HB26-1147 • 2026

Host Home for People with Intellectual & Developmental Disabilities

The bill requires the department of health care policy and financing (HCPF) to establish and the department of public health and environment (CDPHE) to utilize risk criteria to identify certain servic

Passed Legislature

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

Sponsor: Rep. K. Brown, Sen. L. Cutter
Last action: 2026-03-04
Official status: House Committee on Health & Human Services Refer Amended to Appropriations
Effective date: Not listed

Plain English Breakdown

Checked against official source text during the last sync.

Rules for Host Homes for People with Disabilities

This bill sets up rules to make sure host homes that care for people with intellectual and developmental disabilities are safe and well-run.

What This Bill Does

Requires the Department of Health Care Policy and Financing (HCPF) to create risk criteria for service agencies that run host homes.
Requires the Department of Public Health and Environment (CDPHE) to use these risk criteria to decide which service agencies need more frequent inspections.
Creates a statewide database with information about host homes, their providers, and associated service agencies. This database must be accessible by HCPF, CDPHE, host home providers, and the public.
Requires HCPF to make a complaint form available on its website for people to report issues with host homes electronically.
Establishes a process for tracking complaints about host homes and keeping records of these complaints.

Who It Names or Affects

People who run or work at service agencies that manage host homes.
Individuals living in host homes and their families.
The Department of Health Care Policy and Financing (HCPF) and the Department of Public Health and Environment (CDPHE).

Terms To Know

Host Home: A private home that provides care for up to three people with intellectual or developmental disabilities.
Service Agency: An organization approved by the state to oversee and support host homes, ensuring they meet health, safety, and quality standards.

Limits and Unknowns

The bill does not specify how often inspections will be conducted for service agencies with different risk ratings.
It is unclear what specific information will be included in the complaint tracking process beyond the requirement to track status and related records.

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 requires the Department of Health Care Policy and Financing to establish a statewide database for tracking individual residential services and supports settings, including host homes, to enhance transparency and ensure compliance with health, safety, and quality standards.

Requires the establishment of a statewide database by the Department of Health Care Policy and Financing to track information about individual residential services and supports settings, such as host homes.
Specifies that service provider agencies must submit regular updates to this database starting July 1, 2026.
Establishes quarterly updates to the database by the state department beginning August 1, 2026.

The exact details of how information will be shared and used in the database are not fully specified in this amendment text.

L.002

HOU Health & Human Services

Passed [*]

Plain English: The amendment adds definitions and regulations for independent residential support services and individual residential services and supports in Colorado, ensuring they are treated as regular residential properties under local laws.

Adds a new definition (21.5) for 'Individual Residential Services and Supports' to the Colorado Revised Statutes.
Modifies existing definitions to include 'Independent Residential Support Services', which refers to community living situations providing services to up to three people with intellectual and developmental disabilities without requiring state licensing.
Updates section 25.5-10-214 of the statutes to clarify that individual residential services and supports do not need licensure by the Department of Public Health and Environment, and must be treated as regular residential properties under local regulations.

The amendment text does not provide specific details on how these new definitions will affect existing laws or policies beyond what is stated.

Bill History

2026-03-04 House
House Committee on Health & Human Services Refer Amended to Appropriations
2026-02-04 House
Introduced In House - Assigned to Health & Human Services

Official Summary Text

The bill requires the department of health care policy and financing (HCPF) to establish and the department of public health and environment (CDPHE) to utilize risk criteria to identify certain service agencies to survey.

The bill requires CDPHE to prioritize surveys at service agencies that have a higher risk rating based on the risk criteria established by HCPF.

The bill requires HCPF to establish a statewide database containing information about host homes and their associated service agencies. The database must be made available and accessible by host home providers, service agencies, and CDPHE and must be made available for viewing by the public.

The bill requires HCPF to make a complaint form publicly available on its website for use by the public and requires the website to allow a person to submit a complaint electronically.

The bill requires HCPF to establish a process for tracking the status of each complaint filed and any records associated with that complaint.
(Note: This summary applies to this bill as introduced.)

