On Mar. 28, COL LEG passed bill continuity of coverage changed plans.
COL LEG passed SB 24-093 regarding continuity of healthcare coverage plan change.
Amended COL INS 10-16-705 adding a new (4.5) adding definitions and amends COL INS 12-30-112, adding (3.7) requiring disclosures, preventing balance billing.
Also amended COL INS 25-3-121 with same provisions and adds COL INS 25.5-4-431 relating to preauthorization for treatment and request to share with carrier.
Bill Provisions
Enrollee with a private health insurance carrier whose coverage has been terminated or not renewed may receive continued care with same provider or healthcare facility.
Under the enrollee's new health benefit plan at the in-network level under the enrollee's new health benefit plan for up to 90 days if certain conditions exist.
Transferring enrollee who is pregnant may continue to receive treatment through the completion of postpartum care, beginning on date of enrolle's first day as cover person
After applicable time period has lapsed, carrier may perform own utilization review.
Prohibited balance billing medical surprises, requires disclosure of prohibition where applicable to the healthcare provider; prohibits out-of-network balance billing.
Legislative History
On Jan. 24, 2024, bill was introduced in Senate; on Feb. 22, 2024, bill passed Senate.
On Feb. 22, 2024, bill was introduced in House; on Mar. 28, 2024, bill passed House.
Effectiveness
Upon approval, provisions will become effective on Jan. 1, 2025, subject to petition.
Apr. 2024 COL LEG Reported Approved
On Apr. 4, 2024, COL LEG reported that the governor signed SB 24-093 into law.
