Colorado 2025 Regular Session Status: Enacted Bipartisan · 47 D · 6 R cosponsors

HB 25-1002 — Medical Necessity Determination Insurance Coverage

Last action — Governor Signed

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

This bill has been enacted into law. Introduced January 08, 2025. Enacted.

Signed by Governor Jared Polis (Democratic) on March 20, 2025.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 56 sponsors

    4 primary, 52 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (47 D · 6 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

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 clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria. The act also specifies criteria to be used for conducting utilization review, service intensity, and the level of care for covered persons. In addition, the act prohibits: A health benefit plan from limiting coverage for chronic behavioral, mental health, or substance use disorders to short-term symptom reduction; and A health insurance carrier from reversing or altering a determination of medical necessity except in the case of fraud. The act requires carriers that provide benefits for mental health conditions or substance use disorders to offer meaningful benefits for mental health conditions and substance use disorders. The act describes how to determine whether the benefits provided are meaningful benefits. The commissioner of insurance is authorized to adopt rules to: Establish carrier utilization review compliance; Specify data testing requirements for plan design and application of parity compliance; Set standard definition for coverage requirements; Establish timelines for carriers to provide comparative analysis information to the division of insurance; and Establish time periods for visits with a provider for treatment of a behavioral, mental health, or substance use disorder after an initial visit with a provider.(Note: This summary applies to this bill as enacted.)

Bill Text

What changed in the latest version

25 added · 18 removed

Plain-language change summary

The latest version of Bill HB 25-1002 has some updates regarding how mental health services will be covered under health benefits. Specifically, new provisions have been added to clarify and expand the guidelines around mandatory coverage for behavioral health, mental health, and substance use disorders. This is important because it aims to ensure that individuals have better access to mental health services and that their treatment is covered adequately, which can ultimately lead to improved health outcomes for many people in Colorado.

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Latest
First Regular Session Seventy-fifth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO.
First Regular Session Seventy-fifth General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted in the House of Introduction LLS NO.
25-0094.01 Kristen Forrestal x4217 HOUSE BILL 25-1002 HOUSE SPONSORSHIP Brown and Gilchrist, Johnson, McCormick, Winter T.
25-0094.01 Kristen Forrestal x4217 HOUSE BILL 25-1002 HOUSE SPONSORSHIP Brown and Gilchrist, Johnson, McCormick, Winter T., Bacon, Bird, Clifford, Duran, English, Froelich, Garcia, Hamrick, Jackson, Joseph, Lieder, Lindsay, Mabrey, Marshall, McCluskie, Paschal, Rutinel, Rydin, Smith, Stewart K., Stewart R., Story, Taggart, Titone, Valdez, Woodrow SENATE SPONSORSHIP Amabile and Pelton B., Simpson House Committees Senate Committees Health & Human Services A BILL FOR AN ACT C ONCERNING THE DETERMINATION OF HEALTH BENEFITS COVERAGE FOR MENTAL HEALTH SERVICES .
SENATE SPONSORSHIP Amabile and Pelton B., Simpson House Committees Senate Committees Health & Human Services A BILL FOR AN ACT C ONCERNING THE DETERMINATION OF HEALTH BENEFITS COVERAGE FOR MENTAL HEALTH SERVICES .
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.) The bill clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness.
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill e n 2 passes third reading in the house of introduction, a bill summary that m 2 applies to the reengrossed version of this bill will be available at E n 0 U U 1 http://leg.colorado.gov.) O i a H a r The bill clarifies that the health benefits coverage for the R e r F prevention of, screening for, and treatment of behavioral, mental health, 3 and substance use disorders must be no less extensive than the coverage provided for any physical illness.
i 2 ! The placement, including admission, continued stay, a 2 S R 7 O n r Shading denotes HOUSE amendment.
i 25 a 2 ! The placement, including admission, continued stay, E e ,7 U d r O 2 u Shading denotes HOUSE amendment.
H 2 r Capital letters or bold & italic numbers indicate new material to be added to existingdlaw.
H d b Capital letters or bold & italic numbers indicate new material to be added to existing law.d F Dashes through the words or numbers indicate deletions from existing law.
Dashes through the words or numbers indicate deletions from existing law.
e A transfer, and discharge of a covered person and determinations relating to mental health disorders in accordance with criteria developed by the American Academy of Child and Adolescent Psychiatry or the American Association for Community Psychiatry;
e F m A transfer, and discharge of a covered person and determinations relating to mental health disorders in accordance with criteria developed by the American Academy of Child and Adolescent Psychiatry or the American Association for Community Psychiatry;
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Amendments

