Providing Emergency Medical Services

Added requirement for facilities to maintain a central log documenting whether patients refused treatment, were denied treatment, or were admitted, transferred, stabilized, or discharged.

Added new subsection requiring specific conditions to be met before transferring a patient with an emergency medical condition that has not been stabilized, including medical treatment within facility capacity, agreement from receiving facility, and proper medical equipment.

Added financial inquiry protection stating facilities cannot delay emergency medical services to inquire about a person's ability to pay.

Clarified that emergency medical services must be provided when a prudent layperson would believe based on appearance or behavior that the person needs emergency care.

Updated nondiscrimination language to explicitly reference Part 6 of Article 34 of Title 24 for discriminatory or unlawful reasons in denying emergency medical services.

Changed the bill title to remove 'and making an appropriation' language, indicating the funding component was removed or modified.

Added a new provision stating that facilities cannot delay emergency medical services to inquire about a person's ability to pay for such services.

Added a new subsection clarifying that this provision does not alter or limit rights and protections afforded to persons under Section 24-34-402(1).

Added a new subsection regarding appropriate patient transfer procedures.

Removed the '3rd Reading Unamended' date stamp and updated the version header from 'REREVISED' to 'REVISED' with updated language about amendments adopted on second reading.

The statute number was changed from C.R.S. 25-3-133 to C.R.S. 25-3-132, and the section was renumbered from Section 1 to Section 1 with line number formatting added.

A bill summary was added to explain the bill's requirements in plain language, including provisions for emergency care, central logging, nondiscrimination, provider protections, and enforcement.

The original header note regarding bill signatures and legislative status was removed and replaced with session and reading dates indicating the bill's current status in the legislative process.

Formatting and markup conventions were updated to indicate House amendments with shading and Senate amendments with double underlining, replacing the previous markup style.

Added a note indicating the bill is prepared for signatures and directing readers to consult legislative status sheets for governor action.

Adjusted spacing and formatting throughout the document, including reformatting the bill title, sponsor information, and section headers.

Removed explanatory notes about how to read the bill markup that were included in the original version.

Added a new section number (25-3-133) and reorganized the bill structure to include more detailed provisions.

Expanded the central log requirements to track additional outcomes including whether no treatment was required, in addition to refused, denied, transferred, admitted, stabilized, and discharged.

Added specific conditions for patient transfers including medical treatment within facility capacity, receiving facility agreement, qualified personnel and equipment, and medical records transfer.

Added detailed discharge protocols requiring patient stabilization or documented informed refusal with risk disclosure.

Modified provider protections to explicitly prohibit penalizing providers for refusing to transfer unstable patients.

Added explicit nondiscrimination protections stating facilities are places of public accommodation subject to Title 24 Article 34 Part 6.

Added new sponsors to the bill including representatives Bird, Carter, Espenoza, Paschal, and McCluskie.

Added Senator Wallace to the Senate sponsorship list.

Updated the bill summary note to indicate amendments were adopted in the House of Introduction and added a 3rd Reading Unamended date stamp.

Removed the specific conditions requiring medical treatment within facility capacity and receiving facility agreement before patient transfer.

Changed the requirement from 'emergency department' to 'facility' in multiple sections, expanding applicability beyond just hospital emergency departments to include other facilities.

Modified the central log requirement to apply to all facilities rather than just emergency departments, requiring facilities to document whether patients refused treatment, were denied treatment, or were transferred/admitted.

Added a new provider protection clause stating that facilities cannot penalize healthcare providers for refusing to transfer patients with emergency medical conditions that have not been stabilized.

Modified the financial inquiry requirement to state that facilities shall not delay providing emergency medical services to inquire about ability to pay.

Changed the appropriate transfer requirements to apply to facilities rather than just emergency departments, maintaining conditions for when patients can be transferred.