republic-os/legislation/us/states/co/2023a/sb-23-189.md

---
type: "Bill"
title: "Increasing Access To Reproductive Health Care"
description: "The act changes the term \"HIV infection prevention drug\", as used in the Colorado Revised Statutes, to \"HIV prevention drug\". The act specifies that, for health benefit plans issued or renewed on or after January 1, 2025, if counseling, prevention, and screening for a sexually transmitted infection (STI) are covered services, the health benefit plan must provide coverage without cost sharing, regardless of the covered person's gender, and the coverage must include HIV prevention drugs and the services necessary for initiation and continued use of an HIV prevention drug consistent with federal guidelines."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2023A"
identifier: "SB 23-189"
citation: "Colorado SB 23-189 (2023A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dafna Michaelson Jenet", "Dominick Moreno", "Lisa Cutter", "Lorena Garcia"]
version_count: 11
action_count: 17
vote_count: 9
first_action: "2023-03-09T07:00:00+00:00"
last_action: "2023-04-21T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/273f715f-ade5-406d-bac9-f2b1594f3c5f"
source_url: "https://leg.colorado.gov/bills/sb23-189"
source_hash: "fd24992031b516027c6b4d3c597794607d9fb22ca9a3fa76e5543ab7ea998a1f"
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 SB 23-189 (2023A) — Increasing Access To Reproductive Health Care

The act changes the term "HIV infection prevention drug", as used in the Colorado Revised Statutes, to "HIV prevention drug". The act specifies that, for health benefit plans issued or renewed on or after January 1, 2025, if counseling, prevention, and screening for a sexually transmitted infection (STI) are covered services, the health benefit plan must provide coverage without cost sharing, regardless of the covered person's gender, and the coverage must include HIV prevention drugs and the services necessary for initiation and continued use of an HIV prevention drug consistent with federal guidelines.

## 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_sb189_h_app_002.pdf)
2. **Engrossed (03/21/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_eng.pdf)
3. **Final Act (04/11/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_enr.pdf)
4. **Introduced (03/09/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_01.pdf)
5. **PA1 (03/16/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_s_hhs_01.pdf)
6. **PA2 (03/17/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_s_hhs_app_01.pdf)
7. **PA3 (03/29/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_h_hi_01.pdf)
8. **Reengrossed (03/22/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_ren.pdf)
9. **Rerevised (04/01/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_rer.pdf)
10. **Revised (03/31/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_189_rev.pdf)
11. **Signed Act (04/21/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_189_signed.pdf)

## Votes

- BILL — **41–19** (pass) · lower
- BILL — **23–12** (pass) · upper
- CONCUR — **35–0** (pass) · upper
- COW * — **16–18** (fail) · upper
- REREFER — **18–39** (fail) · lower
- REPASS — **22–13** (pass) · upper
- AMEND — **35–0** (pass) · upper
- COW * — **15–19** (fail) · upper
- BILL — **22–13** (pass) · upper

## Sponsors

- Dafna Michaelson Jenet — primary (person)
- Dominick Moreno — primary (person)
- Lisa Cutter — primary (person)
- Lorena Garcia — primary (person)

## Timeline

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

- **2023-04-21T06:00:00+00:00** Governor Signed `executive-signature`
- **2023-04-11T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2023-04-11T06:00:00+00:00** Signed by the Speaker of the House
- **2023-04-11T06:00:00+00:00** Signed by the President of the Senate
- **2023-04-04T06:00:00+00:00** Senate Considered House Amendments - Result was to Concur - Repass
- **2023-04-01T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2023-03-31T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2023-03-30T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2023-03-28T06:00:00+00:00** House Committee on Health & Insurance Refer Amended to Appropriations `referral-committee`
- **2023-03-23T06:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`
- **2023-03-22T06:00:00+00:00** Senate Third Reading Passed with Amendments - Floor `passage, reading-3`
- **2023-03-22T06:00:00+00:00** Senate Third Reading Reconsidered - No Amendments
- **2023-03-22T06:00:00+00:00** Senate Third Reading Passed with Amendments - Floor `passage, reading-3`
- **2023-03-21T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2023-03-17T06:00:00+00:00** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2023-03-15T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2023-03-09T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/273f715f-ade5-406d-bac9-f2b1594f3c5f`. Confidence: reported (aggregated from official Colorado legislature records).