Archive #61920

Metadata

Bill Number: SB26-167
HTTP Status: 200
Valid JSON: Valid
Archived At: 2026-05-08 13:56:13 MDT
Created At: 2026-05-08 13:56:13 MDT

Parsed JSON

{
  "votes": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/cslVotes.nsf/0/A880D4971F217E4587258DEF00647633?OpenDocument",
      "date": "05/06/2026",
      "action": "Third Reading",
      "motion": "BILL",
      "chamber": "SENATE",
      "vote_id": "6202",
      "vote_no": 6,
      "vote_17C": 0,
      "vote_17D": 0,
      "vote_abs": 0,
      "vote_exc": 0,
      "vote_yes": 29,
      "voice_vote": "N",
      "vote_others": 0,
      "vote_result": "Aye: 29 No:  6 Other: 0",
      "member_votes": [
        {
          "vote": "Y",
          "last_name": "Amabile"
        },
        {
          "vote": "N",
          "last_name": "Baisley"
        },
        {
          "vote": "Y",
          "last_name": "Ball"
        },
        {
          "vote": "Y",
          "last_name": "Benavidez"
        },
        {
          "vote": "Y",
          "last_name": "Bridges"
        },
        {
          "vote": "Y",
          "last_name": "Bright"
        },
        {
          "vote": "N",
          "last_name": "Carson"
        },
        {
          "vote": "Y",
          "last_name": "Catlin"
        },
        {
          "vote": "Y",
          "last_name": "Cutter"
        },
        {
          "vote": "Y",
          "last_name": "Danielson"
        },
        {
          "vote": "Y",
          "last_name": "Daugherty"
        },
        {
          "vote": "Y",
          "last_name": "Exum"
        },
        {
          "vote": "Y",
          "last_name": "Frizell"
        },
        {
          "vote": "Y",
          "last_name": "Gonzales J."
        },
        {
          "vote": "Y",
          "last_name": "Hinrichsen"
        },
        {
          "vote": "Y",
          "last_name": "Jodeh"
        },
        {
          "vote": "Y",
          "last_name": "Kipp"
        },
        {
          "vote": "Y",
          "last_name": "Kirkmeyer"
        },
        {
          "vote": "Y",
          "last_name": "Kolker"
        },
        {
          "vote": "Y",
          "last_name": "Lindstedt"
        },
        {
          "vote": "N",
          "last_name": "Liston"
        },
        {
          "vote": "Y",
          "last_name": "Marchman"
        },
        {
          "vote": "Y",
          "last_name": "Mullica"
        },
        {
          "vote": "N",
          "last_name": "Pelton B."
        },
        {
          "vote": "N",
          "last_name": "Pelton R."
        },
        {
          "vote": "Y",
          "last_name": "Rich"
        },
        {
          "vote": "Y",
          "last_name": "Roberts"
        },
        {
          "vote": "Y",
          "last_name": "Rodriguez"
        },
        {
          "vote": "Y",
          "last_name": "Simpson"
        },
        {
          "vote": "Y",
          "last_name": "Snyder"
        },
        {
          "vote": "Y",
          "last_name": "Sullivan"
        },
        {
          "vote": "Y",
          "last_name": "Wallace"
        },
        {
          "vote": "Y",
          "last_name": "Weissman"
        },
        {
          "vote": "N",
          "last_name": "Zamora Wilson"
        },
        {
          "vote": "Y",
          "last_name": "President"
        }
      ],
      "lay_over_date": "",
      "vote_date_time": "05/06/2026 12:17:18 PM"
    }
  ],
  "active": "T",
  "origin": "Senate",
  "lls_num": "26-0939",
  "session": "2026A",
  "subject": [
    "Health Care & Health Insurance"
  ],
  "bill_num": "SB26-167",
  "sponsors": [
    {
      "id": "AB002",
      "title": "Representative",
      "s_type": "Prime Sponsor",
      "chamber": "House",
      "full_name": "Andrew Boesenecker",
      "last_name": "Boesenecker",
      "first_name": "Andrew",
      "sponsor_order": "3"
    },
    {
      "id": "ML002",
      "title": "Representative",
      "s_type": "Prime Sponsor",
      "chamber": "House",
      "full_name": "Mandy Lindsay",
      "last_name": "Lindsay",
      "first_name": "Mandy",
      "sponsor_order": "4"
    },
    {
      "id": "AB001",
      "title": "Senator",
      "s_type": "Prime Sponsor",
      "chamber": "Senate",
      "full_name": "Adrienne Benavidez",
      "last_name": "Benavidez",
      "first_name": "Adrienne",
      "sponsor_order": "1"
