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SB26-032 • 2026

Promoting Immunization Access

The bill amends existing law and adds new provisions relating to access to vaccines as follows: Updates insurance coverage for cervical cancer vaccinations to refer to the vaccine as the human papillo

Children Healthcare Parental Rights
Enacted

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

Sponsor
Sen. L. Daugherty, Sen. K. Mullica, Rep. K. Brown, Rep. L. Feret, Sen. J. Amabile, Sen. M. Ball, Sen. J. Coleman, Sen. L. Cutter, Sen. T. Exum, Sen. J. Gonzales, Sen. I. Jodeh, Sen. C. Kipp, Sen. C. Kolker, Sen. W. Lindstedt, Sen. J. Marchman, Sen. M. Snyder, Sen. T. Sullivan, Sen. K. Wallace, Sen. M. Weissman, Rep. A. Boesenecker, Rep. S. Camacho, Rep. M. Carter, Rep. C. Clifford, Rep. M. Duran, Rep. M. Froelich, Rep. L. García, Rep. L. Gilchrist, Rep. L. Goldstein, Rep. E. Hamrick, Rep. S. Lieder, Rep. M. Lindsay, Rep. M. Lukens, Rep. J. Mabrey, Rep. J. McCluskie, Rep. K. McCormick, Rep. K. Nguyen, Rep. A. Paschal, Rep. J. Phillips, Rep. N. Ricks, Rep. M. Rutinel, Rep. G. Rydin, Rep. E. Sirota, Rep. L. Smith, Rep. K. Stewart, Rep. R. Stewart, Rep. T. Story, Rep. A. Valdez, Rep. S. Woodrow, Rep. Y. Zokaie
Last action
2026-03-13
Official status
House Third Reading Passed with Amendments - Floor
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on when the law will take effect.

Promoting Immunization Access

This law updates insurance coverage for HPV vaccines, allows pharmacists to prescribe vaccines independently, and changes liability rules for vaccine providers.

What This Bill Does

  • Updates insurance policies to cover the human papillomavirus (HPV) vaccine for both men and women.
  • Allows pharmacists to write prescriptions for vaccines without a doctor's order.
  • Removes restrictions on using state money for infant immunization programs if federal funding is not available.
  • Expands liability protections for hospitals, clinics, pharmacies, manufacturers, and wholesalers when handling or distributing vaccines.

Who It Names or Affects

  • People who have health insurance that covers HPV vaccinations
  • Pharmacists who want to prescribe vaccines independently
  • Healthcare providers involved in vaccine distribution

Terms To Know

HPV Vaccine
A vaccine that protects against the human papillomavirus, which can cause cervical cancer and other health issues.
ACIP
Advisory Committee on Immunization Practices, a group that gives advice to the Centers for Disease Control about vaccines.

Limits and Unknowns

  • The law does not specify when it will take effect.
  • Some parts of the bill only apply after January 31, 2029.

Amendments

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

S.001

Committee of the Whole

Lost

Plain English: The amendment removes specific pages and lines from the bill related to insurance coverage for cervical cancer vaccinations.

  • Removes lines 20 through 27 on page 5 of the printed bill.
  • Eliminates all content on page 6.
  • The exact details removed from the bill are not provided in the amendment text, making it unclear what specific changes were made to insurance coverage for cervical cancer vaccinations.
L.015

HOU Health & Human Services

Passed [*]

Plain English: The amendment changes how cervical cancer vaccinations are covered by insurance to follow the latest guidelines from a specific health advisory committee and board rules.

  • Removes outdated references to ACIP guidelines or Board of Health rules, replacing them with 'ACIP guidelines Schedule of Immunizations Established by the Board of Health by Rule'.
  • Updates certain lines to use the term 'immunization' instead of 'immunizations', and changes a deadline from September to October.
  • The amendment text is technical, focusing on specific legal language updates rather than providing clear explanations for laypeople.
L.016

HOU Health & Human Services

Passed [*]

Plain English: The amendment adds new rules for the State Board of Health to create a schedule recommending adult immunizations and how they should be given.

  • Adds a definition for 'Board of Health' on page 13, line 20.
  • Inserts new section 25-4-2604 about rules the State Board of Health must make regarding recommended adult immunizations.
  • Updates existing sections to refer to the new rule-making authority and schedule established by the State Board of Health.
  • The exact details of how the board will create these rules are not specified in this amendment text.
L.001

SEN Health & Human Services

Passed [*]

Plain English: The amendment changes the insurance coverage for cervical cancer vaccinations to ensure there is no cost sharing and updates references in the bill to include specific medical organizations.

