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Colorado Senate Bill SB168

Colorado 2024 Regular Session

Colorado Senate Bill SB168 Compare Versions

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1+Second Regular Session
2+Seventy-fourth General Assembly
3+STATE OF COLORADO
4+REREVISED
5+This Version Includes All Amendments
6+Adopted in the Second House
7+LLS NO. 24-0080.01 Chelsea Princell x4335
18 SENATE BILL 24-168
2-BY SENATOR(S) Roberts and Simpson, Michaelson Jenet, Bridges,
3-Buckner, Cutter, Exum, Fields, Gardner, Jaquez Lewis, Kirkmeyer, Liston,
4-Lundeen, Marchman, Mullica, Priola, Van Winkle, Will, Zenzinger;
5-also REPRESENTATIVE(S) McCluskie and Martinez, Young, Amabile,
6-Bird, Boesenecker, Bradley, Brown, Clifford, Daugherty, Duran, Frizell,
7-Hamrick, Jodeh, Kipp, Lieder, Lindsay, Lukens, Mabrey, Marvin, Mauro,
8-McCormick, McLachlan, Ortiz, Ricks, Rutinel, Sirota, Snyder, Taggart,
9-Titone, Velasco, Woodrow.
9+Senate Committees House Committees
10+Health & Human Services Health & Human Services
11+Appropriations Appropriations
12+A BILL FOR AN ACT
1013 C
11-ONCERNING REMOTE MONITORING SERVICES FOR MEDICAID MEMBERS ,
12-AND, IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.
13-
14-Be it enacted by the General Assembly of the State of Colorado:
15-SECTION 1. Legislative declaration. (1) The general assembly
16-finds that:
17-(a) Concerning the use of telehealth remote monitoring to provide
18-outpatient clinical services:
19-(I) Telehealth helps connect Medicaid members with health-care
20-providers, enabling members to receive the care and consultation they need
21-NOTE: This bill has been prepared for the signatures of the appropriate legislative
22-officers and the Governor. To determine whether the Governor has signed the bill
23-or taken other action on it, please consult the legislative status sheet, the legislative
24-history, or the Session Laws.
25-________
26-Capital letters or bold & italic numbers indicate new material added to existing law; dashes
27-through words or numbers indicate deletions from existing law and such material is not part of
28-the act. without traveling to visit a provider in another city or area of the state;
29-(II) Telehealth visits may provide cost savings for the Medicaid
30-system by improving access to primary care and helping avoid unnecessary
31-trips to the emergency department;
32-(III) More than 700,000 Coloradans live in a rural or frontier county.
33-Rural Coloradans face several unique challenges in health-care access,
34-affordability, and outcomes. Rural residents tend to be older and in poorer
35-health than their urban counterparts, and rural communities often face
36-challenges with access to care and financial viability. According to the
37-Centers for Disease Control and Prevention, rural residents are more likely
38-to die prematurely from heart disease, cancer, unintentional injury, chronic
39-lower respiratory disease, and stroke.
40-(IV) Despite these challenges, rural Coloradans play an important
41-role in food and energy production in the state and serve as an integral part
42-of Colorado's economy;
43-(V) Telehealth, including telehealth remote monitoring, is one of the
44-tools the Centers for Disease Control and Prevention has identified that can
45-be used to improve the health of rural residents. Telehealth remote
46-monitoring uses digital technologies to collect health data from patients in
47-one location and electronically transmit that information securely to
48-providers in a different location.
49-(VI) Telehealth remote monitoring technologies provide a particular
50-benefit for patients with chronic conditions to receive the care they need
51-without the need for constant in-person visits to the patient's physician's
52-office. Patients with chronic conditions such as diabetes, heart disease, and
53-chronic obstructive pulmonary disease often require ongoing monitoring
54-and management. Telehealth remote monitoring can help these patients
55-better manage their conditions by providing regular monitoring, alerts, and
56-support.
57-(VII) Multiple studies indicate that telehealth remote monitoring
58-offers patients a clear return on investment over time, which extends beyond
59-initial health-care savings, including money associated with transportation,
60-time, and energy to visit their doctors; prescription, laboratory, and imaging
61-costs; and hard and soft expenses if a hospital stay or emergency department
62-PAGE 2-SENATE BILL 24-168 visit is required;
63-(VIII) The return on telehealth remote monitoring isn't limited to
64-financial measurements. It also improves health outcomes, eliminates
65-communication barriers, facilitates faster access to providers, reduces
66-hospital readmissions, shortens hospital stays, and enhances patient
67-education.
68-(IX) Expanding access to telehealth remote monitoring for patients
69-is crucial to achieving health equity in Colorado.
70-(b) Concerning the use of continuous glucose monitoring devices:
71-(I) More than 300,000 Coloradans live with type 1 or type 2
72-diabetes;
73-(II) Managing diabetes requires strict blood glucose control
74-consisting of multiple blood glucose level checks daily, medication
75-administration, and balancing diet and physical activity;
76-(III) Continuous glucose monitoring devices provide patients and
77-health-care providers with more health data and detail concerning blood
78-glucose levels than traditional blood glucose meters;
79-(IV) For people with diabetes, continuous glucose monitoring
80-devices provide significant, life-changing, and lifesaving benefits for
81-managing their diabetes and can prevent or delay serious medical
82-complications, including those that may require hospitalization or could
83-lead to death;
84-(V) Individuals with diabetes who use continuous glucose
85-monitoring devices experience fewer episodes of hypoglycemia and a
86-reduction in their average blood glucose levels (A1C); and
87-(VI) Access to continuous glucose monitoring technology is
88-extremely important to individuals with diabetes, especially those who live
89-in communities with a disproportionate rate of diabetes. However, many
90-Coloradans with diabetes still lack access to this critical technology, even
91-though the use of continuous glucose monitoring devices is a recognized
92-standard of care for all insulin-dependent individuals.
