Title 25, Public Health and Environment
0 chapters · 1,375 sections in this title.
Colo. Rev. Stat. § 25-3-100.5 Definitions
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As used in this article 3, unless the context otherwise requires: (1) Acute treatment unit means a facility or a distinct part of a facility for short-term psychiatric care, which may include treatment for substance use disorders, that provides a total, twenty-four-hour, therapeu…
Colo. Rev. Stat. § 25-3-101 Hospitals - health facilities - licensed - definitions
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(1) [Editor's note: This version of subsection (1) is effective until July 1, 2026.] It is unlawful for any person, partnership, association, or corporation to open, conduct, or maintain any general hospital; hospital unit; freestanding emergency department as defined in section …
Colo. Rev. Stat. § 25-3-102 License - application - issuance - certificate of compliance required - rules
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(1) (a) An applicant for a license described in section 25-3-101 shall apply to the department of public health and environment annually upon such form and in such manner as prescribed by the department; except that a community residential home shall make application for a licens…
Colo. Rev. Stat. § 25-3-102.1 Deemed status for certain facilities
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(1) (a) In the licensing of an ambulatory surgical center following the issuance of initial licensure by the department of public health and environment, the voluntary submission of satisfactory evidence that the applicant is accredited by the joint commission, the American assoc…
Colo. Rev. Stat. § 25-3-102.5 Nursing facilities - consumer satisfaction survey - pilot survey
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(1) (a) The department shall develop and implement a consumer satisfaction survey based on the results of the pilot survey implemented pursuant to paragraph (a.5) of this subsection (1). The pilot survey and the resulting consumer satisfaction survey shall be implemented to deter…
Colo. Rev. Stat. § 25-3-103 License denial or revocation - provisional license - rules
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(1) (a) The department of public health and environment may deny an application for a new or renewal license under this part 1 or revoke a license if the applicant or licensee has not satisfied the requirements of this part 1 or part 6 of this article and the rules of the departm…
Colo. Rev. Stat. § 25-3-103.1 Health facilities general licensure cash fund
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(1) All fees collected pursuant to this article shall be transmitted to the state treasurer, who shall credit the same to the health facilities general licensure cash fund, which fund is hereby created. (2) The general assembly shall make annual appropriations from the health fac…
Colo. Rev. Stat. § 25-3-103.5 Nondiscrimination - hospital surgical privileges - hospital rules and regulations
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(1) The bylaws of any hospital licensed pursuant to the provisions of part 3 of this article or established pursuant to section 32-1-1003, C.R.S., which does not limit staff privileges to employees or contracting physicians of such hospital, shall include provisions for the use o…
Colo. Rev. Stat. § 25-3-103.7 Employment of physicians - when permissible - conditions - definitions
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(1) As used in this section: (a) Repealed. (b) “Department” means the department of public health and environment. (c) “Federally qualified health center” or “FQHC” has the same meaning as set forth in the federal “Social Security Act”, 42 U.S.C. sec. 1395x (aa)(4). (d) “Health-c…
Colo. Rev. Stat. § 25-3-104 Reports
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Any person, partnership, association, or corporation maintaining any hospital or other facility for the treatment or care of the sick or injured shall make a report to the department of public health and environment upon request but not more frequently than quarterly. The departm…
Colo. Rev. Stat. § 25-3-105 License - fee - rules - performance incentive system - penalty
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(1) (a) (I) (A) Subject to the limitations in subsections (1)(a)(I)(B) and (1)(a)(I)(B.5) of this section, the state board of health shall establish a schedule of fees, which must be set at a level sufficient to meet the direct and indirect costs of administration and enforcement…
Colo. Rev. Stat. § 25-3-106 Unincorporated associations
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An unincorporated association organized and existing for the purpose of providing hospital services for its members shall be governed, managed, and controlled by a board of trustees selected in accordance with the provisions of the state constitution and bylaws of such associatio…
Colo. Rev. Stat. § 25-3-107 Disciplinary actions reported to Colorado medical board or podiatry board
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(1) Any disciplinary action to suspend, revoke, or otherwise limit the privileges of a licensed physician or podiatrist that is taken by the governing board of a hospital required to be licensed or certified pursuant to this part 1 or required to obtain a certificate of complianc…
