Sen. Iman Jodeh

Beginning in 2026, the bill authorizes an increase to the health insurance affordability fee assessed and collected from insurance carriers (carriers) by up to one percentage point to implement and administer the health insurance affordability enterprise (HIAE). The bill includes objectives for the commissioner of insurance (commissioner) to consider in determining whether to increase the HIAE fee, including, in part, maintaining HIAE programs to achieve a premium reduction in the reinsurance program and to provide subsidies for individuals with low income who purchase insurance on the Colorado health benefit exchange. The commissioner shall notify carriers of the amount of the HIAE fee for the upcoming calendar year. The bill changes the allocation of the HIAE fee assessed for 2026, dedicating up to 40% each to state-subsidized individual health coverage plans purchased by qualified individuals and to the reinsurance program cash fund, with the remaining revenue allocated for other purposes specified in the bill, including new and emerging health insurance affordability initiatives. The bill authorizes the enterprise to seek, accept, and expend gifts, grants, or donations for the purposes of the HIAE. (Note: This summary applies to this bill as introduced.)

Maddy summarySenate Resolution 25-012 commemorates Cinco de Mayo, recognizing its historical significance and its representation of pride, unity, and resilience for Mexican American, Hispano, Chicano, and Latino communities. The resolution pays tribute to the contributions and struggles of these communities in Colorado and affirms a commitment to combat discrimination.

The bill sets the reimbursement rates that a health insurance carrier (carrier) may reimburse a health-care provider (provider) for covered services for the state employee group benefit plans (state group benefit plans) and for small employer group benefit plans (small group plans). The bill prohibits a provider that is subject to the reimbursement limitations from billing or collecting payment from a person covered under a state group benefit plan or small group plan for any outstanding balance for covered services that is not reimbursed by the carrier, except for the applicable in-network coinsurance, copayment, or deductible amounts. The bill requires a carrier to provide cost and quality of care information to the commissioner of insurance (commissioner) in the case of small group plans and to the director of the department of personnel (director) in the case of state group benefit plans, at the request of the commissioner or director, as applicable, and prohibits a carrier from entering into an agreement with a provider or third party that would restrict the carrier from providing the information. By September 1, 2027, and by September 1 each year thereafter, the director is required to provide a report to the governor's office, the state treasurer's office, and the joint budget committee that states the amount of calculated savings in general fund expenditures (calculated savings), if any, for health plan reimbursement for the prior fiscal year as a result of the reimbursement limits for state group benefit plans. The director is also required to include in the report the cost to the department in determining the calculated savings. By September 15, 2027, and by September 15 each year thereafter, of the money from the calculated savings, the state treasurer is required to transfer an amount equal to the department's costs in determining the calculated savings to the group benefit plans expenditure savings cash fund (expenditure savings cash fund), which is created in the bill, and specified percentages of the calculated savings from the general fund to the primary care fund and to the expenditure savings cash fund. The bill also requires the executive director of the department of health care policy and financing (state department) to conduct a study, in collaboration with specified state agencies, to determine the feasibility of establishing a similar reimbursement limit for group benefit plans offered to school district, higher education, and local government employees. The executive director is required to complete the study and report the findings to the general assembly on or before January 1, 2028. The bill allocates $500,000 from the calculated savings to a health care reimbursement feasibility study cash fund created in the bill and authorizes the state department to use the money to conduct the study. (Note: This summary applies to this bill as introduced.)

