---
type: "Bill"
title: "Sunset Community Health Service Agency"
description: "A community integrated health-care service (service) is an out-of-hospital medical service that may be provided by an emergency medical service provider who obtains a community paramedic endorsement. A community integrated health-care service agency (agency) is an entity or sole proprietorship that manages and offers services."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2025A"
identifier: "SB 25-192"
citation: "Colorado SB 25-192 (2025A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cecelia Espenoza", "Iman Jodeh", "Lindsey Daugherty", "Lisa Feret"]
version_count: 8
action_count: 15
vote_count: 2
first_action: "2025-03-04T07:00:00+00:00"
last_action: "2025-05-31T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/0e7edfa7-b0c9-485f-9634-af64141766e7"
source_url: "https://leg.colorado.gov/bills/sb25-192"
source_hash: "80dfd5ed3bbd7a7103776039a20e8ce16b2112e1365eb2bb038597c027043c47"
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 SB 25-192 (2025A) — Sunset Community Health Service Agency

A community integrated health-care service (service) is an out-of-hospital medical service that may be provided by an emergency medical service provider who obtains a community paramedic endorsement. A community integrated health-care service agency (agency) is an entity or sole proprietorship that manages and offers services.

## Version chain

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

1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_sb192_h_app_001.pdf)
2. **Engrossed (04/15/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_eng.pdf)
3. **Final Act (05/13/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_enr.pdf)
4. **Introduced (03/04/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_01.pdf)
5. **Reengrossed (04/17/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_ren.pdf)
6. **Rerevised (04/30/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_rer.pdf)
7. **Revised (04/29/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_192_rev.pdf)
8. **Signed Act (05/31/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_192_signed.pdf)

## Votes

- BILL — **51–14** (pass) · lower
- BILL — **26–9** (pass) · upper

## Sponsors

- Cecelia Espenoza — primary (person)
- Iman Jodeh — primary (person)
- Lindsey Daugherty — primary (person)
- Lisa Feret — primary (person)
- C. Kipp — cosponsor (person)
- D. Michaelson Jenet — cosponsor (person)
- J. Bacon — cosponsor (person)
- J. McCluskie — cosponsor (person)
- K. Brown — cosponsor (person)
- L. Cutter — cosponsor (person)
- N. Ricks — cosponsor (person)
- W. Lindstedt — cosponsor (person)

## Timeline

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

- **2025-05-31T06:00:00+00:00** Governor Signed `executive-signature`
- **2025-05-13T06:00:00+00:00** Signed by the Speaker of the House
- **2025-05-13T06:00:00+00:00** Signed by the President of the Senate
- **2025-05-13T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2025-04-30T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2025-04-29T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2025-04-29T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2025-04-22T06:00:00+00:00** House Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2025-04-17T06:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`
- **2025-04-17T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2025-04-16T06:00:00+00:00** Senate Third Reading Laid Over Daily - No Amendments
- **2025-04-15T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
- **2025-04-11T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2025-03-19T06:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2025-03-04T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0e7edfa7-b0c9-485f-9634-af64141766e7`. Confidence: reported (aggregated from official Colorado legislature records).