    },
    {
      "id": "KM001",
      "title": "Senator",
      "s_type": "Prime Sponsor",
      "chamber": "Senate",
      "full_name": "Kyle Mullica",
      "last_name": "Mullica",
      "first_name": "Kyle",
      "sponsor_order": "2"
    },
    {
      "id": "JA002",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Judy Amabile",
      "last_name": "Amabile",
      "first_name": "Judy"
    },
    {
      "id": "MB004",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Matt Ball",
      "last_name": "Ball",
      "first_name": "Matt"
    },
    {
      "id": "LC003",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Lisa Cutter",
      "last_name": "Cutter",
      "first_name": "Lisa"
    },
    {
      "id": "LD001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Lindsey Daugherty",
      "last_name": "Daugherty",
      "first_name": "Lindsey"
    },
    {
      "id": "TE001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Tony Exum",
      "last_name": "Exum",
      "first_name": "Tony"
    },
    {
      "id": "JG002",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Julie Gonzales",
      "last_name": "Gonzales J.",
      "first_name": "Julie"
    },
    {
      "id": "NH001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Nick Hinrichsen",
      "last_name": "Hinrichsen",
      "first_name": "Nick"
    },
    {
      "id": "IJ001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Iman Jodeh",
      "last_name": "Jodeh",
      "first_name": "Iman"
    },
    {
      "id": "CK002",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Cathy Kipp",
      "last_name": "Kipp",
      "first_name": "Cathy"
    },
    {
      "id": "JM004",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Janice Marchman",
      "last_name": "Marchman",
      "first_name": "Janice"
    },
    {
      "id": "MS002",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Marc Snyder",
      "last_name": "Snyder",
      "first_name": "Marc"
    },
    {
      "id": "KW001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Katie Wallace",
      "last_name": "Wallace",
      "first_name": "Katie"
    },
    {
      "id": "MW001",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "Mike Weissman",
      "last_name": "Weissman",
      "first_name": "Mike"
    },
    {
      "id": "JC002",
      "title": "Senator",
      "s_type": "Co-sponsor",
      "chamber": "Senate",
      "full_name": "James Coleman",
      "last_name": "Coleman",
      "first_name": "James"
    }
  ],
  "bill_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_ren.pdf",
      "date": "05/06/2026",
      "label": "Reengrossed",
      "url_html": "",
      "lastModified": "05/06/2026 12:46:01 PM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_eng.pdf",
      "date": "05/05/2026",
      "label": "Engrossed",
      "url_html": "",
      "lastModified": "05/05/2026 12:25:29 PM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_01.pdf",
      "date": "04/16/2026",
      "label": "Introduced",
      "url_html": "",
      "lastModified": "04/16/2026 01:55:24 PM"
    }
  ],
  "committees": [
    {
      "id": "H_HHS_2026A",
      "name": "Health & Human Services",
      "chamber": "House"
    },
    {
      "id": "S_HHS_2026A",
      "name": "Health & Human Services",
      "chamber": "Senate"
    },
    {
      "id": "S_APP_2026A",
      "name": "Appropriations",
      "chamber": "Senate"
    }
  ],
  "long_title": "Concerning a covered person's contribution under a health benefit plan based on out-of-pocket expenses attributable to the purchase of prescription drugs.",
  "bill_status": "House Second Reading",
  "short_title": "Prescription Drug Out-of-Pocket Expense Credit",
  "bill_summary": "<html><body><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strike>Subject to certain exceptions</strike> <i>Beginning on January 1, 2028,</i> the bill requires a carrier of an individual or group health benefit plan in Colorado (plan), when calculating a covered person's overall contribution to an out-of-pocket maximum or cost-sharing requirement under the plan (contribution), to account for and credit to the covered person's contribution <i>(contribution credit)</i> an out-of-pocket expense that the covered person incurs by purchasing a prescription drug directly from a pharmacy <strike>, health-care provider,</strike> or direct-to-consumer platform <strike>(direct purchase of a prescription drug)</strike> . The carrier shall apply the <i>contribution</i> credit to the covered person's contribution <i>to the out-of-pocket maximum or cost-sharing requirement</i> that is applicable in the plan year in which the expense from the direct purchase of a prescription drug was incurred.