---
type: "Bill"
title: "Freestanding Emergency Departments Licensure"
description: "Freestanding emergency departments - mandatory licensure - exceptions - appropriation. Effective July 1, 2022, the act creates a new license, referred to as a \"freestanding emergency department license\". The department of public health and environment (department) may issue the license to a health facility that offers emergency care, that may offer primary and urgent care services, and that is either:"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "HB 19-1010"
citation: "Colorado HB 19-1010 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Gardner", "Brittany Pettersen", "Kyle Mullica", "Lois Landgraf"]
version_count: 10
action_count: 16
vote_count: 2
first_action: "2019-01-04T07:00:00+00:00"
last_action: "2019-05-29T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/19d46f6b-17c7-48c4-b753-974ca6a765f3"
source_url: "http://leg.colorado.gov/bills/hb19-1010"
source_hash: "83169894e2bcd10a45df011f498aa212c5ca3c199a83e767ab55ad5601beef77"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-co"]
---

# Colorado HB 19-1010 (2019A) — Freestanding Emergency Departments Licensure

Freestanding emergency departments - mandatory licensure - exceptions - appropriation. Effective July 1, 2022, the act creates a new license, referred to as a "freestanding emergency department license". The department of public health and environment (department) may issue the license to a health facility that offers emergency care, that may offer primary and urgent care services, and that is either:

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Committee Amendment** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_hb1010_s_app_002.pdf)
2. **Engrossed (02/14/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_eng.pdf)
3. **Final Act (05/09/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_enr.pdf)
4. **Introduced (01/04/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_01.pdf)
5. **PA1 (01/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010%20hi_01.pdf)
6. **PA2 (02/12/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010app.pdf)
7. **Reengrossed (02/15/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_ren.pdf)
8. **Rerevised (04/12/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_rer.pdf)
9. **Revised (04/11/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_1010_rev.pdf)
10. **Signed Act (05/29/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_1010_signed.pdf)

## Votes

- BILL — **54–9** (pass) · upper
- BILL — **24–8** (pass) · upper

## Sponsors

- Bob Gardner — primary (person)
- Brittany Pettersen — primary (person)
- Kyle Mullica — primary (person)
- Lois Landgraf — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-05-29T06:00:00+00:00** Governor Signed `executive-signature`
- **2019-05-09T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-05-09T06:00:00+00:00** Signed by the President of the Senate
- **2019-05-09T06:00:00+00:00** Signed by the Speaker of the House
- **2019-04-12T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-11T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
- **2019-04-09T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `referral-committee, committee-passage`
- **2019-03-21T06:00:00+00:00** Senate Committee on Finance Refer Unamended to Appropriations `referral-committee`
- **2019-03-07T07:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended to Finance `referral-committee`
- **2019-02-19T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2019-02-15T07:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-02-14T07:00:00+00:00** House Second Reading Passed with Amendments - Committee `reading-2`
- **2019-02-12T07:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-01-24T07:00:00+00:00** House Committee on Finance Refer Unamended to Appropriations `referral-committee`
- **2019-01-16T07:00:00+00:00** House Committee on Health & Insurance Refer Amended to Finance `referral-committee`
- **2019-01-04T07:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/19d46f6b-17c7-48c4-b753-974ca6a765f3`. Confidence: reported (aggregated from official Colorado legislature records).