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HB26-1040 • 2026

Sterilization Rights of Person with Disabilities

The act prohibits sterilization of a person with an intellectual and developmental disability without the person's informed consent if the person has decision-making capacity. The act prohibits steril

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Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Rep. M. Froelich, Sen. L. Cutter, Rep. J. Bacon, Rep. A. Boesenecker, Rep. K. Brown, Rep. S. Camacho, Rep. M. Duran, Rep. R. English, Rep. C. Espenoza, Rep. L. García, Rep. L. Goldstein, Rep. E. Hamrick, Rep. J. Jackson, Rep. J. Joseph, Rep. S. Lieder, Rep. M. Lindsay, Rep. J. Mabrey, Rep. M. Martinez, Rep. T. Mauro, Rep. J. McCluskie, Rep. K. McCormick, Rep. K. Nguyen, Rep. J. Phillips, Rep. M. Rutinel, Rep. G. Rydin, Rep. E. Sirota, Rep. K. Stewart, Rep. R. Stewart, Rep. T. Story, Rep. L. Suckla, Rep. R. Taggart, Rep. B. Titone, Rep. E. Velasco, Rep. R. Weinberg, Rep. J. Willford, Rep. Y. Zokaie, Sen. J. Amabile, Sen. M. Ball, Sen. A. Benavidez, Sen. J. Coleman, Sen. J. Danielson, Sen. T. Exum, Sen. J. Gonzales, Sen. I. Jodeh, Sen. C. Kipp, Sen. C. Kolker, Sen. W. Lindstedt, Sen. J. Marchman, Sen. K. Mullica, Sen. D. Roberts, Sen. M. Snyder, Sen. T. Sullivan, Sen. K. Wallace, Sen. M. Weissman
Last action
2026-03-27
Official status
Governor Signed
Effective date
Not listed

Plain English Breakdown

The effective date is listed as empty in the metadata; therefore, no specific start date can be confirmed from the provided text.

Sterilization Rights for People with Intellectual and Developmental Disabilities

This law prohibits sterilizing people with intellectual or developmental disabilities without their informed consent, unless they lack decision-making capacity and a legally authorized person consents on their behalf under existing laws.

What This Bill Does

  • Prohibits the sterilization of a person with an intellectual and developmental disability without their informed consent if they have decision-making capacity.
  • Allows another person with legal authority to consent to sterilization for someone who lacks decision-making capacity, following processes in existing law.
  • Removes rules that explained how to handle disagreements about whether an adult can consent to sterilization.
  • Repeals the process that allowed a court to order the sterilization of a minor or a person unable to consent.
  • Eliminates requirements for keeping records, hearings, and proceedings related to these decisions confidential.

Who It Names or Affects

  • People with intellectual and developmental disabilities
  • Medical providers who perform sterilization procedures
  • Courts that previously handled petitions for court-ordered sterilization

Limits and Unknowns

  • The official text does not state the specific date when this law becomes effective.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

L.001

HOU Health & Human Services

Passed [*]

Plain English: This amendment changes Colorado law to protect people with intellectual and developmental disabilities from being sterilized against their will, while also updating rules for organ donation.

  • It states that a person with an intellectual or developmental disability cannot be sterilized unless they agree to it, except if staying pregnant would immediately threaten their life or health.
  • If the person is not able to make this decision themselves, someone legally authorized can consent on their behalf following specific legal rules.
  • Before any sterilization happens, two independent professionals who do not work with that person must check and confirm they understand what they are agreeing to.
  • It updates organ donation laws so a person cannot have an organ removed without their permission or the permission of their parent or guardian if they are under 18.
  • The amendment removes several older sections of law (25.5-10-232, 25.5-10-233, and 25.5-10-234) that previously handled court petitions for sterilization, but the text does not explain exactly how those specific old processes are replaced.
  • The amendment uses technical legal terms like 'interdisciplinary team' without defining who must be on that team.
L.002

HOU Health & Human Services

Passed [*]

Plain English: This amendment clarifies that people with intellectual and developmental disabilities cannot be sterilized against their will, unless they lack decision-making capacity and face an immediate threat to their life or health.

