Colorado Bills

The act allows a currently licensed Colorado teacher seeking to add an early childhood education endorsement, early childhood special education endorsement, elementary education endorsement, or special education generalist endorsement to demonstrate professional competencies by submitting evidence of achieving sufficiently high education coursework grades on coursework aligned with relevant standards as approved by the department of education. If the applicant spots for the multiple measures pathway are not filled, the act allows currently licensed Colorado teachers who are seeking additional licensure endorsements to demonstrate professional competencies using the multiple measures pathway. The act clarifies that 4-year institutions of higher education that offer programs of off-campus instruction and that have courses included in the guaranteed transfer pathway matrix or that are part of a statewide degree transfer agreement may participate in the teacher recruitment education and preparation program. (Note: This summary applies to this bill as enacted.)

Under current law, a person engages in an unfair and unconscionable act or practice in violation of consumer protection laws if the person engages in price gouging during a declared disaster emergency. The act provides that a person engages in price gouging in the sale or offer for sale of certain goods or services if, after the governor declares a disaster emergency, which declaration may be based on a market disruption, the price of the good or service is increased by 10% or more above the price at which a similar good or service was sold or offered for sale before the disaster began. The act also establishes that seasonal pricing is not considered unreasonably excessive pricing and therefore is not price gouging. (Note: This summary applies to this bill as enacted.)

The act provides that, after the state housing board (board) adopts rules about any activity required to undertake or complete the construction or installation of a factory-built nonresidential structure, a factory-built residential structure, or a factory-built tiny home (factory-built structure), the state plumbing board, the state electrical board, and the state fire suppression administrator do not have jurisdiction over and their rules do not apply to a factory-built structure. The advisory committee on factory-built structures and tiny homes (advisory committee) is required to develop regional building codes standards accounting for local climatic and geographic conditions and fire suppression activities to ensure safety, to apply the most stringent of these requirements for the construction and installation of factory-built structures, and to develop implementation requirements. The advisory committee must submit the recommended codes and implementation requirements to the board. Any future statewide adopted codes contemplated in statute must be vetted through the advisory committee for consideration for adoption by the board. The act requires that plumbing or electrical installations that connect factory-built structures to external utility sources and that are not considered actions to complete the installation of a factory- built structure as required by a registered installer must be completed by a licenced plumber or electrician under a registered plumbing or electrical contractor. The inspection and inspectors of these installations, other than those authorized to be performed by a registered installer, must be performed by licensed plumbing or electrical inspectors. During the 2026 legislative session, the department of local affairs (department) shall present the recommendations of the advisory committee related to the development of regional building codes accounting for local climatic and geographic conditions and fire suppression activities, and improved coordination between the state and local permitting process onsite for the construction and installation of factory-built structures, to the senate local government and housing committee and the house transportation, housing, and local government committee prior to consideration and adoption by the board. The department shall report on the outcomes as part of its 2031 "SMART Act" hearing. On or before July 1, 2026, the board must adopt rules: Establishing regional building code standards from the advisory committee that account for local climatic and geographic conditions, and fire protection and suppression activities for the construction and installation of factory-built structures developed by the advisory committee, which supersede any conflicting ordinance, code, regulation, or other law of a local government unless the local government adopts the rules of the board; Establishing requirements based on the recommendations developed by the advisory committee, including the continued authorization of a local government certified by the division of housing (division) to perform inspections of factory-built structures on behalf of the division and registration, responsibility, and accountability requirements for a manufacturer, installer, seller, or general contractor who develops the installation site or completes the construction of a factory-built structure at the installation site; Covering electrical or plumbing codes required to undertake or complete the construction or installation of a factory-built structure; Allowing the division to contract for third-party review and approval of a final design and construction plan for a factory-built structure on behalf of the division; Allowing the division to create a process for vetting and approving the ability of a third party to review and approve a final design and construction plan for a factory-built structure on behalf of the division; and Requiring the division to cause an audit to be performed on a third party that reviews and approves design and construction plans, on a third party that conducts inspections on its behalf, of contracts of sellers to verify compliance, and to ensure protection of down payments made by purchasers that are retained by the seller of manufacturer. A county or municipality may not: Enact a regulation that excludes factory-built structures from the county or municipality; Impose more restrictive standards on factory-built structures than those that the county or municipality applies to site-built homes in the same residential zones in the county or municipality; or Enact or enforce a regulation, law, or ordinance affecting the installation or construction of a factory-built structure that is more stringent than a regulation, ordinance, or law that applies to other types of construction. A county or municipality may enact: Land use regulations to the extent that the regulations are applicable to existing similar housing or structures or new site-built housing in the county or municipality; A building code provision for unique public safety requirements unless the provision applies to a factory-built structure; and Rules regulating above-grade site-built components of a factory-built structure. Factory-built homes certified by the division prior to the effective date of the regional building code standards adopted by the board are subject to state or local rules concerning unique public safety requirements related to geographic conditions or wildfire risk relating to the construction and installation of the structures existing before the effective date of the regional building code standards. A county or municipality must comply with the requirements established by the division for factory-built structures and by the United States department of housing and urban development for manufactured homes. The act repeals the ability of local governments to adopt different standards for factory-built housing than those adopted by the division only if: The board adopts rules establishing requirements for factory-built housing based on the recommendations of the advisory committee; and The board notifies the revisor of statutes in writing via email of the adoption of the rules. The act changes the composition of the advisory committee from 15 to 19 members. The membership changes include the: Addition of four members from building code enforcement, each representing a local building department from climate zones 4, 5, 6, and 7, instead of 3 members from building code enforcement; Removal of a member with experience in mechanical engineering or contracting; Substitution of a member who is a licensed electrician who may be employed by the department of regulatory agencies for a member from electrical engineering or contracting; Substitution of a member who is a licensed plumber who may be employed by the department of regulatory agencies for a member from the plumbing industry; Removal of a member from the construction design or producer industry; Substitution of 3 members from factory-built structure construction for 2 members from manufactured housing; Subtraction of one of the 2 current members from the tiny home industry; Addition of one member who is a developer specializing in the use of factory-built structures in projects; Addition of one member from climate resiliency; Addition of one member who is a registered installer; Addition of one member who is a registered seller; and Addition of one member who is an individual representing emergency services or management. The state treasurer shall transfer $600,000 on July 1, 2025, from the innovative housing incentive program fund to the building regulation fund. The act excludes the building regulation fund from the limitations on cash fund reserves. For the 2025-26 state fiscal year, the act appropriates $182,264 from the building regulation fund to the department for use by the division to implement the act. (Note: This summary applies to this bill as enacted.)

