Promoting Immunization Access
Families will benefit from improved access and coverage for vaccines, ensuring children can receive recommended immunizations.
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SB 32 — Promoting Immunization Access
Last action — Governor Signed
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 26, 2026. Enacted.
Signed by Governor Jared Polis (Democratic) on March 27, 2026.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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49 sponsors
4 primary, 45 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (17 D).
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Mixed recorded votes
10 passed, 1 failed in recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
In plain language
The bill enhances access to vaccines and updates immunization regulations in Colorado.
This legislation amends Colorado's immunization laws, ensuring that vaccines, including the HPV vaccine, are accessible and covered by insurance for all individuals. It also grants pharmacists prescriptive authority for vaccines and updates liability protections related to vaccine administration.
What this means for you
- Workers: This means safer workplace environments for those in healthcare and other public-facing jobs through increased immunization access.
- Families: Families will benefit from improved access and coverage for vaccines, ensuring children can receive recommended immunizations.
- Healthcare: Healthcare providers are supported in administering vaccines with updated regulations and protections.
Summary
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.)
Bill Text
What changed in the latest version
415 added · 524 removedPlain-language change summary
The bill, now titled the "Ensuring Immunization Access for Coloradans Act," has been updated to clarify that it will be signed by legislative officers and the Governor. This change underscores the importance of tracking the bill's progress and helps the public understand if it becomes law. By promoting better access to vaccines and immunization services, the act aims to protect the health and economic well-being of Colorado residents.
SecondNOTE: Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.
26-0554.02This Britabill Darlinghas x2241been SENATEprepared BILLfor 26-032the SENATEsignatures SPONSORSHIPof DaughertyandMullica,the Amabile,Ball,Coleman,Cutter,Exum,GonzalesJ.,Jodeh,Kipp,appropriate Kolker,legislative Lindstedt,officers Michaelson Jenet, Snyder, Wallace, Weissman HOUSE SPONSORSHIP Feret and Brown,the Boesenecker,Governor. Camacho, Carter, Clifford, Duran, Froelich, Garcia, Gilchrist, Goldstein, Hamrick, Lieder, Lindsay, Lukens, Mabrey, McCluskie, McCormick, Nguyen,Paschal,Phillips,Ricks,Rutinel,Rydin,Sirota,Smith,StewartK.,StewartR.,Story, Valdez, Woodrow, Zokaie d n 6 e 2 E a 2 U U 6 O i h H a r Senate Committees House Committees R M Health & Human Services Health & Human Services r g A BILL FOR AN ACT d 06 E a 2 C ONCERNING THE PROMOTION OF IMMUNIZATION ACCESS .
STo Rdetermine 3whether Othe dGovernor hhas Hsigned 2the rbill eor ataken Billother Summaryaction non Mit, eplease Aconsult (Note:the legislative status sheet, the legislative history, or the Session Laws.
ThisSENATE summaryBILL applies26-032 toBY thisSENATOR(S) billDaugherty as introduced and doesMullica, notreflectanyamendmentsthatmaybesubsequentlyadopted.IfthisbillAmabile, passesBall, thirdCutter, readingExum, inGonzalesJ.,Jodeh,Kipp,Kolker,Lindstedt,Marchman,MichaelsonJenet, theSnyder, houseSullivan, ofWallace, introduction,Weissman, aColeman; bill summary that d applies to the reengrossed version of this bill will be available at d 6 e 0 http://leg.colorado.gov.) E a , A U 5 N n a The bill amends existing law and adds new provisions relating to S a r access to vaccines as follows:
ealso eREPRESENTATIVE(S) rFeret Fand !Brown, UpdatesBoesenecker, insuranceCamacho, coverageCarter, forClifford, cervicalDuran, cancerFroelich, 3Garcia, vaccinationsGilchrist, toGoldstein, referHamrick, toLieder, theLindsay, vaccineLukens, asMabrey, theMcCormick, humanNguyen, papillomavirusPaschal, vaccine,Phillips, ratherRicks,Rutinel,Rydin,Sirota,Smith,StewartK.,StewartR.,Story,Valdez, thanWoodrow, theZokaie, cervicalMcCluskie. cancer vaccine;
recognizesC coverageONCERNING forTHE bothPROMOTION womenOF andIMMUNIZATION men;ACCESS .
n d 6 and authorizes the commissioner of insurance to adopt e 0 coveragerulesforthevaccineiftheadvisorycommitteeon E R , A n 4 E 2 a Shading denotes HOUSE amendment.
Double underlining denotes SENATE amendment.
S e r Capital letters or bold & italic numbers indicate new material to be added to existing law.n e Dashes through the words or numbers indicate deletions from existing law.
m F A immunizationpracticestothecentersfordiseasecontrolin the federal department of health and human services (ACIP) no longer recommends the vaccine (section 3 of the bill);
! Innaturopathicmedicinepractice,referencesascheduleof immunizations and guidelines established by the state board of health (board of health) in addition to ACIP's schedule of immunizations and guidelines referenced in existing law (sections 4 and 5);
! Authorizes pharmacists to exercise independent prescriptive authority for vaccines and requires the state board of pharmacy to adopt rules establishing and amending, as necessary, requirements for independent prescriptive authority 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 accordingtotheboardofhealthscheduleofimmunizations or to ACIP's schedule referenced in existing law (section 8);
! 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);
! Removesaprohibition on the use of state moneyfor infant immunizationprogramsifthestatedoesnotreceivefederal money for the immunization programs (section 10);
! Adds pharmacies and manufacturers to liability limitation provisions for hospitals, clinics, and other providers relating to the handling, storage, and distribution of vaccines for infants.
Manufacturer liability limitation provisionsareremovedfromthelawforclaimsbroughton or after January 31, 2029 (section 11).
! Authorizes the department of public health and environmenttoconsiderrecommendationsoftheAmerican 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);
! Updates language in the cervical cancer immunization programtodefinethecervicalcancervaccineasthehuman papillomavirusvaccineandtorefertounderinsuredminors, rather than just uninsured female minors, since both male -2- 032 and female minors receive the vaccine (sections 13 and 14);
! Adds a new limitation on liability 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, 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, 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 to conform to recognized standards to protect public health.
Manufacturer liability protectionsareremovedfromthelawforclaimsbroughton or after January 31, 2029 (section 15).
! Authorizes the department of health care policy and financing to purchase for the children's basic health plan vaccinesthatarerecommendedbytheAmericanAcademy of Pediatrics and other similar entities, in addition to those recommended by ACIP (section 16).
SECTION2.SECTION 2.
Legislativedeclaration.(1)Legislative Thegeneralassemblydeclaration. finds and determines that:
(1) The general assembly finds and determines that:
Capital letters or bold & italic numbers indicate new material added to existing law;
dashes through words or numbers indicate deletions from existing law and such material is not part of the act.
(c) Coloradans,Coloradans,includinghealth-careproviders,teachers,policeand includingother health-carepublic providers,safety teachers,professionals, policefood andotherpublicsafetyprofessionals,foodindustryprofessionals,groceryindustry -3-professionals, 032grocery and retailretailworkers,childrenindaycaresettings,andstudentsfromkindergarten workers, children in day care settings, and students from kindergarten to college seniors, among others, should feel safe working, learning, and participating in society;
and (d) Individuals who want to be vaccinated against disease should haveaccesstosafeandeffectivevaccinesthatareadministeredbytrustedhave access to safe and effective vaccines that are administered by trusted health-care professionals, with no cost sharing.
