Senate Bill 23-189: Increasing Access to Reproductive Health Care

• Requires health benefit plans issued or renewed on or after January 1, 2025 to provide coverage for abortion care without deductibles, copayments, or coinsurance, with exemptions for employers with religious objections and public entities prohibited from using public funds for induced abortion.

• Mandates coverage for HIV prevention drugs (preexposure and post-exposure prophylaxis) without cost sharing regardless of gender, including related office visits, testing, vaccinations, and monitoring services.

• Prohibits carriers from requiring step therapy or prior authorization for HIV prevention and treatment drugs until July 1, 2027, with a study on cost and health impacts required by October 1, 2026.

• Requires pharmacist reimbursement equivalent to physician or advanced practice nurse fees for prescribing and dispensing HIV prevention drugs, and prohibits cost sharing for sexually transmitted infection treatment and sterilization services.

• Establishes a family planning access collaborative to identify and address gaps preventing approximately 93,000 Coloradans from accessing family planning services, with $200,000 appropriated for fiscal year 2023-24.