Back to Colorado

SB26-007 • 2026

Medical Marijuana Use in Health Facilities

The act permits a health facility to allow patients who are terminally ill and who are registered in the state's medical marijuana program to use medical marijuana within the health facility, subject

Healthcare Labor
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Sen. K. Mullica, Rep. L. Feret, Rep. S. Lieder, Sen. J. Coleman, Sen. L. Cutter, Sen. N. Hinrichsen, Sen. J. Marchman, Rep. J. Bacon, Rep. A. Boesenecker, Rep. M. Carter, Rep. M. Duran, Rep. M. Froelich, Rep. R. Gonzalez, Rep. E. Hamrick, Rep. M. Lindsay, Rep. K. Nguyen, Rep. J. Phillips, Rep. M. Rutinel
Last action
2026-03-30
Official status
Governor Signed
Effective date
Not listed

Plain English Breakdown

The effective date of the law is not specified in the provided official source material.

Medical Marijuana Use in Health Facilities

This law allows health facilities to permit terminally ill patients who are registered in the state's medical marijuana program to use medical marijuana within the facility, under certain conditions.

What This Bill Does

  • Allows health facilities to let terminally ill patients use medical marijuana if they are part of the state’s medical marijuana program.
  • Requires health facilities to document a patient's medical marijuana usage and registration in their medical records.
  • Health facilities must develop guidelines for using, storing, and administering medical marijuana safely within the facility.
  • Protects health facilities from liability when following these rules unless they act negligently or recklessly.
  • Exempts health facilities from state licensing requirements if compliance with this law would violate federal laws or cause them to lose funding.

Who It Names or Affects

  • Health facilities that care for terminally ill patients registered in the medical marijuana program
  • Terminally ill patients who are part of the state’s medical marijuana program

Terms To Know

Health Facility
A place licensed or certified to provide healthcare services.
Terminally Ill
Having a disease that cannot be cured and will lead to death.

Limits and Unknowns

  • The law does not require health facilities to allow medical marijuana use on their premises.
  • Health facilities can suspend compliance if federal regulations prohibit it or cause them to lose funding.

Amendments

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

L.001

SEN Health & Human Services

Passed [*]

Plain English: The amendment adds a new section to the bill that says health facilities do not have to store or handle medical marijuana for patients.

  • Health facilities are not required to store, secure, inventory, dispense, label, document, or otherwise handle medical marijuana for patients.
  • The amendment does not specify what happens if a patient needs help with using their medical marijuana while in the health facility.
L.002

SEN Health & Human Services

Passed [*]

Plain English: The amendment adds a section that allows health facilities to avoid following certain rules about medical marijuana if doing so would break state laws, lose federal funding, or violate other important requirements.

  • Health facilities are not required to follow the new rule allowing medical marijuana use for terminally ill patients if compliance would result in breaking state laws.
  • Health facilities can avoid following the rule if it means losing federal funding to either the state or the facility itself.
  • The amendment states that health facilities do not have to comply with the rule if doing so would mean they are not meeting conditions of participation in federal Medicare or Medicaid programs.
  • Health facilities are exempt from compliance if it leads to noncompliance with accreditation or licensing requirements.
  • The amendment does not specify which state laws, federal funding sources, or other requirements might be affected by the new rule on medical marijuana use in health facilities.
L.003

SEN Health & Human Services

Passed [*]

Plain English: The amendment allows health facilities to choose whether or not to permit the use of medical marijuana by terminally ill patients who are registered in the state's program, and clarifies that they are not required to do so.

  • Changes 'SHALL' to 'MAY', allowing health facilities to decide if they will allow medical marijuana use within their premises.
  • Adds a new section stating that health facilities are not required to permit the possession, use, administration, or storage of medical marijuana.
  • The amendment does not specify what criteria health facilities must follow when deciding whether to allow medical marijuana use.
L.004

SEN Health & Human Services

Passed [*]

Plain English: The amendment changes the language in the bill to include more actions related to medical marijuana and adds protections for health facilities that follow specific guidelines.