1 amendment

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Action History

  1. Governor Signed

  2. Signed by the President of the Senate

  3. Sent to the Governor

  4. Signed by the Speaker of the House

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

  6. House Considered Senate Amendments - Result was to Laid Over Daily

  7. Senate Third Reading Passed - No Amendments

  8. Senate Second Reading Passed with Amendments - Committee

  9. Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole

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

  11. House Third Reading Passed - No Amendments

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

  13. House Second Reading Laid Over Daily - No Amendments

  14. House Committee on Health & Human Services Refer Amended to House Committee of the Whole

  15. Introduced In House - Assigned to Health & Human Services

Sponsors

Sponsorship breakdown

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4 sponsors · 52 co-sponsors · 46 not signed on · 13 voted No

Sponsors (4)

Co-sponsors (52)

Not signed on (46)

46 members have not signed on to this bill.

Show all 46 →

"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

Votes

REPASS

Passed 50 Yea · 10 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 4000
Democrat 38004
Republican 81001
Total 501005
% of votes cast 77%15%0%8%
How each member voted (65)
Member Party Vote
Armagost — Yea
Bird — Yea
Pugliese — Yea
Garcia Sander — Yea
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Not Voting
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Not Voting
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Lorena Garcia Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Not Voting
Monica Duran Democrat Yea
Naquetta Ricks Democrat Yea
Rebekah Stewart Democrat Yea
Regina English Democrat Yea
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Not Voting
Tisha Mauro Democrat Yea
William Lindstedt Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Brandi Bradley Republican Nay
Carlos Barron Republican Nay
Chris Richardson Republican Nay
Dan Woog Republican Nay
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Nay
Larry Don Suckla Republican Nay
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Nay
Rebecca Keltie Republican Nay
Rick Taggart Republican Yea
Ron Weinberg Republican Nay
Ryan Gonzalez Republican Yea
Scott Bottoms Republican Not Voting
Stephanie Luck Republican Nay
Ty Winter Republican Yea

Official roll call →

CONCUR

Passed 51 Yea · 9 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 4000
Democrat 38004
Republican 9901
Total 51905
% of votes cast 78%14%0%8%
How each member voted (65)
Member Party Vote
Armagost — Yea
Bird — Yea
Pugliese — Yea
Garcia Sander — Yea
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Not Voting
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Not Voting
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Lorena Garcia Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Not Voting
Monica Duran Democrat Yea
Naquetta Ricks Democrat Yea
Rebekah Stewart Democrat Yea
Regina English Democrat Yea
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Not Voting
Tisha Mauro Democrat Yea
William Lindstedt Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Brandi Bradley Republican Nay
Carlos Barron Republican Yea
Chris Richardson Republican Nay
Dan Woog Republican Nay
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Nay
Larry Don Suckla Republican Nay
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Nay
Rebecca Keltie Republican Nay
Rick Taggart Republican Yea
Ron Weinberg Republican Nay
Ryan Gonzalez Republican Yea
Scott Bottoms Republican Not Voting
Stephanie Luck Republican Nay
Ty Winter Republican Yea

Official roll call →

BILL

Passed 32 Yea · 1 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 20001
Republican 10100
Unaffiliated 2000
Total 32101
% of votes cast 94%3%0%3%
How each member voted (34)
Member Party Vote
Lundeen — Yea
Winter F. — Yea
Cathy Kipp Democrat Yea
Chris Kolker Democrat Yea
Dafna Michaelson Jenet Democrat Yea
Dylan Roberts Democrat Yea
Iman Jodeh Democrat Yea
James Coleman Democrat Yea
Janice Marchman Democrat Yea
Jeff Bridges Democrat Yea
Jessie Danielson Democrat Not Voting
Judy Amabile Democrat Yea
Julie Gonzales Democrat Yea
Kyle Mullica Democrat Yea
Lindsey Daugherty Democrat Yea
Lisa Cutter Democrat Yea
Marc Snyder Democrat Yea
Matt Ball Democrat Yea
Mike Weissman Democrat Yea
Nick Hinrichsen Democrat Yea
Robert Rodriguez Democrat Yea
Tom Sullivan Democrat Yea
Tony Exum Democrat Yea
Barbara Kirkmeyer Republican Yea
Byron Pelton Republican Yea
Cleave Simpson Republican Yea
Janice Rich Republican Yea
John Carson Republican Yea
Larry Liston Republican Yea
Lisa Frizell Republican Yea
Marc Catlin Republican Yea
Mark Baisley Republican Nay
Rod Pelton Republican Yea
Scott Bright Republican Yea

