COL LEG Chronic Prescriptions

Published on: Jun 4, 2025

On May 29, COL LEG enacted bill on chronic prescription authorization.

  • COL LEG enacted bill SB25-301 to enable health-care providers to adjust a chronic maintenance drug prescription without prior authorization from an insurance carrier.
  • Adds (6.2) provision to COL INS 10-16-10-16-124.5 re prior authorization form.
  • Bill Provisions
  • The purpose of the bill is to prohibit insurance carriers from imposing prior authorization requirements to adjust the dose/frequency chronic maintenance drugs.
  • This is provided that the drug received approval before for the same chronic or debilitating condition; and it is not an opioid or controlled substance.
  • Also, provided there were no more than two adjustments without prior authorization.
  • Legislative History
  • On Apr. 21, 2025, bill introduced in Senate; on Apr. 28, 2025, bill passed in Senate.
  • On Apr. 28, 2025, bill introduced in House; on May 2, 2025, bill passed in House.
  • On May 5, 2025, Senate considered House amendments and result was to concur.
  • On May 12, 2025, bill sent to the governor; on May 29, 2025, bill signed by governor.
  • Effectiveness
  • Act takes effect 12:01 a.m. on day after expiration of 90-day period after final adjournment of the general assembly; adjourned May 7, 2025, effective Aug. 6, 2025.
Regulators
COL LEG
Entity Types
Ins
Reference
Act, Bill SB25-301, 5/29/2025; Citation: COL INS 10-16-10-16-124.5;
Functions
Compliance; Financial; Legal; Product Administration; Registration/Licensing; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
May 29, 2025
Effective Date
Aug 6, 2025
Rule ID
256781
Linked to
N/A
Reg. Last Update
May 29, 2025
Report Section
US Insurance