First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 25-0406.01 Clare Haffner x6137
SENATE BILL 25-193
Senate Committees House Committees
Health & Human Services
Appropriations
A BILL FOR AN ACT
C
ONCERNING THE CONTINUATION OF THE PRIMARY CARE PAYMENT101
REFORM COLLABORATIVE .102
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. In 2019, the division of insurance within the department of
regulatory agencies (department) established the primary care payment
reform collaborative (collaborative) to, among other things, advise in the
development of affordability standards and targets for carrier investments
in primary care, identify barriers to the adoption of alternative paymentSENATE
3rd Reading Unamended
April 17, 2025
SENATE
Amended 2nd Reading
April 15, 2025
SENATE SPONSORSHIP
Ball and Mullica, Cutter, Jodeh, Kipp, Weissman, Amabile, Marchman, Michaelson Jenet,
Wallace
HOUSE SPONSORSHIP
Garcia Sander and McCormick,
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. models by health-care providers and insurers, and develop
recommendations to address barriers.
The bill implements the recommendations of the department's
sunset review and report by:
! Continuing the collaborative for 7 years, until September 1,
2032; and
! Scheduling the next sunset review to take place pursuant to
the sunset review structure for advisory committees.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 10-16-150, amend2
(1)(g)(II), (1)(g)(III), (2)(a), and (7); and add (1)(g)(IV) as follows:3
10-16-150. Primary care payment reform collaborative -4
created - powers and duties - report - definition - repeal. (1) The5
commissioner shall convene a primary care payment reform collaborative6
to:7
(g) Develop recommendations to increase the use of alternative8
payment models that are not paid on a fee-for-service or per-claim basis9
to:10
(II) Align primary care reimbursement by all consumers of11
primary care; and12
(III) Direct investment toward higher value primary care services13
with an aim toward reducing health disparities;
AND
14
(IV) E
NSURE THE DEVELOPMENT AND CONSIDERATION OF
15
ALTERNATIVE PAYMENT MODELS THAT ARE RESPONSIVE TO THE NEEDS OF16
PRIMARY CARE DELIVERY IN PEDIATRICS.17
(2) The commissioner shall invite representatives from the18
following to participate in the primary care payment reform collaborative:19
(a) Health-care providers, including primary care providers
AND
20
PEDIATRIC PRIMARY CARE PROVIDERS ;21
193-2- (7) This section is repealed, effective September 1, 20251
S
EPTEMBER 1, 2032. Before the repeal, the functions of the primary care2
payment reform collaborative are scheduled for review in accordance3
with section 24-34-104
SECTION 2-3-1203.4
SECTION 2. In Colorado Revised Statutes, 2-3-1203, add5
(23.5)(a)(II) as follows:6
2-3-1203. Sunset review of advisory committees - legislative7
declaration - definition - repeal. (23.5) (a) The following statutory8
authorizations for the designated advisory committees will repeal on9
September 1, 2032:10
(II) T
HE PRIMARY CARE PAYMENT REFORM COLLABORATIVE11
CREATED IN SECTION 10-16-150.12
SECTION 3. In Colorado Revised Statutes, 24-34-104, repeal13
(26)(a)(VIII) 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
(VIII) The primary care payment reform collaborative established
19
in section 10-16-150;20
SECTION 4. Act subject to petition - effective date. This act21
takes effect at 12:01 a.m. on the day following the expiration of the22
ninety-day period after final adjournment of the general assembly; except23
that, if a referendum petition is filed pursuant to section 1 (3) of article V24
of the state constitution against this act or an item, section, or part of this25
act within such period, then the act, item, section, or part will not take26
effect unless approved by the people at the general election to be held in27
193
-3- November 2026 and, in such case, will take effect on the date of the1
official declaration of the vote thereon by the governor.2
193
-4-