93-PAGE 3-SENATE BILL 24-168 (2) Therefore, the general assembly declares that it is in the best
94-interest of the state of Colorado to reduce health disparities and increase
95-health equity by prioritizing expanded access to remote patient monitoring
96-services in outpatient health-care settings across the state and to provide
97-access to continuous glucose monitoring services to diabetic Coloradans to
98-decrease health-care costs and improve health outcomes for all Coloradans.
99-SECTION 2. In Colorado Revised Statutes, add 25.5-5-337 as
100-follows:
101-25.5-5-337. Telehealth remote monitoring services for outpatient
102-clinical services - grant program - federal authorization - rules -
103-definitions. (1) A
104-S USED IN THIS SECTION, UNLESS THE CONTEXT
105-OTHERWISE REQUIRES
106-:
14+ONCERNING REMOTE MONITORING SERVICES FOR MEDICAID101
15+MEMBERS, AND, IN CONNECTION THEREWITH , MAKING AN
16+102
17+APPROPRIATION.103
18+Bill Summary
19+(Note: This summary applies to this bill as introduced and does
20+not reflect any amendments that may be subsequently adopted. If this bill
21+passes third reading in the house of introduction, a bill summary that
22+applies to the reengrossed version of this bill will be available at
23+http://leg.colorado.gov
24+.)
25+Beginning July 1, 2025, the bill requires the department of health
26+care policy and financing (state department) to provide reimbursement for
27+the use of telehealth remote monitoring for outpatient services for certain
28+medicaid members (member).
29+The bill creates the telehealth remote monitoring grant program to
30+HOUSE
31+3rd Reading Unamended
32+May 7, 2024
33+HOUSE
34+2nd Reading Unamended
35+May 6, 2024
36+SENATE
37+3rd Reading Unamended
38+April 24, 2024
39+SENATE
40+Amended 2nd Reading
41+April 23, 2024
42+SENATE SPONSORSHIP
43+Roberts and Simpson, Michaelson Jenet, Bridges, Buckner, Cutter, Exum, Fields,
44+Gardner, Jaquez Lewis, Kirkmeyer, Liston, Lundeen, Marchman, Mullica, Priola, Van
45+Winkle, Will, Zenzinger
46+HOUSE SPONSORSHIP
47+McCluskie and Martinez, Young, Amabile, Bird, Boesenecker, Bradley, Brown, Clifford,
48+Daugherty, Duran, Frizell, Hamrick, Jodeh, Kipp, Lieder, Lindsay, Lukens, Mabrey, Marvin,
49+Mauro, McCormick, McLachlan, Ortiz, Ricks, Rutinel, Sirota, Snyder, Taggart, Titone,
50+Velasco, Woodrow
51+Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
52+Capital letters or bold & italic numbers indicate new material to be added to existing law.
53+Dashes through the words or numbers indicate deletions from existing law. provide grants to an outpatient health-care facility located in a designated
54+rural county or designated provider shortage area to assist the outpatient
55+health-care facility clinic with the financial cost of providing telehealth
56+remote monitoring for outpatient clinical services.
57+Beginning November 1, 2025, the bill requires the state
58+department to provide coverage for continuous glucose monitors for
59+members.
60+Be it enacted by the General Assembly of the State of Colorado:1
61+SECTION 1. Legislative declaration. (1) The general assembly2
62+finds that:3
63+(a) Concerning the use of telehealth remote monitoring to provide4
64+outpatient clinical services:5
65+(I) Telehealth helps connect Medicaid members with health-care6
66+providers, enabling members to receive the care and consultation they7
67+need without traveling to visit a provider in another city or area of the8
68+state;9
69+(II) Telehealth visits may provide cost savings for the Medicaid10
70+system by improving access to primary care and helping avoid11
71+unnecessary trips to the emergency department;12
72+(III) More than 700,000 Coloradans live in a rural or frontier13
73+county. Rural Coloradans face several unique challenges in health-care14
74+access, affordability, and outcomes. Rural residents tend to be older and15
75+in poorer health than their urban counterparts, and rural communities16
76+often face challenges with access to care and financial viability.17
77+According to the Centers for Disease Control and Prevention, rural18
78+residents are more likely to die prematurely from heart disease, cancer,19
79+unintentional injury, chronic lower respiratory disease, and stroke.20
80+(IV) Despite these challenges, rural Coloradans play an important21
81+role in food and energy production in the state and serve as an integral22
82+168-2- part of Colorado's economy;1
83+(V) Telehealth, including telehealth remote monitoring, is one of2
84+the tools the Centers for Disease Control and Prevention has identified3
85+that can be used to improve the health of rural residents. Telehealth4
86+remote monitoring uses digital technologies to collect health data from5
87+patients in one location and electronically transmit that information6
