Dialysis Treatment Clinic General Rule Update Stakeholder Process Reminder September 2026

 

To: Dialysis treatment clinics and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 15 From: HFEMSD  In June, the Department convened its final stakeholder meeting to review, reorganize, and update 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics. The Department may reconvene this stakeholder group at a later time if it determines additional stakeholder meetings are necessary. This is a friendly reminder that the Department will continue to take written comments until September 30, 2026. The draft rule has been updated as a result of the last meeting and is available in the public folder for this rulemaking. Please submit written comments to Nicola Koepnick at nicola.koepnick@state.co.us.  As discussed at the last stakeholder meeting, the Department will request a rulemaking hearing at the November 18, 2026, Board of Health meeting. The Board of Health does not accept public testimony during rulemaking hearing requests. However, if the Board accepts our request, a rulemaking hearing will be scheduled for January 20, 2027 and public testimony is encouraged at that time. Further information will be provided in future public notices. If you wish to receive individual notice of this process, please sign up to receive updates emailed directly to you. Feel free to share this link with other interested parties.  If you have any questions or comments, please contact Nicola Koepnick at nicola.koepnick@state.co.us Alexandra Haas at alexandra.haas@state.co.us.

Dialysis Treatment Clinic General Rule Update Stakeholder Process Update

 

To: Dialysis treatment clinics and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 15 From: HFEMSD  The Department recently convened its fifth and final stakeholder meeting to review, reorganize, and update 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics. The Department may reconvene this stakeholder group at a later time if it determines additional stakeholder meetings are necessary. The Department will continue to take written comments until September 30, 2026. The draft rule has been updated as a result of the last meeting and is available in the public folder for this rulemaking. Please submit written comments to Nicola Koepnick at nicola.koepnick@state.co.us.  As discussed at the last stakeholder meeting, the Department will request a rulemaking hearing at the November 18, 2026, Board of Health meeting. The Board of Health does not accept public testimony during rulemaking hearing requests. However, if the Board accepts our request, a rulemaking hearing will be scheduled for January 20, 2027 and public testimony is encouraged at that time. Further information will be provided in future public notices. If you wish to receive individual notice of this process, please sign up to receive updates emailed directly to you. Feel free to share this link with other interested parties.  If you have any questions or comments, please contact Nicola Koepnick at nicola.koepnick@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

Update Regarding Abbreviated Stakeholder Process for Community Integrated Health Care Service Agencies - 6 CCR 1011-3 (CIHCS) Rules Revision Roundtable

 

To: All CIHCS Agencies, All Health Facilities, All Community Paramedics, All Emergency Medical Services Agencies, All Interested Parties From: HFEMSD  Thank you to everyone who has participated in the rule revision meetings to update and revise 6 CCR 1011-3, Standards for Community Integrated Health Care Service Agencies (CIHCS). As a result of stakeholder participation thus far, the Department and stakeholders completed the review of the updated regulations during the March meeting. The meeting previously scheduled for May will not be held. The Department will continue to receive written comments until May 20. The draft CIHCS rules remain updated and are available in the public folder for this rulemaking. To provide written comment(s) on the draft rules, please email Ash Jackson at ash.jackson@state.co.us. The request for rulemaking at the Board of Health will be June 17, 2026. The Board of Health does not accept public testimony during hearing requests; however, if the Board accepts our rule request, the rulemaking hearing will be scheduled for August 19, 2026, at which point the Board encourages public testimony regarding the proposed rules. Details will follow in additional public notices. If you wish to receive individual notice of this process, please sign up to our interested parties list related to CIHCS agency rulemakings. Feel free to share this link with other interested parties.  If you have any questions or comments, please contact Ash Jackson at ash.jackson@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

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.

Nursing Home providers and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 5 - Nursing Care Facilities

 

To: Nursing Home providers and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 5 - Nursing Care Facilities From: HFEMSD  In the interest of stakeholder and employee safety, tomorrow's 6 CCR 1011-1, Chapter 5 Nursing Care Facilities stakeholder meeting has been moved to be entirely virtual due to the incoming snow storm. It is tomorrow, May 6, 2026 from 1:00 - 3:00 p.m. on Zoom. Remote meeting information: Join Zoom meeting Meeting ID: 841 1533 5863 Passcode: 296312 Find your local number Meeting dates have been extended and are now scheduled through February 2027. Future meetings are currently planned for: June 3, 2026 July 1, 2026  August 5, 2026  September 2, 2026 October 7, 2026 November 4, 2026 December 2, 2026 January 6, 2027 For detailed information about the stakeholder process, including an updated tentative schedule of topics for each meeting, please refer to the stakeholder information letter. Please note that the topic schedule may change and is reviewed and adjusted after each monthly meeting to accommodate additional time dedicated toward discussion of complex issues as they arise.  Additional meeting details, including agendas and proposed rule language, are available in the public Google folder dedicated to this rulemaking in advance of each monthly stakeholder meeting.  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.   Please be aware that the meetings are 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.  If you are interested in participating in the stakeholder process to update Chapter 5, you may sign up to receive notice of each meeting and other important information emailed directly to you. Please feel free to share this link with other interested parties. Notice of each meeting will be sent via email and via the Division’s portal messaging system roughly one to two weeks before each meeting.  If you have any questions or comments prior to the meeting, please contact Francile Beights at francile.beights@state.co.us or Grace Sandeno at grace.sandeno@state.co.us.