Colo. Rev. Stat. § 25-3-108 Receivership
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(1) It is the purpose of this section to establish a receivership mechanism that will be available as a remedy for such violations of applicable laws and regulations by a licensee of a long-term health-care facility that require facility closure by the department of public health…
Colo. Rev. Stat. § 25-3-109 Quality management functions - confidentiality and immunity
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(1) The general assembly hereby finds and declares that the implementation of quality management functions to evaluate and improve patient and resident care is essential to the operation of health-care facilities licensed or certified by the department of public health and enviro…
Colo. Rev. Stat. § 25-3-110 Emergency contraception - definitions
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(1) For purposes of this section, unless the context otherwise requires: (a) Emergency contraception means a drug approved by the federal food and drug administration that prevents pregnancy after sexual intercourse, including but not limited to oral contraceptive pills; except t…
Colo. Rev. Stat. § 25-3-111 Authentication of verbal orders - hospital policies or bylaws
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(1) A hospital licensed pursuant to part 3 of this article shall require that all verbal orders be authenticated by a physician or responsible individual who has the authority to issue verbal orders in accordance with hospital and medical staff policies or bylaws. The policies or…
Colo. Rev. Stat. § 25-3-112 Hospitals - charity care information - charges for the uninsured - reports to department - department review - collections protection - hospital financial assistance standards committee established - rules. (Repealed)
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C.R.S. 25-3-112Statutes current through Chapter 65 of the 2026 Regular Session, effective as of April 20, 2026. The text of this section is not final. It will not be final until compared to, and updated from, the text provided by the Colorado Office of Legislative Legal Services …
Colo. Rev. Stat. § 25-3-113 Health-care facility stakeholder forum - creation - membership - duties
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(1) There is hereby created in the department of public health and environment the health care facility stakeholder forum, referred to in this section as the “stakeholder forum”. The stakeholder forum must consist of representatives from various types of provider facilities licen…
Colo. Rev. Stat. § 25-3-114 STEMI task force - creation - membership - duties - report - notice of funding through gifts, grants, and donations - definitions - repeal. (Repealed)
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C.R.S. 25-3-114Statutes current through Chapter 65 of the 2026 Regular Session, effective as of April 20, 2026. The text of this section is not final. It will not be final until compared to, and updated from, the text provided by the Colorado Office of Legislative Legal Services …
Colo. Rev. Stat. § 25-3-115 Stroke advisory board - creation - membership - duties - report - definition - repeal
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(1) (a) There is created in the department the stroke advisory board, the purpose of which is to evaluate potential strategies for stroke prevention and treatment and develop a statewide needs assessment identifying relevant resources. The governor shall appoint eighteen members …
Colo. Rev. Stat. § 25-3-116 Department recognition of national certification - suspension or revocation of recognition
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(1) A hospital that has an accreditation, certification, or designation in stroke or STEMI care from a nationally recognized accrediting body, including a certification as a comprehensive stroke center or primary stroke center by the joint commission or an accreditation as a STEM…
Colo. Rev. Stat. § 25-3-117 Heart attack database - hospitals to report data on heart attack care
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(1) (a) A hospital that is accredited by the American College of Cardiology Accreditation Services or its successor organization or any nationally recognized accrediting body as a STEMI receiving center shall report to the heart attack database data that is consistent with nation…
Colo. Rev. Stat. § 25-3-118 Hospital off-campus location - obtain and use unique NPI - definitions
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(1) An off-campus location of a hospital must apply for, obtain, and use on all claims for reimbursement or payment for health-care services provided at the off-campus location submitted on or after January 1, 2020, a unique NPI that is separate and distinct from the hospital’s N…
Colo. Rev. Stat. § 25-3-119 Freestanding emergency departments - required notices - disclosures - rules - definitions
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(1) (a) (I) A freestanding emergency department shall give to every individual seeking treatment at the facility a written notice containing the following statements immediately upon registration: Patient InformationThis is an emergency medical facility that treats emergency medi…
