98133F406CD0EDED872583D90073D90A Hearing Summary

Senator Williams, bill sponsor, presented House Bill 19-1211.  The bill establishes guidelines for health insurance carriers concerning the practice of prior authorization for medical procedures and drug benefits.  The requirements do not apply to a nonprofit health maintenance organization (HMO) with respect to managed care plans that provide a majority of covered professional services through a single contracted medical group.  The Commissioner of Insurance may adopt rules to implement the bill.

Dr. Kelly McMullen, Colorado Association of Family Physicians and Colorado Medical Society (CMS), testified in support of the bill.

Dr. Jonathan Clapp, CMS, testified in support of the bill.

The witness panel responded to questions.

Eric Speer, CMS, testified in support of the bill.

Brenda Hulbert, Colorado Group Management Association and CMS, testified in support of the bill.

Wendy Spirek, Children's Eye Physicians, testified in support of the bill.

Christine Russell, Colorado Cross-Disability Coalition, testified in support of the bill.

Ed Shackelford, Aging Adults Analytics, testified in support.

Marilyn Rissmiller, CMS, responded to questions.

Senator Williams responded to questions.