Archive #65411

Metadata

Bill Number: HB26-1069
HTTP Status: 200
Valid JSON: Valid
Archived At: 2026-05-27 10:23:07 MDT
Created At: 2026-05-27 10:23:07 MDT

Parsed JSON

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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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      "lay_over_date": "",
      "vote_date_time": "03/09/2026 12:36:27 PM"
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  ],
  "active": "T",
  "origin": "House",
  "lls_num": "26-0232",
  "session": "2026A",
  "subject": [
    "Health Care & Health Insurance",
    "Insurance",
    "Labor & Employment"
  ],
  "bill_num": "HB26-1069",
  "sponsors": [
    {
      "id": "LF002",
      "title": "Representative",
      "s_type": "Prime Sponsor",
      "chamber": "House",
      "full_name": "Lisa Feret",
      "last_name": "Feret",
      "first_name": "Lisa",
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    {
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  "bill_summary": "<html><body><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill clarifies that 'emergency services' includes <strike>transportation of an individual to an appropriate location other than a hospital or community integrated health-care service agency (agency)</strike> :<br/></p><p><ul><li> <i>A medical screening examination that is within the capability of the emergency department of a hospital or a freestanding emergency department, including ancillary services routinely available to the emergency department, an ambulance service, or an agency providing out-of-hospital services (agency), to evaluate an emergency medical condition</i> ;</li><li> <i>Further medical examination and treatment as required to stabilize the patient to ensure material deterioration of the patient's condition is not likely to result from or occur during patient transport;</i></li><li> <i>The ground transportation of a person entitled to receive benefits or services under a health coverage plan (covered person) to an appropriate location other than a hospital, if the destination is a crisis stabilization unit and the patient meets clinically validated criteria</i> ;</li><li> <i>The examination and treatment of a covered person at the scene of a medical emergency or during transport from the scene of a medical emergency by an ambulance service or an agency.</i></li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The use of telemedicine when an insured person has encountered an ambulance service or agency to prevent the need to transport the person to an emergency department is included in the definition of 'emergency services', which services are required to be made available to insured persons 24 hours per day, 7 days per week.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill defines 'first responder' to include:<br/></p><p><ul><li>A peace officer;</li></ul></p><p><ul><li>A firefighter;</li><li>A volunteer firefighter;</li><li>An emergency medical service provider; or</li><li>A mental health professional who responds in a professional capacity to a justifiable medical emergency.</li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strike>The bill requires the executive director of the department of public health and environment to adopt rules by June 1, 2027, authorizing an emergency medical service provider with a community paramedic endorsement who is employed by, volunteering for, or contracting with a licensed agency to provide for the inventory, compliance, and administration of, or to directly administer, medications, procedures, or diagnostic testing.</strike></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Beginning January 1, 2027, the bill requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':<br/></p><p><ul><li>An ambulance service <strike>or an agency </strike> for <i>ground </i> transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's <strike>or agency's</strike> medical director;</li><li>An ambulance service <strike>or an agency</strike> for treatment on the scene of a medical emergency, which treatment does not result in <i>ground</i> transportation; and</li><li>A qualified provider, an ambulance service, or an agency for evaluation by telemedicine of a person being treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.</li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If certain conditions are met, and based on an assumption of decreased federal funds, appropriations made to the state department in the annual general appropriation act for the 2026-27 state fiscal year are decreased by $673,369.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;For the 2026-27 state fiscal year, $26,353 is appropriated from the general fund to the department of public health and environment for use by the health facilities and emergency medical services division.<br/></p><p><br/><i>(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)</i><br/><i>(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)</i></p></body></html>",