(2) Therefore,Therefore,thegeneralassemblydeclaresthatthepurposeofthis the general assembly declares that the purpose of this act is to:
(b) Ensure continued alignment of the administration of vaccines and other immunizing agents across care settings with evidence-based science and medical standards of care, while maintaining protections for health-careproviders;health-care providers;
MandatoryMandatorycoverageprovisions-applicability-rules coverage provisions - applicability - rules - definitions.
(a) All individual and all group sickness and accident insurance policies,policies,exceptsupplementalpoliciescoveringaspecifieddiseaseorother except supplemental policies covering a specified disease or other limited benefit, that are delivered or issued for delivery within the statebyanentitysubjecttotheprovisionsofstate part2ofthisarticleARTICLEby -4-PAGE 0322-SENATE 16andallindividualandgrouphealth-careserviceorindemnitycontractsBILL 26-032 anentitysubjecttotheprovisionsofpart2of thisarticle ARTICLE 16andall individual and group health-care service or indemnity contracts issued by an entity subject to the provisions ofoft 3 or 4 of this articleartiARTICLE ARTICLE16,16, as well as anyanyother other group health-care coverage offered to residents of this state, shall provide coverage for the full cost of cervical cancerHUMANPAPILLOMAVIRUScancerAN vaccinationforallfemalesINDIVIDUALSPAPILLOMAVIRUS vaccination for all femalesINDIVIDUALS for whom a vaccination is recommended by the advisory committee on immunization practices of the United States department of health and human servicesACIP.services ACIP.
IFI F THE ACIP NO LONGER RECOMMENDS HUMAN PAPILLOMAVIRUSVACCINATIONSPAPILLOMAVIRUS ,THECOMMISSIONERMAYADOPTRULESVACCINATIONS , THE COMMISSIONER MAY ADOPT RULES TO REQUIRE COVERAGE IN ACCORDANCE WITH SUBSECTION (18)OF THIS SECTION.SECTION .
(e) ASASUSEDINTHISSUBSECTION USED(17),"ACIP" INHASTHEMEANINGSET THIS SUBSECTIO(17),"ACIP" HAS THE MEANING SET FORTH IN SUBSECTION(18)(c)(IOFSUBSECTION (18)(c)(IOF THIS SECTION.SECTION .
SECTIONSECTION4. 4.
InInColoradoRevisedStatutes,12-250-103,repeal(1); Colorado Revised Statutes, 12-250-103,epeal (1);
(5.5) "BOARD OF HEALTH "MEANS" MEANS THE STATE BOARD OF HEALTH CREATED IN SECTION25-1-103SECTION 25-1-103 (1)(a).
SECTION5.SECTION 5.
Show all 122 changed lines (82 more)
In Colorado RevisedStatutes,12-250-106,amendRevised (1)(c)(I)(F),Statutes, (2)(e)12-250-106, introductoryamend portion,(1)(c)(I)(F),(2)(e)introductoryportion,(2)(e)(I),(2)(f)introductoryportion, (2)(e)(I), (2)(f) introductory portion, and (2)(f)(I) as follows:
Practice of naturopathic medicine by naturopathic doctors - exclusions - protected activities - definition - -5- 032 rules.
(1) ThepracticeofnaturopathicmedicinebyanaturopathicdoctorThe practice of naturopathic medicine by a naturopathic doctor includes the following:
(c) (I) Obtaining, dispensing, administering, ordering, or PAGE 3-SENATE BILL 26-032 prescribing, as specified, medicines listed in the naturopathic formulary, which include:
(F) Vaccines,Vaccines,inaccordancewiththeACIPguidelines inSCHEDULEOF accordanceIMMUNIZATIONS withESTABLISHED theguidelineSCHEDULEBY OFIMMUNIZATIONSESTABLISHEDBYTHETHE BOARDOFHEALTHBYRULEBOARD ,forOF HEALTH BY RULE , for patients who are at least eighteen years of ageageLD (2); A naturopathic doctor shall not:
(e)and Treat(2) aA childnaturopathic whodoctor isshall lessnot: than two years of agess the naturopathic doctor:
(I)(e) ProvidesTreat toa thechild parentwho oris legalless guardianthan oftwo theyears child a copy of theageLD most, recentunless immunizations schedule recommended by the ACIPnaturopathic SCHEDULEOFIMMUNIZATIONSESTABLISHEDBYTHEdoctor: BOARDOFHEATHBY RULE and recommends that the parent or legal guardian follow the immunizationsIMMUNIZATION schedule;
(f)(I) TreatachildwhoistwoyearsofageOLDProvidestotheparentorlegalguardianof orolderbutlessthanthechildacopyof eightthe yearsmostrecentimmunizationsschedulerecommendedbytheACIP ofSCHEDULE aOLD,OF unlessIMMUNIZATIONS ESTABLISHED BY THE BOARD OF HEATH BY RULE and recommends that the naturopathicparent doctor:or legal guardian follow the immunizations IMMUNIZATION schedule;
(I)(f) ProvidesTreat toa thechild parentwho oris legaltwo guardianyears of theageLD childor aolder copybut ofless thethan mosteight recentyears immunizationsof scheduleageOLD recommended, byunless the ACIPnaturopathic SCHEDULEOFIMMUNIZATIONSESTABLISHEDBYTHEBOARDOFHEALTHBYdoctor: RULE and recommends that the parent or legal guardian follow the immunizationsIMMUNIZATION schedule;
SECTION6.(I) Providestotheparentorlegalguardianof thechildacopyof the mostrecentimmunizationsschedulerecommendedbytheACIP SCHEDULE OF IMMUNIZATIONS ESTABLISHED BY THE BOARD OF HEALTH BY RULE and recommends that the parent or legal guardian follow the immunizations IMMUNIZATION schedule;
InSECTION Colorado6. RevisedStatutes,12-280-103,amend (39)(g)(IV)introductoryportion,(39)(g)(IV)(C),and(39)(g)(V);andadd (39)(g)(VI) as follows:
-6-In 032Colorado 12-280-103.Revised Statutes, 12-280-103, amend (39)(g)(IV) introductory portion, (39)(g)(IV)(C), and (39)(g)(V);
and add (39)(g)(VI) as follows:
12-280-103.
PAGE 4-SENATE BILL 26-032 (IV) Fordrugsthatarenotcontrolledsubstances,drugcategories,For drugs that are not controlled substances, drug categories, or devices that are prescribed in accordance with the product's FDA-approvedFDA-approvedlabelingandtopatientswhoareatleast labeling and to patients who are at least twelve yearsyearsof of age OLD and that are limited to conditions that:
or (V) ForForanyFDA-approvedproductindicatedforopioidusedisorder any FDA-approved product indicated for opioid use disorder in accordance with federal law and regulations, including medications for opioid use disorder, if authorized pursuant to part 6 of this article 280;
(VI) FORF VACCINES;OR VACCINES ;
InColoradoRevisedStatutes,12-280-107,add(4)InColoradoRevisedStatutes,12-280-107,add(4)as as follows:
(4) NOTN OT LATER THAN O CTOBER 1,1,2026, 2026THETHE BOARD SHALL REVIEW EXISTING RECORD-KEEPINGRECORD KEEPING RULES TO ENSURE THAT DUPLICAT,DUPLICATE INCONSISTENT,, INCONSISTENT ,OROUTDATEDRULESRELATINGTOVACCINESAREREPEALED OR OUTDATEDAMENDED RULES.THE RELATINGBOARD TOMAY VACCINESCONFER AREWITH REPEALEDORAMENDEDTHE .THEBOARDMAYCONFERWITHTHEDEPARTMENTDEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT AND OTHER APPLICABLE STATE AGENCIES TO FACILITATE A CONSISTENT REGULATORY FRAMEWORK RELATING TO VACCINES.VACCINES .