  • People with these disabilities who can make decisions for themselves are strictly protected from being sterilized without their consent.
  • For people who cannot make medical decisions, sterilization is only allowed if there is an urgent danger to their life or health.
  • Any decision to sterilize someone who lacks capacity must follow specific legal rules found in Article 14 of Title 15 or a court order.
  • The amendment text does not explain the exact steps required by 'Article 14 of Title 15' mentioned for making decisions.
  • It is unclear what specific laws apply if no state law exists, as it only mentions 'any other applicable law.'
L.006

SEN Health & Human Services

Passed [*]

Plain English: This amendment makes small formatting changes to the bill's text but does not clearly state what specific rules or requirements are being added, removed, or changed.

  • Removes a section title that included 'definition' so it only says 'intent'.
  • Fixes numbering errors in paragraph (2) by removing extra letters and parentheses.
  • Changes the word 'PERSON AND' to 'WHERE' on page 3.
  • The amendment text lists many lines that are deleted but does not show what new words replace them, making it impossible to explain the actual legal changes without seeing the full bill.
  • Because large parts of the original text were removed and no replacement text is provided in this document, we cannot know if any rules about sterilization consent were changed.
L.003

Second Reading

Passed [**]

Plain English: This amendment clarifies the definition of an 'imminent threat to life or health' for people with disabilities facing sterilization and fixes formatting errors in the bill text.

  • Adds a new section that defines 'imminent threat to the life or health' as a condition causing real, immediate, or substantial risk of death or serious harm unless treated right away.
  • Updates the list structure by adding sub-labels like '(a)' and correcting other numbering errors on pages 1 and 2.
  • The amendment text only shows specific line edits and does not include the full context of the original bill, so it is unclear if there are other changes to sterilization rules beyond this definition.
  • Some lines in the official text appear to be formatting corrections that do not change the actual meaning or law.
L.004

Second Reading

Passed [**]

Plain English: This amendment sets a specific start date for the bill and allows voters to delay its effect if they sign a petition.

  • The law will not take effect until August 12, 2026, unless it is put on hold by a voter petition.
L.007

Second Reading

Passed [**]

Plain English: This amendment changes the law to say that sterilizing a person with an intellectual or developmental disability is only allowed if they give their informed consent, rather than just saying it cannot be done against their will.

  • The bill now requires doctors and others to get clear permission from the person before performing sterilization.

Bill History

  1. 2026-03-27 Governor

    Governor Signed

  2. 2026-03-19 Governor

    Sent to the Governor

  3. 2026-03-19 Senate

    Signed by the President of the Senate

  4. 2026-03-18 House

    Signed by the Speaker of the House

  5. 2026-03-12 House

    House Considered Senate Amendments - Result was to Concur - Repass

  6. 2026-03-11 Senate

    Senate Third Reading Passed - No Amendments

  7. 2026-03-10 Senate

    Senate Second Reading Passed with Amendments - Committee, Floor

  8. 2026-03-09 Senate

    Senate Second Reading Laid Over to 03/10/2026 - No Amendments

  9. 2026-03-04 Senate

    Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole

  10. 2026-02-12 Senate

    Introduced In Senate - Assigned to Health & Human Services

  11. 2026-02-10 House

    House Third Reading Passed - No Amendments

  12. 2026-02-09 House

    House Second Reading Special Order - Passed with Amendments - Committee, Floor

  13. 2026-02-04 House

    House Committee on Health & Human Services Refer Amended to House Committee of the Whole

  14. 2026-01-14 House

    Introduced In House - Assigned to Health & Human Services

Official Summary Text

The act prohibits sterilization of a person with an intellectual and developmental disability without the person's informed consent if the person has decision-making capacity. The act prohibits sterilization of a person with an intellectual and developmental disability without the person's informed consent if the person does not have decision-making capacity, except in accordance with processes in existing law that allow another person with legal authority to make medical decisions for the person to consent on the person's behalf.
The act repeals provisions that:
Explain what happens when there is a disagreement about whether an adult with an intellectual and developmental disability is capable of consenting to sterilization;
Set forth a process for a person to petition a court for, and a court to order, sterilization of a person with an intellectual and developmental disability who either cannot consent or is a minor; and
Require all records, hearings, and proceedings related to a decision to sterilize a person with an intellectual and developmental disability to remain confidential.
(Note: This summary applies to this bill as enacted.)