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signed · Colorado · House May 5, 2026

HB 1238: Designating Emergency Medical Services Essential Services

The act declares emergency medical services as an essential service in the state and an integral part of the state's health-care infrastructure.      The act also declares that emergency medical service providers, whether responding on duty or as a volunteer and regardless of location, provide essential services when providing emergency ambulance services and nonemergency ambulance services.      The act also updates certain definitions related to emergency medical services, including the addition of a definition of 'out-of-hospital services', which term is defined to mean the furnishing of necessary health-care goods and services outside of a hospital setting but does not include prehospital setting transports.     The act clarifies that an off-duty emergency medical service provider is not obligated to respond to the scene of a medical emergency or provide emergency medical services.(Note: This summary applies to this bill as enacted.)
Chris Richardson (R) Janice Rich (R) Matt Martinez (D) Rod Pelton (R) Dylan Roberts (D) · 33 co-sponsors
signed · Colorado · Senate May 5, 2026

SB 60: Mental Health Training in Concussion Education

The act requires coaches of youth athletic activities to complete a biennial mental health education course. The required mental health education course must address a coach's impact on the mental health of a youth athlete, a wellness framework for youth athletes, mental health disorders, trauma, substance abuse, and suicide prevention. The act requires a coach of a youth athlete, or other designated personnel, to advise the parent or guardian of the youth athlete to seek a medical evaluation from a licensed health-care provider for appropriate medical and behavioral health guidance if the youth athlete is removed from play for a suspected concussion.(Note: This summary applies to this bill as enacted.)
Lindsey Daugherty (D) Rod Pelton (R) Eliza Hamrick (D) Ty Winter (R) · 42 co-sponsors
signed · Colorado · Senate May 5, 2026

SB 19: Early Childhood Local System Consolidation

Current law establishes a statewide integrated system of early childhood councils (councils) to improve and sustain the availability, accessibility, capacity, and quality of early childhood services. The act expands the powers, functions, and responsibilities of a council in implementing a comprehensive system of early childhood and family support programs and services (programs and services) within the council's community.     Current law establishes local coordinating organizations (LCOs) to increase access to, coordinate, and allocate funding for programs and services through work with the families, program and service providers, and local governments in a community and with the department of early childhood (department). Effective July 1, 2026, the act repeals provisions authorizing the creation and operation of LCOs and transfers the LCO rights, powers, duties, functions, and obligations concerning supporting access to and delivery of programs and services to the councils (transfer). If the transfer requires the consolidation, reassignment, or material modification of the duties of a council or LCO, the department may authorize a one-time extension of the transition period for up to 3 years.     Current law requires a council to develop a community strategic plan based upon an assessment of the early childhood needs in the council's designated service area (community strategic plan). The act requires a community strategic plan to address specified issues, including:Assisting families in applying for programs and services;Coordinating outreach efforts with other local entities and tribal agencies;Recruiting and coordinating providers to form a mixed delivery system that promotes family choice; andSupporting increased recruitment and retention of individuals in the early care and education workforce.     The act requires a council, in partnership with the department, to create, review, and revise a scope of work that reflects the community strategic plan and accurately represents the programs and services within the community, meets families' needs, and aligns with available appropriations and the department's statewide strategic planning process. Associated accountability metrics must also be reviewed and revised to align with the scope of work. The act specifies a council's new obligations regarding improving access to high-quality programs and services, early childhood workforce development, data-sharing agreements, outreach for holistic family services, and auditing.     The act establishes requirements for an agreement that sets forth the respective duties of a council and the department in implementing a community strategic plan (agreement). The act identifies the department's responsibilities for the coordinated distribution of public funding for programs and services; council training and technical assistance; dissemination of information about successful council strategies and innovations; and standards for communication, resolution of disputes, and contracting protocols. The act modifies the process for the department to approve or facilitate a waiver of the rules for the implementation of council projects.     The act requires the department to implement an annual performance review process for each council and solicit community feedback about a council's performance at intervals ranging from 3 to 5 years. If the department determines that a council is not meeting the requirements of the scope of work and accountability metrics contained in the agreement, the department may require the council to implement a performance improvement plan. If a council fails to make substantial progress toward addressing the issues raised in the performance improvement plan, the department may terminate the council's agreement.     The act makes substantive and technical conforming amendments to address the reallocation of responsibilities and functions from LCOs to councils, including administrative and funding provisions related to the Colorado child care assistance program and the Colorado universal preschool program.(Note: This summary applies to this bill as enacted.)
Matt Ball (D) Emily Sirota (D) Ryan Gonzalez (R) Scott Bright (R) · 28 co-sponsors
signed · Colorado · House May 5, 2026