  "progress_bar": [
    {
      "end": "F",
      "label": "Introduced",
      "position": 1
    },
    {
      "end": "F",
      "label": "Passed",
      "position": 2
    }
  ],
  "special_type": "",
  "bill_category": "Health and Environment",
  "allow_testimony": "F",
  "amendment_files": [
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/03EE867261FD6FEB87258DED0057551D/HB1069_J.002.pdf",
      "date": "05/05/2026 08:57:29 AM",
      "vote": "Passed*",
      "chamber": "Senate",
      "hearing": "SEN Appropriations",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/03EE867261FD6FEB87258DED0057551D/HB1069_J_002.html",
      "amendment": "J.002"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/CB340B3239EEC47B87258DE70002BCDB/HB1069_L.009.pdf",
      "date": "04/30/2026 06:22:07 PM",
      "vote": "Passed*",
      "chamber": "Senate",
      "hearing": "SEN Health & Human Services",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/CB340B3239EEC47B87258DE70002BCDB/HB1069_L_009.html",
      "amendment": "L.009"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/5FEE486CE5D0438987258DB200678C38/HB1069_L.008.pdf",
      "date": "03/06/2026 02:24:01 PM",
      "vote": "Passed**",
      "chamber": "House",
      "hearing": "Second Reading",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/5FEE486CE5D0438987258DB200678C38/HB1069_L_008.html",
      "amendment": "L.008"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/044B8CFB96A6AACA87258DB0007B9E20/HB1069_J.001.pdf",
      "date": "03/06/2026 08:39:10 AM",
      "vote": "Passed*",
      "chamber": "House",
      "hearing": "HOU Appropriations",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/044B8CFB96A6AACA87258DB0007B9E20/HB1069_J_001.html",
      "amendment": "J.001"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/2CA6196D89F6135587258DA80067114C/HB1069_L.007.pdf",
      "date": "02/24/2026 03:07:58 PM",
      "vote": "Passed*",
      "chamber": "House",
      "hearing": "HOU Health & Human Services",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/2CA6196D89F6135587258DA80067114C/HB1069_L_007.html",
      "amendment": "L.007"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/E1F64548DFEC7E1187258DA800650575/HB1069_L.006.pdf",
      "date": "02/24/2026 03:07:10 PM",
      "vote": "Passed*",
      "chamber": "House",
      "hearing": "HOU Health & Human Services",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/E1F64548DFEC7E1187258DA800650575/HB1069_L_006.html",
      "amendment": "L.006"
    },
    {
      "url": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/45E2FF705F0F76AC87258DA8000854CC/HB1069_L.002.pdf",
      "date": "02/24/2026 03:05:32 PM",
      "vote": "Passed*",
      "chamber": "House",
      "hearing": "HOU Health & Human Services",
      "url_html": "https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/45E2FF705F0F76AC87258DA8000854CC/HB1069_L_002.html",
      "amendment": "L.002"
    }
  ],
  "full_bill_topic": "Availability of Emergency Medical Services",
  "long_bill_files": [],
  "GHG_report_files": [],
  "preamended_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/1069_H_HHS_01.pdf",
      "date": "02/27/2026",
      "label": "PA1",
      "url_html": "",
      "lastModified": "02/27/2026 04:26:13 PM",
      "label_detailed": "House Health & Human Services Preamend"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/1069_H_HHS_APP_01.pdf",
      "date": "03/06/2026",
      "label": "PA2",
      "url_html": "",
      "lastModified": "03/06/2026 10:55:29 AM",
      "label_detailed": "House Appropriations Preamend"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/1069_S_HHS_01.pdf",
      "date": "05/01/2026",
      "label": "PA3",
      "url_html": "",
      "lastModified": "05/01/2026 09:51:00 AM",
      "label_detailed": "Senate Health & Human Services Preamend"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/1069_S_HHS_APP_01.pdf",
      "date": "05/05/2026",
      "label": "PA4",
      "url_html": "",
      "lastModified": "05/05/2026 11:25:30 AM",
      "label_detailed": "Senate Appropriations Preamend"
