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ColoradoHB26-12142026 Regular SessionHouse

Sunset Substance Abuse Treatment Program Licensing

Sponsored By: Jamie Jackson (Democratic), Judy Amabile (Democratic), Regina English (Democratic)

Signed by Governor

Human Services

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Bill Overview

Analyzed Economic Effects

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

Colorado keeps oversight of addiction treatment

Colorado extends treatment-program licensing, record-keeping, and related oversight from September 1, 2026, to September 1, 2041. A related agency-functions subsection is repealed by 2043. The law defines substance use disorder as a chronic, relapsing brain disease diagnosed by a qualified licensed practitioner. The diagnosis involves recurring alcohol or drug use that causes serious impairment. State rules replace separate detoxification, withdrawal, and maintenance treatment terms with “medically managed treatment,” including opioid treatment programs. This care covers withdrawal or ongoing addiction symptoms, may include federally approved controlled-substance medicines, and aims to include behavioral health care. The act takes effect August 12, 2026, if lawmakers adjourn on May 13, 2026, and no referendum petition is filed. A referendum petition delays implementation until voter approval at the November 2026 election and the governor’s official declaration of the vote.

Narrower patient registry and treatment identity checks

Colorado’s Behavioral Health Administration must develop or obtain a secure online registry for patients in opioid treatment programs. The registry no longer covers substance use disorder treatment patients generally, narrowing which patients must be registered. Its scheduled repeal date is September 1, 2041. The agency must also set identity-check procedures for people starting medically managed treatment in opioid treatment programs. Those procedures must address people without identification and people experiencing homelessness.

Cannabis restrictions include a prescription exception

Colorado’s second-degree contraband law treats marijuana and marijuana concentrate as contraband, with an exception for qualifying FDA-approved prescription drugs. The exception requires dispensing by a registered pharmacist or pharmacy. The law also bars marijuana and marijuana-concentrate manufacturers and distributors from receiving registrations under the controlled-substance registration provision. Related changes remove older cannabis definitions and link delta-9 THC to the broader THC definition. Delta-9 THC and THC are interchangeable terms for the affected cannabis rules.

Sponsors & Cosponsors

Sponsors

  • Jamie Jackson

    Democratic • House

  • Judy Amabile

    Democratic • Senate

  • Regina English

    Democratic • House

Cosponsors

  • Chad Clifford

    Democratic • House

  • Jennifer Bacon

    Democratic • House

  • Kyle Brown

    Democratic • House

  • Kenny Nguyen

    Democratic • House

  • Mandy Lindsay

    Democratic • House

  • Chris Kolker

    Democratic • Senate

  • James Coleman

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 230 • No: 94

House vote • 5/4/2026

Senate amendments: Repass

Yes: 43 • No: 22

House vote • 5/4/2026

Senate amendments: Concur

Yes: 65 • No: 0

Senate vote • 4/30/2026

Third reading: Bill

Yes: 29 • No: 6

Senate vote • 4/28/2026

Refer House Bill 26-1214 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.

Yes: 7 • No: 0

Senate vote • 4/22/2026

Refer House Bill 26-1214, as amended, to the Committee on Appropriations.

Yes: 7 • No: 0

House vote • 3/25/2026

Third reading: Bill

Yes: 43 • No: 21

House vote • 3/24/2026

Committee of the whole: Amd (h.001)

Yes: 20 • No: 37

House vote • 3/20/2026

Refer House Bill 26-1214 to the Committee of the Whole.

Yes: 8 • No: 3

House vote • 3/11/2026

Refer House Bill 26-1214 to the Committee on Appropriations.

Yes: 8 • No: 5

Actions Timeline

  1. Governor Signed

    5/29/2026House

  2. Signed by the Speaker of the House

    5/28/2026House

  3. Signed by the President of the Senate

    5/28/2026Senate

  4. Sent to the Governor

    5/28/2026House

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

    5/4/2026House

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

    5/1/2026House

  7. Senate Third Reading Passed - No Amendments

    4/30/2026Senate

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

    4/29/2026Senate

  9. Senate Second Reading Special Order - Passed - No Amendments

    4/29/2026Senate

  10. Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole

    4/28/2026Senate

  11. Senate Committee on Health & Human Services Refer Amended to Appropriations

    4/22/2026Senate

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

    3/30/2026Senate

  13. House Third Reading Passed - No Amendments

    3/25/2026House

  14. House Second Reading Special Order - Passed with Amendments - Floor

    3/24/2026House

  15. House Committee on Appropriations Refer Unamended to House Committee of the Whole

    3/20/2026House

  16. House Committee on Health & Human Services Refer Unamended to Appropriations

    3/11/2026House

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

    2/17/2026House

Bill Text

  • Engrossed

    PDF

  • Final Act

    PDF

  • Introduced

    PDF

  • Reengrossed

    PDF

  • Rerevised

    PDF

  • Revised

    PDF

  • Senate Health & Human Services Preamend

    PDF

  • Signed Act

    PDF

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