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HB 1040

Sterilization Rights of Person with Disabilities

2026 Regular Session

HB 1040 establishes safeguards and consent procedures for sterilization decisions affecting Colorado residents with intellectual or developmental disabilities.

Governor Signed
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Bill Summary · HB 1040

Legislative bill overview

HB 1040 establishes legal protections and procedures governing sterilization decisions for individuals with intellectual or developmental disabilities in Colorado. The bill has passed the House with amendments and is now under Senate review in the Health & Human Services Committee, reflecting evolving standards around reproductive autonomy and guardianship protections.

Why is this important

Sterilization of people with disabilities has a troubling historical legacy in the U.S., including forced procedures. Modern legislation in this area attempts to balance reproductive rights, informed consent protections, and safeguards against coercion—making this a significant policy question about vulnerable populations' autonomy and bodily integrity.

Potential points of contention

  • Consent standards: Defining what constitutes valid informed consent for individuals with varying cognitive abilities, and whether guardians should have authority to make this decision unilaterally
  • Medical necessity vs. convenience: Distinguishing between medically necessary sterilizations and those pursued for caregiver convenience or cost savings
  • Judicial oversight: Whether court approval should be required before sterilization (adding procedural protection but also potential barriers to those who can consent), and what burden of proof applies

Compiled from official sources — confirm details with the bill’s official record.

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