Colorado Code
Part 1 - Hospitals
§ 25-3-119. Freestanding Emergency Departments - Required Notices - Disclosures - Rules - Definitions

(I) Specifies whether the freestanding emergency department accepts patients who are enrolled in: The state medical assistance program under articles 4, 5, and 6 of title 25.5; medicare, as authorized in Title XVIII of the federal "Social Security Act", as amended; the children's basic health plan established under article 8 of title 25.5; or a health plan authorized under 10 U.S.C. sec. 1071 et seq.;
(II) Lists the specific health insurance provider networks and carriers with which the freestanding emergency department participates or states that the freestanding emergency department is not a participating provider in any health insurance provider networks;

Patient Information
This is an emergency medical facility that treats emergency medical conditions. We will screen and treat you regardless of your ability to pay. You have a right to ask questions regarding your treatment options and costs. You have a right to receive prompt and reasonable responses to questions and requests. You have a right to reject treatment. However, we encourage you to defer your questions until after we screen you for an emergency medical condition. This is not a complete statement of patient information or rights. You will receive a more comprehensive statement of patient's rights upon the completion of a medical screening examination that does not reveal an emergency medical condition or after treatment has been provided to stabilize an emergency medical condition.
This is not an urgent care center or primary care provider.
This facility also contains an urgent care center that operates from (insert time urgent care center opens) to (insert time urgent care center closes) and provides primary care services (and insert, if applicable, that the urgent care center offers primary care services by appointment).
This is an emergency medical facility that treats emergency medical conditions.
This is not an urgent care center or primary care provider.
This facility also contains an urgent care center that operates from (insert time urgent care center opens) to (insert time urgent care center closes) and provides primary care services (and insert, if applicable, that the urgent care center offers primary care services by appointment).
If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health-care service provided at this freestanding emergency department. If you are not covered by health insurance, you are strongly encouraged to contact (insert name and telephone number for office responsible for financial services) to discuss payment options and the availability of financial assistance prior to receiving a health-care service from this freestanding emergency department.
Source: L. 2018: Entire section added, (SB 18-146), ch. 157, p. 1101, § 2, effective January 1, 2019. L. 2019: (8)(c) amended, (HB 19-1010), ch. 324, p. 2998, § 4, effective August 2.
Cross references: For the legislative declaration in SB 18-146, see section 1 of chapter 157, Session Laws of Colorado 2018.