Colorado 2020 Regular Session Status: Enacted 1 R cosponsors

SB 20-007 — Treatment Opioid And Other Substance Use Disorders

Last action — Governor Signed

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 08, 2020. Enacted.

Prognosis

Advancing 58% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 4 sponsors

    4 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

The act requires insurance carriers to provide coverage for the treatment of substance use disorders in accordance with the American society of addiction medicine (ASAM) criteria for placement, medical necessity, and utilization management determinations in accordance with the most recent edition of the ASAM criteria. The act also authorizes the commissioner of insurance, in consultation with the department of human services (DHS) and the department of health care policy and financing, to identify by rule alternate nationally recognized substance-use-disorder-specific treatment criteria if the ASAM criteria are no longer available, relevant, or reflect best practices. These provisions apply to health benefits plans issued or renewed on or after January 1, 2022. The act prohibits managed service organization contracted providers; withdrawal management services; and recovery residences from denying access to medical or substance use disorder treatment services, including recovery services, to persons who are participating in prescribed medication-assisted treatment for substance use disorders. In addition, the act prohibits courts and parole, probation, and community corrections from prohibiting the use of prescribed medication-assisted treatment as a condition of participation or placement. The act requires managed care entities to provide coordination of care for the full continuum of substance use disorder and mental health treatment and recovery services, including support for individuals transitioning between levels of care. The act authorizes the commissioner of insurance, in consultation with the department of public health and environment (CDPHE), to promulgate rules, or to seek a revision of the essential health benefits package, for prescription medications for medication-assisted treatment to be included on insurance carriers' formularies. The act requires insurance carriers to report to the commissioner of insurance on the number of in-network providers who are licensed to prescribe medication-assisted treatment for substance use disorders, including buprenorphine, and the number of prescriptions for medication-assisted treatment filled by enrollees. Further, insurance carriers shall report on the carrier's efforts to ensure sufficient capacity for and access to medication-assisted treatment. The act requires the commissioner of insurance to promulgate rules concerning the reporting. The act requires insurance carriers to provide coverage for at least one opiate antagonist. The act consolidates part 1 of article 82 of title 27, Colorado Revised Statutes, relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of drugs into the existing part 1 of article 81 of title 27 relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of alcohol use disorders, in order to create a single process that includes all substances. The new scope of part 1 of article 81 of title 27 includes both alcohol use disorder and substance use disorder under the defined term "substance use disorder".The amendments and additions to part 1 of article 81 of title 27 include: Defining "administrator" to include an administrator's designee; Adding a definition of "incapacitated by substances" to include a person who is incapacitated by alcohol or incapacitated by substances; Changing terminology throughout that refer to "substances" to include both alcohol and drugs; Adjusting the duration of the initial involuntary commitment from 30 days to up to 90 days; Allowing a person to enter into a stipulated order for committed treatment, expediting placement into treatment; Removing the mandatory hearing for the initial involuntary commitment but allowing a person to request a hearing if the person does not want to enter into a stipulated order for committed treatment; Incorporating in statute "patient's rights" relating to civil commitment; Using person-centered language throughout the statutory process; and Relocating the existing opioid crisis recovery funds advisory committee from article 82 in title 27 to article 81 in title 27. In addition, the act amends statutory references, including several in the professional licensing statutes in title 12, Colorado Revised Statutes, to remove references to both alcohol use disorder and substance use disorder as grounds for professional discipline, and replaces those terms with the single term "substance use disorder", which the act now defines in article 81 of title 27 to include both drugs and alcohol. The act also amends statutory references to provisions in part 2 of article 82 of title 27, which the act repeals and replaces those references with a new reference to the relevant provisions in article 81 of title 27. (Note: This summary applies to this bill as enacted.)

Bill Text

What changed in the latest version

24 added · 18 removed

24 line(s) added, 18 removed.

