Colorado 2026 Regular Session Status: Enacted Bipartisan · 27 D · 14 R cosponsors

HB 1069 — Availability of Emergency Medical Services

Last action — Governor Signed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 27, 2026. Enacted.

Signed by Governor Jared Polis (Democratic) on June 02, 2026.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 69 sponsors

    4 primary, 65 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (27 D · 14 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 13 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill updates definitions and reimbursement processes for emergency medical services.

This legislation redefines 'first responder' and changes how the emergency medical and trauma services advisory council recommends rules. It also establishes reimbursement requirements for ambulance services starting in 2027.

What this means for you
  • Workers: Workers in emergency medical services will have clarified roles and enhanced support for the services they provide.
  • Families: Families may benefit from better access to emergency services and potential cost savings associated with improved reimbursement for those services.
  • Healthcare: This bill could streamline emergency medical services and improve reimbursement processes for healthcare providers.

Summary

The act defines 'first responder' to include:A peace officer;A firefighter;A volunteer firefighter;An emergency medical service provider; orA mental health professional who responds in a professional capacity to a justifiable medical emergency.     Existing law requires the emergency medical and trauma services advisory council (council) to review and approve new rules and modifications to rules prior to the adoption of such rules or modifications by the state board of health. The act requires the council to make recommendations for, instead of approve, rules and modifications to rules concerning emergency medical and trauma services prior to the adoption of such rules or modifications by the state board of health.     Beginning January 1, 2027, the act requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':An ambulance service for ground transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's medical director;An ambulance service for treatment on the scene of a medical emergency, which treatment does not result in ground transportation; andA qualified provider, an ambulance service, or an agency for evaluation by telemedicine of a person being treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.(Note: This summary applies to this bill as enacted.)

Bill Text

What changed in the latest version

191 added · 256 removed

Plain-language change summary

The recent changes to House Bill 1069 primarily added a note about checking the legislative status sheet to see if the Governor has signed the bill or taken other actions on it. This addition is significant because it ensures that the public and lawmakers can easily find up-to-date information about the bill's progress and final approval. Clear communication about the bill's status helps maintain transparency in the legislative process.

