HB 26-1122

House Bill 26-1122, which has been signed into law, requires health insurance plans in Colorado to cover hormone replacement therapy for women going through menopause or perimenopause. Large employers must start offering this coverage by January 1, 2027, while individual and small group plans will need to do so by January 1, 2028. The state's Medicaid program is required to provide this coverage starting July 1, 2027. This means that women in Colorado who are experiencing menopause or perimenopause will have access to hormone replacement therapy through their insurance coverage once these deadlines are met.

Official Summary

The bill requires all health benefit plans in the state and the medicaid program to provide coverage for hormone replacement therapy, as prescribed by licensed physicians, for women who are experiencing menopause or perimenopause.     Coverage for hormone replacement therapy will be implemented for all large employer health benefit plans issued or renewed in this state on or after January 1, 2027. Coverage for hormone replacement therapy will be implemented for all individual and small group health benefit plans issued or renewed in this state on or after January 1, 2028, as long as the state is not required to defray the cost of the coverage of the hormone replacement therapy.     The state medicaid program is required to provide hormone replacement therapy beginning on July 1, 2027.(Note: This summary applies to this bill as introduced.)

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