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.)
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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.)
A community integrated health-care service (service) is an out-of-hospital medical service that may be provided by an emergency medical service provider who obtains a community paramedic endorsement. A community integrated health-care service agency (agency) is an entity or sole proprietorship that manages and offers services. The act implements the recommendations in the 2024 sunset report by the department of regulatory agencies by: Continuing the regulation of agencies by 9 years to 2034; Clarifying that a suspension of, a revocation of, or a refusal to renew an agency's license due to a disqualifying felony or misdemeanor conviction of an owner, manager, or administrator of the agency includes circumstances in which the owner, manager, or administrator entered a plea of guilty or nolo contendere to the felony or misdemeanor; Updating language to be gender neutral; Changing references from "consumers" to "patients or clients"; Referencing the definition of service in the statutes governing the regulation of agencies; and Defining "service" to include mobile integrated health care and, as determined by rule by the state board of health, care and services provided by practitioners other than community paramedics.(Note: This summary applies to this bill as enacted.)
The act clarifies that, under current law, the department of public health and environment may use up to 10% of appropriated money to administer and manage project grants concerning public water systems and wastewater treatment works in small communities. (Note: This summary applies to this bill as enacted.)
The act excludes from the statewide managed care program (program) services for medicaid members in a qualified residential treatment program or a psychiatric residential treatment facility and in the care and custody of a county department of human or social services until July 1, 2026. The act excludes from the program residential child health-care program services in counties that have a written agreement regarding services. No later than December 1, 2025, the act requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies). The act requires HCPF to implement the policies no later than July 1, 2026. (Note: This summary applies to this bill as enacted.)
The act requires the department of personnel (department), in partnership with the office of new Americans, to conduct or contract to conduct a statewide language access assessment of the readiness of principal departments to meet the language access standards outlined in the language access universal policy (assessment). The assessment covers all principal departments except the department of state, the department of the treasury, and the department of law (principal departments). The assessment must identify: The needs of principal departments to meet the language access standards outlined in the language access universal policy, including requests for guidance, training, and technical assistance; Relevant language access materials from principal departments, including language access plans, position descriptions related to language access, procedures related to language access, and technical assistance or training materials; Information on current language services contracts, expenditures, and funding sources related to language access; The public-facing responsibilities of principal departments, including designating which principal departments and their subcontractors do and do not have frequent contact with linguistically diverse individuals; and Other covered entities that may be subject to the standards outlined in the language access universal policy. The department may enter into an agreement with a third-party entity to conduct all or part of the assessment. The third-party entity must have demonstrated expertise in working with state governments on language access initiatives, such as developing language access policies or plans. At the conclusion of the assessment and not later than December 31, 2026, the department, the office of new Americans, or the third-party entity is required to create a report that summarizes the findings of the assessment and makes recommendations concerning: Improving efficiency, increasing quality of service, reducing cost, avoiding duplicative work, building on existing best practices, and minimizing administrative burden with respect to the provision of linguistically accessible government services and programs to linguistically diverse individuals; Addressing gaps and improving meaningful service through changes to language access services, practices, and procedures; Evaluating potential technological options for increasing language access, such as artificial intelligence; and Determining what infrastructure is needed to ensure full and sustainable implementation of the standards outlined in the language access universal policy. The department must also maintain a community of practice to focus on implementing the language access universal policy with ongoing observation of best practices in the principal departments. The department must include a summary of the report and assessment in its January 2027 presentation to legislative oversight committees required by the "State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act". For the 2025-26 state fiscal year, $100,000 is appropriated from the general fund to the department for use by the Colorado equity office for personal services. Any money not expended by July 1, 2026, is further appropriated to the Colorado equity office through December 31, 2026. (Note: This summary applies to this bill as enacted.)
The act authorizes the legislative council to approve agreements between the director of research of the legislative council and nonpartisan organizations to place nonpartisan legislative policy fellows (fellows) in the legislative council staff. The act also specifies the types of work that fellows may do, requires the director of research to retain supervisory authority over fellows, including over the terms and conditions of the fellowship, and requires any work product produced by a fellow during the fellowship to remain the property of the general assembly during and after the conclusion of the fellowship. The legislative council is prohibited from approving any agreement between the director of research of the legislative council and a nonpartisan organization that is registered as a lobbyist with the secretary of state to place a fellow in the legislative council staff. (Note: This summary applies to this bill as enacted.)
The act establishes and modifies requirements related to the practice of veterinary medicine by a veterinary professional associate (VPA). In November 2024, voters in Colorado approved Proposition 129, which established the role of VPAs and permits VPAs, starting on January 1, 2026, to practice veterinary medicine under certain circumstances. The act specifies how an individual can register as a VPA in Colorado and clarifies the circumstances under which a VPA can practice veterinary medicine. The act clarifies that a VPA is only permitted to practice veterinary medicine under the supervision of a licensed veterinarian. A licensed veterinarian shall supervise no more than 3 VPAs who are practicing veterinary medicine at any one time. The act requires a licensed veterinarian and a VPA to enter into a mutual supervisory agreement before the licensed veterinarian and the VPA begin working together. The supervising licensed veterinarian may delegate the practice of veterinary medicine to the VPA if: The aspects of the practice are within the training, experience, and competency of the VPA; The practice of veterinary medicine delegated to the VPA is permitted under requirements of state law and board of veterinary medicine (board) rules; and The supervising licensed veterinarian and VPA are located at the same veterinary premises while practicing veterinary medicine, unless the VPA meets certain indirect supervision requirements. The act instructs the board to adopt rules regarding the practice of veterinary medicine by VPAs, including rules that: Require a VPA to practice veterinary medicine under an appropriate level of supervision by a licensed veterinarian; Determine clinical benchmarks that a VPA must meet in order to practice veterinary medicine under indirect supervision by a licensed veterinarian; Approve a nationally recognized VPA credentialing organization that requires a VPA to complete a university-approved VPA program that is approved by the board or a university-approved VPA program that is accredited by the nationally recognized credentialing organization, pass a VPA examination, and complete continuing education requirements; Provide guidance to supervising licensed veterinarians in their delegation of tasks to and supervision of VPAs; Determine a scope of practice for VPAs; Establish a registration fee for the registration of VPAs; and Determine continuing education requirements for VPAs. The board may also adopt rules establishing an equivalent registration pathway for a veterinary technician specialist to register as a VPA, which pathway considers the veterinary technician specialist's experience, education, and training as a substitute for the education requirements needed to register as a VPA and requires the veterinarian technician specialist to pass the same national credentialing exam as a VPA. The act requires a VPA to identify themself as a VPA to a client before practicing veterinary medicine on a patient. The act requires a licensed veterinarian to comply with certain restrictions when prescribing opioids and benzodiazepines. (Note: This summary applies to this bill as enacted.)
Current law limits to 10 years the time a school district can lease district property not needed for its purposes. The act allows a school district to lease district property for any term of years for purposes of a solar field, energy storage system, or affordable housing. If a board of education of a school district leases or rents property for the purposes of an affordable housing project, the board of education shall develop a policy that defines affordable housing for the project. (Note: This summary applies to this bill as enacted.)