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;To receive a contribution credit for an out-of-pocket expense that a covered person incurred because of a direct purchase of a prescription drug, the covered person must provide proof of payment <i>through documentation, such as an itemized receipt or pharmacy record, that is submitted</i> to the carrier <i>within 90 days after making the purchase</i> . <strike>If the covered person does not provide proof of payment, the carrier is prohibited from applying the contribution credit.</strike> </p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill <strike>also</strike> prohibits a carrier from applying the contribution credit in certain <strike>other</strike> instances. Specifically, the carrier shall not apply the contribution credit:<br/></p><p><ul><li>For an amount of the covered person's out-of-pocket expense from the direct purchase of a prescription drug that is greater than the amount the covered person would have incurred if they had obtained the same prescription drug in the same plan year from an in-network pharmacy and pursuant to the terms of their plan;</li><li> <i>If the covered person does not provide proof of payment;</i></li><li>If the covered person incurred the out-of-pocket expense by purchasing a prescription drug that is not covered under the formulary of the covered person's plan, unless <i>the carrier grants</i> an exception <strike>is granted</strike> ; or</li><li>If the covered person does not comply with the carrier's utilization management processes, including prior authorization and step therapy protocols required under the covered person's plan.</li></ul></p><p><br/><i>(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)</i><br/><br/><br/><i>(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)</i></p></body></html>",
  "progress_bar": [
    {
      "end": "F",
      "label": "Introduced",
      "position": 1
    },
    {
      "end": "F",
      "label": "Under Consideration",
      "position": 2
    }
  ],
  "special_type": "",
  "bill_category": "Insurance",
  "allow_testimony": "F",
  "amendment_files": [
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/C3743C6623CA5C6687258DE90067459A/SB167_L.001.pdf",
      "date": "04/30/2026 06:09:32 PM",
      "vote": "Passed*",
      "chamber": "Senate",
      "hearing": "SEN Health & Human Services",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/C3743C6623CA5C6687258DE90067459A/SB167_L_001.html",
      "amendment": "L.001"
    }
  ],
  "full_bill_topic": "Prescription Drug Out-of-Pocket Expense Credit",
  "long_bill_files": [],
  "GHG_report_files": [],
  "preamended_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_S_HHS_01.pdf",
      "date": "05/01/2026",
      "label": "PA1",
      "url_html": "",
      "lastModified": "05/01/2026 09:51:00 AM",
      "label_detailed": "Senate Health & Human Services Preamend"
    }
  ],
  "bill_sub_category": "Health Insurance",
  "fiscal_note_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_00.pdf",
      "date": "04/30/2026",
      "label": "FN1",
      "url_html": "",
      "lastModified": "04/30/2026 05:11:10 PM",
      "label_detailed": "Initial Fiscal Note"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_r1.pdf",
      "date": "05/04/2026",
      "label": "FN2",
      "url_html": "",
      "lastModified": "05/04/2026 02:56:08 PM",
      "label_detailed": "First Revised Fiscal Note"
    }
  ],
  "is_budget_package": "No",
  "session_laws_files": "",
  "summarized_history": [
    {
      "date": "05/08/2026",
      "action": "House Committee on Health & Human Services Refer Unamended to House Committee of the Whole",
      "location": "House"
    },
    {
      "date": "05/06/2026",
      "action": "Introduced In House - Assigned to Health & Human Services",
      "location": "House"
    },
    {
      "date": "05/06/2026",
      "action": "Senate Third Reading Passed - No Amendments",
      "location": "Senate"
    },
    {
      "date": "05/05/2026",
      "action": "Senate Second Reading Special Order - Passed with Amendments - Committee",
