All Roll Calls
Yes: 244 • No: 42
ColoradoHB26-13362026 Regular SessionHouseWALLET
Increase Access to Pharmacy Services
Sponsored By: Lisa Cutter (Democratic), Mandy Lindsay (Democratic), Rod Pelton (Republican), Ty Winter (Republican)
Signed by Governor
Health Care & Health InsuranceProfessions & Occupations
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Health plans must cover pharmacist care
Beginning August 12, 2026, Colorado plans providing hospital, surgical, or medical expense insurance must cover qualifying pharmacist care. Services must already be covered by the plan and fall within the pharmacist’s legal scope. Supplemental policies for specific diseases or other limited benefits are exempt. Plans cannot discriminate based only on pharmacist license type in network access, referrals, payment, or liability protection. Pharmacists must follow the plan’s participation terms. Plans need not contract with every pharmacist and can keep consistent network, referral, quality, and cost rules.
More pharmacist prescribing for children and adults
Beginning August 12, 2026, Colorado pharmacists can independently prescribe certain noncontrolled medicines or devices for children ages 5 through 11. Prescriptions must follow Food and Drug Administration labeling. Eligible conditions need no new diagnosis, are minor and generally clear up on their own, or involve a qualifying federally waived test. Some medicines are excluded, including those requiring a certified education program and limited distribution network. After testing or treatment, pharmacists must promptly notify the child’s primary care provider, following health privacy rules. If no provider is disclosed, they must refer the child for further care. For ages 12 through 17, this requirement also applies to qualifying test-guided care. For patients 12 and older, the law expands prescribing of noncontrolled drugs needing no new diagnosis, with approved labeling, appropriate testing, and primary care involvement. The law also authorizes prescribing federally approved opioid-use-disorder products under its separate authorization.
Medicaid can pay for pharmacist care
Beginning August 12, 2026, Colorado Medicaid can reimburse pharmacists for medically necessary services within their legal scope of practice. Services cannot duplicate another pharmacist service or program that Medicaid already pays for. The law does not set a payment amount.
Pharmacies can delegate more medicine checks
Beginning August 12, 2026, pharmacists can delegate certain noncontrolled order preparation and processing tasks to supervised technicians or interns. Certified technicians or interns can also perform allowed final physical checks after orders are reviewed for accuracy and appropriateness. These include specified second-person, barcode, and repackaging checks. Delegation must use reasonable professional judgment and cannot require technicians to make clinical decisions. Pharmacies using delegated final checks must continuously assess quality, periodically check accuracy, and document errors. They must also maintain a plan preserving pharmacists’ hours for direct patient care. The state pharmacy board must adopt rules on training, excluded medicines, liability, and related safeguards by December 31, 2026.
Sponsors & Cosponsors
Sponsors
Lisa Cutter
Democratic • Senate
Mandy Lindsay
Democratic • House
Rod Pelton
Republican • Senate
Ty Winter
Republican • House
Cosponsors
Andrew Boesenecker
Democratic • House
Amy Paschal
Democratic • House
Bob Marshall
Democratic • House
Carlos Barron
Republican • House
Chad Clifford
Democratic • House
Dusty Johnson
Republican • House
Gretchen Rydin
Democratic • House
Jennifer Bacon
Democratic • House
Jarvis Caldwell
Republican • House
Julie McCluskie
Democratic • House
Kyle Brown
Democratic • House
Karen McCormick
Democratic • House
Kenny Nguyen
Democratic • House
Katie Stewart
Democratic • House
Lori Goldstein
Democratic • House
Lesley Smith
Democratic • House
Monica Duran
Democratic • House
Manny Rutinel
Democratic • House
Matt Soper
Republican • House
Ryan Gonzalez
Republican • House
Tisha Mauro
Democratic • House
Cathy Kipp
Democratic • Senate
Chris Kolker
Democratic • Senate
Dylan Roberts
Democratic • Senate
Iman Jodeh
Democratic • Senate
John Carson
Republican • Senate
James Coleman
Democratic • Senate
Julie Gonzales
Democratic • Senate
Janice Marchman
Democratic • Senate
Katie Wallace
Democratic • Senate
Matt Ball
Democratic • Senate
Marc Catlin
Republican • Senate
Marc Snyder
Democratic • Senate
Mike Weissman
Democratic • Senate
Scott Bright
Republican • Senate
Tony Exum
Democratic • Senate
Roll Call Votes
House vote • 5/7/2026
Senate amendments: Repass
Yes: 57 • No: 7
House vote • 5/7/2026
Senate amendments: Concur
Yes: 64 • No: 0
Senate vote • 5/6/2026
Third reading: Bill
Yes: 33 • No: 2
Senate vote • 4/30/2026
Refer House Bill 26-1336, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.
Yes: 7 • No: 0
House vote • 4/21/2026
Third reading: Bill
Yes: 54 • No: 10
House vote • 3/31/2026
Adopt amendment L.002 (Attachment C) to L.001 (Attachment B).
Yes: 4 • No: 9
House vote • 3/31/2026
Adopt amendment L.004 (Attachment D).
Yes: 3 • No: 10
House vote • 3/31/2026
Refer House Bill 26-1336, as amended, to the Committee of the Whole.
Yes: 10 • No: 3
House vote • 3/31/2026
Adopt amendment L.001 (Attachment B).
Yes: 12 • No: 1
Actions Timeline
Governor Signed
5/29/2026HouseSigned by the Speaker of the House
5/22/2026HouseSigned by the President of the Senate
5/22/2026SenateSent to the Governor
5/22/2026HouseHouse Considered Senate Amendments - Result was to Concur - Repass
5/7/2026HouseSenate Third Reading Passed - No Amendments
5/6/2026SenateSenate Second Reading Special Order - Passed with Amendments - Committee
5/5/2026SenateSenate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole
4/30/2026SenateIntroduced In Senate - Assigned to Health & Human Services
4/27/2026SenateHouse Third Reading Passed - No Amendments
4/21/2026HouseHouse Second Reading Special Order - Passed with Amendments - Committee, Floor
4/20/2026HouseHouse Second Reading Laid Over Daily - No Amendments
4/3/2026HouseHouse Committee on Health & Human Services Refer Amended to House Committee of the Whole
3/31/2026HouseIntroduced In House - Assigned to Health & Human Services
3/17/2026House
Bill Text
Engrossed
Final Act
House Health & Human Services Preamend
Introduced
Reengrossed
Rerevised
Revised
Senate Health & Human Services Preamend
Signed Act
Related Bills
HB26-1250, Procedures Related to Civil Asset Forfeiture
HB26-1298, Background Checks for Child Welfare Placements
HB26-1414, Medical Record Requests
SB26-155, Increase Access Homeowner's Insurance Enterprise
HB26-1429, County Administration Public Assistance Programs
HB26-1430, Transportation Funding Adjustments