88+securely to providers in a different location.7
89+(VI) Telehealth remote monitoring technologies provide a8
90+particular benefit for patients with chronic conditions to receive the care9
91+they need without the need for constant in-person visits to the patient's10
92+physician's office. Patients with chronic conditions such as diabetes, heart11
93+disease, and chronic obstructive pulmonary disease often require ongoing12
94+monitoring and management. Telehealth remote monitoring can help13
95+these patients better manage their conditions by providing regular14
96+monitoring, alerts, and support.15
97+(VII) Multiple studies indicate that telehealth remote monitoring16
98+offers patients a clear return on investment over time, which extends17
99+beyond initial health-care savings, including money associated with18
100+transportation, time, and energy to visit their doctors; prescription,19
101+laboratory, and imaging costs; and hard and soft expenses if a hospital20
102+stay or emergency department visit is required;21
103+(VIII) The return on telehealth remote monitoring isn't limited to22
104+financial measurements. It also improves health outcomes, eliminates23
105+communication barriers, facilitates faster access to providers, reduces24
106+hospital readmissions, shortens hospital stays, and enhances patient25
107+education.26
108+(IX) Expanding access to telehealth remote monitoring for27
109+168
110+-3- patients is crucial to achieving health equity in Colorado.1
111+(b) Concerning the use of continuous glucose monitoring devices:2
112+(I) More than 300,000 Coloradans live with type 1 or type 23
113+diabetes;4
114+(II) Managing diabetes requires strict blood glucose control5
115+consisting of multiple blood glucose level checks daily, medication6
116+administration, and balancing diet and physical activity;7
117+(III) Continuous glucose monitoring devices provide patients and8
118+health-care providers with more health data and detail concerning blood9
119+glucose levels than traditional blood glucose meters;10
120+(IV) For people with diabetes, continuous glucose monitoring11
121+devices provide significant, life-changing, and lifesaving benefits for12
122+managing their diabetes and can prevent or delay serious medical13
123+complications, including those that may require hospitalization or could14
124+lead to death;15
125+(V) Individuals with diabetes who use continuous glucose16
126+monitoring devices experience fewer episodes of hypoglycemia and a17
127+reduction in their average blood glucose levels (A1C); and18
128+(VI) Access to continuous glucose monitoring technology is19
129+extremely important to individuals with diabetes, especially those who20
130+live in communities with a disproportionate rate of diabetes. However,21
131+many Coloradans with diabetes still lack access to this critical technology,22
132+even though the use of continuous glucose monitoring devices is a23
133+recognized standard of care for all insulin-dependent individuals.24
134+(2) Therefore, the general assembly declares that it is in the best25
135+interest of the state of Colorado to reduce health disparities and increase26
136+health equity by prioritizing expanded access to remote patient27
137+168
138+-4- monitoring services in outpatient health-care settings across the state and1
139+to provide access to continuous glucose monitoring services to diabetic2
140+Coloradans to decrease health-care costs and improve health outcomes for3
141+all Coloradans.4
142+SECTION 2. In Colorado Revised Statutes, add 25.5-5-337 as5
143+follows:6
144+25.5-5-337. Telehealth remote monitoring services for7
145+outpatient clinical services - grant program - federal authorization -8
146+rules - definitions. (1) A
147+S USED IN THIS SECTION, UNLESS THE CONTEXT9
148+OTHERWISE REQUIRES:10
107149 (a) "G
108-RANT PROGRAM " MEANS THE TELEHEALTH REMOTE
109-MONITORING GRANT PROGRAM CREATED IN SUBSECTION
110-(6) OF THIS SECTION.
150+RANT PROGRAM" MEANS THE TELEHEALTH REMOTE11
151+MONITORING GRANT PROGRAM CREATED IN SUBSECTION (6) OF THIS12
152+SECTION.13
111153 (b) "M
112-EMBER" MEANS ANY PERSON WHO HAS BEEN DETERMINED
113-ELIGIBLE TO RECEIVE BENEFITS OR SERVICES UNDER THIS TITLE
114-25.5.
154+EMBER" MEANS ANY PERSON WHO HAS BEEN DETERMINED14
155+ELIGIBLE TO RECEIVE BENEFITS OR SERVICES UNDER THIS TITLE 25.5.15
115156 (c) "T
116-ELEHEALTH REMOTE MONITORING " MEANS THE ONGOING
117-REMOTE ASSESSMENT AND MONITORING OF CLINICAL DATA THROUGH
118-TECHNOLOGICAL EQUIPMENT IN ORDER TO DETECT CHANGES IN A MEMBER
119-'S
120-CLINICAL STATUS
121-, WHICH ALLOWS HEALTH-CARE PROVIDERS TO INTERVENE
122-BEFORE A HEALTH CONDITION EXACERBATES AND REQUIRES EMERGENCY
123-INTERVENTION OR INPATIENT HOSPITALIZATION
124-.
