House Committee of Reference Report
Committee on Health & Human Services
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All text that will be removed from the bill will be indicated by strikethrough as follows:
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This is text that is removed from law. -
Text that is added to a bill will be indicated by either all capitals or bold & italic as follows:
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- This all capitals text would be added to law.
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February 24, 2026
After consideration on the merits, the Committee recommends the following:
HB26-1069 be amended as follows, and as so amended, be referred to the Committee on Appropriations with favorable recommendation:
Page 1, Line 1Amend printed bill, page 2, strike lines 2 through 8.
Page 1, Line 2Page 3, strike lines 1 through 15.
Page 1, Line 3Renumber succeeding sections accordingly.
Page 1, Line 4Page 3, line 17, after "(19)(e)(I)" insert "and (19)(e)(II) introductory
Page 1, Line 5portion; and add (19)(l.5)".
Page 1, Line 6Page 3, line 26, before "ambulance" insert "an".
Page 1, Line 7Page 3, line 27, strike "community integrated health-care" and
Page 1, Line 8substitute "an agency providing out-of-hospital services".
Page 1, Line 9Page 4, line 1, strike "service agency, as defined in section
Page 1, Line 1025-3.5-1301 (1.5),".
Page 1, Line 11Page 4, line 9, strike "or".
Page 1, Line 12Page 4, strike lines 10 through 19 and substitute:
Page 1, Line 13"(C) The ground transportation of a covered person to an
Page 1, Line 14appropriate location other than a hospital or an agency
Page 1, Line 15providing out-of-hospital services, if the destination is a crisis
Page 1, Line 16stabilization unit and the patient meets clinically validated
Page 1, Line 17criteria approved by the emergency medical service provider's
Page 1, Line 18medical director and the state board of health for diversion to
Page 1, Line 19the selected alternative destination. The emergency medical
Page 1, Line 20service provider shall bill the carrier for transportation of the
Page 2, Line 1covered person at the basic life support rate; or
Page 2, Line 2(D) The examination and treatment of a covered person at
Page 2, Line 3the scene of a medical emergency or during transport from the
Page 2, Line 4scene of a medical emergency by an ambulance service, as
Page 2, Line 5defined in section 25-3.5-103 (3), or an agency providing
Page 2, Line 6out-of-hospital services.
Page 2, Line 7(II) For a covered person who that is provided services described
Page 2, Line 8in subsections (19)(e)(I)(A) and (19)(e)(I)(B) subsection (19)(e)(I) of
Page 2, Line 9this section with respect to an emergency medical condition, unless each
Page 2, Line 10of the conditions in subsection (19)(e)(III) of this section are met, the
Page 2, Line 11term "emergency services" includes services that are:
Page 2, Line 12(l.5) (I) "Out-of-hospital services" means furnishing any
Page 2, Line 13necessary goods and services outside of a hospital setting for
Page 2, Line 14the purpose of preventing, alleviating, curing, or healing human
Page 2, Line 15illness, a physical disability, a physical injury, or a substance
Page 2, Line 16use disorder while responding to an emergency or other
Page 2, Line 17health-care condition.
Page 2, Line 18(II) "Out-of-hospital services" does not include
Page 2, Line 19prehospital setting transports.".
Page 2, Line 20Page 7, strike lines 3 through 27.
Page 2, Line 21Page 8, strike lines 1 through 13.
Page 2, Line 22Renumber succeeding sections accordingly.
Page 2, Line 23Page 8, line 21, strike "or a community integrated".
Page 2, Line 24Page 8, line 22, strike "health-care service agency for" and
Page 2, Line 25substitute "for ground".
Page 2, Line 26Page 8, lines 24 and 25, strike "or community integrated
Page 2, Line 27health-care service agency's".
Page 2, Line 28Page 8, line 27, strike "or a community integrated".
Page 2, Line 29Page 9, line 1, strike "health-care service agency".
Page 2, Line 30Page 9, line 3, before "transportation" insert "ground".
Page 2, Line 31Page 9, line 4, strike the second "a" and substitute "an agency
Page 2, Line 32providing out-of-hospital services".
Page 2, Line 33
Page 3, Line 1Page 9, strike line 5 and substitute "for".
Page 3, Line 2Page 9, strike lines 19 and 20 and substitute:
Page 3, Line 3"(b) (I) "Out-of-hospital services" means furnishing any
Page 3, Line 4necessary goods and services outside of a hospital setting for
Page 3, Line 5the purpose of preventing, alleviating, curing, or healing human
Page 3, Line 6illness, a physical disability, a physical injury, or a substance
Page 3, Line 7use disorder while responding to an emergency or other
Page 3, Line 8health-care condition.
Page 3, Line 9(II) "Out-of-hospital services" does not include
Page 3, Line 10prehospital setting transports.".
Page 3, Line 11Page 10, after line 7 insert:
Page 3, Line 12"SECTION 5. In Colorado Revised Statutes, 25-54-101, amend
Page 3, Line 13(4) as follows:
Page 3, Line 1425-54-101. Definitions.
Page 3, Line 15As used in this article 54, unless the context otherwise requires:
Page 3, Line 16(4) "Health information organization network" means a Colorado
Page 3, Line 17organization that has experience in overseeing and governing the
Page 3, Line 18exchange of health-related information among organizations according
Page 3, Line 19to Colorado law and nationally recognized standards including but not
Page 3, Line 20limited to the federal "Health Insurance Portability and Accountability
Page 3, Line 21Act of 1996", Pub.L. 104-191, as amended has the meaning set forth
Page 3, Line 22in section 25-3.5-103 (8.6).".
Page 3, Line 23Renumber succeeding sections accordingly.
Page 3, Line 24Strike "a community integrated health-care service agency" and
Page 3, Line 25substitute "an agency providing out-of-hospital services" on: Page
Page 3, Line 269, lines 7 and 8 and 11 and 12.