Rep. Gretchen Rydin

The act authorizes the department of health care policy and financing (department) to seek federal authorization to determine a member's eligibility for reenrollment without checking federally approved electronic data sources or requesting additional information if the member's income consists solely of social security income or another source of stable income or assets or if the member's income or assets have not changed since the initial verification during the application process. The act requires the department to modify the questions asked by medical professionals when verifying a member's need for long-term services and supports and allows a treating licensed medical professional who has a bona fide physician-patient relationship with a member to sign the documentation necessary to verify a member's need for long-term services and supports. (Note: This summary applies to this bill as enacted.)

For persons required to report child abuse or neglect, the act: Requires reports to be submitted as soon as possible, but within 24 hours, after receiving information of child abuse or neglect; Provides that reports are not required if the person: Receives the information outside of the person's professional capacity that would require a report; or Is connected to an attorney representing a party involved in a suspected child abuse or neglect case that would require a report under current law; Removes victim's advocates from the list of professions required to report child abuse or neglect; Prohibits reports based on a family's race, ethnicity, socioeconomic status, or disability; and Prohibits the delegation of the duty to report to a person who does not have firsthand knowledge of the suspected child abuse or neglect. For entities that employ a mandatory reporter, the act: Authorizes the entity to develop protocols for making the report if the protocols comply with state law and regulations; and Prohibits representatives of the entity from deterring or impeding a person from filing a report. The act requires a county department of human or social services (county department) to assign a referral identification number to each report of child abuse or neglect. If a mandatory reporter contacts the child abuse reporting hotline system (hotline) or a county department about a suspected child abuse or neglect report and the hotline or department gives the mandatory reporter the referral identification number of a related report that was previously filed, the mandatory reporter is deemed to have satisfied the reporting requirements. The act appropriates $5,375 to the state department of human services for training. (Note: This summary applies to this bill as enacted.)

The act codifies the federal "Indian Child Welfare Act of 1978" into state law as the "Colorado Indian Child Welfare Act" (CO-ICWA) and provides additional protections for Indian children and children known or determined to be Indian children under state law. (Note: This summary applies to this bill as enacted.)

The definitions of "community mental health center" and "community mental health clinic" were repealed in House Bill 22-1278; however, references to the repealed definitions are still in statute. The act changes the obsolete references. (Note: This summary applies to this bill as enacted.)

Current law gives a trial court judge 91 days from the day a conviction enters in a criminal case to order restitution, which is the monetary loss a victim suffers due to a defendant's criminal conduct, in a criminal case. The act grants the prosecuting attorney 63 days to submit restitution information to the trial court judge following a conviction if the information is not available on the day a conviction enters, and then grants the trial court judge an additional 63 days following the submission of restitution information to order restitution after it receives the information from the prosecuting attorney. The act applies to defendants sentenced on or after the act's effective date. (Note: This summary applies to this bill as enacted.)

The act removes the term "homosexuality" from the definition of sexual conduct in the sexually explicit materials harmful to children part of the "Colorado Criminal Code". (Note: This summary applies to this bill as enacted.)

