republic-os/legislation/us/states/co/2025a/sb-25-193.md

---
type: "Bill"
title: "Sunset Primary Care Payment Reform Collaborative"
description: "In 2019, the division of insurance within the department of regulatory agencies (department) established the primary care payment reform collaborative (collaborative) to, among other things, advise in the development of affordability standards and targets for insurance carrier investments in primary care, identify barriers to the adoption of alternative payment models by health-care providers and insurers, and develop recommendations to address barriers."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2025A"
identifier: "SB 25-193"
citation: "Colorado SB 25-193 (2025A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Karen McCormick", "Kyle Mullica", "Lori Garcia Sander", "Matt Ball"]
version_count: 9
action_count: 15
vote_count: 2
first_action: "2025-03-05T07:00:00+00:00"
last_action: "2025-06-03T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/e8515725-f959-4bab-bce1-44c5bda467bf"
source_url: "https://leg.colorado.gov/bills/sb25-193"
source_hash: "7b2e7f009be544160221a29071254844f43b1165ec2ad4bec1135de07f819990"
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 25-193 (2025A) — Sunset Primary Care Payment Reform Collaborative

In 2019, the division of insurance within the department of regulatory agencies (department) established the primary care payment reform collaborative (collaborative) to, among other things, advise in the development of affordability standards and targets for insurance carrier investments in primary care, identify barriers to the adoption of alternative payment models by health-care providers and insurers, and develop recommendations to address barriers.

## 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_sb193_h_app_001.pdf)
2. **Engrossed (04/15/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_eng.pdf)
3. **Final Act (05/02/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_enr.pdf)
4. **Introduced (03/05/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_01.pdf)
5. **PA1 (03/20/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_s_hhs_01.pdf)
6. **Reengrossed (04/17/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_ren.pdf)
7. **Rerevised (04/25/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_rer.pdf)
8. **Revised (04/24/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2025A/bills/2025a_193_rev.pdf)
9. **Signed Act (06/03/2025)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2025a_193_signed.pdf)

## Votes

- BILL — **29–6** (pass) · upper
- BILL — **51–12** (pass) · lower

## Sponsors

- Karen McCormick — primary (person)
- Kyle Mullica — primary (person)
- Lori Garcia Sander — primary (person)
- Matt Ball — primary (person)
- A. Boesenecker — cosponsor (person)
- C. Kipp — cosponsor (person)
- D. Michaelson Jenet — cosponsor (person)
- I. Jodeh — cosponsor (person)
- J. Amabile — cosponsor (person)
- J. Joseph — cosponsor (person)
- J. Marchman — cosponsor (person)
- K. Brown — cosponsor (person)
- K. Wallace — cosponsor (person)
- L. Cutter — cosponsor (person)
- M. Weissman — cosponsor (person)
- N. Ricks — cosponsor (person)

## Timeline

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

- **2025-06-03T06:00:00+00:00** Governor Signed `executive-signature`
- **2025-05-02T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2025-05-02T06:00:00+00:00** Signed by the Speaker of the House
- **2025-05-01T06:00:00+00:00** Signed by the President of the Senate
- **2025-04-25T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2025-04-24T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2025-04-24T06:00:00+00:00** House Committee on Appropriations Refer Unamended to House Committee of the Whole `committee-passage, referral-committee`
- **2025-04-22T06:00:00+00:00** House Committee on Health & Human Services Refer Unamended to Appropriations `referral-committee`
- **2025-04-17T06:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`
- **2025-04-17T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2025-04-16T06:00:00+00:00** Senate Third Reading Laid Over Daily - No Amendments
- **2025-04-15T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee `reading-2`
- **2025-04-11T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole `committee-passage, referral-committee`
- **2025-03-19T06:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2025-03-05T07:00:00+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/e8515725-f959-4bab-bce1-44c5bda467bf`. Confidence: reported (aggregated from official Colorado legislature records).