157+ELEHEALTH REMOTE MONITORING " MEANS THE ONGOING16
158+REMOTE ASSESSMENT AND MONITORING OF CLINICAL DATA THROUGH17
159+TECHNOLOGICAL EQUIPMENT IN ORDER TO DETECT CHANGES IN A18
160+MEMBER'S CLINICAL STATUS, WHICH ALLOWS HEALTH-CARE PROVIDERS TO19
161+INTERVENE BEFORE A HEALTH CONDITION EXACERBATES AND REQUIRES20
162+EMERGENCY INTERVENTION OR INPATIENT HOSPITALIZATION .21
125163 (2) (a) O
126-N OR BEFORE SEPTEMBER 1, 2024, THE STATE DEPARTMENT
127-SHALL INITIATE A STAKEHOLDER PROCESS TO DETERMINE THE BILLING
128-STRUCTURE FOR TELEHEALTH REMOTE MONITORING FOR OUTPATIENT
129-CLINICAL SERVICES
130-:
164+N OR BEFORE SEPTEMBER 1, 2024, THE STATE22
165+DEPARTMENT SHALL INITIATE A STAKEHOLDER PROCESS TO DETERMINE23
166+THE BILLING STRUCTURE FOR TELEHEALTH REMOTE MONITORING FOR24
167+OUTPATIENT CLINICAL SERVICES:25
131168 (b) T
132-HE STATE DEPARTMENT STAKEHOLDER PROCESS , REQUIRED BY
133-SUBSECTION
134- (2)(a) OF THIS SECTION, MUST ENGAGE WITH HEALTH -CARE
135-PROVIDERS WHO SERVE RURAL AND UNDERSERVED POPULATIONS
136-, INCLUDING
137-RURAL HEALTH CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS TO
138-ENSURE THE BILLING STRUCTURE IS SUSTAINABLE IN THESE HEALTH
139--CARE
140-SETTINGS
141-.
142-PAGE 4-SENATE BILL 24-168 (c) ON OR BEFORE JUNE 30, 2025, THE STATE BOARD SHALL
143-PROMULGATE RULES REGARDING THE BILLING STRUCTURE BASED ON
144-FEEDBACK FROM THE STAKEHOLDER PROCESS REQUIRED IN SUBSECTIONS
145-(2)(a) AND (2)(b) OF THIS SECTION.
169+HE STATE DEPARTMENT STAKEHOLDER PROCESS , REQUIRED26
170+BY SUBSECTION (2)(a) OF THIS SECTION, MUST ENGAGE WITH27
171+168
172+-5- HEALTH-CARE PROVIDERS WHO SERVE RURAL AND UNDERSERVED1
173+POPULATIONS, INCLUDING RURAL HEALTH CLINICS AND FEDERALLY2
174+QUALIFIED HEALTH CENTERS TO ENSURE THE BILLING STRUCTURE IS3
175+SUSTAINABLE IN THESE HEALTH-CARE SETTINGS.4
176+(c) O
177+N OR BEFORE JUNE 30, 2025, THE STATE BOARD SHALL5
178+PROMULGATE RULES REGARDING THE BILLING STRUCTURE BASED ON6
179+FEEDBACK FROM THE STAKEHOLDER PROCESS REQUIRED IN SUBSECTIONS7
180+(2)(a)
181+AND (2)(b) OF THIS SECTION.8
146182 (3) (a) B
147-EGINNING JULY 1, 2025, THE STATE DEPARTMENT SHALL
148-PROVIDE REIMBURSEMENT FOR THE USE OF TELEHEALTH REMOTE
149-MONITORING FOR OUTPATIENT CLINICAL SERVICES IF
150-:
183+EGINNING JULY 1, 2025, THE STATE DEPARTMENT SHALL9
184+PROVIDE REIMBURSEMENT FOR THE USE OF TELEHEALTH REMOTE10
185+MONITORING FOR OUTPATIENT CLINICAL SERVICES IF :11
151186 (I) T
152-HE MEMBER'S HEALTH-CARE PROVIDER DETERMINES THAT
153-TELEHEALTH REMOTE MONITORING IS MEDICALLY NECESSARY BASED ON THE
154-MEMBER
155-'S MEDICAL CONDITION OR STATUS;
187+HE MEMBER'S HEALTH-CARE PROVIDER DETERMINES THAT12
188+TELEHEALTH REMOTE MONITORING IS MEDICALLY NECESSARY BASED ON13
189+THE MEMBER'S MEDICAL CONDITION OR STATUS;14
156190 (II) T
157-HE MEMBER'S HEALTH-CARE PROVIDER DETERMINES THAT
158-TELEHEALTH REMOTE MONITORING WOULD LIKELY PREVENT THE MEMBER
159-'S
160-ADMISSION OR READMISSION TO A HOSPITAL
161-, EMERGENCY DEPARTMENT ,
162-NURSING FACILITY, OR OTHER CLINICAL SETTING;
191+HE MEMBER'S HEALTH-CARE PROVIDER DETERMINES THAT15
192+TELEHEALTH REMOTE MONITORING WOULD LIKELY PREVENT THE16
193+MEMBER'S ADMISSION OR READMISSION TO A HOSPITAL , EMERGENCY17
194+DEPARTMENT, NURSING FACILITY, OR OTHER CLINICAL SETTING;18
163195 (III) T
164-HE MEMBER IS COGNITIVELY AND PHYSICALLY CAPABLE OF
165-OPERATING THE TELEHEALTH REMOTE MONITORING DEVICE OR EQUIPMENT
166-OR THE MEMBER HAS A CAREGIVER WHO IS ABLE AND WILLING TO ASSIST
167-WITH THE TELEHEALTH REMOTE MONITORING DEVICE OR EQUIPMENT
168-; AND
169-(IV) THE MEMBER RESIDES IN A SETTING THAT IS SUITABLE FOR
170-TELEHEALTH REMOTE MONITORING AND DOES NOT HAVE HEALTH
171--CARE
172-STAFF ON SITE
173-.
