Parity for Non-Opioid Pain Management Drugs
Concerning parity for the use of non-opioid pain management drugs, and, in connection therewith, making an appropriation.
Official status: Became Law
Prime sponsors
- Judy Amabile (Senate) — Prime Sponsor
- Barbara Kirkmeyer (Senate) — Prime Sponsor
- Kyle Brown (House) — Prime Sponsor
- Rick Taggart (House) — Prime Sponsor
Progress (from the official record)
Official summary
Official text — shown in English exactly as published by the official source. The official text controls.
The act requires a health insurance carrier that provides prescription drug benefits to require that: The utilization review requirements, including prior authorization and step therapy, for a non-opioid drug prescribed and approved by the federal food and drug administration (FDA) for the treatment or management of chronic or acute pain (non-opioid pain management drug) are no more restrictive than the least restrictive utilization review requirements for opioid drugs prescribed for the treatment or management of chronic or acute pain; and The cost-sharing, copayment, or deductible for a non-opioid pain management drug is not greater than the cost-sharing, copayment, or deductible for an opioid drug prescribed for the treatment or management of chronic or acute pain. The act requires each individual and small group health benefit plan issued or renewed on or after January 1, 2027, and each large employer health benefit plan issued or renewed on and after January 1, 2028, to ensure there is at least one non-opioid pain management drug available as a clinically appropriate alternative for an opioid pain management drug. If the division of insurance determines that coverage for a non-opioid pain management drug offered by individual and small group health benefit plans requires state defrayal of the cost of coverage, the requirement to make a non-opioid pain management drug available is inoperative. The state employee health benefit plan is excluded from the requirements of the act. The act appropriates $15,415 to the department of regulatory agencies for use by the division of insurance to implement the act. (Note: This summary applies to this bill as enacted.)
Status timeline
| Date | Location | Action |
|---|---|---|
| 01/14/2026 | Senate | Introduced In Senate - Assigned to Health & Human Services |
| 04/02/2026 | Senate | Senate Committee on Health & Human Services Witness Testimony and/or Committee Discussion Only |
| 04/08/2026 | Senate | Senate Committee on Health & Human Services Refer Amended to Appropriations |
| 04/17/2026 | Senate | Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole |
| 04/17/2026 | Senate | Senate Second Reading Special Order - Passed with Amendments - Committee |
| 04/20/2026 | Senate | Senate Third Reading Passed - No Amendments |
| 04/20/2026 | House | Introduced In House - Assigned to Health & Human Services |
| 04/22/2026 | House | House Committee on Health & Human Services Refer Unamended to Appropriations |
| 05/01/2026 | House | House Committee on Appropriations Refer Amended to House Committee of the Whole |
| 05/05/2026 | House | House Second Reading Special Order - Passed with Amendments - Committee |
| 05/06/2026 | House | House Third Reading Passed with Amendments - Floor |
| 05/08/2026 | Senate | Senate Considered House Amendments - Result was to Concur - Repass |
| 05/22/2026 | Senate | Signed by the President of the Senate |
| 05/05/2026 | House | House Second Reading Special Order - Passed with Amendments - No Amendments |
| 05/22/2026 | House | Signed by the Speaker of the House |
| 05/22/2026 | Governor | Sent to the Governor |
| 05/05/2026 | House | House Second Reading Special Order - Lost with Amendments - Committee |
| 06/03/2026 | Governor | Governor Signed |
Recorded votes
- 05/01/2026 — House Appropriations: “Refer Senate Bill 26-006, as amended, to the Committee of the Whole.” — the motion passed on a vote of 10–1.
- 04/22/2026 — House Health & Human Services: “Refer Senate Bill 26-006 to the Committee on Appropriations.” — the motion passed on a vote of 8–5.
- 04/17/2026 — Senate Appropriations: “Refer Senate Bill 26-006 to the Committee of the Whole.” — the motion passed on a vote of 7–0.
- 04/08/2026 — Senate Health & Human Services: “Adopt amendment L.001 (Attachment D).” — the motion passed on a vote of 6–1.
- 04/08/2026 — Senate Health & Human Services: “Adopt amendment L.004 (Attachment E).” — the motion passed on a vote of 6–1.
- 04/08/2026 — Senate Health & Human Services: “Refer Senate Bill 26-006, as amended, to the Committee on Appropriations.” — the motion passed on a vote of 6–1.
Proposed amendments (4 proposed amendments)
| Amendment | Committee / floor hearing | Offered | Disposition | Official document |
|---|---|---|---|---|
| L.001 | Committee amendment — Health & Human Services (Senate) | 04/08/2026 | Passed | View official document |
| L.004 | Committee amendment — Health & Human Services (Senate) | 04/08/2026 | Passed | View official document |
| J.002 | Committee amendment — Appropriations (House) | 05/01/2026 | Passed | View official document |
| L.011 Sponsor: Representative Brown | Floor amendment — Third Reading (House) | 05/06/2026 | Passed | View official document |
Source: Colorado General Assembly (leg.colorado.gov) · Data as of
Full text
- Signed Act version (official PDF), 06/04/2026
- Final Act version (official PDF), 05/21/2026
- Rerevised version (official PDF), 05/06/2026
- Revised version (official PDF), 05/05/2026
- Reengrossed version (official PDF), 04/20/2026
- Engrossed version (official PDF), 04/17/2026
- Introduced version (official PDF), 01/14/2026
Official record
View SB26-006 on leg.colorado.gov
Source: Colorado General Assembly (leg.colorado.gov) · Data as of
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