Amendments for SB25-048
Senate Journal, April 29
After consideration on the merits, the Committee recommends that SB25-048 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation.
Amend printed bill, page 3, strike lines 14 through 16 and substitute "youth
should include anti-obesity medications and that this treatment option is safe
and effective. Eight out of ten adolescents with".
Page 3, strike lines 21 through 27.
Strike pages 4 through 9.
Page 10, strike lines 1 through 12 and substitute:
"SECTION 3. In Colorado Revised Statutes, 10-16-104, add (29) as
follows:
10-16-104. Mandatory coverage provisions - applicability - rules -
definitions. (29) Treatment for obesity and pre-diabetes. (a) ALL
INDIVIDUAL AND GROUP HEALTH PLANS ISSUED OR RENEWED IN THIS STATE
MUST PROVIDE COVERAGE FOR THE TREATMENT OF THE CHRONIC DISEASE OF
OBESITY AND THE TREATMENT OF PRE-DIABETES, INCLUDING COVERAGE FOR
THE NATIONAL DIABETES PREVENTION PROGRAM, MEDICAL NUTRITION
THERAPY, INTENSIVE BEHAVIORAL OR LIFESTYLE THERAPY, AND METABOLIC
AND BARIATRIC SURGERY.
(b) FOR A LARGE GROUP HEALTH BENEFIT PLAN OFFERED IN THIS STATE,
A CARRIER SHALL OFFER THE POLICYHOLDER THE OPTION TO PURCHASE
COVERAGE FOR FDA-APPROVED ANTI-OBESITY MEDICATIONS, INCLUDING AT
LEAST ONE FDA-APPROVED GLP-1 MEDICATION. THIS SUBSECTION (29) DOES
NOT REQUIRE A CARRIER TO OFFER COVERAGE FOR WHICH PREMIUMS WOULD
NOT COVER EXPECTED BENEFITS.
(c) THE COMMISSIONER MAY ADOPT RULES TO IMPLEMENT THIS
SUBSECTION (29).
(d) AS USED IN THIS SUBSECTION (29):
(I) "FDA-APPROVED ANTI-OBESITY MEDICATION" MEANS A MEDICATION
APPROVED BY THE FEDERAL FOOD AND DRUG ADMINISTRATION WITH AN
INDICATION FOR WEIGHT MANAGEMENT IN PATIENTS WITH CHRONIC OBESITY.
(II) "FDA-APPROVED GLP-1 MEDICATION" MEANS A GLUCAGON-LIKE
PEPTIDE-1 RECEPTOR AGONIST THAT IS APPROVED BY THE FEDERAL FOOD AND
DRUG ADMINISTRATION WITH AN INDICATION FOR REGULATING BLOOD SUGAR
LEVELS AND APPETITE.
(III) "INTENSIVE BEHAVIORAL OR LIFESTYLE THERAPY" MEANS AN
EVIDENCE-BASED, MULTI-COMPONENT BEHAVIORAL OR LIFESTYLE
MODIFICATION INTERVENTION DESIGNED TO SUPPORT HEALTHY WEIGHT
MANAGEMENT AS RECOMMENDED BY CURRENT CLINICAL STANDARDS OF CARE.
INTERVENTIONS INCLUDE OBESITY SCREENING, DIETARY ASSESSMENT, AND
BEHAVIORAL COUNSELING AND THERAPY AIMED AT WEIGHT LOSS THROUGH
LIFESTYLE MODIFICATIONS SUCH AS CHANGES IN DIET AND INCREASED PHYSICAL
ACTIVITY. THERAPY FOR OBESITY MUST BE CONSISTENT WITH THE UNITED
STATES PREVENTIVE SERVICES TASK FORCE'S 5-A BEHAVIORAL COUNSELING
FRAMEWORK: ASK, ADVISE, ASSESS, ASSIST, AND ARRANGE. INTERVENTIONS
MAY BE PROVIDED IN-OFFICE, VIRTUALLY THROUGH TELEHEALTH, OR IN
COMMUNITY-BASED SETTINGS TO SUPPORT PATIENT ACCESS AND NEEDS.
(IV) "MEDICAL NUTRITION THERAPY" MEANS THE FOLLOWING
NUTRITION CARE SERVICES THAT PREVENT, MANAGE, OR TREAT DISEASES OR
MEDICAL CONDITIONS, WHICH SERVICES MAY BE PROVIDED IN-OFFICE OR
VIRTUALLY THROUGH TELEHEALTH:
(A) NUTRITION ASSESSMENT;
(B) NUTRITION DIAGNOSIS;
(C) NUTRITION INTERVENTION; AND
(D) NUTRITION MONITORING AND EVALUATION.
(V) "METABOLIC AND BARIATRIC SURGERY" MEANS METABOLIC AND
BARIATRIC SURGERY RECOMMENDED ACCORDING TO THE GUIDELINES
PUBLISHED IN THE 2022 AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC
SURGERY AND INTERNATIONAL FEDERATION FOR THE SURGERY OF OBESITY
AND METABOLIC DISORDERS: INDICATIONS FOR METABOLIC AND BARIATRIC
SURGERY.