The act creates the work-based learning consortium pilot program (pilot program) in the department of higher education (department). The purpose of the 3-year pilot program is to: Demonstrate the value of work-based learning in postsecondary curricula by studying the impact of industry-sponsored projects on course objectives and learning outcomes; Promote the adoption of work-based learning in higher education by working with faculty at institutions of higher education (institutions) that participate in the pilot program (participating institutions) to embed project-based learning opportunities into credit-bearing programs; Provide broader access to collegiate work-based learning for students; Measure the impact of work-based learning on participating students; and Learn how institutions can increase the value of postsecondary education through career exposure and preparedness. Pending the receipt of sufficient funds, the department shall convene a consortium (consortium) of representatives from participating institutions, the commission on higher education (commission), the department of labor and employment, the department of education, and a subject matter expert with experience implementing work-based learning. The consortium shall: Work with each participating institution's faculty to embed industry-sponsored projects in course curriculum that meet the work-based learning quality standards; Work with the department to determine the impact of industry-sponsored projects; Work with a third-party platform to connect faculty from participating institutions to employers for the purpose of developing high-quality, project-based learning opportunities for classroom instruction; Advise the commission on strategies to improve student access to high-quality, work-based learning opportunities for students based on participating faculty members' experience embedding industry-sponsored projects into curriculum; Develop best practices for institutions to expand access to work-based learning in the classroom through industry-sponsored projects; and Develop findings and recommendations. Subject to available appropriations, at the end of the pilot program, the act requires the consortium to complete and submit a report to the education committees of the house of representatives and the senate, or their successor committees. The report must include: A description of the consortium's findings and recommendations; Details on the consortium's impacts on participating institutions and the effects of creating additional work-based learning activities on students, faculty, and employers; and Recommendations for statutory changes, financial resources, department policy changes, and policy changes in institutions that are necessary to improve successful work-based learning opportunities for students in institutions. The department may seek, accept, and expend gifts, grants, or donations from private or public sources for the pilot program. The department shall transmit all gifts, grants, or donations to the state treasurer, who shall credit the money to the higher education work-based learning consortium fund (fund). If, by June 30, 2028, the money in the fund has never reached or exceeded $2 million dollars, the state treasurer shall return each grantor's or donor's gift, grant, or donation. On or before November 1, 2026, the commission shall recommend a list of terms used by institutions related to work-based learning to the Colorado workforce development council for inclusion in the talent development glossary (glossary). The purpose of the list of terms is to: Augment the glossary so that collegiate work-based learning activities are accurately reflected in statewide efforts to promote work-based learning; and Demonstrate to institutions relevant opportunities to participate in statewide efforts to promote work-based learning. On or before July 1, 2026, the commission shall work with institutions, the Colorado workforce development council, the department of education, the consortium, nonprofit organizations, industry associations, and businesses to develop recommendations on how to best embed work-based learning opportunities into current degree pathways. On or before December 31, 2026, the department shall work with institutions to identify which work-based learning activities are measurable and how to best report work-based learning activities. Institutions that are eligible for the work-study program may use work-study program money to cover the costs of work-based learning credits for students who are required to complete credit-bearing work-based learning requirements to graduate from an institution. The office of economic development (office) administers the universal high school scholarship program (program). The act allows the office to spend unexpended or unencumbered money appropriated in the 2023-24 state fiscal year through the 2025-26 state fiscal year without further appropriation. The act requires that expenditures for the administrative costs of the program not exceed $1.5 million. The act extends the date for the state treasurer to transfer all unexpended and unencumbered money in the universal high school scholarship cash fund from December 30, 2026, to June 30, 2027. (Note: This summary applies to this bill as enacted.)

The act changes the term "epinephrine auto-injector" to "emergency-use epinephrine" in order to encompass alternatives to injecting epinephrine as a means to treat anaphylaxis in school settings. (Note: This summary applies to this bill as enacted.)

Current law requires the department of corrections (department) to assess a copayment for inmate-initiated visits to providers of medical, dental, mental health, and optometric care services. Current law permits a waiver or reduction of the copayment under a range of circumstances. The department's current administrative regulations assess fees when an inmate fails to attend or refuses a scheduled health-care appointment. The act eliminates the copayment and prohibits the department from assessing a fee when an inmate fails to attend or refuses a health-care appointment. The department is required to report during its 2026 "SMART Act" hearing on the number of times in the previous year that an inmate failed to attend a scheduled health-care appointment or requested an appointment when the request was not relevant to an actual medical condition. The act reduces appropriations to the department by a net of $165,682, which includes an increase of $157,179 appropriated from the general fund and a decrease of $322,861 from cash funds. VETOED by Governor 5/29/2025(Note: This summary applies to this bill as enacted.)

For ground ambulance services (ambulance services), the act: Allows a political subdivision or an ambulance service providing ambulance services on behalf of the political subdivision to submit to the division of insurance (division) the established rates for the ambulance services, if the rates meet specified conditions; Requires the division to publish reimbursement rates on the division's public-facing website; Establishes reimbursement rates for ambulance services that are out of network; and Prohibits an out-of-network ambulance service from billing an individual covered under a health insurance coverage plan (covered person) any outstanding balance for a covered service not paid for by an insurance carrier, except for any coinsurance, deductible, or copayment amount required to be paid by the covered person. If a covered person makes a payment for an out-of-network ambulance service, the payment must be applied to the covered person's in-network deductibles and in-network out-of-pocket maximum amounts. For the 2025-26 state fiscal year, $38,149 is appropriated from the division of insurance cash fund to the department of regulatory agencies for use by the division to implement the act. VETOED by Governor 5/29/2025(Note: This summary applies to this bill as enacted.)