# Colorado HB25-1002: Medical Necessity Determination Insurance Coverage Colorado HB25-1002, Medical Necessity Determination Insurance Coverage, is a 2025 Regular Session House bill sponsored by Byron Pelton (Republican), Judy Amabile (Democratic), Kyle Brown (Democratic) and 1 others; status signed, last action 2025-03-20 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-16). - Canonical: https://policyrisk.com/state-bill/CO-HB25-1002-2025A - As of: 2026-10-16 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Colorado HB25-1002 - State: Colorado - Session: 2025 Regular Session - Title: Medical Necessity Determination Insurance Coverage - Status: signed - Chamber: House - Introduced: 2025-01-08 - Last action: 2025-03-20, Governor Signed - Sponsors: Byron Pelton (Republican), Judy Amabile (Democratic), Kyle Brown (Democratic), Lindsay Gilchrist (Democratic) - Cosponsors: 48 - Subjects: Health Care & Health Insurance - Touches household money: yes - Roll calls: 6 (209 yes, 29 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Stronger safeguards for mental health approvals: benefit, high. Covered plans must pay for medically necessary behavioral health, mental health, and substance use treatment under accepted care standards. Care must fit the patient's needs in type, frequency, location, extent, and duration—not mainly cost or convenience. Reviews must use current, relevant guideli… - In-network costs when outside care is needed: benefit, medium. Covered plans must arrange medically necessary outside-network care when covered services are unavailable within required travel and reasonable waiting limits. The outside provider must be accessible and qualified to deliver age-appropriate treatment. Patients pay no more than the in-network share,… - Stronger mental health coverage for Coloradans: benefit, medium. Covered Colorado plans must cover behavioral health, mental health, and substance use care as fully as physical health care. Federal parity rules apply to patient costs, treatment limits, and network access practices. Plans cannot discriminate based on current or predicted disorders or limit chroni… ## Sponsors and cosponsors - Sponsor: Byron Pelton (Republican), Senate - Sponsor: Judy Amabile (Democratic), Senate - Sponsor: Kyle Brown (Democratic), House - Sponsor: Lindsay Gilchrist (Democratic), House - Cosponsor: Andrew Boesenecker (Democratic), House - Cosponsor: Amy Paschal (Democratic), House - Cosponsor: Alex Valdez (Democratic), House - Cosponsor: Bob Marshall (Democratic), House - Cosponsor: Brianna Titone (Democratic), House - Cosponsor: Chad Clifford (Democratic), House - Cosponsor: Eliza Hamrick (Democratic), House - Cosponsor: Emily Sirota (Democratic), House - Cosponsor: Gretchen Rydin (Democratic), House - Cosponsor: Jennifer Bacon (Democratic), House - Cosponsor: Jamie Jackson (Democratic), House - Cosponsor: Junie Joseph (Democratic), House - Cosponsor: Javier Mabrey (Democratic), House - Cosponsor: Julie McCluskie (Democratic), House - Cosponsor: Katie Stewart (Democratic), House - Cosponsor: Lorena Garcia (Democratic), House - Cosponsor: Lesley Smith (Democratic), House - Cosponsor: Monica Duran (Democratic), House - Cosponsor: Meg Froelich (Democratic), House - Cosponsor: Mandy Lindsay (Democratic), House - Cosponsor: Meghan Lukens (Democratic), House - Cosponsor: Manny Rutinel (Democratic), House - Cosponsor: Naquetta Ricks (Democratic), House - Cosponsor: Regina English (Democratic), House - Cosponsor: Rebekah Stewart (Democratic), House - Cosponsor: Rick Taggart (Republican), House - Cosponsor: Rep. S. Bird - Cosponsor: Sean Camacho (Democratic), House - Cosponsor: Sheila Lieder (Democratic), House - Cosponsor: Steven Woodrow (Democratic), House - Cosponsor: Tammy Story (Democratic), House - Cosponsor: Cathy Kipp (Democratic), Senate - Cosponsor: Chris Kolker (Democratic), Senate - Cosponsor: Dafna Michaelson Jenet (Democratic), Senate - Cosponsor: Sen. F. Winter - Cosponsor: Iman Jodeh (Democratic), Senate - Cosponsor: Jeff Bridges (Democratic), Senate - Cosponsor: James Coleman (Democratic), Senate - Cosponsor: Julie Gonzales (Democratic), Senate - Cosponsor: Janice Marchman (Democratic), Senate - Cosponsor: Kyle Mullica (Democratic), Senate - Cosponsor: Lisa Cutter (Democratic), Senate - Cosponsor: Lindsey Daugherty (Democratic), Senate - Cosponsor: Matt Ball (Democratic), Senate - Cosponsor: Marc Snyder (Democratic), Senate - Cosponsor: Mike