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CO SB178

CO SB178
Health Insurance Affordability Measures


summary

Introduced
04/23/2026
In Committee
05/09/2026
Crossed Over
05/21/2026
Passed
06/02/2026
Dead
Signed/Enacted/Adopted
06/02/2026

Introduced Session

2026 Regular Session

Bill Summary

CONCERNING MEASURES TO ADDRESS THE AFFORDABILITY OF HEALTH INSURANCE.

AI Summary

This bill aims to enhance health insurance affordability in Colorado by defining "BOND" as any debt instrument issued by the health insurance affordability enterprise and "BOND OBLIGATIONS" as the costs associated with these bonds, including principal, interest, and related fees. The enterprise is granted expanded powers, including the ability to invest money in its fund without certain statutory limitations and to contract with private professional fund managers. The bill also outlines specific allocations for revenues collected by the enterprise starting in 2027, prioritizing subsidies for state-subsidized individual health coverage plans, contributions to a reinsurance program, and efforts to reduce costs for individuals purchasing plans on the exchange. Furthermore, it authorizes the enterprise to issue up to $100 million in revenue bonds to fund its programs, with provisions for investment and tax exemption, and mandates a study on optimizing affordability programs, including the feasibility of a Basic Health Program. The bill also establishes a tax credit for insurance companies contributing to the enterprise, capped at $9 million annually, and modifies existing tax credits for contributions to the health insurance exchange, extending the higher credit limit through August 31, 2027, before it reverts to a lower amount and is ultimately repealed at the end of 2027. Finally, it directs a $40 million transfer from the Marijuana Tax Cash Fund to the Health Insurance Affordability Cash Fund by June 30, 2026.

Committee Categories

Budget and Finance

Sponsors (33)

Last Action

Governor Signed (on 06/02/2026)

Bill Topics

Banking, Finance, and Domestic Commerce
  • ‐ Insurance Regulation
Health
  • ‐ Comprehensive Health Care Reform
  • ‐ Health Insurance Reform

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://leg.colorado.gov/bills/SB26-178 04/23/2026
BillText https://leg.colorado.gov/bill_files/116949/download 06/03/2026
BillText https://leg.colorado.gov/bill_files/116559/download 05/20/2026
BillText https://leg.colorado.gov/bill_files/116416/download 05/12/2026
BillText https://leg.colorado.gov/bill_files/116353/download 05/11/2026
Second Reading Amendment L.022 https://leg.colorado.gov/bill_amendments/20265/download 05/11/2026
Fiscal Note Second Revised Fiscal Note https://leg.colorado.gov/bill_files/116183/download 05/08/2026
Fiscal Note/Analysis - Budget Staff Analysis SA3 https://leg.colorado.gov/bill_files/116203/download 05/08/2026
BillText https://leg.colorado.gov/bill_files/116146/download 05/08/2026
Third Reading Amendment L.020 https://leg.colorado.gov/bill_amendments/20127/download 05/08/2026
BillText https://leg.colorado.gov/bill_files/116098/download 05/07/2026
Second Reading Amendment L.016 https://leg.colorado.gov/bill_amendments/20064/download 05/07/2026
Second Reading Amendment L.002 https://leg.colorado.gov/bill_amendments/20065/download 05/07/2026
Senate Appropriations Amendment L.015 https://leg.colorado.gov/bill_amendments/20044/download 05/07/2026
Senate Appropriations Amendment L.014 https://leg.colorado.gov/bill_amendments/20045/download 05/07/2026
Senate Appropriations Amendment L.012 https://leg.colorado.gov/bill_amendments/19973/download 05/06/2026
Senate Appropriations Amendment L.010 https://leg.colorado.gov/bill_amendments/19972/download 05/06/2026
Fiscal Note/Analysis - Budget Staff Analysis SA2 https://leg.colorado.gov/bill_files/115806/download 05/05/2026
Fiscal Note/Analysis - Budget Staff Analysis SA1 https://leg.colorado.gov/bill_files/115800/download 05/05/2026
Fiscal Note First Revised Fiscal Note https://leg.colorado.gov/bill_files/115741/download 05/04/2026
Senate Finance Amendment L.003 https://leg.colorado.gov/bill_amendments/19736/download 04/30/2026
Senate Finance Amendment L.001 https://leg.colorado.gov/bill_amendments/19735/download 04/30/2026
Fiscal Note Initial Fiscal Note https://leg.colorado.gov/bill_files/115254/download 04/27/2026
BillText https://leg.colorado.gov/bill_files/115144/download 04/23/2026
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