CDPHE Request to White List (Accept) Email Addresses (correction and update)

 

To: Technical support/providers From: Department of Public Health and Environment, Office of the State Registrar of Vital Statistics We send monthly email information with reminders or new announcements to facilities and providers regarding birth, death and fetal death record submission. The email address we send from is cdphe.vitalrecords411@state.co.us.  The email with the underscore, cdphe_vitalrecords411@state.co.us, is no longer in use.  Please allow emails from cdphe.vitalrecords411@state.co.us.  Below is a reminder about a different email address notice/request that was sent very recently, on or about May 29, 2026. There was an extra letter in the address, in the previous communication. Apologies for the error. Below is the correct address. We are requesting technical support/providers in facilities allow receiving (white listing) of emails from this address: cdphe.coves.notification@state.co.us. These emails are received by physicians, physician assistants, advance practice nurses, medical support staff, administrative staff, birthing facility staff, midwives and midwifery staff involved in the entry of data for birth, death and fetal death records. These emails are necessary login MFA receipt and/or notices for successful and timely compliance with vital statistics reporting requirements.   If you have questions or concerns, you may contact us at the above email. The email address is now in use.

CDPHE Request to White List (Accept) Email Address

 

To: Organizational Technical Support From: Department of Public Health and Environment, Office of the State Registrar of Vital Statistics We are requesting technical support/providers in facilities allow receiving (white listing) of emails from this address: cdphe.coves.notification@state.co.us These emails are received by physicians, physician assistants, advance practice nurses, medical support staff, administrative staff, birthing facility staff, midwives and midwifery staff involved in the entry of data for birth, death and fetal death records. These emails are necessary login MFA receipt and/or notices for successful and timely compliance with vital statistics reporting requirements. If you have questions or concerns, you may contact us at cdphe.coves.notification@state.co.us. This email address is expected to begin to be in use by June 2026.

Board of Health Rulemaking Announcement for June 17th, 2026: 6 CCR 1011-1 Chapters 9 & 13 - Community Clinics and Freestanding Emergency Departments

 

To: All Stakeholders interested in regulations related to Community Clinics and Freestanding Emergency Departments (FSEDs)  From: HFEMSD  To those who participated in the stakeholder process to update 6 CCR 1011-1, Chapters 9 and 13 (Community Clinics and FSEDs), the HFEMSD Policy and Regulations team extends a sincere thank you. The Department went to the Board of Health in April to request that a rulemaking hearing be set for June. The Board of Health has granted our request and will hold a public rulemaking hearing on June 17, 2026 at 10 a.m. to consider the proposed changes. Notice of the hearing is hereby given pursuant to the provisions of Section 24-4-103, C.R.S. You may provide your comments to the Board in advance of the June rulemaking hearing for their consideration. To submit written comments to the Board, please email cdphe.bohrequests@state.co.us. The Board also welcomes oral testimony regarding rulemakings and the stakeholder process at the hearing. To provide oral testimony, you must sign up before 5 p.m on June 16, 2026. The time for providing oral testimony may be limited to 3 minutes or less. For further details about providing feedback at the Board of Health meeting, please visit Participate in the Board of Health. The agenda for the public meeting, other meeting documents, and Zoom link on the day of the meeting can all be accessed at Board of Health 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.

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.

June 18, 2025 Board of Health Rulemaking Hearing Regarding Labor and Childbirth Policy

 

To: General Hospitals, FSEDs, Community Clinics and Community Clinics with Emergency Centers, Birth Centers, and all parties interested in SB21-193 and HB24-1459 From: HFEMSD Thank you to those of you who participated in the stakeholder process to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  The Board of Health has granted our request for rulemaking for 6 CCR 1011-1, Chapters 4 (General Hospital), 9 (Community Clinics), 13 (Free Standing Emergency Departments) and 22 (Birth Centers) for updates related to this statutory change. A public rulemaking hearing on Jun 18, 2025 at 10:00am to consider the proposed changes. Notice of the hearing is hereby given pursuant to the provisions of Section 24-4-103, C.R.S. You may provide your comments to the Board in advance of the June rulemaking hearing for their consideration. To submit written comments to the Board, please email cdphe.bohrequests@state.co.us. The Board also welcomes oral testimony regarding rulemakings and the stakeholder process at the hearing. To provide oral testimony, you must sign up before 5:00 pm on Jun 17, 2025. The time for giving oral testimony may be limited to 3 minutes or less. For further details about providing feedback at the Board of Health meeting, please visit Participate in the Board of Health.  The agenda for the public meeting and other meeting documents can be accessed at Board of Health meetings. To access the Zoom link on the day of the meeting, please visit Board of Health meetings.