196+HE MEMBER IS COGNITIVELY AND PHYSICALLY CAPABLE OF19
197+OPERATING THE TELEHEALTH REMOTE MONITORING DEVICE OR EQUIPMENT20
198+OR THE MEMBER HAS A CAREGIVER WHO IS ABLE AND WILLING TO ASSIST21
199+WITH THE TELEHEALTH REMOTE MONITORING DEVICE OR EQUIPMENT ; AND22
200+(IV) T
201+HE MEMBER RESIDES IN A SETTING THAT IS SUITABLE FOR23
202+TELEHEALTH REMOTE MONITORING AND DOES NOT HAVE HEALTH -CARE24
203+STAFF ON SITE.25
174204 (b) T
175-HE STATE BOARD SHALL PROMULGATE RULES REGARDING
176-ADDITIONAL ELIGIBILITY REQUIREMENTS
177-. THE ELIGIBILITY REQUIREMENTS
178-MUST PRIORITIZE MEMBERS WITH CHRONIC CONDITIONS AND MEMBERS WHO
179-ARE PREGNANT AND CARRYING A HIGH
180--RISK PREGNANCY.
205+HE STATE BOARD SHALL PROMULGATE RULES REGARDING26
206+ADDITIONAL ELIGIBILITY REQUIREMENTS. THE ELIGIBILITY REQUIREMENTS27
207+168
208+-6- MUST PRIORITIZE MEMBERS WITH CHRONIC CONDITIONS AND MEMBERS1
209+WHO ARE PREGNANT AND CARRYING A HIGH -RISK PREGNANCY.2
181210 (4) T
182-HE ASSESSMENT AND MONITORING OF THE HEALTH DATA
183-TRANSMITTED BY TELEHEALTH REMOTE MONITORING MUST BE PERFORMED
184-BY ONE OF THE FOLLOWING LICENSED HEALTH
185--CARE PROFESSIONALS:
211+HE ASSESSMENT AND MONITORING OF THE HEALTH DATA3
212+TRANSMITTED BY TELEHEALTH REMOTE MONITORING MUST BE PERFORMED4
213+BY ONE OF THE FOLLOWING LICENSED HEALTH -CARE PROFESSIONALS:5
186214 (a) P
187-HYSICIAN;
215+HYSICIAN;6
188216 (b) P
189-ODIATRIST;
190-PAGE 5-SENATE BILL 24-168 (c) ADVANCED PRACTICE REGISTERED NURSE ;
217+ODIATRIST;7
218+(c) A
219+DVANCED PRACTICE REGISTERED NURSE ;8
191220 (d) P
192-HYSICIAN ASSISTANT;
221+HYSICIAN ASSISTANT;9
193222 (e) R
194223 ESPIRATORY THERAPIST;
224+10
195225 (f) P
196226 HARMACIST; OR
197-(g) LICENSED HEALTH-CARE PROFESSIONAL WORKING UNDER THE
198-SUPERVISION OF A MEDICAL DIRECTOR
199-.
227+11
228+(g) LICENSED HEALTH-CARE PROFESSIONAL WORKING UNDER THE12
229+SUPERVISION OF A MEDICAL DIRECTOR.13
200230 (5) T
201-HE STATE DEPARTMENT MAY SEEK ANY FEDERAL
202-AUTHORIZATION NECESSARY TO IMPLEMENT SUBSECTIONS
203-(3) AND (4) OF
204-THIS SECTION
205-.
231+HE STATE DEPARTMENT MAY SEEK ANY FEDERAL14
232+AUTHORIZATION NECESSARY TO IMPLEMENT SUBSECTIONS (3) AND (4) OF15
233+THIS SECTION.16
206234 (6) (a) T
207-HERE IS CREATED IN THE STATE DEPARTMENT THE
208-TELEHEALTH REMOTE MONITORING GRANT PROGRAM TO PROVIDE GRANTS
209-TO OUTPATIENT HEALTH
210--CARE FACILITIES LOCATED IN A DESIGNATED RURAL
211-COUNTY OR A DESIGNATED HEALTH
212--CARE PROFESSIONAL SHORTAGE AREA
213-TO ASSIST THE HOSPITALS AND CLINICS WITH THE FINANCIAL COSTS
214-ASSOCIATED WITH PROVIDING TELEHEALTH REMOTE MONITORING FOR
215-OUTPATIENT CLINICAL SERVICES
216-.
235+HERE IS CREATED IN THE STATE DEPARTMENT THE17
236+TELEHEALTH REMOTE MONITORING GRANT PROGRAM TO PROVIDE GRANTS18
237+TO OUTPATIENT HEALTH-CARE FACILITIES LOCATED IN A DESIGNATED19
238+RURAL COUNTY OR A DESIGNATED HEALTH -CARE PROFESSIONAL
239+20
240+SHORTAGE AREA TO ASSIST THE HOSPITALS AND CLINICS WITH THE21
241+FINANCIAL COSTS ASSOCIATED WITH PROVIDING TELEHEALTH REMOTE22
242+MONITORING FOR OUTPATIENT CLINICAL SERVICES .23
217243 (b) T
218-HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT
219-PROGRAM AND
220-, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD
221-GRANTS AS PROVIDED IN THIS SUBSECTION
222-(6).