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Previous
Latest
Second Regular Session Seventy-second General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO.
Second Regular Session Seventy-second General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted in the House of Introduction LLS NO.
20-0297.01 Brita Darling x2241 SENATE BILL 20-007 SENATE SPONSORSHIP Pettersen and Winter, Donovan, Priola HOUSE SPONSORSHIP Buentello and Wilson, Herod, Kennedy Senate Committees House Committees Health & Human Services Appropriations A BILL FOR AN ACT C ONCERNING TREATMENT FOR SUBSTANCE USE DISORDERS ,AND , IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .
20-0297.01 Brita Darling x2241 SENATE BILL 20-007 SENATE SPONSORSHIP Pettersen and Winter, Donovan, Priola, Bridges, Fenberg, Garcia, Lee, Moreno, Story, Todd HOUSE SPONSORSHIP Buentello and Wilson, Herod, Kennedy Senate Committees House Committees Health & Human Services Appropriations A BILL FOR AN ACT C ONCERNING TREATMENT FOR SUBSTANCE USE DISORDERS ,AND , IN CONNECTION THEREWITH ,MAKING AN APPROPRIATION .
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov/.) OpioidandOtherSubstanceUseDisordersStudyCommittee.
This summary applies to this bill as introduced and does d notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill d passes third reading in the house of introduction, a bill summary that e 0 applies to the reengrossed version of this bill will be available at E a 0 A U , http://leg.colorado.gov/.) N i e S a u R J OpioidandOtherSubstanceUseDisordersStudyCommittee.
Section 1 of the bill requires updated community assessments every 2 years of the sufficiency of substance use disorder services in the community to be compiled by an independent entity contracted by the g departmentofhumanservices(DHS).Theassessmentmustincludeinput d andtheopportunityforreviewandcommentfromcommunityentitiesand e 0 T R 0 A n 5 Shading denotes HOUSE amendment.
r Section 1 of the bill requires updated community assessments every 2 3 years of the sufficiency of substance use disorder services in the community to be compiled by an independent entity contracted by the departmentofhumanservices(DHS).Theassessmentmustincludeinput i a andtheopportunityforreviewandcommentfromcommunityentitiesand E R 2 T d , N 2 5 Shading denotes HOUSE amendment.
E d e Capital letters or bold & italic numbers indicate new material to be added to existing stJtute.
S e n Capital letters or bold & italic numbers indicate new material to be added to existing statune.J Dashes through the words indicate deletions from existing statute.
Dashes through the words indicate deletions from existing statute.
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Amendments

1 amendment

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Action History

  1. Governor Signed

  2. Signed by the Speaker of the House

  3. Sent to the Governor

  4. Signed by the President of the Senate

  5. Senate Considered House Amendments - Result was to Concur - Repass

  6. Senate Considered House Amendments - Result was to Reconsider

  7. Senate Considered House Amendments - Result was to Pass

  8. House Third Reading Passed - No Amendments

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

  10. House Second Reading Special Order - Passed with Amendments - Committee

  11. House Committee on Health & Insurance Refer Amended to Appropriations

  12. Introduced In House - Assigned to Health & Insurance + Appropriations

  13. Senate Third Reading Passed - No Amendments

  14. Senate Second Reading Passed with Amendments - Floor

  15. Senate Second Reading Laid Over Daily - No Amendments

  16. Senate Second Reading Laid Over Daily - No Amendments

  17. Senate Second Reading Laid Over Daily - No Amendments

  18. Senate Second Reading Laid Over Daily - No Amendments

  19. Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole

  20. Senate Committee on Health & Human Services Refer Amended to Appropriations

  21. Introduced In Senate - Assigned to Health & Human Services

Sponsors

  • Bri Buentello · Primary
  • Faith Winter · Primary
  • Brittany Pettersen · Primary
  • Lynda Zamora Wilson · Primary

Sponsorship breakdown

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4 sponsors · 0 co-sponsors · 98 not signed on

Sponsors (4)

Co-sponsors (0)

None.