Summary of Findings for all reportable occurrences, effective 2/1/25

 

To: Facility Administrators/Managers From: HFEMSD, HFEQ, Occurrences Program  Dear Providers,  The Department has updated the format of its Summary of Findings for all reportable occurrences, effective 2/1/25. You may notice that the information included in these summaries has been abbreviated, however will still contain the necessary statutory and regulatory requirements for public posting. For your purposes, the occurrence reporting requirements and reporting process remain the same.  Thank you for your attention to this matter.  If you have any questions, please contact our Occurrence Line at 303-692-2900.

Labor and Childbirth Rule Language Feedback Reminder: Deadline for Comment—January 17, 2025

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD The Department is currently seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  As previously communicated, the Department will be accepting feedback and comments regarding these drafts only in written format only at this time, either through the labor and childbirth rule language feedback form or by email.  This is a friendly reminder to please submit all written comments, either by form or email, no later than 5:00 p.m., January 17, 2025. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department welcomes any and all feedback regarding the proposed rule language. The labor and childbirth rule language feedback form requires that responses be typed into the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us. At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Stakeholders will also be notified regarding the Board of Health process when the Department determines, based on stakeholder feedback, that it is ready to go forward with a request for rulemaking. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Labor and Childbirth Rule Language Feedback Deadline for Comment—January 17, 2025

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD Last week, the Department communicated that it is seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  As mentioned in that message, at this time the Department will be accepting feedback and comments regarding these drafts only in written format, either through the labor and childbirth rule language feedback form or by email.  Please submit all written comments, either by form or email, by 5:00 p.m., January 17, 2025. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department welcomes any and all feedback regarding the proposed rule language. The labor and childbirth rule language feedback form requires that responses br typed into the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us. At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Stakeholders will also be notified regarding the Board of Health process when the Department determines, based on stakeholder feedback, that it is ready to go forward with a request for rulemaking. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Labor and Childbirth Rule Language Comment Form

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD The Department is seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  Thank you to everyone who participated in meetings in 2023 and 2024 to discuss and develop regulatory language to incorporate the new requirements of Section 25-3-126, C.R.S. into 6 CCR 1011-1, Chapter 4 - General Hospitals, and 6 CCR 1011-1, Chapter 22 - Birth Centers. We deeply value your participation and your feedback is critical to the success of the stakeholder process.  During our final in-person meetings, it was expressed that the proposed rule language may not adequately ensure that a pregnant person’s rights are protected in all situations regardless of medical condition, including in both emergent and non-emergent circumstances. Taking that into consideration, and further reviewing the statutory language and state and federal law, the Department has revised the proposed rule language and expanded the scope of this rulemaking to apply to general hospitals, community clinics with emergency centers, freestanding emergency departments (FSEDs), and birth centers. Please note that critical access hospitals are subject to the new requirements in Chapter 4 though they will soon be incorporated into Chapter 16 as a result of SB24-121. Also, only community clinics that have emergency centers will be subject to the new standards in Chapter 9. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department will be taking written comments regarding the draft rule language at this time. Any and all feedback regarding the proposed rule language is welcome. To submit a written comment, please use the comment form. This form requires that responses are typed in the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Sterile Solutions Supply Chain Disruption for Dialysis Treatment

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Sterile Solutions Supply Chain Disruption by Peritoneal Dialysis

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Chapter 24, Section 5 5.1: QMAP Must Be 18 Years of Age

To: All facilities with QMAPs From: The Health Facilities Education and Quality (HFEQ) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD) The Health Facilities and Emergency Medical Services Division would like to remind providers who use QMAPs in their facilities that QMAPs must be 18 years of age to work as a QMAP (Chapter 24, Section 5, 5.1). We encourage you to review the QMAP regulations in Chapter 24.  Other questions? Contact tonie.miller@state.co.us or cdphe_hfemsd_qmap@state.co.us .

Sterile Solutions Supply Chain Disruption by Peritoneal Dialysis

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.