Fabio
106 lines
8.3 KiB
Markdown
106 lines
8.3 KiB
Markdown
---
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type: "Bill"
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title: "Parity for Non-Opioid Pain Management Drugs"
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description: "The act requires a health insurance carrier that provides prescription drug benefits to require that:The utilization review requirements, including prior authorization and step therapy, for a non-opioid drug prescribed and approved by the federal food and drug administration (FDA) for the treatment or management of chronic or acute pain (non-opioid pain management drug) are no more restrictive than the least restrictive utilization review requirements for opioid drugs prescribed for the treatment or management of chronic or acute pain; andThe cost-sharing, copayment, or deductible for a non-opioid pain management drug is not greater than the cost-sharing, copayment, or deductible for an opioid drug prescribed for the treatment or management of chronic or acute pain. The act requires each individual and small group health benefit plan issued or renewed on or after January 1, 2027, and each large employer health benefit plan issued or renewed on and after January 1, 2028, to ensure there is at least one non-opioid pain management drug available as a clinically appropriate alternative for an opioid pain management drug. If the division of insurance determines that coverage for a non-opioid pain management drug offered by individual and small group health benefit plans requires state defrayal of the cost of coverage, the requirement to make a non-opioid pain management drug available is inoperative. The state employee health benefit plan is excluded from the requirements of the act. The act appropriates $15,415 to the department of regulatory agencies for use by the division of insurance to implement the act.(Note: This summary applies to this bill as enacted.)"
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jurisdiction: "us/states/co"
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legislature: "Colorado General Assembly"
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session: "2026A"
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identifier: "SB 6"
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citation: "Colorado SB 6 (2026A)"
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classification: ["bill"]
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subjects: ["Health Care & Health Insurance"]
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status: "enacted"
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primary_sponsors: ["B. Kirkmeyer", "J. Amabile", "K. Brown", "R. Taggart"]
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version_count: 7
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action_count: 18
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vote_count: 10
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first_action: "2026-01-14"
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last_action: "2026-06-03"
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source: "openstates"
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source_identifier: "ocd-bill/123905d4-412e-4b9e-ab61-b0bb952082d2"
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source_url: "https://leg.colorado.gov/bills/SB26-006"
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source_hash: "7356a035a81430a02e4623091b018b660a08858168240c7b40c56c3782829001"
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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 SB 6 (2026A) — Parity for Non-Opioid Pain Management Drugs
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The act requires a health insurance carrier that provides prescription drug benefits to require that:The utilization review requirements, including prior authorization and step therapy, for a non-opioid drug prescribed and approved by the federal food and drug administration (FDA) for the treatment or management of chronic or acute pain (non-opioid pain management drug) are no more restrictive than the least restrictive utilization review requirements for opioid drugs prescribed for the treatment or management of chronic or acute pain; andThe cost-sharing, copayment, or deductible for a non-opioid pain management drug is not greater than the cost-sharing, copayment, or deductible for an opioid drug prescribed for the treatment or management of chronic or acute pain. The act requires each individual and small group health benefit plan issued or renewed on or after January 1, 2027, and each large employer health benefit plan issued or renewed on and after January 1, 2028, to ensure there is at least one non-opioid pain management drug available as a clinically appropriate alternative for an opioid pain management drug. If the division of insurance determines that coverage for a non-opioid pain management drug offered by individual and small group health benefit plans requires state defrayal of the cost of coverage, the requirement to make a non-opioid pain management drug available is inoperative. The state employee health benefit plan is excluded from the requirements of the act. The act appropriates $15,415 to the department of regulatory agencies for use by the division of insurance to implement the act.(Note: This summary applies to this bill as enacted.)
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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. **Introduced** (filed) — [source](https://leg.colorado.gov/bill_files/110698/download)
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2. **Engrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/114839/download)
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3. **Final Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/116629/download)
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4. **Reengrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/114904/download)
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5. **Rerevised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115982/download)
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6. **Revised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115826/download)
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7. **Signed Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/117085/download)
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## Votes
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- Adopt amendment L.001 (Attachment D). — **pass** (pass) · upper
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- Adopt amendment L.004 (Attachment E). — **pass** (pass) · upper
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- Refer Senate Bill 26-006 to the Committee of the Whole. — **pass** (pass) · upper
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- Refer Senate Bill 26-006 to the Committee on Appropriations. — **pass** (pass) · upper
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- Adopt amendment J.002 — **pass** (pass) · upper
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- BILL — **pass** (pass) · lower
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- REPASS — **pass** (pass) · lower
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- CONCUR — **pass** (pass) · lower
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- Refer Senate Bill 26-006, as amended, to the Committee on Appropriations. — **pass** (pass) · upper
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- Refer Senate Bill 26-006, as amended, to the Committee of the Whole. — **pass** (pass) · upper
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## Sponsors
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- B. Kirkmeyer — primary (person)
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- J. Amabile — primary (person)
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- K. Brown — primary (person)
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- R. Taggart — primary (person)
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- A. Boesenecker — cosponsor (person)
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- B. Pelton — cosponsor (person)
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- E. Sirota — cosponsor (person)
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- J. Bacon — cosponsor (person)
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- J. Coleman — cosponsor (person)
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- K. McCormick — cosponsor (person)
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- K. Wallace — cosponsor (person)
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- L. Cutter — cosponsor (person)
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- L. Frizell — cosponsor (person)
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- L. Smith — cosponsor (person)
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- M. Catlin — cosponsor (person)
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- M. Duran — cosponsor (person)
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- S. Bright — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-06-03** Governor Signed `executive-signature`
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- **2026-05-05** House Second Reading Special Order - Lost with Amendments - Committee
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- **2026-05-22** Sent to the Governor `executive-receipt`
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- **2026-05-22** Signed by the Speaker of the House `passage`
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- **2026-05-05** House Second Reading Special Order - Passed with Amendments - No Amendments
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- **2026-05-22** Signed by the President of the Senate `passage`
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- **2026-05-08** Senate Considered House Amendments - Result was to Concur - Repass
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- **2026-05-06** House Third Reading Passed with Amendments - Floor `passage, reading-3`
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- **2026-05-05** House Second Reading Special Order - Passed with Amendments - Committee
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- **2026-05-01** House Committee on Appropriations Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
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- **2026-04-22** House Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
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- **2026-04-20** Introduced In House - Assigned to Health & Human Services `introduction`
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- **2026-04-20** Senate Third Reading Passed - No Amendments `passage, reading-3`
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- **2026-04-17** Senate Second Reading Special Order - Passed with Amendments - Committee
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- **2026-04-17** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `committee-passage, referral-committee`
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- **2026-04-08** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
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- **2026-04-02** Senate Committee on Health & Human Services Witness Testimony and/or Committee Discussion Only
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- **2026-01-14** Introduced In Senate - 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/123905d4-412e-4b9e-ab61-b0bb952082d2`. Confidence: reported (aggregated from official Colorado legislature records).
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