FFCF2698839A832787258B020071C08A Hearing Summary

Senators Roberts and Fields, primary bill sponsors, presented House Bill 24-1005 which, requires state-regulated health insurance plans (carriers) to include primary care providers (providers) as in-network providers if they are credentialed Medicaid providers and meet select additional criteria. If the provider is servicing a client that receives benefits from Medicaid, the carrier is prohibited from requiring additional credentials.

By December 31, 2025, the Division of Insurance in the Department of Regulatory agencies must promulgate rules to establish a process for determining whether a provider meets the criteria, and contract with an actuary to develop a reimbursement fee schedule for contractor reimbursements issued to providers.

The bill applies to health insurance plans issued or renewed on or after January 1, 2027, but does not apply to Denver Health or workers’ compensation plans.

Committee members asked the bill sponsors questions.

Mr. Brian Moore, representing themself, testified in support of the bill.

Ms. Nina DiSalvo, representing Towards Justice, testified in support of the bill.

Emily Bishop, representing Colorado Academy of Family Physicians, testified in support of the bill.

Meghan Dollar, representing Colorado Chamber of Commerce, testified in opposition to the bill.

Joshua Ewing, representing Colorado Hospital Association, testified in opposition to the bill.

Jennifer Riley, representing Memorial Regional Health, testified in opposition to the bill.

Additional written testimony was submitted to the committee (Attachment C).

The bill sponsors provided closing remarks.

Committee members provided closing remarks.