Current law does not expressly allow for the state to recognize an arrest warrant issued by a Tribal court of a federally recognized Tribe (Tribal court). The act clarifies that a state court shall give full faith and credit to an arrest warrant issued by a Tribal court. Upon issuance of a Tribal court arrest warrant, a peace officer in the state may apprehend the person identified in the Tribal warrant if the peace officer verifies the validity of the warrant and confirms that the warrant permits extradition. The act outlines the court process for extradition cases arising from a Tribal court arrest warrant. Current law does not expressly allow for the recognition of a Tribal court behavioral health commitment order (commitment order). The act clarifies that a commitment order entered by a Tribal court that concerns a person under the Tribal court's jurisdiction is recognized to the same extent as a commitment order entered by a state court. A health-care provider may communicate with the officers of the Tribal court regarding a patient placed under the health-care provider's care pursuant to a commitment order to the same extent that the health-care provider may communicate with officers of the court pursuant to a commitment order entered by a state court. If a Tribal court issues an order rescinding the Tribal court's original commitment order, the state, county, or municipal law enforcement agencies; state courts; hospitals; behavioral health facilities; health-care providers; and others within the state responsible for providing services to the person subject to the commitment order shall recognize the order rescinding the Tribal court's original commitment order and release the person subject to the commitment order. (Note: This summary applies to this bill as enacted.)

The act continues the early childhood leadership commission (commission) housed in the department of early childhood for 5 years, repealing on September 1, 2030. Before its repeal, the commission is subject to a sunset review. (Note: This summary applies to this bill as enacted.)