244+HE STATE DEPARTMENT SHALL ADMINISTER THE GRANT24
245+PROGRAM AND, SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD25
246+GRANTS AS PROVIDED IN THIS SUBSECTION (6).26
223247 (c) T
224-O BE ELIGIBLE FOR A GRANT, AN OUTPATIENT HEALTH-CARE
225-FACILITY MUST
226-:
248+O BE ELIGIBLE FOR A GRANT, AN OUTPATIENT HEALTH-CARE27
249+168
250+-7- FACILITY MUST:1
227251 (I) A
228-PPLY FOR A GRANT IN THE MANNER PRESCRIBED BY THE STATE
229-DEPARTMENT
230-;
252+PPLY FOR A GRANT IN THE MANNER PRESCRIBED BY THE STATE2
253+DEPARTMENT;3
231254 (II) B
232-E LOCATED IN A DESIGNATED RURAL COUNTY OR DESIGNATED
233-HEALTH
234--CARE PROFESSIONAL SHORTAGE AREA ; AND
235-(III) HAVE A DEMONSTRATED NEED FOR FINANCIAL ASSISTANCE TO
236-PURCHASE EQUIPMENT TO PROVIDE TELEHEALTH REMOTE MONITORING FOR
237-OUTPATIENT CLINICAL SERVICES
238-.
239-PAGE 6-SENATE BILL 24-168 (d) THE STATE DEPARTMENT MAY AWARD UP TO FIVE GRANTS
240-THROUGH THE GRANT PROGRAM
241-. EACH GRANT AWARDED MUST BE IN THE
242-AMOUNT OF ONE HUNDRED THOUSAND DOLLARS
243-.
244-(e) I
245-N SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT SHALL
246-PRIORITIZE APPLICANTS THAT SERVE POPULATIONS EXPERIENCING
247-DISPARITIES IN HEALTH
248--CARE ACCESS AND OUTCOMES , INCLUDING, BUT NOT
249-LIMITED TO
250-, HISTORICALLY MARGINALIZED AND UNDERSERVED
251-COMMUNITIES
252-, DETERMINED BY THE COMMUNITIES WITH THE HIGHEST
253-PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH THE
254-"COLORADO MEDICAL ASSISTANCE ACT", THIS ARTICLE 5 AND ARTICLES 4
255-AND 6 OF THIS TITLE 25.5.
256-(f) G
257-RANT RECIPIENTS MAY USE MONEY RECEIVED THROUGH THE
258-GRANT PROGRAM TO IMPLEMENT TELEHEALTH REMOTE MONITORING FOR
259-OUTPATIENT CLINICAL SERVICES AND INCLUDES THE FOLLOWING
260-:
255+E LOCATED IN A DESIGNATED RURAL COUNTY OR DESI GNATED4
256+HEALTH-CARE PROFESSIONAL
257+ SHORTAGE AREA; AND5
258+(III) H
259+AVE A DEMONSTRATED NEED FOR FINANCIAL ASSISTANCE TO6
260+PURCHASE EQUIPMENT TO PROVIDE TELEHEALTH REMOTE MONITORING7
261+FOR OUTPATIENT CLINICAL SERVICES.8
262+(d) T
263+HE STATE DEPARTMENT MAY AWARD UP TO FIVE GRANTS
264+9
265+THROUGH THE GRANT PROGRAM . EACH GRANT AWARDED MUST BE IN THE10
266+AMOUNT OF ONE HUNDRED THOUSAND DOLLARS .11
267+(e) IN SELECTING GRANT RECIPIENTS, THE STATE DEPARTMENT12
268+SHALL PRIORITIZE APPLICANTS THAT SERVE POPULATIONS EXPERIENCING13
269+DISPARITIES IN HEALTH-CARE ACCESS AND OUTCOMES , INCLUDING, BUT14
270+NOT LIMITED TO, HISTORICALLY MARGINALIZED AND UNDERSERVED15
271+COMMUNITIES, DETERMINED BY THE COMMUNITIES WITH THE HIGHEST16
272+PROPORTION OF PATIENTS RECEIVING ASSISTANCE THROUGH THE17
273+"C
274+OLORADO MEDICAL ASSISTANCE ACT", THIS ARTICLE 5 AND ARTICLES18
275+4
276+ AND 6 OF THIS TITLE 25.5.19
277+(f)
278+ GRANT RECIPIENTS MAY USE MONEY RECEIVED THROUGH THE20
279+GRANT PROGRAM TO IMPLEMENT TELEHEALTH REMOTE MONITORING FOR21
280+OUTPATIENT CLINICAL SERVICES AND INCLUDES THE FOLLOWING :22
261281 (I) T
262-RAINING STAFF TO USE, ASSESS, AND MONITOR TELEHEALTH
263-REMOTE MONITORING EQUIPMENT AND DEVICES
264-; AND
265-(II) ACQUIRING TELEHEALTH REMOTE MONITORING EQUIPMENT AND
266-DEVICES
267-.
268-(g) M
269-ONEY ALLOCATED TO THE GRANT PROGRAM MUST NOT BE
270-CONSIDERED IN RATE
271--SETTING FOR FEDERALLY QUALIFIED HEALTH CENTERS ,
272-AS DEFINED IN THE FEDERAL "SOCIAL SECURITY ACT", 42 U.S.C. SEC. 1395X
273-(aa)(4).