Official roll call →

BILL

Passed 54 Yea · 9 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 3100
Democrat 41001
Republican 10801
Total 54902
% of votes cast 83%14%0%3%
How each member voted (65)
Member Party Vote
Armagost — Yea
Bird — Yea
Pugliese — Yea
Garcia Sander — Nay
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Not Voting
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Yea
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Yea
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Lorena Garcia Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Yea
Monica Duran Democrat Yea
Naquetta Ricks Democrat Yea
Rebekah Stewart Democrat Yea
Regina English Democrat Yea
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Yea
Tisha Mauro Democrat Yea
William Lindstedt Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Not Voting
Brandi Bradley Republican Nay
Carlos Barron Republican Yea
Chris Richardson Republican Yea
Dan Woog Republican Yea
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Nay
Larry Don Suckla Republican Nay
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Nay
Rebecca Keltie Republican Nay
Rick Taggart Republican Yea
Ron Weinberg Republican Nay
Ryan Gonzalez Republican Yea
Scott Bottoms Republican Nay
Stephanie Luck Republican Nay
Ty Winter Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 25-1002 do?
The act clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria. The act also specifies criteria to be used for conducting utilization review, service intensity, and the level of care for covered persons. In addition, the act prohibits: A health benefit plan from limiting coverage for chronic behavioral, mental health, or substance use disorders to short-term symptom reduction; and A health insurance carrier from reversing or altering a determination of medical necessity except in the case of fraud. The act requires carriers that provide benefits for mental health conditions or substance use disorders to offer meaningful benefits for mental health conditions and substance use disorders. The act describes how to determine whether the benefits provided are meaningful benefits. The commissioner of insurance is authorized to adopt rules to: Establish carrier utilization review compliance; Specify data testing requirements for plan design and application of parity compliance; Set standard definition for coverage requirements; Establish timelines for carriers to provide comparative analysis information to the division of insurance; and Establish time periods for visits with a provider for treatment of a behavioral, mental health, or substance use disorder after an initial visit with a provider.(Note: This summary applies to this bill as enacted.)
Who sponsors HB 25-1002?
HB 25-1002 is sponsored by Mike Weissman (Democrat), Marc Snyder (Democrat), Kyle Mullica (Democrat), Janice Marchman (Democrat), Chris Kolker (Democrat), Cathy Kipp (Democrat), Iman Jodeh (Democrat), Nick Hinrichsen (Democrat), Julie Gonzales (Democrat), Tony Exum (Democrat), Lindsey Daugherty (Democrat), Lisa Cutter (Democrat), James Coleman (Democrat), Jeff Bridges (Democrat), Matt Ball (Democrat), Steven Woodrow (Democrat), Alex Valdez (Democrat), Brianna Titone (Democrat), Rick Taggart (Republican), Tammy Story (Democrat), Katie Stewart (Democrat), Rebekah Stewart (Democrat), Lesley Smith (Democrat), Emily Sirota (Democrat), Gretchen Rydin (Democrat), Manny Rutinel (Democrat), Naquetta Ricks (Democrat), Amy Paschal (Democrat), Julie McCluskie (Democrat), Bob Marshall (Democrat), Javier Mabrey (Democrat), Meghan Lukens (Democrat), Mandy Lindsay (Democrat), Sheila Lieder (Democrat), Junie Joseph (Democrat), Jamie Jackson (Democrat), Eliza Hamrick (Democrat), L. García, Meg Froelich (Democrat), Regina English (Democrat), Monica Duran (Democrat), Chad Clifford (Democrat), Sean Camacho (Democrat), Andrew Boesenecker (Democrat), S. Bird, Jennifer Bacon (Democrat), Cleave Simpson (Republican), Ty Winter (Republican), Karen McCormick (Democrat), Dusty Johnson (Republican), Byron Pelton (Republican), Judy Amabile (Democrat), Lindsay Gilchrist (Democrat), Kyle Brown (Democrat), and Michaelson Jenet.
What is the current status of HB 25-1002?
This bill has been enacted into law. Introduced January 08, 2025. Enacted.
Where can I track HB 25-1002?
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