First Regular Session Seventy-fifth General Assembly STATE OF COLORADO REVISED This Version Includes All Amendments Adopted on Second Reading in the Second House LLS NO. 25-0987.01 Chelsea Princell x4335 SENATE BILL 25-236 Senate Committees House Committees Appropriations Appropriations A BILL FOR AN ACT C ONCERNING THE CONSOLIDATION OF THE COLORADO CRISIS HOTLINE101 AND THE 988 CRISIS HOTLINE ENTERPRISE, AND, IN CONNECTION102 THEREWITH, MAKING AN APPROPRIATION .103 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/ .) Joint Budget Committee. Under current law, the 988 crisis hotline and the telephone crisis service that is part of the behavioral health crisis response system operate as 2 separate services. The bill consolidates the telephone crisis service with the 988 crisis hotline. This ensures that callers who call the telephone crisis service will be routed to HOUSE 2nd Reading Unamended April 9, 2025 SENATE 3rd Reading Unamended April 3, 2025 SENATE 2nd Reading Unamended April 2, 2025 SENATE SPONSORSHIP Amabile and Bridges, Kirkmeyer HOUSE SPONSORSHIP Sirota and Taggart, Bird 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. the 988 crisis hotline. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, amend 22-1-136 as2 follows:3 22-1-136. Student identification cards - information required.4 Each student identification card issued to a public school student must5 contain the phone number, website address, and text talk number for6 Colorado crisis services, as defined in section 27-60-104 INFORMATION7 ON THE 988 CRISIS HOTLINE, OPERATED PURSUANT TO SECTION 27-64-103,8 and the safe2tell program created in section 24-31-606. The public school9 may also include information regarding other available crisis services on10 the identification card. If a public school does not issue student11 identification cards, the public school shall display the materials12 described in section 27-60-104 (10) at the school and send information13 related to Colorado crisis services to parents or guardians at the beginning14 of each school year.15 SECTION 2. In Colorado Revised Statutes, 23-5-109, amend (2)16 as follows:17 23-5-109. Identification - suicide and crisis prevention - rules.18 (2) Each student identification card issued after August 1, 2023, to a19 public or private postsecondary school student must include the phone20 number and text talk number for the statewide behavioral health crisis21 response system, commonly referred to as "Colorado crisis services", as22 described in section 27-60-104, and INFORMATION ON the national23 three-digit suicide and crisis lifeline number 988. The public or private24 postsecondary school may include information about other available crisis25 236-2- services and other services on the identification card, including local1 campus crisis and suicide prevention numbers. The public or private2 postsecondary school is not required to reprint or reissue identification3 cards in use before August 1, 2023. If, at any time, a private or public4 postsecondary school has current students still using identification cards5 without the information required by this section, the school shall6 distribute the phone number and text talk number for Colorado crisis7 services, as described in section 27-60-104, and INFORMATION ON the8 national three-digit suicide and crisis lifeline number 988 to all students9 at the beginning of each school semester or trimester until all students10 have identification cards with the required information. If a private or11 public postsecondary school does not issue or use student identification12 cards, the school shall distribute the phone number and text talk number13 for Colorado crisis services, as described in section 27-60-104, and14 INFORMATION ON the national three-digit suicide and crisis lifeline15 number 988 to all students at the beginning of each school semester or16 trimester.17 SECTION 3. In Colorado Revised Statutes, 27-60-103, amend18 (1)(b)(V); and repeal (1)(b)(I) as follows:19 27-60-103. Behavioral health crisis response system - services20 - request for proposals - criteria - reporting - rules - definitions -21 repeal. (1) (b) The components of the crisis response system must reflect22 a continuum of care from crisis response through stabilization and safe23 return to the community, with adequate support for transitions to each24 stage. Specific components include:25 (I) A twenty-four-hour telephone crisis service that is staffed by26 skilled professionals who are capable of assessing child, adolescent, and27 236 -3- adult crisis situations and making the appropriate referrals;1 (V) F UNDING FOR a public information campaign AND TO ENSURE2 THAT INDIVIDUALS CALLING OR TEXTING THE LEGACY STATEWIDE3 TELEPHONE CRISIS LINES ARE ROUTED TO THE 988 CRISIS LINE.4 SECTION 4. In Colorado Revised Statutes, 27-60-104.5, amend5 (3)(c) and (8) as follows:6 27-60-104.5. Behavioral health capacity tracking system -7 rules - legislative declaration - definitions. (3) Pursuant to subsection8 (8) of this section, the BHA shall implement a behavioral health capacity9 tracking system, which must include the following:10 (c) Coordination with the telephone crisis service that is part of 11 the behavioral health crisis response system pursuant to section 27-60-10312 988 CRISIS HOTLINE CREATED PURSUANT TO SECTION 27-64-103;13 (8) Subject to available appropriations, the BHA shall implement14 a centralized, web-based tracking system as described in this section and15 shall ensure that appropriate tracking system information is available to16 the public. The contractor of the twenty-four-hour telephone crisis 17 services provided pursuant to section 27-60-103 shall use the tracking18 system as an available service resource locator.19 SECTION 5. In Colorado Revised Statutes, 27-64-103, amend20 (4)(d)(I) and (7) as follows:21 27-64-103. 