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Second Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.
NOTE:
26-0232.01 Josh Schultz x5486 HOUSE BILL 26-1069 HOUSE SPONSORSHIP Feret and Stewart K., Bacon, Boesenecker, Bradley, Brown, Camacho, Carter, Duran, Flanell, Gonzalez R., Hamrick, Jackson, Johnson, Joseph, Keltie, Lieder, Lindsay, Lukens, Marshall,McCluskie,McCormick,Nguyen,Paschal,Phillips,Rutinel,Slaugh,Smith,Stewart R., Titone SENATE SPONSORSHIP Mullica and Simpson, Amabile, Benavidez, Bridges, Bright, Carson, Catlin, Coleman, Cutter,Daugherty,Exum,Frizell,GonzalesJ.,Hinrichsen, Jodeh, Kipp,Kirkmeyer,Kolker, Lindstedt, Liston, Marchman, Pelton R., Roberts, Snyder, Wallace, Weissman, Zamora Wilson d d e m 2 T n 2 A U , E i y House Committees Senate Committees S a a Health & Human Services Health & Human Services e M Appropriations Appropriations d A BILL FOR AN ACT i a C ONCERNING INCREASING THE AVAILABILITY OF EMERGENCY e 2 T d 20 N 2 5 MEDICAL SERVICES .
This bill has been prepared for the signatures of the appropriate legislative officers and the Governor.
E d y S d M e Bill Summary m A (Note:
To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill d d passes third reading in the house of introduction, a bill summary that e 2 applies to the reengrossed version of this bill will be available at E a 2 S U 9 http://leg.colorado.gov.) O n h H a r e M Thebillclarifiesthat"emergencyservices"includestransportation r of an individual to an appropriate location other than a hospital or 3 community integrated health-care service agency (agency).
HOUSE BILL 26-1069 BY REPRESENTATIVE(S) Feret and Stewart K., Bacon, Boesenecker, Bradley, Brown, Camacho, Carter, Duran, Flanell, Gonzalez R., Hamrick, Jackson, Johnson, Joseph, Keltie, Lieder, Lindsay, Lukens, Marshall, McCormick,Nguyen,Paschal,Phillips,Rutinel,Slaugh,Smith,StewartR., Titone, McCluskie, Barron, Caldwell, Clifford, DeGraaf, English, Luck, Soper, Story, Weinberg, Winter T., Woog;
The use of telemedicine when an insured person has encountered g an ambulance service or agency to prevent the need to transport the i 6 person to an emergency department is included in the definition of a 0 S R , U d 6 H 2 r Shading denotes HOUSE amendment.
also SENATOR(S) Mullica and Simpson, Amabile, Benavidez, Bridges, Bright, Carson, Catlin, Cutter, Daugherty, Exum, Frizell, Gonzales J., Hinrichsen,Jodeh,Kipp,Kirkmeyer,Kolker,Lindstedt,Liston,Marchman, PeltonR.,Roberts,Snyder,Wallace,Weissman,ZamoraWilson,Coleman.
Double underlining denotes SENATE amendment.
CONCERNING INCREASING THE AVAILABILITY OF EMERGENCY MEDICAL SERVICES .
e a Capital letters or bold & italic numbers indicate new material to be added to existing law.n M Dashes through the words or numbers indicate deletions from existing law.
e A "emergency services", which services are required to be made available to insured persons 24 hours per day, 7 days per week.
The bill defines "first responder" to include:
! A peace officer;
! A firefighter;
! A volunteer firefighter;
! An emergency medical service provider;
or ! A mental health professional who responds in a professional capacity to a justifiable medical emergency.
Thebillrequirestheexecutivedirectorofthedepartmentofpublic health and environment to adopt rules by June 1, 2027, authorizing an emergency medical service provider with a community paramedic endorsement who is employed by, volunteering for, or contracting with a licensed agency to provide for the inventory, compliance, and administration of, or to directly administer, medications, procedures, or diagnostic testing.
Beginning January 1, 2027, the bill requires the department of healthcarepolicyandfinancingtoreimbursethefollowingentitiesunder the "Colorado Medical Assistance Act":
