# C.R.S. § 32-1-1003.5: 32-1-1003.5. Health assurance districts - additional powers - legislative declaration - defin > Colorado · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1003.5 ## Section - **Citation:** C.R.S. § 32-1-1003.5 - **Heading:** 32-1-1003.5. Health assurance districts - additional powers - legislative declaration - defin - **Jurisdiction:** Colorado - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** CO Code / Title 32 / Article 1 / Part 10 / Section 32-1-1003.5 ## Text 32-1-1003.5. Health assurance districts - additional powers - legislative declaration - definitions. (1) The general assembly hereby finds, determines, and declares that access to health-care services is an increasing problem in Colorado and that some Coloradans do not have access to a primary care provider. It is the intent of the general assembly to ease the strain on Coloradan's health-care needs by allowing a special district to be created to provide health-care services. It is the intention of the general assembly to review the success of such efforts as authorized by subsection (2) of this section to determine the effectiveness of the program. (2) In addition to the powers specified in section 32-1-1001, the board of any health assurance district has any or all of the following powers for and on behalf of such district: (a) To organize, operate, control, direct, manage, contract for, furnish, or provide, directly or indirectly, health-care services to residents of the health assurance district who are in need of such services; (b) To draw warrants against health assurance district funds held by the county treasurer for the purposes set forth in paragraph (a) of this subsection (2); (c) To contract with or work cooperatively and in conjunction with a health service district or other existing health-care provider or service to provide health-care services to the residents of such district; and (d) To seek approval from the eligible electors in the health assurance district to collect, retain, and spend all revenue generated by any tax approved by the eligible electors in excess of the limitation provided in section 20 of article X of the state constitution. (3) The board of county commissioners of any county or the governing body of any municipality within the health assurance district may transfer any real and personal property, whether or not theretofore used by the county or municipality for hospital purposes, to any newly organized health assurance district if such real and personal property is located in the newly organized district. (4) (Deleted by amendment, L. 2007, p. 1192, § 13, effective July 1, 2007.) (5) [Editor's note: This version of the introductory portion to subsection (5) is effective until July 1, 2025.] Any health assurance district that is created pursuant to this article shall have the power, upon approval by the eligible electors of the district, to levy and collect a uniform sales tax throughout the entire geographic area of the district upon every transaction or other incident with respect to which a sales tax is levied by the state pursuant to the provisions of article 26 of title 39, C.R.S., excluding the sale of cigarettes, subject to the following provisions: (5) [Editor's note: This version of the introductory portion to subsection (5) is effective July 1, 2025.] Any health assurance district that is created pursuant to this article 1 shall have the power, upon approval by the eligible electors of the district, to levy and collect a uniform sales tax throughout the entire geographic area of the district upon every transaction or other incident with respect to which a sales tax is levied by the state pursuant to the provisions of article 26 of title 39, excluding the sale of cigarettes, subject to the following provisions: (a) For purposes of this subsection (5), "eligible elector" shall have the same meaning as set forth in section 32-19-102 (3). (b) For purposes of complying with the provisions of section 32-1-301 (2)(d.1), the petition for organization shall set forth the estimated sales tax revenues for the health assurance district's first budget year if the district will seek approval from the eligible electors of the district to levy a sales tax in its first budget year. l have the same meaning as set forth in section 32-19-102 (3). (b) For purposes of complying with the provisions of section 32-1-301 (2)(d.1), the petition for organization shall set forth the estimated sales tax revenues for the health assurance district's first budget year if the district will seek approval from the eligible electors of the district to levy a sales tax in its first budget year. (c) [Editor's note: This version of subsection (5)(c) is effective until July 1, 2025.] Any sales tax authorized pursuant to this subsection (5) shall be levied and collected as provided in section 32-19-112. (c) [Editor's note: This version of subsection (5)(c) is effective July 1, 2025.] Any sales tax authorized pursuant to this subsection (5) shall be collected, administered, and enforced by the executive director of the department of revenue as provided in part 2 of article 2 of title 29. ## Nearby sections - [C.R.S. § 32-1-1001 32-1-1001. Common powers - definitions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1001.md) - [C.R.S. § 32-1-1002 32-1-1002. Fire protection districts - additional powers and duties - definitions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1002.md) - [C.R.S. § 32-1-1003 32-1-1003. Health service districts - additional powers](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1003.md) - [C.R.S. § 32-1-1003.5 32-1-1003.5. Health assurance districts - additional powers - legislative declaration - defin](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1003.5.md) - [C.R.S. § 32-1-1004 32-1-1004. Metropolitan districts - additional powers and duties](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1004.md) - [C.R.S. § 32-1-1004.5 32-1-1004.5. Metropolitan districts' covenant enforcement and design review services - requir](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1004.5.md) - [C.R.S. § 32-1-1005 32-1-1005. Park and recreation districts - additional powers - limitations](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1005.md) - [C.R.S. § 32-1-1006 32-1-1006. Sanitation, water and sanitation, or water districts - additional powers - speci](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1006.md) - [C.R.S. § 32-1-1007 32-1-1007. Ambulance districts - additional powers - special provisions - definitions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1007.md) - [C.R.S. § 32-1-1008 32-1-1008. Tunnel districts - additional powers - special provisions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1008.md) - [C.R.S. § 32-1-1009 32-1-1009. Regional tourism projects](https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1009.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_CO_T32_A1_P10_S32-1-1003.5. Check the current official text before relying on it. Not legal advice.