JOINT RELEASE: Trio of Bills to Improve Access to Affordable Health Care Go Into Effect

DENVER, CO – Three new laws to preserve access to affordable health care will go into effect on January 1, 2026. 

HB25-1222, sponsored by Senator Dylan Roberts, D-Frisco, and Representative Meghan Lukens, D-Steamboat Springs, will preserve rural access to independent pharmacies.

“Independent rural pharmacies are so important to the people who live in the rural and mountain communities that I represent. They rely on them for essential services like prescription refills, medical supplies, immunizations, and so much more,” Roberts said. “This bipartisan new law will ensure fair reimbursement rates and audit recovery practices so that drug delivery for independent and rural pharmacies are adequate enough to level the playing field against corporate health care giants and safeguard essential health services.”

“Health care access in rural communities is already limited, and this law works to preserve the local pharmacies that Coloradans rely on,” said Lukens. “From routine prescription refills to immunizations, our local and independent pharmacies are a lifeline for our communities. Our bipartisan law will protect and expand options for pharmacists and patients in the rural corners of our state by establishing fair reimbursement rates for our local pharmacies and expanding telehealth options.”

Cosponsored by Senate Minority Leader Cleave Simpson, R-Alamosa, and Representative Ty Winter, R-Trinidad, beginning January 1, 2026, HB25-1222 will preserve access to rural health care by ensuring fair reimbursement rates that account for inflation for rural independent pharmacies. For Coloradans living in rural communities, these updates will help them maintain access to vital healthcare services close to home without having to travel long distances or face unnecessary delays.

HB25-1002, sponsored by Senator Judy Amabile, D-Boulder, and Representatives Kyle Brown, D-Louisville, and Lindsay Gilchrist, D-Denver, will save Coloradans money on behavioral, mental health, and substance use disorders care by ensuring coverage standards are based on clinical evidence, not profit margins. 

“Health care coverage decisions should be made using the best evidence-based recommendations from health care professionals, not on profit margins,” said Brown. “Right now, too many Coloradans struggle to afford the care they need while insurance companies continue to deny coverage for behavioral, mental health, and substance use disorder care. Our law, going into effect soon, aligns mental health care coverage with the best evidence so Coloradans can actually access the full spectrum of services they pay for.”

“Access to mental health care and substance abuse treatment is crucial to the health and well-being of Colorado families,” said Amabile. “Far too often, insurance companies deny medically necessary mental health claims with little to no justification, and Coloradans who are already struggling end up with huge costs or no care at all. This legislation will help Coloradans get the care they need at a price they can afford.”

“Health insurance companies should cover services for mental health care at the same level they do for all other care, but far too often they deny claims when the care is necessary,” said Gilchrist. “When insurance companies choose to deny coverage, it drives up costs and makes it harder for Coloradans across the state, especially young people, to access critical care. Too many Coloradans still don’t receive affordable care, and we have made major strides in recent years to invest in behavioral health care. This law takes another huge step forward by requiring every health insurance plan to cover medically necessary health care.” 

HB25-1002, also sponsored by Senator Byron Pelton, R-Sterling, will ensure that insurance companies use transparent, evidence-based criteria and programming when deciding whether mental health care should be covered under an insurance plan. This law requires insurance companies to provide the same level of coverage for mental health services as they do for physical health services, clarifying state law on mental health parity and limiting gaps in insurance coverage for Coloradans. 

SB25-010, sponsored by Brown and Senator Kyle Mullica, D-Thornton, will improve efficiency and accessibility in health insurance communications. 

“There are many benefits to making electronic communications the default for health insurance communications,” said Mullica. “This new law will provide consumers with information in real-time with technology they are already comfortable with, keep sensitive data safe, reduce waste, and lower administrative costs. This legislation is a win-win for Coloradans and health care providers alike.” 

“Many consumers prefer electronic communications from banks, utility companies, and other service providers; this should be an option for health insurance, too,” continued Brown. “This law helps provide timely health insurance information to patients, while keeping their personal data safe and protected. Our goal is to reduce administrative costs and modernize Coloradans' access to their health care information.”

SB25-010 mirrors the National Council of Insurance Legislators’ “E-Commerce Model Act,” which seeks to improve the quality of insurance regulation and oversight. Twenty other states have enacted similar legislation.

Under the new law, carriers would still be required to send paper communications to any individuals who do not have access to the internet, and consumers could elect to receive paper communications.