Colorado 2025 Regular Session Status: Enacted 28 D cosponsors

SB 25-045 — Health-Care Payment System Analysis

Last action — Governor Signed

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

This bill has been enacted into law. Introduced January 08, 2025. Enacted.

Signed by Governor Jared Polis (Democratic) on May 14, 2025.

Odds of enactment

High chance

Based 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

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 30 sponsors

    3 primary, 27 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (28 D).

  • Cleared a recorded vote

    Passed 2 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.

Summary

Dependent upon sufficient gifts, grants, and donations received by the Colorado school of public health (school) and the department of health care policy and financing, the act requires the school to: Analyze draft model legislation for implementing a single-payer, nonprofit, publicly financed, and privately delivered universal health-care payment system for Colorado that directly compensates providers (analysis);and Submit a report detailing its findings to the health and human services committees of the house of representatives and the senate by December 31, 2026. The act also creates the statewide health-care analysis collaborative (collaborative) for the purpose of advising the school during the analysis. The collaborative is repealed, effective December 1, 2027. (Note: This summary applies to this bill as enacted.)

Bill Text

What changed in the latest version

23 added · 18 removed

Plain-language change summary

The bill now indicates that it has been reengrossed and incorporates all amendments adopted in the House of Introduction. Additionally, the text clarifies that a report from the Colorado school of public health is required, detailing findings from its analysis of the draft model legislation for a single-payer, nonprofit system that directly compensates providers. This report must be submitted to the general assembly by December 31, 2026.

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First Regular Session Seventy-fifth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO.
First Regular Session Seventy-fifth General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted in the House of Introduction LLS NO.
25-0284.01 Kristen Forrestal x4217 SENATE BILL 25-045 SENATE SPONSORSHIP Marchman, HOUSE SPONSORSHIP McCormick and Boesenecker, Senate Committees House Committees Health & Human Services Appropriations A BILL FOR AN ACT C ONCERNING THE ANALYSIS OF A STATEWIDE UNIVERSAL HEALTH -CARE PAYMENT SYSTEM .
25-0284.01 Kristen Forrestal x4217 SENATE BILL 25-045 SENATE SPONSORSHIP Marchman, Amabile, Ball, Coleman, Cutter, Daugherty, Exum, Gonzales J., Jodeh, Kipp, Michaelson Jenet, Weissman, Winter F.
HOUSE SPONSORSHIP McCormick and Boesenecker, Senate Committees House Committees Health & Human Services Appropriations A BILL FOR AN ACT C ONCERNING THE ANALYSIS OF A STATEWIDE UNIVERSAL HEALTH -CARE PAYMENT SYSTEM .
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov.) The bill requires the Colorado school of public health to analyze draft model legislation for implementing a single-payer, nonprofit, publiclyfinanced, and privatelydelivered universal health-care payment system for Colorado that directly compensates providers (analysis).
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill e n 2 passes third reading in the house of introduction, a bill summary that m 2 applies to the reengrossed version of this bill will be available at T n 0 A U 2 http://leg.colorado.gov.) E i a S a r The bill requires the Colorado school of public health to analyze R e r F draft model legislation for implementing a single-payer, nonprofit, 3 publiclyfinanced, and privatelydelivered universal health-care payment system for Colorado that directly compensates providers (analysis).
The g Colorado school of public health must submit a report detailing its d 2 findings to the general assembly by December 31, 2026.
The g Colorado school of public health must submit a report detailing its i 5 a 0 findings to the general assembly by December 31, 2026.
e 2 T R 9 A 2 y Shading denotes HOUSE amendment.
E R , A n 1 N 2 r Shading denotes HOUSE amendment.
E d a Capital letters or bold & italic numbers indicate new material to be added to existing lbw.
S e u Capital letters or bold & italic numbers indicate new material to be added to existing law.n b Dashes through the words or numbers indicate deletions from existing law.
Dashes through the words or numbers indicate deletions from existing law.
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Amendments

1 amendment

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Governor Signed

  2. Signed by the President of the Senate

  3. Sent to the Governor

  4. Signed by the Speaker of the House

  5. House Third Reading Passed - No Amendments

  6. House Third Reading Laid Over Daily - No Amendments

  7. House Second Reading Special Order - Passed - No Amendments

  8. House Second Reading Laid Over Daily - No Amendments

  9. House Committee on Appropriations Refer Unamended to House Committee of the Whole

  10. House Committee on Finance Refer Unamended to Appropriations

  11. House Committee on Health & Human Services Refer Unamended to Finance

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

  13. Senate Third Reading Passed - No Amendments

  14. Senate Second Reading Passed with Amendments - Committee, Floor

  15. Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole

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

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

Sponsors

Sponsorship breakdown

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3 sponsors · 27 co-sponsors · 71 not signed on · 33 voted No

Sponsors (3)

Co-sponsors (27)

Not signed on (71)

71 members have not signed on to this bill.

