SB 25-166: Health-Care Workplace Violence Incentive Payments - Colorado

Revised (04/16/2025) → PA1 (03/28/2025) · 6 edits

MODERATE

The bill was amended to move from a formal 'Revised' status to an 'Unofficial Preamble' status, indicating that some committee amendments have not yet been formally adopted. The substantive policy content remains focused on requiring hospitals to report workplace violence policies and assessments, with no changes to the core requirements, dates, or exemptions.

TECHNICAL

Removed the 'Revised' header and associated text indicating that all amendments adopted on second reading were included.

Added a 'PREAMENDED' header and text indicating this is an unofficial version that includes committee amendments not yet adopted on second reading.

Changed Senate sponsorship list from a full list of names to just the sponsor's name 'Mullica'.

Changed House sponsorship from 'Feret' to '(None)'.

REQUIREMENT

Added a requirement for the Colorado Healthcare Affordability and Sustainability Enterprise Board to include legislative recommendations in its January 2027 report.

TIMELINE

Adjusted the bill summary date reference from 'April 16, 2025' to 'April 1, 2025' for the Senate 3rd Reading Unamended version.

Rerevised (04/17/2025) → Revised (04/16/2025) · 2 edits

MINOR

The bill was revised to reflect its status after second reading in the Senate, updating the revision date from April 17 to April 16, 2025. The revision includes new text regarding workplace violence metrics and progress reports to be presented during the 2026 'SMART ACT' hearing.

Scope change

The bill's scope remains focused on workplace violence prevention, but new requirements were added for the State Department to report on metrics and funding availability during a specific hearing.

REQUIREMENT

Added a requirement for the State Department to include a progress report on workplace violence metrics and federal/private funding availability during the 2026 'SMART ACT' hearing.

TECHNICAL

Updated the revision date and status from 'Rerevised (04/17/2025)' to 'Revised (04/16/2025)' to reflect amendments adopted on second reading in the Second House.

Final Act (04/25/2025) → Rerevised (04/17/2025) · 4 edits

MODERATE

The bill was rerevised to correct formatting errors, fix a typo in the payment calculation language, and adjust the stakeholder consultation deadline from September 1, 2025, to February 1, 2026. The core policy remains unchanged: hospitals will receive quality incentive payments based on workplace violence metrics, with a formal policy assessment beginning July 1, 2026.

Scope change

No substantive change to the bill's scope or applicability; changes are primarily technical and procedural.

TIMELINE

The deadline for the state department to consult with stakeholders and develop workplace violence metrics was changed from September 1, 2025, to February 1, 2026.

TECHNICAL

Corrected a typo in Section 1(b) where 'SUBSECTION (3)(a) OF THIS SECTION MUST' was changed to 'shall' for proper legal language.

Removed redundant explanatory notes and formatting artifacts from the bill text to produce a clean final version.

Added official session headers, committee assignments, and reading dates to formalize the document structure.

Signed Act (05/05/2025) → Final Act (04/25/2025) · 3 edits

MINOR

This bill establishes quality incentive payments to Colorado hospitals based on their performance in preventing workplace violence. The changes primarily involve formatting and signature block updates, with one substantive modification to the payment calculation timeline that clarifies the fiscal year reference.

Scope change

No substantive change to the bill's scope or applicability; changes are primarily formatting, signature block updates, and a minor clarification to the fiscal year reference in payment calculations.

TECHNICAL

Updated formatting and signature blocks to reflect final legislative action, including proper placement of sponsor names and signature lines for legislative officers and the Governor.

Added explanatory notes and formatting instructions indicating that capital letters and bold/italic numbers represent new material added to existing law, while dashes indicate deletions.

TIMELINE

Changed the fiscal year reference from 'STATE FISCAL year' to 'previous STATE FISCAL year' to clarify that payment calculations are based on reimbursements from the preceding fiscal year.

Reengrossed (04/01/2025) → Signed Act (05/05/2025) · 4 edits · May 5, 2025

MODERATE

The bill was reengrossed to add more specific stakeholders to the required consultation group for developing workplace violence metrics, clarify the timeline for reporting progress during a 2026 hearing, and ensure legislative recommendations are included in a 2027 board report. The text was also reformatted to correct sponsor lists and remove redundant explanatory notes about amendment types.

REQUIREMENT

Added specific representatives from rural hospitals and a hospital to the stakeholder consultation group required to develop workplace violence metrics.

Added a requirement for the Colorado Healthcare Affordability and Sustainability Enterprise Board to include legislative recommendations in its January 2027 report.

TIMELINE

Added a requirement for the state department to include a progress report on workplace violence metrics during the 2026 'SMART ACT' hearing.

TECHNICAL

Corrected the sponsor lists to include additional representatives and removed explanatory notes about how amendments are denoted in the bill text.

Engrossed (03/31/2025) → Reengrossed (04/01/2025) · 2 edits · Apr 1, 2025

MINOR

The bill was reengrossed to include additional co-sponsors and updated formatting. The most significant substantive change is the removal of Section 2, which previously mandated the State Department to assess hospital workplace violence policies starting July 1, 2026. This deletion eliminates a specific reporting and verification requirement for hospitals regarding workplace violence policies.

Scope change

The bill's scope was reduced by removing a provision that required the State Department to verify hospital workplace violence policies and reporting compliance.

REQUIREMENT

Deleted Section 2, which required the State Department to assess whether hospitals adopted formal workplace violence policies and submitted reporting requirements to the Department of Public Health and Environment starting July 1, 2026.

TECHNICAL

Updated bill title from 'ENGROSSED' to 'REENGROSSED' and added additional co-sponsors to the Senate sponsorship list.

Introduced (02/18/2025) → Engrossed (03/31/2025) · 4 edits · Apr 1, 2025

MODERATE

This bill was amended to clarify the stakeholder group composition and reporting requirements for workplace violence prevention in hospitals. The changes add specific representatives to the stakeholder group, including nurse associations and legislative committee chairs, and reorganize the reporting timeline to align with the state department's annual 'Smart Act' hearing.

REQUIREMENT

The stakeholder group convening a stakeholder group now must include representatives from nurse associations, hospital associations, and legislative committee chairs, in addition to existing members.

The bill now specifies that the stakeholder group must determine whether federal or private funds are available to assist hospitals in lowering workplace violence incidents.

TIMELINE

The stakeholder group must submit legislative recommendations by February 1, 2026, and include a progress report during the state department's 2026 Smart Act hearing.

TECHNICAL

Formatting and capitalization changes were made to improve clarity and consistency throughout the bill text.

Health-Care Workplace Violence Incentive Payments

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