Updated Documents regarding 6 CCR 1011-1, Chapter 9 Community Clinics and Chapter 13 FSEDs and regulatory process

 

To: Licensed freestanding emergency departments, community clinics providing emergency services, providers, and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 9 - Community Clinics and Chapter 13 - Freestanding Emergency Departments  From: HFEMSD  The Department is providing you with updated information on this rule change process related to Chapters 9 and 13 that is based on SB25-130 , concerning providing emergency medical services, and SB25-152 concerning health-care practitioner identification. The on-line review and comment will be extended until February 15, 2026 due to the identification of the need for language that was not presented at the November and December meetings. The addition is indicated by highlighting in the updated documents available here. Please see Chapter 9, lines 122-126 and Chapter 13, lines 156-160. For your added convenience, the additional text is as follows:  (G) In the event that a facility explains its treatment obligations and the risks to the patient, and the patient or patient’s representative refuses transfer, additional examination, and/or treatment for the emergency medical condition, the facility shall document the refusal in the patient's record and attempt to obtain the patient’s written informed refusal.  Please use this form if you wish to provide comments to the Division.  There are still multiple opportunities to comment on the draft rules. The next step in the official process will be a Request for Rulemaking at the Board of Health on March 18, 2026. There will not be public discussion of the draft rules on March 18, but there will be public comment allowed at the hearing, which is likely to be held on May 20, 2026, if the Board of Health grants our request. Details will follow in additional public notices.  If you are not receiving individual notice of this process, please sign-up here. Please feel free to share this link with other interested parties. Updates will be emailed directly to interested parties and sent via the Division’s portal messaging system.  If you have any questions or comments, please contact Grace Sandeno at grace.sandeno@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.