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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 official source material did not include specific details about the process of obtaining informed consent or legal authority in cases where the person cannot give consent, nor does it provide new processes to replace removed court procedures.

Sterilization Rights for People with Disabilities

This law stops doctors from performing sterilizations on people with intellectual and developmental disabilities without their informed consent, unless someone else has legal permission to make medical decisions for them.

What This Bill Does

  • It says that a person with an intellectual or developmental disability cannot be sterilized without giving clear information about the procedure and getting their agreement if they can understand it.
  • If a person with disabilities cannot give informed consent, another person who has legal authority to make medical decisions for them may do so in accordance with existing law.

Who It Names or Affects

  • People with intellectual and developmental disabilities
  • Doctors and healthcare providers

Terms To Know

Informed consent
When a person is given all the information about a medical procedure and agrees to it after understanding what it means.
Decision-making capacity
The ability of a person to understand and make decisions for themselves, especially regarding their health care.

Limits and Unknowns

  • It does not specify the exact process for obtaining informed consent or legal authority in cases where the person cannot give consent.
  • The law removes existing court processes but does not provide new ones to replace them.

Amendments

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

L.001

HOU Health & Human Services

Passed [*]

Plain English: The amendment changes Colorado law to require informed consent from a person with an intellectual or developmental disability before they can be sterilized, unless the procedure is necessary to protect their life or health.

  • Adds requirements for evaluating whether a person with an intellectual and developmental disability has given voluntary and informed consent before sterilization.
  • Removes provisions that allowed sterilization without the person's consent if certain conditions were met.
  • Modifies existing law on medical care to ensure no organs are removed from individuals over 18 years old without their explicit consent.
  • The amendment text does not provide clear details about how disputes over competency will be resolved, which was previously covered in repealed sections.
  • It is unclear what specific changes were made to section 25.5-10-220 (9) beyond the provided context.
L.002

HOU Health & Human Services

Passed [*]

Plain English: The amendment changes the conditions under which a person with an intellectual and developmental disability can be sterilized without their consent.

  • Removes the previous language that allowed for certain exceptions to sterilization without informed consent.
  • Adds new rules stating that no one can sterilize someone with an intellectual or developmental disability against their will, unless there is a serious threat to their life or health and specific legal processes are followed.
  • The exact details of the 'process, requirements, or limitations' mentioned in the amendment may not be clear without additional context from other laws or court orders.
L.006

SEN Health & Human Services

Passed [*]

Plain English: The amendment makes several technical changes to the bill's language regarding sterilization rights for people with intellectual and developmental disabilities.

  • Removes 'definition.' after 'intent' on page 2, line 4.
  • Deletes '(a)' from '(2) (a)' on page 2, line 12.
  • Strikes out the first line of page 3 entirely.
  • Replaces 'PERSON AND' with 'WHERE' on page 3, line 2.
  • Removes lines 20 through 23 on page 3.
  • The amendment does not provide context for why these specific changes are being made, which limits understanding of the full impact.
L.003

Second Reading

Passed [**]

Plain English: The amendment changes the language in a specific section of the bill to define 'imminent threat to life or health' as a condition that poses real, immediate, or substantial risk of death or serious and irreversible harm unless prompt medical intervention occurs.

  • Adds a definition for 'imminent threat to the life or health' within the context of the bill's provisions.
  • The amendment text is technical and only provides specific changes without explaining broader impacts, so it's unclear how this will affect the overall bill implementation.
L.004

Second Reading

Passed [**]

Plain English: The amendment changes when a new law about sterilization rights for people with disabilities will start to be used.

  • Changes the effective date of the bill from an immediate start to after a ninety-day period following the end of the general assembly session, unless a referendum petition is filed and approved by voters in November.
  • The exact details about how the referendum process would work are not provided in this amendment text.
L.007

Second Reading

Passed [**]

Plain English: The amendment changes the bill to prohibit sterilization of a person with an intellectual or developmental disability in the absence of their informed consent, rather than against their will.

  • Changes 'AGAINST THE PERSON'S WILL' to 'IN THE ABSENCE OF THE PERSON'S INFORMED CONSENT' at two places in the bill.

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.)