Rep. Lisa Feret

The bill prohibits the department of health care policy and financing (department) from denying a medicaid member (member) the ability to purchase primary care services or enter into a direct primary care agreement. A member who purchases direct primary care services from a direct primary health-care provider or enters into a direct primary care agreement must sign a document acknowledging that the direct primary health-care provider is enrolled in the Colorado medical assistance program only as an ordering, prescribing, and referring provider; that the direct primary health-care provider does not accept medicaid payments for the services rendered; that the member cannot submit a claim for medicaid reimbursement for the services rendered by the direct primary health-care provider; and that the member retains the right to receive primary care services from a primary care provider who is enrolled in the Colorado medical assistance program.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

The act authorizes an occupational therapist to perform dry needling on and after September 1, 2027, if the occupational therapist:Has the knowledge, skill, ability, and documented competency to perform the act;Has successfully completed a dry needling course of study that meets supervisorial, educational, and clinical prerequisites to be established by rule; andObtains a written informed consent from each patient for dry needling, including information concerning the potential benefits and risks of dry needling and a statement that the occupational therapist performing dry needling is not an acupuncturist.     The act requires the director of the division of professions and occupations within the department of regulatory agencies to adopt rules to implement the authorization for an occupational therapist to perform dry needling. At a minimum, the rules must establish requirements for dry needling performed by an occupational therapist that are equivalent to the requirements in rules adopted by the state physical therapy board for dry needling performed by a physical therapist.(Note: This summary applies to this bill as enacted.)

March 31 is currently known as 'Cesar Chavez Day' and may be voluntarily observed as a state legal holiday. The act repeals 'Cesar Chavez Day' and changes this voluntary legal holiday for March 31, 2026, and March 31, 2027, to instead be known as 'Farm Workers Day'.(Note: This summary applies to this bill as enacted.)

Maddy summaryThis House Resolution establishes March 31, 2026, as Farm Workers Day in Colorado to honor the contributions of agricultural workers to the state's economy and food supply. The measure recognizes that farm workers make up a significant portion of Colorado's rural workforce, including many immigrant and Latina women who face unique challenges in the industry. The resolution acknowledges the historical efforts of farm worker organizations that fought for better pay, safety, and union rights, while celebrating the dignity and hard work of those who grow and harvest food. Copies of the resolution will be sent to state officials and the UFW Foundation to commemorate this observance.

The act permits a health facility to allow patients who are terminally ill and who are registered in the state's medical marijuana program to use medical marijuana within the health facility, subject to certain parameters. The act requires a health facility that allows such use to document the patient's medical marijuana program registration and medical marijuana usage in the patient's medical records and develop guidelines for and impose restrictions on the possession, usage, storage, and administration of medical marijuana to ensure the safety of others, safe facility operations, and compliance with other laws. A health facility is not required to handle medical marijuana for a patient.     The act prohibits the department of public health and environment (department) from requiring compliance with the act as a condition for a health facility to obtain or renew a license or certification that it is required to carry to operate as a health facility. Additionally, the act prohibits the department from requiring compliance if compliance would result in a violation of state law, a loss of federal funding, noncompliance with the federal medicare or medicaid programs, or noncompliance with accreditation or licensing requirements. Lastly, the act allows a health facility to suspend compliance with the act's provisions in the event that, and only as long as, a listed federal entity takes an action that requires the health facility to suspend its compliance with the act.(Note: This summary applies to this bill as enacted.)

