Colorado 2025 Regular Session

Colorado Senate Bill SB192 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		First Regular Session
2	2		Seventy-fifth General Assembly
3	3		STATE OF COLORADO
4		-	~~REENGROSSED~~
5		-	This Version Includes All Amendments
6		-	~~Adopted~~ in the House of Introduction
	4	+	ENGROSSED
	5	+	This Version Includes All Amendments Adopted
	6	+	on Second Reading in the House of Introduction
7	7		LLS NO. 25-0400.01 Jennifer Berman x3286
8	8		SENATE BILL 25-192
9	9		Senate Committees House Committees
10	10		Health & Human Services
11	11		Appropriations
12	12		A BILL FOR AN ACT
13	13		C
14	14		ONCERNING THE CONTINUATION OF FUNCTIONS RELATED TO THE101
15	15		REGULATION OF COMMUNITY INTEGRATED HEALTH -CARE102
16	16		SERVICE AGENCIES , AND, IN CONNECTION THEREWITH ,103
17	17		IMPLEMENTING THE RE COMMENDATIONS IN THE 2024 SUNSET104
18	18		REPORT BY THE DEPARTMENT OF REGULATORY AGENCIES .105
19	19		Bill Summary
20	20		(Note: This summary applies to this bill as introduced and does
21	21		not reflect any amendments that may be subsequently adopted. If this bill
22	22		passes third reading in the house of introduction, a bill summary that
23	23		applies to the reengrossed version of this bill will be available at
24	24		http://leg.colorado.gov/
25	25		.)
26	26		Sunset Process - Senate Health and Human Services
27	27		Committee. Community integrated health-care services (services) are
28	28		SENATE
29		-	3rd Reading Unamended
30		-	April 17, 2025
31		-	SENATE
32	29		2nd Reading Unamended
33	30		April 15, 2025
34	31		SENATE SPONSORSHIP
35		-	Daugherty and Jodeh, Michaelson Jenet~~, Cutter, Kipp~~
	32	+	Daugherty and Jodeh, Michaelson Jenet
36	33		HOUSE SPONSORSHIP
37	34		Espenoza and Feret,
38	35		Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
39	36		Capital letters or bold & italic numbers indicate new material to be added to existing law.
40	37		Dashes through the words or numbers indicate deletions from existing law. out-of-hospital medical services that may be provided by an emergency
41	38		medical service provider who obtains a community paramedic
42	39		endorsement. A community integrated health-care service agency
43	40		(agency) is an entity or sole proprietorship that manages and offers
44	41		services.
45	42		The bill implements the recommendations in the 2024 sunset
46	43		report by the department of regulatory agencies by:
47	44		! Continuing the regulation of agencies by 9 years to 2034;
48	45		! Adding clarification that a suspension of, a revocation of,
49	46		or a refusal to renew an agency's license based on the fact
50	47		that an owner, manager, or administrator of the agency was
51	48		convicted of a disqualifying felony or misdemeanor
52	49		includes circumstances in which the owner, manager, or
53	50		administrator entered into a plea of guilty or nolo
54	51		contendere for the felony or misdemeanor;
55	52		! Updating language to be gender neutral;
56	53		! Changing references from "consumers" to "patients or
57	54		clients";
58	55		! Referencing the definition of service in the statutes
59	56		governing the regulation of agencies; and
60	57		! Defining "service" to include mobile integrated health care
61	58		and, as determined by rule by the state board of health, care
62	59		and services provided by practitioners other than
63	60		community paramedics.
