Cancellation of Stakeholder Meeting and Updated Documents regarding 6 CCR 1011-1, Chapter 9 - Community Clinics and Chapter 13 - Freestanding Emergency Departments

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: Health Facilities and Emergency Medical Services Division (HFEMSD) Subject: Cancellation of Stakeholder Meeting and Updated Documents regarding 6 CCR 1011-1, Chapter 9 - Community Clinics and Chapter 13 - Freestanding Emergency Departments The department is providing you with updated information on this rule change process: The meeting scheduled for January 14, 2026, is cancelled. Review of the updated regulations was completed in the first two meetings. This review covered SB25-130, concerning providing emergency medical services, and SB25-152 concerning health-care practitioner identification. Please note that any changes since the previous version presented at the November and December meetings are indicated by yellow highlighting. The current versions of the draft rules are available here and include edits from the previous meeting. There are still multiple opportunities to comment on the draft rules. Please use this form if you wish to provide comments to the Department. Those comments are due no later than February 1, 2026. The next step in the official process will be a Request for Hearing 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. 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. Notices will be emailed directly to interested parties and sent via the Division’s portal messaging system roughly one to two weeks before meetings.  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.

November 12, 2025, Stakeholder Meeting for SB25-130 Updates to FSEDs and CCECs

 

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 convening a stakeholder process to update its regulations pursuant to SB25-130 concerning providing emergency medical services, including those provided by freestanding emergency departments and other licensed health-care facilities providing emergency care. In addition, the Department will address the requirements of SB25-152 concerning health-care practitioner identification in freestanding emergency departments only. The first stakeholder meeting will be held on Wednesday, November 12, 2025, from 1:00 - 3:00 p.m. In-person meeting location: Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80234 Building A, Room Snow Remote meeting information: Join Zoom meeting Meeting ID: 876 8470 8482 Passcode: 712112 If you are interested in participating in the stakeholder process to update Chapters 9 and 13, please sign-up to receive notice of each meeting and other important information. Please feel free to share this link with other interested parties. Notice of each meeting will be emailed directly to interested parties and sent via the Division’s portal messaging system roughly one to two weeks before each meeting. Meeting details, including agendas and and proposed rule language, will be available before each meeting in the public Google folder dedicated to this rulemaking.  We strive to host inclusive, accessible events that enable all people to engage fully. Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. Please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102 at least one week prior to the meeting to make arrangements.   Additional meetings are planned for: December 10, 2025 January 14, 2025 Please be aware that the meeting will be recorded. Attendees may use artificial intelligence (AI) note-taking tools; however, notes taken in this manner do not constitute the official record of the meeting. Official meeting records are available from the department upon request.  Please note that future updates necessary to 6 CCR 1011-1, Chapter 4 - Hospitals and Chapter 16 - Critical Access Hospitals regarding SB25-130 and SB25-152 will be taking place separately and will be noticed at that time. 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.

Save the Date: Stakeholder Process for SB25-130 Updates to FSEDs and CCECs

 

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 excited to announce that it will be convening a stakeholder process to update its regulations pursuant to SB25-130 concerning providing emergency medical services, including those provided by freestanding emergency departments and other licensed health-care facilities providing emergency care. In addition, the Department will address the requirements of SB25-152 concerning health-care practitioner identification in freestanding emergency departments only. Stakeholder meetings are currently planned for the second Wednesday of the month from November 2025 through January 2026 for a total of three meetings. Participants are invited to attend meetings either in-person at the Department or online via Zoom. The first stakeholder meeting will be held on Wednesday, November 12, 2025, from 1:00 - 3:00 p.m. If you are interested in participating in the stakeholder process to update Chapters 9 and 13, please sign-up to receive notice of each meeting and other important information. Please feel free to share this link with other interested parties. Notice of each meeting will be emailed directly to interested parties and sent via the Division’s portal messaging system roughly one to two weeks before each meeting. Meeting details, including agendas and proposed rule language, will be available before each meeting in the public Google folder dedicated to this rulemaking. Meetings are currently planned for: November 12, 2025 December 10, 2025 January 14, 2025 Additional information, including a full timeline of the process, meeting locations, and virtual meeting links, as well as topics expected to be covered at each meeting, will be sent roughly two weeks prior to each meeting. Please note that future updates necessary to 6 CCR 1011-1, Chapter 4 - Hospitals and Chapter 16 - Critical Access Hospitals regarding SB25-130 and SB25-152 will be taking place separately and will be noticed at that time. If you have any questions or comments prior to the first meeting, please contact Grace Sandeno at grace.sandeno@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

