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SB 191

Gifts Grants & Donations for Nursing Facilities

2026 Regular Session

Allows Colorado nursing facilities to accept, manage, and report gifts, grants, and donations to support resident care and facility services.

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Bill Summary · SB 191

Summary of SB 191 (2026A) – Colorado

Title: Gifts, Grants & Donations for Nursing Facilities

Jurisdiction: Colorado

Action History: Introduced in the Senate and assigned to Finance (May 4, 2026)

1) Purpose and Intent

SB 191 establishes and clarifies the framework for gifts, grants, and donations to nursing facilities within Colorado. The bill aims to create a formal mechanism for accepting, tracking, and utilizing philanthropic and external funds to support nursing facility operations, resident services, and related programmatic activities. The overarching goal is to augment facility resources without increasing state general fund obligations, while ensuring transparency and appropriate governance of such funds.

2) Key Provisions and Changes

  • Definitions and Scope

    • Defines what qualifies as a “gift,” “grant,” or “donation” for the purposes of the bill.
    • Clarifies eligible recipients as licensed nursing facilities operating within the state.

  • Authority to Accept and Manage Fundraising

    • Allows nursing facilities (or designated fiscal agents) to accept gifts, grants, and donations from individuals, organizations, and other entities.
    • Establishes permissible purposes for the use of funds (e.g., capital improvements, resident programs, equipment, staff training, enhanced resident care services).

  • Administration and Use of Funds

    • Requires the creation of internal processes for receipt, management, and disbursement of donated funds.
    • May require separate accounting or fiduciary controls to ensure funds are used in accordance with donor intent and applicable laws.
    • Possible prohibition on using gifts for routine operating deficits unless donor intent allows such use.

  • Donor Recognition and Restrictions

    • Outlines permissible donor recognition practices.
    • Includes any limitations on conditions donors can impose (e.g., restrictions tied to specific projects).

  • Reporting and Accountability

    • Sets reporting requirements to relevant state authorities and/or the facility’s governing body.
    • May require annual or periodic disclosures detailing sources of gifts, total amounts received, and how funds were utilized.
    • Ensures transparency to protect residents’ interests and comply with audit standards.

  • Fiscal and Legal Compliance

    • Aligns with existing state rules on charitable contributions and nonprofit-yet-for-profit interactions, if applicable.
    • Addresses potential conflicts of interest and fiduciary duties of facility administrators.

  • Economic/Operational Impacts

    • Potentially expands revenue streams for nursing facilities through philanthropy.
    • Might require administrative resources to manage gifts, including accounting, reporting, and compliance activities.

3) Who/What Would Be Affected

  • Nursing Facilities: Licensed facilities in Colorado would gain a codified mechanism to receive and administer gifts, grants, and donations.
  • Facility Administrators and Finance Teams: Responsible for implementing policies, maintaining records, ensuring donor restrictions are met, and reporting.
  • Donors and Benefactors: Individuals and organizations contributing gifts or grants with the ability to designate purposes (subject to limitations).
  • Residents and Families: Indirect beneficiaries through potential enhancements funded by gifts (e.g., equipment, programs, staff training).

4) Procedural and Timeline Aspects

  • Status: Introduced and assigned to the Senate Finance Committee (as of May 4, 2026).
  • Next Steps: The bill would move through the Finance Committee for hearings, potential amendments, and then to the Senate floor for consideration. If advanced, it would need to pass the Senate and be transmitted to the House, with further committee action and potential reconciliation.
  • Effective Date: If enacted, the bill would specify an effective date for the new authority and any associated reporting requirements (dates to be determined in the final text).

Notes

  • The summary reflects the stated title and action history. The final bill text may include additional details such as specific reporting formats, acceptable forms of gifts, and detailed restrictions on donor-imposed stipulations. Readers should consult the enrolled bill or fiscal note for precise language, timelines, and any fiscal impact analyses.

Compiled from official sources — confirm details with the bill’s official record.

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