      "location": "Senate"
    },
    {
      "date": "05/05/2026",
      "action": "Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole",
      "location": "Senate"
    },
    {
      "date": "04/30/2026",
      "action": "Senate Committee on Health & Human Services Refer Amended to Appropriations",
      "location": "Senate"
    },
    {
      "date": "04/16/2026",
      "action": "Introduced In Senate - Assigned to Health & Human Services",
      "location": "Senate"
    }
  ],
  "research_note_files": [],
  "bill_sub_sub_category": "Health Care Coverage Cooperatives",
  "committee_report_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_HHS_001.pdf",
      "date": "04/30/2026",
      "label": "S_HHS_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_HHS_001.html",
      "lastModified": "05/01/2026 10:30:49 AM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_APP_001.pdf",
      "date": "05/05/2026",
      "label": "S_APP_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_APP_001.html",
      "lastModified": "05/05/2026 11:00:58 AM"
    }
  ],
  "demographic_note_files": [],
  "updated_bill_summary_files": [],
  "budget_staff_analysis_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB0167_sen.pdf",
      "date": "05/04/2026",
      "label": "SA1",
      "url_html": "",
      "lastModified": "05/04/2026 11:50:16 AM",
      "label_detailed": "Senate Appropriation Analysis (1)"
    }
  ],
  "first_chamber_third_reading_date": "05/06/2026",
  "second_chamber_third_reading_date": ""
}

Raw Response

{"bill_num":"SB26-167","lls_num":"26-0939","origin":"Senate","short_title":"Prescription Drug Out-of-Pocket Expense Credit","full_bill_topic":"Prescription Drug Out-of-Pocket Expense Credit","long_title":"Concerning a covered person's contribution under a health benefit plan based on out-of-pocket expenses attributable to the purchase of prescription drugs.","special_type":"","bill_category":"Insurance","bill_sub_category":"Health Insurance","bill_sub_sub_category":"Health Care Coverage Cooperatives","is_budget_package":"No","subject":["Health Care & Health Insurance"],"bill_status":"House Second Reading","sponsors":[{"id":"AB002","title":"Representative","first_name":"Andrew","last_name":"Boesenecker","full_name":"Andrew Boesenecker","s_type":"Prime Sponsor","chamber":"House","sponsor_order":"3"},{"id":"ML002","title":"Representative","first_name":"Mandy","last_name":"Lindsay","full_name":"Mandy Lindsay","s_type":"Prime Sponsor","chamber":"House","sponsor_order":"4"},{"id":"AB001","title":"Senator","first_name":"Adrienne","last_name":"Benavidez","full_name":"Adrienne Benavidez","s_type":"Prime Sponsor","chamber":"Senate","sponsor_order":"1"},{"id":"KM001","title":"Senator","first_name":"Kyle","last_name":"Mullica","full_name":"Kyle Mullica","s_type":"Prime Sponsor","chamber":"Senate","sponsor_order":"2"},{"id":"JA002","title":"Senator","first_name":"Judy","last_name":"Amabile","full_name":"Judy Amabile","s_type":"Co-sponsor","chamber":"Senate"},{"id":"MB004","title":"Senator","first_name":"Matt","last_name":"Ball","full_name":"Matt Ball","s_type":"Co-sponsor","chamber":"Senate"},{"id":"LC003","title":"Senator","first_name":"Lisa","last_name":"Cutter","full_name":"Lisa Cutter","s_type":"Co-sponsor","chamber":"Senate"},{"id":"LD001","title":"Senator","first_name":"Lindsey","last_name":"Daugherty","full_name":"Lindsey Daugherty","s_type":"Co-sponsor","chamber":"Senate"},{"id":"TE001","title":"Senator","first_name":"Tony","last_name":"Exum","full_name":"Tony Exum","s_type":"Co-sponsor","chamber":"Senate"},{"id":"JG002","title":"Senator","first_name":"Julie","last_name":"Gonzales J.","full_name":"Julie Gonzales","s_type":"Co-sponsor","chamber":"Senate"},{"id":"NH001","title":"Senator","first_name":"Nick","last_name":"Hinrichsen","full_name":"Nick Hinrichsen","s_type":"Co-sponsor","chamber":"Senate"},{"id":"IJ001","title":"Senator","first_name":"Iman","last_name":"Jodeh","full_name":"Iman Jodeh","s_type":"Co-sponsor","chamber":"Senate"},{"id":"CK002","title":"Senator","first_name":"Cathy","last_name":"Kipp","full_name":"Cathy Kipp","s_type":"Co-sponsor","chamber":"Senate"},{"id":"JM004","title":"Senator","first_name":"Janice","last_name":"Marchman","full_name":"Janice Marchman","s_type":"Co-sponsor","chamber":"Senate"},{"id":"MS002","title":"Senator","first_name":"Marc","last_name":"Snyder","full_name":"Marc