! Anambulanceserviceoranagencyfortransportationbyan ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's or agency's medical director;
! An ambulance service or an agency for treatment on the scene of a medical emergency, which treatment does not result in transportation;
and ! A qualified provider, an ambulance service, or an agency forevaluationbytelemedicineof apersonbeing treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.
(19) T HE STATE EMERGENCY MEDICAL AND TRAUMA SERVICES -2- 1069 ADVISORY COUNCIL ,CREATED IN SECTION 25-3.5-104 (1)IS A TYPE 2 ENTITY ,AS DEFINED IN SECTIO24-1-105.
Capital letters or bold & italic numbers indicate new material added to existing law;
dashes through words or numbers indicate deletions from existing law and such material is not part of the act.
(19) T HE STATE EMERGENCY MEDICAL AND TRAUMA SERVICES ADVISORY COUNCIL , CREATED IN SECTION 25-3.5-104 (1),IS A TYPE 2 ENTITY ,AS DEFINED IN SECTION24-1-105.
and add (9.5) as follows:
and add (9.8) as follows:
(8.5) "Health information organization network" means an organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards."FIRST RESPONDER" MEANS :
(8.5) "Health information organization network" means an organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards.
(a) A PEACE OFFICER,AS DESCRIBED IN SECTION16-2.5-101;
"IRST RESPONDER " MEANS :
(b) A FIREFIGHTER,AS DEFINED IN SECTION29-5-203 (10);
(a) A PEACE OFFICER ,AS DESCRIBED IN SECTION 16-2.5-101;
(c) A VOLUNTEER FIREFIGHTER , AS DEFINED IN SECTION 31-30-1102 (9)(a);
(b) A FIREFIGHTER ,AS DEFINED IN SECTION 29-5-203 (10);
(c) A VOLUNTEERFIREFIGHTER ,ASDEFINEDINSECTION 31-30-1102 (9)(a);
(8.6) "Justifiable medical emergency" means an underlying medical, traumatic, or psychiatric condition posing an immediate safety risk to the individual, emergency medical service provider, or public.
(8.6) "Justifiablemedicalemergency"meansanunderlyingmedical, traumatic, or psychiatric condition posing an immediate safety risk to the individual,emergencymedicalserviceprovider,orpublic.Exciteddelirium, anysubsequenttermforexciteddelirium,oranyacutepsychiatricdiagnosis not recognized in the most recent edition of the diagnostic and statistical manualofmentaldisordersisnotajustifiablemedicalemergency"H EALTH INFORMATION ORGANIZATION NETWORK "MEANS AN ORGANIZATION THAT OVERSEESANDGOVERNSTHEEXCHANGEOFHEALTH -RELATEDINFORMATION AMONG ORGANIZATIONS ACCORDING TO NATIONALLY RECOGNIZED STANDARDS .
Excited delirium, anysubsequent term for excited delirium, or anyacute psychiatric diagnosis not recognized in the most recent edition of the diagnostic and statistical manual of mental disorders is not a justifiable medical emergency "H EALTH INFORMATION ORGANIZATION NETWORK " MEANSANORGANIZATIONTHATOVERSEESANDGOVERNSTHEEXCHANGE OFHEALTH -RELATEDINFORMATIONAMONGORGANIZATIONSACCORDING TO NATIONALLY RECOGNIZED STANDARDS .
(8.7) "Locallicensingauthority"meansthegoverningbodyofacity PAGE 2-HOUSE BILL 26-1069 and county or the board of county commissioners in a county in the state "JUSTIFIABLE MEDICAL EMERGENCY " MEANS AN UNDERLYING MEDICAL , TRAUMATIC ,OR PSYCHIATRIC CONDITION POSING AN IMMEDIATE SAFETY RISK TO THE INDIVIDUAL , EMERGENCY MEDICAL SERVICE PROVIDER ,OR PUBLIC.EXCITEDDELIRIUM ,ANYSUBSEQUENTTERMFOREXCITEDDELIRIUM , OR ANY ACUTE PSYCHIATRIC DIAGNOSIS NOT RECOGNIZED IN THE MOST RECENT EDITION OF THE DIAGNOSTIC AND STATISTICAL M ANUAL OF M ENTAL D ISORDERS IS NOT A JUSTIFIABLE MEDICAL EMERGENCY .
-3- 1069 (8.7) "Local licensing authority" means the governing body of a city and county or the board of county commissioners in a county in the state"JUSTIFIABLE MEDICAL EMERGENCY " MEANS AN UNDERLYING MEDICAL ,TRAUMATIC,ORPSYCHIATRICCONDITIONPOSINGANIMMEDIATE SAFETY RISK TO THE INDIVIDUAL , EMERGENCY MEDICAL SERVICE PROVIDER ,OR PUBLI.
