37 | 33 | | HOUSE SPONSORSHIP |
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38 | 34 | | Lieder and Jackson, |
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39 | 35 | | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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40 | 36 | | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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41 | 37 | | Dashes through the words or numbers indicate deletions from existing law. administration in the United States department of health and human |
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42 | 38 | | services (authorities). |
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43 | 39 | | The bill requires that, in the event that any of these authorities is |
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44 | 40 | | repealed, modified, or otherwise no longer in effect, the commissioner of |
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45 | 41 | | insurance may adopt rules to require compliance with the |
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46 | 42 | | recommendations and comprehensive guidelines regarding the coverage |
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47 | 43 | | of those preventive services as the recommendations and guidelines |
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48 | 44 | | existed in January 2025. |
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49 | 45 | | Be it enacted by the General Assembly of the State of Colorado:1 |
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50 | 46 | | SECTION 1. In Colorado Revised Statutes, 10-16-104, amend2 |
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51 | 47 | | (18)(b) introductory portion and (18)(f); and add (18)(g) |
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52 | 48 | | as follows:3 |
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53 | 49 | | 10-16-104. Mandatory coverage provisions - definitions - rules4 |
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54 | 50 | | - applicability. (18) Prevention health-care services - rules -5 |
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55 | 51 | | definitions. (b) The coverage required by this subsection (18) must6 |
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56 | 52 | | include coverage for the following preventive health-care services LISTED7 |
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57 | 53 | | IN SUBSECTIONS (18)(b)(I) TO (18)(b)(XI) OF THIS SECTION in accordance8 |
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58 | 54 | | with the A or B recommendations of the task force, recommendations9 |
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59 | 55 | | established by the ACIP, or preventive care and screening as provided for10 |
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60 | 56 | | in the comprehensive guidelines. as applicable IF THE A OR B11 |
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61 | 57 | | RECOMMENDATIONS OF THE TASK FORCE , THE ACIP, OR THE12 |
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62 | 58 | | COMPREHENSIVE GUIDELINES ARE REPEALED , MODIFIED, OR OTHERWISE NO13 |
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63 | 59 | | LONGER IN EFFECT, THE COMMISSIONER MAY ADOPT RULES TO REQUIRE14 |
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64 | 60 | | COMPLIANCE WITH THE GUIDELINES OR RECOMMENDATIONS THAT WERE15 |
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65 | 61 | | IN EFFECT IN JANUARY 2025, OR THAT COMPLY WITH THE16 |
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66 | 62 | | RECOMMENDATIONS OF THE NURSE -PHYSICIAN ADVISORY TASK FORCE FOR17 |
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67 | 63 | | C |
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68 | 64 | | OLORADO HEALTH CARE CREATED IN SECTION 12-30-105 AND |
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69 | 65 | | 18 |
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70 | 66 | | DEVELOPED IN COMPLIANCE WITH THE REQUIREMENTS SET FORTH IN19 |
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71 | 67 | | SECTION 12-30-105 (5), THAT APPLY TO COVERAGE OF THE FOLLOWING20 |
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72 | 68 | | PREVENTIVE HEALTH-CARE SERVICES:21 |
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73 | 69 | | 196-2- (f) The commissioner may promulgate ADOPT rules as necessary1 |
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74 | 70 | | to implement |
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75 | 71 | | AND ENFORCE this subsection (18), INCLUDING RULES THAT2 |
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76 | 72 | | REQUIRE COVERAGE OF ADDITIONAL PREVENTIVE HEALTH -CARE SERVICES3 |
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77 | 73 | | NOT LISTED IN SUBSECTIONS (18)(b)(I) TO (18)(b)(XI) OF THIS SECTION AS4 |
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78 | 74 | | RECOMMENDED BY THE TASK FORCE , ACIP, COMPREHENSIVE GUIDELINES,5 |
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79 | 75 | | OR NURSE-PHYSICIAN ADVISORY TASK FORCE FOR COLORADO HEALTH6 |
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80 | 76 | | CARE.7 |
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81 | 77 | | (g) A |
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82 | 78 | | HEALTH INSURANCE POLICY THAT QUALIFIES FOR A HEALTH |
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83 | 79 | | 8 |
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84 | 80 | | SAVINGS ACCOUNT PURSUANT TO 26 U.S.C. SEC. 223 IS EXEMPT FROM9 |
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85 | 81 | | SUBSECTIONS (18)(b) AND (18)(f) OF THIS SECTION TO THE EXTENT THE10 |
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86 | 82 | | EXEMPTION IS NECESSARY TO ALLOW THE POLICY TO QUALIFY FOR A11 |
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87 | 83 | | HEALTH SAVINGS ACCOUNT PURSUANT TO THE REQUIREMENTS IN THE12 |
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88 | 84 | | FEDERAL LAW.13 |
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89 | 85 | | SECTION 2. In Colorado Revised Statutes, 12-30-105, add14 |
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90 | 86 | | (5)(o) as follows:15 |
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91 | 87 | | 12-30-105. Nurse-physician advisory task force for Colorado16 |
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92 | 88 | | health care - creation - duties - definition - repeal. (5) The NPATCH17 |
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93 | 89 | | shall prioritize consideration of and make recommendations on the18 |
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94 | 90 | | following topics:19 |
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95 | 91 | | (o) U |
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96 | 92 | | PDATES OR MODIFICATIONS, AS NECESSARY, TO PREVENTIVE |
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97 | 93 | | 20 |
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98 | 94 | | HEALTH-CARE SERVICES SET FORTH IN SECTION 10-16-104 (18)(b). IN21 |
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99 | 95 | | RECOMMENDING THE UPDATES AND MODIFICATIONS , THE NPATCH MUST:22 |
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100 | 96 | | (I) C |
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101 | 97 | | ONSULT WITH THE NATIONAL CLINICAL SOCIETY FOR THE |
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102 | 98 | | 23 |
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103 | 99 | | RELEVANT DISEASE STATE OR POPULATION , IF ONE EXISTS; AND24 |
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104 | 100 | | (II) P |
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105 | 101 | | ROVIDE OPPORTUNITIES FOR EXPERTS IN THE RELEVANT |
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106 | 102 | | 25 |
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107 | 103 | | DISEASE STATE OR POPULATION AT ISSUE , IF ANY EXIST; RELEVANT26 |
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108 | 104 | | PATIENT GROUPS, IF ANY EXIST, REPRESENTING THE RELEVANT DISEASE27 |
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109 | 105 | | 196 |
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110 | 106 | | -3- STATE OR POPULATION AT ISSUE; AND INSURERS OFFERING COMMERCIAL1 |
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111 | 107 | | COVERAGE IN THE STATE TO PROVIDE INPUT ON THE EVIDENCE AND2 |
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112 | 108 | | RECOMMENDATIONS AT THE NPATCH MEETINGS.3 |
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113 | 109 | | SECTION 3. Safety clause. The general assembly finds,4 |
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114 | 110 | | determines, and declares that this act is necessary for the immediate5 |
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115 | 111 | | preservation of the public peace, health, or safety or for appropriations for6 |
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116 | 112 | | the support and maintenance of the departments of the state and state7 |
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117 | 113 | | institutions.8 |
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118 | 114 | | 196 |
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119 | 115 | | -4- |
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