64	61		Be it enacted by the General Assembly of the State of Colorado:1
65	62		SECTION 1. In Colorado Revised Statutes, 24-34-104, repeal2
66	63		(26)(a)(VII); and add (35)(a)(VI) as follows:3
67	64		24-34-104. General assembly review of regulatory agencies4
68	65		and functions for repeal, continuation, or reestablishment - legislative5
69	66		declaration - repeal. (26) (a) The following agencies, functions, or both,6
70	67		are scheduled for repeal on September 1, 2025:7
71	68		(VII) The functions of the department of public health and
72	69		8
73	70		environment regarding community integrated health-care service agencies9
74	71		pursuant to part 13 of article 3.5 of title 25, C.R.S.;10
75	72		(35) (a) The following agencies, functions, or both, are scheduled11
76	73		192-2- for repeal on September 1, 2034:1
77	74		(VI) T
78	75		HE FUNCTIONS OF THE DEPARTMENT OF PUBLIC HEALTH AND2
79	76		ENVIRONMENT REGARDING COMMUNITY INTEGRATED HEALTH -CARE3
80	77		SERVICE AGENCIES PURSUANT TO PART 13 OF ARTICLE 3.5 OF TITLE 25.4
81	78		SECTION 2. In Colorado Revised Statutes, amend 25-3.5-13075
82	79		as follows:6
83	80		25-3.5-1307. Repeal of part - review of functions. This part 137
84	81		is repealed, effective September 1, 2025
85	82		SEPTEMBER 1, 2034. Before the8
86	83		repeal, the department's functions under this part 13 shall be reviewed as9
87	84		provided for in IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH section10
88	85		24-34-104. C.R.S.11
89	86		SECTION 3. In Colorado Revised Statutes, 25-3.5-1301, amend12
90	87		(1); and add (1.5) as follows:13
91	88		25-3.5-1301. Definitions - rules. As used in this part 13, unless14
92	89		the context otherwise requires:15
93	90		(1) (a) "Community integrated health-care service agency" or16
94	91		"agency" means a sole proprietorship, partnership, corporation, nonprofit17
95	92		entity, special district, governmental unit or agency, or licensed or18
96	93		certified health-care facility that is subject to regulation under article 1.519
97	94		or 3 of this title that manages and offers, directly or by contract,20
98	95		community integrated health-care services EXCEPT AS PROVIDED IN21
99	96		SUBSECTION (1)(b) OF THIS SECTION, "COMMUNITY INTEGRATED22
100	97		HEALTH-CARE SERVICE" HAS THE MEANING SET FORTH IN SECTION23
101	98		25-3.5-103
102	99		(4.3).24
103	100		(b) "C
104	101		OMMUNITY INTEGRATED HEALTH -CARE SERVICE" INCLUDES:25
105	102		(I) M
106	103		OBILE INTEGRATED HEALTH CARE ; AND26
107	104		(II) T
108	105		HE PROVISION OF CERTAIN CARE AND SERVICES , AS27
109	106		192
110	107		-3- DETERMINED BY RULE BY THE BOARD , BY PRACTITIONERS OTHER THAN1
111	108		COMMUNITY PARAMEDICS .2
112	109		(1.5) "C
113	110		OMMUNITY INTEGRATED HEALTH -CARE SERVICE AGENCY"3
114	111		OR "AGENCY" MEANS A SOLE PROPRIETORSHIP , PARTNERSHIP,4
115	112		CORPORATION, NONPROFIT ENTITY, SPECIAL DISTRICT, GOVERNMENTAL5
116	113		UNIT OR AGENCY, OR LICENSED OR CERTIFIED HEALTH -CARE FACILITY6
117	114		THAT IS SUBJECT TO REGULATION UNDER ARTICLE 1.5 OR 3 OF THIS TITLE7
118	115		25
119	116		THAT MANAGES AND OFFERS, DIRECTLY OR BY CONTRACT, COMMUNITY8
120	117		INTEGRATED HEALTH-CARE SERVICES.9
121	118		SECTION 4. In Colorado Revised Statutes, 25-3.5-1303, amend10
122	119		(1) introductory portion as follows:11
123	120		25-3.5-1303. Minimum standards for community integrated12
124	121		health-care service agencies - adult protective services data system13
125	122		check - rules. (1) In addition to the services that the board, by rule,14
126	123		authorizes a community integrated health-care service agency to perform,15
127	124		an agency may perform any of the services that may be provided through16
128	125		a CARES program pursuant to section 25-3.5-1203 (3) and the tasks and17
129	126		procedures that a community paramedic is authorized to perform within18
130	127		his or her
131	128		THE COMMUNITY PARAMEDIC 'S scope of practice in accordance19
132	129		with section 25-3.5-206 and rules promulgated ADOPTED pursuant to that20
133	130		section. On or before January 1, 2018, The board shall promulgate ADOPT21
134	131		rules providing minimum standards for the operation of an agency within22
135	132		the state. The rules must include the following:23
136	133		SECTION 5. In Colorado Revised Statutes, 25-3.5-1305, amend24
137	134		(2)(a), (3)(a)(I), (3)(b), and (3)(c) as follows:25
138	135		25-3.5-1305. License - application - inspection - record check26
139	136		- issuance. (2) (a) The department shall inspect an agency as it deems27
140	137		192
141	138		-4- necessary to ensure the health, safety, and welfare of agency consumers1
142	139		PATIENTS OR CLIENTS. An agency shall submit in writing, in a form and2
143	140		manner prescribed by the department, a plan detailing the measures that3
144	141		the agency will take to correct any violations found by the department as4
145	142		a result of an inspection.5