(8.8) "Medical direction" includes, but is not limited to, the following:
EXCITED DELIRIU,ANY SUBSEQUENT TERM FOR EXCITED DELIRIUM , OR ANY ACUTE PSYCHIATRIC DIAGNOSIS NOT RECOGNIZED IN THE MOST RECENT EDITION OF THE D IAGNOSTIC AND STATISTICAL M ANUAL OF M ENTAL D ISORDERS IS NOT A JUSTIFIABLE MEDICAL EMERGENCY .
"OCAL LICENSING AUTHORITY " MEANS THE GOVERNING BODY OF A CITY AND COUNTY OR THE BOARD OF COUNTY COMMISSIONERS IN A COUNTY IN THE STATE .
(8.8) "Medical direction" includes, but is not limited to, the following"LOCALLICENSINGAUTHORITY "MEANSTHEGOVERNINGBODY OF A CITY AND COUNTY OR THE BOARD OF COUNTY COMMISSIONERS IN A COUNTY IN THE STATE.
(a) Approvalof themedicalcomponentsof treatmentprotocolsand appropriate prearrival instructions;
(a) Approval of the medical components of treatment protocols and appropriate prearrival instructions;
(b) Routine review of program performance and maintenance of active involvement in quality improvement activities, including access to dispatch tapes as necessary for the evaluation of procedures;
(b) Routine review of program performance and maintenance of activeinvolvementinqualityimprovementactivities,includingaccessto dispatch tapes as necessary for the evaluation of procedures;
(c) Authoritytorecommendappropriatechangestoprotocolsforthe improvement of patient care;
(c) Authorityto recommend appropriate changes to protocols for the improvement of patient care;
and (d) Provision of oversight for the ongoing education, training, and quality assurance for providers of emergency care.
and (d) Provisionofoversightfortheongoingeducation,training,and quality assurance for providers of emergency care.
(9) "Patient"meansanyindividualwhoissick,injured,orotherwise incapacitated or helpless.
(9) "Patient" means any individual who is sick, injured, or otherwiseincapacitatedorhelpless.DICALDIRECTION"INCLUDES,BUT IS NOT LIMITED ,THE FOLLOWING :
EDICAL DIRECTION " INCLUDES ,BUT IS NOT LIMITED TO,THE FOLLOWING :
(a) A PPROVAL OF THE MEDICAL COMPONENTS OF TREATMENT -4- 1069 PROTOCOLS AND APPROPRIATE PREARRIVAL INSTRUCTIONS;
(a) A PPROVAL OF THE MEDICAL COMPONENTS OF TREATMENT PROTOCOLS AND APPROPRIATE PREARRIVAL INSTRUCTIONS ;
(b) ROUTINE REVIEW OF PROGRAM PERFORMANCE AND MAINTENANCE OF ACTIVE INVOLVEMENT IN QUALITY IMPROVEMENT ACTIVITIE,INCLUDING ACCESS TO DISPATCH TAPES AS NECESSARY FOR THE EVALUATION OF PROCEDURES;
(b) R OUTINE REVIEW OF PROGRAM PERFORMANCE AND MAINTENANCE OF ACTIVE INVOLVEMENT IN QUALITY IMPROVEMENT ACTIVITIES,INCLUDINGACCESSTODISPATCHTAPESASNECESSARYFORTHE EVALUATION OF PROCEDURES ;
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(c) AUTHORITY TO RECOMMEND APPROPRIATE CHANGES TO PROTOCOLS FOR THE IMPROVEMENT OF PATIENT CARE;AND (d) PROVISION OF OVERSIGHT FOR THE ONGOING EDUCATION , TRAINING, AND QUALITY ASSURANCE FOR PROVIDERS OF EMERGENCY CARE .
(c) AUTHORITY TO RECOMMEND APPROPRIATE CHANGES TO PAGE 3-HOUSE BILL 26-1069 PROTOCOLS FOR THE IMPROVEMENT OF PATIENT CARE ;AND (d) PROVISION OF OVERSIGHT FOR THE ONGOING EDUCATION , TRAINING ANDQUALITYASSURANCEFORPROVIDERSOFEMERGENCYCARE .
(9.5) "PTIENT"MEANS AN INDIVIDUALWHOISSICK ,INJURED,OR OTHERWISE INCAPACITATED OR HELPLESS.
(9.8) "PATIENT" MEANS AN INDIVIDUAL WHO IS SICK, INJURED,OR OTHERWISE INCAPACITATED OR HELPLESS .
Emergencymedicalandtraumaservicesadvisory council - creation - duties.
Emergency medical and trauma services advisory council - creation - duties.
(d) Review and approvMAKE RECOMMENDATIONS TO APPROVE OR DENY new rulesCONCERNING EMERGENCY MEDICAL AND TRAUMA SERVICES and modifications to rCONCERNING EMERGENCY MEDICAL AND TRAUMA SERVICES existing prior to July 1, 2000, prior to the adoption of such rules or modifications by the state board of health;
