summary
Introduced
01/27/2026
01/27/2026
In Committee
01/27/2026
01/27/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Section 1 of the bill amends and relocates the current requirements for notification to the attorney general regarding certain mergers, acquisitions, or transfers of securities or assets. Current law prohibits the attorney general from charging a party to a merger a fee connected with filing of the merger or a fee for providing additional information regarding the merger. The bill allows the attorney general to charge each filing party a reasonable fee, not to exceed $5,000. Section 1 also requires that the parties to a merger, acquisition, or contracting affiliation of one or more health-care entities (material change transaction) comply with specified notice requirements at least 60 days before the closing of the material change transaction. If the material change transaction requires the filing of a premerger notification with the federal trade commission or the United States department of justice pursuant to the federal "Hart-Scott-Rodino Antitrust Improvements Act of 1976", the parties shall also submit notice to the attorney general. If the terms of the material change transaction are altered following the submission of the written notice to the attorney general, the parties must provide notice to the attorney general of the alteration. The attorney general may deem information and materials provided in compliance with the notice requirements as public records subject to disclosure under the "Colorado Open Records Act". Section 1 also prohibits a material change transaction if the material change transaction may substantially lessen competition or tend to create a monopoly or may harm consumer welfare. A party to a material change transaction shall not close the material change transaction until specified conditions are met. Sections 3 through 9 amend the current requirements for transactions that involve licensed hospitals and are subject to notice requirements to the attorney general (covered transactions) by: ! Including in the definition of a "covered transaction" a transaction that would result in the sale, transfer, lease, exchange, or other disposition of the management, control, or operations of a hospital; ! Requiring parties to a covered transaction to include, in the notice to the attorney general of the transaction, a statement describing the charitable missions of each nonprofit entity entering into the covered transaction and the services provided by each nonprofit entity in furtherance of the nonprofit entity's charitable purposes and charitable missions; ! Specifying that if a covered transaction will not result in a material change in the charitable purposes, charitable missions, or services provided in furtherance of the charitable purposes or missions of a nonprofit entity entering into the covered transaction, and will not result in a termination of the attorney general's jurisdiction over the charitable assets due to a transfer of a material amount of those assets outside of the state of Colorado, the parties may proceed with the covered transaction without additional review by the attorney general. The attorney general may perform specified actions to review, and use specified criteria to determine, whether the covered transaction will result in a material change. ! Authorizing the attorney general to exercise their common law authority to assess and review or challenge a covered transaction that will result in a material change in the charitable purposes, charitable missions, or services provided in furtherance of the charitable purposes or missions of a nonprofit entity entering into the covered transaction or will result in a termination of the attorney general's jurisdiction over the charitable assets due to a transfer of a material amount of those assets outside of the state of Colorado; ! Adding specified information to the notice requirements for covered transactions in which the parties involved in the transaction are all for-profit entities; and ! Creating notice requirements for and attorney general review of covered transactions involving a for-profit hospital and a nonprofit entity. Section 10 requires that, if certain health-care providers refer a patient to an entity for health-care services and the provider, or an immediate family member of the provider, has a financial relationship with the entity, the provider shall disclose the nature of the financial relationship to the patient at the time of the referral. The attorney general is required to study the effect of these provisions and the impact the provisions have on consumer knowledge and costs and submit a report on the findings of the study. Sections 11 through 30 make conforming amendments.
AI Summary
This bill enacts new provisions and amends existing laws to enhance consumer protections, particularly concerning medical care entities and business transactions. It allows the Attorney General to charge a reasonable fee, not exceeding $5,000 per party, for reviewing certain mergers and acquisitions of health-care entities, which are defined broadly to include hospitals, urgent care facilities, ambulance services, pharmacies, and other licensed medical providers. These transactions, termed "material change transactions," require parties to provide at least 60 days' notice to the Attorney General before closing, and if the transaction is subject to federal pre-merger notification requirements under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (a federal law requiring companies to notify the government before certain mergers or acquisitions), the parties must also notify the state Attorney General. The bill also prohibits material change transactions that could substantially reduce competition, create a monopoly, or harm consumer welfare, and requires parties to disclose any alterations to the transaction terms to the Attorney General. Furthermore, it strengthens oversight of transactions involving licensed hospitals, requiring detailed information about charitable missions and services for nonprofit entities involved, and allows the Attorney General to review or challenge transactions that would materially alter these missions or lead to the transfer of charitable assets out of state. For healthcare providers, the bill mandates disclosure of any financial relationships with entities to which they refer patients for designated health services, with exceptions for certain federal regulations, and requires the Attorney General to study the impact of these disclosure requirements on consumer knowledge and costs.
Committee Categories
Health and Social Services
Sponsors (4)
Last Action
Introduced In Senate - Assigned to Health & Human Services (on 01/27/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://leg.colorado.gov/bills/SB26-041 |
| Fiscal Note FN1 | https://leg.colorado.gov/bill_files/111398/download |
| BillText | https://leg.colorado.gov/bill_files/110961/download |
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