[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6119873,"mediaKeyId","2710244-410b33e0983450f81c714d4ff1055bfe","parentId",2710244,"title","Senate panel renews community paramedicine licensing and signals further amendments on scope","audioSeconds",2497,"startMs",4321515,"endMs",6818889,"viewUrl","/Search/View?dp=1&key=2710244-410b33e0983450f81c714d4ff1055bfe&start=4321&end=6818","thumbnailUrl","https://assets.pipeline.soar.com/2710244-410b33e0983450f81c714d4ff1055bfe/thumbnail_4321515.jpg","articleUrl","/articles/6119873/Colorado/Senate-panel-renews-community-paramedicine-licensing-and-signals-further-amendments-on-scope","mediaUrl","https://secure.pipeline.soar.com/6119873-44795b70ba64543dc9d73e3888932124/orig.mp4?Expires=1770437729&Signature=egHuU8LlkFseN6~gnqBvyqbIbVJlTnfnuK3KEStWm8vsdWrhBJRbSAEahZlzkFYWK3Z2KISE6J67besv0X3Mlf20aNjmvsJySGvAUKNQE1h4zIasF~gRcwcAKDwCwqlSgcFwXa0J1o6Snoc9WoMFyfwhyJ2r3zoVaYh6mSGcXFVULE2xPw-uzZJFsq7ykrLc-uj6tgdvZqV8lbee7ncWeRHX8wJe-LJruKF~Asq2urbDHNYEh0~G50rBV7e-hrkhLLvWUU3XZbZ6CYQIXs9pYOijN8qUnH76USlvuV~ra2bKnj1v37ylVU3e1waKe6vKUueqM-fQ6bBll5XvnsnWQg__&Key-Pair-Id=KUT5TJCACFTXG","author","Colorado State Legislature","date","2025-03-19T00:00:00Z","article","The Senate Health & Human Services Committee voted to continue licensing for community integrated health care services (KISS agencies), mobile integrated health and community paramedicine programs, and sent the bill to the Appropriations Committee with a favorable recommendation.

Sponsors said the renewal preserves oversight that protects patients, requires criminal background checks for owners and administrators, and updates language and definitions to reflect modern, out‑of‑hospital models of care. Proponents — including community paramedicine program managers, KISS agency leaders, home‑health partners and emergency‑medicine physicians — described programs that provide diagnostics, medication administration, care‑in‑place and resource navigation for underserved and rural communities.

Witnesses from multiple Colorado community paramedicine programs gave examples of the services provided and the savings to the health system. Testimony included patient‑level examples: home safety modifications helping a person with dementia remain at home, medication delivery and regular visits that reduced emergency department use, and a patient with complex nutrition needs whom local hospice or home health could not accept but a mobile program could support at home. Several presenters cited measurable reductions in emergency department transports and demonstrated payer‑level savings in pilot analyses.

Stakeholders — including representatives of EMS organizations — said they support the renewal but are negotiating targeted amendments to broaden allowable procedures, clarify medical‑director qualifications and allow certain EMS clinicians greater participation under defined medical oversight. Several witnesses said the statute as originally written in prior years did not anticipate the range of services KISS programs now perform and asked for specific changes (for example, the ability to perform certain diagnostics or procedures under medical‑director‑approved protocols in rural settings). CDPHE staff participated in the hearing; EMS groups said they continue to negotiate with the department on agreed amendments.

After testimony and discussion the committee approved the renewal and moved the bill to Appropriations with a recorded committee vote (tally reported as 7 yes, 2 no). Sponsors and witnesses indicated they will continue work with CDPHE and stakeholders to refine statutory language on scope of practice and medical‑director qualifications ahead of floor action.","mediaType","Video","parentTitle","Senate Health & Human Services [Mar 19, 2025]","oneSentenceSummary","Senate committee voted to continue licensing for community integrated health care services (so‑called KISS agencies), advancing the sunset renewal while testimony and stakeholder discussion flagged scope, workforce and regulatory changes still under negotiation.","taxTitle","Health & Human Services, Standing Committees, Senate, Committees, Legislative, Colorado","taxId",43553,"location","Colorado","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6119877,"Senate continues primary care payment reform collaborative through 2032; adds pediatric representation",1884,2393450,4278345,"/Search/View?dp=1&key=2710244-410b33e0983450f81c714d4ff1055bfe&start=2393&end=4278","https://assets.pipeline.soar.com/2710244-410b33e0983450f81c714d4ff1055bfe/thumbnail_2393450.jpg","/articles/6119877/Colorado/Senate-continues-primary-care-payment-reform-collaborative-through-2032-adds-pediatric-representation","https://secure.pipeline.soar.com/6119877-666506cb3d78188cc02c6333fca6d36d/orig.mp4?Expires=1770437729&Signature=f1nBcgv6MpEsz2rxLMOaO1f2YVzTMLcdcyiiK~XRAj22j0YsqbPzaSX81mzM9DKGIpGwilrk3q-2elc3K338D8rr-ChqasFtm8w6aAa~BmZvWgLlcsNlXGPw-hB03SBupX98-s7NxSzVH6puU7ZyP4Mv~qnfvHgcxQBQtcZj2m9aTFGNCOhm5AEpg1z1YUJx9ojd1rgKkKpLVqihJnK6x7HI42xNeaxwM7~obGrlrt2-ggzpPB73JlB8L3LP9zH26K1Q1DEVs9Vi29JQ5368rkQ55F3raQep9Wr9g82czLwaT5RMrriNkRylzYGxBLP-xscWQs~Ri09E4zt6f9xhlg__&Key-Pair-Id=KUT5TJCACFTXG","The Senate Health & Human Services Committee voted to continue the Primary Care Payment Reform Collaborative through Sept. 1, 2032, and adopted an amendment to ensure pediatric providers have explicit representation in the collaborative’s membership and work.