  • Changes 'USE' to 'POSSESSION, USE, ADMINISTRATION, AND STORAGE'
  • Replaces 'STORE AND USE' with 'POSSESS, USE, ADMINISTER, AND STORE'
  • Adds a new section (b) which protects health facilities and their employees from liability when they prohibit or restrict medical marijuana according to written guidelines.
  • The exact details of the written guidelines mentioned in the amendment are not provided.
L.005

Second Reading

Lost [**]

Plain English: This amendment allows health facilities to create rules that ban the use of medical marijuana on their property without facing legal consequences for discrimination or licensing violations.

  • Health facilities can now make and enforce policies that stop patients from using, possessing, administering, or storing medical marijuana within the facility's grounds.
  • The amendment does not specify what happens if a health facility chooses to allow medical marijuana use; it only addresses prohibition.
  • It is unclear how this policy will affect existing laws and regulations regarding medical marijuana in other settings outside of health facilities.

Bill History

  1. 2026-03-30 Governor

    Governor Signed

  2. 2026-03-18 Governor

    Sent to the Governor

  3. 2026-03-18 House

    Signed by the Speaker of the House

  4. 2026-03-17 Senate

    Signed by the President of the Senate

  5. 2026-03-10 House

    House Third Reading Passed - No Amendments

  6. 2026-03-09 House

    House Second Reading Special Order - Passed - No Amendments

  7. 2026-03-04 House

    House Committee on Health & Human Services Refer Unamended to House Committee of the Whole

  8. 2026-02-19 House

    Introduced In House - Assigned to Health & Human Services

  9. 2026-02-19 Senate

    Senate Third Reading Passed - No Amendments

  10. 2026-02-18 Senate

    Senate Second Reading Passed with Amendments - Committee

  11. 2026-02-12 Senate

    Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole

  12. 2026-01-14 Senate

    Introduced In Senate - Assigned to Health & Human Services

Official Summary Text

The act permits a health facility to allow patients who are terminally ill and who are registered in the state's medical marijuana program to use medical marijuana within the health facility, subject to certain parameters. The act requires a health facility that allows such use to document the patient's medical marijuana program registration and medical marijuana usage in the patient's medical records and develop guidelines for and impose restrictions on the possession, usage, storage, and administration of medical marijuana to ensure the safety of others, safe facility operations, and compliance with other laws. A health facility is not required to handle medical marijuana for a patient.
The act prohibits the department of public health and environment (department) from requiring compliance with the act as a condition for a health facility to obtain or renew a license or certification that it is required to carry to operate as a health facility. Additionally, the act prohibits the department from requiring compliance if compliance would result in a violation of state law, a loss of federal funding, noncompliance with the federal medicare or medicaid programs, or noncompliance with accreditation or licensing requirements. Lastly, the act allows a health facility to suspend compliance with the act's provisions in the event that, and only as long as, a listed federal entity takes an action that requires the health facility to suspend its compliance with the act.
(Note: This summary applies to this bill as enacted.)

