HB26-1107 • 2026

Health Care in Regulated Facilities

Sections 1 and 4 of the bill establish The bill establishes information disclosure requirements for a licensed facility that advertises, markets, promotes, or offers on-site and residential services ,

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Rep. L. Feret, Rep. A. Paschal, Sen. L. Cutter, Rep. J. Bacon, Rep. A. Boesenecker, Rep. K. Brown, Rep. M. Duran, Rep. E. Hamrick, Rep. M. Lindsay, Rep. B. Marshall, Rep. J. McCluskie, Rep. K. Nguyen, Rep. G. Rydin, Rep. E. Sirota, Rep. T. Story, Rep. S. Woodrow, Sen. J. Coleman, Sen. I. Jodeh, Sen. C. Kipp, Sen. W. Lindstedt
Last action: 2026-04-07
Official status: Senate Third Reading Passed - No Amendments
Effective date: Not listed

Plain English Breakdown

The bill summary does not provide details on penalties or enforcement mechanisms beyond mentioning it as a deceptive trade practice under the Colorado Consumer Protection Act.

Health Care Disclosure for Dementia Facilities

This bill requires dementia care facilities to provide detailed information about their services and training requirements, and it allows certain nursing staff to administer medication by injection after proper training.

What This Bill Does

Requires the Department of Public Health and Environment to create a form that dementia care facilities must complete with specific details about their services.
Makes dementia care facilities give this completed form to anyone who asks for information about dementia care services starting July 1, 2027.
Allows licensed practical nurses (LPNs) and certified nurse aides (CNAs) to administer medication by injection after receiving proper training.

Who It Names or Affects

Dementia care facilities
Licensed practical nurses (LPNs)
Certified nurse aides (CNAs)

Terms To Know

dementia care facility: A licensed facility that provides on-site and residential services for individuals with dementia.
Colorado Consumer Protection Act: The law under which a violation of the new requirements regarding information disclosure forms is considered deceptive trade practice.

Limits and Unknowns

The bill does not specify what happens if facilities do not comply with the new rules.
It's unclear how much funding will be provided for implementing these changes.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

L.001

HOU Health & Human Services

Passed [*]

Plain English: The amendment changes specific sections of HB26-1107 to modify requirements for licensed facilities that offer on-site and residential services, particularly those related to individuals with dementia diseases and disabilities.

Strikes certain lines from the bill text and replaces them with new language focusing on facilities offering services for individuals with dementia and related disabilities.
Changes a deadline from January to July in one section of the bill.
Removes specific wording about family caregivers and modifies references to fees charged to residents.
Adds a provision that allows the department to issue citations if a facility violates certain requirements or fails to produce its current form upon request.

The amendment text is technical, making it difficult to fully explain without additional context about the bill's original content and purpose.

L.003

HOU Health & Human Services

Passed [*]

Plain English: The amendment removes certain sections of the bill and adds a new provision allowing the department to accept gifts, grants, or donations for specific purposes.

Removes lines from pages 3 and 4 that discuss deceptive trade practices.
Adds a new section on page 7 that allows the department to seek, accept, and use gifts, grants, or donations for stated purposes.

The exact details of what 'purposes' are referred to in the new section are not provided in the amendment text.
Some sections of the bill (pages 9 through 12) are struck but their content is not given, so it's unclear what specific information or requirements were removed.

L.006

Second Reading

Passed [**]

Plain English: The amendment changes the purpose of a cash fund and adds new rules for creating an information form related to dementia care services.

Changes the use of money from the Assisted Living Residence Improvement Cash Fund to include creating a dementia care services information form and adopting rules about it.
Adds a new section that allows civil fines collected to be used for creating a dementia care services information form and related rules.

The amendment text is technical, focusing on specific legal language changes which may not fully explain the practical implications of these changes.

L.009

Second Reading

Passed [**]

Plain English: The amendment adds a new requirement that rules adopted by the department must not exceed applicable national standards when it comes to health care services in licensed facilities.

