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Final/Annual Reports

2024 Health Insurance Exchange Oversight Committee Final Report

Section 10-22-107, C.R.S., establishes the Colorado Health Insurance Exchange Oversight Committee (oversight committee) for guiding the implementation of the Colorado Health Benefit Exchange, which currently does business under the name Connect for Health Colorado (exchange), and making recommendations to the General Assembly.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • General Assembly
  • Health Care & Health Insurance


Final/Annual Reports

2024 Health Insurance Exchange Oversight Committee Final Report

Section 10-22-107, C.R.S., establishes the Colorado Health Insurance Exchange Oversight Committee (oversight committee) for guiding the implementation of the Colorado Health Benefit Exchange, which currently does business under the name Connect for Health Colorado (exchange), and making recommendations to the General Assembly.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Staff Publications

The Impact of Immigrants on State and Local Government Resources

This memorandum provides an overview on the federal immigration system, Colorado’s role in immigration, and patterns of immigration in the state and nationally. It then discusses the impact of immigration on different sectors of the economy and state government programs and services, and highlights recent state legislation to address these issues.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Education & School Finance (Pre & K-12)
  • Health Care & Health Insurance
  • Immigration
  • Labor & Employment

Summary of Major Legislation

Summary of 2024 Health Care and Health Insurance Legislation

Many pieces of legislation regarding health care and health insurance made their way through the 74th General Assembly. Most of the legislation fell into the following categories: removing barriers to treatment, and licensing requirements.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Issue Briefs

Colorado’s Health Insurance Market

Health insurance is a method of paying or receiving reimbursement for health care costs from covered services. Health insurance companies spread the costs and risk of covered health care services across all members of a plan in exchange for premiums and other cost-sharing mechanisms, such as deductibles and copayments. These rates are actuarially determined and set at a level that covers the estimated health care costs incurred by all members of the group. This issue brief provides an overview of the health insurance market in Colorado and federal and state health insurance regulations.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Summary of Major Legislation

Summary of 2024 Behavioral Health Legislation

Addressing the substance use disorder epidemic and providing behavioral health resources to communities throughout Colorado were the two major behavioral health care themes that emerged during the Second Regular Session of the 74th General Assembly. Important behavioral health bills are discussed below.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance
  • Public Health

Issue Briefs

Health Care Prior Authorization Practices

Prior authorization—sometimes referred to as preauthorization or precertification—is a process by which an insurer reviews a request for health care services or drugs before consenting to cover the costs of the proposed treatment. Upon receiving a request, an insurer can approve or deny the request, or request additional information from the patient or their health care provider. Health insurers may require prior authorization for a variety of reasons, including cost control and verification of medical necessity.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance


Summary of Major Legislation

Summary of 2025 Public Health and Behavioral Health Legislation

The 75th General Assembly passed numerous pieces of legislation regarding public health. While not all of the public health legislation fell into these groups, three major themes for public health were: emergency preparedness, education and transparency, and behavioral health.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • General Assembly
  • Health Care & Health Insurance
  • Human Services
  • Public Health

Staff Publications

Hospital Provider Fee

The Health Care Affordability Act of 2009, House Bill 09-1293, authorized the collection of a provider fee from most Colorado hospitals. Senate Bill 17-267 created the Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) under the Department of Health Care Policy and Financing (HCPF).

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Summary of Major Legislation

Summary of 2025 Health Care and Health Insurance Legislation

Many pieces of legislation regarding health care and health insurance made their way through the 75th General Assembly. The majority of the legislation fell into the following categories: Medicaid, health insurance, access to care, pharmacy and prescription services, rural safety net, abortion, and gender identity.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Staff Publications

An Overview of Colorado’s Medicaid Program

Medicaid is a joint federal and state insurance program that provides health care coverage to low-income families and individuals, including children, pregnant people, seniors, and people with disabilities. The federal government establishes general rules and policies for Medicaid, including required services and eligible populations, and each state administers its own Medicaid program.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Staff Publications

Medicaid Impacts from the One Big Beautiful Bill Act

Medicaid is a joint federal and state insurance program that provides health care coverage to low-income families and individuals, including children, pregnant people, seniors, and people with disabilities. Colorado’s Medicaid program is known as Health First Colorado and is administered by the Department of Health Care Policy and Financing (HCPF). This memorandum provides an overview of recent Medicaid changes under H.R. 1, the One Big Beautiful Bill Act (OBBBA). For additional information, see LCS’s memo providing an Overview of Colorado’s Medicaid Program.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Staff Publications

Medical Aid-in-Dying

This memorandum provides an overview of Colorado’s Medical Aid-in-Dying law, which legalized the practice of prescribing medical aid-in-dying medication to eligible terminally ill patients in Colorado.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance
  • Public Health

Issue Briefs

Regional Accountable Entities

Colorado’s Medicaid program, Health First Colorado, is administered by the Department of Health Care Policy and Financing (HCPF). HCPF contracts with Regional Accountable Entities (RAEs), to coordinate health care for Medicaid members. This issue brief provides an overview of RAEs.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance
  • Local Government

Final/Annual Reports

Colorado Health Insurance Exchange Oversight Committee 2023 Final Report

The committee studies the implementation of Colorado's health exchange. It reviews and approves grants applied for by the exchange's board of directors to implement the exchange, approves the exchange's executive director, and recommends legislation on the operation of the exchange.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Issue Briefs

Medicaid Waiver Programs: Waivers for Children

Colorado currently administers ten Home- and Community-Based Services Medicaid (HCBS) Waivers. This issue brief discusses the four waivers available to children.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Issue Briefs

Medicaid Waiver Programs: Waivers for Adults

Colorado currently administers ten Home and Community-Based Services Medicaid (HCBS) Waivers. This issue brief discusses the six waivers available to adults.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance


Tax Expenditure Evaluation

Organ Donor Employer Credit

Report No. 2023-TE18

Release date:
Publishing Agency:
Office of the State Auditor
Subjects:
  • Fiscal Policy & Taxes
  • Health Care & Health Insurance

Final/Annual Reports

Statewide Health Care Review Committee Final Report

Pursuant to Section 10‑16-221, C.R.S., the Statewide Health Care Review Committee was created to study health care issues across the state.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance
  • Public Health

Issue Briefs

Adding Benefits Under Medicaid (2023)

Medicaid is a joint federal and state program that provides health benefits and services to Coloradans who meet eligibility requirements. Each state administers its own Medicaid program, and the federal Centers for Medicare and Medicaid Services (CMS) set standards for the program to receive federal financial participation. The Department of Health Care Policy and Financing (HCPF) oversees Colorado’s Medicaid. This issue brief summarizes the process to add benefits under Medicaid.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance

Summary of Major Legislation

Summary of 2023 Health and Insurance Legislation

Many bills were introduced this year addressing health care and the insurance industry in Colorado. Recurring topics this session including reproductive health care, hospital and facility policies, prescription drugs, and consumer protections.

Release date:
Publishing Agency:
Legislative Council Staff
Subjects:
  • Health Care & Health Insurance
  • Public Health