CO HB1019

HB 26-1019: Kidney Screening Mandatory Preventive Coverage

• Requires health insurance policies in Colorado to provide total-cost coverage (no cost-sharing) for annual kidney function screening services, including glomerular filtration rate (GFR) testing, basic metabolic panel (BMP) testing, and urine albumin-creatinine testing

• Large employer health benefit plans must provide coverage for policies issued or renewed on or after January 1, 2027; individual and small group plans must provide coverage for policies issued or renewed on or after January 1, 2028

• Implements recommendations from the Kidney Disease Prevention and Education Task Force established by House Bill 21-1171 in 2021

• Coverage requirement becomes inoperative if the state would be required to defray costs under federal Affordable Care Act provisions (42 U.S.C. Sec. 18031)

• Addresses findings that over 8,000 Colorado residents were being treated for end-stage renal disease in 2021, with annual insurance costs reaching $457 million and patient out-of-pocket costs of nearly $58 million