Click here for Fiscal Note
Second Regular Session
Sixty-first General Assembly
LLS NO. 980187.01 JGG
SENATE BILL 98058
STATE OF COLORADO
BY SENATOR Tanner;
also REPRESENTATIVE Clarke. REENGROSSED
A BILL FOR AN ACT
CONCERNING COVERAGE UNDER A HEALTH BENEFIT PLAN OF
SERVICES FOR PERSONS WITH DIABETES.
(Note: This summary applies to this bill as introduced
and does not necessarily reflect any amendments that may be subsequently
Requires health benefit plans that provide hospital,
surgical, or medical expense insurance to provide coverage for
equipment, supplies, and outpatient selfmanagement training
and educational services when prescribed by a physician as medically
necessary for the treatment of diabetes. Identifies what equipment
and supplies for the treatment of diabetes must be included in
the coverage. Identifies which professionals may provide diabetes
outpatient selfmanagement training and educational services.
Specifies that the requirements set forth in the act shall not
apply to accidentonly, specified disease, hospital indemnity,
medicare supplement, longterm care, or other limited health
coverage plans. Defines the term "patient with diabetes".
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. 1016102, Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW SUBSECTION to read:
1016102. Definitions. As used in this article, unless the context otherwise requires:
(28.7) "PATIENT WITH DIABETES" MEANS A PERSON WITH ELEVATED BLOOD GLUCOSE LEVELS THAT HAS BEEN DIAGNOSED AS HAVING DIABETES BY AN APPROPRIATELY LICENSED HEALTH CARE PROFESSIONAL.
SECTION 2. 1016104, Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW SUBSECTION to read:
1016104. Mandatory coverage provisions. (12) Diabetes. (a) NOTWITHSTANDING ANY OTHER PROVISION OF THE LAW TO THE CONTRARY, ANY HEALTH BENEFIT PLAN THAT PROVIDES HOSPITAL, SURGICAL, OR MEDICAL EXPENSE INSURANCE SHALL PROVIDE BENEFITS FOR THE COVERAGE OF DIABETES WHICH BENEFITS SHALL INCLUDE EQUIPMENT, SUPPLIES, SELF-MANAGEMENT TRAINING, MEDICAL NUTRITION COUNSELING DETERMINED TO BE MEDICALLY NECESSARY BY A PHYSICIAN OR ADVANCED PRACTICE NURSE AND WHICH SHALL CONFORM TO BEST PRACTICES GUIDELINES AND PROTOCOLS.
SECTION 3. Effective date applicability. This act shall take effect July 1, 1998, and shall apply to policies, programs, or contracts issued or renewed on or after said date.
SECTION 4. Safety clause. The general assembly hereby finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, and safety.