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.
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- rules. (1) Beginning July 1, 2025, the state department shall
Page 2, Line 5reimburse acute care hospitals and ambulatory surgery
Page 2, Line 6facilities that provide vagus nerve stimulation therapy to
Page 2, Line 7members diagnosed with drug-resistant epilepsy at a rate that
Page 2, Line 8is equal to seventy-five percent of the cost for acquiring the vagus nerve stimulator device.
Page 2, Line 9(2) The reimbursement described in subsection (1) of this
Page 2, Line 10section is in addition to and does not supplant the reimbursement
Page 2, Line 11for any necessary surgical procedure associated with implanting the vagus nerve stimulator device.
Page 2, Line 12(3) The state department shall adopt any rules necessary to implement this section.
Page 2, Line 13SECTION 2. Safety clause. The general assembly finds,
Page 2, Line 14determines, and declares that this act is necessary for the immediate
Page 2, Line 15preservation of the public peace, health, or safety or for appropriations for
Page 2, Line 16the support and maintenance of the departments of the state and state institutions.