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SB26-178 · Bill · 2026 Regular Session · Colorado

Health Insurance Affordability Measures

Concerning measures to address the affordability of health insurance.

Official status: Became Law

10 proposed amendments

Prime sponsors

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: Authorizes the health insurance affordability enterprise (enterprise), on or after January 1, 2027, to issue revenue bonds of up to $100 million to fund enterprise programs, secured by the enterprise's revenues, and require the enterprise to pay bond obligations before allocating revenues for enterprise programs; Allows the enterprise to invest specified money in the health insurance affordability cash fund (cash fund) without regard to otherwise applicable requirements for such investments and to contract with private professional fund managers to advise on investment strategies; Modifies the allocation of enterprise revenue among authorized purposes and allows the enterprise to reallocate unexpended amounts for specified purposes; Directs the enterprise to require qualified individuals who are enrolled in state-subsidized individual health coverage plans eligible for subsidies from the enterprise to pay premiums established in rules adopted by the commissioner, in consultation with the health insurance affordability board (board); Requires the enterprise to adjust the statewide average premium reduction under the reinsurance program to 18% and to reduce the amount of bonds issued to account for the reduced costs for the reinsurance program; Directs the board, in recommending parameters for implementing subsidies for state-subsidized individual health coverage plans, to recommend coverage that prioritizes enrollment stability and customer predictability; when seeking input on its recommendations regarding plans, coverage, and the number of eligible slots, to enable feedback in at least English and Spanish and in other languages upon request; and to indicate how it incorporated such feedback into its final recommendations; Directs the enterprise to conduct or contract a third party to conduct a study to evaluate the feasibility of restructuring the enterprise programs to increase health insurance affordability and maximize enrollment in health insurance plans; Requires the enterprise to submit 3 written reports and make one in-person presentation to the joint budget committee each year regarding the status of the cash fund and, as part of its in-person presentation in January 2027, to provide an analysis of the effects of changing the statewide average premium reduction under the reinsurance program to 15% and of creating a tiered, income-based, structure for premium assistance for individuals who purchase insurance on the Colorado health benefit exchange (exchange); Repeals the tax credit for contributions to the exchange and replaces it with a tax credit for contributions to the enterprise; and Directs the state treasurer to transfer $40 million from the marijuana tax cash fund to the cash fund by June 30, 2026, reduces to $60 million the designation of money in the marijuana tax cash fund as the state emergency reserve for the 2025-26 and 2026-27 state fiscal years, and increases by $40 million the value of the capitol annex building for purposes of the state emergency reserve for the 2025-26 and 2026-27 state fiscal years. (Note: This summary applies to this bill as enacted.)

Status timeline

Every recorded action on SB26-178, oldest first
DateLocationAction
04/23/2026SenateIntroduced In Senate - Assigned to Finance
04/30/2026SenateSenate Committee on Finance Refer Amended to Appropriations
05/07/2026SenateSenate Committee on Appropriations Refer Amended to Senate Committee of the Whole
05/07/2026SenateSenate Second Reading Special Order - Laid Over Daily - No Amendments
05/07/2026SenateSenate Second Reading Special Order - Passed with Amendments - Committee, Floor
05/08/2026SenateSenate Third Reading Passed with Amendments - Floor
05/08/2026HouseIntroduced In House - Assigned to Appropriations
05/09/2026HouseHouse Committee on Appropriations Refer Unamended to House Committee of the Whole
05/11/2026HouseHouse Second Reading Special Order - Passed - No Amendments
05/12/2026HouseHouse Third Reading Passed - No Amendments
05/21/2026SenateSigned by the President of the Senate
05/21/2026HouseSigned by the Speaker of the House
05/21/2026GovernorSent to the Governor
06/02/2026GovernorGovernor Signed

Recorded votes

Proposed amendments (10 proposed amendments)

Amendments proposed to SB26-178, oldest first
AmendmentCommittee / floor hearingOfferedDispositionOfficial document
L.001Committee amendment — Finance (Senate)04/30/2026PassedView official document
L.003Committee amendment — Finance (Senate)04/30/2026PassedView official document
L.010Committee amendment — Appropriations (Senate)05/06/2026PassedView official document
L.012Committee amendment — Appropriations (Senate)05/06/2026PassedView official document
L.014Committee amendment — Appropriations (Senate)05/07/2026PassedView official document
L.015Committee amendment — Appropriations (Senate)05/07/2026PassedView official document
L.002
Sponsor: Senator Jodeh		Floor amendment — Second Reading (Senate)05/07/2026PassedView official document
L.016
Sponsor: Senator Mullica		Floor amendment — Second Reading (Senate)05/07/2026PassedView official document
L.020
Sponsor: Senator Mullica		Floor amendment — Third Reading (Senate)05/08/2026PassedView official document
L.022
Sponsor: Representative Richardson		Floor amendment — Second Reading (House)05/11/2026LostView official document

Source: Colorado General Assembly (leg.colorado.gov) · Data as of

Full text

Official record

View SB26-178 on leg.colorado.gov

Source: Colorado General Assembly (leg.colorado.gov) · Data as of

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