Current Bill Text

Read the full stored bill text
SENATE BILL 26-007
BY SENATOR(S) Mullica, Cutter, Hinrichsen, Marchman, Coleman;
also REPRESENTATIVE(S) Lieder and Feret, Bacon, Boesenecker, Carter,
Duran, Froelich, Gonzalez R., Hamrick, Lindsay, Nguyen, Phillips, Rutinel.
CONCERNING THE USE OF MEDICAL MARIJUANA BY TERMINALLY ILL
PATIENTS IN HEALTH FACILITIES.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. In Colorado Revised Statutes, add 25-1.5-106.1 as
follows:
25-1.5-106.1. Medical marijuana use in health facilities -short
title -definitions.
( 1) Short title. THE SHORT TITLE OF THIS SECTION IS "RYAN'S LA w".
(2) Definitions.
(a) IN ADDITION TO THE DEFINITIONS SET FORTH IN SECTION 14 (l)OF
ARTICLE XVIII OF THE ST A TE CONSTITUTION AND IN SECTION 25-1.5-106 (2),
AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES:
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act.
(I) "HEALTH FACILITY" MEANS A FACILITY LICENSED OR CERTIFIED
PURSUANT TO SECTION 25-1.5-103 (1) OR ARTICLE 3 OF THIS TITLE 25.
(II) "TERMINALLY ILL" OR "TERMINAL ILLNESS" HAS THE MEANING
SET FORTH IN SECTION 25-45-103 (3).
(b) DEFINITIONS IN SECTION 25-1.5-106 (2) APPLY TO TERMS AS THEY
ARE USED IN THIS SECTION.
(3) WHEN A PATIENT WHO IS REGISTERED WITH THE MEDICAL
MARIJUANA PROGRAM, PURSUANT TO SECTION 14 OF ARTICLE XVIII OF THE
ST ATE CONSTITUTION, HAS A TERMINAL ILLNESS AND IS CHECKED IN TO OR
RESIDING AT A HEALTH FACILITY, THE HEALTH FACILITY MAY ALLOW THE
PATIENT TO USE MEDICAL MARIJUANA IN A MANNER THAT:
(a) DOES NOT INVOLVE SMOKING OR VAPING;
(b) Is IN ACCORDANCE WITH THE PATIENT'S PRESCRIPTION OR
PHYSICIANRECOMMENDATIONMADEPURSUANTTOSECTION25-l.5-106(5);
AND
( c) Is IN ACCORDANCE WITH SECTION 14 OF ARTICLE XVIII OF THE
STATE CONSTITUTION.
(4) A HEALTH FACILITY THAT ALLOWS A PATIENT TO USE MEDICAL
MARIJUANA PURSUANT TO SUBSECTION (3) OF THIS SECTION SHALL:
(a) REQUIRE THE PATIENT OR THE PATIENT'S CAREGIVER TO PROVIDE
A COPY OF THE PATIENT'S VALID REGISTRY IDENTIFICATION CARD;
(b) DOCUMENT THE PATIENT'S MEDICAL MARIJUANA PROGRAM
REGISTRATION AND MEDICAL MARIJUANA USAGE IN THE PATIENT'S MEDICAL
RECORDS;
( c) DEVELOP AND DISSEMINATE WRITTEN GUIDELINES FOR THE
POSSESSION, USE, ADMINISTRATION, AND STORAGE OF MEDICAL MARIJUANA
WITHIN THE HEALTH FACILITY; AND
( d) REASONABLY RESTRICT THE MANNER IN WHICH A PATIENT MAY
PAGE 2-SENATE BILL 26-007
POSSESS, USE, ADMINISTER, AND STORE MEDICAL MARIJUANA, INCLUDING
REQUIRING MEDICAL MARIJUANA TO BE STORED IN A LOCKED CONTAINER, TO
ENSURE:
(I) THE SAFETY OF THE HEALTH FACILITY'S OTHER PATIENTS, GUESTS,
AND EMPLOYEES;
(11) THE SAFE OPERATIONS OF THE HEAL TH FACILITY; AND
(III) COMPLIANCE WITH OTHER STATE LAWS.
(5) A HEALTH FACILITY IS NOT REQUIRED TO STORE, SECURE,
INVENTORY, DISPENSE, LABEL, DOCUMENT, OR OTHERWISE HANDLE MEDICAL
MARIJUANA FORA PATIENT.
( 6) (a) A HEALTH FACILITY AND ITS EMPLOYEES ARE NOT LIABLE FOR
CONDUCT PERFORMED IN COMPLIANCE WITH THIS SECTION, SECTION 14 OF
ARTICLE XVIII OF THE STATE CONSTITUTION, AND THE HEALTH FACILITY'S
GUIDELINES UNLESS SUCH CONDUCT IS PERFORMED NEGLIGENTLY OR
RECKLESSLY.
(b) A HEALTH FACILITY, ITS EMPLOYEES, AND ITS AGENTS ARE NOT
SUBJECT TO CIVIL, CRIMINAL, ADMINISTRATIVE, OR EMPLOYMENT LIABILITY
FOR PROHIBITING OR RE STRICTING THE POSSESSION, USE, ADMINISTRATION,
OR STORAGE OF MEDICAL MARIJUANA IN ACCORDANCE WITH THE WRITTEN
