SB 25-078: Nonprofit Hospitals Collaborative Agreements - Colorado

Revised (03/19/2025) → PA1 (02/28/2025) · 4 edits

MODERATE

The bill was amended from a revised version to a preamended version, indicating that committee amendments have been added but not yet adopted on second reading. The substantive policy content of the bill remains unchanged, as the diff primarily shows formatting updates, sponsorship list adjustments, and status labels rather than actual legislative text modifications.

TECHNICAL

Header labels changed from 'REVISED' to 'PREAMENDED' to reflect that this version includes committee amendments not yet adopted on second reading.

Sponsorship lists were shortened, removing several co-sponsors from both Senate and House lists.

Bill summary dates and labels were updated to reflect different reading stages (2nd Reading Unamended vs 3rd Reading Unamended) with corresponding date changes.

Committee assignments were updated, with the House Committees section showing 'Health & Human Services' without the duplicate listing.

Rerevised (03/20/2025) → Revised (03/19/2025) · 2 edits

MINOR

The bill text was revised from a rerevised version to a revised version, indicating it has been amended on second reading in the Second House. The House sponsorship list was shortened, removing several co-sponsors, while the committee assignments remain unchanged. This reflects procedural progress in the legislative process rather than substantive policy changes.

TECHNICAL

Removed several House co-sponsors (Bacon, Bird, Boesenecker, English, Feret, Garcia, Garcia Sander, Hamrick, Johnson, Lindsay, McCluskie, McCormick, Phillips, Ricks, Soper, Stewart K., Story) from the House sponsorship list.

Changed the version header from 'REREVISED' to 'REVISED' and updated the amendment status language to reflect adoption on second reading in the Second House.

Final Act (03/28/2025) → Rerevised (03/20/2025) · 5 edits

MODERATE

The bill text was reorganized and reformatted from a final act version to a rerevised version, adding official session headers, committee assignments, and reading dates. The substantive policy content regarding hospital collaborative agreements remains unchanged, with no modifications to eligibility criteria, funding, or operational requirements.

TECHNICAL

Added official legislative headers including session information, bill number, and sponsor lists for both Senate and House.

Included reading dates and committee assignments for both chambers.

Added a bill summary explaining the bill's purpose and history.

Removed final act signatures and approval lines from the Governor and legislative officers.

Reordered content to place bill text after summary and reading dates, following standard legislative formatting conventions.

Signed Act (04/07/2025) → Final Act (03/28/2025) · 3 edits

MINOR

The bill text has been reformatted from a draft version to a final signed act version, adding signature lines and official formatting notes. The substantive policy content regarding hospital collaborative agreements remains unchanged.

TECHNICAL

Added official signature lines for legislative officers and the Governor to indicate the bill has been enacted into law.

Removed draft formatting markers and placeholder text that were not part of the final enacted legislation.

Reorganized the bill layout to match standard final act formatting conventions used by the Colorado General Assembly.

Reengrossed (03/05/2025) → Signed Act (04/07/2025) · 1 edit · Apr 7, 2025

MINOR

This bill was signed into law as an act to authorize certain nonprofit hospitals to enter into collaborative agreements with other health facilities. The primary change is the formal adoption of the legislation that was previously in reengrossed form, with no substantive policy modifications to the bill's content. The act allows hospitals with fewer than 50 beds that are not part of larger health systems to collaborate with other hospitals, health service districts, or hospital affiliates to increase healthcare access.

Scope change

The bill's scope remains unchanged; it authorizes specific types of nonprofit hospitals to form collaborative agreements with other healthcare facilities to improve access to care.

TECHNICAL

The bill was transitioned from reengrossed form to signed act form, adding signatures from the Senate President, House Speaker, Secretary of the Senate, Chief Clerk of the House, and the Governor, along with standard enacted language and effective date provisions.

Engrossed (03/04/2025) → Reengrossed (03/05/2025) · 2 edits · Mar 5, 2025

MINOR

The bill was reengrossed to include additional Senate sponsors and updated the bill summary status to reflect that it is now in its 3rd Reading Unamended version. The document header was changed from 'Engrossed' to 'Reengrossed' to indicate all amendments have been incorporated. No substantive policy changes to the bill's content, scope, or requirements were made in this version.

TECHNICAL

Added 15 new Senate sponsors to the bill sponsorship list (Amabile, Ball, Bridges, Carson, Catlin, Coleman, Cutter, Exum, Frizell, Jodeh, Kipp, Kirkmeyer, Liston, Lundeen, Michaelson Jenet, Mullica, Pelton B., Roberts, Rodriguez, Simpson, Snyder, Weissman, Winter F.).

Changed document title from 'ENGROSSED' to 'REENGROSSED' and updated the bill summary note to indicate the version is now in 3rd Reading Unamended status dated March 5, 2025.

Introduced (01/23/2025) → Engrossed (03/04/2025) · 3 edits · Mar 5, 2025

MINOR

The bill was amended to clarify that private nonprofit hospitals with fewer than 50 beds can enter into collaborative agreements with other hospitals, expanding eligibility beyond just public hospitals and health service districts. The amendment also added a specific exclusion preventing hospitals owned by or affiliated with large health systems (three or more hospitals) from participating in these agreements.

Scope change

The bill's scope was expanded to include private nonprofit hospitals with fewer than 50 beds as eligible participants in collaborative agreements, while adding a new restriction that excludes hospitals owned by or affiliated with health systems comprising three or more hospitals.

ELIGIBILITY

Added eligibility for private nonprofit hospitals with fewer than 50 beds to enter collaborative agreements

Modified existing eligibility criteria to include the new private nonprofit hospital category and the health system affiliation exclusion

DEFINITION

Added new definition excluding hospitals owned by or affiliated with health systems of three or more hospitals from eligibility

Nonprofit Hospitals Collaborative Agreements

What changed between versions

How they voted

Actions timeline

Sponsors