The bill requires a subject jurisdiction, on or after December 31, 2026, to allow a residential development to be constructed on a qualifying property that does not contain an exempt parcel, subject to an administrative approval process. A subject jurisdiction shall not allow a residential development to be constructed on a qualifying property unless the residential development complies with certain affordability requirements. The bill specifies that a subject jurisdiction shall not: Disallow construction of a residential development on the basis of height if the tallest structure in the residential development is no more than 3 stories or 45 feet tall; Disallow construction of a residential development on the basis of height if the tallest structure in the residential development complies with the height-related standards for the zoning district in which the residential development will be built or any zoning district parcel that is contiguous to the qualifying property on which the residential development will be built; Disallow construction of a residential development based on the number of dwelling units that the residential development will contain, except in accordance with standards listed in the bill; or Apply standards to a residential development on a qualifying property that are more restrictive than the standards the subject jurisdiction applies to similar housing constructed within the subject jurisdiction, including standards related to structure setbacks from property lines; lot coverage or open space; on-site parking requirements; numbers of bedrooms in a multifamily residential development; or on-site landscaping, screening, and buffering requirements; or minimum dwelling units per acre. A subject jurisdiction shall allow the following uses in a residential development on a qualifying property: Childcare; and The provision of recreational, social, or educational services provided by community organizations for use by the residents of the residential development and the surrounding community. A subject jurisdiction may condition additional uses in a residential development on the uses being allowed only on the ground floor of the residential development and the uses occupying no more than 15% of the ground floor area of the residential development. The bill requires a faith-based organization, school district, or state college or university to notify the county assessor that a subject jurisdiction has allowed the construction of a residential development on a qualifying property within the county. (Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.) (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Current law does not expressly allow for the state to recognize an arrest warrant issued by a Tribal court of a federally recognized Tribe (Tribal court). The act clarifies that a state court shall give full faith and credit to an arrest warrant issued by a Tribal court. Upon issuance of a Tribal court arrest warrant, a peace officer in the state may apprehend the person identified in the Tribal warrant if the peace officer verifies the validity of the warrant and confirms that the warrant permits extradition. The act outlines the court process for extradition cases arising from a Tribal court arrest warrant. Current law does not expressly allow for the recognition of a Tribal court behavioral health commitment order (commitment order). The act clarifies that a commitment order entered by a Tribal court that concerns a person under the Tribal court's jurisdiction is recognized to the same extent as a commitment order entered by a state court. A health-care provider may communicate with the officers of the Tribal court regarding a patient placed under the health-care provider's care pursuant to a commitment order to the same extent that the health-care provider may communicate with officers of the court pursuant to a commitment order entered by a state court. If a Tribal court issues an order rescinding the Tribal court's original commitment order, the state, county, or municipal law enforcement agencies; state courts; hospitals; behavioral health facilities; health-care providers; and others within the state responsible for providing services to the person subject to the commitment order shall recognize the order rescinding the Tribal court's original commitment order and release the person subject to the commitment order. (Note: This summary applies to this bill as enacted.)

A speech language pathology assistant (SLPA) is defined in the act as an individual who has a bachelor's degree or higher in speech-language pathology, communications disorders and speech sciences, or any other field that includes at least 24 semester hours in speech-language hearing sciences granted by an accredited institution of higher education. Only an individual who practices as an SLPA in accordance with statute or who is a school speech-language pathology assistant (school SLPA) authorized by the department of education may use the title "speech-language pathology assistant" or other terms that indicate that the individual is an SLPA or a school SLPA. An SLPA shall practice speech-language pathology only in collaboration with and under the direction and supervision of a certified speech-language pathologist (SLP). The act establishes requirements and guidelines for an SLP supervising an SLPA. The act prohibits an SLPA from engaging in certain speech-language pathology tasks, such as the diagnosis of patients and preparation of a treatment plan. An SLP may be disciplined for failing to properly direct and supervise an SLPA. The act repeals the regulation of SLPAs on September 1, 2033, subject to sunset review by the department of regulatory agencies. (Note: This summary applies to this bill as enacted.)

