Arbitration of Health Insurance Claims
Summary
The bill makes changes to the arbitration requirements for out-of-network health insurance claims by requiring the arbitration process to include a batching process, by which multiple claims may be considered jointly and under the same arbitration fee as part of one payment determination in alignment with federal law. The commissioner of insurance is required to adopt rules that specify the information each insurance carrier is required to submit to a provider with the initial payment of a claim.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
Feb 2025
Senate Passage
Governor
Introduced Jan 29, 2025
Last action Apr 10, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Reengrossed (02/28/2025)
→
PA1 (02/20/2025)
·
4 edits
MODERATE
This bill revision reorganizes and clarifies the arbitration rules for healthcare disputes in Colorado. The changes primarily involve restructuring how claims are batched for arbitration and updating the required disclosures that insurance carriers must provide when making payments. The bill also clarifies the conditions under which claimants can use the batching process to dispute multiple claims together.
Scope change
The scope of the batching process requirements was expanded to include specific conditions about billing codes and out-of-network reimbursement, while the overall applicability to carriers and providers remains the same.
REQUIREMENT
The arbitration process rules were reorganized to clarify when claimants can batch multiple claims for arbitration, specifically adding requirements about billing codes and out-of-network reimbursement.
New language was added requiring carriers to provide specific information about disputed claims when a complaint is filed with the Division, including a 60-day timeline for final decisions.
TECHNICAL
The document structure was reorganized with new section numbering and formatting changes to better organize the arbitration and disclosure requirements.
DEFINITION
New subsections were added to clarify the specific conditions under which claimants may proceed with arbitration batching for claims involving billing code discrepancies.
Floor votes · House Feb 28, 2025
How they voted
40–20
Passed · 4 other
Total votes 64
Feb 28, 2025
D
Democratic42
47% Yea
R
Republican22
90% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
8
Key actions
3
Committee
2
Apr 10, 2025
Upper · Passed
Senate Committee on Health & Human Services Postpone Indefinitely
upper
Mar 5, 2025
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Feb 28, 2025
Lower · Passed
House Third Reading Passed - No Amendments
lower
Feb 19, 2025
Lower · Passed
House Committee on Health & Human Services Refer Amended to House Committee of the Whole
lower
Jan 29, 2025
Introduced
Introduced In House - Assigned to Health & Human Services
lower
3 primary · 4 co-sponsors
Sponsors
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