The collaborative, created in 2019 by earlier legislation, develops recommendations to increase investment in primary care, encourage alternative payment models, and align payers to support value‑based care. Witnesses from the Division of Insurance, primary care physicians, professional organizations and consumer advocates described the collaborative’s work as central to improving access, supporting team‑based care and reducing long‑term health costs.

Tara Smith of the Division of Insurance summarized the collaborative’s accomplishments: codifying a standard definition of primary care, developing a methodology for tracking primary care spending, and informing adoption of an investment target for commercial insurers. Multiple clinicians told the committee that primary care remains under‑resourced and that payment reform and multi‑payer alignment are needed to sustain team‑based and advanced primary care models.

An amendment (L‑1) was adopted in response to a request from the American Academy of Pediatrics to ensure pediatric value‑based care is explicitly included and that pediatric providers receive a seat at the collaborative. Supporters argued children’s needs differ from adults and that pediatric payment models should be recognized and developed separately.

Senators and witnesses described the collaborative as a forum that brings payers, providers and consumers together, and they credited it with informing state regulations and legislative initiatives related to primary care investment. After the witness and amendment phases the committee voted to send Senate Bill 193, as amended, to the Committee of Appropriations with a favorable recommendation (committee recorded vote: tally reported as 8 yes, 1 no).

Sponsors and witnesses urged continued work on primary care investment, alternative payment models, and payer alignment to sustain rural and pediatric access to care.","Senators voted to extend the Primary Care Payment Reform Collaborative and adopted an amendment to explicitly include pediatric providers; the bill was sent to the Appropriations Committee with a favorable recommendation.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6119884,"Senate committee approves med‑spa disclosure bill requiring medical director identification and patient notice",556,1751775,2308200,"/Search/View?dp=1&key=2710244-410b33e0983450f81c714d4ff1055bfe&start=1751&end=2308","https://assets.pipeline.soar.com/2710244-410b33e0983450f81c714d4ff1055bfe/thumbnail_1751775.jpg","/articles/6119884/Colorado/Senate-committee-approves-medspa-disclosure-bill-requiring-medical-director-identification-and-patient-notice","https://secure.pipeline.soar.com/6119884-b9dc0826c106dd1d6f62a232aa95981e/orig.mp4?Expires=1770437729&Signature=ZRWjIqT-nZ1IbEqYBpcCaQ2jUmHMFgqhLqShR8IBbPhI96T2kJc4f7MY0kGgTGX9DUfNuVcQ49m9DahoiTmM2VdyrdXLPoZTTjBPs3xt3-dtitPiwkF-Jag~N0gFXIk-Xpba2IBz-CWsLf3n67VWxCk8ryN9aTNEqwqwVtDM6bqPUdpnDIoQ6LSHpyjPLOD4cQk9GE67RCuO8VNN7St1Yw8g~e1NwHyoqd8o9tQdzgWks9CT4RVNiItmFwsSNOZ44~YKMeg9bojSSKQyyKbweQd3O4Iw1r6Hrqs3X-LQOp88WE7A6xqXD6HUjMMPe-s6Wndh6qM6uc-4kjExc5mCIw__&Key-Pair-Id=KUT5TJCACFTXG","The Senate Health & Human Services Committee voted to advance House Bill 10‑24 (medical aesthetic services delegation disclosures), which would require medical or nursing directors at med‑spas to post license and contact information and require med‑spas to give patients a written disclosure that they may receive care performed by personnel delegated by the licensed practitioner.

Sponsor Senator Cindy Roberts described the bill as a consumer‑protection measure to ensure patients know who is ultimately responsible for delegated aesthetic procedures such as Botox, fillers and IV treatments. The Department of Regulatory Agencies (DORA) and the Colorado Nurses Association testified in favor of the legislation, citing reported incidents of patient harm when unlicensed or inadequately supervised persons performed medical aesthetic procedures.

DORA’s Division of Professions and Occupations director, Sam Delp, told the committee the bill requires medical and nursing directors to post their license information and the Department of Regulatory Agencies’ contact information conspicuously and requires med‑spas to present a disclosure to patients that explains delegation and provides complaint instructions. The nurses’ association witness described cases in which individuals without health‑care training performed injections, and said the bill would improve patients’ ability to give informed consent.

