Bill Commons

CO SB 32

enacted

Promoting Immunization Access

Colorado · 2026 Regular Session · upper

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Quick answers

Did CO SB 32 pass?

Yes. CO SB 32 has been enacted into law. Latest recorded action (2026-03-27): Governor Signed

What is CO SB 32 about?

The act amends the law and adds new provisions to law relating to access to vaccines as follows:     For the cervical cancer vaccine: (Sections 3 and 14)Updates insurance coverage statutes to refer to the vaccine as the human papillomavirus vaccine, rather than the cervical cancer vaccine; Recognizes coverage for both women and men;Authorizes the commissioner of insurance to adopt coverage rules for the vaccine if the advisory committee on immunization practices to the centers for disease control in the federal department of health and human services (ACIP) no longer recommends the vaccine; andUpdates language in the cervical cancer immunization program to define the cervical cancer vaccine as the human papillomavirus vaccine and to refer in the program to underinsured minors, rather than just uninsured female minors, since both male and female minors receive the vaccine;     Under Colorado law, a naturopathic doctor must provide a parent or legal guardian with a copy of the most recent schedule of immunizations recommended by the ACIP. The act removes references to ACIP and requires a naturopathic doctor to refer patients to a schedule of immunizations established by rule of the state board of health (board of health) (Sections 4 and 5);     The act authorizes pharmacists to exercise independent prescriptive authority for vaccines and requires the state board of pharmacy to review and repeal record-keeping rules for vaccines (Sections 6 and 7);     In the context of vaccines required for school entry, updates vaccine-related liability limitation provisions to limit liability for injuries if the vaccine was administered to a child of any age according to the schedule of immunizations established by the board of health or to ACIP's schedule referenced in Colorado law (Section 8);     The act also does the following:Directs the board of health, in adopting rules addressing which vaccines are to be administered to infants, to consider the recommendations of ACIP, as well as the recommendations of the American Academy of Pediatrics and other similar entities (Section 9);Removes the prohibition on the use of state money for infant immunization programs if the state does not receive federal money for the infant immunization programs, and requires any additional general fund money for the programs to be appropriated through the annual state budget process or emergency supplemental process (Section 10);For claims brought on or before January 30, 2029, adds pharmacies, manufacturers, and wholesalers to liability limitation provisions for hospitals, clinics, and other providers relating to the handling, storage, and distribution of vaccines for infants. Manufacturer and wholesaler liability limitation provisions are removed from the law for claims brought on or after January 31, 2029 (Section 11).Authorizes the department of public health and environment to consider vaccines adopted by the board of health by rule, recommendations of the American Academy of Pediatrics and other similar entities, in addition to ACIP, in recommending the purchase of vaccines, sending notifications concerning overdue vaccines and vaccine-preventable disease outbreaks, and when considering equivalent vaccines (Section 12).     The act creates the 'Adult Immunization Act' (act), which applies to individuals at least eighteen years old. A person that administers a vaccine or other immunizing agent to an adult is not liable for civil damages for injury or death of an adult caused by a vaccine or immunizing agent if:The vaccine or immunizing agent was administered according to the schedule of immunizations establish by the board of health by rule, after considering recommendations from ACIP, the American Academy of Pediatrics, and other similar entities;There were no medical contraindications; and The vaccine or immunizing agent was administered in accordance with generally accepted clinical methods.     For claims brought on or before January 30, 2029, against a hospital, clinic, pharmacy, manufacturer, wholesaler, or provider arising from injuries resulting from the handling, storage, or distribution of vaccines, there is no liability unless the injuries are the result of the negligent failure of an employee of the hospital, clinic, pharmacy, or manufacturer, wholesaler, or provider to conform to recognized standards to protect public health. Manufacturer and wholesaler liability protections are removed from the law for claims brought on or after January 31, 2029 (Section 15).     The act authorizes the department of health care policy and financing to purchase for the children's basic health plan vaccines that are recommended by the American Academy of Pediatrics and other similar entities, in addition to those recommended by ACIP (Section 16).(Note: This summary applies to this bill as enacted.)

Who sponsors CO SB 32?