Not signed on (98)

98 members have not signed on to this bill.

Show all 98 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 20-007 do?
The act requires insurance carriers to provide coverage for the treatment of substance use disorders in accordance with the American society of addiction medicine (ASAM) criteria for placement, medical necessity, and utilization management determinations in accordance with the most recent edition of the ASAM criteria. The act also authorizes the commissioner of insurance, in consultation with the department of human services (DHS) and the department of health care policy and financing, to identify by rule alternate nationally recognized substance-use-disorder-specific treatment criteria if the ASAM criteria are no longer available, relevant, or reflect best practices. These provisions apply to health benefits plans issued or renewed on or after January 1, 2022. The act prohibits managed service organization contracted providers; withdrawal management services; and recovery residences from denying access to medical or substance use disorder treatment services, including recovery services, to persons who are participating in prescribed medication-assisted treatment for substance use disorders. In addition, the act prohibits courts and parole, probation, and community corrections from prohibiting the use of prescribed medication-assisted treatment as a condition of participation or placement. The act requires managed care entities to provide coordination of care for the full continuum of substance use disorder and mental health treatment and recovery services, including support for individuals transitioning between levels of care. The act authorizes the commissioner of insurance, in consultation with the department of public health and environment (CDPHE), to promulgate rules, or to seek a revision of the essential health benefits package, for prescription medications for medication-assisted treatment to be included on insurance carriers' formularies. The act requires insurance carriers to report to the commissioner of insurance on the number of in-network providers who are licensed to prescribe medication-assisted treatment for substance use disorders, including buprenorphine, and the number of prescriptions for medication-assisted treatment filled by enrollees. Further, insurance carriers shall report on the carrier's efforts to ensure sufficient capacity for and access to medication-assisted treatment. The act requires the commissioner of insurance to promulgate rules concerning the reporting. The act requires insurance carriers to provide coverage for at least one opiate antagonist. The act consolidates part 1 of article 82 of title 27, Colorado Revised Statutes, relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of drugs into the existing part 1 of article 81 of title 27 relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of alcohol use disorders, in order to create a single process that includes all substances. The new scope of part 1 of article 81 of title 27 includes both alcohol use disorder and substance use disorder under the defined term "substance use disorder".The amendments and additions to part 1 of article 81 of title 27 include: Defining "administrator" to include an administrator's designee; Adding a definition of "incapacitated by substances" to include a person who is incapacitated by alcohol or incapacitated by substances; Changing terminology throughout that refer to "substances" to include both alcohol and drugs; Adjusting the duration of the initial involuntary commitment from 30 days to up to 90 days; Allowing a person to enter into a stipulated order for committed treatment, expediting placement into treatment; Removing the mandatory hearing for the initial involuntary commitment but allowing a person to request a hearing if the person does not want to enter into a stipulated order for committed treatment; Incorporating in statute "patient's rights" relating to civil commitment; Using person-centered language throughout the statutory process; and Relocating the existing opioid crisis recovery funds advisory committee from article 82 in title 27 to article 81 in title 27. In addition, the act amends statutory references, including several in the professional licensing statutes in title 12, Colorado Revised Statutes, to remove references to both alcohol use disorder and substance use disorder as grounds for professional discipline, and replaces those terms with the single term "substance use disorder", which the act now defines in article 81 of title 27 to include both drugs and alcohol. The act also amends statutory references to provisions in part 2 of article 82 of title 27, which the act repeals and replaces those references with a new reference to the relevant provisions in article 81 of title 27. (Note: This summary applies to this bill as enacted.)
Who sponsors SB 20-007?
SB 20-007 is sponsored by Bri Buentello, Faith Winter, Brittany Pettersen, and Lynda Zamora Wilson (Republican).
What is the current status of SB 20-007?
This bill has been enacted into law. Introduced January 08, 2020. Enacted.
Where can I track SB 20-007?
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