(d) Reviewandapprove MAKERECOMMENDATIONSTOAPPROVEOR DENY newrules CONCERNINGEMERGENCYMEDICALANDTRAUMASERVICES andmodificationstorulesCONCERNINGEMERGENCYMEDICALANDTRAUMA SERVICES existing prior to July 1, 2000, prior to the adoption of such rules or modifications by the state board of health;
Transportation by ambulance or other vehicle - treatment on scene of a medical emergency - evaluation by -5- 1069 telemedicine - definitions.
Transportation by ambulance or other vehicle - treatmentonsceneofamedicalemergency-evaluationbytelemedicine - definitions.
(1) ON AND AFTER JANUARY 1, 2027THE STATE DEPARTMENT SHALL REIMBURSE:
(1) ONANDAFTER JANUARY 1,2027,THESTATEDEPARTMENTSHALL REIMBURSE :
(a) ANAMBULANCESERVICE FORGROUNDTRANSPORTATIONBY AN AMBULANCE OR OTHER APPROPRIATELY SITUATED VEHICLE TO A HOSPITAL OR OTHER DESTINATION AS DEEMED APPROPRIATE BY THE AMBULANCE SERVICE S MEDICAL DIRECTOR ;
(a) AN AMBULANCE SERVICE FOR GROUND TRANSPORTATION BY AN AMBULANCE OR OTHER APPROPRIATELY SITUATED VEHICLE TO A HOSPITAL OR OTHER DESTINATION AS DEEMED APPROPRIATE BY THE AMBULANCE SERVICE'S MEDICAL DIRECTOR;
(b) ANAMBULANCE SERVICE FORTREATMENT ONTHE SCENE OF A MEDICAL EMERGENCY ,WHICH TREATMENT DOES NOT RESULT IN GROUND TRANSPORTATION ;AND (c) A QUALIFIED PROVIDER,AN AMBULANCE SERVICE , OR AN AGENCY PROVIDING OUT -OF-HOSPITAL SERVICES FOR EVALUATION BY TELEMEDICINE OFA PERSON BEING TREATED BY AN AMBULANCE SERVICE ORANAGENCYPROVIDINGOUT OF-HOSPITALSERVICESFORTHEPURPOSE OF PREVENTING THE NEED TO TRANSPORT THE PERSON TO A HOSPITAL.
(b) A N AMBULANCE SERVICE FOR TREATMENT ON THE SCENE OF A MEDICAL EMERGENCY ,WHICH TREATMENT DOES NOT RESULT IN GROUND TRANSPORTATION ;AND PAGE 4-HOUSE BILL 26-1069 (c) AQUALIFIEDPROVIDER ,ANAMBULANCESERVICE ,ORANAGENCY PROVIDINGOUT -OF-HOSPITALSERVICESFOREVALUATIONBYTELEMEDICINE OF A PERSON BEING TREATED BY AN AMBULANCE SERVICE OR AN AGENCY PROVIDING OUT OF HOSPITAL SERVICES FOR THE PURPOSE OF PREVENTING THENEEDTOTRANSPORTTHEPERSONTOAHOSPITAL .TELEMEDICINESHALL BEBILLEDUSINGANOFFICEOROTHEROUTPATIENTSERVICESRATEANDNOT USINGANEMERGENCYDEPARTMENTRATE .A NAMBULANCESERVICEORAN AGENCY PROVIDING OUT OF HOSPITAL SERVICES IS NOT REQUIRED TO PROCURE TELEMEDICINE FOR A COVERED PERSON AS A CONDITION OF PAYMENT .
TELEMEDICINESHALLBEBILLEDUSINGANOFFICEOROTHEROUTPATIENT SERVICES RATE AND NOT USING AN EMERGENCY DEPARTMENT RATE.
(2) A S USED IN THIS SECTIO,UNLESS THE CONTEXT OTHERWISE REQUIRES :
AN AMBULANCE SERVICE OR AN AGENCY PROVIDING OUT OF-HOSPITAL SERVICES IS NOT REQUIRED TO PROCURE TELEMEDICINE FOR A COVERED PERSON AS A CONDITION OF PAYMEN.
(a) "AMBULANCESERVICE "HASTHEMEANINGSETFORTHINSECTION 25-3.5-103 (3).
(2) AS USED IN THIS SECTI,UNLESS THE CONTEXT OTHERWISE REQUIRES:
(b) (I) "O UT-OF-HOSPITAL SERVICES" MEANS FURNISHING ANY NECESSARYGOODSANDSERVICESOUTSIDEOFAHOSPITALSETTINGFORTHE PURPOSE OF PREVENTING , ALLEVIATING, CURING ,OR HEALING HUMAN ILLNESS,APHYSICALDISABILITY ,APHYSICALINJURY ,ORASUBSTANCE USE DISORDER WHILE RESPONDING TO AN EMERGENCY OR OTHER HEALTH -CARE CONDITION .
(a) "A MBULANCE SERVICE "HAS THE MEANING SET FORTH IN SECTION 25-3.5-103 (3).
(II) "OT OF HOSPITALSERVICES " DOESNOTINCLUDEPREHOSPITAL SETTING TRANSPORTS .
(b) (I) "UT OF-HOSPITAL SERVICES"MEANS FURNISHING ANY NECESSARY GOODS AND SERVICES OUTSIDE OF A HOSPITAL SETTING FOR THEPURPOSEOFPREVENTING ,ALLEVIATING,CURING,ORHEALINGHUMAN -6- 1069 ILLNESS,A PHYSICAL DISABILITY,A PHYSICAL INJURY,OR A SUBSTANCE USE DISORDER WHILE RESPONDING TO AN EMERGENCY OR OTHER HEALTH -CARE CONDITION .
SECTION 5.
(II) "O UT-OF-HOSPITAL SERVICES" DOES NOT INCLUDE PREHOSPITAL SETTING TRANSPORTS .
In Colorado Revised Statutes, 12-280-404, amend (7)(b) as follows:
SECTION5.
In Colorado RevisedStatutes,12-280-404,amend (7)(b) as follows:
