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---
type: "Bill"
title: "Create Colorado Rare Disease Advisory Council"
description: "The act creates the Colorado rare disease advisory council (council) in the department of public health and environment (department) to inform state agencies, the public, and the legislature about rare diseases and make recommendations concerning the needs of Coloradans living with rare diseases and their medical providers and caregivers."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2022A"
identifier: "SB 22-186"
citation: "Colorado SB 22-186 (2022A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cleave Simpson", "Hugh McKean", "Joann Ginal", "Kyle Mullica"]
version_count: 10
action_count: 15
vote_count: 2
first_action: "2022-03-29T06:00:00+00:00"
last_action: "2022-06-08T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/09373193-4b22-4675-93b0-402a56f245b0"
source_url: "https://leg.colorado.gov/bills/sb22-186"
source_hash: "b2a719473b2ef3618b85e2d5e4a4cfcfd4e41608e0470bd4efa6bb5a09b61ed1"
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 22-186 (2022A) — Create Colorado Rare Disease Advisory Council
The act creates the Colorado rare disease advisory council (council) in the department of public health and environment (department) to inform state agencies, the public, and the legislature about rare diseases and make recommendations concerning the needs of Coloradans living with rare diseases and their medical providers and caregivers.
## 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/2022a_sb186_h_app_003.pdf)
2. **Engrossed (05/02/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_eng.pdf)
3. **Final Act (05/20/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_enr.pdf)
4. **Introduced (03/29/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_01.pdf)
5. **PA1 (04/19/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_s_hhs_01.pdf)
6. **PA2 (05/02/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_s_hhs_app_01.pdf)
7. **Reengrossed (05/03/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_ren.pdf)
8. **Rerevised (05/11/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_rer.pdf)
9. **Revised (05/10/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_186_rev.pdf)
10. **Signed Act (06/08/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2022a_186_signed.pdf)
## Votes
- BILL — **27–8** (pass) · upper
- BILL — **45–17** (pass) · lower
## Sponsors
- Cleave Simpson — primary (person)
- Hugh McKean — primary (person)
- Joann Ginal — primary (person)
- Kyle Mullica — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-06-08T06:00:00+00:00** Governor Signed `executive-signature`
- **2022-05-20T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2022-05-20T06:00:00+00:00** Signed by the Speaker of the House
- **2022-05-20T06:00:00+00:00** Signed by the President of the Senate
- **2022-05-11T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2022-05-10T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2022-05-09T06:00:00+00:00** House Second Reading Special Order - Laid Over Daily - No Amendments
- **2022-05-09T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2022-05-04T06:00:00+00:00** House Committee on Health & Insurance Refer Unamended to Appropriations `referral-committee`
- **2022-05-03T06:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`
- **2022-05-03T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2022-05-02T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee
- **2022-05-02T06:00:00+00:00** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2022-04-18T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2022-03-29T06:00:00+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/09373193-4b22-4675-93b0-402a56f245b0`. Confidence: reported (aggregated from official Colorado legislature records).