---
type: "Bill"
title: "Out-of-network Health Care Services"
description: "Health insurance - out-of-network health care services - disclosures - claims - reimbursement rates - deceptive trade practice - rules - appropriation. The act:"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "HB 19-1174"
citation: "Colorado HB 19-1174 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Gardner", "Brittany Pettersen", "Daneya Esgar", "Marc Catlin"]
version_count: 12
action_count: 19
vote_count: 5
first_action: "2019-02-07T07:00:00+00:00"
last_action: "2019-05-15T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/dfda564e-cb9d-4010-8feb-c5b16a9ae253"
source_url: "http://leg.colorado.gov/bills/hb19-1174"
source_hash: "af4c225fab5256da9667c6a02e3e3fe183ff076b0c2a6770647fcd03dd2f38f4"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-co"]
---

# Colorado HB 19-1174 (2019A) — Out-of-network Health Care Services

Health insurance - out-of-network health care services - disclosures - claims - reimbursement rates - deceptive trade practice - rules - appropriation. The act:

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Committee Amendment** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_hb1174_s_app_003.pdf)
2. **Engrossed (03/21/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_eng.pdf)
3. **Final Act (05/15/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_enr.pdf)
4. **Introduced (02/07/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_01.pdf)
5. **PA1 (03/11/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174hi_01.pdf)
6. **PA2 (03/15/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174app.pdf)
7. **PA3 (04/16/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174sjud_01.pdf)
8. **PA4 (04/24/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174sjudfinapp.pdf)
9. **Reengrossed (03/22/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_ren.pdf)
10. **Rerevised (04/30/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_rer.pdf)
11. **Revised (04/27/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1174_rev.pdf)
12. **Signed Act (05/14/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_1174_signed.pdf)

## Votes

- BILL — **60–4** (pass) · lower
- COW * — **12–22** (fail) · lower
- REPASS — **54–9** (pass) · lower
- CONCUR — **60–3** (pass) · lower
- BILL — **31–4** (pass) · lower

## Sponsors

- Bob Gardner — primary (person)
- Brittany Pettersen — primary (person)
- Daneya Esgar — primary (person)
- Marc Catlin — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-05-15T06:00:00+00:00** Signed by the President of the Senate
- **2019-05-15T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-05-14T06:00:00+00:00** Governor Signed `executive-signature`
- **2019-05-14T06:00:00+00:00** Signed by the Speaker of the House
- **2019-05-02T06:00:00+00:00** House Considered Senate Amendments - Result was to Concur - Repass
- **2019-04-30T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-29T06:00:00+00:00** Senate Third Reading Laid Over Daily - No Amendments
- **2019-04-27T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2019-04-26T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
- **2019-04-24T06:00:00+00:00** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `referral-committee, committee-passage`
- **2019-04-23T06:00:00+00:00** Senate Committee on Finance Refer Amended to Appropriations `referral-committee`
- **2019-04-15T06:00:00+00:00** Senate Committee on Judiciary Refer Amended to Finance `referral-committee`
- **2019-03-27T06:00:00+00:00** Introduced In Senate - Assigned to Judiciary `introduction`
- **2019-03-22T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-03-21T06:00:00+00:00** House Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2019-03-19T06:00:00+00:00** House Second Reading Laid Over Daily - No Amendments
- **2019-03-15T06:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-03-06T07:00:00+00:00** House Committee on Health & Insurance Refer Amended to Appropriations `referral-committee`
- **2019-02-07T07:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dfda564e-cb9d-4010-8feb-c5b16a9ae253`. Confidence: reported (aggregated from official Colorado legislature records).