K. Mullica, L. Daugherty, L. Feret and 1 others are the primary sponsors of CO SB 32, joined by 45 cosponsors.

Description

The act amends the law and adds new provisions to law relating to access to vaccines as follows:     For the cervical cancer vaccine: (Sections 3 and 14)Updates insurance coverage statutes to refer to the vaccine as the human papillomavirus vaccine, rather than the cervical cancer vaccine; Recognizes coverage for both women and men;Authorizes the commissioner of insurance to adopt coverage rules for the vaccine if the advisory committee on immunization practices to the centers for disease control in the federal department of health and human services (ACIP) no longer recommends the vaccine; andUpdates language in the cervical cancer immunization program to define the cervical cancer vaccine as the human papillomavirus vaccine and to refer in the program to underinsured minors, rather than just uninsured female minors, since both male and female minors receive the vaccine;     Under Colorado law, a naturopathic doctor must provide a parent or legal guardian with a copy of the most recent schedule of immunizations recommended by the ACIP. The act removes references to ACIP and requires a naturopathic doctor to refer patients to a schedule of immunizations established by rule of the state board of health (board of health) (Sections 4 and 5);     The act authorizes pharmacists to exercise independent prescriptive authority for vaccines and requires the state board of pharmacy to review and repeal record-keeping rules for vaccines (Sections 6 and 7);     In the context of vaccines required for school entry, updates vaccine-related liability limitation provisions to limit liability for injuries if the vaccine was administered to a child of any age according to the schedule of immunizations established by the board of health or to ACIP's schedule referenced in Colorado law (Section 8);     The act also does the following:Directs the board of health, in adopting rules addressing which vaccines are to be administered to infants, to consider the recommendations of ACIP, as well as the recommendations of the American Academy of Pediatrics and other similar entities (Section 9);Removes the prohibition on the use of state money for infant immunization programs if the state does not receive federal money for the infant immunization programs, and requires any additional general fund money for the programs to be appropriated through the annual state budget process or emergency supplemental process (Section 10);For claims brought on or before January 30, 2029, adds pharmacies, manufacturers, and wholesalers to liability limitation provisions for hospitals, clinics, and other providers relating to the handling, storage, and distribution of vaccines for infants. Manufacturer and wholesaler liability limitation provisions are removed from the law for claims brought on or after January 31, 2029 (Section 11).Authorizes the department of public health and environment to consider vaccines adopted by the board of health by rule, recommendations of the American Academy of Pediatrics and other similar entities, in addition to ACIP, in recommending the purchase of vaccines, sending notifications concerning overdue vaccines and vaccine-preventable disease outbreaks, and when considering equivalent vaccines (Section 12).     The act creates the 'Adult Immunization Act' (act), which applies to individuals at least eighteen years old. A person that administers a vaccine or other immunizing agent to an adult is not liable for civil damages for injury or death of an adult caused by a vaccine or immunizing agent if:The vaccine or immunizing agent was administered according to the schedule of immunizations establish by the board of health by rule, after considering recommendations from ACIP, the American Academy of Pediatrics, and other similar entities;There were no medical contraindications; and The vaccine or immunizing agent was administered in accordance with generally accepted clinical methods.     For claims brought on or before January 30, 2029, against a hospital, clinic, pharmacy, manufacturer, wholesaler, or provider arising from injuries resulting from the handling, storage, or distribution of vaccines, there is no liability unless the injuries are the result of the negligent failure of an employee of the hospital, clinic, pharmacy, or manufacturer, wholesaler, or provider to conform to recognized standards to protect public health. Manufacturer and wholesaler liability protections are removed from the law for claims brought on or after January 31, 2029 (Section 15).     The act authorizes the department of health care policy and financing to purchase for the children's basic health plan vaccines that are recommended by the American Academy of Pediatrics and other similar entities, in addition to those recommended by ACIP (Section 16).(Note: This summary applies to this bill as enacted.)

