republic-os/legislation/us/states/co/2023a/sb-23-298.md

---
type: "Bill"
title: "Allow Public Hospital Collaboration Agreements"
description: "The act permits a hospital that has fewer than 50 beds and is a county public hospital, a hospital formed by a health service district, or a hospital affiliated with either such hospital (hospital) to enter into collaborative agreements with one or more hospitals. The act declares the general assembly's intent to exempt from state antitrust laws, and to provide state action immunity from federal antitrust laws for, certain activities that might be characterized as anticompetitive or that might result in displacement of competition in the provision of hospital, physician, or other health-care-related services or administrative or general business services. Further, the general assembly declares its intention to provide a system of review of collaborative agreements by the department of health care policy and financing (department), the division of insurance in the department of regulator agencies (division), if applicable, and the attorney general to ensure that any potential benefits of the collaborative agreements are not outweighed by the harm to competition in rural and frontier communities."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2023A"
identifier: "SB 23-298"
citation: "Colorado SB 23-298 (2023A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Gardner", "Dylan Roberts", "Karen McCormick", "Rod Bockenfeld"]
version_count: 10
action_count: 14
vote_count: 3
first_action: "2023-04-24T06:00:00+00:00"
last_action: "2023-06-03T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/d394bb8d-ae1e-4302-906a-d504b26453f7"
source_url: "https://leg.colorado.gov/bills/sb23-298"
source_hash: "a274a23114039e79e26773b59d0568d47f4da1fdbd227b1356897d8f6646a572"
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 23-298 (2023A) — Allow Public Hospital Collaboration Agreements

The act permits a hospital that has fewer than 50 beds and is a county public hospital, a hospital formed by a health service district, or a hospital affiliated with either such hospital (hospital) to enter into collaborative agreements with one or more hospitals. The act declares the general assembly's intent to exempt from state antitrust laws, and to provide state action immunity from federal antitrust laws for, certain activities that might be characterized as anticompetitive or that might result in displacement of competition in the provision of hospital, physician, or other health-care-related services or administrative or general business services. Further, the general assembly declares its intention to provide a system of review of collaborative agreements by the department of health care policy and financing (department), the division of insurance in the department of regulator agencies (division), if applicable, and the attorney general to ensure that any potential benefits of the collaborative agreements are not outweighed by the harm to competition in rural and frontier communities.

## 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/2023a_sb298_h_app_002.pdf)
2. **Engrossed (05/01/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_eng.pdf)
3. **Final Act (05/17/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_enr.pdf)
4. **Introduced (04/24/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_01.pdf)
5. **PA1 (04/28/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_s_hhs_01.pdf)
6. **PA2 (05/01/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_s_hhs_app_01.pdf)
7. **Reengrossed (05/02/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_ren.pdf)
8. **Rerevised (05/07/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_rer.pdf)
9. **Revised (05/06/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_298_rev.pdf)
10. **Signed Act (06/03/2023)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2023a_298_signed.pdf)

## Votes

- BILL — **33–0** (pass) · upper
- AMEND — **33–0** (pass) · upper
- BILL — **60–4** (pass) · lower

## Sponsors

- Bob Gardner — primary (person)
- Dylan Roberts — primary (person)
- Karen McCormick — primary (person)
- Rod Bockenfeld — primary (person)

## Timeline

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

- **2023-06-03T06:00:00+00:00** Governor Signed `executive-signature`
- **2023-05-17T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2023-05-17T06:00:00+00:00** Signed by the President of the Senate
- **2023-05-16T06:00:00+00:00** Signed by the Speaker of the House
- **2023-05-07T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2023-05-06T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2023-05-06T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2023-05-05T06:00:00+00:00** House Committee on Public & Behavioral Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2023-05-02T06:00:00+00:00** Introduced In House - Assigned to Public & Behavioral Health & Human Services `introduction`
- **2023-05-02T06:00:00+00:00** Senate Third Reading Passed with Amendments - Floor `passage, reading-3`
- **2023-05-01T06:00:00+00:00** Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2023-05-01T06:00:00+00:00** Senate Committee on Appropriations Refer Amended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2023-04-27T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2023-04-24T06:00:00+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/d394bb8d-ae1e-4302-906a-d504b26453f7`. Confidence: reported (aggregated from official Colorado legislature records).