The Division would like to provide notice that the Commissioner has adopted the following bulletins:
In 2024, the Colorado General Assembly passed House Bill 24-1382 (HB 24-1382) concerning coverage of the prophylaxis, diagnosis, and treatment of pediatric acute-onset neuropsychiatric syndrome (PANs) and pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAs), to the extent that such coverage is not in addition to benefits provided pursuant to the Colorado Essential Health Benefits (EHB) benchmark plan. The legislation requires the Division of Insurance (Division) to determine whether this benefit would be subject to state defrayal and submit its determination to the U.S. Department of Health & Human Services (“HHS”).
The purpose of this bulletin is to clarify the Division's position regarding coverage for
PANs/PANDAs for a covered person in accordance with HB 24-1382.
In 2024, the Colorado General Assembly passed Senate Bill 24-124 (SB 24-124) concerning coverage of biomarker testing for diagnosis, treatment, appropriate management, and ongoing monitoring of a covered person’s disease or condition to guide treatment decisions when the test is supported by medical and scientific evidence. The legislation requires the Division of Insurance (Division) to determine whether this benefit would be subject to state defrayal and submit its determination to the U.S. Department of Health & Human Services (“HHS”).
The purpose of this bulletin is to clarify the Division's position regarding coverage for biomarker testing for a covered person in accordance with SB 24-124.
These bulletins are effective on November 19, 2025.
This bulletin, and other Division bulletins, can be found on the Division's website.
The Division would like to provide notice that the Commissioner has re-adopted the following regulation:
The Division removed a reporting requirement in Section 6.D related to the total number of providers denied an exemption or alternative program. The template in Appendix B was also edited to reflect this change.
This regulations is effective on January 1, 2026.
Regulations that have been adopted, but are not yet effective can be found on the Division's website.