On January 23, 2025, Colorado lawmakers introduced House Bill 1033, a legislative measure aimed at reforming the claims process for health-care payments made by third parties. The bill seeks to streamline interactions between health-care providers, third-party payers, and the state department, addressing ongoing issues related to claim denials and payment delays.

The primary purpose of House Bill 1033 is to establish clearer timelines and responsibilities for third-party payers when responding to claims for health-care services. Key provisions include a mandate that third parties must respond to inquiries from the state department within 60 days, either by paying the claim or issuing a written denial. This change is intended to reduce the backlog of unpaid claims and improve the efficiency of the claims process, which has been a significant concern for health-care providers and patients alike.

Additionally, the bill stipulates that third parties cannot deny claims solely based on submission dates or documentation issues if the state department initiates enforcement actions within six years of the claim submission. This provision aims to protect health-care providers from arbitrary denials that can arise from administrative errors or delays.

The introduction of House Bill 1033 has sparked notable debates among stakeholders. Proponents argue that the bill will enhance accountability among third-party payers and ensure that health-care providers receive timely payments for their services. Critics, however, express concerns about the potential for increased costs for third-party payers, which could ultimately be passed on to consumers in the form of higher premiums.

The implications of this bill extend beyond administrative efficiency. By addressing the challenges faced by health-care providers in securing payments, House Bill 1033 could lead to improved access to care for patients, particularly in underserved areas where providers may be hesitant to offer services due to payment uncertainties. Furthermore, the bill may have economic ramifications, as timely payments can help stabilize health-care practices and contribute to the overall health of the state's economy.

As the legislative process unfolds, stakeholders will be closely monitoring amendments and discussions surrounding House Bill 1033. The outcome of this bill could significantly impact the landscape of health-care financing in Colorado, shaping the relationship between providers, payers, and the state department for years to come.