Adds a new section (2.5) requiring that any rules made by the department related to health care services must be equal to or less strict than existing national standards.

The amendment does not specify which national standards are applicable, leaving it unclear exactly what these rules will reference.
It is unclear how this new requirement will affect current practices and regulations in place before the amendment.

Bill History

2026-04-07 Senate
Senate Third Reading Passed - No Amendments
2026-04-06 Senate
Senate Second Reading Passed - No Amendments
2026-04-01 Senate
Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole
2026-03-17 Senate
Introduced In Senate - Assigned to Health & Human Services
2026-03-12 House
House Third Reading Passed - No Amendments
2026-03-11 House
House Second Reading Special Order - Passed with Amendments - Committee, Floor
2026-03-09 House
House Committee on Finance Refer Unamended to House Committee of the Whole
2026-02-25 House
House Committee on Health & Human Services Refer Amended to Finance
2026-02-18 House
House Committee on Health & Human Services Lay Over Amended
2026-02-03 House
Introduced In House - Assigned to Health & Human Services

Official Summary Text

Sections 1 and 4

of the bill establish

The bill establishes
information disclosure requirements for a licensed facility that
advertises, markets, promotes, or
offers
on-site and residential
services
, including memory care services,
for individuals with dementia and dementia-related conditions, including Alzheimer's disease. The bill refers to such a facility
or agency
as a 'dementia care facility'.
The bill requires the department of public health and environment (department), in consultation with the state long-term care ombudsman or the ombudsman's designee, to create a dementia care services information form (form) by
January

July
1, 2027. The form
created by the department
must include fields for the disclosure of certain information regarding a dementia care facility's dementia care services, including the facility's:
Dementia training requirements for staff that are in addition to statutory training requirements;
Guidelines for using restraints; and
Security features and procedures for addressing the needs of residents with dementia.
The bill authorizes the department to
regularly
review the form and update it as needed
to ensure that the form facilitates the disclosure of the required information regarding dementia care services.
After creating or subsequently updating the form, the department must provide the form to every dementia care facility in the state.
The bill requires a dementia care facility to complete the form with responsive, accurate, and complete information regarding the facility's dementia care services. Beginning
July

October
1, 2027, every dementia care facility
must

shall
:
Provide its completed form to every individual who contacts the facility seeking dementia care services;
Review and update the form when a change in information occurs to ensure that the facility's information provided on the form is current, complete, and correct;
Publish the facility's current version of the completed form on the facility's website; and
At all times, maintain on the facility's premises and have available for inspection a copy of the facility's completed form with the facility's most current information and produce the form upon request by the department during a survey or inspection of the facility.

The bill establishes a facility's violation of the last itemized requirements regarding the form as a deceptive trade practice under the 'Colorado Consumer Protection Act'.

The bill requires the department to issue a citation to a facility that fails to maintain on its premises and have available for inspection its completed form, or that fails to produce the form upon request by the department during a survey or inspection.

The bill authorizes the department to adopt rules, as necessary, to implement the bill's requirements concerning the form; except that the rules adopted by the department must not exceed applicable national standards. The bill also authorizes the department to use money from the assisted living residence improvement cash fund for the purposes of creating the form and adopting related rules.

Currently, the department has the power to establish and maintain by rule a medication administration program in certain licensed or regulated facilities. Current law requires the department of human services, the behavioral health administration, the department of health care policy and financing, and the department of corrections to develop and conduct a medication administration program in certain types of residential, assisted living, and correctional facilities.

Sections 5 and 6

modify the definition of 'administration' to include administration of medication specifically by injection and allow a licensed practical nurse (LPN) or a certified nurse aide (CNA) to administer medication by injection as part of a medication administration program if the LPN or CNA receives education and training on administering medication by injection.

The bill requires the department, in consultation with the state board of nursing, to establish by rule the education and training required for an LPN or a CNA to obtain the authorization created by the bill to administer medication by injection. A facility may not require that a registered nurse be on site as a prerequisite to an LPN or CNA administering medication by injection.

