Proposal for State Option for Health Care Coverage

The Proposal for Affordable Health Coverage Option (HB 19-1004) requires the Department of Health Care Policy & Financing and the Division of Insurance to develop and submit a proposal regarding a state option for health care coverage to the Colorado Legislature by November 15, 2019. The proposal should address the design, costs, benefits, and implementation of this coverage. 


HB19-1004 Proposal for Affordable Health Coverage Option

Final Report

Final Report for Colorado's Public Option (includes appendices I - IV) - delivered to the General Assembly November 15, 2019 

Appendix V - Public Comments

Summary of Final Report

Draft Proposal / Report

Draft Report for Colorado's State Coverage Option - released October 7, 2019.

Draft Report for Colorado's State Coverage Option - En Español

Oct. 8, 2019 State Option Stakeholder Presenation - English

Oct. 8, 2019 OPCIÓN DE COLORADO Presentación En Español

Submit Comments on the Draft Report

We will also accept comments via email. Please send your comments to

Public comments on the draft will be accepted during a comment period that will close on Friday, October 25

Upcoming Stakeholder Meetings on Draft Report   ​

  • November 7 - Edwards, 11:00 a.m. - 1:00 p.m. (rescheduled after Oct. 28 meeting was cancelled due to weather)
    • Colorado Mountain College, Vail Valley Campus
    • 150 Miller Ranch Rd., Room VE 118, Edwards, CO 81632
    • RSVP for Edwards Meeting - Completing this RSVP gives us an idea of how many people to expect. 

Past Stakeholder Engagement Meetings on Draft Report

  • October 23, 2019 - Grand Junction
  • October 22, 2019 - Hugo
  • October 12, 2019 - Durango
  • October 8, 2019 - Denver, Watch the webcast recorded presentation
  • October 8, 2019 - Pueblo
  • October 8, 2019Briefing for Eastern Plains Hospitals


Initial Public Feedback

The official comment period prior to the development of a draft proposal / report closed on August 31, 2019. 

Past Stakeholder Meetings

The initial round of stakeholder meetings, June - August 2019, has concluded. Formal, written comments can be submitted until August 31, 2019 to A small number of stakeholder meetings may take place in October in regards to the initial draft of the report the Division of Insurance and the Department of Health Care Policy and Financing are preparing durng the month of September. 

Report Timeline 

Stakeholder meetings and the public comment period will conclude at the end of August 2019. Starting on September 1, the implementation team will begin drafting the report to the Legislature (General Assembly), taking stakeholder input into consideration. The draft report will be posted to the Colorado Register on approximately October 8 for public review and comment for a period of two weeks. The implementation team will then take another month to finalize edits and deliver the report to the Legislature on November 15, 2019.

Other Information

Final report due to Legislature on Nov. 15, 2019.

Contact Information
Division of Insurance, Colorado Department of Regulatory Agencies
1560 Broadway, Suite 850
Denver, CO 80202