  • Insurance coverage for cervical cancer vaccines now includes no cost sharing.
  • References to vaccine recommendations are updated to include multiple medical organizations such as ACIP, AAP, AAFP, ACOG, and ACP.
  • The amendment text does not provide details on how the changes will be implemented or enforced.
L.002

SEN Health & Human Services

Passed [*]

Plain English: The amendment adds a new section to the bill that allows the department to negotiate and purchase vaccines recommended by certain medical organizations.

  • Adds a new provision allowing the department to negotiate for and purchase vaccines adopted by the board or recommended by specific health organizations.
  • The exact scope of which vaccines will be covered is not specified in the amendment text, only that they must meet criteria set by named medical organizations.
L.003

SEN Health & Human Services

Passed [*]

Plain English: The amendment changes the deadline for reviewing existing record-keeping rules related to vaccine insurance coverage.

  • Removes lines that were previously on page 7, lines 24 through 27 of the bill.
  • The exact content removed from page 7 is not provided in the amendment text.
  • It's unclear what specific record-keeping rules will be reviewed and how they relate to vaccine insurance coverage.
L.004

Second Reading

Lost [**]

Plain English: The amendment removes specific language about cervical cancer vaccinations from the insurance coverage section of the bill.

  • Removes lines 14 through 20 on page 9 of the printed bill, which contained details about cervical cancer vaccination insurance coverage.
  • The exact content removed is not provided in the amendment text, so it's unclear what specific language was deleted.
  • Without knowing the original lines, we cannot determine the full impact or purpose of this change.
L.005

Second Reading

Lost [**]

Plain English: The amendment changes the insurance coverage rules for cervical cancer vaccinations to specify who can give consent based on age and legal status.

  • Adds new provisions that allow individuals aged eighteen or older, or those who are emancipated minors, to provide their own consent for cervical cancer vaccines unless other laws require a guardian's approval.
  • Specifies that for individuals under eighteen years old, a parent, legal guardian, or someone with custody and decision-making responsibility must give consent for the vaccine.
  • The amendment text does not specify what happens if there is no one available to provide consent for an individual under eighteen.
  • It's unclear how this change will affect existing insurance coverage rules for other types of vaccines.
L.006

Second Reading

Lost [**]

Plain English: The amendment removes specific sections from the bill related to insurance coverage for cervical cancer vaccinations and liability.

  • Removes lines that describe insurance coverage for cervical cancer vaccines on page 9 of the bill.
  • Eliminates a section about liability on page 14 of the bill.
  • The amendment text does not provide details about what was in the removed sections, so it's unclear exactly which parts are being deleted or why.
L.007

Second Reading

Passed [**]

Plain English: The amendment removes specific wording about cervical cancer vaccinations from the insurance coverage section of the bill.

  • Removes lines 21 and 22 on page 13 of the printed bill, which mention cervical cancer vaccinations in relation to insurance coverage.
  • The exact wording removed is not provided in the amendment text, so it's unclear what specific language was deleted.
  • It is unknown how this removal will affect the overall meaning or implementation of the insurance coverage for cervical cancer vaccinations.
L.008

Second Reading

Passed [**]

Plain English: The amendment adds the term 'WHOLESALE' wherever 'MANUFACTURER' appears in certain sections of the bill.

  • Adds 'WHOLESALER,' after 'MANUFACTURER,' on page 9, line 25.
  • Adds 'WHOLESALER,' after 'MANUFACTURER,' on page 10, lines 1 and 3.
  • Adds 'WHOLESALER,' after 'MANUFACTURER,' on page 15, lines 6, 10, and 12.
  • The amendment does not provide context about why or how adding 'WHOLESALE' impacts the bill's provisions.
L.009

Second Reading

Passed [**]

Plain English: The amendment changes the language in the bill to update insurance coverage requirements for cervical cancer vaccinations, specifically referring to the vaccine as recommended by ACIP.

  • Removes specific lines that describe outdated or unnecessary details about cervical cancer vaccination coverage.
  • Adds a new requirement that insurance must cover vaccines according to guidelines set by ACIP (Advisory Committee on Immunization Practices).
  • Clarifies that the term 'ACIP' is defined in another part of the bill.
  • The exact details about how ACIP's recommendations will be implemented are not provided and may need to be found elsewhere in the bill or related documents.
L.011

Second Reading

Lost [**]

Plain English: The amendment removes specific pages and lines from the bill related to insurance coverage for cervical cancer vaccinations.

  • Removes page 6 of the printed bill entirely.
  • Strikes out lines 20 through 27 on page 5, which likely contain details about insurance coverage for cervical cancer vaccines.
  • The exact content and implications of the removed text are not provided in the amendment document, making it hard to explain fully what changes this will cause.
L.012

Second Reading

Passed [**]

Plain English: The amendment changes the wording in a bill about vaccine access, specifically removing language that would repeal certain provisions and instead amends them, and adds new text to prevent additional general fund money from being used if federal funds are not available for immunization programs.