Following the witness phase and no committee amendments, the sponsor asked for the committee’s favorable recommendation. The committee moved HB 10‑24 to the Committee of the Whole with a favorable recommendation on a recorded vote.

The bill does not ban delegation; rather, it requires disclosure so consumers can make informed decisions, witnesses said. Committee members asked no substantive amendments during the hearing.

Outcome: the committee reported House Bill 10‑24 favorably and referred it to the Committee of the Whole (committee recorded vote: tally reported as 7 yes, 2 no).","The Senate Health & Human Services Committee voted to advance a bill that would require med‑spas to disclose their medical director’s license and provide patients with a delegation disclosure to improve informed consent.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6119890,"Senate panel advances 340B transparency bill after amendment narrows conflicts with existing law",1724,27247,1751675,"/Search/View?dp=1&key=2710244-410b33e0983450f81c714d4ff1055bfe&start=27&end=1751","https://assets.pipeline.soar.com/2710244-410b33e0983450f81c714d4ff1055bfe/thumbnail_27247.jpg","/articles/6119890/Colorado/Senate-panel-advances-340B-transparency-bill-after-amendment-narrows-conflicts-with-existing-law","https://secure.pipeline.soar.com/6119890-2c131b39fe53f18768343035b2b8796e/orig.mp4?Expires=1770437729&Signature=Td20FgXBeiLm-A0pOs-~ENuugoFEZhrF0X~Z1GakhzcJ5UXKMLPnDUZE7dPGx2aZkJRCO~HDG6Yv5kRoxLsOsmrMvDnJ4nOpsuyweVk9uuASS1dlpvIrVDutd26~2stAKIIIkSFpCVF5m2sRRE6uvkYkGgQofwKFu16H67HwfWbO7yihITtZgCuyijc5A81xgg-JImhQ15hzRoyqNxUJVVf4ZoEimezR8hvHWZ3a4TOvh3ufkqkBc1ug42C75Y-7bdzIc1PZN4TkDCzWIlO4O5qqyrwFo40R0KPnjTt7Cc4Tukv8cNEKnCYgtm4DEH3B2f805eATfnNQzizjUHjsOQ__&Key-Pair-Id=KUT5TJCACFTXG","Senate Health and Human Services on an amended vote advanced Senate Bill 124, a measure aimed at increasing transparency around entities’ use of funds generated under the federal 340B drug-pricing program.

The committee adopted a compromise amendment, labeled L‑8, that removes provisions committee members said conflict with prior committee legislation and the structure of federal 340B law. After adopting L‑8, the committee voted to send SB 124, as amended, to the Committee of the Whole with a favorable recommendation.

The bill’s sponsors and amendment authors said the measure’s remaining provisions would retain reporting and enforcement sections while removing the subsections that most directly conflicted with earlier committee action and federal program rules. Sponsor remarks emphasized the effort to preserve patient‑centric transparency while avoiding provisions that could interfere with how 340B operates under federal law.

Senator Mike Weisman, who advocated for narrowing the bill, described L‑8 as removing the conflicting material from pages 3–4 and leaving intact reporting requirements and enforcement language later in the text. He said the change was intended to reduce direct conflict with earlier committee-passed legislation and to leave in place reporting and certain restrictions on how 340B proceeds are used (for example, limits on using proceeds for lobbying or advertising), while enabling continued debate at second reading.

Senator Gonzalez and other members thanked sponsors for negotiating and for meeting with patients and stakeholders who testified at the hearing. Committee members emphasized multiple goals: preserving rural and safety‑net hospitals from unintended harm, protecting patient access, and improving transparency about how 340B proceeds are spent.

The amendment phase produced a recorded committee roll call on L‑8; the amendment passed on a recorded vote. After discussion closed, the committee approved SB 124 as amended by a recorded vote and sent it forward to the Committee of the Whole with a favorable recommendation.

The bill retains a request-for‑information provision directing the Joint Budget Committee and the state department to collect data on any losses to the state medical assistance program related to nonprofit hospital purchases and 340B practices, according to sponsor remarks. Sponsors said that provision (identified in the bill as Section 307) is intended to provide the state better data for budgeting decisions.

Committee members stressed the work is not finished: several senators said they expect continued conversations with sponsors and stakeholders to harmonize elements of SB 124 with other pending legislation affecting 340B recipients.

Votes at a glance: L‑8 amendment — passed (recorded roll call, amendment passed by committee). SB 124 as amended — approved and referred to the Committee of the Whole (committee recorded vote: tally reported as 6 yes, 3 no).","The Senate Health & Human Services Committee approved an amendment that strips parts of Senate Bill 124 found to conflict with federal 340B program rules, then sent the bill as amended to the Committee of the Whole with a favorable recommendation.","actionData","errors"]

Article not found

Senate panel renews community paramedicine licensing and signals further amendments on scope

Senate continues primary care payment reform collaborative through 2032; adds pediatric representation

Senate committee approves med‑spa disclosure bill requiring medical director identification and patient notice

Senate panel advances 340B transparency bill after amendment narrows conflicts with existing law