Fabio
142 lines
7.9 KiB
Markdown
142 lines
7.9 KiB
Markdown
---
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type: "Bill"
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title: "Protect Access to Gender-Affirming Health Care"
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description: "Health benefit insurance plans (health benefit plans) include coverage for gender-affirming health care as part of individual and group health benefit plans. \"Gender-affirming health care\" is defined in the act as supplies, care, and services of a medical, behavioral health, mental health, psychiatric, habilitative, surgical, therapeutic, diagnostic, preventive, rehabilitative, or supportive nature relating to the treatment of gender dysphoria (gender-affirming health care). The act codifies gender-affirming health care treatments in statute and prohibits a health benefit plan from denying or limiting medically necessary gender-affirming health care, as determined and prescribed by a physical or behavioral health-care provider."
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jurisdiction: "us/states/co"
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legislature: "Colorado General Assembly"
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session: "2025A"
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identifier: "HB 25-1309"
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citation: "Colorado HB 25-1309 (2025A)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Brianna Titone", "Julie Gonzales", "Kyle Brown", "Lisa Cutter"]
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version_count: 9
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action_count: 15
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vote_count: 11
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first_action: "2025-03-28T06:00:00+00:00"
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last_action: "2025-05-23T06:00:00+00:00"
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source: "openstates"
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source_identifier: "ocd-bill/18f06524-be04-438a-a8c2-9fc9d3723606"
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source_url: "https://leg.colorado.gov/bills/hb25-1309"
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source_hash: "2fe69ad761543d69a04946e5999f246f1496cca3e619e8fb7d691c75c3bdc300"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-co"]
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---
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# Colorado HB 25-1309 (2025A) — Protect Access to Gender-Affirming Health Care
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Health benefit insurance plans (health benefit plans) include coverage for gender-affirming health care as part of individual and group health benefit plans. "Gender-affirming health care" is defined in the act as supplies, care, and services of a medical, behavioral health, mental health, psychiatric, habilitative, surgical, therapeutic, diagnostic, preventive, rehabilitative, or supportive nature relating to the treatment of gender dysphoria (gender-affirming health care). The act codifies gender-affirming health care treatments in statute and prohibits a health benefit plan from denying or limiting medically necessary gender-affirming health care, as determined and prescribed by a physical or behavioral health-care provider.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_hb1309_s_hhs_001.pdf)
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2. **Engrossed (04/04/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_eng.pdf)
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3. **Final Act (05/14/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_enr.pdf)
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4. **Introduced (03/28/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_01.pdf)
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5. **PA1 (05/02/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_s_hhs_01.pdf)
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6. **Reengrossed (04/06/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_ren.pdf)
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7. **Rerevised (05/06/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_rer.pdf)
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8. **Revised (05/02/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_1309_rev.pdf)
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9. **Signed Act (05/23/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_1309_signed.pdf)
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## Votes
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- AMD — **19–38** (fail) · lower
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- PREV ? — **39–21** (pass) · lower
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- CONCUR — **39–24** (pass) · lower
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- AMD — **19–38** (fail) · lower
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- PREV ? — **39–21** (pass) · lower
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- BILL — **40–20** (pass) · lower
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- AMD — **20–37** (fail) · lower
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- BILL — **23–12** (pass) · upper
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- REPASS — **42–23** (pass) · lower
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- LO — **20–40** (fail) · lower
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- AMD — **19–38** (fail) · lower
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## Sponsors
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- Brianna Titone — primary (person)
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- Julie Gonzales — primary (person)
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- Kyle Brown — primary (person)
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- Lisa Cutter — primary (person)
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- A. Boesenecker — cosponsor (person)
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- A. Paschal — cosponsor (person)
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- A. Valdez — cosponsor (person)
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- B. Marshall — cosponsor (person)
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- C. Clifford — cosponsor (person)
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- C. Espenoza — cosponsor (person)
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- C. Kipp — cosponsor (person)
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- C. Kolker — cosponsor (person)
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- D. Michaelson Jenet — cosponsor (person)
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- E. Hamrick — cosponsor (person)
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- E. Sirota — cosponsor (person)
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- E. Velasco — cosponsor (person)
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- F. Winter — cosponsor (person)
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- G. Rydin — cosponsor (person)
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- J. Amabile — cosponsor (person)
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- J. Bacon — cosponsor (person)
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- J. Coleman — cosponsor (person)
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- J. Danielson — cosponsor (person)
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- J. Joseph — cosponsor (person)
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- J. Mabrey — cosponsor (person)
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- J. Marchman — cosponsor (person)
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- J. McCluskie — cosponsor (person)
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- J. Willford — cosponsor (person)
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- K. McCormick — cosponsor (person)
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- K. Stewart — cosponsor (person)
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- K. Wallace — cosponsor (person)
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- L. García — cosponsor (person)
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- L. Gilchrist — cosponsor (person)
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- L. Smith — cosponsor (person)
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- M. Carter — cosponsor (person)
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- M. Duran — cosponsor (person)
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- M. Froelich — cosponsor (person)
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- M. Lindsay — cosponsor (person)
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- M. Lukens — cosponsor (person)
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- M. Martinez — cosponsor (person)
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- M. Rutinel — cosponsor (person)
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- M. Snyder — cosponsor (person)
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- M. Weissman — cosponsor (person)
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- N. Hinrichsen — cosponsor (person)
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- R. Stewart — cosponsor (person)
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- S. Camacho — cosponsor (person)
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- S. Lieder — cosponsor (person)
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- S. Woodrow — cosponsor (person)
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- T. Exum — cosponsor (person)
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- T. Mauro — cosponsor (person)
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- T. Story — cosponsor (person)
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- T. Sullivan — cosponsor (person)
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- W. Lindstedt — cosponsor (person)
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- Y. Zokaie — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-05-23T06:00:00+00:00** Governor Signed `executive-signature`
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- **2025-05-14T06:00:00+00:00** Sent to the Governor `executive-receipt`
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- **2025-05-14T06:00:00+00:00** Signed by the President of the Senate
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- **2025-05-14T06:00:00+00:00** Signed by the Speaker of the House
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- **2025-05-07T06:00:00+00:00** House Considered Senate Amendments - Result was to Concur - Repass
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- **2025-05-06T06:00:00+00:00** House Considered Senate Amendments - Result was to Laid Over Daily
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- **2025-05-06T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
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- **2025-05-05T06:00:00+00:00** Senate Third Reading Laid Over Daily - No Amendments
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- **2025-05-02T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee
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- **2025-05-01T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
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- **2025-04-22T06:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
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- **2025-04-06T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
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- **2025-04-04T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
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- **2025-04-02T06:00:00+00:00** House Committee on Health & Human Services Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
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- **2025-03-28T06:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/18f06524-be04-438a-a8c2-9fc9d3723606`. Confidence: reported (aggregated from official Colorado legislature records).
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