First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 25-0400.01 Jennifer Berman x3286
SENATE BILL 25-192
Senate Committees House Committees
Health & Human Services
Appropriations
A BILL FOR AN ACT
C
ONCERNING THE CONTINUATION OF FUNCTIONS RELATED TO THE101
REGULATION OF COMMUNITY INTEGRATED HEALTH -CARE102
SERVICE AGENCIES , AND, IN CONNECTION THEREWITH ,103
IMPLEMENTING THE RE COMMENDATIONS IN THE 2024 SUNSET104
REPORT BY THE DEPARTMENT OF REGULATORY AGENCIES .105
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 Health and Human Services
Committee. Community integrated health-care services (services) are
SENATE
3rd Reading Unamended
April 17, 2025
SENATE
2nd Reading Unamended
April 15, 2025
SENATE SPONSORSHIP
Daugherty and Jodeh, Michaelson Jenet, Cutter, Kipp
HOUSE SPONSORSHIP
Espenoza and Feret,
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. out-of-hospital medical services that may be provided by an emergency
medical service provider who obtains a community paramedic
endorsement. A community integrated health-care service agency
(agency) is an entity or sole proprietorship that manages and offers
services.
The bill implements the recommendations in the 2024 sunset
report by the department of regulatory agencies by:
! Continuing the regulation of agencies by 9 years to 2034;
! Adding clarification that a suspension of, a revocation of,
or a refusal to renew an agency's license based on the fact
that an owner, manager, or administrator of the agency was
convicted of a disqualifying felony or misdemeanor
includes circumstances in which the owner, manager, or
administrator entered into a plea of guilty or nolo
contendere for the felony or misdemeanor;
! Updating language to be gender neutral;
! Changing references from "consumers" to "patients or
clients";
! Referencing the definition of service in the statutes
governing the regulation of agencies; and
! Defining "service" to include mobile integrated health care
and, as determined by rule by the state board of health, care
and services provided by practitioners other than
community paramedics.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 24-34-104, repeal2
(26)(a)(VII); and add (35)(a)(VI) as follows:3
24-34-104. General assembly review of regulatory agencies4
and functions for repeal, continuation, or reestablishment - legislative5
declaration - repeal. (26) (a) The following agencies, functions, or both,6
are scheduled for repeal on September 1, 2025:7
(VII) The functions of the department of public health and
8
environment regarding community integrated health-care service agencies9
pursuant to part 13 of article 3.5 of title 25, C.R.S.;10
(35) (a) The following agencies, functions, or both, are scheduled11
192-2- for repeal on September 1, 2034:1
(VI) T
HE FUNCTIONS OF THE DEPARTMENT OF PUBLIC HEALTH AND2
ENVIRONMENT REGARDING COMMUNITY INTEGRATED HEALTH -CARE3
SERVICE AGENCIES PURSUANT TO PART 13 OF ARTICLE 3.5 OF TITLE 25.4
SECTION 2. In Colorado Revised Statutes, amend 25-3.5-13075
as follows:6
25-3.5-1307. Repeal of part - review of functions. This part 137
is repealed, effective September 1, 2025
SEPTEMBER 1, 2034. Before the8
repeal, the department's functions under this part 13 shall be reviewed as9
provided for in IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH section10
24-34-104. C.R.S.11
SECTION 3. In Colorado Revised Statutes, 25-3.5-1301, amend12
(1); and add (1.5) as follows:13
25-3.5-1301. Definitions - rules. As used in this part 13, unless14
the context otherwise requires:15
(1) (a) "Community integrated health-care service agency" or16
"agency" means a sole proprietorship, partnership, corporation, nonprofit17
entity, special district, governmental unit or agency, or licensed or18
certified health-care facility that is subject to regulation under article 1.519
or 3 of this title that manages and offers, directly or by contract,20
community integrated health-care services EXCEPT AS PROVIDED IN21
SUBSECTION (1)(b) OF THIS SECTION, "COMMUNITY INTEGRATED22
HEALTH-CARE SERVICE" HAS THE MEANING SET FORTH IN SECTION23
25-3.5-103
(4.3).24
(b) "C
OMMUNITY INTEGRATED HEALTH -CARE SERVICE" INCLUDES:25
(I) M
OBILE INTEGRATED HEALTH CARE ; AND26
(II) T
HE PROVISION OF CERTAIN CARE AND SERVICES , AS27
192
-3- DETERMINED BY RULE BY THE BOARD , BY PRACTITIONERS OTHER THAN1
COMMUNITY PARAMEDICS .2
(1.5) "C
OMMUNITY INTEGRATED HEALTH -CARE SERVICE AGENCY"3
OR "AGENCY" MEANS A SOLE PROPRIETORSHIP , PARTNERSHIP,4
CORPORATION, NONPROFIT ENTITY, SPECIAL DISTRICT, GOVERNMENTAL5
UNIT OR AGENCY, OR LICENSED OR CERTIFIED HEALTH -CARE FACILITY6
THAT IS SUBJECT TO REGULATION UNDER ARTICLE 1.5 OR 3 OF THIS TITLE7
25
THAT MANAGES AND OFFERS, DIRECTLY OR BY CONTRACT, COMMUNITY8
INTEGRATED HEALTH-CARE SERVICES.9
SECTION 4. In Colorado Revised Statutes, 25-3.5-1303, amend10
(1) introductory portion as follows:11
25-3.5-1303. Minimum standards for community integrated12
health-care service agencies - adult protective services data system13
check - rules. (1) In addition to the services that the board, by rule,14
authorizes a community integrated health-care service agency to perform,15
an agency may perform any of the services that may be provided through16
a CARES program pursuant to section 25-3.5-1203 (3) and the tasks and17
