republic-os/legislation/us/states/co/2021a/hb-21-1018.md

---
type: "Bill"
title: "Adoptive Parents Payments To Outside Providers"
description: "So long as it is not prohibited under federal law, the act permits adoptive parents who are parties to an adoption assistance agreement (agreement) to pay for services or items from a provider that is not enrolled in the medical assistance program. The services or items would otherwise be reimbursable under the medical assistance program pursuant to the terms of the agreement.The adoptive parents must determine if the special needs of the child or youth require items or services from the provider and must enter into a written agreement with the provider in which the adoptive parents agree to bear the cost of the items or services. The adoptive parents shall not seek reimbursement from the adoption assistance program or the medical assistance program after such items and services have been provided and paid for pursuant to the written agreement. Further, a county department of human or social services is not required to cover the cost of the items or services as part of the circumstances of the family or the anticipated needs of the eligible child or youth during subsidy negotiations; however, the act does not preclude consideration of any other family circumstances or anticipated needs for purposes of negotiating adoption assistance.The act requires the department of health care policy and financing to seek any federal authorization necessary pursuant to the medical assistance program to implement the policy.(Note: This summary applies to this bill as enacted.)"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2021A"
identifier: "HB 21-1018"
citation: "Colorado HB 21-1018 (2021A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Sonya Jaquez Lewis", "Tonya Van Beber", "Tracey Bernett"]
version_count: 10
action_count: 17
vote_count: 4
first_action: "2021-02-16T07:00:00+00:00"
last_action: "2021-05-07T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/768ee214-d0c3-46a3-9c5f-5532afe7f479"
source_url: "http://leg.colorado.gov/bills/hb21-1018"
source_hash: "4cf190156747802b96a8f651f458e43e06c13b3a6b69690eb694c3b781e286f6"
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 21-1018 (2021A) — Adoptive Parents Payments To Outside Providers

So long as it is not prohibited under federal law, the act permits adoptive parents who are parties to an adoption assistance agreement (agreement) to pay for services or items from a provider that is not enrolled in the medical assistance program. The services or items would otherwise be reimbursable under the medical assistance program pursuant to the terms of the agreement.The adoptive parents must determine if the special needs of the child or youth require items or services from the provider and must enter into a written agreement with the provider in which the adoptive parents agree to bear the cost of the items or services. The adoptive parents shall not seek reimbursement from the adoption assistance program or the medical assistance program after such items and services have been provided and paid for pursuant to the written agreement. Further, a county department of human or social services is not required to cover the cost of the items or services as part of the circumstances of the family or the anticipated needs of the eligible child or youth during subsidy negotiations; however, the act does not preclude consideration of any other family circumstances or anticipated needs for purposes of negotiating adoption assistance.The act requires the department of health care policy and financing to seek any federal authorization necessary pursuant to the medical assistance program to implement the policy.(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. **Amendment L.001** (committee substitute) — [source](http://coga.prod.acquia-sites.com/sites/default/files/html-attachments/f8f8d56616ca619e8725868c0061882c__hearing_summary/21HouseHealth0302AttachB.pdf)
2. **Committee Amendment** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2021a_hb1018_s_hhs_001.pdf)
3. **Engrossed (03/09/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_eng.pdf)
4. **Final Act (04/28/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_enr.pdf)
5. **Introduced (02/16/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_01.pdf)
6. **PA1 (03/03/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018hi_01.pdf)
7. **Reengrossed (03/10/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_ren.pdf)
8. **Rerevised (04/14/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_rer.pdf)
9. **Revised (04/13/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2021A/bills/2021a_1018_rev.pdf)
10. **Signed Act (05/07/2021)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2021a_1018_signed.pdf)

## Votes

- BILL — **63–0** (pass) · lower
- CONCUR — **63–0** (pass) · lower
- BILL — **34–0** (pass) · upper
- REPASS — **64–0** (pass) · lower

## Sponsors

- Sonya Jaquez Lewis — primary (person)
- Tonya Van Beber — primary (person)
- Tracey Bernett — primary (person)

## Timeline

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

- **2021-05-07T06:00:00+00:00** Governor Signed `executive-signature`
- **2021-04-28T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2021-04-28T06:00:00+00:00** Signed by the President of the Senate
- **2021-04-28T06:00:00+00:00** Signed by the Speaker of the House
- **2021-04-20T06:00:00+00:00** House Considered Senate Amendments - Result was to Concur - Repass
- **2021-04-15T06:00:00+00:00** House Considered Senate Amendments - Result was to Laid Over Daily
- **2021-04-14T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2021-04-13T06:00:00+00:00** Senate Second Reading Passed with Amendments - Floor `reading-2`
- **2021-04-12T06:00:00+00:00** Senate Second Reading Laid Over Daily - No Amendments
- **2021-04-08T06:00:00+00:00** Senate Second Reading Laid Over to 4/12/2021 - No Amendments
- **2021-04-05T06:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2021-03-12T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2021-03-10T07:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2021-03-09T07:00:00+00:00** House Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2021-03-05T07:00:00+00:00** House Second Reading Laid Over to 03/09/2021 - No Amendments
- **2021-03-02T07:00:00+00:00** House Committee on Health & Insurance Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2021-02-16T07:00:00+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/768ee214-d0c3-46a3-9c5f-5532afe7f479`. Confidence: reported (aggregated from official Colorado legislature records).