HB18-1007

HB18-1007 - Substance Use Disorder Payment And Coverage

Passed/Signed into Law
Concerning payment issues related to substance use disorders.

Opioid and Other Substance Use Disorders Interim Study Committee. The bill requires all individual and group health benefit plans to provide coverage without prior authorization for a five-day supply of at least one of the federal food and drug administration-approved drugs for the treatment of opioid dependence for a first request within a 12-month period.

The bill prohibits carriers from taking adverse action against a provider or from providing financial incentives or disincentives to a provider based solely on a patient satisfaction survey relating to the patient's satisfaction with pain treatment.

The bill clarifies that an 'urgent prior authorization request' to a carrier includes a request for authorization of medication-assisted treatment for substance use disorders.

The bill permits a pharmacy that has entered into a collaborative pharmacy practice agreement with one or more physicians to administer injectable antagonist medication for substance use disorders and receive an enhanced dispensing fee for the administration.

The bill requires the Colorado medical assistance program to authorize reimbursement for at least one federal food and drug administration-approved ready-to-use opioid overdose reversal drug without prior authorization.

The bill permits a pharmacy that has entered into a collaborative pharmacy practice agreement with one or more physicians to administer injectable opioid antagonist medication for substance use disorders and receive an enhanced dispensing fee under the Colorado medical assistance program for the administration.

The bill requires the department of health care policy and financing and the office of behavioral health in the department of human services to establish rules that standardize utilization management authority timelines for the nonpharmaceutical components of medication-assisted treatment for substance use disorders.

(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

 

Latest update: May 21, 2018
05/21/2018 - Governor Signed
05/14/2018 - Signed by the President of the Senate
05/14/2018 - Sent to the Governor
05/11/2018 - Signed by the Speaker of the House
05/03/2018 - Senate Third Reading Passed - No Amendments
05/02/2018 - Senate Second Reading Special Order - Passed - No Amendments
05/01/2018 - Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
04/23/2018 - Introduced In Senate - Assigned to State, Veterans, & Military Affairs
04/20/2018 - House Third Reading Passed - No Amendments
04/19/2018 - House Second Reading Special Order - Passed with Amendments - Committee, Floor
04/17/2018 - House Second Reading Laid Over to 04/19/2018 - No Amendments
04/16/2018 - House Second Reading Laid Over to 04/17/2018 - No Amendments
04/13/2018 - House Second Reading Special Order - Laid Over Daily - No Amendments
04/10/2018 - House Second Reading Laid Over to 04/13/2018 - No Amendments
04/09/2018 - House Second Reading Laid Over to 04/10/2018 - No Amendments
04/02/2018 - House Second Reading Laid Over to 04/09/2018 - No Amendments
03/29/2018 - House Second Reading Laid Over to 04/02/2018 - No Amendments
03/28/2018 - House Second Reading Laid Over to 03/29/2018 - No Amendments
03/27/2018 - House Second Reading Laid Over to 03/28/2018 - No Amendments
03/26/2018 - House Second Reading Laid Over to 03/27/2018 - No Amendments
03/19/2018 - House Second Reading Laid Over to 03/26/2018 - No Amendments
03/16/2018 - House Second Reading Special Order - Laid Over to 03/19/2018 - No Amendments
03/13/2018 - House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
01/10/2018 - Introduced In House - Assigned to Public Health Care & Human Services