Update Regarding Abbreviated Stakeholder Process for Community Integrated Health Care Service Agencies - 6 CCR 1011-3 (CIHCS) Rules Revision Roundtable

 

To: All CIHCS Agencies, All Health Facilities, All Community Paramedics, All Emergency Medical Services Agencies, All Interested Parties From: HFEMSD  Thank you to everyone who has participated in monthly rule revision roundtable meetings to update and revise 6 CCR 1011-3, Standards for Community Integrated Health Care Service Agencies (CIHCS). As a result of stakeholder participation thus far, the Department and stakeholders completed the review of the updated regulations during the March meeting. Monthly meetings previously scheduled for April and May will no longer be held. The Department may decide to reconvene this stakeholder group at a later time if needed. The Department will continue to receive written comments. The draft CIHCS rules remain updated as a result of the last stakeholder meeting and are available in the public folder for this rulemaking. To provide written comment(s) on the draft rules, please email Ash Jackson at ash.jackson@state.co.us. The request for rulemaking at the Board of Health will be June 17, 2026. The Board of Health does not accept public testimony during rule requests; however, if the Board accepts our rule request, the rulemaking hearing will be scheduled for August 19, 2026, at which point the Board encourages public testimony regarding the proposed rules. Details will follow in additional public notices. If you wish to receive individual notice of this process, please sign up to our interested parties list related to CIHCS agency rulemakings. Feel free to share this link with other interested parties.  If you have any questions or comments, please contact Ash Jackson at ash.jackson@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

Update Regarding Abbreviated Stakeholder Process for Community Integrated Health Care Service Agencies - 6 CCR 1011-3 (CIHCS) Rules Revision Roundtable

 

To: All CIHCS Agencies, All Health Facilities, All Community Paramedics, All Emergency Medical Services Agencies, All Interested Parties From: HFEMSD  Thank you to everyone who has participated in monthly rule revision roundtable meetings to update and revise 6 CCR 1011-3, Standards for Community Integrated Health Care Service Agencies (CIHCS). As a result of stakeholder participation thus far, during the March meeting, the Department and stakeholders completed the review of the updated regulations during the March meeting. Monthly meetings previously scheduled for April and May will no longer be held. The Department may decide to reconvene this stakeholder group at a later time if needed. The Department will continue to take written comments. The draft CIHCS rules have been updated as a result of the last stakeholder meeting and are available in the public folder for this rulemaking. To provide written comment(s), please email Ash Jackson at ash.jackson@state.co.us. The request for rulemaking at the Board of Health is currently set for June 17, 2026. No public testimony will be permitted at that time; however, if the Board accepts our request, the rulemaking hearing will be scheduled for August 19, 2026, at which point the Board encourages testimony regarding the rules. Details will follow in additional public notices. If you are not receiving individual notice of this process, please sign up. Feel free to share this link with other interested parties.  If you have any questions or comments, please contact Ash Jackson at ash.jackson@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

3/11/26 Dialysis Treatment Clinics General Rule Update Stakeholder Meeting

 

To: Dialysis treatment clinics and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 15 From: HFEMSD  You are invited to participate in the stakeholder process to review, reorganize, and update 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics.  The Department reviews its rules every five to seven years in accordance with Section 24-4-103.3, C.R.S. to assess their appropriateness and ensure they remain up-to-date with recent statutory and regulatory changes and developments in healthcare settings. The last substantive update to Chapter 15 was in 2014, and, during its last review, the Department identified several changes necessary to better reflect current practice, standards, and language in the dialysis setting.  Public meetings are currently planned for the second Wednesday of the month from February 2026 through June 2026 for a total of five meetings. All interested parties are invited to attend meetings either in-person at the Department or online via Zoom.  The first stakeholder meeting will be held on Wednesday, March 11, 2026, 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 Carson Remote meeting information: Join Zoom meeting Meeting ID: 849 5996 8348 Passcode: 997178 Find your local number If you are interested in participating in the stakeholder process to update Chapter 15, please sign-up to receive notice of each meeting, Zoom links, and other important meeting information. Please feel free to share this link with other interested parties.  Stakeholder engagement is integral to the Department’s effort to align Chapter 15 with dialysis care and requirements in Colorado and to protect the health, safety, and welfare of patients.  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: March 11, 2026 April 8, 2026 May 13, 2026 June 10, 2026 If you have any questions or comments prior to the first meeting, please contact Nicola Koepnick at nicola.koepnick@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.