Introduced
2026-01-26
Latest action
2026-03-27 — Governor Signed
Bill type
bill
Last updated
—

Subjects

Sponsors

  • K. Mullicasponsor
  • L. Daughertysponsor
  • L. Feretsponsor
  • K. Brownsponsor
  • L. Smithcosponsor
  • E. Sirotacosponsor
  • G. Rydincosponsor
  • M. Rutinelcosponsor
  • N. Rickscosponsor
  • J. Phillipscosponsor
  • A. Paschalcosponsor
  • K. Nguyencosponsor
  • K. McCormickcosponsor
  • J. McCluskiecosponsor
  • J. Mabreycosponsor
  • M. Lukenscosponsor
  • M. Lindsaycosponsor
  • S. Liedercosponsor
  • E. Hamrickcosponsor
  • L. Goldsteincosponsor
  • L. Gilchristcosponsor
  • L. Garcíacosponsor
  • M. Froelichcosponsor
  • M. Durancosponsor
  • C. Cliffordcosponsor
  • M. Cartercosponsor
  • S. Camachocosponsor
  • A. Boeseneckercosponsor
  • M. Weissmancosponsor
  • K. Wallacecosponsor
  • T. Sullivancosponsor
  • M. Snydercosponsor
  • J. Marchmancosponsor
  • W. Lindstedtcosponsor
  • C. Kolkercosponsor
  • C. Kippcosponsor
  • I. Jodehcosponsor
  • J. Gonzalescosponsor
  • T. Exumcosponsor
  • L. Cuttercosponsor
  • J. Colemancosponsor
  • M. Ballcosponsor
  • J. Amabilecosponsor
  • Y. Zokaiecosponsor
  • A. Valdezcosponsor
  • S. Woodrowcosponsor
  • T. Storycosponsor
  • R. Stewartcosponsor
  • K. Stewartcosponsor

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-03-27

    Governor Signed

    executive-signature

  2. 2026-03-20

    Signed by the President of the Senate

    passage

  3. 2026-03-20

    Signed by the Speaker of the House

    passage

  4. 2026-03-20

    Sent to the Governor

    executive-receipt

  5. 2026-03-18

    Senate Considered House Amendments - Result was to Concur - Repass

  6. 2026-03-16

    House Third Reading Passed - No Amendments

    passage,reading-3

  7. 2026-03-13

    House Second Reading Special Order - Passed with Amendments - Committee, Floor

  8. 2026-03-13

    House Third Reading Passed with Amendments - Floor

    passage,reading-3

  9. 2026-03-02

    House Second Reading Laid Over Daily - No Amendments

  10. 2026-02-25

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

    committee-passage,referral-committee

  11. 2026-02-09

    Introduced In House - Assigned to Health & Human Services

    introduction

  12. 2026-02-05

    Senate Third Reading Passed - No Amendments

    passage,reading-3

  13. 2026-02-04

    Senate Second Reading Passed with Amendments - Committee, Floor

    reading-2

  14. 2026-02-03

    Senate Second Reading Laid Over to 02/04/2026 - No Amendments

  15. 2026-01-29

    Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole

    committee-passage,referral-committee

  16. 2026-01-26

    Introduced In Senate - Assigned to Health & Human Services

    introduction

Versions

Documents

Votes

  • Adopt amendment L.001 (Attachment K).

    2026-01-29 · pass · 0-0

  • Adopt amendment L.003 (Attachment M).

    2026-01-29 · pass · 0-0

  • Adopt amendment L.002 (Attachment L).

    2026-01-29 · pass · 0-0

  • Refer Senate Bill 26-032, as amended, to the Committee of the Whole.

    2026-01-29 · pass · 0-0

    Member-level votes (9)
    • Scott Bright: no
    • John Carson: no
    • Lisa Cutter: yes
    • Lindsey Daugherty: yes
    • Lisa Frizell: no
    • Iman Jodeh: yes
    • Mike Weissman: yes
    • Dafna Michaelson Jenet: yes
    • Kyle Mullica: yes

  • COW * (S.001)

    2026-02-04 · fail · 0-0

    Member-level votes (36)
    • Amabile: no
    • Baisley: yes
    • Ball: no
    • Bridges: excused
    • Bright: yes
    • Carson: yes
    • Catlin: yes
    • Cutter: no
    • Danielson: excused
    • Daugherty: excused
    • Exum: no
    • Frizell: yes
    • Gonzales J.: no
    • Hinrichsen: no
    • Jodeh: no
    • Kipp: no
    • Kirkmeyer: yes
    • Kolker: no
    • Lindstedt: no
    • Liston: yes
    • Marchman: no
    • Michaelson Jenet: no
    • Mullica: no
    • Pelton B.: yes
    • Pelton R.: yes
    • Rich: yes
    • Roberts: no
    • Rodriguez: no
    • Simpson: yes
    • Snyder: no
    • Sullivan: no
    • Wallace: no
    • Weissman: no
    • Zamora Wilson: yes
    • Coleman: no
    • President: no