-7-SECTION 0328. SECTION8.
InColoradoRevisedStatutes,25-4-909,amend(2)In Colorado Revised Statutes, 25-4-909, amend (2) introductory portion and (2)(b) as follows:
(2) No person AN INDIVIDUAL who administers a vaccine which THAT is required under the provisions of this part 9 to an infant or child whose age is greater than twenty daysOTdaysallNOT be held liable for injuries sustaipursuantsustained pursuant to sucTHEvaccinesuchE vaccine if:
(b) The vaccine was administered according to the schedule of PAGE 5-SENATE BILL 26-032 immunization as published by the communicable disease control administrationofthefederalgovernmentNTERSFORDISEASECONTROLadministration of the federal goverCENTERS FOR DISEASE CONTROL AND PREVENTION IN THEUTHE NITEDSTATESU NITEDS TATES DEPARTMENT OF HEALTH AND HUMANSERVICESORTHESCHEDULEOFHUMAN IMMUNIZATIONSESTABLISHEDBYSERVICES OR THE SCHEDULE OF IMMUNIZATIONS ESTABLISHED BY RULE OF THE STATE BOARD OF HEALT;HEALTH and SECTION9.
InColoradoRevisedStatutes,25-4-1705,amend(5) introductory portion and SECTION(5)(c) 9.as follows:
In Colorado Revised Statutes, 25-4-1705, amend (5) introductory portion and (5)(c) as follows:
(5) The board of health, in consultation with the medical services boardinthestatedepartmentofhealthcarepolicyandfinancingandsuchboard in the state department of health care policy and financing and such other persons, agencies, or organizations that the board of health deems advisable,shallformulateDadvisable, adoptandpromulgaterulesgoverningtheshall implementationandoperationofformulate theinfantimmunizationprogram.Suchadopt THEand promulgate rules shaMUSTgoverning addressthe implementation and operation of the following:infant immunization program.
(c)Such Which vaccines shall be required to be administered, TAKINGINTOCONSIDERATIONTHERECOMMENDATIONSOFTHEADVISORY COMMITTEE ON IMMUNIZATION PRACTICES TO THE CENTERSrules FORshaMUST DISEASEaddress -8-the 032following: CONTROL AND PREVENTION IN THE U NITED STATES DEPARTMENT OF HEALTHANDHUMANSERVICES ,THEA MERICANA CADEMYOF PEDIATRICS, THE A MERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN C OLLEGE OFO BSTETRICIANS ANDG YNECOLOGISTS,OR THE AMERICAN C OLLEGE OFPHYSICIANS;
(c) Which vaccines shall be required to be administered, TAKING INTO CONSIDERATION THE RECOMMENDATIONS OF THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES TO THE CENTERS FOR DISEASE CONTROLANDPREVENTIONINTHE U NITEDSTATESDEPARTMENTOFHEALTH AND HUMAN SERVICES ,THE A MERICAN A CADEMY OF PEDIATRICS,THE A MERICAN ACADEMYOF FAMILY PHYSICIANS,THEA MERICAN COLLEGEOF O BSTETRICIANS AND GYNECOLOGISTS ,OR THE A MERICAN COLLEGE OF PHYSICIANS;
InInColoradoRevisedStatutes,25-4-1708,amend(2) Colorado RevisedStatutes,25-4-1708,amend (2) as follows:
(2) If federal funds are not received to implement and operate the immunization programs created in this part 17 and part 24 of this ARTICLEarticle 4,ARTICLE4,no nANYANY additionaladditionalgeneralfundmoneyMONEYNEEDED generalshallbe fundappropriatedforsuchpurposesDDRESSEDTHROUGHTHEANNUALBUDGET monMONEY NEEDED shall be appropriated for such purpoADDRESSED THROUGH THE ANNUAL BUDGET PROCESS OR EMERGENCY SUPPLEMENTAL PROCESS .
SECTION11.SECTION 11.
In Colorado RevisedStatutes,25-4-1709,amendRevised Statutes, 25-4-1709, amend PAGE 6-SENATE BILL 26-032 (4);
(4)(a)(4) WhereaclaimBROUGHTONORBEFORE(a) JANUARYWhere 30,2029,a againstclaimROUGHT aON hospital,OR clinic,BEFORE pharmacy,ESALERJANUARY ,30, or2029, provideragainstahospital,clinic,ARMACY arises,WHOLESALER from,orproviderarisesfrom injuries resulting from the handling, storage, or distribution of vaccines required by this part 17, suchspital,such cliPHARMACYTHE ,hospital, WHOLESALERclinic,PHARMACY , orWHOLESALER provider,orprovidershallnotbeISNOT shallliableunlesssuchTHE nIS NOTliable unless sTHE injuries are the result of the negligent failure of an employee of suchsuchital, hospital,clinic,HARMACY clinic,RMACY , WHOLESALER , or provider to conform to recognized standards of practicepracticewhichHAT whichATarenecessaryfor are necessary for the protection of public health.
(b) THIS SUBSECTION(4ISSUBSECTION REPEALED,EFFECTIVEJULY(4)IS REPEALED,EFFECTIVE JULY 1, 2031.
(4.5) WHEREW HERE A CLAIM BROUGHT ONORAFTERON JANUARYOR 31,2029,AFTER -9-JANUARY 03231, 2029, AGAINST A HOSPITAL,CLINIC,PHARMACYHOSPITAL ,CLINIC, PHARMACY ,OR PROVIDER ARISES FROM INJURIESRESULTINGFROMTHEHANDLINGINJURIES RESULTING FROM THE HANDLING ,STORAGE ,ORDISTRIBUTIONOF,OR DISTRIBUTION OF VACCINESREQUIREDBYTHISPART 17THEHOSPITAL17,THEHOSPITAL ,CLINI,PHARMACY ,,OR ORPROVIDERISNOTLIABLEUNLESSTHEINJURIESARETHERESULTOFTHEPROVIDER NEGLIGENTIS FAILURENOT OFLIABLE ANUNLESS EMPLOYEETHE OFINJURIES ARE THE HOSPITALRESULT ,OF CLINIC,THE PHARMACYNEGLIGENTFAILUREOFANEMPLOYEEOFTHEHOSPITAL ,OR,CLINIC,PHARMACY , OR PROVIDER TO CONFORM TO RECOGNIZED STANDARDSSTANDARDSOFPRACTICE THAT ARE NECESSARY FOR THE PROTECTION OF PRACTICETHATARENECESSARYFORTHEPROTECTIONOFPUBLICHEALTHPUBLIC HEALTH .
SECTION12.SECTION 12.
In Colorado RevisedStatutes,25-4-2403,amendRevised Statutes, 25-4-2403, amend (1)(f), (6)(a), and (13)(d)(III);
Department of public health and environment - powerspowersandduties-immunizationtrackingsystem-rules-definitions. and duties - immunization tracking system - rules - definitions.
(1) InInordertoexpandtheimmunizationregistryandincreaseaccess order to expand the immunization registry and increase access to immunizations, the department may address:
(f) The abilityabilityof ofthedepartmentof thehealthcarepolicyandfinancing departmenttopurchasevaccinesrecommendedbyACIP, ofTHE healthAMERICAN careACADEMYOF policyPEDIATRICS, and financing to purchase vaccines recommended by ACIP,AMERICAN A CADEMY OF PEDIATRIC, THE AMERICAN AACADEMY CADEMY OF FAMILY PHYSICIANS, THE A MERICAN CCOLLEGE OLLEGE OF OBSTETRICIANS AND G YNECOLOGISTS,ORYNECOLOGISTS THEA, OR THE A MERICAN COLLEGE OF PHYSICIANSthroughP HYSICIANS through a purchasing system, if developed pursuant to this subsection (1) and subsection (1.3) of this PAGE 7-SENATE BILL 26-032 section, for children who are enrolled in the children's basic health plan created in article 8 of title 25.5.
