---
type: "Bill"
title: "Protections For Accessing Reproductive Health Care"
description: "The act requires contracts between insurers or other persons and health-care providers regarding the delivery of health-care services to include a provision that prohibits the following actions if the actions are based solely on the health-care provider's provision of, or assistance in the provision of, reproductive health care or gender-affirming health-care services (legally protected health-care activity) in this state, so long as the care provided did not violate Colorado law:"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2023A"
identifier: "SB 23-188"
citation: "Colorado SB 23-188 (2023A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Brianna Titone", "Julie Gonzales", "Meg Froelich", "Sonya Jaquez Lewis"]
version_count: 9
action_count: 14
vote_count: 7
first_action: "2023-03-09T07:00:00+00:00"
last_action: "2023-04-21T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/c3662d7f-b3fd-4065-8951-e0e0803b3fda"
source_url: "https://leg.colorado.gov/bills/sb23-188"
source_hash: "5eebe4f7823dfc2d6ab9fb6c02da93c3c0d73b6510497430dd972a62067f81e0"
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 23-188 (2023A) — Protections For Accessing Reproductive Health Care

The act requires contracts between insurers or other persons and health-care providers regarding the delivery of health-care services to include a provision that prohibits the following actions if the actions are based solely on the health-care provider's provision of, or assistance in the provision of, reproductive health care or gender-affirming health-care services (legally protected health-care activity) in this state, so long as the care provided did not violate Colorado law:

## Version chain

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

1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_sb188_h_jud_001.pdf)
2. **Engrossed (03/21/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_eng.pdf)
3. **Final Act (04/10/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_enr.pdf)
4. **Introduced (03/09/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_01.pdf)
5. **PA1 (03/16/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_s_jud_01.pdf)
6. **Reengrossed (03/22/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_ren.pdf)
7. **Rerevised (04/01/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_rer.pdf)
8. **Revised (03/31/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_188_rev.pdf)
9. **Signed Act (04/21/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_188_signed.pdf)

## Votes

- REREFER — **18–40** (fail) · lower
- BILL — **22–13** (pass) · upper
- REPASS — **22–13** (pass) · upper
- CONCUR — **22–13** (pass) · upper
- COW * — **13–21** (fail) · upper
- COW * — **13–21** (fail) · upper
- BILL — **42–18** (pass) · lower

## Sponsors

- Brianna Titone — primary (person)
- Julie Gonzales — primary (person)
- Meg Froelich — primary (person)
- Sonya Jaquez Lewis — primary (person)

## Timeline

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

- **2023-04-21T06:00:00+00:00** Governor Signed `executive-signature`
- **2023-04-10T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2023-04-10T06:00:00+00:00** Signed by the Speaker of the House
- **2023-04-10T06:00:00+00:00** Signed by the President of the Senate
- **2023-04-04T06:00:00+00:00** Senate Considered House Amendments - Result was to Concur - Repass
- **2023-04-01T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2023-03-31T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Floor
- **2023-03-28T06:00:00+00:00** House Committee on Judiciary Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2023-03-23T06:00:00+00:00** Introduced In House - Assigned to Judiciary `introduction`
- **2023-03-22T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2023-03-21T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2023-03-20T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
- **2023-03-15T06:00:00+00:00** Senate Committee on Judiciary Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2023-03-09T07:00:00+00:00** Introduced In Senate - Assigned to Judiciary `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c3662d7f-b3fd-4065-8951-e0e0803b3fda`. Confidence: reported (aggregated from official Colorado legislature records).