Show all 71 →

"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

BILL

Passed 39 Yea · 25 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 0301
Democrat 39300
Republican 01900
Total 392501
% of votes cast 60%38%0%2%
How each member voted (65)
Member Party Vote
Armagost — Nay
Bird — Not Voting
Pugliese — Nay
Garcia Sander — Nay
Alex Valdez Democrat Yea
Amy Paschal Democrat Yea
Andrew Boesenecker Democrat Yea
Bob Marshall Democrat Nay
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 Nay
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
Katie Stewart Democrat Yea
Kyle Brown Democrat Yea
Lesley Smith Democrat Nay
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Lorena Garcia 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
Rebekah Stewart 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
William Lindstedt Democrat Yea
Yara Zokaie Democrat Yea
Anthony Hartsook Republican Nay
Brandi Bradley Republican Nay
Carlos Barron Republican Nay
Chris Richardson Republican Nay
Dan Woog Republican Nay
Dusty Johnson Republican Nay
Jarvis Caldwell Republican Nay
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 Nay
Ron Weinberg Republican Nay
Ryan Gonzalez Republican Nay
Scott Bottoms Republican Nay
Stephanie Luck Republican Nay
Ty Winter Republican Nay

Official roll call →

BILL

Passed 23 Yea · 10 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 20000
Republican 11000
Unaffiliated 2001
Total 231001
% of votes cast 68%29%0%3%
How each member voted (34)
Member Party Vote
Lundeen — Not Voting
President — Yea
Winter F. — Yea
Cathy Kipp Democrat Yea
Chris Kolker Democrat Yea
Dafna Michaelson Jenet Democrat Yea
Dylan Roberts Democrat Yea
Iman Jodeh Democrat Yea
Janice Marchman Democrat Yea
Jeff Bridges Democrat Yea
Jessie Danielson Democrat Yea
Judy Amabile Democrat Yea
Julie Gonzales Democrat Yea
Kyle Mullica Democrat Yea
Lindsey Daugherty Democrat Yea
Lisa Cutter Democrat Yea
Marc Snyder Democrat Yea
Matt Ball Democrat Yea
Mike Weissman Democrat Yea
Nick Hinrichsen Democrat Yea
Robert Rodriguez Democrat Yea
Tom Sullivan Democrat Yea
Tony Exum Democrat Yea
Barbara Kirkmeyer Republican Nay
Byron Pelton Republican Nay
Cleave Simpson Republican Yea
Janice Rich Republican Nay
John Carson Republican Nay
Larry Liston Republican Nay
Lisa Frizell Republican Nay
Marc Catlin Republican Nay
Mark Baisley Republican Nay
Rod Pelton Republican Nay
Scott Bright Republican Nay

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 25-045 do?
Dependent upon sufficient gifts, grants, and donations received by the Colorado school of public health (school) and the department of health care policy and financing, the act requires the school to: Analyze draft model legislation for implementing a single-payer, nonprofit, publicly financed, and privately delivered universal health-care payment system for Colorado that directly compensates providers (analysis);and Submit a report detailing its findings to the health and human services committees of the house of representatives and the senate by December 31, 2026. The act also creates the statewide health-care analysis collaborative (collaborative) for the purpose of advising the school during the analysis. The collaborative is repealed, effective December 1, 2027. (Note: This summary applies to this bill as enacted.)
Who sponsors SB 25-045?
SB 25-045 is sponsored by Yara Zokaie (Democrat), Steven Woodrow (Democrat), Jenny Willford (Democrat), Elizabeth Velasco (Democrat), Brianna Titone (Democrat), Tammy Story (Democrat), Emily Sirota (Democrat), Amy Paschal (Democrat), Javier Mabrey (Democrat), Mandy Lindsay (Democrat), Junie Joseph (Democrat), Eliza Hamrick (Democrat), Meg Froelich (Democrat), Kyle Brown (Democrat), Jennifer Bacon (Democrat), F. Winter, Mike Weissman (Democrat), Cathy Kipp (Democrat), Iman Jodeh (Democrat), Julie Gonzales (Democrat), Tony Exum (Democrat), Lindsey Daugherty (Democrat), Lisa Cutter (Democrat), James Coleman (Democrat), Matt Ball (Democrat), Judy Amabile (Democrat), Andrew Boesenecker (Democrat), Karen McCormick (Democrat), Janice Marchman (Democrat), and Michaelson Jenet.
What is the current status of SB 25-045?
This bill has been enacted into law. Introduced January 08, 2025. Enacted.
Where can I track SB 25-045?
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