SB 191 — Gifts Grants & Donations for Nursing Facilities
Last action — Governor Signed
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced May 04, 2026. Enacted.
Signed by Governor Jared Polis (Democratic) on May 29, 2026.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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18 sponsors
3 primary, 15 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (7 D · 1 R) — cross-party backing.
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Cleared a recorded vote
Passed 3 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
In plain language
Allows the state department to use gifts for nursing facilities serving residents with behavioral health needs.
The bill permits the state department to accept and utilize gifts, grants, and donations to enhance reimbursement models for nursing facilities that cater to residents with behavioral health issues. It ensures that state funding is not impacted and requires reporting on the use of such funds when requested.
What this means for you
- Healthcare: This bill could improve funding models for nursing facilities working with residents who have behavioral health needs.
Summary
If the executive director of the department of health care policy and financing (state department) receives gifts, grants, and donations for the purpose of providing support for the development and funding of an enhanced reimbursement model for nursing facilities that serve residents with behavioral health needs, the state department is required to use the gifts, grants, and donations for that purpose. Receiving gifts, grants, and donations for this purpose does not commit the state to an expenditure of general fund money, and the general assembly shall not reduce any appropriation made to the state department for the same purpose. If requested by the joint budget committee, the state department is required to report the state department's use of the gift, grants, and donations received.(Note: This summary applies to this bill as enacted.)
Bill Text
What changed in the latest version
63 added · 94 removedPlain-language change summary
The bill SB 191 has been updated to include a note indicating that it is prepared for the necessary signatures from legislative officers and the Governor, along with information on how to check the bill's status. This change is important because it clarifies the final steps needed for the bill's approval and ensures that citizens can easily find out what action has been taken on it. Additionally, it emphasizes the purpose of the bill, which is to use gifts, grants, and donations to support enhanced reimbursement for nursing facilities catering to residents with behavioral health needs. This focus aims to improve care for a vulnerable population.
SecondNOTE: Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.
26-1025.01This Shelbybill Rosshas x4510been SENATEprepared BILLfor 26-191the SENATEsignatures SPONSORSHIPof Amabilethe andappropriate Frizell,legislative Coleman,officers Cutter,and Exum,the Jodeh,Governor. Kipp, Wallace HOUSE SPONSORSHIP McCormick, Clifford,Duran,Goldstein,GonzalezR.,McCluskie,Nguyen,Phillips,Ricks, Rutinel d d e 6 a 0 S n , U g 1 H d y e a Senate Committees House Committees R M Finance Finance 3 A BILL FOR AN ACT e n 6 C ONCERNING THE USE OF GIFTS ,GRANTS ,AND DONATIONS MADE TO E m 2 U n 1 THEDEPARTMENTOFHEALTHCAREPOLICYANDFINANCINGFOR O g 1 H i a THE PURPOSE OF ENHANCED REIMBURSEMENT FOR NURSING a M R FACILITIESTHATSERVERESIDENTSWITHBEHAVIORALHEALTH n NEEDS .
gTo ddetermine Billwhether Summarythe eGovernor 6has Tsigned Rthe 0bill Aor rtaken ,other (Note:action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.
ThisSENATE summaryBILL applies26-191 toBY thisSENATOR(S) billAmabile as introduced and doesFrizell, ECutter, 3Exum, yJodeh, notreflectanyamendmentsthatmaybesubsequentlyadopted.IfthisbillKipp, SWallace, eColeman; a n M passes third reading in the house of introduction, a bill summary that m applies to the reengrossed version of this bill will be available at A http://leg.colorado.gov.) n If the executive director of the department of health care policy d and financing (state department) receives gifts, grants, and donations for e 6 T R 0 A n , E d y Shading denotes HOUSE amendment.
Doublealso underliningREPRESENTATIVE(S) denotesMcCormick, SENATEClifford, amendment.Duran, Goldstein, Gonzalez R., Nguyen, Phillips, Ricks, Rutinel, McCluskie.
SC eONCERNING aTHE CapitalUSE lettersOF orGIFTS bold, &GRANTS italic,AND numbersDONATIONS indicateMADE newTO materialTHE toDEPARTMENT beOF addedHEALTH toCARE existingPOLICY law.nAND MFINANCING DashesFOR throughTHE thePURPOSE wordsOF orENHANCED numbersREIMBURSEMENT indicateFOR deletionsNURSING fromFACILITIES existingTHAT law.SERVE RESIDENTS WITH BEHAVIORAL HEALTH NEEDS .
m A the purpose of providing support for the development and funding of an enhancedreimbursementmodelfor nursingfacilitiesthatserveresidents with behavioral health needs, the state department shall use the gifts, grants, and donations for that purpose.
Receiving gifts, grants, and donations for this purpose does not commit the state to an expenditure of general fund money, and the general assembly shall not reduce any appropriation made to the state department for the same purpose.
