# Colorado SB26-178: Health Insurance Affordability Measures Colorado SB26-178, Health Insurance Affordability Measures, is a 2026 Regular Session Senate bill sponsored by Iman Jodeh (Democratic), Kyle Brown (Democratic), Kyle Mullica (Democratic) and 1 others; status signed, last action 2026-06-02 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-16). - Canonical: https://policyrisk.com/state-bill/CO-SB26-178-2026A - As of: 2026-10-16 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Colorado SB26-178 - State: Colorado - Session: 2026 Regular Session - Title: Health Insurance Affordability Measures - Status: signed - Chamber: Senate - Introduced: 2026-04-23 - Last action: 2026-06-02, Governor Signed - Sponsors: Iman Jodeh (Democratic), Kyle Brown (Democratic), Kyle Mullica (Democratic), Lindsay Gilchrist (Democratic) - Cosponsors: 29 - Subjects: Health Care & Health Insurance - Touches household money: yes - Roll calls: 8 (131 yes, 44 no in all) - Economic provisions PRIA read: 9 ## Summary No summary available. ## Bill overview: provisions PRIA read - Dedicated funding lowers individual health premiums: benefit, medium. Starting in 2027, the health affordability enterprise must divide specified annual revenues, bond proceeds, transfers, and other allocated deposits. At least 20% funds subsidies for qualified people paying state-subsidized plan premiums, and at least 50% funds reinsurance. At least 25% lowers excha… - More predictable rules for subsidized coverage: benefit, low. The health affordability board must recommend plan rules that favor steady enrollment and predictable coverage. Those recommendations go to the insurance commissioner for approval and adoption through rules. Starting in 2027, the commissioner must consult the board and set premium rules for qualifi… - More language access for health decisions: benefit, low. Before final recommendations on plans, coverage, or available slots, the board must take reasonable steps to gather public input. Input opportunities must include English and Spanish. Written materials and presentations must be available within seven days after meetings. Other languages must be off… - Health fund gains more investment options: benefit, low. The enterprise can invest affordability-fund money without some specified investment limits, except bond proceeds and their earnings. It can hire private investment managers through standard public bidding. Bond proceeds and their earnings follow the usual investment rules unless a corporate truste… - Marijuana taxes fund health insurance help: benefit, low. The state treasurer must transfer $40 million from the Marijuana Tax Cash Fund to the Health Insurance Affordability Cash Fund. The transfer is due by June 30, 2026. It adds money for health affordability programs, not a fixed payment to each household. The transfer authority ends July 1, 2027. - Insurers get credits for health contributions: benefit, low. Starting with tax year 2027, qualifying insurers receive enterprise-contribution tax credits, capped at $9 million per year. Insurers must declare intent with their quarterly payment due around July 31, then make their allocated contribution by October 31. Contributions cannot exceed that July prem… - Older exchange credit ends for insurers: cost, low. The older insurer tax credit for exchange contributions applies only to tax years through 2026. Insurers must contribute through the statutory allocation process to qualify. Its authorizing section is repealed December 31, 2027. The section lists a $9 million annual allocation cap for September 1,… - Health funding bonds require repayment first: mixed, medium. Beginning January 1, 2027, the enterprise can authorize revenue bonds by board resolution to raise up to $100 million total. The money supports approved purposes, including health affordability programs. Bonds must mature within 45 years and are repaid only from pledged affordability-fund money. Bo… - Tax-free health bonds retain public safeguards: mixed, low. Colorado banks, insurers, fiduciaries, and other listed entities can invest money they manage in enterprise bonds. They are not required to buy them. Public-money managers can buy these bonds only when they meet state public-investment requirements. Enterprise income and revenues, its bonds, bond t… ## Sponsors and cosponsors - Sponsor: Iman Jodeh (Democratic), Senate - Sponsor: Kyle Brown (Democratic), House - Sponsor: Kyle Mullica (Democratic), Senate - Sponsor: Lindsay Gilchrist (Democratic), House - Cosponsor: Andrew Boesenecker (Democratic), House - Cosponsor: Amy Paschal (Democratic), House - Cosponsor: Chad Clifford (Democratic), House - Cosponsor: Eliza Hamrick (Democratic), House - Cosponsor: Emily Sirota (Democratic), House - Cosponsor: Gretchen Rydin (Democratic), House - Cosponsor: Jennifer Bacon (Democratic), House - Cosponsor: Jamie Jackson (Democratic), House - Cosponsor: Julie McCluskie (Democratic), House - Cosponsor: Karen McCormick (Democratic), House - Cosponsor: Kenny Nguyen (Democratic), House - Cosponsor: Katie Stewart (Democratic), House - Cosponsor: Lesley Smith (Democratic), House - Cosponsor: