SB 25-301 Colorado Senate · 2025 Regular Session

Remove Authorization Requirement Adjust Chronic Prescription

Summary
The act allows a health-care provider to, under certain circumstances, adjust the dose or frequency of a chronic maintenance drug without needing prior authorization from an insurance carrier. (Note: This summary applies to this bill as enacted.)
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
May 2025
Signed into Law
May 2025
Introduced Apr 21, 2025 Signed May 29, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

Revised (05/01/2025) PA1 (04/25/2025) · 4 edits
MODERATE
The bill was amended to clarify that prescribing providers can adjust chronic maintenance drug doses or frequency without prior insurance authorization when following evidence-based guidelines. The amendment also added a requirement that the drug must not be an opioid or controlled substance and clarified that dose adjustments cannot exceed two times without authorization.
Scope change
The bill's scope was expanded to explicitly include evidence-based guidelines as a condition for dose adjustments and added a specific exclusion for opioids and controlled substances.
REQUIREMENT

Added requirement that dose adjustments must be based on evidence-based guidelines.

Modified the text to clarify that the drug must be for a chronic or debilitating disease and the provider must continue prescribing for the same condition.

ELIGIBILITY

Added explicit exclusion that the prescription drug cannot be an opioid or scheduled controlled substance.

TECHNICAL

Removed references to '2nd Reading Unamended' and '3rd Reading Unamended' status labels, indicating the bill is now in a pre-amended state.

Floor votes · Senate Apr 28, 2025 · House May 2, 2025

How they voted

330
Passed · 1 other
Total votes 34
Apr 28, 2025
D Democratic22
21 Yea 1
95% Yea
R Republican12
12 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
5
Committee
2
Amendments
1
May 29, 2025
Signed into law
Governor Signed
executive
May 5, 2025
Introduced
Senate Considered House Amendments - Result was to Concur - Repass
upper
May 2, 2025
Lower · Passed
House Third Reading Passed with Amendments - Floor
lower
Apr 30, 2025
Lower · Passed
House Committee on Health & Human Services Refer Unamended to House Committee of the Whole
lower
Apr 28, 2025
Introduced
Introduced In House - Assigned to Health & Human Services
lower
Apr 28, 2025
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Apr 24, 2025
Upper · Passed
Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole
upper
Apr 21, 2025
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
4 primary · 49 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Barbara Kirkmeyer
Barbara Kirkmeyer
RRepublican
CO
23
P
Photo of Dusty Johnson
Dusty Johnson
RRepublican
CO
63
P
Photo of Katie Wallace
Katie Wallace
DDemocratic
CO
17
P
Photo of Sheila Lieder
Sheila Lieder
DDemocratic
CO
28
Co
Photo of Amy Paschal
Amy Paschal
DDemocratic
CO
18
Co
Photo of Andy Boesenecker
Andy Boesenecker
DDemocratic
CO
53
Co
Photo of Brianna Titone
Brianna Titone
DDemocratic
CO
27
Co
Photo of Byron Pelton
Byron Pelton
RRepublican
CO
1
Co
Photo of Carlos Barron
Carlos Barron
RRepublican
CO
48
Co
Photo of Cathy Kipp
Cathy Kipp
DDemocratic
CO
14
Co
Photo of Chad Clifford
Chad Clifford
DDemocratic
CO
37
Co
Photo of Chris Kolker
Chris Kolker
DDemocratic
CO
16
Co
Photo of Dafna Michaelson Jenet
Dafna Michaelson Jenet
DDemocratic
CO
21
Co
Photo of Dylan Roberts
Dylan Roberts
DDemocratic
CO
8