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House committee advances bill to protect rural independent pharmacies; CPI adjustment added

2756956 · March 20, 2025
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Summary

HB12‑22, intended to preserve health‑care access by supporting rural independent pharmacies, passed the Health and Human Services committee with amendments that clarify definitions and add an annual adjustment for dispensing fees tied to inflation.

The House Health and Human Services Committee on March 20 advanced HB12‑22, legislation designed to preserve access to medications and pharmacy services in rural and underserved Colorado communities by ensuring fair reimbursement to independent pharmacies.

Representative Lukens, the sponsor, described several amendments adopted in committee that clarified reimbursement mechanics and the legislative declaration. An amendment (L14) will ensure an annual 1% adjustment to the dispensing fee to account for inflation, the sponsor said. The committee also adopted a technical cleanup (L11), and members later adopted amendments (L13 and L15) to clarify the bill’s geographic and applicability details and to adjust the timing for section implementation.

Representative Lukens said the bill’s definition of “rural independent pharmacy” targets privately owned pharmacies — including those outside what is commonly called Rural Colorado — that are not affiliated with chains, and that the bill will therefore also apply to independent pharmacies in non‑rural districts that meet the ownership test.

Assistant Minority Leader Winters, who supported the bill, said independent pharmacies function as local health centers in many small towns and that preserving them will protect health‑care access in areas facing provider shortages.

Actions in committee and next steps - Amendment L11 (technical cleanup) — adopted. - Amendment L14 (1% annual CPI/dispensing fee adjustment) — adopted. - Amendment L13 (refined definition scope) — adopted. - Amendment L15 (applicability date adjustment for section 4) — adopted. - The Health and Human Services Committee report as amended was adopted and the bill advanced.

Why it matters Sponsor and supporters framed the bill as a targeted intervention to protect pharmacies that serve as primary health‑care access points in rural and underserved communities. Committee testimony cited concerns about pharmacy closures, the interconnected buying power between rural and independent pharmacies, and long‑term costs to health systems when local medication access is lost.

The bill will proceed through the legislative calendar toward second and third reading on the House floor.