HB 1044: Measures to Improve Black Maternal Health Equity

The act requires measures to improve equity in maternal health, including:Requiring the Colorado medical board to consider, as part of its stakeholder process for continuing medical education, a requirement that a physician complete continuing medical education on cultural competence and equity in maternal care;Requiring the state board of nursing rules relating to continuing education to include rules relating to health-care provider attention to cultural competence and equity in providing health-care services;Authorizing the department of public health and environment (CDPHE), subject to available appropriations, to provide a health survey to additional birthing parents, beyond those currently surveyed, and to compile the data if surveyed;Requiring a health facility that provides labor and childbirth services to make available to a birthing parent and a birthing parent's companion, electronically or in writing, a statement on respectful labor and childbirth regarding rights and components, including freedom from harm, privacy and confidentiality, informed consent, and allowing a birthing parent to have a birthing companion present at the birth, and to make available information, including telephone contact information, for the appropriate state or federal agency to receive a complaint alleging discrimination in labor and childbirth services;Subject to available federal grant funding for the maternal health task force (task force) established by CDPHE, ensuring that the maternal health task force includes at least one advocate representing populations with the worst maternal mortality outcomes in the state; andBeginning October 1, 2026, with respect to CDPHE's Colorado maternal mortality review committee, changing the reporting to the general assembly every 3 years concerning maternal health outcomes and equity from July to October and requiring the reporting of certain maternal health outcomes for populations known to have the worst maternal mortality outcomes in the state.(Note: This summary applies to this bill as enacted.)
Junie Joseph (D) Tony Exum (D) Naquetta Ricks (D) Adrienne Benavidez (D) Regina English (D) · 41 co-sponsors
signed · Colorado · House May 4, 2026

HB 1333: Fiscal Year 2026-27 Legislative Appropriation Bill

The bill makes appropriations for matters related to the legislative department for the 2026-27 state fiscal year.(Note: This summary applies to this bill as enacted.)
Julie McCluskie (D) Jarvis Caldwell (R) Cleave Simpson (R) Robert Rodriguez (D) Monica Duran (D) · 8 co-sponsors
signed · Colorado · Senate May 4, 2026

SB 153: Licensed School Counselor Credit Hour Requirements

This bill establishes new educational requirements for individuals seeking to become licensed school counselors in Colorado. To qualify for an initial school counselor license, applicants must now hold a master's degree or higher specifically in school counseling from an accredited institution, with the program requiring at least 48 graduate semester credit hours. The legislation aims to ensure that school counselors entering the profession have comprehensive graduate-level preparation in counseling practices, student development, and strategies to support students facing behavioral and academic challenges. This change directly affects current and future school counselor candidates in Colorado who must meet these updated academic standards to obtain their professional license.
Matt Martinez (D) Jennifer Bacon (D) Cleave Simpson (R) Chris Kolker (D) · 24 co-sponsors
signed · Colorado · House May 4, 2026

HB 1208: Sunset Compliance Advisory Panel Air Pollution

The act continues the compliance advisory panel to the air pollution control division in the department of public health and environment for 10 years, until September 1, 2036, pursuant to the provisions of the sunset law.(Note: This summary applies to this bill as enacted.)
Junie Joseph (D) Amy Paschal (D) Tony Exum (D) Lesley Smith (D) Elizabeth Velasco (D) · 20 co-sponsors
signed · Colorado · Senate May 4, 2026

SB 104: Require Key Boxes at Schools

The act requires each school district or, for an institute charter school or nonpublic school, the school, (local education provider) to install an exterior key box that contains keys and other access control devices necessary for law enforcement agencies to access each building and room located on the school grounds. A local education provider is not required to install an exterior key box at a school if:The school has a key box that does not satisfy the requirements in the act and has an alternative plan and procedures to provide emergency access for local law enforcement; orThe local education provider applied for but does not receive a disbursement from the school security disbursement program that may be used to install an exterior key box at the school.     The contents of an exterior key box and the information contained therein are not a public record for the purposes of the 'Colorado Open Records Act'.(Note: This summary applies to this bill as enacted.)
Marc Snyder (D) Larry Liston (R) Chad Clifford (D) · 14 co-sponsors
signed · Colorado · House May 4, 2026

