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CO SB110

Bill

Status

Passed

6/3/2024

Primary Sponsor

Barbara Kirkmeyer

Click for details

Origin

Senate

2024 Regular Session

AI Summary

  • Prohibits the Colorado Department of Health Care Policy and Financing from requiring prior authorization for preferred antipsychotic drugs used to treat mental health disorders covered under the state Medicaid program.

  • Allows non-preferred antipsychotic drugs without prior authorization if an adult was unsuccessfully treated with a preferred antipsychotic in the past 365 days or is currently stable on a non-preferred antipsychotic drug.

  • Requires prescribing providers to electronically attest that patients meet eligibility requirements, with automatic processing and override of preferred drug requirements upon attestation.

  • Appropriates $1,092,134 for fiscal year 2024-25 ($888,555 from general fund and $203,579 from healthcare affordability and sustainability fee cash fund) and anticipates $2,295,189 in federal matching funds.

  • Does not prevent drug utilization reviews for patient safety or medically accepted indications, managed care organization contracting, or use of generic drugs.

Legislative Description

Medicaid Prior Authorization Prohibition

Health Care & Health Insurance

Last Action

Governor Signed

6/3/2024

Committee Referrals

Committee of the Whole5/2/2024
Health and Human Services4/24/2024
Appropriations4/17/2024
Health and Human Services2/5/2024

Full Bill Text

No bill text available