Your input needed: Update List of Supplemental Healthcare Staffing Agencies

 

To: Facility Administrators From: CDPHE, HCPF, and CDLE It’s time to update the list of Supplemental Healthcare Staffing Agencies that healthcare facilities are using in Colorado.  Colorado Revised Statute (C.R.S.) § 8-4-125 requires staffing agencies providing services in Colorado to healthcare facilities that are licensed by the Department of Public Health and Environment pursuant to C.R.S. § 25-1.5-103(1)(a) to submit semi-annual reports to the Division of Labor Standards and Statistics (DLSS). DLSS shares the data submitted with the Colorado Departments of Public Health and Environment (CDPHE) and Health Care Policy and Financing (HCPF). To identify which SHSAs need to report, CDPHE and HCPF gather information about the staffing agencies they utilize from healthcare facilities. If you are licensed under C.R.S. § 25-1.5-103(1)(a), please complete this Healthcare Provider Questionnaire on or before March 28, 2025.   For further information contact the DLSS Reporting and Accountability Programs by email at acdle_health_staffing@state.co.us or phone (720) 235-8291.

Clarification on FGI Guidelines Edition Being Utilized in Colorado

TO: Facility administrators and building operations managers   FROM: CDPHE HFEMS Division, FGI Plan Review & Safety Services Unit   As most of you are aware, the CDPHE licensing rule 6 CCR 1011-1, Chapter 2, Part 3 requires a Facility Guidelines Review and subsequent approval for all newly licensed health care facilities, as well as any qualifying renovations and/or additions to existing licensed health care facilities.   The Facility Guidelines Institute (FGI) updates their Guidelines books every four years. Although FGI has published the 2022 edition of the Guidelines, the Colorado Board of Health has not yet approved the 2022 edition as the edition being utilized in Colorado. Currently, CDPHE still enforces the 2018 edition of the Guidelines for our architectural plan review process. The update process for adoption of the 2022 Guidelines is scheduled to begin sometime in early 2024. At this time, we are unsure how long that update process will take. Until that time comes, we will continue to review all licensed health care projects to the 2018 edition of the Guidelines.   We would also like to remind you that our FGI team conducts an on-line quarterly news/Q&A presentation. This allows us to provide you all with any new Colorado FGI-related news and information as well as an opportunity for you to ask us questions in a forum where numerous people can learn at the same time. If you would like to have your email address added to our notification list, please email our team at the address below and we’ll happily include you. You may also forward this invite to any other parties that you feel may have interest.   If you have any questions or need further information, please see our FGI team web page at    https://cdphe.colorado.gov/facility-guidelines-institute-fgi   You can also email the FGI Plan Review and Safety Services team at FGIreview@state.co.us. 

9/26 Stakeholder meeting in regards to “Patients’ Right to Know” Act, or HB23-1218

 

