republic-os/legislation/us/states/co/2024a/hb-24-1149.md

---
type: "Bill"
title: "Prior Authorization Requirements Alternatives"
description: "With regard to prior authorization requirements imposed by carriers, private utilization review organizations (organizations), and pharmacy benefit managers (PBMs) for certain health-care services and prescription drug benefits covered under a health benefit plan, the act requires carriers, organizations, and PBMs, as applicable, to adopt a program, in consultation with participating providers, to eliminate or substantially modify prior authorization requirements in a manner that removes administrative burdens on qualified providers and their patients with regard to certain health-care services, prescription drugs, or related benefits based on specified criteria. Additionally, a carrier or organization is prohibited from denying a claim for a health-care procedure a provider provides, in addition or related to an approved surgical procedure, under specified circumstances or from denying an initially approved surgical procedure on the basis that the provider provided an additional or a related health-care procedure."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2024A"
identifier: "HB 24-1149"
citation: "Colorado HB 24-1149 (2024A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Barbara Kirkmeyer", "Dylan Roberts", "Lisa Frizell", "Shannon Bird"]
version_count: 10
action_count: 16
vote_count: 2
first_action: "2024-01-30T07:00:00+00:00"
last_action: "2024-06-03T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/e4830644-7b4e-4175-8528-595f8ccea96b"
source_url: "https://leg.colorado.gov/bills/hb24-1149"
source_hash: "3593a87b01942f01f98932133df53553390b47b64a75dd6b27693614a7394955"
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 24-1149 (2024A) — Prior Authorization Requirements Alternatives

With regard to prior authorization requirements imposed by carriers, private utilization review organizations (organizations), and pharmacy benefit managers (PBMs) for certain health-care services and prescription drug benefits covered under a health benefit plan, the act requires carriers, organizations, and PBMs, as applicable, to adopt a program, in consultation with participating providers, to eliminate or substantially modify prior authorization requirements in a manner that removes administrative burdens on qualified providers and their patients with regard to certain health-care services, prescription drugs, or related benefits based on specified criteria. Additionally, a carrier or organization is prohibited from denying a claim for a health-care procedure a provider provides, in addition or related to an approved surgical procedure, under specified circumstances or from denying an initially approved surgical procedure on the basis that the provider provided an additional or a related health-care procedure.

## 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/2024a_hb1149_s_app_002.pdf)
2. **Engrossed (03/08/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_eng.pdf)
3. **Final Act (05/16/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_enr.pdf)
4. **Introduced (01/30/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_01.pdf)
5. **PA1 (02/23/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_h_hhs_01.pdf)
6. **PA2 (03/01/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_h_hhs_app_01.pdf)
7. **Reengrossed (03/11/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_ren.pdf)
8. **Rerevised (04/25/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_rer.pdf)
9. **Revised (04/24/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1149_rev.pdf)
10. **Signed Act (06/03/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2024a_1149_signed.pdf)

## Votes

- BILL — **55–6** (pass) · lower
- BILL — **27–7** (pass) · upper

## Sponsors

- Barbara Kirkmeyer — primary (person)
- Dylan Roberts — primary (person)
- Lisa Frizell — primary (person)
- Shannon Bird — primary (person)

## Timeline

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

- **2024-06-03T06:00:00+00:00** Governor Signed `executive-signature`
- **2024-05-16T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2024-05-16T06:00:00+00:00** Signed by the President of the Senate
- **2024-05-16T06:00:00+00:00** Signed by the Speaker of the House
- **2024-04-25T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2024-04-24T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
- **2024-04-23T06:00:00+00:00** Senate Second Reading Laid Over to 04/24/2024 - No Amendments
- **2024-04-19T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2024-04-03T06:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2024-03-12T06:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2024-03-11T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2024-03-08T07:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2024-03-05T07:00:00+00:00** House Second Reading Laid Over Daily - No Amendments
- **2024-03-01T07:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2024-02-21T07:00:00+00:00** House Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2024-01-30T07:00:00+00:00** Introduced In House - 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/e4830644-7b4e-4175-8528-595f8ccea96b`. Confidence: reported (aggregated from official Colorado legislature records).