HB 1232: Court Costs Assessed to Juveniles

Under current law, courts may not assess or collect administrative fees, costs, and surcharges in juvenile delinquency cases involving a juvenile under the jurisdiction of the juvenile court when a juvenile has been charged with or adjudicated of certain crimes. The act adds that courts or the state is prohibited from assessing or collecting administrative fees, costs, and surcharges assessed against a juvenile or the juvenile's parents, guardian, or legal custodian when the juvenile was under 18 years old when the crime was committed.(Note: This summary applies to this bill as enacted.)
Jennifer Bacon (D) Julie Gonzales (D) Cecelia Espenoza (D) William Lindstedt (D) · 30 co-sponsors
signed · Colorado · House May 4, 2026

HB 1234: Access to Records of Child Abuse or Neglect

The act prohibits a person who possesses a record or report (record) of child abuse or neglect from releasing identifying data or information contained in the record to a person who is not authorized to receive the information or data.     The act clarifies what constitutes identifying data in a record. The act adds an assigned designee of a person named in a record who is acting on the person's behalf as a person who may have access to child abuse or neglect records if the assigned designee presents a valid release of information signed by an authorized person.     The act allows a person named in a record as an alleged abused or neglected child who is in possession of a record in which they are named or, with the person's consent, the person's attorney or guardian ad litem, to disclose and make use of the record, including for the purpose of litigation or to obtain treatment or services. Except as expressly authorized in law, a criminal defendant may only access a record after an in camera review by the court in which the court finds that access to the record is necessary for the resolution of an issue.     The act requires each county department of human or social services to establish and submit to the state department of human services a process current and former clients may use to obtain access to their case records.     The act repeals the penalties associated with a person who improperly releases or willfully permits or encourages the release of data or information contained in the records to a person not permitted to access the information and makes it a petty offense for the department of education or a school district, charter school, or nonpublic school to release data or information contained in a record to a person not permitted to access the information.(Note: This summary applies to this bill as enacted.)
Matt Soper (R) Gretchen Rydin (D) Katie Wallace (D) Lisa Frizell (R) · 42 co-sponsors
signed · Colorado · House May 4, 2026

HB 1253: Disconnection from Statutory Municipality

Under current law, the owners of certain tracts of agricultural or farm land within and adjacent to the boundary of a statutory town or statutory city may petition the district court for the county to disconnect the land from the town or city (disconnection by court decree). The act modifies the disconnection by court decree process so that this process is not available for any tract of land that is included within the boundaries of an urban renewal area described in an urban renewal plan of an urban renewal authority (affected urban renewal authority) or a special district that, by its service plan or pursuant to an intergovernmental agreement, is or will be expected to provide service to the tract of land (affected special district). Instead of using the disconnection by court decree process, owners of these tracts of land must use the process for disconnection applications from a statutory municipality.     Under current law, the owner of a tract of land within and adjacent to the boundary of a statutory municipality may apply to the governing body of the municipality for the enactment of an ordinance disconnecting the tract of land from the municipality (disconnection by ordinance). The act also modifies this disconnection by ordinance process by requiring that, in addition to the existing requirement that an owner provide notice and a copy of the disconnection application to the board of county commissioners of the county in which the tract of land is located and to the board of directors of any affected special district, the owner seeking disconnection must also provide notice and a copy of the disconnection application to any affected urban renewal authority. Upon receiving the notice and application, these entities may request a meeting with the owner of the land and the governing body of the municipality to discuss and address any negative impacts that would result from the disconnection, including any change in the level or extent of services being provided to the tract of land that is the subject of the disconnection application or any interference with the implementation of an urban renewal plan of an affected urban renewal authority. The failure of these entities to request a meeting constitutes an acknowledgment that the disconnection will not adversely affect them.     The act applies to applications for disconnection from a statutory municipality and petitions for disconnection from a statutory city or town commenced on or after the applicable effective date of the act.(Note: This summary applies to this bill as enacted.)
Marc Snyder (D) Barbara Kirkmeyer (R) Scott Slaugh (R) · 6 co-sponsors
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