The bill requires third-party payers to reimburse the Department of Health Care Policy and Financing (state department) for healthcare items and services rendered to a Medicaid member regardless of whether prior authorization was obtained.

The bill requires third-party payers to respond to the State Department's inquiry regarding a claim for payment no later than 60 days after receiving the State Department's inquiry. The third-party must respond either by paying the claim or issuing a written denial of the claim to the state department.

The bill exempts individuals engaged in the business of inspecting, testing, or repairing backflow prevention devices from licensure requirements but retains the licensure requirements for individuals engaged in the installation or removal of the devices

The bill prohibits using an automated driving system to drive a commercial motor vehicle unless an individual who holds a commercial driver's license is in the vehicle, monitors the vehicle's driving, and intervenes, if necessary, to avoid illegal or unsafe driving. The penalty is $1,000 for a first offense; is $2,000 for a second offense; and doubles for each subsequent offense.

The bill extends an existing reduction in the valuation for assessment of qualified-senior primary residence real property (valuation reduction) that applies for only the 2025 and 2026 property tax years so that the valuation reduction is permanent. The bill also makes permanent the existing obligation of the state to annually reimburse local governments that levy property tax for the amount of property tax revenue lost due to the valuation reduction.

The bill mandates that investor-owned utilities serving over 500,000 customers must proactively inform homeowners about upcoming smart meter installations and clearly explain their right to opt for a traditional, manual meter instead. This initiative is designed to foster transparency, empower consumers with meaningful choices, and ensure a fair, informed transition to advanced metering technology.

Colorado schools face critical challenges with aging infrastructure, poor indoor air quality, and inadequate ventilation systems. House Bill 25-1245 provides a structured pathway for schools to access federal and state funding to improve heating, ventilation, and air conditioning (HVAC) systems. By leveraging federal resources, the bill ensures that schools can undertake necessary HVAC assessments, upgrades, and maintenance to provide safer, healthier learning environments.