GUIDELINES DEVELOPED BY THE HEAL TH FACILITY PURSUANT TO
SUBSECTION ( 4 )( C) OF THIS SECTION.
(7) THE DEPARTMENT SHALL NOT REQUIRE COMPLIANCE WITH THIS
SECTION AS A CONDITION TO OBTAIN, RETAIN, OR RENEW A LICENSE OR
CERTIFICATION THAT IS REQUIR E D FOR A HEALTH FACILITY TO OPERATE
PURSUANT TO SECTION 25-1.5-103.
(8) (a) A HEALTH FACILITY MAY SUSPEND COMPLIANCE WITH THIS
SECTION IF A FEDERAL REGULATORY AGENCY, THE FEDERAL CENTERS FOR
MEDICARE AND MEDICAID SERVICES, OR THE UNITED STATES DEPARTMENT
OF JUSTICE:
(I) INITIATES AN ENFORCEMENT ACTION AGAINST THE HEAL TH
FACILITY RELATED TO THE HEALTH FACILITY'S COMPLIANCE WITH THE
PAGE 3-SENATE BILL 26-007
MEDICAL MARIJUANA PROGRAM;
(II) ISSUES A REGULATION OR OTHER WISE PROVIDES NOTIFICATION
TO THE HEALTH FACILITY THAT EXPRESSLY PROHIBITS THE USE OF MEDICAL
MARIJUANA IN HEALTH FACILITIES; OR
(III) AFFIRMATIVELY PROHIBITS COMPLIANCE WITH THE MEDICAL
MARIJUANA PROGRAM.
(b) A HEAL TH FACILITY THAT HAS SUSPENDED COMPLIANCE WITH
THIS SECTION PURSUANT TO SUBSECTION (8)(a) OF THIS SECTION SHALL
RESUME COMPLIANCE WITH THIS SECTION UPON NOTIFICATION THAT IT MAY
DO SO FROM THE FEDERAL ENTITY THAT CAUSED THE SUSPENSION.
(9) THE DEPARTMENT SHALL NOT REQUIRE A HEALTH FACILITY TO
COMPLY WITH THIS SECTION IF SUCH COMPLIANCE WOULD RESULT IN:
(a) A VIOLATION OF STATE LAW;
(b) THE LOSS OF FEDERAL FUNDING TO THE STATE OR TO THE HEAL TH
FACILITY;
( c) NONCOMPLIANCE BY THE HEALTH FACILITY WITH CONDITIONS OF
PARTICIPATION IN THE FEDERAL MEDICARE OR MEDICAID PROGRAMS; OR
(d) NONCOMPLIANCE BY THE HEALTH FACILITY WITH ANY
ACCREDITATION OR LICENSING REQUIREMENTS.
( 10) THIS SECTION DOES NOT REQUIRE A HEALTH FACILITY TO PERMIT
THE POSSESSION, USE, ADMINISTRATION, OR STORAGE OF MEDICAL
MARIJUANA ON THE PREMISES OF THE HEALTH FACILITY.
SECTION 2. In Colorado Revised Statutes, 25-1.5-106, amend (2)
introductory portion as follows:
25-1.5-106. Medical marijuana program -powers and duties of
state health agency - rules - enforcement - fees - medical marijuana
program cash fund -subaccount- "Ethan's Law" -definitions -repeal.
(2) Definitions. In addition to the definitions set forth in section 14
PAGE 4-SENATE BILL 26-007
( 1) of article XVIII of the state constitution, as used in this section AND IN
SECTION 25-1.5-106.1, unless the context otherwise requires:
SE CTION 3. Act subject to petition - effective date. This act
takes effect at 12:01 a.m. on the day following the expiration of the
ninety-day period after final adjournment of the general assembly (August
12, 2026, if adjournment sine die is on May 13, 2026); except that, if a
referendum petition is filed pursuant to section 1 (3) of article V of the state
constitution against this act or an item, section, or part of this act within
such period, then the act, item, section, or part will not take effect unless
PAGE 5-SENATE BILL 26-007
approved by the people at the general election to be held in November 2026
and, in such case, will take effect on the date of the official declaration of
the vote thereon by the governor.
James Rashad Coleman, Sr.
PRESIDENT OF
THE SENATE
Esther van Mourik
SECRETARY OF
THE SENATE
SPEAKER OF THE HOUSE
OF REPRESENTATIVES
CHIEF CLERK OF THE HOUSE
OF REPRESENTATIVES
APPROVED O\'\ rY\ond~y V'(\(A~ ?>Ot"- 2..0U:> {}\+ I: 3()r~
(Date and Time)
PAGE 6-SENATE BILL 26-007