282+RAINING STAFF TO USE, ASSESS, AND MONITOR TELEHEALTH23
283+REMOTE MONITORING EQUIPMENT AND DEVICES ; AND24
284+(II) A
285+CQUIRING TELEHEALTH REMOTE MONITORING EQUIPMENT25
286+AND DEVICES.26
287+(g)
288+ MONEY ALLOCATED TO THE GRANT PROGRAM MUST NOT BE27
289+168
290+-8- CONSIDERED IN RATE-SETTING FOR FEDERALLY QUALIFIED HEALTH1
291+CENTERS, AS DEFINED IN THE FEDERAL "SOCIAL SECURITY ACT", 42 U.S.C.2
292+SEC. 1395X (aa)(4).3
274293 (7) T
275294 HE STATE DEPARTMENT IS AUTHORIZED TO RECEIVE AND
276-EXPEND GIFTS
277-, GRANTS, AND DONATIONS FROM INDIVIDUALS , PRIVATE
278-ORGANIZATIONS
279-, FOUNDATIONS, OR ANY GOVERNMENTAL UNIT ; EXCEPT
280-THAT NO GIFT
281-, GRANT, OR DONATION MAY BE ACCEPTED BY THE STATE
282-DEPARTMENT IF IT IS SUBJECT TO A CONDITION THAT IS INCONSISTENT WITH
283-THIS SECTION OR ANY OTHER LAW OF THIS STATE
284-.
285-(8) T
286-HIS SECTION DOES NOT APPLY TO HOME HEALTH-CARE BENEFITS
287-PROVIDED PURSUANT TO SECTION
288-25.5-5-321.
289-SECTION 3. In Colorado Revised Statutes, add 25.5-5-338 as
290-follows:
291-PAGE 7-SENATE BILL 24-168 25.5-5-338. Continuous glucose monitors - coverage - federal
295+4
296+EXPEND GIFTS, GRANTS, AND DONATIONS FROM INDIVIDUALS , PRIVATE5
297+ORGANIZATIONS, FOUNDATIONS, OR ANY GOVERNMENTAL UNIT ; EXCEPT6
298+THAT NO GIFT, GRANT, OR DONATION MAY BE ACCEPTED BY THE STATE7
299+DEPARTMENT IF IT IS SUBJECT TO A CONDITION THAT IS INCONSISTENT8
300+WITH THIS SECTION OR ANY OTHER LAW OF THIS STATE .9
301+(8) THIS SECTION DOES NOT APPLY TO HOME HEALTH -CARE10
302+BENEFITS PROVIDED PURSUANT TO SECTION 25.5-5-321.11
303+SECTION 3. In Colorado Revised Statutes, add 25.5-5-338 as12
304+follows:13
305+25.5-5-338. Continuous glucose monitors - coverage - federal14
292306 authorization - definition. (1) A
293-S USED IN THIS SECTION, UNLESS THE
294-CONTEXT OTHERWISE REQUIRES
295-, "CONTINUOUS GLUCOSE MONITOR " MEANS
296-AN INSTRUMENT OR A DEVICE DESIGNED FOR THE PURPOSE OF AIDING IN THE
297-TREATMENT OF DIABETES BY MEASURING GLUCOSE LEVELS ON DEMAND OR
298-AT SET INTERVALS THROUGH A SMALL
299-, ELECTRONIC SENSOR THAT SLIGHTLY
300-PENETRATES AN INDIVIDUAL
301-'S SKIN WHEN APPLIED AND THAT IS DESIGNED
302-TO REMAIN IN PLACE AND ACTIVE FOR AT LEAST SEVEN DAYS
303-.
307+S USED IN THIS SECTION, UNLESS THE15
308+CONTEXT OTHERWISE REQUIRES , "CONTINUOUS GLUCOSE MONITOR "16
309+MEANS AN INSTRUMENT OR A DEVICE DESIGNED FOR THE PURPOSE OF17
310+AIDING IN THE TREATMENT OF DIABETES BY MEASURING GLUCOSE LEVELS18
311+ON DEMAND OR AT SET INTERVALS THROUGH A SMALL , ELECTRONIC19
312+SENSOR THAT SLIGHTLY PENETRATES AN INDIVIDUAL 'S SKIN WHEN APPLIED20
313+AND THAT IS DESIGNED TO REMAIN IN PLACE AND ACTIVE FOR AT LEAST21
314+SEVEN DAYS.22
304315 (2) (a) B
305-EGINNING NOVEMBER 1, 2025, THE STATE DEPARTMENT
306-SHALL PROVIDE COVERAGE FOR A CONTINUOUS GLUCOSE MONITOR AND
316+EGINNING NOVEMBER 1, 2025, THE STATE DEPARTMENT23
317+SHALL PROVIDE COVERAGE FOR A CONTINUOUS GLUCOSE MONITOR AND24
307318 RELATED SUPPLIES TO MEMBERS UNDER THE MEDICAID MEDICAL AND
308-PHARMACY BENEFIT
309-.
319+25
320+PHARMACY BENEFIT.26
310321 (b) C
311-OVERAGE CRITERIA MUST ALIGN WITH THE CURRENT GLUCOSE
312-MONITOR LOCAL COVERAGE DETERMINATION STANDARDS ISSUED BY THE
313-CENTERS FOR MEDICARE AND MEDICAID THAT ARE USED TO D ETERMINE
314-COVERAGE FOR MEDICARE
315--ELIGIBLE INDIVIDUALS, INCLUDING INDIVIDUALS
316-WITH GESTATIONAL DIABETES NOT BEING TREATED WITH INSULIN
317-.
