A Bill for an Act
Page 1, Line 101Concerning medicaid reimbursement for outpatient
Page 1, Line 102procedures related to drug-resistant epilepsy.
Bill Summary
(Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov.)
Beginning July 1, 2025, the bill requires the department of health care policy and financing to reimburse acute care hospitals and ambulatory surgery facilities that provide vagus nerve stimulation therapy to members diagnosed with drug-resistant epilepsy at a rate that is equal to 75% of the cost for acquiring the vagus nerve stimulator device, which reimbursement is in addition to and does not supplant the reimbursement for any necessary surgical procedure associated with implanting the device.
This Unofficial Version Includes Committee
Amendments Not Yet Adopted on Second Reading
Page 2, Line 1Be it enacted by the General Assembly of the State of Colorado:
Page 2, Line 2SECTION 1. In Colorado Revised Statutes, add 25.5-4-434 as follows:
Page 2, Line 325.5-4-434. Reimbursement for vagus nerve stimulator device
Page 2, Line 4- rule. (1) No later than January 1, 2026, the state department
Page 2, Line 5shall seek federal authorization to reimburse acute care
Page 2, Line 6hospitals and ambulatory surgery facilities that provide vagus
Page 2, Line 7nerve stimulation therapy to members diagnosed with
Page 2, Line 8drug-resistant epilepsy at a rate that is equal to seventy-five
Page 2, Line 9percent of the cost for acquiring the vagus nerve stimulator device.
Page 2, Line 10(2) Upon receiving federal authorization pursuant to
Page 2, Line 11subsection (1) of this section, the state department shall implement this section.
Page 2, Line 12(3) The reimbursement described in subsection (1) of this
Page 2, Line 13section is in addition to and does not supplant the reimbursement
Page 2, Line 14for any necessary surgical procedure associated with implanting the vagus nerve stimulator device.
Page 2, Line 15(4) The state department shall adopt any rules necessary to implement this section.
Page 2, Line 16SECTION 2. Safety clause. The general assembly finds,
Page 2, Line 17determines, and declares that this act is necessary for the immediate
Page 2, Line 18preservation of the public peace, health, or safety or for appropriations for
Page 3, Line 1the support and maintenance of the departments of the state and state institutions.