  • Changes 'repeal' to 'amend' in the existing law regarding cervical cancer vaccinations.
  • Removes lines that were previously part of the bill and replaces them with new text stating that no additional general fund money will be used if federal funds are not available for immunization programs.
  • The amendment's text is somewhat technical, making it hard to fully explain without context from the original bill.
  • It's unclear what specific provisions would have been repealed and how they will now be amended.
L.019

Second Reading

Passed [**]

Plain English: The amendment removes references to vaccine manufacturers in several sections of the bill and adds new language about the importance of vaccine manufacturing for public health and economic stability.

  • Removed mentions of 'vaccine manufacturers' from various parts of the bill.
  • Added a new section highlighting the role of vaccine manufacturing in Colorado's public health security, economy, and innovation.
  • The exact impact on insurance coverage for cervical cancer vaccinations is not clear from this amendment text alone.
L.020

Second Reading

Lost [**]

Plain English: The amendment changes references in a bill to specify using the most recent immunization schedule recommended by the Advisory Committee on Immunization Practices (ACIP) and established by the Board of Health.

  • Replaces existing language with new wording that directs parents or legal guardians to follow the latest ACIP immunization schedule set by the Board of Health.
  • The amendment text is somewhat technical, but it clearly aims to update references in the bill to a specific immunization schedule. The exact impact on insurance coverage for cervical cancer vaccinations is not detailed here.
L.021

Second Reading

Lost [**]

Plain English: The amendment removes specific sections from the bill related to insurance coverage for cervical cancer vaccinations.

  • Removes lines 16 through 27 on page 12 of the reengrossed bill, which likely contain details about insurance coverage for cervical cancer vaccines.
  • Eliminates pages 13 and 14 entirely from the bill text.
  • Strikes out lines 1 through 25 on page 15.
  • The exact content of the removed sections is not provided, so it's unclear what specific details about insurance coverage for cervical cancer vaccines were in those sections.
L.023

Second Reading

Lost [**]

Plain English: The amendment proposes to remove specific sections from the original bill related to insurance coverage for cervical cancer vaccinations.

  • Removes lines 25 through 27 on page 7 of the reengrossed bill.
  • Removes lines 1 through 11 on page 8 of the bill.
  • Removes lines 10 through 27 on page 9 of the bill.
  • Removes lines 1 through 3 on page 10 of the bill.
  • The exact content and implications of the removed sections are not provided in the amendment text, making it unclear what specific changes this will cause to insurance coverage for cervical cancer vaccinations.
L.024

Second Reading

Lost [**]

Plain English: The amendment proposes to remove specific parts of the bill related to insurance coverage for cervical cancer vaccinations.

  • Removes lines from page 6 that discuss updates to insurance coverage for cervical cancer vaccines.
  • Eliminates content on page 7 that is connected to the same topic.
  • The exact details of what was removed are not provided in the amendment text, making it hard to know precisely which parts of the bill are affected.
L.025

Second Reading

Lost [**]

Plain English: The amendment adds a new requirement for parental or legal guardian consent before administering the HPV vaccination to patients under eighteen years old.

  • Adds a new section (f) after existing sections in the bill, requiring that parents or legal guardians must give their permission for children younger than eighteen to receive the HPV vaccine.
  • The amendment text does not specify if there were any previous requirements regarding consent for vaccinations before this change.
  • It is unclear what specific changes are made by inserting '(17)(f)' after '(17)(e)', as the full context of these sections is not provided.
L.026

Second Reading

Lost [**]

Plain English: The amendment changes the insurance coverage requirements for cervical cancer vaccinations to include patients between twelve and eighteen years old who have parental consent.

  • Adds a new provision that allows individuals aged twelve to eighteen, with parental consent, to receive insurance coverage for cervical cancer vaccines.
  • The amendment text is incomplete and does not provide full context or details about the changes it intends to make beyond the specified age range and parental consent requirement.
L.028

Second Reading

Lost [**]

Plain English: The amendment changes the existing law by adding 'intentional or reckless' to the list of actions that can be considered when determining liability for harm caused by not providing cervical cancer vaccinations.

  • Adds 'intentional or reckless' to the description of actions that can lead to legal consequences if someone does not provide cervical cancer vaccinations.
  • The amendment text is brief and may not fully explain all aspects of how this change will be applied in practice.

