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PUBLIC
BILL SUMMARY For UNIFORM HEALTH-CARE DECISIONS ACT

JOINT COMMITTEE COMMITTEE ON COLORADO COMMISSION ON UNIFORM STATE LAWS
Date Dec 12, 2025       Location HCR 0107

Uniform Health-Care Decisions Act - Removed from this year's legislative agenda


01:34:33 PM  
Sarah Cannon, Uniform Law Commission (ULC), summarized the ULC review of the Colorado Bar Association (CBA) proposed amendments. The committee had uniformity concerns with the proposed changes to section 12 in the CBA draft.
01:37:48 PM  
Leia Ursery, CBA, indicated that it was thought there may be ULC concerns with the CBA proposed amendments because Colorado is unique in that it already has good infrastructure with a medical decision-making proxy in place.
01:39:32 PM  
Commissioner Snyder shared that the feedback he has received from the Colorado Hospital Association (CHA) and United Healthcare is that Colorado has a good system in place, it's not perfect and could use some improvements, but they are not ready to adopt this act for Colorado.
01:40:57 PM  
As the commission discussed continuing work on the act, Commissioner Levy pointed out that the CBA has already done a lot of work reviewing the act and proposing amendments. Those amendments do not look like they will be considered uniform and additional work is unlikely to change that.
01:42:19 PM  
Ms. Cannon added that, while it's ideal to use the uniform language, there are idiosyncrasies in every state that need some adaption and it may be possible an amended act leaving section 12 as is could still qualify for a substantially similar credit should the bar association like to discuss this more with the ULC
01:43:20 PM  
Ms. Ursery indicated that the CBA does not yet have an official position on the act. If there is a willingness to work on this and if they are allowed the time there may be a way to get things closer to uniformity or substantial compliance.
01:44:03 PM  
The commission agreed to allow more time for CBA and ULC discussions on the proposed amendments and also asked Ms. Cannon to keep everyone apprised of what is happening with enactments in other states.
01:45:16 PM  
Jason Hopfer, lobbyist for the Colorado Hospital Association (CHA), stated that there are areas of Colorado's healthcare decision-making framework where greater clarity and modernization would benefit patients, families, and providers. However, the CHA has serious concerns about adopting the uniform act at this time and is opposed to moving forward with it.
01:47:59 PM  
Commission consensus was to have the CBA and CHA continue conversations and to lay this act over to the 2027 legislative agenda. The commission thanked the CBA, CHA, and other stakeholders for their work on the act.