Colo. Rev. Stat. § 25-3-120 Regulation of surgical smoke - requirement to adopt a policy - definitions - applicability
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(1) On or before May 1, 2021, each hospital with surgical services and each ambulatory surgical center, licensed in accordance with this article 3, shall adopt and implement a policy that prevents human exposure to surgical smoke via the use of a surgical smoke evacuation system …
Colo. Rev. Stat. § 25-3-121 Health-care facilities - emergency and nonemergency services - required disclosures - balance billing - deceptive trade practice - rules - definitions
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(1) On and after January 1, 2020, health-care facilities shall develop and provide disclosures to consumers about the potential effects of receiving emergency or nonemergency services from an out-of-network provider providing services at an in-network facility or emergency servic…
Colo. Rev. Stat. § 25-3-122 Out-of-network facilities - emergency medical services - billing - payment - deceptive trade practice
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(1) If a covered person receives emergency services at an out-of-network facility, the out-of-network facility shall: (a) Submit a claim for the entire cost of the services to the covered person’s carrier; and (b) Not bill or collect payment from a covered person for any outstand…
Colo. Rev. Stat. § 25-3-123 Mental health facility pilot program - establishment - rules - definitions
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(1) As used in this section, unless the context otherwise requires: (a) “Mental health facility” means a facility approved to participate in the pilot program pursuant to subsection (2) of this section. (b) “Pilot program” means the mental health facility pilot program establishe…
Colo. Rev. Stat. § 25-3-124 Food donations to nonprofit organizations encouraged
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Each hospital is encouraged to donate apparently wholesome food to one or more local nonprofit organizations for distribution to needy or poor individuals. Source: L. 2020: Entire section added, (SB 20-090), ch. 127, p. 550, � 5, effective September 14. 25-3-125. Visitation right…
Colo. Rev. Stat. § 25-3-125 Visitation rights - hospital patients - residents in nursing care facilities or assisted living residences - limitations - definitions - short title
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(1) The short title of this section is the “Elizabeth’s No Patient or Resident Left Alone Act”. (2) (a) Subject to the restrictions and limitations for skilled nursing facility and nursing facility residents’ visitation rights specified in 42 U.S.C. sec. 1396r (c)(3)(C); 42 U.S.C…
Colo. Rev. Stat. § 25-3-126 Health facilities - requirements related to labor and childbirth - rules - definitions
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(1) Except as provided in subsection (2) of this section, on and after January 1, 2022, a health facility that provides services related to labor and childbirth shall demonstrate to the department, in the form and manner determined by the department by rule, that the health facil…
Colo. Rev. Stat. § 25-3-127 Emergency room intake data - marijuana use - annual report
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The department of public health and environment shall create a de-identified report from hospital and emergency room discharge data of patients, including demographic information regarding patients' age, race, ethnicity, gender, and geographic location, presenting with conditions…
Colo. Rev. Stat. § 25-3-128 Hospitals - nurses, nurse aides, and EMS providers - staffing requirements - enforcement - waiver - rules - definitions
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(1) As used in this section: (a) “Clinical staff nurse” means a practical nurse or registered professional nurse licensed pursuant to article 255 of title 12 who provides direct care to patients. (b) “EMS provider” means an individual who holds a valid certificate or license issu…
Colo. Rev. Stat. § 25-3-129 Office of saving people money on health care - study - report
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(1) The office of saving people money on health care in the lieutenant governor's office shall study: (a) The level of preparedness of health facilities licensed pursuant to section 25-1.5-103 to respond to post-viral illness resulting from the COVID-19 virus; (b) The effects of …
Colo. Rev. Stat. § 25-3-130 Intimate examination of sedated or unconscious patient - informed consent required - rules - definitions
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(1) (a) (I) Except as provided in subsection (1)(b) of this section, a health-care facility shall not permit a licensed health-care provider, or a student or trainee under the supervision of a licensed health-care provider, to perform an intimate examination of a sedated or uncon…
Colo. Rev. Stat. § 25-3-131 Maternal health-care services - discontinuation - required notifications - definitions - repeal
