republic-os/legislation/us/states/co/2019a/hb-19-1168.md

---
type: "Bill"
title: "State Innovation Waiver Reinsurance Program"
description: "Reinsurance program - creation - payments for high-cost insurance claims - program contingent on federal waiver or funding approval - special fees - premium tax revenues - other funding sources - cash fund created - appropriation - repeal. The act authorizes the commissioner of insurance to apply to the secretary of the United States department of health and human services for a state innovation waiver, federal funding, or both, to allow the state to implement and operate a two-year reinsurance program to assist health insurers in paying high-cost insurance claims. The state cannot implement the program absent waiver or funding approval from the secretary. The program is established as an enterprise for purposes of section 20 of article X of the state constitution so long as the program satisfies enterprise status requirements."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "HB 19-1168"
citation: "Colorado HB 19-1168 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Rankin", "Janice Rich", "Julie McCluskie", "Kerry Donovan"]
version_count: 12
action_count: 22
vote_count: 6
first_action: "2019-02-01T07:00:00+00:00"
last_action: "2019-05-17T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8caed520-6889-401a-ae78-5c56ed50fe07"
source_url: "http://leg.colorado.gov/bills/hb19-1168"
source_hash: "f8da955ecfb675dbedd08c690f2d20cd386a2a001c90a9938956d50e0e2cddcd"
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 HB 19-1168 (2019A) — State Innovation Waiver Reinsurance Program

Reinsurance program - creation - payments for high-cost insurance claims - program contingent on federal waiver or funding approval - special fees - premium tax revenues - other funding sources - cash fund created - appropriation - repeal. The act authorizes the commissioner of insurance to apply to the secretary of the United States department of health and human services for a state innovation waiver, federal funding, or both, to allow the state to implement and operate a two-year reinsurance program to assist health insurers in paying high-cost insurance claims. The state cannot implement the program absent waiver or funding approval from the secretary. The program is established as an enterprise for purposes of section 20 of article X of the state constitution so long as the program satisfies enterprise status requirements.

## 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_hb1168_s_app_002.pdf)
2. **Engrossed (04/05/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_eng.pdf)
3. **Final Act (05/15/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_enr.pdf)
4. **Introduced (02/01/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_01.pdf)
5. **PA1 (03/01/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168hi_01.pdf)
6. **PA2 (03/15/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168app.pdf)
7. **PA3 (04/26/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168shhs_01.pdf)
8. **PA4 (04/29/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168shhsfin.pdf)
9. **Reengrossed (04/08/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_ren.pdf)
10. **Rerevised (05/02/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_rer.pdf)
11. **Revised (04/30/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1168_rev.pdf)
12. **Signed Act (05/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_1168_signed.pdf)

## Votes

- CONCUR — **48–16** (pass) · lower
- BILL — **47–15** (pass) · lower
- BILL — **24–11** (pass) · lower
- COW * — **34–1** (pass) · lower
- AMEND — **35–0** (pass) · lower
- REPASS — **45–19** (pass) · lower

## Sponsors

- Bob Rankin — primary (person)
- Janice Rich — 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`
- **2019-05-15T06:00:00+00:00** Signed by the President of the Senate
- **2019-05-15T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-05-14T06:00:00+00:00** Signed by the Speaker of the House
- **2019-05-03T06:00:00+00:00** House Considered Senate Amendments - Result was to Concur - Repass
- **2019-05-02T06:00:00+00:00** Senate Third Reading Passed with Amendments - Floor `passage, reading-3`
- **2019-05-01T06:00:00+00:00** Senate Third Reading Laid Over Daily - No Amendments
- **2019-04-30T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2019-04-30T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `referral-committee, committee-passage`
- **2019-04-29T06:00:00+00:00** Senate Committee on Finance Refer Amended to Appropriations `referral-committee`
- **2019-04-25T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Finance `referral-committee`
- **2019-04-09T06:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2019-04-08T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-05T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2019-04-02T06:00:00+00:00** House Second Reading Special Order - Laid Over to 04/05/2019 - No Amendments
- **2019-04-01T06:00:00+00:00** House Second Reading Special Order - Laid Over Daily - No Amendments
- **2019-03-29T06:00:00+00:00** House Second Reading Laid Over Daily - No Amendments
- **2019-03-25T06:00:00+00:00** House Second Reading Laid Over to 03/28/2019 - No Amendments
- **2019-03-18T06:00:00+00:00** House Second Reading Laid Over to 03/25/2019 - No Amendments
- **2019-03-15T06:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-02-27T07:00:00+00:00** House Committee on Health & Insurance Refer Amended to Appropriations `referral-committee`
- **2019-02-01T07:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8caed520-6889-401a-ae78-5c56ed50fe07`. Confidence: reported (aggregated from official Colorado legislature records).