To: All Stakeholders interested in regulations related to “Patients’ Right to Know” Act, or HB23-1218 From: HFEMSD You are invited to participate in the stakeholder process regarding The “Patients’ Right to Know” Act, or HB23-1218 is a law passed by the Colorado Legislature in the 2023 session. This new law requires hospitals, rehabilitation hospitals, freestanding emergency departments, and licensed community clinics to make publicly available a list of the health care services which are generally available or subject to significant restriction specifically relating to health care in three areas: Reproductive health-care services; LGBTQ health-care services; and End-of-life health-care services. In response to the new law the Division will develop, in collaboration with stakeholders, a “Service Availability Form.” Once the form itself is developed, the Division will work to establish rules which bring the law into the pertinent health facility licensing chapters. Once the form is finalized and published, the affected health facilities will be required to provide this form to patients, members of the public, and the Department for public display. For more information, please see the whitepaper here.  Our first monthly meeting will be Tuesday, September 26th, 2023, from 12:30 pm to 3:30 pm, and on the fourth Tuesday of the month thereafter until the process concludes in spring 2024. Zoom Meeting Information  https://us02web.zoom.us/j/84947474990?pwd=ZHJzdm05ZjZPZTBKb2laUjJiSWowUT09 Meeting ID: 849 4747 4990 Passcode: 002226 Notice of each meeting will be provided to facilities through the Division’s portal messaging system roughly two weeks in advance of each meeting. Notice will also be emailed directly to all individuals who sign up to receive such messages. Please sign up here. Please feel free to share this link with other interested parties. All who are interested are welcome to attend and participate. Meeting documents, including agendas, proposed rule language, presentations, etc., will be posted to the public meeting drive no later than a week before each meeting.  If you have any questions or comments prior to the meeting, feel free to contact Ash Jackson at ash.jackson@state.co.us, or Alexandra Haas, at alexandra.haas@state.co.us. 

Public Notice Stakeholder September 14, 2023 Behavioral Health Entity Implementation and Advisory Committee

 

To: All Stakeholders interested in the Behavioral Health Entity Implementation and Advisory Committee From: HFEMSD   When:  September 14, 2023, 1:00 – 3:00 p.m.   Where:   Online: Zoom meeting Audio line: 719-359-4580, Meeting ID: 706 298 107, Password: 385375  The Behavioral Health Entity Implementation and Advisory Committee will meet in September to continue the discussion of the transition of the Behavioral Health Entity License from CDPHE to the newly-formed Behavioral Health Administration. Meeting documents, schedules and archived agendas are available on the department website (click on link below and then click on large font that says, “MEETING INFORMATION”):  https://www.colorado.gov/pacific/cdphe/behavioral-health-entity-implementation-and-advisory-committee  A draft agenda will be available on this site no later than one week in advance. Sign up here if interested in receiving updates and public notice correspondence: If you have any questions or comments prior to the meeting, feel free to contact Jane Flournoy at Jane.Flournoy@state.co.us.

Changes to Renewal Application in COHFI

 

To: All Licensed Health Facilities/Agencies and COHFI users who submit license applications   From: HFEMSD   Background: When the COHFI system launched in February 2020, CDPHE left renewal applications open and editable by COHFI license users. This was necessary to get all facility information entered into the COHFI system. Once all facilities were able to complete one renewal cycle in COHFI, HFEMSD’s intent was to lock down the sections of the renewal applications for which changes require a separate approval process. While this plan was significantly delayed, but we are now prepared to implement these changes.   Need to Know: During the COHFI maintenance window on Wednesday, August 30th, the following fields will no longer be editable on a renewal application. This change will be implemented system wide for all renewal applications Licensees must follow the established process to submit an Update Application when this information changes.   The following sections will no longer be editable on a Renewal Application:   General and Demographics Facility/Agency Name Facility/Agency Physical Address Administrator Information Director of Nursing Information Demographics Information (for some facility/agency types) Additional Locations Buildings Off-Campus Locations Branches Workstations BHE Service Locations Ownership Ownership General            -Ownership Type            -Name of Business Entity            -EIN            -Start Date of Ownership  Board of Directors  Officers Business Ownership Summary (Shareholders/Stakeholders) Management Company Management Company General             -Ownership Type             -Name of Business Entity             -EIN             -Start Date of Ownership Officers Board of Directors Management Owner Summary     For questions, or if you experience bugs or issues with this change, please contact cdphe.healthfacilities@state.co.us with your facility name, facility ID, and a description of your issues.

