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---
type: "Bill"
title: "Nonprofit Hospitals Collaborative Agreements"
description: "Current law authorizes public hospitals with fewer than 50 beds to enter into collaborative agreements with other hospitals or hospital affiliates to engage in activities to increase access to health care. The act changes the law to allow public and private, nonprofit hospitals that are not owned by or affiliated with a health system that is comprised of 3 or more hospitals to enter into collaborative agreements."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2025A"
identifier: "SB 25-078"
citation: "Colorado SB 25-078 (2025A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Meghan Lukens", "Rod Pelton", "Ron Weinberg"]
version_count: 9
action_count: 12
vote_count: 2
first_action: "2025-01-23T07:00:00+00:00"
last_action: "2025-04-07T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/e35e35ea-be06-463a-88b5-334f3dbe2c29"
source_url: "https://leg.colorado.gov/bills/sb25-078"
source_hash: "8f9665dbe1e837294845b89957a3b1624a171236dff157a86164f78ead29ba93"
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 25-078 (2025A) — Nonprofit Hospitals Collaborative Agreements
Current law authorizes public hospitals with fewer than 50 beds to enter into collaborative agreements with other hospitals or hospital affiliates to engage in activities to increase access to health care. The act changes the law to allow public and private, nonprofit hospitals that are not owned by or affiliated with a health system that is comprised of 3 or more hospitals to enter into collaborative agreements.
## 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_sb078_h_hhs_001.pdf)
2. **Engrossed (03/04/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_eng.pdf)
3. **Final Act (03/28/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_enr.pdf)
4. **Introduced (01/23/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_01.pdf)
5. **PA1 (02/28/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_s_hhs_01.pdf)
6. **Reengrossed (03/05/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_rn2.pdf)
7. **Rerevised (03/20/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_rer.pdf)
8. **Revised (03/19/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_078_rev.pdf)
9. **Signed Act (04/07/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_078_signed.pdf)
## Votes
- BILL — **630** (pass) · lower
- BILL — **340** (pass) · upper
## Sponsors
- Meghan Lukens — primary (person)
- Rod Pelton — primary (person)
- Ron Weinberg — primary (person)
- A. Boesenecker — cosponsor (person)
- B. Kirkmeyer — cosponsor (person)
- B. Pelton — cosponsor (person)
- C. Kipp — cosponsor (person)
- C. Simpson — cosponsor (person)
- D. Johnson — cosponsor (person)
- D. Michaelson Jenet — cosponsor (person)
- D. Roberts — cosponsor (person)
- E. Hamrick — cosponsor (person)
- F. Winter — cosponsor (person)
- I. Jodeh — cosponsor (person)
- J. Amabile — cosponsor (person)
- J. Bacon — cosponsor (person)
- J. Bridges — cosponsor (person)
- J. Carson — cosponsor (person)
- J. Coleman — cosponsor (person)
- J. McCluskie — cosponsor (person)
- J. Phillips — cosponsor (person)
- K. McCormick — cosponsor (person)
- K. Mullica — cosponsor (person)
- K. Stewart — cosponsor (person)
- L. Cutter — cosponsor (person)
- L. Feret — cosponsor (person)
- L. Frizell — cosponsor (person)
- L. Garcia Sander — cosponsor (person)
- L. García — cosponsor (person)
- L. Liston — cosponsor (person)
- M. Ball — cosponsor (person)
- M. Catlin — cosponsor (person)
- M. Lindsay — cosponsor (person)
- M. Snyder — cosponsor (person)
- M. Soper — cosponsor (person)
- M. Weissman — cosponsor (person)
- N. Ricks — cosponsor (person)
- P. Lundeen — cosponsor (person)
- R. English — cosponsor (person)
- R. Rodriguez — cosponsor (person)
- S. Bird — cosponsor (person)
- T. Exum — cosponsor (person)
- T. Story — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-04-07T06:00:00+00:00** Governor Signed `executive-signature`
- **2025-03-28T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2025-03-28T06:00:00+00:00** Signed by the Speaker of the House
- **2025-03-28T06:00:00+00:00** Signed by the President of the Senate
- **2025-03-20T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2025-03-19T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2025-03-18T06:00:00+00:00** House Committee on Health & Human Services Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2025-03-05T07:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`
- **2025-03-05T07:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2025-03-04T07:00:00+00:00** Senate Second Reading Passed with Amendments - Committee `reading-2`
- **2025-02-27T07:00:00+00:00** Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2025-01-23T07:00:00+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/e35e35ea-be06-463a-88b5-334f3dbe2c29`. Confidence: reported (aggregated from official Colorado legislature records).