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HB 25B-1007

Health Insurance Affordability Enterprise Board Appointment

2025 First Extraordinary Session Introduced by Rod Pelton and 1 co-sponsor

HB 25B-1007 would require nine HIAE Board members (4 Democrats, 4 Republicans, 1 unaffiliated) with rural, geographic, and diverse representation.

Introduced In House - Assigned to Health & Human Services
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Bill Summary · HB 25B-1007

HB 25B-1007 — Health Insurance Affordability Enterprise Board Appointment

A concise, reader-friendly summary of the introduced bill, its provisions, and status.

Purpose and intent

  • The bill seeks to modify who the Governor may appoint to the Health Insurance Affordability Enterprise (HIAE) Board, with an emphasis on bipartisan balance and enhanced rural representation.
  • The introductory legislative findings highlight concerns about rural affordability and access to health coverage, aiming to ensure that board appointments reflect geographic and political diversity.

What the bill would do (key provisions)

  • Composition of governor appointments
    • Require the Governor to appoint nine members to the HIAE Board in a bipartisan balance: four registered Democrats, four registered Republicans, and one unaffiliated.
    • When possible, ensure diversity across race, ethnicity, immigration status, income, wealth, ability, and geography.
  • Geographic residency requirements
    • At least one Governor appointee from the Eastern Plains must reside in a county with no more than 50,000 residents.
    • At least one Governor appointee from the Western Slope must reside in a county with no more than 50,000 residents.
    • To the extent possible, strive to appoint members from each congressional district.
  • Baseline structure unchanged (for context)
    • The HIAE Board currently consists of two DORA representatives and nine Governor-appointed representatives from various stakeholder groups; members are limited to two four-year terms.

Who would be affected

  • Governor’s appointments to the HIAE Board (the board that oversees the Colorado Health Insurance Affordability Enterprise, under DORA).
  • The Governor’s Office of Boards and Commissions (in terms of outreach and ensuring conformity to new appointment criteria).
  • Stakeholders in the health insurance affordability space, particularly rural communities, and racial, geographic, and political diversity considerations.

Background and context

  • The HIAE was created by Senate Bill 20-215 and oversees funds drawn from federal sources and carrier fees aimed at reducing individual market premiums.
  • The bill’s narrative emphasizes rural Colorado as disproportionately affected by premium changes and seeks to ensure rural representation on the board to influence funding allocations.

Procedural and timeline aspects

  • Effective date: If enacted, the act would take effect 90 days after the General Assembly adjourns sine die, provided no referendum petition is filed. If a referendum is filed and approved in 2026, the act would take effect upon the governor’s official declaration of the vote.
  • Applicability: The new appointment criteria would apply to board appointments made on or after the effective date.
  • Status: Introduced August 21, 2025; assigned to House Health & Human Services; the House committee recommended postponing the bill indefinitely on August 21, 2025. This means the bill did not progress to enactment and its provisions are not in effect.

Fiscal impact (as analyzed in the fiscal notes)

  • Ongoing fiscal impact: None anticipated.
  • State expenditures: $0 in current, budget, and out years.
  • Transfers, TABOR impacts, and FTE: No changes anticipated.
  • Administrative workload: Expected to be minimal for the Governor’s Office of Boards and Commissions to conduct outreach and verify meeting criteria; no new appropriations required.

Summary

HB 25B-1007 would have codified a bipartisan, geographically diverse, and rural-representative approach to appointing nine members to the HIAE Board, with explicit residency requirements and district representation goals. It would have added specific diversity criteria and sought to balance political affiliation among appointees. The bill was introduced and subsequently postponed indefinitely in August 2025, so it did not become law.

Compiled from official sources — confirm details with the bill’s official record.

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