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---
type: "Bill"
title: "Nursing Home Penalty Cash Fund"
description: "Nursing home penalty cash fund - reserve - grant cap - repeal related program sunset. The act repeals the current reserve for the nursing home penalty cash fund and instead requires the medical services board to establish a minimum reserve that limits expenditures for grants. The annual cap on expenditures for grants, which is $250,000 or possibly a lesser amount depending on whether the fund balance exceeds $2 million, is repealed and the sunset review of the use of grants and the related nursing home innovations grant board is also repealed.(Note: This summary applies to this bill as enacted.)"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "SB 19-254"
citation: "Colorado SB 19-254 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kim Ransom", "Rachel Zenzinger"]
version_count: 8
action_count: 12
vote_count: 2
first_action: "2019-04-17T06:00:00+00:00"
last_action: "2019-05-29T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/457824c0-d500-495a-8117-f9b5d61ecad5"
source_url: "http://leg.colorado.gov/bills/sb19-254"
source_hash: "d355b76dceb64c538f86020d9d84a7e1efa9274bec735637a0810cc2dce9407a"
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 19-254 (2019A) — Nursing Home Penalty Cash Fund
Nursing home penalty cash fund - reserve - grant cap - repeal related program sunset. The act repeals the current reserve for the nursing home penalty cash fund and instead requires the medical services board to establish a minimum reserve that limits expenditures for grants. The annual cap on expenditures for grants, which is $250,000 or possibly a lesser amount depending on whether the fund balance exceeds $2 million, is repealed and the sunset review of the use of grants and the related nursing home innovations grant board is also repealed.(Note: This summary applies to this bill as enacted.)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. **Committee Amendment** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_sb254_h_app_001.pdf)
2. **Engrossed (04/24/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_eng.pdf)
3. **Final Act (05/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_enr.pdf)
4. **Introduced (04/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_01.pdf)
5. **Reengrossed (04/25/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_ren.pdf)
6. **Rerevised (04/30/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_rer.pdf)
7. **Revised (04/29/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_254_rev.pdf)
8. **Signed Act (05/29/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_254_signed.pdf)
## Votes
- BILL — **350** (pass) · lower
- BILL — **631** (pass) · lower
## Sponsors
- Kim Ransom — primary (person)
- Rachel Zenzinger — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-05-29T06:00:00+00:00** Governor Signed `executive-signature`
- **2019-05-17T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-05-17T06:00:00+00:00** Signed by the Speaker of the House
- **2019-05-17T06:00:00+00:00** Signed by the President of the Senate
- **2019-04-30T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-29T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2019-04-27T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-04-25T06:00:00+00:00** Introduced In House - Assigned to Appropriations `introduction`
- **2019-04-25T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-24T06:00:00+00:00** Senate Second Reading Special Order - Passed - No Amendments
- **2019-04-23T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2019-04-17T06:00:00+00:00** Introduced In Senate - Assigned to Appropriations `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/457824c0-d500-495a-8117-f9b5d61ecad5`. Confidence: reported (aggregated from official Colorado legislature records).