SB 25-196

Senate Bill 25-196 ensures that insurance companies in Colorado must cover certain preventive healthcare services based on guidelines from national health authorities. If these guidelines are ever changed or removed, the state’s commissioner of insurance can set rules to keep coverage aligned with recommendations as they stood in January 2025 or follow advice from a local task force called NPATCH. This bill is now signed into law and will affect insurance policies by ensuring continuous coverage for preventive health services.

Official Summary

Current law mandates insurance coverage of certain preventive health-care services (preventive services) in accordance with the recommendations of the United States preventive services task force, recommendations established by the advisory committee on immunization practices, or preventive care or screening as provided in the comprehensive guidelines supported by the health resources and services administration in the United States department of health and human services (authorities). The act requires that, in the event that any of these authorities is repealed, modified, or otherwise no longer in effect, the commissioner of insurance may adopt rules that require compliance with the recommendations and comprehensive guidelines regarding the coverage of those preventive services as the recommendations and guidelines existed in January 2025 or that comply with the recommendations of the nurse-physician advisory task force for Colorado health care (NPATCH). The act also tasks the NPATCH with making recommendations regarding updates or modifications to the current list of covered preventive health-care services. (Note: This summary applies to this bill as enacted.)

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