Sen. Jeff Bridges

The act requires the department of health care policy and financing (state department), in collaboration with the behavioral health administration, to establish the workforce capacity center to train providers in evidence-based or supported models as part of the system of care for children and youth. The act requires the state department to include updates on and milestones achieved by the workforce capacity center and information about trainings and certifications by the workforce capacity center in its quarterly report to the joint budget committee. The act repeals the workforce capacity center, effective July 1, 2027. (Note: This summary applies to this bill as enacted.)

Beginning January 1, 2027, the act: Allows a pharmacy benefit manager (PBM) to earn income derived from the assessment of a flat-dollar service fee for the provision of a prescription drug; Prohibits a PBM from earning income based on the price or cost of a prescription drug; Prohibits a PBM from designing a formulary to favor a certain branded pharmaceutical or biologic; Requires a PBM to be reimbursed by a health benefit plan for lowering the plan's prescription drug spending over a given period of time and for the direct services the PBM provides to the plan; Sets the amount that a PBM shall reimburse an unaffiliated pharmacy or a PBM-affiliated retail, mail order, or specialty pharmacy for a prescription drug; and Requires a contract between a PBM and a health benefit plan to contain a provision where the PBM discloses prescription drug cost information to the health benefit plan and a provision authorizing the health benefit plan to execute an audit to validate compliance with the contract.(Note: This summary applies to this bill as enacted.)

Proposition 123, which was approved by the voters at the 2022 statewide election, created the affordable housing support fund (fund) and continuously appropriated money from the fund to the division of housing within the department of local affairs (department) for enumerated uses relating to an affordable home ownership program and a program serving persons experiencing homelessness and to the division of local government, also within the department, for enumerated uses relating to a local planning capacity development program. A specified percentage of money from the fund is allocated for the implementation of each program, and from each allocated percentage the division of housing or the division of local government, as applicable, is permitted to use up to 5% to pay for the direct and indirect costs of administering each program. Beginning in state fiscal year 2026-27, the act makes the expenditure of up to 5% of the money from each program's allocation of funding for administration of each program subject to annual appropriation by the general assembly and clarifies how that 5% amount is calculated. The act also allows the division of housing, subject to annual appropriation by the general assembly, to expend money under the program serving persons experiencing homelessness for: Capital needs at 2 state-owned supportive residential communities for persons experiencing homelessness (supportive residential communities); and Direct and indirect costs of operating the 2 supportive residential communities. Proposition 123 also included a prohibition on the general assembly appropriating funds from the fund and the affordable housing financing fund to supplant other state support for affordable housing projects. The act clarifies when appropriations from the fund and the affordable housing financing fund would violate this prohibition. (Note: This summary applies to this bill as enacted.)

The department of health care policy and financing (department) received federal authorization to provide coverage for health-related social needs and to provide reentry services to justice-involved individuals through the medicaid program. The act creates 2 cash funds, one for health-related social needs and one for reentry services for justice-involved individuals. The act requires the state treasurer to transfer the savings of state money realized from each federal authorization to the respective cash fund. Subject to annual appropriation by the general assembly, the department may expend money from the funds to provide health-related social needs or reentry services to justice-involved individuals. The department is required to develop a workforce to provide peer support services in order to comply with the terms of the federal authorization for health-related social needs. The department is authorized, subject to annual appropriation by the general assembly, to spend money from the affordable housing support fund for services authorized by the federal authorization to provide coverage for health-related social needs. The act makes and reduces appropriations from the general fund, and from reappropriated funds, to the department, the department of corrections, the department of human services, and the department of local affairs. The act appropriates money from the affordable housing support fund to the department for medical and long-term care services for medicaid-eligible individuals and reduces the appropriation from the affordable housing support fund to the department of local affairs. (Note: This summary applies to this bill as enacted.)

The act requires that, for health insurance policies providing maternity coverage, policies issued or renewed on or after January 1, 2027, must include prenatal care coverage without cost sharing for up to 3 office visits. (Note: This summary applies to this bill as enacted.)

The act implements the recommendations of the department of regulatory agencies in its 2024 sunset review of the workers' compensation accreditation of health-care providers program (program), including extending the program for 11 years to September 1, 2036, and authorizing any health-care professional regulated by the division of professions and occupations and listed in the utilization standards established by the director of the division of workers' compensation (division) who provides treatment in the workers' compensation system to obtain level I accreditation from the division. (Note: This summary applies to this bill as enacted.)

The act allows enrolled members of the Southern Ute Indian Tribe and enrolled members of the Ute Mountain Ute Tribe to enter state parks without having to pay an entrance fee. By June 1, 2026, the division of parks and wildlife (division) in the department of natural resources (department) shall build on existing efforts to conduct outreach to and engagement with the Southern Ute Indian Tribe, the Ute Mountain Ute Tribe, other tribal governments, American Indian communities, and Indigenous communities about opportunities related to state parks that are managed by the division. In January 2026 and January 2027, the department shall include, as part of its presentation during its "SMART Act" hearing, information concerning the division's outreach and engagement about opportunities related to state parks. (Note: This summary applies to this bill as enacted.)

