SB 25-192: Sunset Community Health Service Agency - Colorado

Rerevised (04/30/2025) → Revised (04/29/2025) · 4 edits

MODERATE

The bill was revised to update its version status from 'Rerevised' to 'Revised' following second reading in the Second House. Sponsorship lists were modified, with several House co-sponsors removed. The text also includes new definitions for 'Community Integrated Health-Care Service Agency' and clarifies that certain care services are determined by rule by the Board, excluding community paramedics.

Scope change

The bill's scope was expanded through the addition of a new definition for 'Community Integrated Health-Care Service Agency', which now includes sole proprietorships, partnerships, corporations, nonprofits, special districts, governmental units, agencies, or licensed/certified health-care facilities.

TECHNICAL

Version status changed from 'Rerevised' to 'Revised' to reflect legislative progress after second reading in the Second House.

House co-sponsorship list was altered, removing several names (Bacon, Brown, Lindstedt, McCluskie, Ricks) from the original list.

DEFINITION

New definition added for 'Community Integrated Health-Care Service Agency' or 'Agency', expanding the types of entities that qualify under this term to include sole proprietorships, partnerships, corporations, nonprofits, special districts, governmental units, agencies, or licensed/certified health-care facilities.

REQUIREMENT

Added clarification that certain care and services are determined by rule by the Board, with an explicit exclusion of community paramedics from this determination.

Final Act (05/13/2025) → Rerevised (04/30/2025) · 5 edits

MODERATE

This bill extends the sunset date for regulating community integrated health-care service agencies from September 1, 2025, to September 1, 2034, and updates definitions and enforcement language to be more inclusive and precise. The changes ensure the regulatory framework remains in place for a longer period while clarifying how certain legal convictions affect licensing decisions.

Scope change

The bill's scope is extended by approximately 9 years, maintaining regulatory oversight of community integrated health-care service agencies through 2034 instead of 2025.

TIMELINE

Extended the repeal date for regulatory functions from September 1, 2025, to September 1, 2034, keeping the agencies under state regulation for an additional nine years.

DEFINITION

Added 'mobile integrated health care' to the definition of community integrated health-care services and clarified that services include those provided by practitioners other than community paramedics.

Changed references from 'consumers' to 'patients or clients' and updated gender-neutral language throughout the statute.

ENFORCEMENT

Updated language to clarify that a conviction includes situations where an owner, manager, or administrator entered a guilty plea or nolo contendere plea, ensuring license denial applies in those cases.

TECHNICAL

Corrected section numbering in the regulatory review statute from (35)(a)(VII) to (35)(a)(VI) to maintain proper statutory organization.

Signed Act (05/31/2025) → Final Act (05/13/2025) · 4 edits

MODERATE

This bill amends Colorado statutes regarding community integrated health-care service agencies and the EMS system sustainability task force. The primary changes involve correcting a repeal date in the sunset review section from 2034 to 2025, updating formatting and capitalization in definitions, and removing a section that defined members of the EMS task force.

Scope change

The bill's scope remains focused on regulating community integrated health-care service agencies and implementing sunset review recommendations, though one section defining EMS task force membership was removed.

TIMELINE

Corrected the repeal date for Part 13 of Article 3.5 of Title 25 from September 1, 2034 to September 1, 2025, aligning it with other sunset review provisions.

TECHNICAL

Updated formatting and capitalization in statutory definitions, including changes to 'THE COMMUNITY PARAMEDIC'S' to 'COMMUNITY PARAMEDIC'S' and 'satis ly' to 'satisfy'.

Added a note indicating the bill has been prepared for signatures by legislative officers and the Governor.

REQUIREMENT

Deleted Section 7 which defined the composition of the EMS system sustainability task force, specifically removing the eight members appointed by the director of the department.

Reengrossed (04/17/2025) → Signed Act (05/31/2025) · 5 edits · May 31, 2025

MODERATE

This bill extends the sunset date for regulating community integrated health-care service agencies from 2025 to 2034, clarifies definitions to include mobile integrated health care and services by non-paramedic practitioners, and updates enforcement language to be gender-neutral and include plea agreements as convictions.

Scope change

The bill extends the regulatory sunset period from 2025 to 2034, maintaining ongoing oversight of community integrated health-care service agencies.

TIMELINE

Extended the repeal/sunset date for agency regulation from September 1, 2025 to September 1, 2034.

DEFINITION

Added 'mobile integrated health care' and services provided by practitioners other than community paramedics to the definition of community integrated health-care services.

ENFORCEMENT

Clarified that a plea of guilty or nolo contendere counts as a conviction for license denial purposes.

REQUIREMENT

Changed references from 'consumers' to 'patients or clients' and updated gender-neutral language throughout.

Updated fingerprint background check requirements for agency owners, managers, and administrators.

Engrossed (04/15/2025) → Reengrossed (04/17/2025) · 3 edits · Apr 17, 2025

MINOR

The bill was reengrossed to include additional Senate sponsors (Cutter and Kipp) and updated the bill summary to reflect amendments adopted during the House of Introduction. The document now indicates it is at the 3rd Reading Unamended stage in the Senate as of April 17, 2025.

Scope change

No substantive policy changes to the bill's scope or applicability; changes are administrative and procedural.

TECHNICAL

Added two new Senate sponsors (Cutter and Kipp) to the list of bill sponsors.

Updated the bill header from 'ENGROSSED' to 'REENGROSSED' and revised the summary note to reflect amendments adopted in the House of Introduction.

Added a new section indicating the bill is at '3rd Reading Unamended' in the Senate dated April 17, 2025.

Introduced (03/04/2025) → Engrossed (04/15/2025) · 3 edits · Apr 17, 2025

MINOR

The bill was reengrossed after passing the House, adding the Appropriations committee to the Senate committee list and inserting a new '2nd Reading Unamended' page marker. The substantive text of the bill regarding community integrated health-care services and community paramedic scopes of practice remains unchanged from the introduced version.

TECHNICAL

Added Appropriations to the Senate Committee list, indicating the bill now requires review by that committee.

Inserted a new page marker labeled '2nd Reading Unamended' dated April 15, 2025, which is a procedural document marker rather than a policy change.

Changed the bill status header from 'INTRODUCED' to 'ENGROSSED' to reflect that the bill has been amended and re-filed.

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