The act requires the state board of health (board) to allow the Colorado youth advisory council (council) to present to the board twice a year on issues regarding the youth opioid epidemic and other health issues. The act also allows the council to consult the prevention services division within the department of public health and environment during the stakeholding process for rule-making regarding opioid antagonists. Under current law, a school district, the state charter school institute, or a governing board of a nonpublic school may adopt and implement a policy that allows: A school to acquire and maintain a stock supply of opioid antagonists on school grounds or on a school bus; A school employee or agent who has received relevant training to administer an opioid antagonist to a person who is at risk of experiencing an opioid-related overdose; and A school employee or agent to furnish an opioid antagonist to any individual, including a student, if the student has received relevant training. The act: Permits a school to maintain an opioid antagonist in an automated external defibrillator or defibrillator cabinet in the school or on a school bus; Repeals the requirement that a school employee or agent must receive training prior to administering an opioid antagonist; and Creates an exception that a school employee or agent may furnish an opioid antagonist to a student who has not received relevant training if the employee or agent believes that the student is in a position to assist an individual who is suffering from an opioid-related drug overdose event or who is at risk of experiencing an opioid-related drug overdose event. Current law provides a specific list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act eliminates the specific list and instead requires the state board of health to establish a list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act permits a standing order allowing all eligible entities to distribute opioid antagonists. The act requires the department of public health and environment to furnish a report detailing youth overdose prevention during "SMART Act" hearings. (Note: This summary applies to this bill as enacted.)

The act creates the "Know Your Health-Care Practitioner Act" that applies to certain health-care practitioners (practitioner) practicing in a health-care profession or occupation specified in the "Michael Skolnik Medical Transparency Act of 2010". The act does not apply to practitioners who work in a non-patient-care setting or do not have any direct patient care interactions, or when clinically not feasible. On and after June 1, 2026: In advertising health-care services using the practitioner's name, a practitioner must identify the type of state-issued license, certificate, or registration held by the practitioner and ensure that the advertisement is free from deceptive or misleading information; Except in certain circumstances, for practitioners providing services in a general hospital, urgent care center, ambulatory surgical center, or freestanding emergency department, the practitioner must affirmatively display an identification name tag or similar worn display that is visible during patient encounters. Except when emergent circumstances make it impracticable, while establishing a practitioner-patient relationship during the practitioner's first encounter with a patient, a practitioner must verbally communicate to the patient the practitioner's specific state-issued license, certificate, or registration or verbally identify themselves by a title or abbreviation authorized in statute to facilitate patient understanding. A practitioner does not have to display their name when interacting with a patient if the practitioner is concerned for their safety or if the patient is exhibiting signs of irrationality or violence. A practitioner may also use supplemental descriptors in advertising or identification, in the manner specified in the act. The director of the division of occupations and professions in the department of regulatory agencies may impose a fine of up to $500 if a practitioner violates the act. (Note: This summary applies to this bill as enacted.)

The act includes a performance metric related to workplace violence in determining quality incentive payments made to hospitals. No later than September 1, 2025, the act requires the department of health care policy and financing (state department) and the quality incentives payments subcommittee of the Colorado healthcare affordability and sustainability enterprise board (board) to consult with a group of named stakeholders to develop recommended workplace violence metrics, determine whether any federal or private funds are available to assist hospitals in lowering the number of incidents of workplace violence, and develop legislative recommendations. The act requires the state department to include a progress report on developing workplace violence metrics during its 2026 "SMART Act" hearing. The act requires the board to include legislative recommendations it develops as part of its January 2027 report to the general assembly, the governor, and the medical services board. Beginning July 1, 2026, and each July thereafter, the act requires the state department to assess whether each hospital has adopted a formal policy to address workplace violence and submitted the reporting requirements to the department of public health and environment for the next federal fiscal year. The act exempts hospitals with fewer than 100 beds from the reporting requirements. (Note: This summary applies to this bill as enacted.)

Current law requires a person or entity that acquires an automated external defibrillator (AED) to develop written plans for the placement, use, and maintenance of the AED (written plans). The act eliminates the requirements that the written plans: Identify personnel authorized to use the AED; and Be reviewed and approved by a licensed physician. The act imposes requirements for cardiac emergency preparedness for public and nonpublic schools. Beginning on or before January 1, 2026, a local education provider shall require each public school that acquires or has acquired an AED to place and maintain the AED in accordance with nationally recognized, evidence-based standards for emergency cardiovascular care, and the governing authority of a nonpublic school shall require each nonpublic school that acquires or has acquired an AED to place and maintain the AED in accordance with the same standards. (Note: This summary applies to this bill as enacted.)