  • BILL

    2026-02-05 · pass · 0-0

    Member-level votes (36)
    • Amabile: yes
    • Baisley: no
    • Ball: yes
    • Bridges: excused
    • Bright: no
    • Carson: no
    • Catlin: no
    • Cutter: yes
    • Danielson: excused
    • Daugherty: excused
    • Exum: yes
    • Frizell: no
    • Gonzales J.: yes
    • Hinrichsen: yes
    • Jodeh: yes
    • Kipp: yes
    • Kirkmeyer: no
    • Kolker: yes
    • Lindstedt: yes
    • Liston: no
    • Marchman: yes
    • Michaelson Jenet: yes
    • Mullica: yes
    • Pelton B.: no
    • Pelton R.: no
    • Rich: no
    • Roberts: yes
    • Rodriguez: yes
    • Simpson: no
    • Snyder: yes
    • Sullivan: yes
    • Wallace: yes
    • Weissman: yes
    • Zamora Wilson: no
    • Coleman: yes
    • President: yes

  • Adopt amendment L.015 (Attachment M).

    2026-02-25 · pass · 0-0

  • Refer Senate Bill 26-032, as amended, to the Committee of the Whole.

    2026-02-25 · pass · 0-0

    Member-level votes (13)
    • Carlos Barron: no
    • Mary Bradfield: no
    • Brandi Bradley: no
    • Regina English: yes
    • Lisa Feret: yes
    • Eliza Hamrick: yes
    • Dusty Johnson: no
    • Karen McCormick: yes
    • Gretchen Rydin: yes
    • Katie Stewart: yes
    • Dan Woog: no
    • Sheila Lieder: yes
    • Lindsay Gilchrist: yes

  • Adopt amendment L.016 (Attachment N).

    2026-02-25 · pass · 0-0

  • CONCUR

    2026-03-18 · pass · 0-0

    Member-level votes (36)
    • Amabile: yes
    • Baisley: yes
    • Ball: yes
    • Benavidez: yes
    • Bridges: yes
    • Bright: yes
    • Carson: yes
    • Catlin: yes
    • Cutter: yes
    • Danielson: excused
    • Daugherty: yes
    • Exum: yes
    • Frizell: yes
    • Gonzales J.: yes
    • Hinrichsen: yes
    • Jodeh: yes
    • Kipp: yes
    • Kirkmeyer: yes
    • Kolker: yes
    • Lindstedt: yes
    • Liston: yes
    • Marchman: yes
    • Mullica: yes
    • Pelton B.: yes
    • Pelton R.: yes
    • Rich: yes
    • Roberts: yes
    • Rodriguez: yes
    • Simpson: yes
    • Snyder: yes
    • Sullivan: yes
    • Wallace: yes
    • Weissman: yes
    • Zamora Wilson: yes
    • Coleman: yes
    • President: yes

  • REPASS

    2026-03-18 · pass · 0-0

    Member-level votes (36)
    • Amabile: yes
    • Baisley: no
    • Ball: yes
    • Benavidez: yes
    • Bridges: yes
    • Bright: no
    • Carson: no
    • Catlin: no
    • Cutter: yes
    • Danielson: excused
    • Daugherty: yes
    • Exum: yes
    • Frizell: no
    • Gonzales J.: yes
    • Hinrichsen: yes
    • Jodeh: yes
    • Kipp: yes
    • Kirkmeyer: no
    • Kolker: yes
    • Lindstedt: yes
    • Liston: no
    • Marchman: yes
    • Mullica: yes
    • Pelton B.: no
    • Pelton R.: no
    • Rich: no
    • Roberts: yes
    • Rodriguez: yes
    • Simpson: no
    • Snyder: yes
    • Sullivan: yes
    • Wallace: yes
    • Weissman: yes
    • Zamora Wilson: no
    • President: yes
    • Coleman: yes

Related bills

No related bills recorded for this bill.

Official source

https://leg.colorado.gov/bills/SB26-032

Attribution

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