06/08/2020) PDF
PA1 (02/20/2020) PDF
Committee Amendment PDF

Related Documents

Document Format
Fiscal Note SA1 (06/07/2020) PDF
Fiscal Note SA2 (06/10/2020) PDF
Fiscal Note FN1 (02/18/2020) PDF
Fiscal Note FN2 (04/16/2020) PDF
Fiscal Note FN3 (06/09/2020) PDF
Fiscal Note FN4 (08/10/2020) PDF

Sources

Data on Open States is updated nightly from the official website of the Colorado General Assembly.

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