Bill History

  1. 2026-03-27 Governor

    Governor Signed

  2. 2026-03-20 Governor

    Sent to the Governor

  3. 2026-03-20 House

    Signed by the Speaker of the House

  4. 2026-03-20 Senate

    Signed by the President of the Senate

  5. 2026-03-18 Senate

    Senate Considered House Amendments - Result was to Concur - Repass

  6. 2026-03-16 House

    House Third Reading Passed - No Amendments

  7. 2026-03-13 House

    House Third Reading Passed with Amendments - Floor

  8. 2026-03-13 House

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

  9. 2026-03-02 House

    House Second Reading Laid Over Daily - No Amendments

  10. 2026-02-25 House

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

  11. 2026-02-09 House

    Introduced In House - Assigned to Health & Human Services

  12. 2026-02-05 Senate

    Senate Third Reading Passed - No Amendments

  13. 2026-02-04 Senate

    Senate Second Reading Passed with Amendments - Committee, Floor

  14. 2026-02-03 Senate

    Senate Second Reading Laid Over to 02/04/2026 - No Amendments

  15. 2026-01-29 Senate

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

  16. 2026-01-26 Senate

    Introduced In Senate - Assigned to Health & Human Services

Official Summary Text

The bill amends existing law and adds new provisions relating to access to vaccines as follows:
Updates insurance coverage for cervical cancer vaccinations to refer to the vaccine as the human papillomavirus vaccine, rather than the cervical cancer vaccine; recognizes coverage for both women and men; and authorizes the commissioner of insurance to adopt coverage rules for the vaccine if the advisory committee on immunization practices to the centers for disease control in the federal department of health and human services (ACIP) no longer recommends the vaccine (
section 3
of the bill);
In naturopathic medicine practice, references a schedule of immunizations and guidelines established by the state board of health (board of health) in addition to ACIP's schedule of immunizations and guidelines referenced in existing law (
sections 4 and 5
);
Authorizes pharmacists to exercise independent prescriptive authority for vaccines and requires the state board of pharmacy to
adopt

review and repeal record-keeping
rules
establishing and amending, as necessary, requirements for independent prescriptive authority
for vaccines (
sections 6 and 7
);
In the context of vaccines required for school entry, updates vaccine-related liability limitation provisions to limit liability for injuries if the vaccine was administered
to a child of any age
according to the board of health schedule of immunizations or to ACIP's schedule referenced in existing law (
section 8
);
Directs the board of health, in adopting rules addressing which vaccines are to be administered to infants, to consider the recommendations of ACIP, as well as the recommendations of the American Academy of Pediatrics and other similar entities (
section 9
);
Removes a prohibition on the use of state money for infant immunization programs if the state does not receive federal money for the
infant
immunization programs,
and requires any additional general fund money for the programs to be appropriated through the annual state budget process
(
section 10
);
Adds pharmacies,
and
manufacturers,
and wholesalers
to liability limitation provisions for hospitals, clinics, and other providers relating to the handling, storage, and distribution of vaccines for infants. Manufacturer
and wholesaler
liability limitation provisions are removed from the law for claims brought on or after January 31, 2029 (
section 11
).
Authorizes the department of public health and environment to consider
vaccines adopted by the board of health by rule,
recommendations of the American Academy of Pediatrics and other similar entities, in addition to ACIP, in recommending the purchase of vaccines, sending notifications concerning overdue vaccines and vaccine-preventable disease outbreaks, and when considering equivalent vaccines (
section 12
);
Updates language in the cervical cancer immunization program to define the cervical cancer vaccine as the human papillomavirus vaccine and to refer to underinsured minors, rather than just uninsured female minors, since both male and female minors receive the vaccine (
sections 13 and 14
);
Adds a new limitation on liability for civil damages for injury or death of an adult caused by a vaccine or immunizing agent if the vaccine or immunizing agent was administered according to the
schedule of immunizations establish by the board of health

recommendations from ACIP, the American Academy of Pediatrics, and other similar entities;
there were no medical contraindications
;
and the vaccine or immunizing agent was administered in accordance with generally accepted clinical methods. For claims brought on or before January 30, 2029, against a hospital, clinic, pharmacy, manufacturer,
wholesaler,
or provider arising from injuries resulting from the handling, storage, or distribution of vaccines, there is no liability unless the injuries are the result of the negligent failure of an employee of the hospital, clinic, pharmacy,
or
manufacturer
, wholesaler, or provider
to conform to recognized standards to protect public health. Manufacturer
and wholesaler
liability protections are removed from the law for claims brought on or after January 31, 2029 (
section 15
).
Authorizes the department of health care policy and financing to purchase for the children's basic health plan vaccines that are recommended by the American Academy of Pediatrics and other similar entities, in addition to those recommended by ACIP (
section 16
).
(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)