(6) (a) The department of public health and environment or the department's contractor may directly contact the individual who is the subjectsubjectofimmunizationrecordsortheindividual'sparentorlegalguardian offor immunizationthe recordspurpose orof notifying the individual'sindividual, parentparent, or legal guardian forif theimmunizations purposeare ofdue notifyingor theoverdue individual,as parent,indicated orby legalthe guardianifimmunizationsaredueoroverdueasindicatedbytheadvisoryadvisory -10- 032 committee on immunization practices of the UnitedStatesdepartmentofUnited healthandhumanservicesorACIP,theAmericanAcademyofPediatrics,States THEdepartment Aof MERICANhealth ACADEMYand OFhuman FAMILYservices PHYSICIANS,or THEACIP, the American Academy of PediatriTHE AMERICAN CA OLLEGECADEMYOF OFOFAMILY BSTETRICIANSPHYSICIAN,THEA ANDGMERICANC YNECOLOGISTS,OROLLEGEOF THEOBSTETRICIANS AMERICANAND CGYNECOLOGISTS, OLLEGEOR OFPHYSICIANS.THEA MERICAN COLLEGE OF PHYSICIANS.Thedepartmentorthedepartment'scontractorshallcontactthe individual, parent, orlegalguardianif itisnecessarytocontrolanoutbreak oforpreventthespreadofavaccine-preventablediseasepursuanttosection 25-1.5-102 (1)(a) or 25-4-908.
The(9.5) departmentTHE orDEPARTMENT theMAY department'sNEGOTIATE contractorFOR shallAND contactPURCHASE theVACCINES individual,ADOPTED parent,BY orTHE legalBOARD guardianBY ifRULE itOR isRECOMMENDED necessaryBYCIP, toTHE controlAMERICAN anA outbreakCADEMY ofOF orPEDIATRIC,THE preventAMERICAN theA spreadCADEMY ofOF aFAMILY vaccine-preventablePHYSICIANS,THE diseaseAMERICAN pursuantC toOLLEGE sectionOFO 25-1.5-102BSTETRICIANS (1)(a)AND orGYNECOLOGISTS 25-4-908.OR THE AMERICAN COLLEGE OFPHYSICIANS.
(9.5) THE DEPARTMENT MAY NEGOTIATE FOR AND PURCHASE VACCINESADOPTEDBYTHEBOARDBYRULEORRECOMMENDEDBY ACIP, THE AMERICAN A CADEMY OF PEDIATRICS,THEA MERICAN ACADEMY OF FAMILY PHYSICIANS,THE A MERICAN COLLEGE OF OBSTETRICIANS AND G YNECOLOGISTS,OR THE AMERICAN C OLLEGE OFPHYSICIANS.
(III) ArerecommendedforcomparablepopulationsbythefederalAre centersrecommended for diseasecomparable controlpopulations andby preventionIP,the THEfederal AMERICANcentersfordiseasecontrolandpreventionATHE,AMERICAN AACADEMY CADEMY OF PEDIATRIC,PEDIATRIC,THE THE AMERICAN A CADEMYMERICAN ACADEMY OF FAMILY PHYSICIANS,PHYSICIANS,THE THEAMERICAN ACOLLEGE MERICAN C OLLEGE OF OBSTETRICIANS ANDANDG G YNECOLOGISTS,OR THE AMERICAN C OLLEGE OFPHYSICIANS.OFPHYSICIAN.
InInColoradoRevisedStatutes,25-4-2502,amend(2) Colorado RevisedStatutes,25-4-2502,amend (2) as follows:
PAGE 8-SENATE BILL 26-032 (2) "Cervical cancer vaccine" or "cervical cancer immunization" meanstheseriesofHUMANPAPILLOMAVIRUSmeans vaccinestopreventcervicalthe cancerANDseries ofHUMAN PAPILLOMAVIRUS vaccines to prevent cervical cancer AND OTHER CANCERS as determined by the board of health to be -11- 032 necessary to conform to recognized standard medical practices.
(1) There is herebyeatedherebycreated in the department the cervical cancer immunizationprogram.Thedepartmentisdirectedtoinvestigatemannersimmunization inprogram. which the cervical cancer vaccine may be administered in an economical fashion.
The stateboarddepartment OF HEALTH is authorizeddirected to promulgateADOPTinvestigate manners inwhichthecervicalcancervaccinemaybeadministeredinaneconomical fashion.Thestate boardOFHEALTH isauthorizedtopromulgate ADOPT rules to assist the department in making the vaccine available.
(2) FQHCs are encouraged to enter into agreements with local publichealthagenciestoadministervaccinationstounderinsuredfemalepublic health agencies to administer vaccinations to underinsured female minors through a federallyrecognized vaccination programforprogramforchildren. children.
If a local public health agencyentersagency enters into an agreementQHC,agreementH AN FQHC, the agency shall administer vaccinations, including but not limited to cervical cancer vaccinations, pursuant to the agreement with the FQHC.
The department shall pay to a local public health agency the agency's administrative cost for administering a cervical cancer vaccination to an underinsured femaleINORfemale MINOR entering the sixth grade.
In Colorado Revised Statutes, add part 26 to article 4 of title 25 as follows:
THE SHORT TITLE OF THIS PA26PART 26 IS TH"ATHE"A DULTIMMUNIZATIONDULT IMMUNIZATION A CT".
-12- 032 (1) THE GENERAL ASSEMBLY FINDS AND DETERMINES THAT:THAT :
(a)PAGE VACCINE-PREVENTABLE9-SENATE DISEASESBILL REPRESENT26-032 A(a) SERIOUSVACCINE-PREVENTABLEDISEASESREPRESENTASERIOUSPUBLIC PUBLIC HEALTH THREAT TO PEOPLE IN THE STA;ESTATE (b) IIT HAS BEEN WELL DOCUMENTED THAT VACCINES AND OTHER IMMUNIZING AGENTS ARE AN EFFECTIVE WAY TO PREVENT SICKNESS AND DEBILITATING DISEAS;DISEASE;
(c)(c)(I) (I)HETEVACCINEMANUFACTURINGSECTORISFOUNDATIONALTO VACCINE MANUFACTURING SECTOR IS FOUNDATIONAL TO COLORADO S PUBLIC HEALTH SECURITY AND ECONOMIC STRENGTH , SUPPORTINGSUPPORTINGHIGH HIGH-SKILLED-SKILLEDJOBS,HEALTH JOB,HEALTHCAREINFRASTRUCTURE -CARE,ANDTHE INFRASTRUCTURE, AND THE CONTINUITY OF ESSENTIAL PUBLIC SERVIC;SSERVICES (II) ASMALLA SMALL NUMBER OF HIGHLY SPECIALIZED MANUFACTURERS PRODUCE MOST OF THE WORLD 'SS VACCINES IN A COMPLEX AND CAPITAL-INTENSIVE ENVIRONMENT ,ADVANCING, ADVANCING INFECTIOUS DISEASE PREVENTIONPREVENTIONANDEMERGINGTHERAPIES ANDINCLUDINGM EMERGING THERAPIES , INCLUDING M RNA- BASEDBASEDCANCER CANCER TREATMENTS ;AND (III) MMAINTAINING AINTAINING A STABLE,STABLE SCIENCEBASED, SCIENCE-BASED REGULATORY FRAMEWORK IS CRITICAL TO PRESERVING MANUFACTURING CAPACITY , SUPPORTING ONGOING INNOVATION , AND ENSURING THE ONGOING AVAILABILITYOFSAFEANDEFFECTIVEVACCINESFORAVAILABILITY COLORADANSOF SAFE AND EFFECTIVE VACCINES FOR OLORADANS ;AND (d) NDIVIDUALSWHOWANTTOBEVACCINATEDAGAINSTDISEASENDIVIDUALS WHO WANT TO BE VACCINATED AGAINST DISEASE SHOULD HAVE ACCESS TO SAFE AND EFFECTIVE VACCINES THAT ARE ADMINISTEREDBYTRUSTEDHEALTHADMINISTERED -CAREPROFESSIONALSWITHNOCOSTBY TRUSTED HEALTH -CARE PROFESSIONALS WITH NO COST SHARING .
