Proposal for State Option for Health Care Coverage

Colorado Health Insurance Option Recommendation

Expected Hospital-Specific Reimbursement Rates Under Colorado Affordable Health Care Option - March 6, 2020

Colorado's Health Insurance Option Hospital Reimbursment - one-page summary - Feb. 24, 2020

Actuarial Analysis from Wakely Consulting Group - Colorado Health Insurance Option - Feb. 21, 2020

2019 Legislation Requiring a Proposal

In 2019, the Proposal for Affordable Health Coverage Option (HB 19-1004) required 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 addressed the design, costs, benefits, and implementation of this coverage. 

HB19-1004 Proposal for Affordable Health Coverage Option

2019 Final Proposal / 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

2019 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, 2019.  

Past Stakeholder Engagement Meetings on 2019 Draft Report

  • November 7, 2019 - Edwards
  • 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. 

2019 Initial Stakeholder Meetings

The initial round of stakeholder meetings took place June - August 2019. Formal, written comments were also submitted to  

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