---
type: "Bill"
title: "Address High-cost Health Insurance Pilot Program"
description: "Health care cooperatives - consumer protections - consumers negotiating rates."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "SB 19-004"
citation: "Colorado SB 19-004 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dylan Roberts", "Julie McCluskie", "Kerry Donovan"]
version_count: 10
action_count: 14
vote_count: 4
first_action: "2019-01-04T07:00:00+00:00"
last_action: "2019-05-17T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/eb89deb2-86a9-408d-bda8-cf6f15ec3ea6"
source_url: "http://leg.colorado.gov/bills/sb19-004"
source_hash: "687fda2795ede1df1ddb1f741044c4c5ea11c418e2ce65bb85cbfe99ec1dcce7"
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 SB 19-004 (2019A) — Address High-cost Health Insurance Pilot Program

Health care cooperatives - consumer protections - consumers negotiating rates.

## 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_sb004_h_raa_001.pdf)
2. **Engrossed (04/02/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_en2.pdf)
3. **Final Act (05/02/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_enr.pdf)
4. **Introduced (01/04/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_01.pdf)
5. **PA1 (03/14/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004shhs_01.pdf)
6. **PA2 (04/12/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004raa_01.pdf)
7. **Reengrossed (04/03/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_ren.pdf)
8. **Rerevised (04/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_rer.pdf)
9. **Revised (04/16/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_004_rev.pdf)
10. **Signed Act (05/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_004_signed.pdf)

## Votes

- CONCUR — **35–0** (pass) · upper
- BILL — **61–2** (pass) · upper
- REPASS — **35–0** (pass) · upper
- BILL — **34–1** (pass) · upper

## Sponsors

- Dylan Roberts — primary (person)
- Julie McCluskie — primary (person)
- Kerry Donovan — primary (person)

## Timeline

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

- **2019-05-17T06:00:00+00:00** Governor Signed `executive-signature`
- **2019-05-02T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-05-02T06:00:00+00:00** Signed by the Speaker of the House
- **2019-05-02T06:00:00+00:00** Signed by the President of the Senate
- **2019-04-18T06:00:00+00:00** Senate Considered House Amendments - Result was to Concur - Repass
- **2019-04-17T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-16T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - No Amendments
- **2019-04-11T06:00:00+00:00** House Committee on Rural Affairs & Agriculture Refer Amended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-04-03T06:00:00+00:00** Introduced In House - Assigned to Rural Affairs & Agriculture `introduction`
- **2019-04-03T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-02T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2019-03-29T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `referral-committee, committee-passage`
- **2019-03-13T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2019-01-04T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/eb89deb2-86a9-408d-bda8-cf6f15ec3ea6`. Confidence: reported (aggregated from official Colorado legislature records).