(7) (b) The board may, within existing funds available for operation of the program, provide a means of sharing prescription information and electronic health records through a board-approved vendor and method with the health information organization network, as defined in section 25-3.5-103 (8.5)ION 25-3.5-103(8.6), in order to work collaboratively with the statewide health information exchanges designated bythe department of health care policyand financing.
(7)(b) Theboardmay,withinexistingfundsavailableforoperation of the program, provide a means of sharing prescription information and electronichealthrecordsthroughaboard-approvedvendorandmethodwith the health information organization network, as defined in section 25-3.5-103(8.5)SECTION25-3.5-103(8.6),inordertoworkcollaboratively with the statewide health information exchanges designated by the department of health care policy and financing.
Use of the information made available pursuant to this subsection (7)(b) is subject to privacy and security protections in state law and the federal "Health Insurance Portability and Accountability Act of 1996", Pub.L.104-191, as amended, and any implementing regulations.
Use of the information made available pursuant to this subsection (7)(b) is subject to privacy and PAGE 5-HOUSE BILL 26-1069 security protections in state law and the federal "Health Insurance Portability and Accountability Act of 1996", Pub.L.104-191, as amended, and any implementing regulations.
SECTION 6.
SECTION6.
In Colorado Revised Statutes, 25-54-101, amend (4) as follows:
InColoradoRevisedStatutes, 25-54-101,amend(4) as follows:
(4) "Healthinformationorganizationnetwork"meansaColorado organization that has experience in overseeing and governing the exchange of health-related information among organizations according to Colorado law and nationally recognized standards including but not -7- 1069 limited to the federal "Health Insurance Portability and Accountability Act of 1996", Pub.L.
(4) "Health information organization network" means a Colorado organizationthathasexperienceinoverseeingandgoverningtheexchange of health-related information among organizations according to Colorado law and nationally recognized standards including but not limited to the federal "Health Insurance Portability and Accountability Act of 1996", Pub.L.
104-191, as amenHAS THE MEANINGSET FORTH IN SECTION25-3.5-103 (8.6).
104-191, as amended HAS THE MEANING SET FORTH IN SECTION 25-3.5-103 (8.6).
SECTION 7.
SECTION7.
In Colorado Revised Statutes, 27-50-101, amend (14) as follows:
InColoradoRevisedStatutes,27-50-101,amend(14) as follows:
(14) "Health information organization network" has the same meaningasdefinedinsection25-3.5-103(8.5)SECTION 25-3.5-103(8.6).
(14) "Health information organization network" has the same meaning as defined in section 25-3.5-103 (8.5)SECTION 25-3.5-103 (8.6).
The general assembly finds, determines, and declares that this act is necessary for the immediate preservationofthepublicpeace,health,orsafetyorforappropriationsfor the support and maintenance of the departments of the state and state institutions.
The general assembly finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, or safety or for appropriations for PAGE 6-HOUSE BILL 26-1069 the support and maintenance of the departments of the state and state institutions.
-8- 1069
____________________________ ____________________________ Julie McCluskie James Rashad Coleman, Sr.
SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Vanessa Reilly Esther van Mourik CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.
Polis GOVERNOR OF THE STATE OF COLORADO PAGE 7-HOUSE BILL 26-1069
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Action History