    }
  ],
  "bill_sub_category": "Emergency Medical Services",
  "fiscal_note_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_00.pdf",
      "date": "02/16/2026",
      "label": "FN1",
      "url_html": "",
      "lastModified": "03/02/2026 01:51:37 PM",
      "label_detailed": "Initial Fiscal Note"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_r1.pdf",
      "date": "03/13/2026",
      "label": "FN2",
      "url_html": "",
      "lastModified": "03/26/2026 03:23:52 PM",
      "label_detailed": "First Revised Fiscal Note"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_r2.pdf",
      "date": "05/04/2026",
      "label": "FN3",
      "url_html": "",
      "lastModified": "05/20/2026 07:45:47 AM",
      "label_detailed": "Second Revised Fiscal Note"
    }
  ],
  "is_budget_package": "No",
  "session_laws_files": "",
  "summarized_history": [
    {
      "date": "05/07/2026",
      "action": "House Considered Senate Amendments - Result was to Concur - Repass",
      "location": "House"
    },
    {
      "date": "05/06/2026",
      "action": "Senate Third Reading Passed - No Amendments",
      "location": "Senate"
    },
    {
      "date": "05/05/2026",
      "action": "Senate Second Reading Special Order - Passed with Amendments - Committee",
      "location": "Senate"
    },
    {
      "date": "05/05/2026",
      "action": "Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole",
      "location": "Senate"
    },
    {
      "date": "04/30/2026",
      "action": "Senate Committee on Health & Human Services Refer Amended to Appropriations",
      "location": "Senate"
    },
    {
      "date": "04/21/2026",
      "action": "Introduced In Senate - Assigned to Health & Human Services",
      "location": "Senate"
    },
    {
      "date": "03/09/2026",
      "action": "House Third Reading Passed - No Amendments",
      "location": "House"
    },
    {
      "date": "03/06/2026",
      "action": "House Second Reading Special Order - Passed with Amendments - Committee, Floor",
      "location": "House"
    },
    {
      "date": "03/06/2026",
      "action": "House Committee on Appropriations Refer Amended to House Committee of the Whole",
      "location": "House"
    },
    {
      "date": "02/24/2026",
      "action": "House Committee on Health & Human Services Refer Amended to Appropriations",
      "location": "House"
    },
    {
      "date": "01/27/2026",
      "action": "Introduced In House - Assigned to Health & Human Services",
      "location": "House"
    }
  ],
  "research_note_files": [],
  "bill_sub_sub_category": "Other",
  "committee_report_files": [
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      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_H_HHS_001.pdf",
      "date": "02/24/2026",
      "label": "H_HHS_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_H_HHS_001.html",
      "lastModified": "02/25/2026 04:32:01 PM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_H_APP_002.pdf",
      "date": "03/06/2026",
      "label": "H_APP_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_H_APP_002.html",
      "lastModified": "03/06/2026 09:51:57 AM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_S_HHS_001.pdf",
      "date": "04/30/2026",
      "label": "S_HHS_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_S_HHS_001.html",
      "lastModified": "05/01/2026 10:30:49 AM"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_S_APP_003.pdf",
      "date": "05/05/2026",
      "label": "S_APP_2026A",
      "url_html": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_S_APP_003.html",
      "lastModified": "05/05/2026 11:00:58 AM"
    }
  ],
  "demographic_note_files": [],
  "updated_bill_summary_files": [],
  "budget_staff_analysis_files": [
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_hse.pdf",
      "date": "03/04/2026",
      "label": "SA1",
      "url_html": "",
      "lastModified": "03/04/2026 03:35:12 PM",
      "label_detailed": "House Appropriation Analysis (1)"
    },
    {
      "url": "https://www.leg.state.co.us/CLICS/CLICS2026A/csl.nsf/0/F2ADEEE9A2A8C73487258D0E00635991/$File/HB1069_sen.pdf",
      "date": "05/04/2026",
      "label": "SA2",
      "url_html": "",
      "lastModified": "05/04/2026 09:55:13 AM",
      "label_detailed": "Senate Appropriation Analysis (1)"
    }
  ],
  "first_chamber_third_reading_date": "03/09/2026",
  "second_chamber_third_reading_date": "05/06/2026"
}

Raw Response

