HB 25-1088 Colorado House · 2025 Regular Session

Costs for Ground Ambulance Services

Summary
For ground ambulance services (ambulance services), the act: Allows a political subdivision or an ambulance service providing ambulance services on behalf of the political subdivision to submit to the division of insurance (division) the established rates for the ambulance services, if the rates meet specified conditions; Requires the division to publish reimbursement rates on the division's public-facing website; Establishes reimbursement rates for ambulance services that are out of network; and Prohibits an out-of-network ambulance service from billing an individual covered under a health insurance coverage plan (covered person) any outstanding balance for a covered service not paid for by an insurance carrier, except for any coinsurance, deductible, or copayment amount required to be paid by the covered person. If a covered person makes a payment for an out-of-network ambulance service, the payment must be applied to the covered person's in-network deductibles and in-network out-of-pocket maximum amounts. For the 2025-26 state fiscal year, $38,149 is appropriated from the division of insurance cash fund to the department of regulatory agencies for use by the division to implement the act. VETOED by Governor 5/29/2025(Note: This summary applies to this bill as enacted.)
Bill status vetoed 4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
May 2025
Vetoed
May 2025
Introduced Jan 22, 2025 Vetoed May 29, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

Rerevised (05/01/2025) Revised (04/30/2025) · 3 edits
MINOR
The bill text was updated to reflect amendments adopted during second reading in the Senate, changing the version status from 'Rerevised' to 'Revised' and updating the Senate sponsorship list. A new provision was added requiring out-of-network ambulance carriers to reimburse services at rates established by the political subdivision where the service originated, if those rates were submitted to the Division as required by the bill.
Scope change
The bill's scope regarding ambulance reimbursement was expanded to clarify that out-of-network carriers must use the originating political subdivision's submitted rates for reimbursement.
TECHNICAL

Version header changed from 'REREVISED' to 'REVISED' with updated language indicating amendments adopted on second reading in the Second House.

Senate sponsorship list was removed from the version header, likely indicating these senators were no longer sponsors after amendments.

REQUIREMENT

New provision added requiring out-of-network ambulance carriers to reimburse at rates established by the political subdivision where the service originated, if those rates were submitted to the Division as required by the bill.

Floor votes · Senate May 1, 2025 · House Apr 17, 2025

How they voted

350
Passed
Total votes 35
May 1, 2025
D Democratic23
23 Yea
100% Yea
R Republican12
12 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
14
Key actions
4
Committee
4
May 29, 2025
Vetoed
Governor Vetoed
executive
May 1, 2025
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Apr 30, 2025
Upper · Passed
Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
upper
Apr 24, 2025
Committee
Senate Committee on Health & Human Services Refer Unamended to Appropriations
upper
Apr 22, 2025
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Apr 17, 2025
Lower · Passed
House Third Reading Passed - No Amendments
lower
Apr 15, 2025
Lower · Passed
House Committee on Appropriations Refer Amended to House Committee of the Whole
lower
Feb 11, 2025
Committee
House Committee on Health & Human Services Refer Unamended to Appropriations
lower
Jan 22, 2025
Introduced
Introduced In House - Assigned to Health & Human Services
lower
4 primary · 51 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Karen McCormick
Karen McCormick
DDemocratic
CO
11
P
Photo of Kyle Brown
Kyle Brown
DDemocratic
CO
12
P
Photo of Kyle Mullica
Kyle Mullica
DDemocratic
CO
24
P
Photo of Mark Baisley
Mark Baisley
RRepublican
CO
4
Co
Photo of Alex Valdez
Alex Valdez
DDemocratic
CO
5
Co
Photo of Amy Paschal
Amy Paschal
DDemocratic
CO
18
Co
Photo of Andy Boesenecker
Andy Boesenecker
DDemocratic
CO
53
Co
Photo of Byron Pelton
Byron Pelton
RRepublican
CO
1
Co
Photo of Carlos Barron
Carlos Barron
RRepublican
CO
48
Co
Photo of Cathy Kipp
Cathy Kipp
DDemocratic
CO
14
Co
Photo of Cecelia Espenoza
Cecelia Espenoza
DDemocratic
CO
4
Co
Photo of Chad Clifford
Chad Clifford
DDemocratic
CO
37
Co
Photo of Dafna Michaelson Jenet
Dafna Michaelson Jenet
DDemocratic
CO
21
Co
Photo of Dusty Johnson
Dusty Johnson
RRepublican
CO
63