republic-os/legislation/us/states/co/2023a/hb-23-1130.md

---
type: "Bill"
title: "Drug Coverage For Serious Mental Illness"
description: "Effective January 1, 2025, with respect to step-therapy protocols (protocols) for health insurance, section 1 of the act defines \"serious mental illness\" and prohibits the protocols from requiring a person to try more than one prescription drug prior to receiving coverage for the drug prescribed by the person's health-care provider. If certain conditions are met and attested to by the person's health-care provider, the carrier, private utilization review organization, or pharmacy benefit manager must cover the drug prescribed by the person's health-care provider without requiring compliance with protocols."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2023A"
identifier: "HB 23-1130"
citation: "Colorado HB 23-1130 (2023A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Chris Kolker", "Dafna Michaelson Jenet", "Robert Rodriguez"]
version_count: 10
action_count: 14
vote_count: 2
first_action: "2023-01-30T07:00:00+00:00"
last_action: "2023-06-06T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/74f179da-bb03-4f81-96bf-3bc7b48719c2"
source_url: "https://leg.colorado.gov/bills/hb23-1130"
source_hash: "bca4b8c22c3de0b7485a6be0e99c31c26d8e5ce186ba414815f0d91a1d0daf30"
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 23-1130 (2023A) — Drug Coverage For Serious Mental Illness

Effective January 1, 2025, with respect to step-therapy protocols (protocols) for health insurance, section 1 of the act defines "serious mental illness" and prohibits the protocols from requiring a person to try more than one prescription drug prior to receiving coverage for the drug prescribed by the person's health-care provider. If certain conditions are met and attested to by the person's health-care provider, the carrier, private utilization review organization, or pharmacy benefit manager must cover the drug prescribed by the person's health-care provider without requiring compliance with protocols.

## Version chain

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

1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_hb1130_s_app_002.pdf)
2. **Engrossed (03/11/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_eng.pdf)
3. **Final Act (05/05/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_enr.pdf)
4. **Introduced (01/30/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_01.pdf)
5. **PA1 (02/22/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_h_hi_01.pdf)
6. **PA2 (03/11/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_h_hi_app_01.pdf)
7. **Reengrossed (03/13/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_ren.pdf)
8. **Rerevised (04/21/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_rer.pdf)
9. **Revised (04/20/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1130_rev.pdf)
10. **Signed Act (06/06/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_1130_signed.pdf)

## Votes

- BILL — **57–3** (pass) · lower
- BILL — **28–5** (pass) · upper

## Sponsors

- Chris Kolker — primary (person)
- Dafna Michaelson Jenet — primary (person)
- Robert Rodriguez — primary (person)

## Timeline

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

- **2023-06-06T06:00:00+00:00** Governor Signed `executive-signature`
- **2023-05-05T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2023-05-05T06:00:00+00:00** Signed by the President of the Senate
- **2023-05-04T06:00:00+00:00** Signed by the Speaker of the House
- **2023-04-21T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2023-04-20T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
- **2023-04-18T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2023-04-13T06:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2023-03-16T06:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2023-03-13T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2023-03-11T07:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee
- **2023-03-10T07:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2023-02-21T07:00:00+00:00** House Committee on Health & Insurance Refer Amended to Appropriations `referral-committee`
- **2023-01-30T07:00:00+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/74f179da-bb03-4f81-96bf-3bc7b48719c2`. Confidence: reported (aggregated from official Colorado legislature records).