Snyder","s_type":"Co-sponsor","chamber":"Senate"},{"id":"KW001","title":"Senator","first_name":"Katie","last_name":"Wallace","full_name":"Katie Wallace","s_type":"Co-sponsor","chamber":"Senate"},{"id":"MW001","title":"Senator","first_name":"Mike","last_name":"Weissman","full_name":"Mike Weissman","s_type":"Co-sponsor","chamber":"Senate"},{"id":"JC002","title":"Senator","first_name":"James","last_name":"Coleman","full_name":"James Coleman","s_type":"Co-sponsor","chamber":"Senate"}],"committees":[{"id":"H_HHS_2026A","chamber":"House","name":"Health & Human Services"},{"id":"S_HHS_2026A","chamber":"Senate","name":"Health & Human Services"},{"id":"S_APP_2026A","chamber":"Senate","name":"Appropriations"}],"first_chamber_third_reading_date":"05/06/2026","second_chamber_third_reading_date":"","summarized_history":[{"date":"05/08/2026","location":"House","action":"House Committee on Health & Human Services Refer Unamended to House Committee of the Whole"},{"date":"05/06/2026","location":"House","action":"Introduced In House - Assigned to Health & Human Services"},{"date":"05/06/2026","location":"Senate","action":"Senate Third Reading Passed - No Amendments"},{"date":"05/05/2026","location":"Senate","action":"Senate Second Reading Special Order - Passed with Amendments - Committee"},{"date":"05/05/2026","location":"Senate","action":"Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole"},{"date":"04/30/2026","location":"Senate","action":"Senate Committee on Health & Human Services Refer Amended to Appropriations"},{"date":"04/16/2026","location":"Senate","action":"Introduced In Senate - Assigned to Health & Human Services"}],"progress_bar":[{"position":1,"label":"Introduced","end":"F"},{"position":2,"label":"Under Consideration","end":"F"}],"active":"T","session":"2026A","allow_testimony":"F","long_bill_files":[],"bill_files":[{"date":"05/06/2026","lastModified":"05/06/2026 12:46:01 PM","label":"Reengrossed","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_ren.pdf","url_html":""},{"date":"05/05/2026","lastModified":"05/05/2026 12:25:29 PM","label":"Engrossed","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_eng.pdf","url_html":""},{"date":"04/16/2026","lastModified":"04/16/2026 01:55:24 PM","label":"Introduced","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_01.pdf","url_html":""}],"fiscal_note_files":[{"date":"04/30/2026","lastModified":"04/30/2026 05:11:10 PM","label":"FN1","label_detailed":"Initial Fiscal Note","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_00.pdf","url_html":""},{"date":"05/04/2026","lastModified":"05/04/2026 02:56:08 PM","label":"FN2","label_detailed":"First Revised Fiscal Note","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_r1.pdf","url_html":""}],"research_note_files":[],"budget_staff_analysis_files":[{"date":"05/04/2026","lastModified":"05/04/2026 11:50:16 AM","label":"SA1","label_detailed":"Senate Appropriation Analysis (1)","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB0167_sen.pdf","url_html":""}], "preamended_files":[{"date":"05/01/2026","lastModified":"05/01/2026 09:51:00 AM","label":"PA1","label_detailed":"Senate Health & Human Services Preamend","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/167_S_HHS_01.pdf","url_html":""}],"committee_report_files":[{"date":"04/30/2026","lastModified":"05/01/2026 10:30:49 AM","label":"S_HHS_2026A","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_HHS_001.pdf","url_html":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_HHS_001.html"},{"date":"05/05/2026","lastModified":"05/05/2026 11:00:58 AM","label":"S_APP_2026A","url":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_APP_001.pdf","url_html":"https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/E3D17D0454B226F687258DB9005AA91E/$File/SB167_S_APP_001.html"}],"updated_bill_summary_files":[],"demographic_note_files":[],"GHG_report_files":[],"bill_summary":"<html><body><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strike>Subject to certain exceptions</strike> <i>Beginning on January 1, 2028,</i> the bill requires a carrier of an individual or group health benefit plan in Colorado (plan), when calculating a covered person's overall contribution to an out-of-pocket maximum or cost-sharing requirement under the plan (contribution), to account for and credit to the covered person's contribution <i>(contribution credit)</i> an out-of-pocket expense that the covered person incurs by purchasing a prescription drug directly from a pharmacy <strike>, health-care provider,</strike> or direct-to-consumer platform <strike>(direct purchase of a prescription drug)</strike> . The carrier shall apply the <i>contribution</i> credit to the covered person's contribution <i>to the out-of-pocket maximum or cost-sharing requirement</i> that is applicable in the plan year in which the expense from the direct purchase of a prescription drug was incurred.