Fabio
82 lines
5.2 KiB
Markdown
82 lines
5.2 KiB
Markdown
---
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type: "Bill"
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title: "Stage Four Advanced Metastatic Cancer Step Therapy"
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description: "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."
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jurisdiction: "us/states/co"
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legislature: "Colorado General Assembly"
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session: "2018A"
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identifier: "HB 18-1148"
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citation: "Colorado HB 18-1148 (2018A)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Dafna Michaelson Jenet", "Larry Crowder"]
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version_count: 9
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action_count: 15
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vote_count: 2
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first_action: "2018-01-31T07:00:00+00:00"
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last_action: "2018-04-09T06:00:00+00:00"
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source: "openstates"
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source_identifier: "ocd-bill/9c13c5cd-1381-4b45-ab76-9c926e30b424"
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source_url: "http://leg.colorado.gov/bills/hb18-1148"
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source_hash: "eb394b7bc83d54812307289f6955de2ee8318daa282b7f0cd021c508a9380f20"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-co"]
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---
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# Colorado HB 18-1148 (2018A) — Stage Four Advanced Metastatic Cancer Step Therapy
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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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Committee Amendment** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018a/bills/cr/2018a_hb1148_s_hhs_001.pdf)
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2. **Engrossed (02/23/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_eng.pdf)
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3. **Final Act (04/04/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_enr.pdf)
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4. **Introduced (01/31/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_01.pdf)
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5. **PA1 (02/21/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148pubhe_01.pdf)
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6. **Reengrossed (02/26/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_ren.pdf)
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7. **Rerevised (03/29/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_rer.pdf)
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8. **Revised (03/28/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_rev.pdf)
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9. **Signed Act (04/09/2018)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2018A/bills/2018a_1148_signed.pdf)
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## Votes
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- BILL — **57–6** (pass) · upper
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- BILL — **29–6** (pass) · upper
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## Sponsors
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- Dafna Michaelson Jenet — primary (person)
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- Larry Crowder — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2018-04-09T06:00:00+00:00** Governor Signed `executive-signature`
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- **2018-04-04T06:00:00+00:00** Sent to the Governor `executive-receipt`
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- **2018-04-04T06:00:00+00:00** Signed by the President of the Senate
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- **2018-04-04T06:00:00+00:00** Signed by the Speaker of the House
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- **2018-03-29T06:00:00+00:00** Senate Third Reading Passed - No Amendments `reading-3, passage`
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- **2018-03-28T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
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- **2018-03-27T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
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- **2018-03-26T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
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- **2018-03-23T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
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- **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`
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- **2018-03-05T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
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- **2018-02-26T07:00:00+00:00** House Third Reading Passed - No Amendments `reading-3, passage`
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- **2018-02-23T07:00:00+00:00** House Second Reading Passed with Amendments - Committee `reading-2`
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- **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`
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- **2018-01-31T07:00:00+00:00** Introduced In House - Assigned to Public Health Care & Human Services `introduction`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9c13c5cd-1381-4b45-ab76-9c926e30b424`. Confidence: reported (aggregated from official Colorado legislature records).
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