A speech language pathology assistant (SLPA) is defined in the act as an individual who has a bachelor's degree or higher in speech-language pathology, communications disorders and speech sciences, or any other field that includes at least 24 semester hours in speech-language hearing sciences granted by an accredited institution of higher education. Only an individual who practices as an SLPA in accordance with statute or who is a school speech-language pathology assistant (school SLPA) authorized by the department of education may use the title "speech-language pathology assistant" or other terms that indicate that the individual is an SLPA or a school SLPA. An SLPA shall practice speech-language pathology only in collaboration with and under the direction and supervision of a certified speech-language pathologist (SLP). The act establishes requirements and guidelines for an SLP supervising an SLPA. The act prohibits an SLPA from engaging in certain speech-language pathology tasks, such as the diagnosis of patients and preparation of a treatment plan. An SLP may be disciplined for failing to properly direct and supervise an SLPA. The act repeals the regulation of SLPAs on September 1, 2033, subject to sunset review by the department of regulatory agencies. (Note: This summary applies to this bill as enacted.)

The act requires the state board of health (board) to allow the Colorado youth advisory council (council) to present to the board twice a year on issues regarding the youth opioid epidemic and other health issues. The act also allows the council to consult the prevention services division within the department of public health and environment during the stakeholding process for rule-making regarding opioid antagonists. Under current law, a school district, the state charter school institute, or a governing board of a nonpublic school may adopt and implement a policy that allows: A school to acquire and maintain a stock supply of opioid antagonists on school grounds or on a school bus; A school employee or agent who has received relevant training to administer an opioid antagonist to a person who is at risk of experiencing an opioid-related overdose; and A school employee or agent to furnish an opioid antagonist to any individual, including a student, if the student has received relevant training. The act: Permits a school to maintain an opioid antagonist in an automated external defibrillator or defibrillator cabinet in the school or on a school bus; Repeals the requirement that a school employee or agent must receive training prior to administering an opioid antagonist; and Creates an exception that a school employee or agent may furnish an opioid antagonist to a student who has not received relevant training if the employee or agent believes that the student is in a position to assist an individual who is suffering from an opioid-related drug overdose event or who is at risk of experiencing an opioid-related drug overdose event. Current law provides a specific list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act eliminates the specific list and instead requires the state board of health to establish a list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act permits a standing order allowing all eligible entities to distribute opioid antagonists. The act requires the department of public health and environment to furnish a report detailing youth overdose prevention during "SMART Act" hearings. (Note: This summary applies to this bill as enacted.)

The act makes changes to the "Dental Practice Act" (act) by: Continuing the act for 9 years, until 2034; Updating and adding definitions; Changing the membership of the Colorado dental board (board); Adding to and updating the grounds for which the board may take disciplinary action against an applicant for licensure or a licensee; Allowing a licensee's submission to a mental or physical examination to satisfy the requirement to notify the board of a condition that may impair the licensee's ability to practice; Adding as exemptions to the act the volunteer practice of dental therapy and dental hygiene under specific conditions; Subjecting dentistry practiced by a professional service corporation to certain limits and requirements; Repealing exceptions that allow a dental therapist, dental hygienist, or dental assistant to perform certain dentistry practices and including additional tasks in the practice of dentistry; Clarifying that a dental assistant, dental hygienist, or dental therapist may perform tasks consistent with rules adopted by the board; Requiring a provider who performs itinerant surgery to develop and maintain protocols for emergency follow-up care; Clarifying the authority of a licensed dentist to prescribe orders electronically; Requiring a peer health assistance program selected as a designated provider for the dentist peer health assistance program to provide training to dentists who practice monitoring services; Authorizing a dentist to self-refer to participate in a peer health assistance program or be referred by the board; Removing a requirement that dental therapy education schools and programs must be accredited or approved by a specific entity; Requiring the board to adopt rules that allow for expedited, temporary licensure during a declared disaster emergency; Regulating anesthesia inspectors and requiring the board to design and implement expedited permitting of dentists with certain anesthesia or sedation training; Updating the business information a licensee must provide to the board and the circumstances under which providing the information is required; Repealing specific tasks that are currently authorized to be performed by a dental hygienist; Updating procedures for the construction of dental devices by an unlicensed technician; Updating the list of practices that are considered to be the practice of unsupervised dental hygiene; Repealing the specific dosages of certain drugs that a dental hygienist may prescribe; Authorizing the board to adopt rules that identify safe prescribing alternatives to silver diamine fluoride as a treatment for strengthening teeth and preventing tooth decay; Identifying tasks that constitute practicing supervised dental hygiene; Requiring a dental hygienist performing an interim therapeutic restoration to confirm a referral for follow-up care with a dentist; Limiting the number of dental hygienists or dental therapists that a dentist may supervise; and Authorizing a dental therapist to perform specific tasks.(Note: This summary applies to this bill as enacted.)

