CO SB225

Creates an EMS System Sustainability Task Force with 20 voting members to assess Colorado's emergency medical services system and provide recommendations in five phases through January 2027.

Requires ambulance services to obtain state licenses from the Department of Public Health and Environment starting July 1, 2024, with local licensing authority authorization to operate in their jurisdiction.

Establishes minimum statewide standards for ambulance operations including equipment, staffing, medical oversight, insurance, training, and incident reporting, to be adopted by rule by January 1, 2024.

Implements state oversight and enforcement mechanisms including vehicle inspections, criminal background checks for owners/operators, and authority to suspend or revoke licenses for violations, with civil penalties up to $500 per violation.

Transfers ambulance licensing authority from local counties to the state Department of Public Health and Environment, while allowing counties to opt out and maintain local authorization requirements or impose additional obligations through contracts.