146	143		(3) (a) (I) With the submission of an application for a license6
147	144		pursuant to this section, each owner, manager, and administrator of an7
148	145		agency applying for an initial or renewal license shall submit a complete8
149	146		set of his or her THE OWNER'S, MANAGER'S, OR ADMINISTRATOR'S9
150	147		fingerprints to the Colorado bureau of investigation for the purpose of10
151	148		conducting a state and national fingerprint-based criminal history record11
152	149		check utilizing the records of the Colorado bureau of investigation and12
153	150		the federal bureau of investigation. The Colorado bureau of investigation13
154	151		shall forward the results of a criminal history record check to the14
155	152		department.15
156	153		(b) (I) The department may deny a license or renewal of a license16
157	154		if the results of a record check of an owner, manager, or administrator17
158	155		demonstrates that the owner, manager, or administrator has been18
159	156		convicted of a felony or a misdemeanor involving conduct that the19
160	157		department determines could pose a risk to the health, safety, or welfare20
161	158		of community integrated health-care service consumers PATIENTS OR21
162	159		CLIENTS.22
163	160		(II)
164	161		AS USED IN THIS SUBSECTION (3)(b), "CONVICTED" INCLUDES23
165	162		AN ENTRY OF A PLEA OF GUILTY OR NOLO CONTENDERE .24
166	163		(c) If an agency applying for an initial license is temporarily25
167	164		unable to satisfy all of the requirements for licensure, the department may26
168	165		issue a provisional license to the agency; except that the department shall27
169	166		192
170	167		-5- not issue a provisional license to an agency if operation of the agency will1
171	168		adversely affect the health, safety, or welfare of the agency's consumers2
172	169		PATIENTS OR CLIENTS. The department may require an agency applying3
173	170		for a provisional license to demonstrate to the department's satisfaction4
174	171		that the agency is taking sufficient steps to satisfy all of the requirements5
175	172		for full licensure. A provisional license is valid for ninety days and may6
176	173		be renewed one time at the department's discretion.7
177	174		SECTION 6. In Colorado Revised Statutes, 25-3.5-1306, amend8
178	175		(3) as follows:9
179	176		25-3.5-1306. License denial - suspension - revocation.10
180	177		(3) (a) After conducting a hearing on the matter in accordance with11
181	178		article 4 of title 24, C.R.S., the department may revoke or refuse to renew12
182	179		an agency license where IF the owner, manager, or administrator of the13
183	180		agency has been convicted of a felony or misdemeanor involving conduct14
184	181		that the department determines could pose a risk to the health, safety, or15
185	182		welfare of the agency's consumers PATIENTS OR CLIENTS.16
186	183		(b) A
187	184		S USED IN THIS SUBSECTION (3), "CONVICTED" INCLUDES AN17
188	185		ENTRY OF A PLEA OF GUILTY OR NOLO CONTENDERE .18
189	186		SECTION 7. In Colorado Revised Statutes, 25-3.5-108, amend19
190	187		(1)(b)(II)(D) as follows:20
191	188		25-3.5-108. EMS system sustainability task force - created -21
192	189		powers and duties - membership - reports - repeal. (1) (b) The task22
193	190		force consists of the following twenty voting members:23
194	191		(II) The following eight members appointed by the director of the24
195	192		department:25
196	193		(D) One individual representing a community integrated26
197	194		health-care service agency, as defined in section 25-3.5-1301 (1)
198	195		SECTION27
199	196		192
200	197		-6- 25-3.5-1301 (1.5), that is licensed pursuant to part 13 of this article 3.5;1
201	198		SECTION 8. In Colorado Revised Statutes, 26-3.1-111, amend2
202	199		(7)(c) as follows:3
203	200		26-3.1-111. Access to CAPS - employment checks -4
204	201		conservatorship and guardianship checks - confidentiality - fees -5
205	202		rules - legislative declaration - definitions. (7) The following6
206	203		employers shall request a CAPS check pursuant to this section:7
207	204		(c) A community integrated health-care service agency, as defined8
208	205		in section 25-3.5-1301 (1) SECTION 25-3.5-1301 (1.5);9
209	206		SECTION 9. Act subject to petition - effective date. This act10
210	207		takes effect at 12:01 a.m. on the day following the expiration of the11
211	208		ninety-day period after final adjournment of the general assembly; except12
212	209		that, if a referendum petition is filed pursuant to section 1 (3) of article V13
213	210		of the state constitution against this act or an item, section, or part of this14
214	211		act within such period, then the act, item, section, or part will not take15
215	212		effect unless approved by the people at the general election to be held in16
216	213		November 2026 and, in such case, will take effect on the date of the17
217	214		official declaration of the vote thereon by the governor.18
218	215		192
219	216		-7-