Senate Bill 25-078

NOTE: The governor signed this measure on 4/7/2025.

BY SENATOR(S) Pelton R., Amabile, Ball, Bridges, Carson, Catlin, Cutter, Exum, Frizell, Jodeh, Kipp, Kirkmeyer, Liston, Lundeen, Michaelson Jenet, Mullica, Pelton B., Roberts, Rodriguez, Simpson, Snyder, Weissman, Winter F., Coleman;

also REPRESENTATIVE(S) Lukens and Weinberg, Bacon, Bird, Boesenecker, English, Feret, Garcia, Garcia Sander, Hamrick, Johnson, Lindsay, McCormick, Phillips, Ricks, Soper, Stewart K., Story, McCluskie.

Concerning the authorization of certain nonprofit hospitals to enter into collaborative agreements with other health facilities.

Be it enacted by the General Assembly of the State of Colorado:

SECTION 1.  In Colorado Revised Statutes, 25.5-1-1001, amend (2)(e) introductory portion, (2)(e)(II), and (2)(e)(III); and add (2)(e)(IV) as follows:

25.5-1-1001.  Hospital collaborative agreements - review of proposed collaborative agreements - immunity - legislative declaration - definitions - rules. (2)  As used in this section, unless the context otherwise requires:

(e)   "Hospital" means a facility, with fewer than fifty beds thatwhich is not owned by or affiliated with a health system that is comprised of three or more hospitals, that is:

(II)  A hospital established, maintained, or operated directly or indirectly by a health service district; or

(III)  A hospital affiliate; or

(IV)  A private, nonprofit hospital.

SECTION 2.  In Colorado Revised Statutes, amend 25-3-304.5 as follows:

25-3-304.5.  Hospital collaborative agreements - additional powers. In addition to the powers specified in section 25-3-304, the board of trustees of a county public hospital may enter into a collaborative agreement with another county public hospital; a health service district; ora hospital affiliate; or a private, nonprofit hospital in accordance with section 25.5-1-1001.

SECTION 3.  In Colorado Revised Statutes, 32-1-1003, amend (1)(c.5) as follows:

32-1-1003.  Health service districts - additional powers. (1)  In addition to the powers specified in section 32-1-1001, the board of any health service district has any or all of the following powers for and on behalf of such district:

(c.5)  To enter into a collaborative agreement with another health service district; a county public hospital; ora hospital affiliate; or a private, nonprofit hospital in accordance with section 25.5-1-1001;

SECTION 4.  Act subject to petition - effective date. This act takes effect at 12:01 a.m. on the day following the expiration of the ninety-day period after final adjournment of the general assembly; except that, if a referendum 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 approved by the people at 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.

Signed By: James Rashad Coleman, Sr., President of the Senate

Signed By: Julie McCluskie, Speaker of the House of Representatives

Signed By: Esther van Mourik, Secretary of the Senate

Signed By: Vanessa Reilly, Chief Clerk of the House of Representatives

Signed By: Jared S. Polis, Governor of the State of Colorado