(1) IF THE EXECUTIVE DIRECTOR RECEIVES GIFT,GRANTSGIFTS , GRANTS ,AND DONATIONS FOR THE PURPOSE OF PROVIDING SUPPORT FOR THE DEVELOPMENTDEVELOPMENTANDFUNDINGOFANENHANCEDREIMBURSEMENTMODELFOR AND FUNDING OF AN ENHANCED REIMBURSEMENT MODEL FOR NURSING FACILITIES THAT SERVE RESIDENTS WITH BEHAVIORAL HEALTH NEEDS________ ,THECapital STATEletters DEPARTMENTor SHALLbold USE& THEitalic GIFTS,GRANTSnumbers ,indicate ANDnew DONATIONSmaterial FORadded THATto PURPOSEexisting .law;
(2)dashes Uthrough PONwords REQUESTor OFnumbers THEindicate JOINTdeletions BUDGETfrom COMMITTEEexisting ,law THEand EXECUTIVEsuch DIRECTORmaterial SHALLis REPORTnot TOpart THEof JOINTthe BUDGETact. COMMITTEE ON THE USE OF ANY GIFT,GRANTS ,OR DONATIONS RECEIVED PURSUANT TO THIS SECTION.
(3)NEEDS ANYGIFTS, ,GRANTS ANDDONATIONSRECEIVEDPURSUANTTO SUBSECTION (1)OF THIS SECTION DO NOT COMMIT THE STATE TODEPARTMENT ANSHALL EXPENDITUREOFGENERALFUNDMONEYUSE .THEGENERALASSEMBLYSHALL NOT REDUCE AN APPROPRIATION MADE TO THE STATE DEPARTMENT FOR THE SAME PURPOSE BECAUSE OF GIFTS , GRANTS,GRANTS , AND DONATIONS RECEIVEDFOR PURSUANTTHAT TOPURPOSE SUBSECTION. (1)OF THIS SECTIO.
(2) U PON REQUEST OF THE JOINT BUDGET COMMITTEE , THE EXECUTIVE DIRECTOR SHALLREPORT TO THE JOINT BUDGET COMMITTEE ON THE USE OF ANY GIFTS ,GRANTS ,OR DONATIONS RECEIVED PURSUANT TO THIS SECTION.
(3) A NY GIFTS ,GRANTS ,AND DONATIONS RECEIVED PURSUANT TO SUBSECTION (1) OF THIS SECTION DO NOT COMMIT THE STATE TO AN EXPENDITURE OF GENERAL FUND MONEY .
HE GENERAL ASSEMBLY SHALL NOTREDUCEANAPPROPRIATIONMADETOTHESTATEDEPARTMENTFORTHE SAME PURPOSE BECAUSE OF GIFTS ,GRANTS , AND DONATIONS RECEIVED PURSUANT TO SUBSECTION (1)OF THIS SECTION .
This act -2- 191 takes effect at 12:01 a.m.
on the day following the expiration of the ninety-dayperiodafterfinaladjournmentofthegeneralassembly(Augustninety-dayperiod after final adjournment of the general assembly(August 12, 2026, if adjournment sine die is on May 13, 2026);
except that, if a referendumreferendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approvedPAGE by2-SENATE theBILL people26-191 atapprovedbythepeopleatthegeneralelectiontobeheldinNovember2026 the general election to be held in November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
-3-____________________________ 191____________________________ James Rashad Coleman, Sr.
Julie McCluskie PRESIDENT OF SPEAKER OF THE HOUSE THE SENATE OF REPRESENTATIVES ____________________________ ____________________________ Esther van Mourik Vanessa Reilly SECRETARY OF CHIEF CLERK OF THE HOUSE THE SENATE OF REPRESENTATIVES APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.
Polis GOVERNOR OF THE STATE OF COLORADO PAGE 3-SENATE BILL 26-191
Action History
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Governor Signed
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Signed by the President of the Senate
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Signed by the Speaker of the House
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Sent to the Governor
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House Third Reading Passed - No Amendments
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House Second Reading Special Order - Passed - No Amendments
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House Committee on Finance Refer Unamended to House Committee of the Whole
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Senate Third Reading Passed with Amendments - Floor
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Introduced In House - Assigned to Finance
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Senate Second Reading Special Order - Passed with Amendments - Floor
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Senate Committee on Finance Refer Unamended to Senate Committee of the Whole
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Introduced In Senate - Assigned to Finance
Sponsors
- M. Rutinel · Cosponsor
- N. Ricks · Cosponsor
- J. Phillips · Cosponsor
- K. Nguyen · Cosponsor
- J. McCluskie · Cosponsor
- R. Gonzalez · Cosponsor
- L. Goldstein · Cosponsor
- M. Duran · Cosponsor
- C. Clifford · Cosponsor
- K. McCormick · Primary
- Judy Amabile · Primary
- Lisa Frizell · Primary
- James Coleman · Cosponsor
- Tony Exum · Cosponsor
- Iman Jodeh · Cosponsor
- Cathy Kipp · Cosponsor
- Katie Wallace · Cosponsor
- Lisa Cutter · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 15 co-sponsors · 83 not signed on · 17 voted No
Sponsors (3)
- K. McCormick
- Judy Amabile Democrat
- Lisa Frizell Republican
Co-sponsors (15)
- M. Rutinel
- N. Ricks
- J. Phillips
- K. Nguyen
- J. McCluskie
- R. Gonzalez
- L. Goldstein
- M. Duran
- C. Clifford
- James Coleman Democrat
- Tony Exum Democrat
- Iman Jodeh Democrat
- Cathy Kipp Democrat
- Katie Wallace Democrat
- Lisa Cutter Democrat
Not signed on (83)
83 members have not signed on to this bill.