The bill also adds all facilities and agencies licensed and regulated by the department to the list of specified facilities that can have a medication administration program.

Sections 2 and 3

modify the scope of practice for CNAs to include the administration of medication by injection as authorized under the bill.
(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Current Bill Text

Read the full stored bill text

Second Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REREVISED
This Version Includes All Amendments
Adopted in the Second House
LLS NO. 26-0237.01 Eden Rolland x2373 HOUSE BILL 26-1107
House Committees Senate Committees
Health & Human Services Health & Human Services
Finance
A BILL FOR AN ACT
CONCERNING MEASURES TO INCRE ASE ACCESS TO SERVICES IN101
FACILITIES THAT PROVIDE MEDICAL CARE.102
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov.)
Sections 1 and 4 of the bill establish information disclosure
requirements for a licensed facility that advertises, markets, promotes, or
offers services, including memory care services, for individuals with
dementia and dementia-related conditions, including Alzheimer's disease.
The bill refers to such a facility or agency as a "dementia care facility".
The bill requires the department of public health and environment
SENATE
3rd Reading Unamended
April 7, 2026
SENATE
2nd Reading Unamended
April 6, 2026
HOUSE
3rd Reading Unamended
March 12, 2026
HOUSE
Amended 2nd Reading
March 11, 2026
HOUSE SPONSORSHIP
Feret and Paschal, Bacon, Boesenecker, Brown, Duran, Hamrick, Lindsay, Marshall,
McCluskie, Nguyen, Rydin, Sirota, Story, Woodrow
SENATE SPONSORSHIP
Cutter, Coleman, Jodeh, Kipp, Lindstedt
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law.
(department), in consultation with the state long-term care ombudsman
or the ombudsman's designee, to create a dementia care services
information form (form) by January 1, 2027. The form must include fields
for the disclosure of certain information regarding a dementia care
facility's dementia care services, including the facility's:
! Dementia training requirements for staff that are in addition
to statutory training requirements;
! Guidelines for using restraints; and
! Security features and procedures for addressing the needs
of residents with dementia.
The bill authorizes the department to regularly review the form and
update it as needed. After creating or subsequently updating the form, the
department must provide the form to every dementia care facility in the
state.
The bill requires a dementia care facility to complete the form with
responsive, accurate, and complete information regarding the facility's
dementia care services. Beginning July 1, 2027, every dementia care
facility must:
! Provide its completed form to every individual who
contacts the facility seeking dementia care services;
! Review and update the form when a change in information
occurs to ensure that the facility's information provided on
the form is current, complete, and correct;
! Publish the facility's current version of the completed form
on the facility's website; and
! At all times, maintain on the facility's premises and have
available for inspection a copy of the facility's completed
form with the facility's most current information and
produce the form upon request by the department during a