322+OVERAGE CRITERIA MUST ALIGN WITH THE CURRENT GLUCOSE27
323+168
324+-9- MONITOR LOCAL COVERAGE DETERMINATION STANDARDS ISSUED BY THE1
325+CENTERS FOR MEDICARE AND MEDICAID THAT ARE USED TO DETERMINE2
326+COVERAGE FOR MEDICARE -ELIGIBLE INDIVIDUALS , INCLUDING3
327+INDIVIDUALS WITH GESTATIONAL DIABETES NOT BEING TREATED WITH4
328+INSULIN.5
318329 (3) C
319-OVERAGE PURSUANT TO THIS SECTION INCLUDES THE COST OF
320-ANY NECESSARY REPAIRS OR REPLACEMENT PARTS FOR THE CONTINUOUS
321-GLUCOSE MONITOR
322-.
330+OVERAGE PURSUANT TO THIS SECTION INCLUDES THE COST OF6
331+ANY NECESSARY REPAIRS OR REPLACEMENT PARTS FOR THE CONTINUOUS7
332+GLUCOSE MONITOR.8
323333 (4) T
324-HE STATE DEPARTMENT MAY SEEK ANY FEDERAL
325-AUTHORIZATION NECESSARY TO IMPLEMENT THIS SECTION
326-.
334+HE STATE DEPARTMENT MAY SEEK ANY FEDERAL9
335+AUTHORIZATION NECESSARY TO IMPLEMENT THIS SECTION .10
327336 (5) T
328337 HE STATE DEPARTMENT IS AUTHORIZED TO RECEIVE AND
329-EXPEND GIFTS
330-, GRANTS, AND DONATIONS FROM INDIVIDUALS , PRIVATE
331-ORGANIZATIONS
332-, FOUNDATIONS, OR ANY GOVERNMENTAL UNIT ; EXCEPT
333-THAT NO GIFT
334-, GRANT, OR DONATION MAY BE ACCEPTED BY THE STATE
335-DEPARTMENT IF IT IS SUBJECT TO A CONDITION THAT IS INCONSISTENT WITH
336-THIS SECTION OR ANY OTHER LAW OF THIS STATE
337-.
338-SECTION 4. Appropriation. For the 2024-25 state fiscal year,
339-$34,128 is appropriated to the department of health care policy and
340-financing for use by the executive director's office. This appropriation is
341-from the general fund. To implement this act, the department may use this
342-appropriation for personal services, which amount is based on an
343-assumption that the department will require an additional 0.3 FTE.
344-PAGE 8-SENATE BILL 24-168 SECTION 5. Act subject to petition - effective date. This act
345-takes effect at 12:01 a.m. on the day following the expiration of the
346-ninety-day period after final adjournment of the general assembly; except
347-that, if a referendum petition is filed pursuant to section 1 (3) of article V
348-of the state constitution against this act or an item, section, or part of this act
349-within such period, then the act, item, section, or part will not take effect
350-unless approved by the people at the general election to be held in
351-November 2024 and, in such case, will take effect on the date of the official
352-declaration of the vote thereon by the governor.
353-____________________________ ____________________________
354-Steve Fenberg Julie McCluskie
355-PRESIDENT OF SPEAKER OF THE HOUSE
356-THE SENATE OF REPRESENTATIVES
357-____________________________ ____________________________
358-Cindi L. Markwell Robin Jones
359-SECRETARY OF CHIEF CLERK OF THE HOUSE
360-THE SENATE OF REPRESENTATIVES
361- APPROVED________________________________________
362- (Date and Time)
363- _________________________________________
364- Jared S. Polis
365- GOVERNOR OF THE STATE OF COLORADO
366-PAGE 9-SENATE BILL 24-168
338+11
339+EXPEND GIFTS, GRANTS, AND DONATIONS FROM INDIVIDUALS , PRIVATE12
340+ORGANIZATIONS, FOUNDATIONS, OR ANY GOVERNMENTAL UNIT ; EXCEPT13
341+THAT NO GIFT, GRANT, OR DONATION MAY BE ACCEPTED BY THE STATE14
342+DEPARTMENT IF IT IS SUBJECT TO A CONDITION THAT IS INCONSISTENT15
343+WITH THIS SECTION OR ANY OTHER LAW OF THIS STATE .16
344+SECTION 4. Appropriation. For the 2024-25 state fiscal year,17
345+$34,128 is appropriated to the department of health care policy and18
346+financing for use by the executive director's office. This appropriation is19
347+from the general fund. To implement this act, the department may use this20
348+appropriation for personal services, which amount is based on an21
349+assumption that the department will require an additional 0.3 FTE.22
350+SECTION 5. Act subject to petition - effective date. This act23
351+takes effect at 12:01 a.m. on the day following the expiration of the24
352+ninety-day period after final adjournment of the general assembly; except25
353+that, if a referendum petition is filed pursuant to section 1 (3) of article V26
354+of the state constitution against this act or an item, section, or part of this27
355+168
356+-10- act within such period, then the act, item, section, or part will not take1
357+effect unless approved by the people at the general election to be held in2
358+November 2024 and, in such case, will take effect on the date of the3
359+official declaration of the vote thereon by the governor.4
360+168
361+-11-