SB 25-017: Measures to Support Early Childhood Health - Colorado

PA1 (03/13/2025) → PA2 (04/29/2025) · 6 edits

MODERATE

The bill was renamed from a 'Child Care Health Consultation Program' to a 'Pediatric Primary Care Practice Program'. The focus shifted from training child care health consultants to contracting with implementation partners to create a team-based, evidence-based model for pediatric primary care. The program now emphasizes whole-child and whole-family health for children from birth to three years old, with a focus on physical health, behavioral health, and developmental outcomes.

Scope change

The program scope changed from supporting licensed and license-exempt child care settings through health consultants to implementing a comprehensive pediatric primary care practice model for children birth to three years old.

DEFINITION

The program name changed from 'Child Care Health Consultation Program' to 'Pediatric Primary Care Practice Program'.

The definition of 'Child Care Health Consultant' was removed and replaced with 'Implementation Partner', which refers to a state public or private entity experienced in implementing evidence-based models.

REQUIREMENT

The program now requires an Implementation Partner to be contracted with to implement, operate, and administer the program.

The Implementation Partner must demonstrate experience in placing professionals who specialize in whole-child and whole-family health with pediatric primary care medical practices.

The program must create and implement a team-based, research-informed pediatric primary care practice evidence-based model.

The evidence-based model must demonstrate improvements in physical health, behavioral health, and developmental outcomes for children from birth to three years old and their families.

Rerevised (05/05/2025) → PA1 (03/13/2025) · 4 edits

MODERATE

The bill was amended from a 'Rerevised' version to a 'Preamended' version, indicating it is now in an unofficial state with committee amendments not yet adopted. The substantive content shows significant changes to the bill's title and definitions, renaming the program from 'Pediatric Primary Care Practice Program' to 'Child Care Health Consultation Program' and redefining key terms to focus on child care health consultants rather than implementation partners.

Scope change

The bill's scope was narrowed and redefined to focus specifically on creating a Child Care Health Consultation Program within the Department of Early Childhood, replacing the previous Pediatric Primary Care Practice Program framework.

DEFINITION

The primary definition changed from 'Implementation Partner' to 'Child Care Health Consultant', redefining the program's core focus from operating evidence-based pediatric programs to providing direct health consultation services.

New definitions were added for 'Child Care Health Consultation Program', 'Model of Child Care Health Consultation', 'Plan', and 'Statewide Data Collection and Information System' to structure the new program framework.

TITLE

The bill title was changed from 'Pediatric Primary Care Practice Program' to 'Child Care Health Consultation Program', reflecting the shift in program focus.

TECHNICAL

The document status changed from 'Rerevised' to 'Preamended', indicating this is an unofficial version with committee amendments pending adoption.

Revised (05/03/2025) → Rerevised (05/05/2025) · 4 edits

MODERATE

The bill was rerevised to include all amendments adopted in the second house, expanding the list of House sponsors to include Bacon, Bird, Boesenecker, Brown, Camacho, Carter, Clifford, Duran, English, Froelich, Garcia, Gilchrist, Hamrick, Jackson, Lieder, Lindsay, Lukens, Mabrey, Marshall, McCluskie, McCormick, Paschal, Ricks, Rutinel, Sirota, Smith, Stewart K., Story, Valdez, and Woodrow. The legislative status was updated from 'Revised' to 'Rerevised' to reflect the inclusion of all second house amendments. Additionally, the bill now indicates it is at the 3rd Reading Unamended stage in the House, dated May 5, 2025.

TECHNICAL

Added new House sponsors to the bill sponsorship list, expanding from 10 to 32 sponsors.

Updated bill status from 'Revised' to 'Rerevised' to indicate inclusion of all second house amendments.

Added reading status information showing the bill is at 3rd Reading Unamended in the House as of May 5, 2025.

DEFINITION

Removed definitions for 'Pediatric Primary Care Practice Evidence-Based Model' and 'Pediatric Primary Care Practice Program' along with references to Section 26.5-3-1002.

Final Act (05/08/2025) → Revised (05/03/2025) · 4 edits

MODERATE

The bill was revised from its final act version to a revised version dated May 3, 2025, incorporating amendments from both the Senate and House. The substantive content appears largely unchanged, with the primary differences being formatting, header information, and committee assignments rather than policy modifications.

Scope change

No substantive change to the bill's scope or applicability; the core provisions regarding the pediatric primary care practice program remain the same.