The act amends the law and adds new provisions to law relating to access to vaccines as follows:     For the cervical cancer vaccine: (Sections 3 and 14)Updates insurance coverage statutes to refer to the vaccine as the human papillomavirus vaccine, rather than the cervical cancer vaccine; Recognizes coverage for both women and men;Authorizes the commissioner of insurance to adopt coverage rules for the vaccine if the advisory committee on immunization practices to the centers for disease control in the federal department of health and human services (ACIP) no longer recommends the vaccine; andUpdates language in the cervical cancer immunization program to define the cervical cancer vaccine as the human papillomavirus vaccine and to refer in the program to underinsured minors, rather than just uninsured female minors, since both male and female minors receive the vaccine;     Under Colorado law, a naturopathic doctor must provide a parent or legal guardian with a copy of the most recent schedule of immunizations recommended by the ACIP. The act removes references to ACIP and requires a naturopathic doctor to refer patients to a schedule of immunizations established by rule of the state board of health (board of health) (Sections 4 and 5);     The act authorizes pharmacists to exercise independent prescriptive authority for vaccines and requires the state board of pharmacy to review and repeal record-keeping rules for vaccines (Sections 6 and 7);     In the context of vaccines required for school entry, updates vaccine-related liability limitation provisions to limit liability for injuries if the vaccine was administered to a child of any age according to the schedule of immunizations established by the board of health or to ACIP's schedule referenced in Colorado law (Section 8);     The act also does the following:Directs the board of health, in adopting rules addressing which vaccines are to be administered to infants, to consider the recommendations of ACIP, as well as the recommendations of the American Academy of Pediatrics and other similar entities (Section 9);Removes the prohibition on the use of state money for infant immunization programs if the state does not receive federal money for the infant immunization programs, and requires any additional general fund money for the programs to be appropriated through the annual state budget process or emergency supplemental process (Section 10);For claims brought on or before January 30, 2029, adds pharmacies, manufacturers, and wholesalers to liability limitation provisions for hospitals, clinics, and other providers relating to the handling, storage, and distribution of vaccines for infants. Manufacturer and wholesaler liability limitation provisions are removed from the law for claims brought on or after January 31, 2029 (Section 11).Authorizes the department of public health and environment to consider vaccines adopted by the board of health by rule, recommendations of the American Academy of Pediatrics and other similar entities, in addition to ACIP, in recommending the purchase of vaccines, sending notifications concerning overdue vaccines and vaccine-preventable disease outbreaks, and when considering equivalent vaccines (Section 12).     The act creates the 'Adult Immunization Act' (act), which applies to individuals at least eighteen years old. A person that administers a vaccine or other immunizing agent to an adult is not liable for civil damages for injury or death of an adult caused by a vaccine or immunizing agent if:The vaccine or immunizing agent was administered according to the schedule of immunizations establish by the board of health by rule, after considering recommendations from ACIP, the American Academy of Pediatrics, and other similar entities;There were no medical contraindications; and The vaccine or immunizing agent was administered in accordance with generally accepted clinical methods.     For claims brought on or before January 30, 2029, against a hospital, clinic, pharmacy, manufacturer, wholesaler, or provider arising from injuries resulting from the handling, storage, or distribution of vaccines, there is no liability unless the injuries are the result of the negligent failure of an employee of the hospital, clinic, pharmacy, or manufacturer, wholesaler, or provider to conform to recognized standards to protect public health. Manufacturer and wholesaler liability protections are removed from the law for claims brought on or after January 31, 2029 (Section 15).     The act authorizes the department of health care policy and financing to purchase for the children's basic health plan vaccines that are recommended by the American Academy of Pediatrics and other similar entities, in addition to those recommended by ACIP (Section 16).(Note: This summary applies to this bill as enacted.)

Maddy summaryThis House Memorial (HM 1001) is a formal tribute passed by the Colorado General Assembly honoring former State Representative Dan Williams, who died in October 2025. It recognizes his 1984-1992 service in the Colorado House, his leadership as chair of key committees (including Agriculture and Transportation), and his lifelong advocacy for Colorado ranching and farming communities. The resolution expresses the legislature's condolences to his family and sends copies of the memorial to his partner and children. It has no policy impact, as it is purely a commemorative gesture with no new laws or funding.

Maddy summaryHJR 1011 is a commemorative resolution honoring Colorado's World War II veterans on the 81st anniversary of the war's end. It recognizes the service of approximately 250,000 Colorado residents who served during 1941-1945, including over 3,500 who died in combat. The resolution formally acknowledges Colorado's historical military contributions, such as the 10th Mountain Division and the 157th Infantry Regiment, and references the Colorado Freedom Memorial. As a procedural resolution, it has no legal effect - it expresses legislative recognition and encourages support for honoring veterans, but does not create new laws or allocate funds.

Maddy summaryHJR 1010 is a symbolic joint resolution recognizing Colorado veterans who served in the Vietnam War. It formally honors the service of over 623 Coloradans who died and 24 who remain unaccounted for during the conflict, while acknowledging the challenges faced by veterans upon return. The resolution expresses appreciation for their fortitude, activism, and community contributions through four specific points of recognition. It does not create new policies or benefits but encourages all Coloradans to remember these sacrifices, with copies sent to veterans' organizations and state officials. This is a commemorative measure, not a legislative change.

Maddy summaryHJR 1013 is a Colorado legislative resolution commemorating Persian Gulf War veterans, specifically honoring the 3 Coloradans who died during the 1990-1991 conflict. The resolution directs the state to acknowledge veterans' service, honor those who died in action, express gratitude to families of fallen service members, and encourage Coloradans to remember these sacrifices. It includes no new laws or funding but sends copies to veterans' organizations, the Colorado Department of Military and Veterans Affairs, and state officials for public awareness. This symbolic gesture focuses on recognition rather than policy change.