(2) THEREFORE ,THE, THE GENERAL ASSEMBLY DECLARES THAT PROMOTINGEVIDENCEPROMOTING BASEDADMINISTRATIONOFVACCINESANDOTHEREVIDENCE IMMUNIZINGAGENTSTOADULTSISCRITICALTOPRESERVINGTHEHEALTH-BASED ADMINISTRATION OF VACCINES AND OTHER IMMUNIZINGAGENTSTOADULTSISCRITICALTOPRESERVINGTHEHEALTHOF ALL PEOPLE IN THE STA.ESTATE -13- 032 25-4-2603.
A S USED IN THIS PART26,PART UNLESS26,UNLESS THE CONTEXT OTHERWISE REQUIRES:
(1) "ACIP"MEANSTHEADVISORYCOMMITTEEONIMMUNIZATION"ACIP" PRACTICESMEANS TO THE CENTERSADVISORY FORCOMMITTEE DISEASEON CONTROLIMMUNIZATION ANDPRACTICESTOTHECENTERSFORDISEASECONTROLANDPREVENTIONINTHE PREVENTIONPAGE IN10-SENATE THEBILL UNITED26-032 STATESU NITEDS TATES DEPARTMENT OFHEALTHOF HEALTH AND HUMAN SERVICES OR,OR ITS SUCCESSOR ENTIT.ENTITY .
(2)"A(2) DULT""ADULT"MEANSANINDIVIDUALWHOISEIGHTEENYEARSOLDOR MEANSANINDIVIDUALWHOISEIGHTEENYEARSOLD OR OLDER .
(3) "BOARD"B OARD OF HEALTH " MEANS THE STATE BOARD OF HEALTH CREATED IN SECTION25-1-103 (1)(a).
(4) "IMMUNIZING AGENT "MEANS ANY BIOLOGICAL SUBSTANCE , INCLUDINGVACCINESINCLUDING ,TOXOIDS,OROTHERANTIGENICCOMPONENTSVACCINES,TOXOIDS THAT,OR OTHER ANTIGENIC COMPONENTS ,THAT IS ADMINISTERED TO AN INDIVIDUAL FOR THE PURPOSE OF PRODUCING ACTIVE OR PASSIVE IMMUNITY AGAINST A SPECIFIC DISE.SEDISEASE (5) "V"VACCINE"MEANSABIOLOGICALPREPARATIONTHATCONTAINS ACCINE" MEANS A BIOLOGICAL PREPARATION THAT CONTAINS ANTIGENIC MATERIAL DESIGNED TO STIMULATE AN INDIVIDUAL'SINDIVIDUAL S IMMUNE SYSTEM TO DEVELOP ACTIVE IMMUNITY AGAINST A SPECIFIC INFECTIOUS DISEASE TO PREVENT ILLNES,TYPICALLYILLNESSTYPICALLY BY INTRODUCING A WEAKENED ,INACTIVATED, INACTIVATED ,OR PARTIAL FORM OF A PATHOGEN OR ITS COMPONENTSCOMPONENTS. .
(a) HEVACCINESOROTHERIMMUNIZINGAGENTSRECOMMENDEDTHE -14-VACCINES 032OR FOROTHER ADULTSIMMUNIZING ,AGENTS AFTERRECOMMENDED TAKINGFORADULTS INTO,AFTERTAKINGINTOCONSIDERATIONTHERECOMMENDATIONS CONSIDERATION THE RECOMMENDATIONS OF THE ACIP, THE AMERICAN AACADEMY CADEMY OF PEDIATRICS,THE A MERICAN ACADEMYA CADEMY OF FAMILY PPHYSICIANS, HYSICIANS,THETHE AAMERICAN MERICAN COLLEGE OF OBSTETRICIANSO BSTETRICIANS AND GYNECOLOGISTSG YNECOLOGISTS ,OR THE A MERICAN COLLEGE OF PHYSICIANS;AND (b) THE MANNER AND FREQUENCY OF ADMINISTRATION .
(1) AAPERSONTHATADMINISTERSAVACCINEOROTHERIMMUNIZING PERSONAGENT THATTO ADMINISTERSAN AADULT VACCINEIS ORNOT OTHERLIABLE IMMUNIZINGAGENTTOANADULTFOR ISNOTLIABLEFORINJURIESSUSTAINEDINJURIES SUSTAINED PURSUANT TO THE VACCINE OR OTHER IMMUNIZING AGENT I:IF:
(a)PAGE THE11-SENATE VACCINEBILL OR26-032 OTHER(a) IMMUNIZINGHEVACCINEOROTHERIMMUNIZINGAGENTWASADMINISTERED AGENT WAS ADMINISTERED IN ACCORDANCE WITH THE SCHEDULE OF RECOMMENDED ADULT IMMUNIZATIONS ESTABLISHED BY THE STATE BOARD OFOFHEALTHPURSUANT HEALTH PURSUANT TO SECTIONSECTION25-4-2604; 25-4-2604;
(b) THERET HERE WERE NO MEDICAL CONTRAINDICATIONS FOR ADMINISTERING THE VACCINE OR OTHER IMMUNIZING AGENT;AND (c) THE VACCINE OR OTHER IMMUNIZING AGENT WAS;AND ADMINISTERED(c) HEVACCINEOROTHERIMMUNIZINGAGENTWASADMINISTERED USING GENERALLY ACCEPTED CLINICAL METHODS.METHODS .
(2) AANACTIONSHALLNOTBEMAINTAINEDFORAVACCINE N-RELATED ACTION SHALL NOT BE MAINTAINED FOR A VACCINE RELATED OR IMMUNIZING AGENT-AGENT -RELATEDRELATED INJURY OR DEATH UNTIL ACTION FOR COMPENSATIONCOMPENSATIONFORTHEALLEGEDINJURYISEXHAUSTEDUNDERTHETERMS FOROF THE ALLEGEDFEDERAL INJURY IS EXHAUSTEDUNDERTHE TERMSOFTHEFEDERAL "NATIONAL CHILDHOOD V ACCINEINJURY ACTA OF1986",42U.S.C.CT OF1986", 42U.S.C.
SECS.SECS.300aa-10TO 300aa-33,ASSUCHLAWISFROMTIMETOTIME AMENDED ,SO LONG AS THE FEDERAL "NATIONAL C HILDHOOD VACCINE INJURY ACTOF 1986"APPLIESTOTHEPARTICULARVACCINEORIMMUNIZING AGENT ADMINISTERED .