Meg Froelich (Democratic), House - Cosponsor: Mandy Lindsay (Democratic), House - Cosponsor: Meghan Lukens (Democratic), House - Cosponsor: Manny Rutinel (Democratic), House - Cosponsor: Naquetta Ricks (Democratic), House - Cosponsor: Sean Camacho (Democratic), House - Cosponsor: Yara Zokaie (Democratic), House - Cosponsor: Cathy Kipp (Democratic), Senate - Cosponsor: Dylan Roberts (Democratic), Senate - Cosponsor: Jessie Danielson (Democratic), Senate - Cosponsor: Julie Gonzales (Democratic), Senate - Cosponsor: Janice Marchman (Democratic), Senate - Cosponsor: Lisa Cutter (Democratic), Senate - Cosponsor: Lindsey Daugherty (Democratic), Senate - Cosponsor: Tony Exum (Democratic), Senate - Cosponsor: William Lindstedt (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-12 | House | Third reading: Bill | pass | 43 | 22 | | | 2026-05-09 | House | Refer Senate Bill 26-178 to the Committee of the Whole. | pass | 9 | 2 | | | 2026-05-08 | Senate | Third reading: Amend (l.020) | pass | 34 | 0 | | | 2026-05-08 | Senate | Third reading: Bill | pass | 23 | 10 | | | 2026-05-07 | Senate | Refer Senate Bill 26-178, as amended, to the Committee of the Whole. | pass | 4 | 3 | | | 2026-05-06 | Senate | Adopt amendment L.010 | pass | 6 | 1 | | | 2026-04-30 | Senate | Refer Senate Bill 26-178, as amended, to the Committee on Appropriations. | pass | 6 | 3 | | | 2026-04-30 | Senate | Adopt amendment L.001 (Attachment H) | pass | 6 | 3 | | ## Actions (14) - 2026-06-02: Governor Signed (House) - 2026-05-21: Signed by the President of the Senate (Senate) - 2026-05-21: Signed by the Speaker of the House (House) - 2026-05-21: Sent to the Governor (House) - 2026-05-12: House Third Reading Passed - No Amendments (House) - 2026-05-11: House Second Reading Special Order - Passed - No Amendments (House) - 2026-05-09: House Committee on Appropriations Refer Unamended to House Committee of the Whole (House) - 2026-05-08: Senate Third Reading Passed with Amendments - Floor (Senate) - 2026-05-08: Introduced In House - Assigned to Appropriations (House) - 2026-05-07: Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole (Senate) - 2026-05-07: Senate Second Reading Special Order - Laid Over Daily - No Amendments (Senate) - 2026-05-07: Senate Second Reading Special Order - Passed with Amendments - Committee, Floor (Senate) - 2026-04-30: Senate Committee on Finance Refer Amended to Appropriations (Senate) - 2026-04-23: Introduced In Senate - Assigned to Finance (Senate) ## Bill text - Engrossed: [PDF](https://leg.colorado.gov/bill_files/116098/download) - Final Act: [PDF](https://leg.colorado.gov/bill_files/116559/download) - Introduced: [PDF](https://leg.colorado.gov/bill_files/115144/download) - Reengrossed: [PDF](https://leg.colorado.gov/bill_files/116146/download) - Rerevised: [PDF](https://leg.colorado.gov/bill_files/116416/download) - Revised: [PDF](https://leg.colorado.gov/bill_files/116353/download) - Senate Appropriations Preamend: [PDF](https://leg.colorado.gov/bill_files/116063/download) - Senate Finance Preamend: [PDF](https://leg.colorado.gov/bill_files/115573/download) - Signed Act: [PDF](https://leg.colorado.gov/bill_files/116949/download) ## Related bills - HB26-1250: Procedures Related to Civil Asset Forfeiture (signed) - HB26-1298: Background Checks for Child Welfare Placements (signed) - HB26-1414: Medical Record Requests (signed) - SB26-155: Increase Access Homeowner's Insurance Enterprise (signed) - HB26-1429: County Administration Public Assistance Programs (signed) - HB26-1430: Transportation Funding Adjustments (signed) ## Sources - [Engrossed (PDF)](https://leg.colorado.gov/bill_files/116098/download) - [Final Act (PDF)](https://leg.colorado.gov/bill_files/116559/download) - [Introduced (PDF)](https://leg.colorado.gov/bill_files/115144/download) - [Reengrossed (PDF)](https://leg.colorado.gov/bill_files/116146/download) - [Rerevised (PDF)](https://leg.colorado.gov/bill_files/116416/download) - [Revised (PDF)](https://leg.colorado.gov/bill_files/116353/download) - [Senate Appropriations Preamend (PDF)](https://leg.colorado.gov/bill_files/116063/download) - [Senate Finance Preamend (PDF)](https://leg.colorado.gov/bill_files/115573/download) - [Signed Act (PDF)](https://leg.colorado.gov/bill_files/116949/download) ## Related - [HB26-1250: Procedures Related to Civil Asset Forfeiture](https://policyrisk.com/state-bill/CO-HB26-1250-2026A) - [HB26-1298: Background Checks for Child Welfare Placements](https://policyrisk.com/state-bill/CO-HB26-1298-2026A) - [HB26-1414: Medical Record Requests](https://policyrisk.com/state-bill/CO-HB26-1414-2026A) - [SB26-155: Increase Access Homeowner's Insurance Enterprise](https://policyrisk.com/state-bill/CO-SB26-155-2026A) - [HB26-1429: County Administration Public Assistance Programs](https://policyrisk.com/state-bill/CO-HB26-1429-2026A) - [HB26-1430: Transportation Funding Adjustments](https://policyrisk.com/state-bill/CO-HB26-1430-2026A) - [Colorado bills](https://policyrisk.com/states/colorado/bills) - [Colorado state hub](https://policyrisk.com/states/colorado) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/CO-SB26-178-2026A (as of 2026-10-16).