survey or inspection of the facility.
The bill establishes a facility's violation of the last itemized
requirements regarding the form as a deceptive trade practice under the
"Colorado Consumer Protection Act".
Currently, the department has the power to establish and maintain
by rule a medication administration program in certain licensed or
regulated facilities. Current law requires the department of human
services, the behavioral health administration, the department of health
care policy and financing, and the department of corrections to develop
and conduct a medication administration program in certain types of
residential, assisted living, and correctional facilities.
Sections 5 and 6 modify the definition of "administration" to
include administration of medication specifically by injection and allow
a licensed practical nurse (LPN) or a certified nurse aide (CNA) to
administer medication by injection as part of a medication administration
program if the LPN or CNA receives education and training on
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administering medication by injection.
The bill requires the department, in consultation with the state
board of nursing, to establish by rule the education and training required
for an LPN or a CNA to obtain the authorization created by the bill to
administer medication by injection. A facility may not require that a
registered nurse be on site as a prerequisite to an LPN or CNA
administering medication by injection.
The bill also adds all facilities and agencies licensed and regulated
by the department to the list of specified facilities that can have a
medication administration program.
Sections 2 and 3 modify the scope of practice for CNAs to include
the administration of medication by injection as authorized under the bill.
Be it enacted by the General Assembly of the State of Colorado:1
2
SECTION 1. In Colorado Revised Statutes, add 25-1-124.3 as3
follows:4
25-1-124.3. Dementia care services - information disclosure5
form - requirements - assisted living residence improvement cash6
fund - rules - definitions.7
(1) Definitions. AS USED IN THIS SECTION, UNLESS THE CONTEXT8
OTHERWISE REQUIRES:9
(a) "DEMENTIA CARE FACILITY" OR "FACILITY" MEANS A FACILITY10
THAT IS LICENSED BY THE DEPARTMENT PURSUANT TO SECTION 25-1.5-10311
AND THAT OFFERS ON-SITE AND RESIDENTIAL SERVICES FOR INDIVIDUALS12
WITH DEMENTIA DISEASES AND RELATED DISABILITIES.13
(b) "D EMENTIA DISEASES AND RELATED DISABILITIES " OR14
"DEMENTIA" HAS THE MEANING SET FORTH IN SECTION 25-1-502 (2.5).15
(c) "FORM" MEANS THE DEMENTIA CARE SERVICES INFORMATION16
FORM CREATED BY THE DEPARTMENT PURSUANT TO SUBSECTION (2)(a) OF17
THIS SECTION.18
(d) "S TATE LONG-TERM CARE OMBUDSMAN " MEANS THE STATE19
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LONG-TERM CARE OMBUDSMAN ESTABLISHED PURSUANT TO ARTICLE 11.51
OF TITLE 26 OR THE STATE LONG-TERM CARE OMBUDSMAN'S DESIGNEE.2
(2) Dementia care services information form.3
(a) B Y JULY 1, 2027, THE DEPARTMENT SHALL CREATE A4
DEMENTIA CARE SERVICES INFORMATION FORM FOR DEMENTIA CARE5
FACILITIES TO COMPLETE AND DISTRIBUTE IN ACCORDANCE WITH6
SUBSECTION (3) OF THIS SECTION. THE FORM MUST INCLUDE FIELDS FOR7
THE DISCLOSURE OF INFORMATION REGARDING THE DEMENTIA CARE8
