House Committee of Reference Report
Committee on Health & Human Services
-
All text that will be removed from the bill will be indicated by strikethrough as follows:
-
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:
-
- This all capitals text would be added to law.
- This is bold & italic text that would be added to law.
March 4, 2026
After consideration on the merits, the Committee recommends the following:
HB26-1147 be amended as follows, and as so amended, be referred to the Committee on Appropriations with favorable recommendation:
Page 1, Line 1Amend printed bill, strike everything below the enacting clause and
Page 1, Line 2substitute:
Page 1, Line 3"SECTION 1. Legislative declaration. (1) The general
Page 1, Line 4assembly finds and declares that:
Page 1, Line 5(a) Within the continuum of individual residential services and
Page 1, Line 6supports settings, host homes are a specific type of supported living
Page 1, Line 7arrangement in which an individual with intellectual and developmental
Page 1, Line 8disabilities resides in the private residence of a host home provider whose
Page 1, Line 9home is under contract with a service provider agency to deliver
Page 1, Line 10individual residential services and supports;
Page 1, Line 11(b) Host homes are a subset of individual residential services and
Page 1, Line 12supports settings;
Page 1, Line 13(c) Individual residential services and supports are home- and
Page 1, Line 14community-based service benefits available under the home- and
Page 1, Line 15community-based services waiver administered by the Colorado
Page 1, Line 16department of health care policy and financing;
Page 1, Line 17(d) Individual residential services and supports are designed to
Page 1, Line 18ensure that individuals with intellectual and developmental disabilities
Page 1, Line 19receive residential supports that promote individualized guidance,
Page 1, Line 20habilitation, community inclusion, and health and safety in home settings;
Page 1, Line 21(e) Individual residential services and supports include a variety
Page 1, Line 22of residential arrangements, including service provider agency-owned or
Page 1, Line 23leased homes and host homes, among other arrangements, to meet the
Page 1, Line 24unique needs and preferences of participants;
Page 1, Line 25(f) The diversity of individual residential services and supports
Page 1, Line 26settings, including host homes and other residential options, reflects the
Page 1, Line 27state's commitment to person-centered choice, integration in community
Page 2, Line 1life, and compliance with the federal home- and community-based
Page 2, Line 2services rules that prohibit institutionalization and support
Page 2, Line 3community-based placement;
Page 2, Line 4(g) While individual residential services and supports settings,
Page 2, Line 5including host homes, currently operate under regulatory oversight, there
Page 2, Line 6are identified needs for enhanced tracking, monitoring, and coordination
Page 2, Line 7to ensure consistent compliance with health, safety, and quality standards
Page 2, Line 8and to provide appropriate protections for participants across all settings;
Page 2, Line 9(h) Further, the Colorado department of health care policy and
Page 2, Line 10financing must allow for appropriate parties to access relevant
Page 2, Line 11information in order to enable a more informed choice by participants or
Page 2, Line 12potential participants and their families, advocates, and other interested
Page 2, Line 13parties;
Page 2, Line 14(i) The Colorado department of health care policy and financing
Page 2, Line 15and the Colorado department of public health and environment must
Page 2, Line 16coordinate to establish standardized requirements for the oversight of host
Page 2, Line 17homes and other individual residential services and supports settings,
Page 2, Line 18including inspection frequency, reporting mechanisms, data sharing, and
Page 2, Line 19corrective action processes where appropriate; and
Page 2, Line 20(j) This coordinated oversight framework is necessary to
Page 2, Line 21strengthen accountability, ensure health and safety outcomes for home-
Page 2, Line 22and community-based services waiver participants, support compliance
Page 2, Line 23with state and federal home- and community-based services rules, and
Page 2, Line 24promote transparency for individuals, families, providers, and
Page 2, Line 25stakeholders.
Page 2, Line 26SECTION 2. In Colorado Revised Statutes, add 25.5-6-414 as
Page 2, Line 27follows:
Page 2, Line 2825.5-6-414. Individual residential services and supports
Page 2, Line 29settings for persons with intellectual and developmental disabilities
Page 2, Line 30- statewide database - risk criteria - complaint process - rules -
Page 2, Line 31definitions.
Page 2, Line 32(1) As used in this section, unless the context otherwise
Page 2, Line 33requires:
Page 2, Line 34(a) "Individual residential services and supports" means
Page 2, Line 35the residential services provided by a service provider agency to
Page 2, Line 36no more than three individuals within one residence.
Page 2, Line 37(b) "Individual residential services and supports setting"
Page 2, Line 38means a community living residential setting in which individual
Page 2, Line 39residential services and supports are provided to no more than
Page 2, Line 40three persons with intellectual and developmental disabilities
Page 2, Line 41and for which a state license is not required.
Page 2, Line 42(c) "Service provider agency" means an organization
Page 2, Line 43approved by the state department to provide oversight and
Page 3, Line 1support to an individual residential services and supports
Page 3, Line 2setting to ensure that the caregivers meet state standards for
Page 3, Line 3health, safety, and quality of care.