The act creates the "Know Your Health-Care Practitioner Act" that applies to certain health-care practitioners (practitioner) practicing in a health-care profession or occupation specified in the "Michael Skolnik Medical Transparency Act of 2010". The act does not apply to practitioners who work in a non-patient-care setting or do not have any direct patient care interactions, or when clinically not feasible. On and after June 1, 2026: In advertising health-care services using the practitioner's name, a practitioner must identify the type of state-issued license, certificate, or registration held by the practitioner and ensure that the advertisement is free from deceptive or misleading information; Except in certain circumstances, for practitioners providing services in a general hospital, urgent care center, ambulatory surgical center, or freestanding emergency department, the practitioner must affirmatively display an identification name tag or similar worn display that is visible during patient encounters. Except when emergent circumstances make it impracticable, while establishing a practitioner-patient relationship during the practitioner's first encounter with a patient, a practitioner must verbally communicate to the patient the practitioner's specific state-issued license, certificate, or registration or verbally identify themselves by a title or abbreviation authorized in statute to facilitate patient understanding. A practitioner does not have to display their name when interacting with a patient if the practitioner is concerned for their safety or if the patient is exhibiting signs of irrationality or violence. A practitioner may also use supplemental descriptors in advertising or identification, in the manner specified in the act. The director of the division of occupations and professions in the department of regulatory agencies may impose a fine of up to $500 if a practitioner violates the act. (Note: This summary applies to this bill as enacted.)

The act includes a performance metric related to workplace violence in determining quality incentive payments made to hospitals. No later than September 1, 2025, the act requires the department of health care policy and financing (state department) and the quality incentives payments subcommittee of the Colorado healthcare affordability and sustainability enterprise board (board) to consult with a group of named stakeholders to develop recommended workplace violence metrics, determine whether any federal or private funds are available to assist hospitals in lowering the number of incidents of workplace violence, and develop legislative recommendations. The act requires the state department to include a progress report on developing workplace violence metrics during its 2026 "SMART Act" hearing. The act requires the board to include legislative recommendations it develops as part of its January 2027 report to the general assembly, the governor, and the medical services board. Beginning July 1, 2026, and each July thereafter, the act requires the state department to assess whether each hospital has adopted a formal policy to address workplace violence and submitted the reporting requirements to the department of public health and environment for the next federal fiscal year. The act exempts hospitals with fewer than 100 beds from the reporting requirements. (Note: This summary applies to this bill as enacted.)

Based on the findings and recommendations of the committee on legal services, the act extends all state agency rules that were adopted or amended on or after November 1, 2023, and before November 1, 2024, with the exception of certain rules of the state board of education, the division of labor standards and statistics in the department of labor and employment, the division of fire prevention and control in the department of public safety, and the state board of nursing in the department of regulatory agencies, as specified in the act. The specified rules will expire as scheduled in the "State Administrative Procedure Act" on May 15, 2025, on the grounds that the rules conflict with statute. (Note: This summary applies to this bill as enacted.)

Current law requires a person or entity that acquires an automated external defibrillator (AED) to develop written plans for the placement, use, and maintenance of the AED (written plans). The act eliminates the requirements that the written plans: Identify personnel authorized to use the AED; and Be reviewed and approved by a licensed physician. The act imposes requirements for cardiac emergency preparedness for public and nonpublic schools. Beginning on or before January 1, 2026, a local education provider shall require each public school that acquires or has acquired an AED to place and maintain the AED in accordance with nationally recognized, evidence-based standards for emergency cardiovascular care, and the governing authority of a nonpublic school shall require each nonpublic school that acquires or has acquired an AED to place and maintain the AED in accordance with the same standards. (Note: This summary applies to this bill as enacted.)