TECHNICAL

Header information was updated to reflect the revised version with all amendments adopted on second reading in the second house, including session information and bill numbers.

Committee assignments were added showing Health & Human Services and Appropriations committees for both Senate and House.

Formatting and layout were adjusted to conform to standard legislative markup conventions for the revised version.

The bill summary section was updated to reflect the current status of the bill as amended, replacing the original summary with one that accounts for subsequent amendments.

Signed Act (06/04/2025) → Final Act (05/08/2025) · 4 edits

MODERATE

This bill was finalized and prepared for signature after the legislative session. The changes are primarily technical formatting adjustments to the bill text, including the addition of a note about checking legislative status, reorganization of the title and sponsor information, and minor formatting changes to the statutory language. No substantive policy changes, funding amounts, eligibility criteria, or timeline modifications were made.

TECHNICAL

Added a note instructing readers to consult legislative status sheets to determine if the Governor has signed the bill.

Reorganized the bill header to place the title and sponsor information in a more standard format.

Adjusted formatting of statutory text, including spacing and capitalization in definitions and requirements sections.

Removed handwritten-style signatures and approval marks from the bottom of the document.

Reengrossed (04/30/2025) → Signed Act (06/04/2025) · 4 edits · Jun 4, 2025

MODERATE

The bill was reengrossed and signed into law, changing the title to focus on integrating early childhood health-care systems into communities. The substantive policy content regarding the Pediatric Primary Care Practice Program remains largely the same, with the main changes being formatting updates, sponsor name adjustments, and the addition of a petition clause allowing citizens to challenge the law within 90 days of final adjournment.

Scope change

The bill's scope remains focused on creating a pediatric primary care practice program in Colorado, but the title was updated to better reflect the program's goal of integrating health-care systems into communities.

TECHNICAL

The bill title was updated from 'Concerning Measures to Support Early Childhood Health by Integrating Early Childhood Health-Care Systems into Communities' to match the reengrossed version, clarifying the legislative intent.

Formatting and sponsor name lists were updated to reflect the final enrolled version, including corrections to the Senate and House sponsorship lists.

Added signatures and certification pages indicating the bill was signed by the Governor on June 4, 2025.

TIMELINE

Added a petition clause allowing citizens to challenge the act within 90 days of final adjournment, with the law taking effect on November 2026 unless approved by voters.

Engrossed (04/29/2025) → Reengrossed (04/30/2025) · 3 edits · Apr 30, 2025

MINOR

The bill was reengrossed to add four new co-sponsors (Amabile, Coleman, Exum, Gonzales J., Hinrichsen, Kipp, Michaelson, Jenet, Wallace, Weissman, Winter F.) and update the header to reflect that amendments were adopted in the House of Introduction. The bill summary was also updated to indicate it is now the 3rd Reading Unamended version dated April 30, 2025.

TECHNICAL

Added four new co-sponsors to the Senate sponsorship list.

Updated header text from 'ENGROSSED' to 'REENGROSSED' and revised the amendment adoption note.

Added a new section indicating this is the 3rd Reading Unamended version with a date of April 30, 2025.

Introduced (01/08/2025) → Engrossed (04/29/2025) · 4 edits · Apr 30, 2025

MODERATE

The bill was substantially amended to shift its focus from a 'child care health consultation program' to a 'pediatric primary care practice program.' The original version aimed to create a voluntary program with state-funded consultants to support child care settings, while the amended version establishes a more structured program funded through contracts with implementation partners to integrate pediatric primary care practices into whole-child health models. This represents a significant policy shift from a consultation-based approach to a practice-integration model.

Scope change

The bill's scope changed from creating a voluntary consultation program to implementing a structured pediatric primary care practice program with contracted implementation partners.

SCOPE

The program title and purpose changed from 'child care health consultation program' to 'pediatric primary care practice program' to reflect a shift from consultation services to integrated primary care practices.

DEFINITION

Key definitions were replaced: 'child care health consultant' was removed and replaced with 'implementation partner' and 'pediatric primary care practice evidence-based model'.

REQUIREMENT

New requirements mandate that the department contract with an implementation partner to implement, operate, and administer the program, replacing the previous voluntary consultant model.

TIMELINE

The original July 1, 2026 deadline for creating the program was removed; the amended version requires immediate implementation and operation without a specified start date.

Measures to Support Early Childhood Health

What changed between versions

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