republic-os/legislation/us/states/co/2026a/hb-1069.md

---
type: "Bill"
title: "Availability of Emergency Medical Services"
description: "The act defines 'first responder' to include:A peace officer;A firefighter;A volunteer firefighter;An emergency medical service provider; orA mental health professional who responds in a professional capacity to a justifiable medical emergency. Existing law requires the emergency medical and trauma services advisory council (council) to review and approve new rules and modifications to rules prior to the adoption of such rules or modifications by the state board of health. The act requires the council to make recommendations for, instead of approve, rules and modifications to rules concerning emergency medical and trauma services prior to the adoption of such rules or modifications by the state board of health. Beginning January 1, 2027, the act requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':An ambulance service for ground transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's medical director;An ambulance service for treatment on the scene of a medical emergency, which treatment does not result in ground transportation; andA 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.(Note: This summary applies to this bill as enacted.)"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2026A"
identifier: "HB 1069"
citation: "Colorado HB 1069 (2026A)"
classification: ["bill"]
subjects: ["Health Care & Health Insurance", "Insurance", "Labor & Employment"]
status: "enacted"
primary_sponsors: ["C. Simpson", "K. Mullica", "K. Stewart", "L. Feret"]
version_count: 7
action_count: 16
vote_count: 13
first_action: "2026-01-27"
last_action: "2026-06-02"
source: "openstates"
source_identifier: "ocd-bill/37ec40d9-35cf-407f-9a5c-e9d2f7d6ae0c"
source_url: "https://leg.colorado.gov/bills/HB26-1069"
source_hash: "699ee20ff3acc3106f7373a4c29b9a72f845fd72929c540999b57c6dbbe82bad"
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 1069 (2026A) — Availability of Emergency Medical Services

The act defines 'first responder' to include:A peace officer;A firefighter;A volunteer firefighter;An emergency medical service provider; orA mental health professional who responds in a professional capacity to a justifiable medical emergency. Existing law requires the emergency medical and trauma services advisory council (council) to review and approve new rules and modifications to rules prior to the adoption of such rules or modifications by the state board of health. The act requires the council to make recommendations for, instead of approve, rules and modifications to rules concerning emergency medical and trauma services prior to the adoption of such rules or modifications by the state board of health. Beginning January 1, 2027, the act requires the department of health care policy and financing (state department) to reimburse the following entities under the 'Colorado Medical Assistance Act':An ambulance service for ground transportation by an ambulance or other vehicle to a hospital or other destination as deemed appropriate by the ambulance service's medical director;An ambulance service for treatment on the scene of a medical emergency, which treatment does not result in ground transportation; andA 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.(Note: This summary applies to this bill as enacted.)

## Version chain

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

1. **Introduced** (filed) — [source](https://leg.colorado.gov/bill_files/110986/download)
2. **Engrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/112993/download)
3. **Final Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/116685/download)
4. **Reengrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/113036/download)
5. **Rerevised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115891/download)
6. **Revised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115814/download)
7. **Signed Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/117029/download)

## Votes

- REPASS — **pass** (pass) · upper
- BILL — **pass** (pass) · lower
- Refer House Bill 26-1069, as amended, to the Committee of the Whole. — **pass** (pass) · lower
- Adopt amendment L.007 (Attachment K). — **pass** (pass) · lower
- Adopt amendment J.001 — **pass** (pass) · lower
- Adopt amendment L.009 (Attachment D). — **pass** (pass) · upper
- CONCUR — **pass** (pass) · upper
- Adopt amendment L.006 (Attachment J). — **pass** (pass) · lower
- Adopt amendment L.002 (Attachment I). — **pass** (pass) · lower
- Refer House Bill 26-1069, as amended, to the Committee on Appropriations. — **pass** (pass) · lower
- Refer House Bill 26-1069, as amended, to the Committee on Appropriations. — **pass** (pass) · upper
- Refer House Bill 26-1069, as amended, to the Committee of the Whole. — **pass** (pass) · upper
- Adopt amendment J.002 — **pass** (pass) · upper

