Colorado passed House Bill 1227 earlier this year, which requires pharmacy benefit managers to register with the Division of Insurance (DOI) and abide by a number of patient protection and price transparency regulations. The division is authorized to enforce punitive measures for spread pricing, pharmacy anti-competitiveness practices, and other patient protection violations.      DOI … Read more

Senate Bill 40, which passed the Colorado Legislature last year, requires the Division of Insurance (DOI) to conduct actuarial reviews of legislation imposing a new health benefit coverage on insurance plans.      The statute allows up to six reviews to be performed per legislative session, two each on legislation from the majority party in … Read more

On Wednesday, the Colorado Division of Insurance (DOI) outlined the results of health plans’ premium rate reduction filings for the Colorado Option for the 2024 plan year, submitted by carriers on March 1st.      The Colorado Option requires carriers to offer the standardized public option plan with premiums that are 10% and 15% lower … Read more

The Department of Health Care Policy and Finance (HCPF) sponsored the Colorado Health Cabinet Policy Summit on Wednesday to outline the progress being made on healthcare affordability.      Lieutenant Governor Dianne Primavera and HCPF Executive Director Kim Bimestefer led the virtual summit. Bimestefer said prescription drug costs are the leading driver of overall rising … Read more

The Colorado Prescription Drug Affordability Board (PDAB) convened on Friday to discuss the prioritization of selection criteria for drugs to be reviewed and identified.      The PDAB is tasked with conducting an affordability review and establishing upper payment limits on 12 initial prescription drugs for 2024. The Division of Insurance (DOI) presented members of … Read more

Testifying before the House Public and Behavioral Health and Human Services Committee on Wednesday, Colorado Behavioral Health Administration (BHA) Commissioner Dr. Morgan Medlock said the agency’s strategic plan for transforming the state’s behavioral healthcare system will be released on Jan. 31st.      Medlock appeared before the committee to give an update on the BHA’s … Read more

Health care advocates in Colorado are lauding the passage of the Inflation Reduction Act for its provisions to lower health care costs for Coloradans.      Speaking at a press event after the US Senate passed the legislation last week, the state’s Democratic US Senators Michael Bennetand John Hickenlooper both spoke to the legislation’s impact … Read more

Reinsurance continues to save Coloradans money on health care, while the Colorado Option Plan is included for the first time. DENVER – The Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), has released preliminary information about the health insurance plans and premiums for 2023 — for the individual market (meaning health … Read more