Show all 83 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 41 | 0 | 0 | 0 |
| Republican | 3 | 16 | 0 | 0 |
| Unaffiliated | 3 | 2 | 0 | 0 |
| Total | 47 | 18 | 0 | 0 |
| % of votes cast | 72% | 28% | 0% | 0% |
How each member voted (65)
| Member | Party | Vote |
|---|---|---|
| Gonzalez R. | — | Yea |
| Stewart K. | — | Yea |
| Stewart R. | — | Yea |
| Winter T. | — | Nay |
| Garcia Sander | — | Nay |
| 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 | 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 | 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 | Nay |
| Ava Flanell | Republican | Nay |
| Brandi Bradley | Republican | Nay |
| Carlos Barron | Republican | Yea |
| Chris Richardson | Republican | Nay |
| Dan Woog | Republican | Nay |
| Dusty Johnson | Republican | Nay |
| Jarvis Caldwell | Republican | Yea |
| Ken DeGraaf | Republican | Nay |
| Larry Don Suckla | Republican | Nay |
| Mary Bradfield | Republican | Nay |
| Matt Soper | Republican | Nay |
| Max Brooks | Republican | Nay |
| Rebecca Keltie | Republican | Nay |
| Rick Taggart | Republican | Yea |
| Ron Weinberg | Republican | Nay |
| Scott Bottoms | Republican | Nay |
| Scott Slaugh | Republican | Nay |
| Stephanie Luck | Republican | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 3 | 1 | 0 | 0 |
| Democrat | 7 | 0 | 0 | 0 |
| Total | 10 | 1 | 0 | 0 |
| % of votes cast | 91% | 9% | 0% | 0% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Bob Marshall | Democrat | Yea |
| Brianna Titone | Democrat | Yea |
| Lorena Garcia | Democrat | Yea |
| Rebekah Stewart | Democrat | Yea |
| Sean Camacho | Democrat | Yea |
| Steven Woodrow | Democrat | Yea |
| Yara Zokaie | Democrat | Yea |
| Anthony Hartsook | Republican | Yea |
| Max Brooks | Republican | Nay |
| Ryan Gonzalez | Republican | Yea |
| Ty Winter | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 3 | 0 | 0 | 0 |
| Democrat | 5 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 9 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Adrienne Benavidez | — | Yea |
| Cathy Kipp | Democrat | Yea |
| Chris Kolker | Democrat | Yea |
| Janice Marchman | Democrat | Yea |
| Kyle Mullica | Democrat | Yea |
| Marc Snyder | Democrat | Yea |
| Cleave Simpson | Republican | Yea |
| Lisa Frizell | Republican | Yea |
| Scott Bright | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 191 do?
- If the executive director of the department of health care policy and financing (state department) receives gifts, grants, and donations for the purpose of providing support for the development and funding of an enhanced reimbursement model for nursing facilities that serve residents with behavioral health needs, the state department is required to use the gifts, grants, and donations for that purpose. Receiving gifts, grants, and donations for this purpose does not commit the state to an expenditure of general fund money, and the general assembly shall not reduce any appropriation made to the state department for the same purpose. If requested by the joint budget committee, the state department is required to report the state department's use of the gift, grants, and donations received.(Note: This summary applies to this bill as enacted.)
- Who sponsors SB 191?
- SB 191 is sponsored by M. Rutinel, N. Ricks, J. Phillips, K. Nguyen, J. McCluskie, R. Gonzalez, L. Goldstein, M. Duran, C. Clifford, K. McCormick, Judy Amabile (Democrat), Lisa Frizell (Republican), James Coleman (Democrat), Tony Exum (Democrat), Iman Jodeh (Democrat), Cathy Kipp (Democrat), Katie Wallace (Democrat), and Lisa Cutter (Democrat).
- What is the current status of SB 191?
- This bill has been enacted into law. Introduced May 04, 2026. Enacted.
- Where can I track SB 191?
- Track SB 191 free on One Click Politics — get push/email alerts when it moves.
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