procedures that a community paramedic is authorized to perform within18
his or her
THE COMMUNITY PARAMEDIC 'S scope of practice in accordance19
with section 25-3.5-206 and rules promulgated ADOPTED pursuant to that20
section. On or before January 1, 2018, The board shall promulgate ADOPT21
rules providing minimum standards for the operation of an agency within22
the state. The rules must include the following:23
SECTION 5. In Colorado Revised Statutes, 25-3.5-1305, amend24
(2)(a), (3)(a)(I), (3)(b), and (3)(c) as follows:25
25-3.5-1305. License - application - inspection - record check26
- issuance. (2) (a) The department shall inspect an agency as it deems27
192
-4- necessary to ensure the health, safety, and welfare of agency consumers1
PATIENTS OR CLIENTS. An agency shall submit in writing, in a form and2
manner prescribed by the department, a plan detailing the measures that3
the agency will take to correct any violations found by the department as4
a result of an inspection.5
(3) (a) (I) With the submission of an application for a license6
pursuant to this section, each owner, manager, and administrator of an7
agency applying for an initial or renewal license shall submit a complete8
set of his or her THE OWNER'S, MANAGER'S, OR ADMINISTRATOR'S9
fingerprints to the Colorado bureau of investigation for the purpose of10
conducting a state and national fingerprint-based criminal history record11
check utilizing the records of the Colorado bureau of investigation and12
the federal bureau of investigation. The Colorado bureau of investigation13
shall forward the results of a criminal history record check to the14
department.15
(b) (I) The department may deny a license or renewal of a license16
if the results of a record check of an owner, manager, or administrator17
demonstrates that the owner, manager, or administrator has been18
convicted of a felony or a misdemeanor involving conduct that the19
department determines could pose a risk to the health, safety, or welfare20
of community integrated health-care service consumers PATIENTS OR21
CLIENTS.22
(II)
AS USED IN THIS SUBSECTION (3)(b), "CONVICTED" INCLUDES23
AN ENTRY OF A PLEA OF GUILTY OR NOLO CONTENDERE .24
(c) If an agency applying for an initial license is temporarily25
unable to satisfy all of the requirements for licensure, the department may26
issue a provisional license to the agency; except that the department shall27
192
-5- not issue a provisional license to an agency if operation of the agency will1
adversely affect the health, safety, or welfare of the agency's consumers2
PATIENTS OR CLIENTS. The department may require an agency applying3
for a provisional license to demonstrate to the department's satisfaction4
that the agency is taking sufficient steps to satisfy all of the requirements5
for full licensure. A provisional license is valid for ninety days and may6
be renewed one time at the department's discretion.7
SECTION 6. In Colorado Revised Statutes, 25-3.5-1306, amend8
(3) as follows:9
25-3.5-1306. License denial - suspension - revocation.10
(3) (a) After conducting a hearing on the matter in accordance with11
article 4 of title 24, C.R.S., the department may revoke or refuse to renew12
an agency license where IF the owner, manager, or administrator of the13
agency has been convicted of a felony or misdemeanor involving conduct14
that the department determines could pose a risk to the health, safety, or15
welfare of the agency's consumers PATIENTS OR CLIENTS.16
(b) A
S USED IN THIS SUBSECTION (3), "CONVICTED" INCLUDES AN17
ENTRY OF A PLEA OF GUILTY OR NOLO CONTENDERE .18
SECTION 7. In Colorado Revised Statutes, 25-3.5-108, amend19
(1)(b)(II)(D) as follows:20
25-3.5-108. EMS system sustainability task force - created -21
powers and duties - membership - reports - repeal. (1) (b) The task22
force consists of the following twenty voting members:23
(II) The following eight members appointed by the director of the24
department:25
(D) One individual representing a community integrated26
health-care service agency, as defined in section 25-3.5-1301 (1)
SECTION27
192
-6- 25-3.5-1301 (1.5), that is licensed pursuant to part 13 of this article 3.5;1
SECTION 8. In Colorado Revised Statutes, 26-3.1-111, amend2
(7)(c) as follows:3
26-3.1-111. Access to CAPS - employment checks -4
conservatorship and guardianship checks - confidentiality - fees -5
rules - legislative declaration - definitions. (7) The following6
employers shall request a CAPS check pursuant to this section:7
(c) A community integrated health-care service agency, as defined8
in section 25-3.5-1301 (1) SECTION 25-3.5-1301 (1.5);9
SECTION 9. Act subject to petition - effective date. This act10
takes effect at 12:01 a.m. on the day following the expiration of the11
ninety-day period after final adjournment of the general assembly; except12
that, if a referendum petition is filed pursuant to section 1 (3) of article V13
of the state constitution against this act or an item, section, or part of this14
act within such period, then the act, item, section, or part will not take15
effect unless approved by the people at the general election to be held in16
November 2026 and, in such case, will take effect on the date of the17
official declaration of the vote thereon by the governor.18
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