  1. Governor Signed

  2. Signed by the Speaker of the House

  3. Signed by the President of the Senate

  4. Sent to the Governor

  5. House Considered Senate Amendments - Result was to Concur - Repass

  6. Senate Third Reading Passed - No Amendments

  7. Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole

  8. Senate Second Reading Special Order - Passed with Amendments - Committee

  9. Senate Committee on Health & Human Services Refer Amended to Appropriations

  10. Introduced In Senate - Assigned to Health & Human Services

  11. Introduced In Senate - Assigned to

  12. House Third Reading Passed - No Amendments

  13. House Committee on Appropriations Refer Amended to House Committee of the Whole

  14. House Second Reading Special Order - Passed with Amendments - Committee, Floor

  15. House Committee on Health & Human Services Refer Amended to Appropriations

  16. Introduced In House - Assigned to Health & Human Services

Sponsors

Sponsorship breakdown

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4 sponsors · 65 co-sponsors · 32 not signed on · 3 voted No

Sponsors (4)

Co-sponsors (65)

Not signed on (32)

32 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

CONCUR

Passed 64 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 40001
Republican 19000
Unaffiliated 5000
Total 64001
% of votes cast 98%0%0%2%
How each member voted (65)
Member Party Vote
Gonzalez R. — Yea
Stewart K. — Yea
Stewart R. — Yea
Winter T. — Yea
Garcia Sander — Yea
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Yea
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Kenny Nguyen Democrat Yea
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Not Voting
Lorena Garcia Democrat Yea
Lori Goldstein Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Yea
Monica Duran Democrat Yea
Naquetta Ricks Democrat Yea
Regina English Democrat Yea
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Yea
Tisha Mauro Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Ava Flanell Republican Yea
Brandi Bradley Republican Yea
Carlos Barron Republican Yea
Chris Richardson Republican Yea
Dan Woog Republican Yea
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Yea
Larry Don Suckla Republican Yea
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Yea
Rebecca Keltie Republican Yea
Rick Taggart Republican Yea
Ron Weinberg Republican Yea
Scott Bottoms Republican Yea
Scott Slaugh Republican Yea
Stephanie Luck Republican Yea

Official roll call →

REPASS

Passed 64 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 40001
Republican 19000
Unaffiliated 5000
Total 64001
% of votes cast 98%0%0%2%
How each member voted (65)
Member Party Vote
Gonzalez R. — Yea
Stewart K. — Yea
Stewart R. — Yea
Winter T. — Yea
Garcia Sander — Yea
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Yea
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Kenny Nguyen Democrat Yea
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Not Voting
Lorena Garcia Democrat Yea
Lori Goldstein Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Yea
Monica Duran Democrat Yea
Naquetta Ricks Democrat Yea
Regina English Democrat Yea
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Yea
Tisha Mauro Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Ava Flanell Republican Yea
Brandi Bradley Republican Yea
Carlos Barron Republican Yea
Chris Richardson Republican Yea
Dan Woog Republican Yea
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Yea
Larry Don Suckla Republican Yea
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Yea
Rebecca Keltie Republican Yea
Rick Taggart Republican Yea
Ron Weinberg Republican Yea
Scott Bottoms Republican Yea
Scott Slaugh Republican Yea
Stephanie Luck Republican Yea

Official roll call →

BILL

Passed 62 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 38003
Republican 19000
Unaffiliated 5000
Total 62003
% of votes cast 95%0%0%5%
How each member voted (65)
Member Party Vote
Gonzalez R. — Yea
Stewart K. — Yea
Stewart R. — Yea
Winter T. — Yea
Garcia Sander — Yea
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Yea
Brianna Titone Democrat Yea
Cecelia Espenoza Democrat Yea
Chad Clifford Democrat Yea
Eliza Hamrick Democrat Yea
Elizabeth Velasco Democrat Not Voting
Emily Sirota Democrat Yea
Gretchen Rydin Democrat Yea
Jacque Phillips Democrat Yea
Jamie Jackson Democrat Yea
Javier Mabrey Democrat Yea
Jennifer Bacon Democrat Yea
Jenny Willford Democrat Yea
Julie McCluskie Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Kenny Nguyen Democrat Yea
Kyle Brown Democrat Yea
Lesley Smith Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Lorena Garcia Democrat Yea
Lori Goldstein Democrat Yea
Mandy Lindsay Democrat Yea
Manny Rutinel Democrat Yea
Matthew Martinez Democrat Yea
Meg Froelich Democrat Yea
Meghan Lukens Democrat Yea
Michael Carter Democrat Yea
Monica Duran Democrat Yea
Naquetta Ricks Democrat Not Voting
Regina English Democrat Not Voting
Sean Camacho Democrat Yea
Sheila Lieder Democrat Yea
Steven Woodrow Democrat Yea
Tammy Story Democrat Yea
Tisha Mauro Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Yea
Ava Flanell Republican Yea
Brandi Bradley Republican Yea
Carlos Barron Republican Yea
Chris Richardson Republican Yea
Dan Woog Republican Yea
Dusty Johnson Republican Yea
Jarvis Caldwell Republican Yea
Ken DeGraaf Republican Yea
Larry Don Suckla Republican Yea
Mary Bradfield Republican Yea
Matt Soper Republican Yea
Max Brooks Republican Yea
Rebecca Keltie Republican Yea
Rick Taggart Republican Yea
Ron Weinberg Republican Yea
Scott Bottoms Republican Yea
Scott Slaugh Republican Yea
Stephanie Luck Republican Yea

Official roll call →

Refer House Bill 26-1069, as amended, to the Committee of the Whole.