Page 3, Line 4(2) (a) The state department shall establish a statewide
Page 3, Line 5database to enhance the transparency of Colorado's individual
Page 3, Line 6residential services and supports network. The purpose of the
Page 3, Line 7statewide database is to provide accurate information about
Page 3, Line 8certain individual residential services and supports settings and
Page 3, Line 9their associated service provider agencies.
Page 3, Line 10(b) The database is for use by the state department, the
Page 3, Line 11department of public health and environment, and service
Page 3, Line 12provider agencies.
Page 3, Line 13(c) The database must include information on individual
Page 3, Line 14residential services and supports settings. The state department
Page 3, Line 15shall determine what information must be collected on each
Page 3, Line 16individual residential services and supports setting type for
Page 3, Line 17inclusion in the database. At a minimum, each service provider
Page 3, Line 18agency must submit the following information for each covered
Page 3, Line 19individual residential services and supports setting that the
Page 3, Line 20service provider agency oversees:
Page 3, Line 21(I) The name and contact information of the individual
Page 3, Line 22residential services and supports setting, if applicable;
Page 3, Line 23(II) The address and location of the individual residential
Page 3, Line 24services and supports setting;
Page 3, Line 25(III) The name of each service provider agency that the
Page 3, Line 26individual residential services and supports setting is currently
Page 3, Line 27associated with and the service provider agency's contact
Page 3, Line 28information; and
Page 3, Line 29(IV) When applicable, the name of each service provider
Page 3, Line 30agency that the individual residential services and supports
Page 3, Line 31setting contracted with in the previous five years and each
Page 3, Line 32service provider agency's contact information.
Page 3, Line 33(d) Beginning July 1, 2026, and quarterly thereafter, a
Page 3, Line 34service provider agency shall submit the information detailed
Page 3, Line 35in subsection (2)(c) of this section to the state department.
Page 3, Line 36(e) Beginning August 1, 2026, and quarterly thereafter,
Page 3, Line 37the state department shall update the database to accurately
Page 3, Line 38reflect the information submitted by a service provider agency,
Page 3, Line 39as required by subsection (2)(d) of this section. The state
Page 3, Line 40department shall update the database within one month after
Page 3, Line 41receiving the information detailed in subsection (2)(c) of this
Page 3, Line 42section.
Page 3, Line 43(f) The state department shall determine the
Page 4, Line 1circumstances in which information from the database may be
Page 4, Line 2shared with members of the public, consistent with all
Page 4, Line 3applicable state and federal privacy and confidentiality laws.
Page 4, Line 4(g) Information from the database may be provided to
Page 4, Line 5appropriate and authorized parties by the service provider
Page 4, Line 6agency when considering potential placement.
Page 4, Line 7(5) The state department may adopt rules, as necessary,
Page 4, Line 8to carry out the requirements of this section.
Page 4, Line 9(6) Nothing in this section shall be construed to reduce,
Page 4, Line 10limit, or otherwise diminish the rights of individuals receiving
Page 4, Line 11intellectual and developmental disability services, including
Page 4, Line 12the right to informed choice of setting consistent with federal
Page 4, Line 13home- and community-based services requirements.
Page 4, Line 14SECTION 3. In Colorado Revised Statutes, 25.5-10-202, amend
Page 4, Line 15(22); and add (21.5) as follows:
Page 4, Line 1625.5-10-202. Definitions.
Page 4, Line 17As used in this article 10, unless the context otherwise requires:
Page 4, Line 18(21.5) "Individual residential services and supports" has
Page 4, Line 19the meaning set forth in section 25.5-6-414.
Page 4, Line 20(22) "Independent residential support services" means a
Page 4, Line 21community living situation, defined by rule of the state board, in which
Page 4, Line 22services and supports are provided to no more than three persons with
Page 4, Line 23intellectual and developmental disabilities and for which a state license
Page 4, Line 24is not required. "Individual residential services and supports
Page 4, Line 25setting" has the meaning set forth in section 25.5-6-414.
Page 4, Line 26SECTION 4. In Colorado Revised Statutes, 25.5-10-214, amend
Page 4, Line 27(1) as follows:
Page 4, Line 2825.5-10-214. Community residential home - licenses - rules.
Page 4, Line 29(1) The department of public health and environment and the state
Page 4, Line 30department shall implement a system of joint licensure and certification
Page 4, Line 31of community residential homes. Independent residential support services
Page 4, Line 32individual residential services and supports provided by the state
Page 4, Line 33department do not require licensure by the department of public health
Page 4, Line 34and environment. An individual residential services and supports
Page 4, Line 35setting must be treated as residential property in the
Page 4, Line 36application of local regulations, including zoning, land use
Page 4, Line 37development, fire and life safety, sanitation, and building codes.
Page 4, Line 38Local governing authorities shall not impose additional
Page 4, Line 39regulations on an individual residential services and supports
Page 4, Line 40setting that do not apply to other residential properties.
Page 4, Line 41SECTION 5. Safety clause. The general assembly finds,
Page 4, Line 42determines, and declares that this act is necessary for the immediate
Page 4, Line 43preservation of the public peace, health, or safety or for appropriations for
Page 5, Line 1the support and maintenance of the departments of the state and state
Page 5, Line 2institutions.".