SENATE BILL 25-078 BY SENATOR(S) Pelton R., Amabile, Ball, Bridges, Carson, Catlin, Cutter, Exum, Frizell, Jodeh, Kipp, Kirkmeyer, Liston, Lundeen, Michaelson Jenet, Mullica, Pelton B., Roberts, Rodriguez, Simpson, Snyder, Weissman, Winter F., Coleman; also REPRESENTATIVE(S) Lukens and Weinberg, Bacon, Bird, Boesenecker, English, Feret, Garcia, Garcia Sander, Hamrick, Johnson, Lindsay, McCormick, Phillips, Ricks, Soper, Stewart K., Story, McCluskie. C ONCERNING THE AUTHORIZATION OF CERTAIN NONPROFIT HOSPITALS TO ENTER INTO COLLABORATIVE AGREEMENTS WITH OTHER HEALTH FACILITIES . Be it enacted by the General Assembly of the State of Colorado: SECTION 1. In Colorado Revised Statutes, 25.5-1-1001, amend (2)(e) introductory portion, (2)(e)(II), and (2)(e)(III); and add (2)(e)(IV) as follows: 25.5-1-1001. Hospital collaborative agreements - review of proposed collaborative agreements - immunity - legislative declaration - definitions - rules. (2) As used in this section, unless the context otherwise requires: NOTE: This bill has been prepared for the signatures of the appropriate legislative officers and the Governor. To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws. ________ 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. (e) "Hospital" means a facility, with fewer than fifty beds that WHICH is NOT OWNED BY OR AFFILIATED WITH A HEALTH SYSTEM THAT IS COMPRISED OF THREE OR MORE HOSPITALS , THAT IS: (II) A hospital established, maintained, or operated directly or indirectly by a health service district; or (III) A hospital affiliate; OR (IV) A PRIVATE, NONPROFIT HOSPITAL. SECTION 2. In Colorado Revised Statutes, amend 25-3-304.5 as follows: 25-3-304.5. Hospital collaborative agreements - additional powers. In addition to the powers specified in section 25-3-304, the board of trustees of a county public hospital may enter into a collaborative agreement with another county public hospital; A health service district; or A hospital affiliate; OR A PRIVATE, NONPROFIT HOSPITAL in accordance with section 25.5-1-1001. SECTION 3. In Colorado Revised Statutes, 32-1-1003, amend (1)(c.5) as follows: 32-1-1003. Health service districts - additional powers. (1) In addition to the powers specified in section 32-1-1001, the board of any health service district has any or all of the following powers for and on behalf of such district: (c.5) To enter into a collaborative agreement with another health service district; A county public hospital; or A hospital affiliate; OR A PRIVATE , NONPROFIT HOSPITAL in accordance with section 25.5-1-1001; SECTION 4. Act subject to petition - effective date. This act takes effect at 12:01 a.m. on the day following the expiration of the ninety-day period after final adjournment of the general assembly; except that, if a referendum petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect PAGE 2-SENATE BILL 25-078 unless approved by the people at the general election to be held in November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor. ____________________________ ____________________________ 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 3-SENATE BILL 25-078