988 crisis hotline enterprise - creation - powers and22 duties. (4) The enterprise's primary powers and duties are to:23 (d) (I) Engage the services of third parties serving as crisis24 vendors to provide crisis outreach; stabilization, INCLUDING, BUT NOT25 LIMITED TO, RECOVERY SUPPORT AND MOBILE RESPONSE UNITS ; acute care;26 and marketing for the 988 crisis hotline;27 236 -4- (7) The enterprise shall consider recommendations from the state's1 988 planning committee to determine how the 988 crisis hotline will2 interact with the twenty-four-hour telephone crisis services established in3 section 27-60-103 (1)(b)(I) FUNDING TO ENSURE THAT INDIVIDUALS4 CALLING OR TEXTING THE LEGACY STATEWIDE TELEPHONE CRISIS LINES5 ARE ROUTED TO THE 988 CRISIS HOTLINE.6 SECTION 6. In Colorado Revised Statutes, 27-65-106, amend7 (8)(a)(VI) and (8)(d)(I) as follows:8 27-65-106. Emergency mental health hold - screening -9 court-ordered evaluation - discharge instructions - respondent's10 rights. (8) (a) The facility shall provide each person detained for an11 emergency mental health hold discharge instructions. The discharge12 instructions must be completed for every person, regardless of the13 person's discharge status, before the person is released. If the detained14 person refuses to accept the discharge instructions, the refusal must be15 documented in the person's medical record. At a minimum, the discharge16 instructions must include:17 (VI) The phone number to call or text the Colorado crisis services18 hotline INFORMATION ON THE 988 CRISIS HOTLINE OPERATED PURSUANT19 TO SECTION 27-64-103 and information on the availability of peer support20 services;21 (d) (I) The facility shall, at a minimum, attempt to follow up with22 the person, the person's parent or legal guardian, or the person's lay23 person at least forty-eight hours after discharge. The facility is24 encouraged to utilize peer support professionals, as defined in section25 27-60-108 (2)(b), when performing follow-up care with individuals and26 in developing a continuing care plan pursuant to subsection (8)(a)(I) of27 236 -5- this section. The facility may facilitate follow-up care through contracts1 with community-based behavioral health providers or the Colorado2 behavioral health crisis hotline 988 CRISIS HOTLINE OPERATED PURSUANT3 TO SECTION 27-64-103. If the facility facilitates follow-up care through a4 third-party contract, the facility shall obtain authorization from the person5 to provide follow-up care.6 SECTION 7. In Colorado Revised Statutes, 27-65-119, amend7 (1)(d) as follows:8 27-65-119. Rights of respondents certified for short-term9 treatment or long-term care and treatment. (1) Each respondent10 certified for short-term treatment or long-term care and treatment on an11 inpatient basis pursuant to sections 27-65-108.5, 27-65-109, and12 27-65-110 has the following rights and shall be advised of such rights by13 the facility:14 (d) To meet with or call a personal clinician, spiritual advisor,15 counselor, crisis hotline THE 988 CRISIS HOTLINE, family member,16 workplace, child care provider, or school at all reasonable times;17 SECTION 8. In Colorado Revised Statutes, 27-80-129, amend18 (7)(c)(IV) and (7)(e) as follows:19 27-80-129. Regulation of recovery residences - rules -20 definitions. (7) (c) If a client is unable or no longer wishes to reside in21 a recovery residence, or is discharged or transferred from a recovery22 residence, prior to the client vacating the recovery residence, the recovery23 residence staff shall:24 (IV) Provide the client with the phone number to contact the25 Colorado crisis services hotline 988 CRISIS HOTLINE OPERATED PURSUANT26 TO SECTION 27-64-103, information on the availability of peer support27 236 -6- services, and information about the behavioral health services directory1 provided by the behavioral health administration.2 (e) The recovery residence shall, at a minimum, attempt to follow3 up with the client's designated emergency contact at the time of discharge.4 The recovery residence is encouraged to utilize peer support5 professionals, as defined in section 27-60-108, when performing6 follow-up care with clients a recovery residence may facilitate follow-up7 care through contacts with community-based providers or the Colorado8 crisis hotline 988 CRISIS HOTLINE OPERATED PURSUANT TO SECTION9 27-64-103.10 SECTION 9. Appropriation - adjustments to 2025 long bill.11 (1) To implement this act, appropriations made in the annual general12 appropriation act for the 2025-26 state fiscal year to the department of13 human services for use by the behavioral health administration are14 adjusted as follows:15 (a) The general fund appropriation for behavioral health crisis16 response system services is decreased by $200,000; and17 (b) The appropriation for the behavioral health crisis response18 system telephone hotline is decreased by $3,863,938, which consists of19 $3,496,622 from the general fund and $367,316 from the marijuana tax20 cash fund created in section 39-28.8-501 (1), C.R.S.21 (2) For the 2025-26 state fiscal year, $3,863,938 is appropriated22 to the department of human services for use by the behavioral health23 administration. This appropriation is from the 988 crisis hotline cash fund24 created in section 27-64-104 (1), C.R.S. This figure is subject to the "(I)"25 notation as defined in the annual general appropriation act for the same26 fiscal year. To implement this act, the administration may use this27 236 -7- appropriation for the behavioral health crisis response system telephone1 hotline.2 SECTION 10. Effective date. This act takes effect July 1, 2025.3 SECTION 11. Safety clause. The general assembly finds,4 determines, and declares that this act is necessary for the immediate5 preservation of the public peace, health, or safety or for appropriations for6 the support and maintenance of the departments of the state and state7 institutions.8 236 -8-