300aa-1TO(3) 300aa-33,ITHEINJURYTHATISSUSTAINEDORTHE ASDEATHDOESNOTFALL SUCHWITHIN LAWIS FROM TIME TO TIME AMENDE,SO LONG AS THE FEDERALPARAMETERS "NOF ATIONALC HILDHOOD VACCINE INJURYA CT OF1986"APPLIES TO THE PARTICULAR VACCINE OR IMMUNIZING AGENT ADMINISTERED.INJURY TABLE ASDEFINEDIN 42U.S.C.
(3)SEC.300aa-14,ASENACTEDON INOVEMBER THE14, INJURY1986,A THATREBUTTABLE PRESUMPTION IS ESTABLISHED THAT THE INJURY SUSTAINED OR THE DEATH DOESWAS NOT -15-DUE 032TO FALL WITHIN THE PARAMETERSADMINISTRATION OF THE VACCINE OR IMMUNIZING AGENT INJURY. TABLE AS DEFINED IN42 U.S.C.SEC.
300aa-14ASHE ENACTEDPRESUMPTION ONIS NOVERCOME OVEMBERBY 14,1986,AREBUTTABLEPRESUMPTIONISESTABLISHEDTHATA THEPREPONDERANCE INJURY SUSTAINED OR THE DEATH WAS NOT DUE TO THE ADMINISTRATION OF THE VACCINEEVIDENCE OR IMMUNIZING AGENT .
T(4)(a) HEWHEREACLAIMBROUGHTONORBEFORE PRESUMPTIONJANUARY 30,2029, AGAINST A HOSPITAL ,CLINIC, PHARMACY , WHOLESALER , OR PROVIDER ARISES FROM INJURIES RESULTING FROM THE HANDLING , STORAGE ,OR DISTRIBUTION OF VACCINES OR IMMUNIZING AGENTS PURSUANT TO THIS PART 26,THE HOSPITAL,CLINI,PHARMACY ,WHOLESALER ,OR PROVIDER IS OVERCOMENOT BYLIABLE AUNLESS PREPONDERANCETHE INJURIES ARE THE RESULT OF THE EVIDENCENEGLIGENT .FAILURE OF AN EMPLOYEE OF THE HOSPITAL , CLINI, PHARMACY , WHOLESALER ,OR PROVIDER TO CONFORM TO RECOGNIZED STANDARDS OF PRACTICE THAT ARE NECESSARY FOR THE PROTECTION OF PUBLIC HEALTH.
(4)(b) (a) WHERE A CLAIM BROUGHT ON OR BEFORE JANUARY 30, 2029, AGAINST A HOSPITAL,CLINIC,PHARMACY , WHOLESALER ,OR PROVIDER ARISES FROM INJURIES RESULTING FROM THE HANDLING , STORAGE , OR DISTRIBUTION OF VACCINES OR IMMUNIZING AGENTS PURSUANT TO THIS PARTSUBSECTION(4)IS 26,REPEALED,EFFECTIVEJULY THE1, HOSPITAL,2031. CLINI, PHARMACY , WHOLESALER ,OR PROVIDER IS NOT LIABLE UNLESSTHE INJURIES ARE THE RESULT OF THE NEGLIGENT FAILURE OF AN EMPLOYEE OF THE HOSPITAL, CLINIC,PHARMACY , WHOLESALER ,OR PROVIDER TO CONFORM TO RECOGNIZED STANDARDS OF PRACTICE THAT ARE NECESSARY FOR THE PROTECTION OF PUBLIC HEALTH.
(b)PAGE 12-SENATE BILL 26-032 (5) W HERE A CLAIM BROUGHT ON OR AFTER JANUARY 31, 2029, AGAINST A HOSPITAL , CLINI, PHARMACY ,OR PROVIDER ARISES FROM INJURIES RESULTING FROM THE HANDLING,STORAGE ,OR DISTRIBUTION OF VACCINES OR IMMUNIZING AGENTS PURSUANT TO THIS SUBSECTIONPART (4IS26, REPEALED,EFFECTIVETHE JULY1,HOSPITAL, 2031.CLINI, PHARMACY , OR PROVIDER IS NOT LIABLE UNLESS THE INJURIES ARE THE RESULT OF THE NEGLIGENT FAILURE OF AN EMPLOYEE OF THE HOSPITAL , CLINIC, PHARMACY , OR PROVIDER TO CONFORM TO RECOGNIZED STANDARDS OF PRACTICE THAT ARE NECESSARY FOR THE PROTECTION OF PUBLIC HEALTH.
(5)SECTION W16. HERE A CLAIM BROUGHT ON OR AFTER JANUARY 31, 2029, AGAINST A HOSPITAL ,CLINIC,PHARMACY ,OR PROVIDER ARISES FROM INJURIESRESULTINGFROMTHEHANDLING STORAGE ,ORDISTRIBUTIONOF VACCINES OR IMMUNIZING AGENTS PURSUANT TO THIS PART 26, THE HOSPITAL ,CLINI,PHARMACY ,OR PROVIDER IS NOT LIABLE UNLESS THE INJURIES ARE THE RESULT OF THE NEGLIGENT FAILURE OF AN EMPLOYEE OF THE HOSPITAL ,CLINIC,PHARMACY ,OR PROVIDER TO CONFORM TO RECOGNIZED STANDARDS OF PRACTICE THAT ARE NECESSARY FOR THE PROTECTION OF PUBLIC HEALTH.
SECTION16.In Colorado Revised Statutes, 25.5-8-107, amend (5) as follows:
InColoradoRevisedStatutes,25.5-8-107,amend -16- 032 (5) as follows:
(5) The department may purchase vaccines recommended by the advisorycommitteeadvisory committee on immunization practices to the centers for disease control and prevention in the federal department of health and human services,oritssuccessorentity,services, MERICANor ACADEMYOFits PEDIATRICS,successor THEentity,ERICAN A MERICANCADEMY ACADEMY OF FAMILYP PHYSICIANS,EDIATRICS, THE AMERICAN A CADEMYOF FAMILY PHYSICIANS,THE AMERICAN C OLLEGE OFOOF BSTETRICIANSOBSTETRICIANS ANDGAND YNECOLOGISTS,ORG THEYNECOLOGISTS AMERICAN,OR THEA MERICAN C OLLEGE OFPHYSICIANSthroughOF PHYSICIANS through a vaccine purchasing system, if such a system is developed pursuant to section 25-4-2403 (1), C.Rfor,C.R.S.,ildren children enrolled in the children's basic health plan.
The general assembly finds, determines, and declares that this act is necessary for the immediate preservationofthepublicpeace,health,orsafetyorforappropriationsforpreservation of the public peace, health, or safety or for appropriations for PAGE 13-SENATE BILL 26-032 the support and maintenance of the departments of the state and state institutions.
-17-____________________________ 032____________________________ James Rashad Coleman, Sr.
Julie McCluskie PRESIDENT OF SPEAKER OF THE HOUSE THE SENATE OF REPRESENTATIVES ____________________________ ____________________________ Esther van Mourik Vanessa Reilly SECRETARY OF CHIEF CLERK OF THE HOUSE THE SENATE OF REPRESENTATIVES APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.
Polis GOVERNOR OF THE STATE OF COLORADO PAGE 14-SENATE BILL 26-032
Show all 122 changed rows (82 more)
View plain text versions (7)
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill enhances immunization access and coverage requirements in Colorado by amending several existing statutes related to immunization programs and defining roles and responsibilities for healthcare providers.
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10-16-104
cervical cancer→ human papillomavirusThis change broadens the vaccine coverage requirement to include human papillomavirus vaccinations for individuals recommended by the ACIP.
