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ColoradoHB26-10192026 Regular SessionHouseWALLET

Kidney Screening Mandatory Preventive Coverage

Sponsored By: Dylan Roberts (Democratic), Janice Rich (Republican), Jennifer Bacon (Democratic), Sheila Lieder (Democratic)

Signed by Governor

Insurance

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Colorado plans add yearly kidney screening

Colorado health plans must cover annual kidney screening, including glomerular filtration rate testing and urine tests for albumin and creatinine. Large-employer plans qualify when issued or renewed on or after January 1, 2027. Individual and small-group plans qualify when issued or renewed on or after January 1, 2028. Their requirement applies only to benefits that do not go beyond Colorado’s benchmark health plan. It does not operate if Colorado’s Division of Insurance determines that federal law requires the state to pay the added cost. Plans generally must cover the full screening cost. Health savings account–eligible high-deductible plans may apply deductibles if Treasury rules do not treat screening as preventive or permit deductible-free coverage.

State employee plans exclude kidney screening

Colorado’s state employee group health plan specifications must exclude the kidney screening services covered by the new mandate. These include glomerular filtration rate testing and urine tests for albumin and creatinine. Other mandated health benefits remain required. The exclusion affects state employees and dependents covered through these plans. The act takes effect at 12:01 a.m. the day after 90 days following the 2026 legislative session’s final adjournment. That date is August 12, 2026, if final adjournment is May 13, 2026. If a referendum petition is filed, voter approval at the November 2026 election is required. In that case, the act takes effect when the governor officially declares the vote.

Sponsors & Cosponsors

Sponsors

  • Dylan Roberts

    Democratic • Senate

  • Janice Rich

    Republican • Senate

  • Jennifer Bacon

    Democratic • House

  • Sheila Lieder

    Democratic • House

Cosponsors

  • Alex Valdez

    Democratic • House

  • Brianna Titone

    Democratic • House

  • Chad Clifford

    Democratic • House

  • Eliza Hamrick

    Democratic • House

  • Emily Sirota

    Democratic • House

  • Junie Joseph

    Democratic • House

  • Julie McCluskie

    Democratic • House

  • Jacque Phillips

    Democratic • House

  • Kenny Nguyen

    Democratic • House

  • Lorena Garcia

    Democratic • House

  • Lori Goldstein

    Democratic • House

  • Michael Carter

    Democratic • House

  • Monica Duran

    Democratic • House

  • Mandy Lindsay

    Democratic • House

  • Manny Rutinel

    Democratic • House

  • Regina English

    Democratic • House

  • Ryan Gonzalez

    Republican • House

  • Sean Camacho

    Democratic • House

  • Sen. A. Benavidez

    Affiliation unavailable

  • Barbara Kirkmeyer

    Republican • Senate

  • Chris Kolker

    Democratic • Senate

  • Cleave Simpson

    Republican • Senate

  • Iman Jodeh

    Democratic • Senate

  • Judy Amabile

    Democratic • Senate

  • James Coleman

    Democratic • Senate

  • Julie Gonzales

    Democratic • Senate

  • Janice Marchman

    Democratic • Senate

  • Katie Wallace

    Democratic • Senate

  • Lisa Cutter

    Democratic • Senate

  • Larry Liston

    Republican • Senate

  • Matt Ball

    Democratic • Senate

  • Marc Catlin

    Republican • Senate

  • Marc Snyder

    Democratic • Senate

  • Nick Hinrichsen

    Democratic • Senate

  • Scott Bright

    Republican • Senate

  • Tony Exum

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 207 • No: 51

House vote • 5/4/2026

Senate amendments: Repass

Yes: 45 • No: 20

House vote • 5/4/2026

Senate amendments: Concur

Yes: 65 • No: 0

Senate vote • 4/28/2026

Third reading: Bill

Yes: 32 • No: 2

Senate vote • 4/8/2026

Refer House Bill 26-1019 to the Committee of the Whole.

Yes: 7 • No: 0

House vote • 3/16/2026

Third reading: Bill

Yes: 43 • No: 19

House vote • 3/11/2026

Adopt amendment L.002 (Attachment C).

Yes: 7 • No: 5

House vote • 3/11/2026

Refer House Bill 26-1019, as amended, to the Committee of the Whole.

Yes: 8 • No: 5

Actions Timeline

  1. Governor Signed

    5/26/2026House

  2. Signed by the Speaker of the House

    5/20/2026House

  3. Signed by the President of the Senate

    5/20/2026Senate

  4. Sent to the Governor

    5/20/2026House

  5. House Considered Senate Amendments - Result was to Concur - Repass

    5/4/2026House

  6. House Considered Senate Amendments - Result was to Laid Over Daily

    4/29/2026House

  7. Senate Third Reading Passed - No Amendments

    4/28/2026Senate

  8. Senate Second Reading Special Order - Passed with Amendments - Floor

    4/27/2026Senate

  9. Senate Second Reading Laid Over to 04/27/2026 - No Amendments

    4/10/2026Senate

  10. Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole

    4/8/2026Senate

  11. Introduced In Senate - Assigned to Health & Human Services

    3/19/2026Senate

  12. House Third Reading Passed - No Amendments

    3/16/2026House

  13. House Second Reading Special Order - Passed with Amendments - Committee

    3/13/2026House

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

    3/11/2026House

  15. Introduced In House - Assigned to Health & Human Services

    1/14/2026House

Bill Text

  • Engrossed

    PDF

  • Final Act

    PDF

  • House Health & Human Services Preamend

    PDF

  • Introduced

    PDF

  • Reengrossed

    PDF

  • Rerevised

    PDF

  • Revised

    PDF

  • Signed Act

    PDF

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