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(1) Except as provided in subsection (3) of this section, at least ninety days before a hospital providing maternal health-care services or a birth center may discontinue such services, the facility shall provide notice to: (a) The department of public health and environment resp…
Colo. Rev. Stat. § 25-3-132 Rural and frontier hospital capital needs study - task force - creation - report - legislative declaration - definitions - repeal
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(1) The general assembly finds and declares that: (a) Many of Colorado’s rural and frontier hospitals operate in outdated facilities, and some facilities have not had any meaningful upgrades for decades; (b) These hospitals struggle with the increased maintenance costs necessary …
Colo. Rev. Stat. § 25-3-133 Emergency medical condition - emergency medical services - transfer - discharge - nonliability - enforcement - definitions
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(1) Requirements. A facility shall provide emergency medical services to a person who presents to the facility when the person requests or a request is made on the person’s behalf for emergency medical services. In the absence of a request, a facility shall provide emergency medi…
Colo. Rev. Stat. § 25-3-134 340B drug pricing program transparency - definitions
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(1) As used in this section: (a) 340B drug pricing program or 340B program means the program described in 42 U.S.C. sec. 256b (a)(1). (b) 340B savings means the difference between the aggregated market rate costs and the aggregated acquisition costs for 340B drugs. (c) Hospital c…
Colo. Rev. Stat. § 25-3-301 Establishment of public hospital
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(1) Whenever the board of county commissioners of any county which has a population of at least three thousand is presented with a petition signed by five hundred resident registered qualified electors, or by fifty percent of the resident registered qualified electors of such cou…
Colo. Rev. Stat. § 25-3-302 Board of trustees
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(1) If a board of county commissioners decides to create a public hospital board of trustees, levy an annual tax, and appropriate funds to purchase, erect, and maintain or turn over to the public hospital board of trustees control of a county hospital, the board of county commiss…
Colo. Rev. Stat. § 25-3-303 Organization of trustees
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(1) The members of the board of public hospital trustees within ten days after their appointment shall qualify by taking the oath of office. They shall annually organize and operate as follows: (a) Unless otherwise authorized under the provisions of paragraph (b) of this subsecti…
Colo. Rev. Stat. § 25-3-304 Trustees - powers and duties - ability to designate hospital as enterprise - definition
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(1) (a) A public hospital board of trustees shall make and adopt such bylaws, rules, and regulations for its own guidance and for the government of the hospital as it deems expedient for the economic and equitable conduct thereof, not inconsistent with state law or the ordinances…
Colo. Rev. Stat. § 25-3-304.5 Hospital collaborative agreements - additional powers
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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; a hospital affiliate; or a private, nonprofit hospital in accordance…
Colo. Rev. Stat. § 25-3-305 Vacancies - removal for cause
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Vacancies in the board of trustees occasioned by removals, resignations, or otherwise shall be reported to the board of county commissioners and be filled in like manner as original appointments. Any trustee may be removed for cause by the board of county commissioners. Source: L…
Colo. Rev. Stat. § 25-3-306 Right of eminent domain
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If the board of public hospital trustees and the owners of any property desired by it for hospital purposes cannot agree as to the price to be paid therefor, said board shall report the facts to the board of county commissioners, and condemnation proceedings shall be instituted b…
Colo. Rev. Stat. § 25-3-307 Building requirements
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No hospital buildings shall be erected or constructed until the plans and specifications have been made therefor and adopted by the board of public hospital trustees and bids advertised for according to law as for other county public buildings. Such hospital may be in more than o…
Colo. Rev. Stat. § 25-3-308 Improvements, operations, or enlargements
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In counties exercising the rights conferred by this part 3, the board of county commissioners may appropriate money from its general fund, in addition to the tax for the hospital fund provided for in section 25-3-301, in an amount that the board of county commissioners deems appr…
Colo. Rev. Stat. § 25-3-309 Hospital fees
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Every hospital established under this part 3 is for the benefit of the inhabitants of the county and of any person falling sick or who is injured or maimed within its limits. Every inhabitant or person who is not indigent shall pay to the board of public hospital trustees or to t…