CO| Bulletin No. B-4.149, addresses coverage for prosthetic devices necessary for physical and recreational activities in Colorado. This follows the passage of House Bill 23-1136 in 2023, which requires the Division to determine if this benefit necessitates state defrayal under the Affordable Care Act.
Key Points:
- Legislative Background: House Bill 23-1136 mandates coverage for prosthetic devices used in recreational activities, aligning with federal antidiscrimination laws.
- Division’s Position: The Division asserts that this coverage applies to all fully insured health benefit plans in Colorado starting in 2025, as HHS’s delayed and non-committal response is considered confirmation that state defrayal is not required.
- Implementation and Future Actions: The Division will implement these requirements and notify relevant committees if HHS attempts to require additional state funding for these benefits in the future.
