republic-os/legislation/us/states/co/2022a/sb-22-225.md

---
type: "Bill"
title: "Ambulance Service Sustainability And State Licensing"
description: "Under current law, ambulance services are regulated at the local level. On and after July 1, 2024, the act requires an ambulance service to obtain a state license from the department of public health and environment (department). In licensing ambulance services, the department is authorized to conduct inspections, investigate and hold hearings regarding alleged violations, and, for any violations found, take action against an ambulance service's license or application for an initial or renewed license, impose civil penalties in an amount of up to $500 per violation or up to $500 per day for a continuing violation, or both."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2022A"
identifier: "SB 22-225"
citation: "Colorado SB 22-225 (2022A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dylan Roberts", "Larry Liston", "Mark Baisley", "Rachel Zenzinger"]
version_count: 12
action_count: 17
vote_count: 4
first_action: "2022-04-22T06:00:00+00:00"
last_action: "2022-06-01T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/a6d1dc63-0603-455c-bb56-f2783190702e"
source_url: "https://leg.colorado.gov/bills/sb22-225"
source_hash: "bab655b888a3b9d6932dbfc7af6515bf5180cead4e7d747b22f407a9ba9bacd2"
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 22-225 (2022A) — Ambulance Service Sustainability And State Licensing

Under current law, ambulance services are regulated at the local level. On and after July 1, 2024, the act requires an ambulance service to obtain a state license from the department of public health and environment (department). In licensing ambulance services, the department is authorized to conduct inspections, investigate and hold hearings regarding alleged violations, and, for any violations found, take action against an ambulance service's license or application for an initial or renewed license, impose civil penalties in an amount of up to $500 per violation or up to $500 per day for a continuing violation, or both.

## 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/2022a_sb225_h_app_005.pdf)
2. **Engrossed (05/02/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_eng.pdf)
3. **Final Act (05/25/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_enr.pdf)
4. **Introduced (04/22/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_01.pdf)
5. **PA1 (04/28/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_s_hhs_01.pdf)
6. **PA2 (04/29/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_s_hhs_fin_01.pdf)
7. **PA3 (05/02/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_s_hhs_fin_app_01.pdf)
8. **PA4 (05/09/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_h_app_01.pdf)
9. **Reengrossed (05/03/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_ren.pdf)
10. **Rerevised (05/11/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_rer.pdf)
11. **Revised (05/10/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2022A/bills/2022a_225_rev.pdf)
12. **Signed Act (06/01/2022)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2022a_225_signed.pdf)

## Votes

- CONCUR — **35–0** (pass) · upper
- REPASS — **34–1** (pass) · upper
- BILL — **52–12** (pass) · lower
- BILL — **34–1** (pass) · upper

## Sponsors

- Dylan Roberts — primary (person)
- Larry Liston — primary (person)
- Mark Baisley — primary (person)
- Rachel Zenzinger — primary (person)

## Timeline

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

- **2022-06-01T06:00:00+00:00** Governor Signed `executive-signature`
- **2022-05-25T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2022-05-25T06:00:00+00:00** Signed by the Speaker of the House
- **2022-05-25T06:00:00+00:00** Signed by the President of the Senate
- **2022-05-11T06:00:00+00:00** Senate Considered House Amendments - Result was to Concur - Repass
- **2022-05-11T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2022-05-10T06:00:00+00:00** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2022-05-09T06:00:00+00:00** House Second Reading Special Order - Laid Over Daily - No Amendments
- **2022-05-09T06:00:00+00:00** House Committee on Appropriations Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2022-05-06T06:00:00+00:00** House Committee on Finance Refer Unamended to Appropriations `referral-committee`
- **2022-05-03T06:00:00+00:00** Introduced In House - Assigned to Finance `introduction`
- **2022-05-03T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2022-05-02T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee
- **2022-05-02T06:00:00+00:00** Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2022-04-29T06:00:00+00:00** Senate Committee on Finance Refer Amended to Appropriations `referral-committee`
- **2022-04-27T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Finance `referral-committee`
- **2022-04-22T06:00:00+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/a6d1dc63-0603-455c-bb56-f2783190702e`. Confidence: reported (aggregated from official Colorado legislature records).