{"bill_num":"HB26-1069","lls_num":"26-0232","origin":"House","short_title":"Availability of Emergency Medical Services","full_bill_topic":"Availability of Emergency Medical Services","long_title":"Concerning increasing the availability of emergency medical services.","special_type":"","bill_category":"Health and Environment","bill_sub_category":"Emergency Medical Services","bill_sub_sub_category":"Other","is_budget_package":"No","subject":["Health Care & Health Insurance","Insurance","Labor & Employment"],"bill_status":"Enroll into an Act","sponsors":[{"id":"LF002","title":"Representative","first_name":"Lisa","last_name":"Feret","full_name":"Lisa Feret","s_type":"Prime Sponsor","chamber":"House","sponsor_order":"1"},{"id":"KS001","title":"Representative","first_name":"Katie","last_name":"Stewart K.","full_name":"Katie Stewart","s_type":"Prime Sponsor","chamber":"House","sponsor_order":"2"},{"id":"JB005","title":"Representative","first_name":"Jennifer","last_name":"Bacon","full_name":"Jennifer Bacon","s_type":"Co-sponsor","chamber":"House"},{"id":"AB002","title":"Representative","first_name":"Andrew","last_name":"Boesenecker","full_name":"Andrew Boesenecker","s_type":"Co-sponsor","chamber":"House"},{"id":"BB002","title":"Representative","first_name":"Brandi","last_name":"Bradley","full_name":"Brandi Bradley","s_type":"Co-sponsor","chamber":"House"},{"id":"KB002","title":"Representative","first_name":"Kyle","last_name":"Brown","full_name":"Kyle Brown","s_type":"Co-sponsor","chamber":"House"},{"id":"SC001","title":"Representative","first_name":"Sean","last_name":"Camacho","full_name":"Sean Camacho","s_type":"Co-sponsor","chamber":"House"},{"id":"MC003","title":"Representative","first_name":"Michael","last_name":"Carter","full_name":"Michael Carter","s_type":"Co-sponsor","chamber":"House"},{"id":"MD001","title":"Representative","first_name":"Monica","last_name":"Duran","full_name":"Monica Duran","s_type":"Co-sponsor","chamber":"House"},{"id":"AF001","title":"Representative","first_name":"Ava","last_name":"Flanell","full_name":"Ava Flanell","s_type":"Co-sponsor","chamber":"House"},{"id":"RG002","title":"Representative","first_name":"Ryan","last_name":"Gonzalez R.","full_name":"Ryan Gonzalez","s_type":"Co-sponsor","chamber":"House"},{"id":"EH002","title":"Representative","first_name":"Eliza","last_name":"Hamrick","full_name":"Eliza Hamrick","s_type":"Co-sponsor","chamber":"House"},{"id":"JJ003","title":"Representative","first_name":"Jamie","last_name":"Jackson","full_name":"Jamie Jackson","s_type":"Co-sponsor","chamber":"House"},{"id":"DJ003","title":"Representative","first_name":"Dusty","last_name":"Johnson","full_name":"Dusty Johnson","s_type":"Co-sponsor","chamber":"House"},{"id":"JJ002","title":"Representative","first_name":"Junie","last_name":"Joseph","full_name":"Junie Joseph","s_type":"Co-sponsor","chamber":"House"},{"id":"RK001","title":"Representative","first_name":"Rebecca","last_name":"Keltie","full_name":"Rebecca Keltie","s_type":"Co-sponsor","chamber":"House"},{"id":"SL004","title":"Representative","first_name":"Sheila","last_name":"Lieder","full_name":"Sheila Lieder","s_type":"Co-sponsor","chamber":"House"},{"id":"ML002","title":"Representative","first_name":"Mandy","last_name":"Lindsay","full_name":"Mandy Lindsay","s_type":"Co-sponsor","chamber":"House"},{"id":"ML003","title":"Representative","first_name":"Meghan","last_name":"Lukens","full_name":"Meghan Lukens","s_type":"Co-sponsor","chamber":"House"},{"id":"BM003","title":"Representative","first_name":"Bob","last_name":"Marshall","full_name":"Bob Marshall","s_type":"Co-sponsor","chamber":"House"},{"id":"KM002","title":"Representative","first_name":"Karen","last_name":"McCormick","full_name":"Karen McCormick","s_type":"Co-sponsor","chamber":"House"},{"id":"KN001","title":"Representative","first_name":"Kenny","last_name":"Nguyen","full_name":"Kenny Nguyen","s_type":"Co-sponsor","chamber":"House"},{"id":"AP003","title":"Representative","first_name":"Amy","last_name":"Paschal","full_name":"Amy Paschal","s_type":"Co-sponsor","chamber":"House"},{"id":"JP002","title":"Representative","first_name":"Jacque","last_name":"Phillips","full_name":"Jacque Phillips","s_type":"Co-sponsor","chamber":"House"},{"id":"MR001","title":"Representative","first_name":"Manny","last_name":"Rutinel","full_name":"Manny Rutinel","s_type":"Co-sponsor","chamber":"House"},{"id":"SS003","title":"Representative","first_name":"Scott","last_name":"Slaugh","full_name":"Scott Slaugh","s_type":"Co-sponsor","chamber":"House"},{"id":"LS004","title":"Representative","first_name":"Lesley","last_name":"Smith","full_name":"Lesley Smith","s_type":"Co-sponsor","chamber":"House"},{"id":"RS002","title":"Representative","first_name":"Rebekah","last_name":"Stewart