CO| The revised Colorado Bulletin B-4.148 clarifies updated guidance for insurance carriers on abortion payment coverage for plan years 2025 and 2026 under state law. The document emphasizes compliance requirements, specifies payment mechanisms, and outlines federal regulatory obligations for carriers.
Key Points:
- Colorado SB 23-189 requires carriers to cover abortion care at no cost-sharing for individual and small group health plans starting January 1, 2025.
- For 2025 and 2026, the Health Insurance Affordability Enterprise will make per-member-per-month payments that must be segregated for abortion coverage for subsidy-receiving on-Exchange enrollees.
- Carriers must comply with federal rules (42 U.S.C. 18023 and 45 C.F.R. 156.280) governing abortion coverage and payment segregation.