republic-os/legislation/us/states/co/2019a/sb-19-052.md

---
type: "Bill"
title: "Emergency Medical Service Provider Scope Of Practice"
description: "Emergency medical service providers - scope of practice - medical supervision of practice in a clinical setting - prehospital scope of practice - state board of health rules. The act expands an emergency medical service (EMS) provider's scope of practice by authorizing a provider to practice under the medical supervision of a licensed physician, physician assistant, advanced practice nurse, or registered nurse, who is immediately available and physically present at the clinical setting where the EMS provider is performing tasks and procedures within the EMS provider's scope of practice. The state board of health may promulgate rules regarding medical supervision of an EMS provider's performance of tasks and procedures in a clinical setting. The act also specifies the prehospital settings in which an EMS provider may perform patient care, which care is subject to medical direction by a physician.(Note: This summary applies to this bill as enacted.)"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2019A"
identifier: "SB 19-052"
citation: "Colorado SB 19-052 (2019A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kyle Mullica", "Leroy Garcia"]
version_count: 9
action_count: 13
vote_count: 2
first_action: "2019-01-08T07:00:00+00:00"
last_action: "2019-04-17T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/977b3c42-af30-476b-b745-8e5657e1583e"
source_url: "http://leg.colorado.gov/bills/sb19-052"
source_hash: "74da0eb20677b42fd36e232299e9cbb7c5850831808aa96aaab9ea19aa03017e"
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 19-052 (2019A) — Emergency Medical Service Provider Scope Of Practice

Emergency medical service providers - scope of practice - medical supervision of practice in a clinical setting - prehospital scope of practice - state board of health rules. The act expands an emergency medical service (EMS) provider's scope of practice by authorizing a provider to practice under the medical supervision of a licensed physician, physician assistant, advanced practice nurse, or registered nurse, who is immediately available and physically present at the clinical setting where the EMS provider is performing tasks and procedures within the EMS provider's scope of practice. The state board of health may promulgate rules regarding medical supervision of an EMS provider's performance of tasks and procedures in a clinical setting. The act also specifies the prehospital settings in which an EMS provider may perform patient care, which care is subject to medical direction by a physician.(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_sb052_h_hi_001.pdf)
2. **Engrossed (03/26/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_eng.pdf)
3. **Final Act (04/12/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_enr.pdf)
4. **Introduced (01/08/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_01.pdf)
5. **PA1 (03/08/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052shhs_01.pdf)
6. **Reengrossed (03/27/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_ren.pdf)
7. **Rerevised (04/08/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_rer.pdf)
8. **Revised (04/05/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/documents/2019A/bills/2019a_052_rev.pdf)
9. **Signed Act (04/17/2019)** (committee substitute) — [source](http://leg.colorado.gov/sites/default/files/2019a_052_signed.pdf)

## Votes

- BILL — **35–0** (pass) · lower
- BILL — **62–0** (pass) · lower

## Sponsors

- Kyle Mullica — primary (person)
- Leroy Garcia — primary (person)

## Timeline

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

- **2019-04-17T06:00:00+00:00** Governor Signed `executive-signature`
- **2019-04-12T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2019-04-12T06:00:00+00:00** Signed by the Speaker of the House
- **2019-04-11T06:00:00+00:00** Signed by the President of the Senate
- **2019-04-08T06:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2019-04-05T06:00:00+00:00** House Second Reading Special Order - Passed - No Amendments
- **2019-04-02T06:00:00+00:00** House Committee on Health & Insurance Refer Unamended to House Committee of the Whole `referral-committee, committee-passage`
- **2019-03-29T06:00:00+00:00** Introduced In House - Assigned to Health & Insurance `introduction`
- **2019-03-27T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2019-03-26T06:00:00+00:00** Senate Second Reading Passed with Amendments - Committee `reading-2`
- **2019-03-22T06:00:00+00:00** Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2019-03-07T07:00:00+00:00** Senate Committee on Health & Human Services Refer Amended to Appropriations `referral-committee`
- **2019-01-08T07:00:00+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/977b3c42-af30-476b-b745-8e5657e1583e`. Confidence: reported (aggregated from official Colorado legislature records).