The act requires that, in addition to notice requirements under the Colorado open meetings law, notice of annual public meetings held by metropolitan districts be mailed, at the lowest-cost option, to eligible electors within the metropolitan district or sent by email to any email addresses that eligible electors have provided to the metropolitan district for the purpose of receiving communication from the metropolitan district. Additionally, notice of the annual meeting must be either posted on the homepage of the metropolitan district's website or accessible by a link on the homepage. The act also requires, for any special district, that, if the annual meeting is held at a physical location and in a year immediately preceding a year in which a regular special district election will be held, there be available hard copies of self-nomination and acceptance forms, which are forms required to be filed for an eligible elector to be a candidate for a board position at a special district election. The act also requires that metropolitan districts that are required to have a publicly accessible website must establish a system or a process for residents to contact someone associated with the metropolitan district during regular business hours to address any questions or concerns regarding services of the metropolitan district. Further, these metropolitan districts must establish a system or process for residents to contact someone associated with the metropolitan district outside of regular business hours or when metropolitan district personnel are otherwise unavailable or unreachable to address emergent matters that cannot wait to be addressed until regular business hours resume. For a metropolitan district that is required to have a publicly accessible website, the act requires the following additional information to be provided on the website: The date, time, and location of the annual public meeting; An explanation of what a metropolitan district is, its services, debt, and public infrastructure, and how a resident can serve on its board; The names of the governmental entities that overlap the metropolitan district's boundaries; The name of the county or municipality with which the metropolitan district must file its annual report; and The name and contact information of someone who residents can contact with questions or concerns about the services of the district during regular business hours and outside of regular business hours or when district personnel are otherwise unavailable or unreachable for emergent matters. The act also specifies that the following information must be provided on the home page of the metropolitan district's website: The names, terms, and contact information of individuals serving on the board of directors and of any manager of the metropolitan district; The date, time, and location of scheduled regular meetings, including the annual meeting; The call for nominations for candidates to run for election to the board of directors; The names of the governmental entities that overlap the metropolitan district's boundaries; and The name and contact information of who residents can contact with questions or concerns about the services of the district during regular business hours and outside of regular business hours or when district personnel are otherwise unavailable or unreachable for emergent matters. The act adds to the requirements of what a metropolitan district must include in its service plan when seeking approval of the service plan a requirement to include the maximum term for imposing a debt service mill levy on any property developed for residential purposes after the initial year of imposition of such debt service mill levy. The act requires certain disclosures be made by all sellers of any residential real property located within the boundaries of a metropolitan district, including access to the annually required notice to electors and the metropolitan district's service plan; information on the authority the metropolitan district has to issue debt, levy property taxes, and impose fees, rates, tolls, penalties, or other charges; an estimate of property taxes levied by the metropolitan district for collection during the year the sale occurs; and a copy of the most current certificate of taxes due or tax statement to provide an estimate of the sum of additional mill levies levied by other taxing entities that overlap the property. Additionally, the act requires a written statement be included in the required disclosures that certain actions that the metropolitan district is authorized to take may increase costs to residents living in the metropolitan district, and the property tax estimate disclosure requirement is modified to require that the estimate be given in a dollar amount. (Note: This summary applies to this bill as enacted.)

The act prohibits a person from: Knowingly preparing, distributing, advertising, selling, or offering to sell a kratom product: To a person who is under 21 years of age; that is adulterated; that contains more than a specified level of 7-hydroxymitragynine; that is a confection, mimics candy, or is presented in a form that appeals to children; or that is combustible or intended for vaporization; Preparing, distributing, advertising, selling, or offering to sell a kratom product that does not clearly and conspicuously set forth specified information on the kratom product's label; Displaying or storing kratom products in a retail location in a manner that will allow the products to be accessed by individuals under 21 years of age; or Manufacturing, packaging, labeling, or distributing a kratom product that contains synthesized or semi-synthesized kratom alkaloids or has a level of 7-hydroxymitragynine in the alkaloid fraction that is greater than 2% of the alkaloid composition of the product. A person that conducts these prohibited activities engages in a deceptive trade practice and is subject to penalties and other enforcement specified under the "Colorado Consumer Protection Act". (Note: This summary applies to this bill as enacted.)

Current Colorado laws do not always expressly provide whether the laws apply to the Southern Ute Indian Tribe or the Ute Mountain Ute Tribe (Tribes). The act creates a rule of construction that a law does not apply to the Tribes unless the law clearly and expressly states that the law applies to the Tribes. The act further clarifies that if the general assembly enacts a new law or materially amends an existing law that is silent as to its application to the Tribes or to tribally controlled entities; purports to apply statewide; or grants a governmental agency or entity civil, criminal, or regulatory authority, it is presumed that the law does not apply within the exterior boundaries of the reservations to the Tribes, including the Tribes' officials and employees acting in their official capacities, to a tribally controlled entity, or to Tribal lands. The act reinforces that these rules of construction do not: Preclude or limit the authority of the Tribes' governing bodies from requesting inclusion in legislation pending before the general assembly; Abrogate the sovereign immunity of the state or the Tribes; or Affect the rights of the state, the Tribes, or other persons to pursue legal remedies that may be available to contest the application of laws passed by the general assembly.(Note: This summary applies to this bill as enacted.)