## Sponsors

- C. Simpson — primary (person)
- K. Mullica — primary (person)
- K. Stewart — primary (person)
- L. Feret — primary (person)
- A. Benavidez — cosponsor (person)
- A. Boesenecker — cosponsor (person)
- A. Flanell — cosponsor (person)
- A. Paschal — cosponsor (person)
- B. Bradley — cosponsor (person)
- B. Kirkmeyer — cosponsor (person)
- B. Marshall — cosponsor (person)
- B. Titone — cosponsor (person)
- C. Barron — cosponsor (person)
- C. Clifford — cosponsor (person)
- C. Kipp — cosponsor (person)
- C. Kolker — cosponsor (person)
- D. Johnson — cosponsor (person)
- D. Roberts — cosponsor (person)
- D. Woog — cosponsor (person)
- E. Hamrick — cosponsor (person)
- I. Jodeh — cosponsor (person)
- J. Amabile — cosponsor (person)
- J. Bacon — cosponsor (person)
- J. Bridges — cosponsor (person)
- J. Caldwell — cosponsor (person)
- J. Carson — cosponsor (person)
- J. Coleman — cosponsor (person)
- J. Gonzales — cosponsor (person)
- J. Jackson — cosponsor (person)
- J. Joseph — cosponsor (person)
- J. Marchman — cosponsor (person)
- J. McCluskie — cosponsor (person)
- J. Phillips — cosponsor (person)
- K. Brown — cosponsor (person)
- K. DeGraaf — cosponsor (person)
- K. McCormick — cosponsor (person)
- K. Nguyen — cosponsor (person)
- K. Wallace — cosponsor (person)
- L. Cutter — cosponsor (person)
- L. Daugherty — cosponsor (person)
- L. Frizell — cosponsor (person)
- L. Liston — cosponsor (person)
- L. Smith — cosponsor (person)
- L. Zamora Wilson — cosponsor (person)
- M. Carter — cosponsor (person)
- M. Catlin — cosponsor (person)
- M. Duran — cosponsor (person)
- M. Lindsay — cosponsor (person)
- M. Lukens — cosponsor (person)
- M. Rutinel — cosponsor (person)
- M. Snyder — cosponsor (person)
- M. Soper — cosponsor (person)
- M. Weissman — cosponsor (person)
- N. Hinrichsen — cosponsor (person)
- R. English — cosponsor (person)
- R. Gonzalez — cosponsor (person)
- R. Keltie — cosponsor (person)
- R. Pelton — cosponsor (person)
- R. Stewart — cosponsor (person)
- R. Weinberg — cosponsor (person)
- S. Bright — cosponsor (person)
- S. Camacho — cosponsor (person)
- S. Lieder — cosponsor (person)
- S. Luck — cosponsor (person)
- S. Slaugh — cosponsor (person)
- T. Exum — cosponsor (person)
- T. Story — cosponsor (person)
- T. Winter — cosponsor (person)
- W. Lindstedt — cosponsor (person)

## Timeline

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

- **2026-06-02** Governor Signed `executive-signature`
- **2026-04-21** Introduced In Senate - Assigned to `introduction`
- **2026-05-29** Signed by the Speaker of the House `passage`
- **2026-05-28** Sent to the Governor `executive-receipt`
- **2026-05-28** Signed by the President of the Senate `passage`
- **2026-05-07** House Considered Senate Amendments - Result was to Concur - Repass
- **2026-05-06** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2026-05-05** Senate Second Reading Special Order - Passed with Amendments - Committee
- **2026-05-05** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2026-04-30** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2026-04-21** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2026-03-09** House Third Reading Passed - No Amendments `passage, reading-3`
- **2026-03-06** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2026-03-06** House Committee on Appropriations Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2026-02-24** House Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2026-01-27** Introduced In House - 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/37ec40d9-35cf-407f-9a5c-e9d2f7d6ae0c`. Confidence: reported (aggregated from official Colorado legislature records).