Current Bill Text

Read the full stored bill text

Second Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
INTRODUCED

LLS NO. 26-0414.01 Chelsea Princell x4335 HOUSE BILL 26-1147
House Committees Senate Committees
Health & Human Services
A BILL FOR AN ACT
CONCERNING PROCESSES RELATED TO HOST HOMES FOR INDIVIDUALS101
WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.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.)
The bill requires the department of health care policy and
financing (HCPF) to establish and the department of public health and
environment (CDPHE) to utilize risk criteria to identify certain service
agencies to survey.
The bill requires CDPHE to prioritize surveys at service agencies
that have a higher risk rating based on the risk criteria established by
HOUSE SPONSORSHIP
Brown,
SENATE SPONSORSHIP
Cutter,
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.
HCPF.
The bill requires HCPF to establish a statewide database
containing information about host homes and their associated service
agencies. The database must be made available and accessible by host
home providers, service agencies, and CDPHE and must be made
available for viewing by the public.
The bill requires HCPF to make a complaint form publicly
available on its website for use by the public and requires the website to
allow a person to submit a complaint electronically.
The bill requires HCPF to establish a process for tracking the
status of each complaint filed and any records associated with that
complaint.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add 25-1-139 as2
follows:3
25-1-139. Use of risk criteria for conducting surveys of host4
homes - rules - definitions.5
(1) AS USED IN THIS SECTION , UNLESS THE CONTEXT OTHERWISE6
REQUIRES:7
(a) "H OST HOME " HAS THE MEANING SET FORTH IN SECTION8
25.5-6-414.9
(b) "H OST HOME PROVIDER " HAS THE MEANING SET FORTH IN10
SECTION 25.5-6-414.11
(c) "SERVICE AGENCY" HAS THE MEANING SET FORTH IN SECTION12
25.5-6-414.13
(2) T HE DEPARTMENT SHALL SURVEY SERVICE AGENCIES . THE14
DEPARTMENT SHALL , IN CONSULTATION WITH THE DEPARTMENT OF15
HEALTH CARE POLICY AND FINANCING , UTILIZE THE RISK CRITERIA16
ESTABLISHED IN SECTION 25.5-6-414 TO DETERMINE HOW FREQUENTLY TO17
SURVEY SERVICE AGENCIES.18
(3) T HE DEPARTMENT SHALL , IN CONSULTATION WITH THE19
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DEPARTMENT OF HEALTH CARE POLICY AND FINANCING AND1
STAKEHOLDERS, DETERMINE WHAT CONSTITUTES A HIGHER RISK RATING2
AND A LOWER RISK RATING BASED ON THE HOST HOME RISK CRITERIA3
DETAILED IN SECTION 25.5-6-414.4
(4) THE DEPARTMENT SHALL PRIORITIZE CONDUCTING SURVEYS AT5
SERVICE AGENCIES THAT HAVE A HIGHER RISK RATING BASED ON THE RISK6
CRITERIA DETAILED IN SECTION 25.5-6-414. SERVICE AGENCIES WITH A7
HIGHER RISK RATING MUST CONTINUE TO BE PRIORITIZED UNTIL THEY8
MAINTAIN A LOWER RISK RATING FOR AT LEAST TWO CONSECUTIVE9
SURVEY CYCLES.10
(5) SERVICE AGENCIES WITH A LOWER RISK RATING MAY UNDERGO11
LESS FREQUENT SURVEYS IN ORDER TO ACCOMMODATE THE DEPARTMENT12
CONDUCTING MORE FREQUENT SURVEYS AT SERVICE AGENCIES WITH13
HIGHER RISK RATINGS.14
(6) T HE DEPARTMENT SHALL , IN CONSULTATION WITH THE15
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING , REVIEW THE16
SELECTION CRITERIA USED TO SELECT HOST HOMES FOR SITE VISITS17
DURING SURVEYS TO ENSURE THAT A DIVERSE SAMPLE OF HOST HOMES IS18
SELECTED.19
SECTION 2. In Colorado Revised Statutes, add 25.5-6-414 as20
follows:21
25.5-6-414. Host homes for persons with intellectual and22
developmental disabilities - statewide database - risk criteria -23
complaint process - rules - definitions.24
(1) AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE25
REQUIRES:26
(a) "H OST HOME " MEANS A PRIVATE RESIDENTIAL HOME THAT27
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HOUSES UP TO THREE PERSONS WITH INTELLECTUAL AND DEVELOPMENTAL1
DISABILITIES AND WHOSE OWNER OR RENTER PROVIDES RESIDENTIAL2