R.","full_name":"Rebekah Stewart","s_type":"Co-sponsor","chamber":"House"},{"id":"BT001","title":"Representative","first_name":"Brianna","last_name":"Titone","full_name":"Brianna Titone","s_type":"Co-sponsor","chamber":"House"},{"id":"JM002","title":"Representative","first_name":"Julie","last_name":"McCluskie","full_name":"Julie McCluskie","s_type":"Co-sponsor","chamber":"House"},{"id":"CB001","title":"Representative","first_name":"Carlos","last_name":"Barron","full_name":"Carlos Barron","s_type":"Co-sponsor","chamber":"House"},{"id":"JC003","title":"Representative","first_name":"Jarvis","last_name":"Caldwell","full_name":"Jarvis Caldwell","s_type":"Co-sponsor","chamber":"House"},{"id":"CC001","title":"Representative","first_name":"Chad","last_name":"Clifford","full_name":"Chad Clifford","s_type":"Co-sponsor","chamber":"House"},{"id":"KD002","title":"Representative","first_name":"Ken","last_name":"DeGraaf","full_name":"Ken DeGraaf","s_type":"Co-sponsor","chamber":"House"},{"id":"RE001","title":"Representative","first_name":"Regina","last_name":"English","full_name":"Regina English","s_type":"Co-sponsor","chamber":"House"},{"id":"SL003","title":"Representative","first_name":"Stephanie","last_name":"Luck","full_name":"Stephanie Luck","s_type":"Co-sponsor","chamber":"House"},{"id":"MS003","title":"Representative","first_name":"Matt","last_name":"Soper","full_name":"Matt Soper","s_type":"Co-sponsor","chamber":"House"},{"id":"TS002","title":"Representative","first_name":"Tammy","last_name":"Story","full_name":"Tammy 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condition</i> ;</li><li> <i>Further medical examination and treatment as required to stabilize the patient to ensure material deterioration of the patient's condition is not likely to result from or occur during patient transport;</i></li><li> <i>The ground transportation of a person entitled to receive benefits or services under a health coverage plan (covered person) to an appropriate location other than a hospital, if the destination is a crisis stabilization unit and the patient meets clinically validated criteria</i> ;</li><li> <i>The examination and treatment of a covered person at the scene of a medical emergency or during transport from the scene of a medical emergency by an ambulance service or an agency.</i></li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The use of telemedicine when an insured person has encountered an ambulance service or agency to prevent the need to transport the person to an emergency department is included in the definition of 'emergency services', which services are required to be made available to insured persons 24 hours per day, 7 days per week.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill defines 'first responder' to include:<br/></p><p><ul><li>A peace officer;</li></ul></p><p><ul><li>A firefighter;</li><li>A volunteer firefighter;</li><li>An emergency medical service provider; or</li><li>A mental health professional who responds in a professional capacity to a justifiable medical emergency.</li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strike>The bill requires the executive director of the department of public health and environment to adopt rules by June 1, 2027, authorizing an emergency medical service provider with a community paramedic endorsement who is employed by, volunteering for, or contracting with a licensed agency to provide for the inventory, compliance, and administration of, or to directly administer, medications, procedures, or diagnostic testing.</strike></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Beginning January 1, 2027, the bill requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':<br/></p><p><ul><li>An ambulance service <strike>or an agency </strike> for <i>ground </i> transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's <strike>or agency's</strike> medical director;</li><li>An ambulance service <strike>or an agency</strike> for treatment on the scene of a medical emergency, which treatment does not result in <i>ground</i> transportation; and</li><li>A qualified provider, an ambulance service, or an agency for evaluation by telemedicine of a person being treated by an ambulance service or an agency for the purpose of preventing the need to transport the person to a hospital.</li></ul></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If certain conditions are met, and based on an assumption of decreased federal 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