republic-os/legislation/us/states/co/2026a/sb-167.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Prescription Drug Out-of-Pocket Expense Credit	Beginning on January 1, 2028, a health insurance carrier (carrier) of an individual or group health benefit plan in Colorado (plan) shall, when calculating a covered person's contribution to an out-of-pocket maximum or cost-sharing requirement under the plan, account for and credit to the covered person's contribution an out-of-pocket expense that the covered person incurs by purchasing a prescription drug directly from a pharmacy or direct-to-consumer platform (contribution credit). The carrier shall apply the contribution credit to the out-of-pocket maximum or cost-sharing requirement that is applicable in the plan year in which the out-of-pocket expense was incurred. To receive a contribution credit, a covered person must provide to the carrier proof of payment for a direct purchase of a prescription drug, such as an itemized receipt or pharmacy record, within 90 days after making the purchase (proof of payment). The carrier may request additional information or documentation if the proof of payment is insufficient or incomplete. The carrier shall not apply a contribution credit in the following circumstances:For an amount of a covered person's out-of-pocket expense incurred by the direct purchase of a prescription drug that is greater than the amount the covered person would have incurred if they had obtained the same prescription drug in the same plan year from an in-network pharmacy and pursuant to the terms of their plan;If the covered person does not provide proof of payment;If the covered person incurred the out-of-pocket expense by purchasing a prescription drug that is not covered under the formulary of the covered person's plan, unless the carrier grants an exception; orIf the covered person does not comply with the carrier's utilization management processes, including prior authorization and step therapy protocols required under the covered person's plan.(Note: This summary applies to this bill as enacted.)	us/states/co	Colorado General Assembly	2026A	SB 167	Colorado SB 167 (2026A)	bill	Health Care & Health Insurance	enacted	A. Benavidez A. Boesenecker K. Mullica M. Lindsay	7	13	5	2026-04-16	2026-06-03	openstates	ocd-bill/dbca98d6-9782-4ff4-8b61-aa64a0b5b00f	https://leg.colorado.gov/bills/SB26-167	5849451b67fcb83670d99ca439d0d48da807a71bc7b4cdf77d544617ca37921b	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-co

Colorado SB 167 (2026A) — Prescription Drug Out-of-Pocket Expense Credit

Beginning on January 1, 2028, a health insurance carrier (carrier) of an individual or group health benefit plan in Colorado (plan) shall, when calculating a covered person's contribution to an out-of-pocket maximum or cost-sharing requirement under the plan, account for and credit to the covered person's contribution an out-of-pocket expense that the covered person incurs by purchasing a prescription drug directly from a pharmacy or direct-to-consumer platform (contribution credit). The carrier shall apply the contribution credit to the out-of-pocket maximum or cost-sharing requirement that is applicable in the plan year in which the out-of-pocket expense was incurred. To receive a contribution credit, a covered person must provide to the carrier proof of payment for a direct purchase of a prescription drug, such as an itemized receipt or pharmacy record, within 90 days after making the purchase (proof of payment). The carrier may request additional information or documentation if the proof of payment is insufficient or incomplete. The carrier shall not apply a contribution credit in the following circumstances:For an amount of a covered person's out-of-pocket expense incurred by the direct purchase of a prescription drug that is greater than the amount the covered person would have incurred if they had obtained the same prescription drug in the same plan year from an in-network pharmacy and pursuant to the terms of their plan;If the covered person does not provide proof of payment;If the covered person incurred the out-of-pocket expense by purchasing a prescription drug that is not covered under the formulary of the covered person's plan, unless the carrier grants an exception; orIf the covered person does not comply with the carrier's utilization management processes, including prior authorization and step therapy protocols required under the covered person's plan.(Note: This summary applies to this bill as enacted.)

Version chain

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

1. Introduced (filed) — source
2. Engrossed (committee substitute) — source
3. Final Act (committee substitute) — source
4. Reengrossed (committee substitute) — source
5. Rerevised (committee substitute) — source
6. Revised (committee substitute) — source
7. Signed Act (committee substitute) — source

Votes

• Refer Senate Bill 26-167, as amended, to the Committee on Appropriations. — pass (pass) · upper
• Adopt amendment L.001 (Attachment B). — pass (pass) · upper
• Refer Senate Bill 26-167 to the Committee of the Whole. — pass (pass) · upper
• BILL — pass (pass) · lower
• Refer Senate Bill 26-167 to the Committee of the Whole. — pass (pass) · upper

Sponsors

• A. Benavidez — primary (person)
• A. Boesenecker — primary (person)
• K. Mullica — primary (person)
• M. Lindsay — primary (person)
• C. Clifford — cosponsor (person)
• C. Kipp — cosponsor (person)
• E. Hamrick — cosponsor (person)
• E. Sirota — cosponsor (person)
• G. Rydin — cosponsor (person)
• I. Jodeh — cosponsor (person)
• J. Amabile — cosponsor (person)
• J. Bacon — cosponsor (person)
• J. Coleman — cosponsor (person)
• J. Gonzales — cosponsor (person)
• J. Marchman — cosponsor (person)
• K. Brown — cosponsor (person)
• K. McCormick — cosponsor (person)
• K. Nguyen — cosponsor (person)
• K. Wallace — cosponsor (person)
• L. Cutter — cosponsor (person)
• L. Daugherty — cosponsor (person)
• M. Ball — cosponsor (person)
• M. Duran — cosponsor (person)
• M. Rutinel — cosponsor (person)
• M. Snyder — cosponsor (person)
• M. Weissman — cosponsor (person)
• N. Hinrichsen — cosponsor (person)
• N. Ricks — cosponsor (person)
• R. English — cosponsor (person)
• R. Gonzalez — cosponsor (person)
• S. Camacho — cosponsor (person)
• T. Exum — cosponsor (person)

Timeline

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

• 2026-06-03 Governor Signed executive-signature
• 2026-05-21 Sent to the Governor executive-receipt
• 2026-05-21 Signed by the Speaker of the House passage
• 2026-05-21 Signed by the President of the Senate passage
• 2026-05-09 House Third Reading Passed - No Amendments passage, reading-3
• 2026-05-08 House Second Reading Special Order - Passed - No Amendments
• 2026-05-08 House Committee on Health & Human Services Refer Unamended to House Committee of the Whole committee-passage, referral-committee
• 2026-05-06 Introduced In House - Assigned to Health & Human Services introduction
• 2026-05-06 Senate Third Reading Passed - No Amendments passage, reading-3
• 2026-05-05 Senate Second Reading Special Order - Passed with Amendments - Committee
• 2026-05-05 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole committee-passage, referral-committee
• 2026-04-30 Senate Committee on Health & Human Services Refer Amended to Appropriations referral-committee
• 2026-04-16 Introduced In Senate - Assigned to Health & Human Services introduction

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/dbca98d6-9782-4ff4-8b61-aa64a0b5b00f. Confidence: reported (aggregated from official Colorado legislature records).