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10-16-104
individuals→ femalesThis specifies that the HPV vaccination coverage is applicable to all individuals rather than only females.
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12-250-103
"board of health" means the state board of health created in section 25-1-103 (1)(a).
This addition defines 'board of health' within the context of naturopathic medicine.
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12-250-106
in accordance with the ACIP guidelines→ in accordance with the schedule of immunizations established by the board of health by ruleThis change clarifies that the administration of vaccines by naturopathic doctors must follow the immunization schedule set by the state board of health.
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12-280-103
"for vaccines";
This adds a new provision allowing pharmacists to exercise independent prescriptive authority for vaccines.
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25-4-909
No person→ No individualThis slight modification changes 'person' to 'individual' for clarity.
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25-4-1708
no additional general fund money needed shall be appropriated for such purposes→ no additional general fund money needed shall be addressed through the annual budget process or emergency supplemental process.This amendment clarifies the process regarding funding for immunization programs.
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25-4-1709
WHERE A CLAIM BROUGHT ON OR BEFORE JANUARY 30, 2029, against a hospital, clinic→ WHERE A CLAIM BROUGHT ON OR AFTER JANUARY 31, 2029, AGAINST A HOSPITAL, CLINICThis change adjusts the timeline related to liability claims for vaccine-related injuries.
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25-4-2403
The ability of the department of healthcare policy and financing→ The ability of the department of healthcare policy and financing to purchase vaccines recommended by ACIP, the American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, or the American College of PhysiciansThis amendment allows the healthcare department more authority in acquiring vaccines.
Action History
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Governor Signed
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Signed by the President of the Senate
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Signed by the Speaker of the House
-
Sent to the Governor
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Senate Considered House Amendments - Result was to Concur - Repass
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House Third Reading Passed - No Amendments
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House Second Reading Special Order - Passed with Amendments - Committee, Floor
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House Third Reading Passed with Amendments - Floor
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House Second Reading Laid Over Daily - No Amendments
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House Committee on Health & Human Services Refer Amended to House Committee of the Whole
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Introduced In House - Assigned to Health & Human Services
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Senate Third Reading Passed - No Amendments
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Senate Second Reading Passed with Amendments - Committee, Floor
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Senate Second Reading Laid Over to 02/04/2026 - No Amendments
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Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole
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Introduced In Senate - Assigned to Health & Human Services
Sponsors
- Y. Zokaie · Cosponsor
- S. Woodrow · Cosponsor
- A. Valdez · Cosponsor
- T. Story · Cosponsor
- R. Stewart · Cosponsor
- K. Stewart · Cosponsor
- L. Smith · Cosponsor
- E. Sirota · Cosponsor
- G. Rydin · Cosponsor
- M. Rutinel · Cosponsor
- N. Ricks · Cosponsor
- J. Phillips · Cosponsor
- A. Paschal · Cosponsor
- K. Nguyen · Cosponsor
- K. McCormick · Cosponsor
- J. McCluskie · Cosponsor
- J. Mabrey · Cosponsor
- M. Lukens · Cosponsor
- M. Lindsay · Cosponsor
- S. Lieder · Cosponsor
- E. Hamrick · Cosponsor
- L. Goldstein · Cosponsor
- L. Gilchrist · Cosponsor
- L. García · Cosponsor
- M. Froelich · Cosponsor
- M. Duran · Cosponsor
- C. Clifford · Cosponsor
- M. Carter · Cosponsor
- Judy Amabile · Cosponsor
- Matt Ball · Cosponsor
- James Coleman · Cosponsor
- Lisa Cutter · Cosponsor
- S. Camacho · Cosponsor
- A. Boesenecker · Cosponsor
- L. Feret · Primary
- K. Brown · Primary
- Tony Exum · Cosponsor
- Julie Gonzales · Cosponsor
- Iman Jodeh · Cosponsor
- Chris Kolker · Cosponsor
- William Lindstedt · Cosponsor
- Janice Marchman · Cosponsor
- Marc Snyder · Cosponsor
- Katie Wallace · Cosponsor
- Mike Weissman · Cosponsor
- Lindsey Daugherty · Primary
- Kyle Mullica · Primary
- Tom Sullivan · Cosponsor
- Cathy Kipp · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →4 sponsors · 45 co-sponsors · 52 not signed on · 19 voted No
Sponsors (4)
- L. Feret
- K. Brown
- Lindsey Daugherty Democrat
- Kyle Mullica Democrat Voted No
Co-sponsors (45)
- Y. Zokaie
- S. Woodrow
- A. Valdez
- T. Story
- R. Stewart
- K. Stewart
- L. Smith
- E. Sirota
- G. Rydin
- M. Rutinel
- N. Ricks
- J. Phillips
- A. Paschal
- K. Nguyen
- K. McCormick
- J. McCluskie
- J. Mabrey
- M. Lukens
- M. Lindsay
- S. Lieder
- E. Hamrick
- L. Goldstein
- L. Gilchrist
- L. García
- M. Froelich
- M. Duran
- C. Clifford
- M. Carter
- Judy Amabile Democrat Voted No
- Matt Ball Democrat Voted No
- James Coleman Democrat Voted No
- Lisa Cutter Democrat Voted No
- S. Camacho
- A. Boesenecker
- Tony Exum Democrat Voted No
- Julie Gonzales Democrat
- Iman Jodeh Democrat Voted No
- Chris Kolker Democrat Voted No
- William Lindstedt Democrat Voted No
- Janice Marchman Democrat Voted No
- Marc Snyder Democrat Voted No
- Katie Wallace Democrat Voted No
- Mike Weissman Democrat Voted No
- Tom Sullivan Democrat Voted No
- Cathy Kipp Democrat Voted No
Not signed on (52)
52 members have not signed on to this bill.
Show all 52 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 20 | 0 | 0 | 1 |
| Republican | 10 | 0 | 0 | 0 |
| Unaffiliated | 5 | 0 | 0 | 0 |
| Total | 35 | 0 | 0 | 1 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (36)
| Member | Party | Vote |
|---|---|---|
| Gonzales J. | — | Yea |
| Pelton B. | — | Yea |
| Pelton R. | — | Yea |
| President | — | Yea |
| Adrienne Benavidez | — | Yea |
| Cathy Kipp | Democrat | Yea |
| Chris Kolker | Democrat | Yea |
| Dylan Roberts | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| James Coleman | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Yea |
| Jessie Danielson | Democrat | Not Voting |
| Judy Amabile | Democrat | Yea |
| Katie Wallace | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lindsey Daugherty | Democrat | Yea |
| Lisa Cutter | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Matt Ball | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| Nick Hinrichsen | Democrat | Yea |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| William Lindstedt | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Yea |
| Cleave Simpson | Republican | Yea |
| Janice Rich | Republican | Yea |
| John Carson | Republican | Yea |
| Larry Liston | Republican | Yea |
| Lisa Frizell | Republican | Yea |
| Lynda Zamora Wilson | Republican | Yea |
| Marc Catlin | Republican | Yea |
| Mark Baisley | Republican | Yea |
| Scott Bright | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 20 | 0 | 0 | 1 |
| Republican | 0 | 10 | 0 | 0 |
| Unaffiliated | 3 | 2 | 0 | 0 |
| Total | 23 | 12 | 0 | 1 |
| % of votes cast | 64% | 33% | 0% | 3% |
How each member voted (36)
| Member | Party | Vote |
|---|---|---|
| Gonzales J. | — | Yea |
| Pelton B. | — | Nay |
| Pelton R. | — | Nay |
| President | — | Yea |
| Adrienne Benavidez | — | Yea |
| Cathy Kipp | Democrat | Yea |
| Chris Kolker | Democrat | Yea |
| Dylan Roberts | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| James Coleman | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Yea |
| Jessie Danielson | Democrat | Not Voting |
| Judy Amabile | Democrat | Yea |
| Katie Wallace | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lindsey Daugherty | Democrat | Yea |
| Lisa Cutter | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Matt Ball | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| Nick Hinrichsen | Democrat | Yea |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| William Lindstedt | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Nay |
| Cleave Simpson | Republican | Nay |
| Janice Rich | Republican | Nay |
| John Carson | Republican | Nay |
| Larry Liston | Republican | Nay |
| Lisa Frizell | Republican | Nay |
| Lynda Zamora Wilson | Republican | Nay |
| Marc Catlin | Republican | Nay |
| Mark Baisley | Republican | Nay |
| Scott Bright | Republican | Nay |
Roll call published as PDF — view source.