All Stakeholders interested in regulations related to “Patients’ Right to Know” Act, or HB23-1218

 

To: All Stakeholders interested in regulations related to the “Patients’ Right to Know” Act, or HB23-1218 From: HFEMSD The “Patients’ Right to Know” Act, or HB23-1218 is a law passed by the Colorado Legislature in the 2023 session. This new law requires hospitals, rehabilitation hospitals, freestanding emergency departments, and licensed community clinics to make publicly available a list of the health care services that are generally available or subject to significant restriction specifically relating to health care in three areas: Reproductive health-care services; LGBTQ healthcare services; and End-of-life healthcare services. In response to the new law, the Division will develop, in collaboration with stakeholders, a “Service Availability Form.” Once the form itself is developed, the Division will work to establish rules which bring the law into the pertinent health facility licensing chapters. Once the form is finalized and published, the affected health facilities will be required to provide this form to patients, members of the public, and the Department for public display. For more information, please see the whitepaper here.    The Division intends to engage a robust stakeholder process to bring together the many different populations affected by this new law. This will occur via monthly online meetings, beginning September 2023 and concluding April 2024.  Participating in this stakeholder process will involve attending these monthly meetings, and providing any feedback relevant to your organization. The first monthly meeting will be Tuesday, September 26th, 2023, from 12:30 pm to 3:30 pm, and on the fourth Tuesday of the month thereafter until the process concludes in spring 2024. Notice of each meeting will be provided to facilities through the Division’s portal messaging system roughly two weeks in advance of each meeting. Notice will also be emailed directly to all individuals who sign up to receive such messages. Please sign up here. Please feel free to share this link with other interested parties. All who are interested are welcome to attend and participate. Meeting documents, including agendas, proposed rule language, presentations, etc., will be posted to the public meeting drive no later than a week before each meeting.  If you have any questions or comments prior to the meeting, feel free to contact Ash Jackson at ash.jackson@state.co.us, or Alexandra Haas, at alexandra.haas@state.co.us. 

Switchback Team Resilience, Recovery and Development Training Program

 

To: Local Public Health Agencies or Medical Organizations (e.g. critical access hospitals, clinical practices, FQHC) without financial resources necessary to pay for similar experiences. From: CO-CARES Team (Colorado Alliance for Resilient & Equitable Systems) & Switchback Institute Switchback Institute serves those who serve others. It is dedicated to individuals, teams, and organizations doing high-impact, high-stakes work. Switchback champions individuals, teams, and organizational leadership in engineering environments that promote individual and team resilience, connectedness, and effectiveness. Workshops are designed to be interactive, and participant-centered. They are customized to meet the needs of individuals and achieve agency-identified outcomes. Group sessions are no-fault, strengths-based, collaborative, and fun! The Team Resilience, Recovery, and Development Training Program includes participation in a recovery retreat, an assessment of team intelligence leading to a team development plan, and team coaching to achieve self-identified goals. By the end of our time together you will have the tools needed to sustain consistent professional growth and resilience both individually and collectively. Most importantly, we want your teams to be reunited with the passion that took them into the healthcare field. The Team Resilience, Recovery, and Development Training Program aims to provide resources, training, and coaching to individuals/teams from the public health and medical care workforce to respond to and grow from the challenges faced currently and over the last 3 years. We will accomplish this in partnership with selected teams through the following activities: Retreat 1: A day-long Resilience and Recovery retreat focused on understanding challenges, providing support, as well as tools to process and grow as individuals and as a team. Inter-stage period: 2-3 virtual team coaching sessions to support ongoing agendas set by the team. Completing Team Emotional and Social Intelligence (TESI) assessment that describes a team’s current effectiveness in 7 domains: team identity, motivation, communication, positive mood, stress tolerance, social awareness, and conflict management. Retreat 2: A half-day retreat to debrief the TESI assessment, prioritize areas for development, and identify ongoing activities to meet development goals. Inter-stage period: 2-3 virtual team coaching sessions to support ongoing development agendas. Closing Retreat 3: To celebrate accomplishments and commit to the ongoing development. Visit the CO-CARES page at Switchback Institute to learn more and submit your letter of interest for the program.