SERVICES, AS DESCRIBED IN SECTION 25.5-10-206 (1)(e), TO THOSE3
PERSONS AS AN INDEPENDENT CONTRACTOR OF A SERVICE AGENCY , AS4
DEFINED IN SUBSECTION (1)(c) OF THIS SECTION.5
(b) "H OST HOME PROVIDER " MEANS AN INDIVIDUAL OR ENTITY6
THAT OPERATES A HOST HOME.7
(c) "SERVICE AGENCY" MEANS AN ORGANIZATION APPROVED BY8
THE STATE DEPARTMENT TO PROVIDE OVERSIGHT AND SUPPORT TO A HOST9
HOME TO ENSURE THAT THE HOST HOME AND HOST HOME PROVIDER MEET10
STATE STANDARDS FOR HEALTH, SAFETY, AND QUALITY OF CARE.11
(2) (a) THE STATE DEPARTMENT SHALL ESTABLISH A STATEWIDE12
DATABASE TO ENHANCE THE TRANSPARENCY OF COLORADO'S HOST HOME13
NETWORK. THE PURPOSE OF THE STATEWIDE DATABASE IS TO PROVIDE14
ACCURATE INFORMATION ABOUT HOST HOMES AND THEIR ASSOCIATED15
SERVICE AGENCIES.16
(b) THE DATABASE IS FOR USE BY THE STATE DEPARTMENT , THE17
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT , HOST HOME18
PROVIDERS, AND SERVICE AGENCIES, BUT MUST BE MADE AVAILABLE FOR19
THE PUBLIC TO VIEW.20
(c) THE DATABASE MUST INCLUDE THE FOLLOWING INFORMATION21
FOR EACH HOST HOME:22
(I) T HE NAME AND CONTACT INFORMATION OF THE HOST HOME23
PROVIDER;24
(II) T HE REGION OF THE STATE WHERE THE HOST HOME IS25
LOCATED;26
(III) THE NAME OF EACH SERVICE AGENCY THAT THE HOST HOME27
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IS CURRENTLY CONTRACTED WITH AND THE SERVICE AGENCY'S CONTACT1
INFORMATION; AND2
(IV) THE NAME OF EACH SERVICE AGENCY THAT THE HOST HOME3
CONTRACTED WITH IN THE PREVIOUS FIVE YEARS AND EACH SERVICE4
AGENCY'S CONTACT INFORMATION.5
(d) B EGINNING JULY 1, 2026, AND QUARTERLY THEREAFTER , A6
HOST HOME PROVIDER SHALL SUBMIT THE INFORMATION DETAILED IN7
SUBSECTION (2)(c) OF THIS SECTION TO THE STATE DEPARTMENT.8
(e) BEGINNING AUGUST 1, 2026, AND QUARTERLY THEREAFTER,9
THE STATE DEPARTMENT SHALL UPDATE THE DATABASE TO ACCURATELY10
REFLECT THE INFORMATION SUBMITTED BY A HOST HOME, AS REQUIRED BY11
SUBSECTION (2)(d) OF THIS SECTION.12
(3) THE STATE DEPARTMENT SHALL ADOPT RULES DETAILING HOST13
HOME RISK CRITERIA FOR SERVICE AGENCY SURVEYS CONDUCTED14
PURSUANT TO SECTION 25-1-139. AT A MINIMUM, THE RISK CRITERIA MUST15
ACCOUNT FOR:16
(a) THE LENGTH OF TIME A SERVICE AGENCY HAS BEEN OPERATING;17
(b) A SERVICE AGENCY 'S COMPLIANCE RECORD DURING PAST18
SURVEYS, WITH AN EMPHASIS ON DEFICIENCIES IMPACTING HEALTH AND19
SAFETY;20
(c) COMPLAINTS MADE AGAINST A SERVICE AGENCY OR ITS HOST21
HOME PROVIDERS; AND22
(d) WHETHER A SERVICE AGENCY IS CONTRACTING WITH A HOST23
HOME PROVIDER THAT WAS PREVIOUSLY TERMINATED BY ANOTHER24
SERVICE AGENCY FOR HEALTH, SAFETY, OR WELFARE CONCERNS.25
(4) (a) T HE STATE DEPARTMENT SHALL ESTABLISH A PROCESS26
THAT AN AGGRIEVED PARTY BEING SERVED AT A HOST HOME , OR THE27
HB26-1147-5-
AGGRIEVED PARTY'S LEGAL REPRESENTATIVE, MAY UTILIZE TO SUBMIT TO1
THE STATE DEPARTMENT A COMPLAINT AGAINST A HOST HOME.2
(b) T HE STATE DEPARTMENT SHALL MAKE THE FOLLOWING3
PUBLICLY AVAILABLE ON ITS WEBSITE:4
(I) A COMPLAINT FORM FOR USE BY AN AGGRIEVED PARTY BEING5
SERVED AT A HOST HOME , OR THE AGGRIEVED PARTY 'S LEGAL6
REPRESENTATIVE;7
(II) A MECHANISM FOR THE AGGRIEVED PARTY, OR THE AGGRIEVED8
PARTY'S LEGAL REPRESENTATIVE, TO SUBMIT A COMPLETED COMPLAINT9
FORM; AND10
(III) A STATEMENT THAT AN INDIVIDUAL CANNOT BE RETALIATED11
AGAINST FOR SUBMITTING A COMPLAINT AGAINST A HOST HOME.12
(c) T HE STATE DEPARTMENT SHALL ESTABLISH A PROCESS TO13
TRACK THE STATUS OF EACH COMPLAINT AND RECORDS RELATED TO EACH14
COMPLAINT SUBMITTED AGAINST A HOST HOME.15
(5) THE STATE DEPARTMENT MAY ADOPT RULES, AS NECESSARY,16
TO CARRY OUT THE REQUIREMENTS OF THIS SECTION.17
SECTION 3. Safety clause. The general assembly finds,18
determines, and declares that this act is necessary for the immediate19
preservation of the public peace, health, or safety or for appropriations for20
the support and maintenance of the departments of the state and state21
institutions.22
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