Colorado Bill Mandates Preventive Kidney Screening Coverage

Detected March 15th, 2026

Summary

Colorado HB26-1019 mandates that insurance policies and contracts provide total-cost coverage for preventive kidney function screening services. This coverage will apply to large employer health benefit policies issued or renewed after January 1, 2027, and individual and small group plans issued or renewed on or after January 1, 2028.

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What changed

Colorado Bill HB26-1019, introduced for the 2026 Regular Session, proposes to add kidney function screening services to the list of preventive health-care services that must be covered by insurance policies and contracts in the state. The bill specifies that this mandatory coverage will apply to large employer health benefit policies issued or renewed on or after January 1, 2027, and to individual and small group health benefit plans issued or renewed on or after January 1, 2028, provided the state is not required to cover the costs.

Insurers operating in Colorado will need to review their policy offerings and update them to include total-cost coverage for preventive kidney function screenings by the specified dates. Compliance will be required for new policies and renewals starting January 1, 2027, for large employer plans and January 1, 2028, for individual and small group plans. Failure to comply could result in regulatory action by the state's insurance division.

What to do next

Review Colorado HB26-1019 for applicability to insurance policies and contracts.
Update policy language and coverage terms to include mandatory total-cost coverage for preventive kidney function screening services.
Ensure compliance for large employer plans by January 1, 2027, and for individual/small group plans by January 1, 2028.

Source document (simplified)

HB26-1019

Kidney Screening Mandatory Preventive Coverage

| Type | Bill |
| --- | --- |
| Session | 2026 Regular Session |
| Subjects | Insurance |
Concerning mandatory health-care coverage for preventive kidney function screening services.

Recent Bill (PDF) Recent Fiscal Note (PDF) Bill Summary:

The bill adds kidney function screening services as preventive health-care services for which insurance policies or contracts in the state must provide total-cost coverage. Coverage for kidney function screening services will be implemented for all large employer health benefit policies or contracts issued or renewed in this state after January 1, 2027, and all individual and small group health benefit plans issued or renewed in this state on or after January 1, 2028, as long as the state is not required to defray the cost of the coverage of the kidney function screening services.
(Note: This summary applies to this bill as introduced.)

Prime Sponsors

Representative

Sheila Lieder
Representative

Jennifer Bacon
Senator

Dylan Roberts

Committees

House

Health & Human Services

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Status

Under Consideration

Introduced

Under Consideration

Upcoming Schedule

1 meeting

Mon

Mar 16

House Third Reading of Bills - Final Passage

10:00 AM House Chamber

Related Documents & Information

| Date | Version | Documents |
| --- | --- | --- |
| 03/13/2026 | Engrossed | PDF |
| 01/14/2026 | Introduced | PDF |

| Date | Version | Documents |
| --- | --- | --- |
| 03/12/2026 | PA1 | PDF |

| Date | Version | Documents |
| --- | --- | --- |
| 03/13/2026 | First Revised Fiscal Note | PDF |
| 03/12/2026 | Fiscal Note Memorandum | PDF |
| 01/28/2026 | Initial Fiscal Note | PDF |

| Activity | Vote | Documents |
| --- | --- | --- |
| Refer House Bill 26-1019, as amended, to the Committee of the Whole. | The motion passed on a vote of 8-5. | Vote summary |
Committee Report: PDF
| Date | Amendment Number | Committee/ Floor Hearing | Status | Documents |
| --- | --- | --- | --- | --- |
| 03/13/2026 | L.003 | Second Reading | Lost [*] | PDF |
| 03/11/2026 | L.002 | HOU Health & Human Services | Passed [] | PDF |
* Amendments passed in committee are not incorporated into the measure unless adopted by the full House or Senate.

** The status of Second Reading amendments may be subsequently affected by the adoption of an amendment to the Committee of the Whole Report. Refer to the House or Senate Journal for additional information.

| Date | Location | Action |
| --- | --- | --- |
| 03/13/2026 | House | House Second Reading Special Order - Passed with Amendments - Committee |
| 03/11/2026 | House | House Committee on Health & Human Services Refer Amended to House Committee of the Whole |
| 01/14/2026 | House | Introduced In House - Assigned to Health & Human Services |
Prime Sponsor

Rep. J. Bacon | Rep. S. Lieder

Sen. D. Roberts

Sponsor

(None) Co-Sponsor

(None)