Weissman (Democratic), Senate - Cosponsor: Nick Hinrichsen (Democratic), Senate - Cosponsor: Tony Exum (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-02-28 | House | Senate amendments: Repass | pass | 50 | 10 | | | 2025-02-28 | House | Senate amendments: Concur | pass | 51 | 9 | | | 2025-02-26 | Senate | Third reading: Bill | pass | 32 | 1 | | | 2025-02-20 | Senate | Refer House Bill 25-1002, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. | pass | 9 | 0 | | | 2025-02-10 | House | Third reading: Bill | pass | 54 | 9 | | | 2025-01-29 | House | Refer House Bill 25-1002, as amended, to the Committee of the Whole. | pass | 13 | 0 | | ## Actions (15) - 2025-03-20: Governor Signed (House) - 2025-03-13: Signed by the President of the Senate (Senate) - 2025-03-13: Sent to the Governor (House) - 2025-03-12: Signed by the Speaker of the House (House) - 2025-02-28: House Considered Senate Amendments - Result was to Concur - Repass (House) - 2025-02-27: House Considered Senate Amendments - Result was to Laid Over Daily (House) - 2025-02-26: Senate Third Reading Passed - No Amendments (Senate) - 2025-02-25: Senate Second Reading Passed with Amendments - Committee (Senate) - 2025-02-20: Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole (Senate) - 2025-02-12: Introduced In Senate - Assigned to Health & Human Services (Senate) - 2025-02-10: House Third Reading Passed - No Amendments (House) - 2025-02-07: House Second Reading Special Order - Passed with Amendments - Committee, Floor (House) - 2025-01-31: House Second Reading Laid Over Daily - No Amendments (House) - 2025-01-29: House Committee on Health & Human Services Refer Amended to House Committee of the Whole (House) - 2025-01-08: Introduced In House - Assigned to Health & Human Services (House) ## Bill text - Engrossed: [PDF](https://leg.colorado.gov/bill_files/85250/download) - Final Act: [PDF](https://leg.colorado.gov/bill_files/85238/download) - House Health & Human Services Preamend: [PDF](https://leg.colorado.gov/bill_files/85255/download) - Introduced: [PDF](https://leg.colorado.gov/bill_files/85253/download) - Reengrossed: [PDF](https://leg.colorado.gov/bill_files/85247/download) - Rerevised: [PDF](https://leg.colorado.gov/bill_files/85241/download) - Revised: [PDF](https://leg.colorado.gov/bill_files/85244/download) - Senate Health & Human Services Preamend: [PDF](https://leg.colorado.gov/bill_files/85257/download) - Signed Act: [PDF](https://leg.colorado.gov/bill_files/40908/download) ## Related bills - SB25-279: Colorado Code of Military Justice Updates (signed) - HB25-1307: Updating Technical References in Education Law (signed) - HB25-1234: Utility Consumer Protection (signed) - SB25-167: Invest State Funds to Benefit Communities (signed) - SB25-163: Battery Stewardship Programs (signed) - SB25-261: Property Tax Deferral Program Administration (signed) ## Sources - [Engrossed (PDF)](https://leg.colorado.gov/bill_files/85250/download) - [Final Act (PDF)](https://leg.colorado.gov/bill_files/85238/download) - [House Health & Human Services Preamend (PDF)](https://leg.colorado.gov/bill_files/85255/download) - [Introduced (PDF)](https://leg.colorado.gov/bill_files/85253/download) - [Reengrossed (PDF)](https://leg.colorado.gov/bill_files/85247/download) - [Rerevised (PDF)](https://leg.colorado.gov/bill_files/85241/download) - [Revised (PDF)](https://leg.colorado.gov/bill_files/85244/download) - [Senate Health & Human Services Preamend (PDF)](https://leg.colorado.gov/bill_files/85257/download) - [Signed Act (PDF)](https://leg.colorado.gov/bill_files/40908/download) ## Related - [SB25-279: Colorado Code of Military Justice Updates](https://policyrisk.com/state-bill/CO-SB25-279-2025A) - [HB25-1307: Updating Technical References in Education Law](https://policyrisk.com/state-bill/CO-HB25-1307-2025A) - [HB25-1234: Utility Consumer Protection](https://policyrisk.com/state-bill/CO-HB25-1234-2025A) - [SB25-167: Invest State Funds to Benefit Communities](https://policyrisk.com/state-bill/CO-SB25-167-2025A) - [SB25-163: Battery Stewardship Programs](https://policyrisk.com/state-bill/CO-SB25-163-2025A) - [SB25-261: Property Tax Deferral Program Administration](https://policyrisk.com/state-bill/CO-SB25-261-2025A) - [Colorado bills](https://policyrisk.com/states/colorado/bills) - [Colorado state hub](https://policyrisk.com/states/colorado) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/CO-HB25-1002-2025A (as of 2026-10-16).