Switchback Team Resilience, Recovery and Development Training Program

 

To: Local Public Health Agencies or Medical Organizations (e.g. critical access hospitals, clinical practices, FQHC) without financial resources necessary to pay for similar experiences. From: CO-CARES Team (Colorado Alliance for Resilient & Equitable Systems) & Switchback Institute Switchback Institute serves those who serve others. It is dedicated to individuals, teams, and organizations doing high-impact, high-stakes work. Switchback champions individuals, teams, and organizational leadership in engineering environments that promote individual and team resilience, connectedness, and effectiveness. Workshops are designed to be interactive, and participant-centered. They are customized to meet the needs of individuals and achieve agency-identified outcomes. Group sessions are no-fault, strengths-based, collaborative, and fun! The Team Resilience, Recovery, and Development Training Program includes participation in a recovery retreat, an assessment of team intelligence leading to a team development plan, and team coaching to achieve self-identified goals. By the end of our time together you will have tools needed to sustain consistent professional growth and resilience both individually and collectively. Most importantly, we want your teams to be reunited with the passion that took them into the healthcare field. The Team Resilience, Recovery, and Development Training Program aims to provide resources, training, and coaching to individuals/teams from the public health and medical care workforce to respond to and grow from the challenges faced currently and over the last 3 years. We will accomplish this in partnership with selected teams through the following activities: Retreat 1: A day-long Resilience and Recovery retreat focused on understanding challenges, and providing support as well as tools to process and grow as individuals and as a team. Inter-stage period: 2-3 virtual team coaching sessions to support ongoing agendas set by the team. Completing Team Emotional and Social Intelligence (TESI) assessment that describes a team’s current effectiveness in 7 domains: team identity, motivation, communication, positive mood, stress tolerance, social awareness, and conflict management. Retreat 2: A half-day retreat to debrief the TESI assessment, prioritize areas for development, and identify ongoing activities to meet development goals. Inter-stage period: 2-3 virtual team coaching sessions to support ongoing development agendas. Closing Retreat 3: To celebrate accomplishments and commit to the ongoing development. Visit the CO-CARES page at Switchback Institute to learn more and submit your letter of interest for the program.

Behavioral Health Entity Implementation & Advisory Committee: Application Now Available

 

To: Behavioral Health Providers, Consumers of Behavioral Health Services, Advocates, and Interested Parties From: The Health Facilities and Emergency Medical Services Division of the Colorado Department of Public Health and Environment (CDPHE) is currently accepting applications for the Behavioral Heath Entity Implementation and Advisory Committee (BHE-IAC) for the role of: A Mental Health provider (not a Community Mental Health Center) Per statutory requirements with the passage of House Bill 19-1237, specifically addressing the development of a licensing structure for Behavioral Health Entities (BHE), the Colorado Department of Public Health and Environment has a responsibility to establish, facilitate and streamline minimum standards and regulations for BHE’s in the State of Colorado. The intent of creating the Behavioral Health Entity License was to: Provide a single, flexible license category under which community-based behavioral health service providers can provide integrated mental health disorder, alcohol use disorder, and substance use disorder services and meet a consumer’s continuum of needs, from crisis stabilization to ongoing treatment; Provide a regulatory framework for innovative behavioral health service delivery models to meet the needs of both individuals and communities; Increase parity in the oversight and protection of consumers’ health, safety, and welfare between physical health and behavioral health regardless of the payment source; and to lastly, Streamline and consolidate the current regulatory structure to enhance community providers’ ability to deliver timely and needed services, while ensuring consumer safety.   In order to accomplish such a charge, HB 19-1237 established the Behavioral Health Entity Implementation and Advisory Committee. The BHE-IAC is responsible to: Offer advice to CDPHE and the State Board of Health concerning the phased-in implementation of the BHE license, rules promulgated by the State Board pursuant to C.R.S. 25-27.6-101 et seq., and the implementation of the BHE licensing transition; Provide ongoing advice to CDPHE regarding Behavioral Health Entities and Behavioral Health Entity licensing; and Identify a coordinated and aligned process of sharing information across state departments to ensure behavioral health services are available to all residents of Colorado.  The BHE-IAC meetings will occur on a recurring basis, taking place on the second Thursday of every other month, with the remaining meetings scheduled to occur in July 2023, September 2023, and November 2023. Meetings are anticipated to be one to two hours in duration. If you are interested in serving as a committee member, please complete the application and supplemental documents located here:  Behavioral Health Entity Implementation & Advisory Committee Application For additional information about the Behavioral Health Entity license, please visit: CDPHE's BHE Website All applications are due no later than close of business Friday, August 25, 2023. Any questions may be directed to Jane Flournoy at either 303.910.6348 or jane.flournoy@state.co.us.  Thank you in advance for your interest!