FACILITY'S SERVICES. AT A MINIMUM , THE FORM MUST INCLUDE FIELDS9
FOR EACH OF THE FOLLOWING ELEMENTS:10
(I) THE FACILITY'S REQUIREMENTS FOR DEMENTIA TRAINING FOR11
THE FACILITY'S STAFF THAT ARE IN ADDITION TO THE DEMENTIA TRAINING12
REQUIRED PURSUANT TO SECTION 25-1.5-118;13
(II) T HE FACILITY 'S GUIDELINES FOR USING PHYSICAL AND14
CHEMICAL RESTRAINTS IN THE COURSE OF PROVIDING CARE TO RESIDENTS15
LIVING WITH DEMENTIA;16
(III) T HE FACILITY 'S SECURITY FEATURES AND SECURITY17
PROCEDURES FOR ADDRESSING THE NEEDS OF RESIDENTS WITH DEMENTIA,18
INCLUDING WANDERING AND EMERGENCY RESPONSE;19
(IV) T HE CRITERIA AND PROCESSES THE FACILITY USES TO20
DETERMINE THE PLACEMENT , TRANSFER , OR DISCHARGE OF RESIDENTS21
LIVING WITH DEMENTIA;22
(V) A DESCRIPTION OF HOW THE FACILITY INVOLVES FAMILY23
MEMBERS IN THE ACTIVITIES AND CARE OF RESIDENTS LIVING WITH24
DEMENTIA;25
(VI) A DESCRIPTION OF HOW AND WHEN A RESIDENT'S AUTHORIZED26
REPRESENTATIVE IS NOTIFIED OF INCIDENTS OR CONCERNS , INCLUDING27
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MEDICAL CONCERNS, SAFETY CONCERNS, AND OTHER CONCERNS;1
(VII) A DESCRIPTION OF THE FACILITY 'S ON-SITE AND ON -CALL2
MEDICAL PROFESSIONALS;3
(VIII) A STATEMENT IDENTIFYING SOURCES, INCLUDING A LINK TO4
THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES ' "CARE5
COMPARE" WEBSITE, OR ANY SUCCESSOR WEBSITE, THAT AN INDIVIDUAL6
MAY CONSULT TO FIND INFORMATION ABOUT:7
(A) PAST ENFORCEMENT ACTIONS OR COMPLAINTS, IF ANY, THAT8
RESULTED IN THE DEPARTMENT ISSUING WARNINGS OR FINES; AND9
(B) T HE HEALTH -CARE COVERAGE PAYER SOURCES THAT THE10
FACILITY ACCEPTS, INCLUDING WHETHER THE FACILITY ACCEPTS PAYMENT11
FROM PRIVATE INSURANCE PLANS, THROUGH MEDICAID, OR THROUGH THE12
UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; AND13
(IX) A N EXPLANATION OF THE FACILITY 'S FEE MODEL. THE14
EXPLANATION MUST INCLUDE DETAILS ABOUT WHEN AND HOW A RESIDENT15
AND THE RESIDENT'S AUTHORIZED REPRESENTATIVE WILL BE NOTIFIED OF16
ANY CHANGE TO THE FEES.17
18
(b) T HE DEPARTMENT SHALL CREATE THE FORM DESCRIBED IN19
SUBSECTION (2)(a) OF THIS SECTION IN CONSULTATION WITH THE STATE20
LONG-TERM CARE OMBUDSMAN. THE DEPARTMENT MAY CONSULT WITH21
ANY OTHER STATE DEPARTMENT OR ORGANIZATION AS THE DEPARTMENT22
DEEMS NECESSARY.23
(c) T HE DEPARTMENT MAY REVIEW AND UPDATE THE FORM TO24
ENSURE THAT THE FORM FACILITATES THE DISCLOSURE OF THE25
INFORMATION SPECIFIED IN SUBSECTION (2)(a) OF THIS SECTION.26
(d) AS SOON AS PRACTICABLE AFTER CREATING OR UPDATING THE27
1107-5-
FORM PURSUANT TO THIS SUBSECTION (2), THE DEPARTMENT SHALL1
PROVIDE THE FORM OR THE MOST RECENTLY UPDATED VERSION OF THE2
FORM TO EVERY DEMENTIA CARE FACILITY. 3
(e) T HE DEPARTMENT MAY ADOPT RULES AS NECESSARY TO4
IMPLEMENT THIS SECTION.5
(f) THE DEPARTMENT MAY USE MONEY FROM THE ASSISTED LIVING6
RESIDENCE IMPROVEMENT CASH FUND, CREATED IN SECTION 25-27-1067
(2)(b)(IV), FOR THE PURPOSES OF CREATING THE FORM IN ACCORDANCE8
WITH THIS SUBSECTION (2) AND ADOPTING RULES RELATED TO THE FORM.9
(2.5) THE RULES ADOPTED BY THE DEPARTMENT IN ACCORDANCE10
WITH THIS SECTION SHALL NOT EXCEED APPLICABLE NATIONAL11
STANDARDS.12
(3) Duty to distribute dementia care information.13
(a) A DEMENTIA CARE FACILITY SHALL COMPLETE THE DEMENTIA14
CARE SERVICES INFORMATION FORM CREATED OR UPDATED BY THE15