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;To receive a contribution credit for an out-of-pocket expense that a covered person incurred because of a direct purchase of a prescription drug, the covered person must provide proof of payment <i>through documentation, such as an itemized receipt or pharmacy record, that is submitted</i> to the carrier <i>within 90 days after making the purchase</i> . <strike>If the covered person does not provide proof of payment, the carrier is prohibited from applying the contribution credit.</strike> </p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill <strike>also</strike> prohibits a carrier from applying the contribution credit in certain <strike>other</strike> instances. Specifically, the carrier shall not apply the contribution credit:<br/></p><p><ul><li>For an amount of the covered person's out-of-pocket expense from the direct purchase of a prescription drug that is greater than the amount the covered person would have incurred if they had obtained the same prescription drug in the same plan year from an in-network pharmacy and pursuant to the terms of their plan;</li><li> <i>If the covered person does not provide proof of payment;</i></li><li>If the covered person incurred the out-of-pocket expense by purchasing a prescription drug that is not covered under the formulary of the covered person's plan, unless <i>the carrier grants</i> an exception <strike>is granted</strike> ; or</li><li>If the covered person does not comply with the carrier's utilization management processes, including prior authorization and step therapy protocols required under the covered person's plan.</li></ul></p><p><br/><i>(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)</i><br/><br/><br/><i>(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)</i></p></body></html>","amendment_files":[{"chamber":"Senate","date":"04/30/2026 06:09:32 PM","amendment":"L.001","hearing":"SEN Health & Human Services","vote":"Passed*","url":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/C3743C6623CA5C6687258DE90067459A/SB167_L.001.pdf","url_html":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/C3743C6623CA5C6687258DE90067459A/SB167_L_001.html"}],"session_laws_files":"","votes":[{"vote_id":"6202","chamber":"SENATE","action":"Third Reading","date":"05/06/2026",
"vote_date_time":"05/06/2026 12:17:18 PM","lay_over_date":"",

"motion":"BILL","vote_yes":29,"vote_no":6,"vote_others":0,"vote_result":"Aye: 29 No:  6 Other: 0",
"voice_vote":"N","vote_abs":0,"vote_exc":0,"vote_17C":0,"vote_17D":0,


"url":"https://www.leg.state.co.us/CLICS/CLICS2026A/cslVotes.nsf/0/A880D4971F217E4587258DEF00647633?OpenDocument","member_votes":[{"last_name":"Amabile","vote":"Y"},{"last_name":"Baisley","vote":"N"},{"last_name":"Ball","vote":"Y"},{"last_name":"Benavidez","vote":"Y"},{"last_name":"Bridges","vote":"Y"},{"last_name":"Bright","vote":"Y"},{"last_name":"Carson","vote":"N"},{"last_name":"Catlin","vote":"Y"},{"last_name":"Cutter","vote":"Y"},{"last_name":"Danielson","vote":"Y"},{"last_name":"Daugherty","vote":"Y"},{"last_name":"Exum","vote":"Y"},{"last_name":"Frizell","vote":"Y"},{"last_name":"Gonzales J.","vote":"Y"},{"last_name":"Hinrichsen","vote":"Y"},{"last_name":"Jodeh","vote":"Y"},{"last_name":"Kipp","vote":"Y"},{"last_name":"Kirkmeyer","vote":"Y"},{"last_name":"Kolker","vote":"Y"},{"last_name":"Lindstedt","vote":"Y"},{"last_name":"Liston","vote":"N"},{"last_name":"Marchman","vote":"Y"},{"last_name":"Mullica","vote":"Y"},{"last_name":"Pelton B.","vote":"N"},{"last_name":"Pelton R.","vote":"N"},{"last_name":"Rich","vote":"Y"},{"last_name":"Roberts","vote":"Y"},{"last_name":"Rodriguez","vote":"Y"},{"last_name":"Simpson","vote":"Y"},{"last_name":"Snyder","vote":"Y"},{"last_name":"Sullivan","vote":"Y"},{"last_name":"Wallace","vote":"Y"},{"last_name":"Weissman","vote":"Y"},{"last_name":"Zamora Wilson","vote":"N"},{"last_name":"President","vote":"Y"}]}]}