To: Dialysis treatment clinics and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 15 From: HFEMSD  You are invited to participate in the stakeholder process to review, reorganize, and update 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics.  The Department reviews its rules every five to seven years in accordance with Section 24-4-103.3, C.R.S. to assess their appropriateness and ensure they remain up-to-date with recent statutory and regulatory changes and developments in healthcare settings. The last substantive update to Chapter 15 was in 2014, and, during its last review, the Department identified several changes necessary to better reflect current practice, standards, and language in the dialysis setting.  Public meetings are currently planned for the second Wednesday of the month from February 2026 through June 2026 for a total of five meetings. All interested parties are invited to attend meetings either in-person at the Department or online via Zoom.  The first stakeholder meeting will be held on Wednesday, February 11, 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 Carson Remote meeting information: Join Zoom meeting Meeting ID: 849 5996 8348 Passcode: 997178 Find your local number If you are interested in participating in the stakeholder process to update Chapter 15, please sign-up to receive notice of each meeting, Zoom links, and other important meeting information. Please feel free to share this link with other interested parties.  Stakeholder engagement is integral to the Department’s effort to align Chapter 15 with dialysis care and requirements in Colorado and to protect the health, safety, and welfare of patients.  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: February 11, 2026 March 11, 2026 April 8, 2026 May 13, 2026 June 10, 2026 If you have any questions or comments prior to the first meeting, please contact Nicola Koepnick at nicola.koepnick@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.

February 4, 2026 Nursing Home Licensing General Rule Updates Stakeholder Meeting

To: Nursing Home providers and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 5 - Nursing Care Facilities From: HFEMSD  You are invited to participate in the stakeholder process to review, reorganize, and update 6 CCR 1011-1, Chapter 5 - Nursing Care Facilities. Stakeholder engagement is crucial for the Department’s effort to align Chapter 5 with nursing home care and service delivery in Colorado, and to protect the health, safety, and welfare of nursing home residents.  All interested parties are encouraged to attend and participate in the stakeholder meetings. All meetings will be open to the public and hosted in a hybrid format with in-person and online attendance options.  The next stakeholder meeting will be held on Wednesday, February 4, 2026, from 1:00 - 3:00 p.m. Expected topics for this meeting include Part 10 - Resident Assessment and Care Plans and related definitions and Part 11 - Resident Care. In-person meeting location  Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80234 Building B, Room B1F Remote meeting information: Join Zoom meeting Meeting ID: 841 1533 5863 Passcode: 296312 Find your local number For detailed information about the stakeholder process, including a tentative schedule of topics for each meeting, please refer to the stakeholder information letter. Please note that the topic schedule may change and is reviewed and adjusted after each monthly meeting to accommodate additional time dedicated toward discussion of complex issues as they arise.  Additional meeting details, including agendas and proposed rule language, are available in the public Google folder dedicated to this rulemaking in advance of each monthly stakeholder meeting.  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.   Please be aware that the meetings are 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.  If you are interested in participating in the stakeholder process to update Chapter 5, you may sign up to receive notice of each meeting and other important information emailed directly to you. Please feel free to share this link with other interested parties. Notice of each meeting will be sent via email and via the Division’s portal messaging system roughly one to two weeks before each meeting.  Future meetings are currently planned for: February 4, 2026 March 4, 2026 April 1, 2026 May 6, 2025 June 3, 2026 July 1, 2026  August 5, 2026  If you have any questions or comments prior to the meeting, please contact Francile Beights at francile.beights@state.co.us or Grace Sandeno at grace.sandeno@state.co.us.

Save the Date: Stakeholder Process Announcement for General Updates to 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics

To: Dialysis treatment clinics and all parties interested in the stakeholder process to update 6 CCR 1011-1, Chapter 15 From: HFEMSD  The Department is excited to announce that it will be convening a stakeholder process to review, reorganize, and update 6 CCR 1011-1, Chapter 15 - Dialysis Treatment Clinics. The Department reviews its rules every five to seven years in accordance with Section 24-4-103.3, C.R.S. to assess their appropriateness and ensure they remain up-to-date with recent statutory and regulatory changes and developments in healthcare settings. During its last review, the Department identified several changes necessary to better reflect current practice, standards, and language in the dialysis setting. Public meetings are currently planned for the second Wednesday of the month from February 2026 through June 2026 for a total of five meetings. All interested parties are invited to attend meetings either in person at the Department or online via Zoom.  The first stakeholder meeting will be held on Wednesday, February 11, 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 Carson Remote meeting information: Join Zoom meeting Meeting ID: 849 5996 8348 Passcode: 997178 Join by phone: (719) 359-4580 Find your local number If you are interested in participating in the stakeholder process to update Chapter 15, please sign up to receive notice of each meeting, Zoom links, and other important meeting information. Please feel free to share this link with other interested parties.  Stakeholder engagement is integral to the Department’s effort to align Chapter 15 with dialysis care and requirements in Colorado and to protect the health, safety, and welfare of patients. All interested parties are encouraged to attend and participate in the stakeholder meetings. 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: February 11, 2026 March 11, 2026 April 8, 2026 May 13, 2026 June 10, 2026 If you have any questions or comments prior to the first meeting, please contact Nicola Koepnick at nicola.koepnick@state.co.us or Alexandra Haas at alexandra.haas@state.co.us.