Access & Affordability

All Coloradans should have access to the health care they need, when they need it, and be able to afford it. While the Affordable Care Act has helped many Coloradans obtain health insurance, we know there are many that still struggle to access and afford the care they need because they cannot find a doctor or because the out-of-pocket costs are too high.

Recent Work in this Area

Health Equity Statement: Structural racism and government policies have concentrated health risk and chronic disease burden in BIPOC and low-income communities. Due to the vicious cycle of affordability, access, structural racism, and financial instability, BIPOC Coloradans are both more likely to need care for disease and health concerns and less likely to be able to afford and access care. And are more likely to suffer from the financial toxicity of higher out-of-pocket costs and medical debt. Expanding and improving health coverage and affordability is an important step to protect Coloradans while we address the root causes of health disparities.

Creating a public option for health coverage

For years, we have worked towards more affordable and equitable health insurance coverage through the creation of a public option in Colorado. By passing HB21-1232, Colorado is creating new standardized insurance plans that are focused on addressing racial health disparities by providing key services without cost-sharing, such as primary, behavioral, and perinatal health care. Insurers will be required to meet premium reduction targets on these plans to make them more affordable. Colorado Option plans will also be required to meet enhanced provider network standards to ensure provider networks are more culturally responsive to the needs of the people they cover. Colorado will be able to draw down millions of dollars in savings from lower premiums from the federal government. This money will be reinvested in Colorado’s Health Insurance Affordability Enterprise (SB20-215) to further improve affordability and access to coverage, especially for those that have been left without affordable coverage such as undocumented individuals and people that fall in the “family glitch.” Colorado Option plans will be offered in the individual and small employer markets as well as through the Affordability Enterprise starting in 2023.

Improving affordability and assistance for Coloradans left out of coverage

1 in 5 Coloradans struggle to afford health coverage and care. This is especially true for Coloradans that have been left out of financial assistance under the ACA. By continuing to collect a small fee on insurance plans in Colorado, we have created the Health Insurance Affordability Enterprise through SB20-215. While this Enterprise funds the state reinsurance program that keeps insurance premiums lower and more stable, it most importantly also establishes state financial assistance to provide high-value coverage for Coloradans without documentation and those that fall in the “family glitch” of the ACA and provide additional assistance to those that already qualify for ACA subsidies to further improve affordability and access.

Ensuring transgender Coloradans cannot be denied equitable insurance coverage for health care services

We have worked hard in Colorado to ensure that all Coloradans, regardless of their gender identity, can access the care they need. SB21-016 helps ensure access to preventive health care services, and HB21-1108 ensures that Coloradans cannot be discriminated against because of their gender expression. Colorado also revised the benchmark plan, becoming the first state in the country to ensure that the Essential Health Benefits required in the individual and small employer markets starting in 2023 will cover gender-affirming care services that are vital for the physical and mental well-being of transgender Coloradans.

Our Work

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Colorado Consumer Health Initiative
303 E 17th Ave, Suite 400
Denver, CO 80203
303.839.1261

General: inform@cohealthinitiative.org
Assistance: help@cohealthinitiative.org
Media: ptelang@cohealthinitiative.org

Don’t Let the Ghouls Gut Our Healthcare

Join us at Prost Brewing for an accountability postcard event. Share your health care story with your community and write to your representative! Don’t let the ghouls in Congress take away our health care.

25th Anniversary Celebration

The Colorado Consumer Health Initiative is thrilled to announce our 25th Anniversary Celebration! We are celebrating 25 years of bringing consumer voices to the center of health policy in Colorado and beyond, advancing equitable access to health care for all Coloradans. Please join us on Wednesday, September 24th at the Denver Botanic Gardens in support of our staff, partners, and community members that make this work possible. This celebration, held in Mitchell Hall, will include dinner, drinks, brief programming, and all-day entrance to the Botanic Gardens.

REACH OUT!

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