First Regular Session Seventy-fifth General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted in the House of Introduction LLS NO. 25-0405.01 Renee Leone x2695 SENATE BILL 25-186 Senate Committees House Committees Business, Labor, & Technology Appropriations A BILL FOR AN ACT C ONCERNING THE CONTINUAT ION OF THE WORKERS ' COMPENSATION101 ACCREDITATION OF HEALTH -CARE PROVIDERS PROGRAM , AND,102 IN CONNECTION THEREWITH , IMPLEMENTING THE103 RECOMMENDATIONS CONTAINED IN THE 2024 SUNSET REPORT104 BY THE DEPARTMENT OF RE GULATORY AGENCIES AND MAKING 105 AN APPROPRIATION.106 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/ .) Sunset Process - Senate Business, Labor, and Technology SENATE Amended 3rd Reading April 17, 2025 SENATE Amended 2nd Reading April 15, 2025 SENATE SPONSORSHIP Winter F. and Ball, Liston, Bridges, Cutter, Exum, Gonzales J., Jodeh, Kipp, Michaelson Jenet, Sullivan, Wallace HOUSE SPONSORSHIP Hamrick and Lieder, 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. Committee. The bill implements the recommendations of the department of regulatory agencies (department) in its 2024 sunset review of the workers' compensation accreditation of health-care providers program (program), including extending the program for 11 years to September 1, 2036, and authorizing any health-care professional regulated by the division of professions and occupations in the department who provides treatment in the workers' compensation system to obtain level I accreditation from the division of workers' compensation in the department of labor and employment. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 8-42-101, amend2 (3.5)(a)(I)(A), (3.5)(a)(I)(E), (3.5)(c)(I), and (3.6)(r)(I) as follows:3 8-42-101. Employer must furnish medical aid - approval of4 plan - fee schedule - contracting for treatment - no recovery from5 employee - medical treatment guidelines - accreditation of physicians6 and other medical providers - mental health provider qualifications7 - mileage reimbursement - rules - definition - repeal.8 (3.5) (a) (I) (A) "Physician" means, for the purposes of the level I and9 level II accreditation programs, a physician licensed under the "Colorado10 Medical Practice Act", ARTICLE 240 OF TITLE 12. For the purposes of level11 I accreditation only and not level II accreditation, "physician" means a12 dentist licensed under the "Dental Practice Act", article 220 of title 12; a13 podiatrist licensed under article 290 of title 12; and AN OPTOMETRIST14 LICENSED UNDER ARTICLE 275 OF TITLE 12; a chiropractor licensed under15 article 215 of title 12; OR ANY OTHER HEALTH -CARE PROFESSIONAL16 REGULATED PURSUANT TO TITLE 12 AND LISTED IN THE UTILIZATION 17 STANDARDS ESTABLISHED IN RULES ADOPTED PURSUANT TO SUBSECTION18 (3.5)(a)(II) OF THIS SECTION WHO PROVIDES TREATMENT IN THE WORKERS '19 COMPENSATION SYSTEM .20 186-2- (E) Nothing in this subsection (3.5)(a) grants any person other1 than a physician licensed under the "Colorado Medical Practice Act",2 ARTICLE 240 OF TITLE 12, the authority to determine that no permanent3 medical impairment has resulted from the injury pursuant to subsection4 (3.6)(b) of this section or that a claimant has attained maximum medical5 improvement pursuant to section 8-42-107 (8)(b)(I).6 (c) (I) This subsection (3.5) is repealed, effective September 1,7 2025 SEPTEMBER 1, 2036.8 (3.6) The two-tier accreditation system shall comprise the9 following programs:10 (r) (I) This subsection (3.6) is repealed, effective September 1,11 2025 SEPTEMBER 1, 2036.12 SECTION 2. In Colorado Revised Statutes, 24-34-104, repeal13 (26)(a)(II); and add (37) as follows:14 24-34-104. General assembly review of regulatory agencies15 and functions for repeal, continuation, or reestablishment - legislative16 declaration - repeal. (26) (a) The following agencies, functions, or both,17 are scheduled for repeal on September 1, 2025:18 (II) The accreditation of health-care providers under the workers'19 compensation system in accordance with section 8-42-101 (3.5) and (3.6),20 C.R.S.;21 (37) (a) T HE FOLLOWING AGENCIES, FUNCTIONS, OR BOTH, ARE22 SCHEDULED FOR REPEAL ON SEPTEMBER 1, 2036:23 (I) T HE ACCREDITATION OF HEALTH-CARE PROVIDERS UNDER THE24 WORKERS' COMPENSATION SYSTEM IN ACCORDANCE WITH SECTION25 8-42-101 (3.5) AND (3.6).26 (b) T HIS SUBSECTION (37) IS REPEALED, EFFECTIVE SEPTEMBER 1,27 186 -3- 2038.1 SECTION 3. Appropriation. (1) For the 2025-26 state fiscal2 year, $123,933 is appropriated to the department of labor and employment3 for use by the division of workers' compensation. This appropriation is4 from the workers' compensation cash fund created in section 8-44-1125 (7)(a), C.R.S. To implement this act, the division may use this6 appropriation as follows:7 (a) $108,545 for personal services, which amount is based on an8 assumption that the division will require an additional 1.6 FTE; and9 (b) $15,388 for operating expenses.10 SECTION 4. Act subject to petition - effective date. This act11 takes effect at 12:01 a.m. on the day following the expiration of the12 ninety-day period after final adjournment of the general assembly; except13 that, if a referendum petition is filed pursuant to section 1 (3) of article V14 of the state constitution against this act or an item, section, or part of this15 act within such period, then the act, item, section, or part will not take16 effect unless approved by the people at the general election to be held in17 November 2026 and, in such case, will take effect on the date of the18 official declaration of the vote thereon by the governor.19 186 -4-