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HomeProposition 135: Stance
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BALLOT MEASURE SUMMARY


The measure prohibits a health care professional from performing, prescribing or administering surgery on reproductive anatomy of anyone under 18 years old in response to their perception of sex or gender unless they have a medically verifi able disorder of sex development. The measure prohibits the state government and insurance carriers, including Medicaid, from paying for these surgeries. The measure applies broadly to treatment by doctors, nurses, mental health professionals, and others in the healing arts.


 

BACKGROUND

Access to gender-affi rming healthcare is protected for all Coloradans by Colorado law, and health insurance providers are prohibited from denying or limiting coverage for such care when a healthcare provider determines the treatment is medically necessary.

Some medical providers in Colorado, including Children’s Hospital Colorado and Denver Health, limited minors’ access to gender-affi rming care after threats from federal agencies to withdraw Medicaid and Medicare funding. Disputes over minors’ access to gender-affi rming care in Colorado are currently the subject of litigation.


 


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The measure will increase spending in the Department of Regulatory Agencies and the Judicial Department. Correspondingly there will be an increase in revenue for additional fees charged to enforce the law. The law may decrease expenditures in the Department of Health Care Policy and Financing and for state employee health insurance plans. This measure is expected to have minimal impacts on the state budget.






LEAGUE POSITION


Every US resident should have access to a basic level of care that includes the prevention of disease, health promotion and education, primary care (including prenatal and reproductive health), acute care, long-term care, and mental health care. Every US resident should have access to affordable, quality in- and out-patient behavioral health care, including needed medications and supportive service that is integrated with, and achieves parity with, physical health care. (2024-2026 LWVUS Impact on Issues, p. 157)


As public health crises increasingly reveal, a health program should protect the health of its most vulnerable populations, urban and rural, in order to protect the health of everyone. (2024-2026 LWVUS Impact on Issues, p. 157)

LWVUS believes that access to health care includes the following: preventive care, primary care, maternal and child health care, emergency care, catastrophic care, nursing home care, and mental health care, as well as access to substance abuse programs, health and sex education programs, and nutrition programs. (2024-2026 LWVUS Impact on Issues, p. 170)

In 2025, LWVCO supported a measure that was signed into law that codified gender-affirming health care treatments in statute and prohibited health benefit plans from denying or limiting medically necessary gender-affirming health care as determined and prescribed by a physical or behavioral health-care provider. (2025-2026 LWVCO Positions for Action, p. 112)



RATIONALE FOR STANCE

The League of Women Voters Colorado opposes this measure because:

Families, with the doctors and medical professionals they trust, should have the freedom to decide what health care is right for their child. This ban takes that choice away and puts the government in the middle of private family decisions. We trust families to make private medical decisions for their children without government interference.

The measure’s defined terms are vague and lead to unintended consequences for young people. For example, this measure could keep minors from receiving life-saving treatment for cervical or testicular cancers.

The measure distracts from real priorities like keeping kids healthy and safe while undermining Colorado’s law that already protects access to necessary medical care.

The measure undermines medical best practices that are supported by every major American medical association and proven to improve health outcomes and reduce suicide risk.








Have you ever wondered...
HOW DOES THE LEAGUE TAKE A STANCE?

These two publications are designed to help League members use LWVUS and LWVCO public policy positions effectively at the state and local levels.

NOTE: For information on how to take action that the League supports or opposes, please visit our Take Action page.

LWVCO 2026-2027 Positions for Action

LWVUS 2024 - 2026 Impact on Issues


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QUICK REFERENCE GUIDE

The Legislative Action Committee is comprised of lobbyists, scholars, and members who meticulously examine each proposed measure, ensuring they are aligned with both LWVCO and LWVUS public policy issues.



DOWNLOAD THE 2026 QUICK REFERENCE GUIDE

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