DEPARTMENT PURSUANT TO SUBSECTION (2) OF THIS SECTION WITH16
RESPONSIVE, ACCURATE, AND COMPLETE INFORMATION REGARDING THE17
FACILITY'S DEMENTIA CARE SERVICES.18
(b) B EGINNING OCTOBER 1, 2027, A DEMENTIA CARE FACILITY19
SHALL:20
(I) PROVIDE THE FACILITY'S COMPLETED DEMENTIA CARE SERVICES21
INFORMATION FORM TO AN INDIVIDUAL WHO CONTACTS THE FACILITY22
SEEKING DEMENTIA CARE SERVICES, WHETHER THE INDIVIDUAL IS SEEKING23
DEMENTIA CARE SERVICES FOR THEMSELF, FOR A FAMILY MEMBER, OR FOR24
SOMEONE WHO IS NOT A FAMILY MEMBER;25
(II) R EVIEW THE FORM WHEN THE FACILITY 'S INFORMATION26
CHANGES, AND NO LESS THAN ONCE EVERY FIVE YEARS, TO ENSURE THAT27
1107-6-
THE INFORMATION PROVIDED ON THE FORM IS CURRENT, COMPLETE, AND1
CORRECT;2
(III) UPDATE THE FACILITY'S INFORMATION ON THE FORM AS SOON3
AS PRACTICABLE AFTER A CHANGE TO THE INFORMATION OCCURS;4
(IV) PUBLISH THE CURRENT VERSION OF THE COMPLETED FORM ON5
THE FACILITY'S PUBLIC-FACING WEBSITE; AND6
(V) AT ALL TIMES, MAINTAIN ON THE FACILITY 'S PREMISES AND7
HAVE AVAILABLE FOR INSPECTION A COPY OF THE FACILITY'S COMPLETED8
FORM WITH THE FACILITY'S MOST CURRENT INFORMATION AND PRODUCE9
THE FORM UPON REQUEST BY THE DEPARTMENT DURING A SURVEY OR10
INSPECTION OF THE FACILITY.11
(4) Regulatory oversight and enforcement.12
(a) THE DEPARTMENT SHALL REQUIRE A DEMENTIA CARE FACILITY13
TO MAINTAIN AND HAVE AVAILABLE FOR INSPECTION A COPY OF THE14
FACILITY'S CURRENT AND COMPLETED FORM DESCRIBED IN SUBSECTION15
(3)(b)(V) OF THIS SECTION.16
(b) DURING EACH SURVEY OR INSPECTION OF A DEMENTIA CARE17
FACILITY, THE DEPARTMENT SHALL REQUIRE THE FACILITY TO PRODUCE18
FOR INSPECTION THE FACILITY 'S CURRENT FORM , COMPLETED AND19
UPDATED IN ACCORDANCE WITH SUBSECTION (3)(b)(V) OF THIS SECTION. 20
(c) IF A FACILITY VIOLATES SUBSECTION (3)(b)(V) OF THIS SECTION21
OR DOES NOT PRODUCE THE FACILITY'S CURRENT FORM UPON A REQUEST22
MADE BY THE DEPARTMENT PURSUANT TO SUBSECTION (4)(b) OF THIS23
SECTION, THE DEPARTMENT SHALL ISSUE A CITATION TO THE FACILITY.24
25
SECTION 2. In Colorado Revised Statutes, 25-27-106, amend26
(2)(b)(V) introductory portion, (2)(b)(V)(G), and (2)(b)(V)(H); and add27
1107-7-
(2)(b)(V)(I) as follows:1
25-27-106. License denial, suspension, or revocation.2
(2) (b) (V) Civil fines collected pursuant to this paragraph (b)3
SUBSECTION (2)(b) shall be used for expenses related to:4
(G) Closing a residence; or5
(H) Reimbursing residents for personal funds lost, as determined6
necessary by the department; OR7
(I) CREATING A DEMENTIA CARE SERVICES INFORMATION FORM8
AND ADOPTING RULES RELATED TO THE FORM , PURSUANT TO SECTION9
25-1-124.3 (2).10
SECTION 3. Act subject to petition - effective date. This act11
takes effect at 12:01 a.m. on the day following the expiration of the12
ninety-day period after final adjournment of the general assembly13
(August 12, 2026, if adjournment sine die is on May 13, 2026); except14
that, if a referendum petition is filed pursuant to section 1 (3) of article15
V of the state constitution against this act or an item, section, or part of16
this act within such period, then the act, item, section, or part will not17
take effect unless approved by the people at the general election to be18
held in November 2026 and, in such case, will take effect on the date of19
the official declaration of the vote thereon by the governor.20
1107-8-