First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REVISED
This Version Includes All Amendments Adopted
on Second Reading in the Second House
LLS NO. 25-0385.02 Kristen Forrestal x4217
SENATE BILL 25-078
Senate Committees House Committees
Health & Human Services Health & Human Services
A BILL FOR AN ACT
C
ONCERNING THE AUTHORIZATION OF CERTAIN NONPROFIT HOSPITALS101
TO ENTER INTO COLLABORATIVE AGREEMENTS WITH OTHER102
HEALTH FACILITIES.103
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
In 2023, the general assembly authorized certain public hospitals
to enter into collaborative agreements with other hospitals or hospital
affiliates to engage in activities to increase access to health care. The bill
authorizes private, nonprofit hospitals with fewer than 50 beds to also
enter into collaborative agreements.
HOUSE
2nd Reading Unamended
March 19, 2025
SENATE
3rd Reading Unamended
March 5, 2025
SENATE
Amended 2nd Reading
March 4, 2025
SENATE SPONSORSHIP
Pelton R., Amabile, Ball, Bridges, Carson, Catlin, Coleman, Cutter, Exum, Frizell, Jodeh,
Kipp, Kirkmeyer, Liston, Lundeen, Michaelson Jenet, Mullica, Pelton B., Roberts, Rodriguez,
Simpson, Snyder, Weissman, Winter F.
HOUSE SPONSORSHIP
Lukens and Weinberg,
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law. Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 25.5-1-1001, amend2
(2)(e) introductory portion, (2)(e)(II), and (2)(e)(III); and add (2)(e)(IV)3
as follows:4
25.5-1-1001. Hospital collaborative agreements - review of5
proposed collaborative agreements - immunity - legislative6
declaration - definitions - rules. (2) As used in this section, unless the7
context otherwise requires:8
(e) "Hospital" means a facility, with fewer than fifty beds that9
WHICH is NOT OWNED BY OR AFFILIATED WITH A HEALTH SYSTEM THAT IS10
COMPRISED OF THREE OR MORE HOSPITALS , THAT IS:11
(II) A hospital established, maintained, or operated directly or12
indirectly by a health service district; or13
(III) A hospital affiliate;
OR14
(IV) A
PRIVATE, NONPROFIT HOSPITAL.15
SECTION 2. In Colorado Revised Statutes, amend 25-3-304.516
as follows:17
25-3-304.5. Hospital collaborative agreements - additional18
powers. In addition to the powers specified in section 25-3-304, the board19
of trustees of a county public hospital may enter into a collaborative20
agreement with another county public hospital;
A health service district;21
or
A hospital affiliate; OR A PRIVATE, NONPROFIT HOSPITAL in accordance22
with section 25.5-1-1001.23
SECTION 3. In Colorado Revised Statutes, 32-1-1003, amend24
(1)(c.5) as follows:25
32-1-1003. Health service districts - additional powers. (1) In26
078-2- addition to the powers specified in section 32-1-1001, the board of any1
health service district has any or all of the following powers for and on2
behalf of such district:3
(c.5) To enter into a collaborative agreement with another health4
service district;
A county public hospital; or
A hospital affiliate; OR A5
PRIVATE, NONPROFIT HOSPITAL in accordance with section 25.5-1-1001;6
SECTION 4. Act subject to petition - effective date. This act7
takes effect at 12:01 a.m. on the day following the expiration of the8
ninety-day period after final adjournment of the general assembly; except9
that, if a referendum petition is filed pursuant to section 1 (3) of article V10
of the state constitution against this act or an item, section, or part of this11
act within such period, then the act, item, section, or part will not take12
effect unless approved by the people at the general election to be held in13
November 2026 and, in such case, will take effect on the date of the14
official declaration of the vote thereon by the governor.15
078
-3-