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 0 | 5 | 0 | 0 |
| Democrat | 8 | 0 | 0 | 0 |
| Total | 8 | 5 | 0 | 0 |
| % of votes cast | 62% | 38% | 0% | 0% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| Eliza Hamrick | Democrat | Yea |
| Gretchen Rydin | Democrat | Yea |
| Karen McCormick | Democrat | Yea |
| Katie Stewart | Democrat | Yea |
| Lindsay Gilchrist | Democrat | Yea |
| Lisa Feret | Democrat | Yea |
| Regina English | Democrat | Yea |
| Sheila Lieder | Democrat | Yea |
| Brandi Bradley | Republican | Nay |
| Carlos Barron | Republican | Nay |
| Dan Woog | Republican | Nay |
| Dusty Johnson | Republican | Nay |
| Mary Bradfield | Republican | Nay |
Roll call published as PDF — view source.
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 18 | 0 | 0 | 3 |
| Republican | 0 | 10 | 0 | 0 |
| Unaffiliated | 3 | 2 | 0 | 0 |
| Total | 21 | 12 | 0 | 3 |
| % of votes cast | 58% | 33% | 0% | 8% |
How each member voted (36)
| Member | Party | Vote |
|---|---|---|
| Gonzales J. | — | Yea |
| Pelton B. | — | Nay |
| Pelton R. | — | Nay |
| President | — | Yea |
| Michaelson Jenet | — | Yea |
| Cathy Kipp | Democrat | Yea |
| Chris Kolker | Democrat | Yea |
| Dylan Roberts | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| James Coleman | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Jeff Bridges | Democrat | Not Voting |
| Jessie Danielson | Democrat | Not Voting |
| Judy Amabile | Democrat | Yea |
| Katie Wallace | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lindsey Daugherty | Democrat | Not Voting |
| Lisa Cutter | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Matt Ball | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| Nick Hinrichsen | Democrat | Yea |
| Robert Rodriguez | Democrat | Yea |
| Tom Sullivan | Democrat | Yea |
| Tony Exum | Democrat | Yea |
| William Lindstedt | Democrat | Yea |
| Barbara Kirkmeyer | Republican | Nay |
| Cleave Simpson | Republican | Nay |
| Janice Rich | Republican | Nay |
| John Carson | Republican | Nay |
| Larry Liston | Republican | Nay |
| Lisa Frizell | Republican | Nay |
| Lynda Zamora Wilson | Republican | Nay |
| Marc Catlin | Republican | Nay |
| Mark Baisley | Republican | Nay |
| Scott Bright | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 0 | 18 | 0 | 3 |
| Republican | 10 | 0 | 0 | 0 |
| Unaffiliated | 2 | 3 | 0 | 0 |
| Total | 12 | 21 | 0 | 3 |
| % of votes cast | 33% | 58% | 0% | 8% |
How each member voted (36)
| Member | Party | Vote |
|---|---|---|
| Gonzales J. | — | Nay |
| Pelton B. | — | Yea |
| Pelton R. | — | Yea |
| President | — | Nay |
| Michaelson Jenet | — | Nay |
| Cathy Kipp | Democrat | Nay |
| Chris Kolker | Democrat | Nay |
| Dylan Roberts | Democrat | Nay |
| Iman Jodeh | Democrat | Nay |
| James Coleman | Democrat | Nay |
| Janice Marchman | Democrat | Nay |
| Jeff Bridges | Democrat | Not Voting |
| Jessie Danielson | Democrat | Not Voting |
| Judy Amabile | Democrat | Nay |
| Katie Wallace | Democrat | Nay |
| Kyle Mullica | Democrat | Nay |
| Lindsey Daugherty | Democrat | Not Voting |
| Lisa Cutter | Democrat | Nay |
| Marc Snyder | Democrat | Nay |
| Matt Ball | Democrat | Nay |
| Mike Weissman | Democrat | Nay |
| Nick Hinrichsen | Democrat | Nay |
| Robert Rodriguez | Democrat | Nay |
| Tom Sullivan | Democrat | Nay |
| Tony Exum | Democrat | Nay |
| William Lindstedt | Democrat | Nay |
| Barbara Kirkmeyer | Republican | Yea |
| Cleave Simpson | Republican | Yea |
| Janice Rich | Republican | Yea |
| John Carson | Republican | Yea |
| Larry Liston | Republican | Yea |
| Lisa Frizell | Republican | Yea |
| Lynda Zamora Wilson | Republican | Yea |
| Marc Catlin | Republican | Yea |
| Mark Baisley | Republican | Yea |
| Scott Bright | Republican | Yea |
Roll call published as PDF — view source.
Roll call published as PDF — view source.
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 0 | 3 | 0 | 0 |
| Democrat | 6 | 0 | 0 | 0 |
| Total | 6 | 3 | 0 | 0 |
| % of votes cast | 67% | 33% | 0% | 0% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Dafna Michaelson Jenet | Democrat | Yea |
| Iman Jodeh | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Lindsey Daugherty | Democrat | Yea |
| Lisa Cutter | Democrat | Yea |
| Mike Weissman | Democrat | Yea |
| John Carson | Republican | Nay |
| Lisa Frizell | Republican | Nay |
| Scott Bright | Republican | Nay |
Roll call published as PDF — view source.
Subjects
Frequently asked questions
- What does SB 32 do?
- 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 SB 32?
- SB 32 is sponsored by Y. Zokaie, S. Woodrow, A. Valdez, T. Story, R. Stewart, K. Stewart, L. Smith, E. Sirota, G. Rydin, M. Rutinel, N. Ricks, J. Phillips, A. Paschal, K. Nguyen, K. McCormick, J. McCluskie, J. Mabrey, M. Lukens, M. Lindsay, S. Lieder, E. Hamrick, L. Goldstein, L. Gilchrist, L. García, M. Froelich, M. Duran, C. Clifford, M. Carter, Judy Amabile (Democrat), Matt Ball (Democrat), James Coleman (Democrat), Lisa Cutter (Democrat), S. Camacho, A. Boesenecker, L. Feret, K. Brown, Tony Exum (Democrat), Julie Gonzales (Democrat), Iman Jodeh (Democrat), Chris Kolker (Democrat), William Lindstedt (Democrat), Janice Marchman (Democrat), Marc Snyder (Democrat), Katie Wallace (Democrat), Mike Weissman (Democrat), Lindsey Daugherty (Democrat), Kyle Mullica (Democrat), Tom Sullivan (Democrat), and Cathy Kipp (Democrat).
- What is the current status of SB 32?
- This bill has been enacted into law. Introduced January 26, 2026. Enacted.
- Where can I track SB 32?
- Track SB 32 free on One Click Politics — get push/email alerts when it moves.
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