HB 1069 Colorado House · 2026 Regular Session

Availability of Emergency Medical Services

Summary
The act defines 'first responder' to include:A peace officer;A firefighter;A volunteer firefighter;An emergency medical service provider; orA mental health professional who responds in a professional capacity to a justifiable medical emergency.     Existing law requires the emergency medical and trauma services advisory council (council) to review and approve new rules and modifications to rules prior to the adoption of such rules or modifications by the state board of health. The act requires the council to make recommendations for, instead of approve, rules and modifications to rules concerning emergency medical and trauma services prior to the adoption of such rules or modifications by the state board of health.     Beginning January 1, 2027, the act requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':An ambulance service for ground transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's medical director;An ambulance service for treatment on the scene of a medical emergency, which treatment does not result in ground transportation; andA qualified provider, an ambulance service, or an agency for evaluation by telemedicine of a person being treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.(Note: This summary applies to this bill as enacted.)
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Jan 27, 2026 Signed Jun 2, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

Rerevised Final Act · 6 edits · May 26, 2026
MODERATE
This bill updates Colorado emergency medical statutes to clarify that the State Emergency Medical and Trauma Services Advisory Council is a 'Type 2' entity. It expands the legal definition of a 'first responder' to explicitly include mental health professionals responding to medical emergencies and clarifies that 'excited delirium' does not qualify as a justifiable medical emergency. Additionally, it modifies the council's duties to recommend rule approvals rather than directly approving them and establishes a reimbursement framework for ambulance services and telemedicine evaluations starting January 1, 2027.
Scope change
The bill expands the scope of who qualifies as a 'first responder' to include mental health professionals and clarifies the scope of reimbursable services to include specific telemedicine evaluations.
DEFINITION

Updated the definition of 'first responder' to explicitly include mental health professionals responding to justifiable medical emergencies.

Clarified that 'excited delirium' and similar acute psychiatric diagnoses are not considered justifiable medical emergencies.

Categorized the State Emergency Medical and Trauma Services Advisory Council as a 'Type 2' entity under state law.

Added a specific definition for 'out-of-hospital services' to distinguish them from prehospital transports for reimbursement purposes.

REQUIREMENT

Changed the Advisory Council's duty from directly approving new rules to making recommendations for approval or denial.

FISCAL

Established a requirement for the state to reimburse ambulance services for ground transportation, on-scene treatment, and specific telemedicine evaluations beginning January 1, 2027.

Floor votes · Senate May 7, 2026 · House Mar 9, 2026

How they voted

630
Passed · 1 other
Total votes 64
May 7, 2026
D Democratic42
41 Yea 1
97% Yea
R Republican22
22 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
8
Committee
4
Amendments
1
Jun 2, 2026
Signed into law
Governor Signed
executive
May 29, 2026
Lower · Passed
Signed by the Speaker of the House
lower
May 28, 2026
Upper · Passed
Signed by the President of the Senate
upper
May 7, 2026
Introduced
House Considered Senate Amendments - Result was to Concur - Repass
lower
May 7, 2026
Senate · Passed
Senate Vote: pass (63-0-1)
senate
May 6, 2026
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
May 5, 2026
Upper · Passed
Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
upper
Apr 30, 2026
Committee
Senate Committee on Health & Human Services Refer Amended to Appropriations
upper
Apr 21, 2026
Introduced
Introduced In Senate - Assigned to
upper
Apr 21, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Mar 9, 2026
Lower · Passed
House Third Reading Passed - No Amendments
lower
Mar 6, 2026
Lower · Passed
House Committee on Appropriations Refer Amended to House Committee of the Whole
lower
Feb 24, 2026
Committee
House Committee on Health & Human Services Refer Amended to Appropriations
lower
Jan 27, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
4 primary · 65 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Cleave Simpson
Cleave Simpson
RRepublican
CO
6
P
Photo of Katie Stewart
Katie Stewart
DDemocratic
CO
59
P
Photo of Kyle Mullica
Kyle Mullica
DDemocratic
CO
24
P
Photo of Lisa Feret
Lisa Feret
DDemocratic
CO
24
Co
Photo of Adrienne Benavidez
Adrienne Benavidez
DDemocratic
CO
21
Co
Photo of Amy Paschal
Amy Paschal
DDemocratic
CO
18
Co
Photo of Andy Boesenecker
Andy Boesenecker
DDemocratic
CO
53
Co
Photo of Ava Flanell
Ava Flanell
RRepublican
CO
14
Co
Photo of Barbara Kirkmeyer
Barbara Kirkmeyer
RRepublican
CO
23
Co
Photo of Bob Marshall
Bob Marshall
DDemocratic
CO
43
Co
Photo of Brandi Bradley
Brandi Bradley
RRepublican
CO
39
Co
Photo of Brianna Titone
Brianna Titone
DDemocratic
CO
27
Co
Photo of Carlos Barron
Carlos Barron
RRepublican
CO
48
Co
Photo of Cathy Kipp
Cathy Kipp
DDemocratic
CO
14