republic-os/legislation/us/states/co/2021a/hb-21-1276.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	Prevention Of Substance Use Disorders	The act requires a health benefit plan issued or renewed on or after January 1, 2023, to provide a cost-sharing benefit for nonpharmacological treatment where an opioid might be prescribed. The required cost-sharing benefit must include a cost-sharing amount not to exceed the cost-sharing amount for a primary care visit for nonpreventive services, at least 6 physical therapy visits, 6 occupational therapy visits, 6 chiropractic visits, and 6 acupuncture visits per year. The division of insurance (division) is required to submit to the federal department of human services a determination as to whether the cost-sharing benefit is in addition to an essential benefit and subject to defrayal by the state pursuant to federal law and a request for confirmation of the determination. The division is required to implement the benefit only if the benefit does not constitute an additional benefit that requires a defrayal.The act requires an insurance carrier (carrier) that provides prescription drug benefits to provide coverage, beginning January 1, 2023, for at least one atypical opioid that is approved by the federal food and drug administration (FDA) for the treatment of acute or chronic pain, which coverage must be at the lowest cost-sharing tier of the carrier's formulary with no requirement for step therapy or prior authorization. Additionally, a carrier cannot require step therapy for any additional FDA-approved atypical opioids.The act precludes a carrier that has a contract with a physical therapist, occupational therapist, chiropractor, or acupuncturist from:Prohibiting the physical therapist, occupational therapist, chiropractor, or acupuncturist from, or penalizing the physical therapist, occupational therapist, chiropractor, or acupuncturist for, providing a covered person information on the amount of the covered person's financial responsibility for the covered person's physical therapy, occupational therapy, chiropractic services, or acupuncture services; or	us/states/co	Colorado General Assembly	2021A	HB 21-1276	Colorado HB 21-1276 (2021A)	bill		enacted	Brittany Pettersen Chris Kennedy Kevin Priola Leslie Herod	12	21	6	2021-04-15T06:00:00+00:00	2021-06-28T06:00:00+00:00	openstates	ocd-bill/bd1d5d23-42d1-44b0-ab48-3157b08d520e	http://leg.colorado.gov/bills/hb21-1276	c74c0f66d32530b230603baba46898f43c83174d6916d690c04288c77f579e4f	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-co

Colorado HB 21-1276 (2021A) — Prevention Of Substance Use Disorders

The act requires a health benefit plan issued or renewed on or after January 1, 2023, to provide a cost-sharing benefit for nonpharmacological treatment where an opioid might be prescribed. The required cost-sharing benefit must include a cost-sharing amount not to exceed the cost-sharing amount for a primary care visit for nonpreventive services, at least 6 physical therapy visits, 6 occupational therapy visits, 6 chiropractic visits, and 6 acupuncture visits per year. The division of insurance (division) is required to submit to the federal department of human services a determination as to whether the cost-sharing benefit is in addition to an essential benefit and subject to defrayal by the state pursuant to federal law and a request for confirmation of the determination. The division is required to implement the benefit only if the benefit does not constitute an additional benefit that requires a defrayal.The act requires an insurance carrier (carrier) that provides prescription drug benefits to provide coverage, beginning January 1, 2023, for at least one atypical opioid that is approved by the federal food and drug administration (FDA) for the treatment of acute or chronic pain, which coverage must be at the lowest cost-sharing tier of the carrier's formulary with no requirement for step therapy or prior authorization. Additionally, a carrier cannot require step therapy for any additional FDA-approved atypical opioids.The act precludes a carrier that has a contract with a physical therapist, occupational therapist, chiropractor, or acupuncturist from:Prohibiting the physical therapist, occupational therapist, chiropractor, or acupuncturist from, or penalizing the physical therapist, occupational therapist, chiropractor, or acupuncturist for, providing a covered person information on the amount of the covered person's financial responsibility for the covered person's physical therapy, occupational therapy, chiropractic services, or acupuncture services; or

Version chain

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

1. Committee Amendment (committee substitute) — source
2. Engrossed (05/22/2021) (committee substitute) — source
3. Final Act (06/21/2021) (committee substitute) — source
4. Introduced (04/15/2021) (committee substitute) — source
5. PA1 (05/07/2021) (committee substitute) — source
6. PA2 (05/14/2021) (committee substitute) — source
7. PA3 (05/27/2021) (committee substitute) — source
8. PA4 (06/03/2021) (committee substitute) — source
9. Reengrossed (05/24/2021) (committee substitute) — source
10. Rerevised (06/04/2021) (committee substitute) — source
11. Revised (06/03/2021) (committee substitute) — source
12. Signed Act (06/28/2021) (committee substitute) — source

Votes

• BILL — 40–24 (pass) · lower
• AMEND — 35–0 (pass) · upper
• CONCUR — 40–25 (pass) · lower
• REPASS — 41–24 (pass) · lower
• BILL — 23–12 (pass) · upper
• BILL — 23–12 (pass) · upper

Sponsors

• Brittany Pettersen — primary (person)
• Chris Kennedy — primary (person)
• Kevin Priola — primary (person)
• Leslie Herod — primary (person)

Timeline

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

• 2021-06-28T06:00:00+00:00 Governor Signed executive-signature
• 2021-06-21T06:00:00+00:00 Sent to the Governor executive-receipt
• 2021-06-21T06:00:00+00:00 Signed by the Speaker of the House
• 2021-06-21T06:00:00+00:00 Signed by the President of the Senate
• 2021-06-08T06:00:00+00:00 House Considered Senate Amendments - Result was to Concur - Repass
• 2021-06-07T06:00:00+00:00 House Considered Senate Amendments - Result was to Laid Over Daily
• 2021-06-04T06:00:00+00:00 Senate Third Reading Passed with Amendments - Floor passage, reading-3
• 2021-06-04T06:00:00+00:00 Senate Third Reading Reconsidered - No Amendments
• 2021-06-04T06:00:00+00:00 Senate Third Reading Passed - No Amendments passage, reading-3
• 2021-06-03T06:00:00+00:00 Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
• 2021-06-03T06:00:00+00:00 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole committee-passage, referral-committee
• 2021-05-26T06:00:00+00:00 Senate Committee on State, Veterans, & Military Affairs Refer Amended to Appropriations referral-committee
• 2021-05-24T06:00:00+00:00 Introduced In Senate - Assigned to State, Veterans, & Military Affairs introduction
• 2021-05-24T06:00:00+00:00 House Third Reading Passed - No Amendments passage, reading-3
• 2021-05-22T06:00:00+00:00 House Second Reading Special Order - Passed with Amendments - Committee, Floor
• 2021-05-21T06:00:00+00:00 House Second Reading Special Order - Laid Over Daily - No Amendments
• 2021-05-20T06:00:00+00:00 House Second Reading Laid Over Daily with Amendments - Committee
• 2021-05-18T06:00:00+00:00 House Second Reading Laid Over Daily - No Amendments
• 2021-05-14T06:00:00+00:00 House Committee on Appropriations Refer Amended to House Committee of the Whole committee-passage, referral-committee
• 2021-05-05T06:00:00+00:00 House Committee on Health & Insurance Refer Amended to Appropriations referral-committee
• 2021-04-15T06:00:00+00:00 Introduced In House - Assigned to Health & Insurance introduction

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/bd1d5d23-42d1-44b0-ab48-3157b08d520e. Confidence: reported (aggregated from official Colorado legislature records).