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 8000
Republican 2001
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
Andrew Boesenecker Democrat Yea
Brianna Titone Democrat Yea
Elizabeth Velasco Democrat Yea
Emily Sirota Democrat Yea
Junie Joseph Democrat Yea
Karen McCormick Democrat Yea
Kyle Brown Democrat Yea
Yara Zokaie Democrat Yea
Matt Soper Republican Not Voting
Rick Taggart Republican Yea
Scott Bottoms Republican Yea

Official roll call →

Refer House Bill 26-1069, as amended, to the Committee on Appropriations.

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 5000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Eliza Hamrick Democrat Yea
Gretchen Rydin Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Regina English Democrat Yea
Sheila Lieder Democrat Yea
Brandi Bradley Republican Yea
Carlos Barron Republican Yea
Dan Woog Republican Yea
Dusty Johnson Republican Yea
Mary Bradfield Republican Yea

Official roll call →

Subjects

public-safety healthcare health-insurance
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Frequently asked questions

What does HB 1069 do?
The act defines 'first responder' to include:A peace officer;A firefighter;A volunteer firefighter;An emergency medical service provider; orA mental health professional who responds in a professional capacity to a justifiable medical emergency.     Existing law requires the emergency medical and trauma services advisory council (council) to review and approve new rules and modifications to rules prior to the adoption of such rules or modifications by the state board of health. The act requires the council to make recommendations for, instead of approve, rules and modifications to rules concerning emergency medical and trauma services prior to the adoption of such rules or modifications by the state board of health.     Beginning January 1, 2027, the act requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':An ambulance service for ground transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's medical director;An ambulance service for treatment on the scene of a medical emergency, which treatment does not result in ground transportation; andA qualified provider, an ambulance service, or an agency for evaluation by telemedicine of a person being treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.(Note: This summary applies to this bill as enacted.)
Who sponsors HB 1069?
HB 1069 is sponsored by Adrienne Benavidez, L. Zamora Wilson, M. Weissman, K. Wallace, M. Snyder, D. Roberts, R. Pelton, J. Marchman, L. Liston, W. Lindstedt, C. Kolker, B. Kirkmeyer, C. Kipp, I. Jodeh, N. Hinrichsen, J. Gonzales, L. Frizell, T. Exum, L. Daugherty, L. Cutter, J. Coleman, M. Catlin, J. Carson, S. Bright, J. Bridges, J. Amabile, Jacque Phillips (Democrat), Manny Rutinel (Democrat), Matt Soper (Republican), Rebekah Stewart (Democrat), Tammy Story (Democrat), Brianna Titone (Democrat), Ron Weinberg (Republican), Ty Winter (Republican), Dan Woog (Republican), Stephanie Luck (Republican), Meghan Lukens (Democrat), Karen McCormick (Democrat), Kenny Nguyen (Democrat), C. Simpson, K. Mullica, Lisa Feret (Democrat), Katie Stewart (Democrat), Jennifer Bacon (Democrat), Carlos Barron (Republican), Andrew Boesenecker (Democrat), Brandi Bradley (Republican), Jarvis Caldwell (Republican), Sean Camacho (Democrat), Michael Carter (Democrat), Chad Clifford (Democrat), Ken DeGraaf (Republican), Monica Duran (Democrat), Regina English (Democrat), Ava Flanell (Republican), Eliza Hamrick (Democrat), Jamie Jackson (Democrat), Dusty Johnson (Republican), Junie Joseph (Democrat), Rebecca Keltie (Republican), Sheila Lieder (Democrat), Ryan Gonzalez (Republican), Kyle Brown (Democrat), Mandy Lindsay (Democrat), Bob Marshall (Democrat), Julie McCluskie (Democrat), Amy Paschal (Democrat), Scott Slaugh (Republican), and Lesley Smith (Democrat).
What is the current status of HB 1069?
This bill has been enacted into law. Introduced January 27, 2026. Enacted.
Where can I track HB 1069?
Track HB 1069 free on One Click Politics — get push/email alerts when it moves.

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