republic-os/legislation/us/states/co/2018a/hb-18-1148.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	Stage Four Advanced Metastatic Cancer Step Therapy	The bill prohibits a carrier that issues a health benefit plan that covers treatment for stage four advanced metastatic cancer from requiring a cancer patient to undergo step therapy prior to receiving a drug approved by the United States food and drug administration if use of the approved drug is consistent with best practices for treatment of the cancer and as long as the drug is on the carrier's prescription drug formulary.	us/states/co	Colorado General Assembly	2018A	HB 18-1148	Colorado HB 18-1148 (2018A)	bill		enacted	Dafna Michaelson Jenet Larry Crowder	9	15	2	2018-01-31T07:00:00+00:00	2018-04-09T06:00:00+00:00	openstates	ocd-bill/9c13c5cd-1381-4b45-ab76-9c926e30b424	http://leg.colorado.gov/bills/hb18-1148	eb394b7bc83d54812307289f6955de2ee8318daa282b7f0cd021c508a9380f20	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-co

Colorado HB 18-1148 (2018A) — Stage Four Advanced Metastatic Cancer Step Therapy

The bill prohibits a carrier that issues a health benefit plan that covers treatment for stage four advanced metastatic cancer from requiring a cancer patient to undergo step therapy prior to receiving a drug approved by the United States food and drug administration if use of the approved drug is consistent with best practices for treatment of the cancer and as long as the drug is on the carrier's prescription drug formulary.

Version chain

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

1. Committee Amendment (committee substitute) — source
2. Engrossed (02/23/2018) (committee substitute) — source
3. Final Act (04/04/2018) (committee substitute) — source
4. Introduced (01/31/2018) (committee substitute) — source
5. PA1 (02/21/2018) (committee substitute) — source
6. Reengrossed (02/26/2018) (committee substitute) — source
7. Rerevised (03/29/2018) (committee substitute) — source
8. Revised (03/28/2018) (committee substitute) — source
9. Signed Act (04/09/2018) (committee substitute) — source

Votes

• BILL — 57–6 (pass) · upper
• BILL — 29–6 (pass) · upper

Sponsors

• Dafna Michaelson Jenet — primary (person)
• Larry Crowder — primary (person)

Timeline

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

• 2018-04-09T06:00:00+00:00 Governor Signed executive-signature
• 2018-04-04T06:00:00+00:00 Sent to the Governor executive-receipt
• 2018-04-04T06:00:00+00:00 Signed by the President of the Senate
• 2018-04-04T06:00:00+00:00 Signed by the Speaker of the House
• 2018-03-29T06:00:00+00:00 Senate Third Reading Passed - No Amendments reading-3, passage
• 2018-03-28T06:00:00+00:00 Senate Second Reading Passed - No Amendments reading-2
• 2018-03-27T06:00:00+00:00 Senate Second Reading Laid Over Daily - No Amendments
• 2018-03-26T06:00:00+00:00 Senate Second Reading Laid Over Daily - No Amendments
• 2018-03-23T06:00:00+00:00 Senate Second Reading Laid Over Daily - No Amendments
• 2018-03-21T06:00:00+00:00 Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole referral-committee, committee-passage
• 2018-03-05T07:00:00+00:00 Introduced In Senate - Assigned to Health & Human Services introduction
• 2018-02-26T07:00:00+00:00 House Third Reading Passed - No Amendments reading-3, passage
• 2018-02-23T07:00:00+00:00 House Second Reading Passed with Amendments - Committee reading-2
• 2018-02-20T07:00:00+00:00 House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole referral-committee, committee-passage
• 2018-01-31T07:00:00+00:00 Introduced In House - Assigned to Public Health Care & Human Services introduction

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/9c13c5cd-1381-4b45-ab76-9c926e30b424. Confidence: reported (aggregated from official Colorado legislature records).