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---
type: "Bill"
title: "Medical Necessity Determination Insurance Coverage"
description: "The act clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2025A"
identifier: "HB 25-1002"
citation: "Colorado HB 25-1002 (2025A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Byron Pelton", "Judy Amabile", "Kyle Brown", "Lindsay Gilchrist"]
version_count: 10
action_count: 15
vote_count: 4
first_action: "2025-01-08T07:00:00+00:00"
last_action: "2025-03-20T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/fa23040f-8382-49c8-a57e-93ee03f2f978"
source_url: "https://leg.colorado.gov/bills/hb25-1002"
source_hash: "ad3c1e195ac41d28e50b47b33152f8a6174bbc1524c427c4844c89c5a7e4012e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-co"]
---
# Colorado HB 25-1002 (2025A) — Medical Necessity Determination Insurance Coverage
The act clarifies that the health benefits coverage for the prevention of, screening for, and treatment of behavioral, mental health, and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health, and substance use disorder benefits, consistent with specified criteria.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_hb1002_s_hhs_001.pdf)
2. **Engrossed (02/07/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_eng.pdf)
3. **Final Act (03/13/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_enr.pdf)
4. **Introduced (01/08/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_01.pdf)
5. **PA1 (01/30/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_h_hhs_01.pdf)
6. **PA2 (02/21/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_s_hhs_01.pdf)
7. **Reengrossed (02/10/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_ren.pdf)
8. **Rerevised (02/26/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_rer.pdf)
9. **Revised (02/25/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1002_rev.pdf)
10. **Signed Act (03/20/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_1002_signed.pdf)
## Votes
- BILL — **549** (pass) · lower
- BILL — **321** (pass) · upper
- CONCUR — **519** (pass) · lower
- REPASS — **5010** (pass) · lower
## Sponsors
- Byron Pelton — primary (person)
- Judy Amabile — primary (person)
- Kyle Brown — primary (person)
- Lindsay Gilchrist — primary (person)
- A. Boesenecker — cosponsor (person)
- A. Paschal — cosponsor (person)
- A. Valdez — cosponsor (person)
- B. Marshall — cosponsor (person)
- B. Titone — cosponsor (person)
- C. Clifford — cosponsor (person)
- C. Kipp — cosponsor (person)
- C. Kolker — cosponsor (person)
- C. Simpson — cosponsor (person)
- D. Johnson — cosponsor (person)
- D. Michaelson Jenet — cosponsor (person)
- E. Hamrick — cosponsor (person)
- E. Sirota — cosponsor (person)
- F. Winter — cosponsor (person)
- G. Rydin — cosponsor (person)
- I. Jodeh — cosponsor (person)
- J. Bacon — cosponsor (person)
- J. Bridges — cosponsor (person)
- J. Coleman — cosponsor (person)
- J. Gonzales — cosponsor (person)
- J. Jackson — cosponsor (person)
- J. Joseph — cosponsor (person)
- J. Mabrey — cosponsor (person)
- J. Marchman — cosponsor (person)
- J. McCluskie — cosponsor (person)
- K. McCormick — cosponsor (person)
- K. Mullica — cosponsor (person)
- K. Stewart — cosponsor (person)
- L. Cutter — cosponsor (person)
- L. Daugherty — cosponsor (person)
- L. García — cosponsor (person)
- L. Smith — cosponsor (person)
- M. Ball — cosponsor (person)
- M. Duran — cosponsor (person)
- M. Froelich — cosponsor (person)
- M. Lindsay — cosponsor (person)
- M. Lukens — cosponsor (person)
- M. Rutinel — cosponsor (person)
- M. Snyder — cosponsor (person)
- M. Weissman — cosponsor (person)
- N. Hinrichsen — cosponsor (person)
- N. Ricks — cosponsor (person)
- R. English — cosponsor (person)
- R. Stewart — cosponsor (person)
- R. Taggart — cosponsor (person)
- S. Bird — cosponsor (person)
- S. Camacho — cosponsor (person)
- S. Lieder — cosponsor (person)
- S. Woodrow — cosponsor (person)
- T. Exum — cosponsor (person)
- T. Story — cosponsor (person)
- T. Winter — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-03-20T06:00:00+00:00** Governor Signed `executive-signature`
- **2025-03-13T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2025-03-13T06:00:00+00:00** Signed by the President of the Senate
- **2025-03-12T06:00:00+00:00** Signed by the Speaker of the House
- **2025-02-28T07:00:00+00:00** House Considered Senate Amendments - Result was to Concur - Repass
- **2025-02-27T07:00:00+00:00** House Considered Senate Amendments - Result was to Laid Over Daily
- **2025-02-26T07:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2025-02-25T07:00:00+00:00** Senate Second Reading Passed with Amendments - Committee `reading-2`
- **2025-02-20T07:00:00+00:00** Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2025-02-12T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2025-02-10T07:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2025-02-07T07:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2025-01-31T07:00:00+00:00** House Second Reading Laid Over Daily - No Amendments
- **2025-01-29T07:00:00+00:00** House Committee on Health & Human Services Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2025-01-08T07:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fa23040f-8382-49c8-a57e-93ee03f2f978`. Confidence: reported (aggregated from official Colorado legislature records).