(VI) "NATIONAL DIABETES PREVENTION PROGRAM" MEANS A
STRUCTURED, EVIDENCE-BASED LIFESTYLE MODIFICATION PROGRAM DESIGNED
TO PREVENT OR DELAY THE ONSET OF DIABETES IN INDIVIDUALS AT HIGH RISK
IN ACCORDANCE WITH 42 U.S.C. SEC. 280g-14. THE PROGRAM FOLLOWS A
STANDARDIZED CURRICULUM AND IS FOCUSED ON PROMOTING HEALTHY
LIFESTYLE CHANGES, INCLUDING WEIGHT LOSS, INCREASED PHYSICAL ACTIVITY,
AND HEALTHIER EATING HABITS, THROUGH INDIVIDUAL AND GROUP
INTERVENTION.
SECTION 4. In Colorado Revised Statutes, 25.5-8-107, add (1)(a)(V)
as follows:
25.5-8-107. Duties of the department - schedule of services -
premiums - copayments - subsidies - purchase of childhood immunizations.
(1) In addition to any other duties pursuant to this article 8, the department has
the following duties:
(a) (IV) THE SCHEDULE OF HEALTH-CARE SERVICES INCLUDED IN THE
PLAN MUST NOT INCLUDE COVERAGE PURSUANT TO THE MANDATORY
COVERAGE PROVISIONS OF SECTION 10-16-104 (29).".
Renumber succeeding section accordingly.
Appro-
priations
Senate Journal, April 29
SB25-048 by Senator(s) Michaelson Jenet; also Representative(s) Brown and Mabrey--Concerning the
"Diabetes Prevention and Obesity Treatment Act".
Amendment No. 1, Appropriations Committee Amendment.
(Printed in Senate Journal, April 29, page(s) 1154-1155 and placed in members' bill files.)
Amendment No. 2(L.017), by Senator MichaelsonJenet.
Amend the Appropriations Committee Report, dated April 29, 2025, page 1,
line 11, strike "INDIVIDUAL AND" and substitute "LARGE".
As amended, ordered engrossed and placed on the calendar for third reading and final
passage.
Senate Journal, April 30
SB25-048 by Senator(s) Michaelson Jenet and Mullica; also Representative(s) Brown and Mabrey--
Concerning the "Diabetes Prevention and Obesity Treatment Act".
A majority of those elected to the Senate having voted in the affirmative, Senator
Michaelson Jenet was given permission to offer a third reading amendment.
Third Reading Amendment No. 1(L.018), by Senator Michaelson Jenet.
Amend engrossed bill, page 3, line 24, after "HEALTH" insert "BENEFIT".
Page 6, strike lines 10 through 18 and substitute:
"SECTION 5. Act subject to petition - effective date - applicability.
(1) This act takes effect January 1, 2027; except that, if a referendum petition
is filed pursuant to section 1 (3) of article V of the state constitution against this
act or an item, section, or part of this act within the ninety-day period after final
adjournment of the general assembly, then the act, item, section, or part will not
take effect unless approved by the people at the general election to be held in
November 2026 and, in such case, will take effect January 1, 2027, or on the
date of the official declaration of the vote thereon by the governor, whichever
is later.
(2) This act applies to large group health benefit plans issued or
renewed on or after the applicable effective date of this act.".
The amendment was passed on the following roll call vote:
YES 35 NO 0 EXCUSED 0 ABSENT 0
Amabile Y Daugherty Y Liston Y Rodriguez Y
Baisley Y Exum Y Lundeen Y Simpson Y
Ball Y Frizell Y Marchman Y Snyder Y
Bridges Y Gonzales J. Y Michaelson Y Sullivan Y
Bright Y Hinrichsen Y Mullica Y Wallace Y
Carson Y Jodeh Y Pelton B. Y Weissman Y
Catlin Y Kipp Y Pelton R. Y Winter F. Y
Cutter Y Kirkmeyer Y Rich Y President Y
Danielson Y Kolker Y Roberts Y
The question being "Shall the bill, as amended, pass?", the roll call was taken with the
following result:
YES 27 NO 8 EXCUSED 0 ABSENT 0
Amabile Y Daugherty Y Liston Y Rodriguez Y
Baisley N Exum Y Lundeen N Simpson Y
Ball Y Frizell Y Marchman Y Snyder Y
Bridges Y Gonzales J. Y Michaelson Y Sullivan Y
Bright N Hinrichsen Y Mullica Y Wallace Y
Carson N Jodeh Y Pelton B. N Weissman Y
Catlin Y Kipp Y Pelton R. N Winter F. Y
Cutter Y Kirkmeyer N Rich N President Y
Danielson Y Kolker Y Roberts Y
House Journal, May 3
51 SB25-048 be amended as follows, and as so amended, be referred to
52 the Committee of the Whole with favorable
53 recommendation:
54
55 Amend reengrossed bill, page 3, line 27, after "FOR" insert "A
56 COMPARABLE PROGRAM TO".