Colorado AI Act (SB24-205)

Colorado AI Act Compliance Assessment

Meridian Health Systems, Inc.

High-Risk AI System Assessment

Generated by HAIEC Compliance Wizard

Report ID: RPT-CO-2026-0211-a7f3k

Date: February 11, 2026

Compliance Deadline: June 30, 2026

CONFIDENTIAL — For Internal Use Only

DEMONSTRATION REPORT — This is a sample report for preview purposes. Actual reports use your organization's data and assessment responses. This does not constitute legal advice.

CONFIDENTIAL

This document contains proprietary compliance assessment data prepared exclusively for Meridian Health Systems, Inc. Unauthorized distribution, reproduction, or disclosure is strictly prohibited.

Distribution Notice

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Document Control

Document TitleColorado AI Act (SB24-205) Compliance Assessment
Report IDRPT-CO-2026-0211-a7f3k
ClientMeridian Health Systems, Inc.
ClassificationCONFIDENTIAL
GeneratedFebruary 11, 2026
Engine VersionHAIEC Analysis Engine v2026.1.0
Valid UntilMay 12, 2026 (90 days)

Revision History

VersionDateAuthorDescription
1.02026-02-11HAIEC Analysis EngineInitial assessment report

Table of Contents

1Executive Dashboard
2Executive Summary
3Organization Context
4Methodology
5Detailed Findings
6Risk Assessment
6.1 Risk Heat Map
6.2 Quantified Risk Register
7Financial Impact Analysis
8Industry Benchmarking
9Remediation Roadmap
10Resource Estimates
11Management Response & Action Owners
12Evidence Chain & Audit Trail
13Next Steps
Appendices
A. Colorado AI Act Regulatory Reference
B. Evidence Checklist
C. Glossary of Terms
D. References & Standards
Auditor Verification & Sign-off

1. Executive Dashboard

Overall Compliance Score
62%
Needs Improvement — 5 of 8 sections partially compliant
Critical Gaps
3
Impact assessment, consumer disclosure, appeal process
Days Until Deadline
139
June 30, 2026 (delayed from Feb 1 via SB 25B-004)
Potential Penalty Exposure
$60K
Up to $20,000 per violation (3 critical gaps)

Section-by-Section Compliance

Section Score Status Priority
1. AI System Classification
100%
COMPLIANT
2. Impact Assessment
25%
CRITICAL GAP Immediate
3. Risk Management Program
67%
PARTIAL High
4. Consumer Disclosures
33%
CRITICAL GAP Immediate
5. Opt-Out & Appeal Process
0%
CRITICAL GAP Immediate
6. Documentation & Records
83%
MOSTLY COMPLIANT Medium
7. Developer-Specific Requirements
75%
MOSTLY COMPLIANT Medium
8. Deployer-Specific Requirements
50%
PARTIAL High

2. Executive Summary

Our deterministic assessment of Meridian Health Systems reveals a Colorado AI Act compliance score of 62%, with 3 critical gaps requiring immediate attention before the June 30, 2026 deadline. The organization operates a high-risk AI system in the Essential Services (Healthcare) category, specifically a patient triage and appointment prioritization system that makes consequential decisions about healthcare access.

Key Findings

Critical Actions Required

What You're Doing Right

3. Organization Context

Organization Profile

OrganizationMeridian Health Systems, Inc.
IndustryHealthcare / Essential Services
SizeMid-Market (500-2,000 employees)
HeadquartersDenver, CO
RoleDeployer & Developer
MaturityLevel 3 — Defined / Standardized

Regulatory Environment

  • Colorado AI Act (SB24-205, as amended by SB 25B-004)
  • HIPAA Privacy & Security Rules
  • Colorado Consumer Protection Act
  • ADA & Section 504 (disability discrimination)
  • CMS Conditions of Participation

Technology Environment

Python / scikit-learn Azure ML Epic EHR Integration HL7 FHIR PostgreSQL React Kubernetes

AI Systems Inventory

SystemTypeRisk LevelStatus
Patient Triage AIAppointment prioritization (consequential)HIGH-RISKIn Production
Clinical Decision SupportTreatment recommendation assistHIGH-RISKPilot Phase
Appointment Scheduling BotPatient communicationLOWIn Production

Compliance Maturity Assessment

5
Optimizing
Continuous improvement through incremental and innovative changes.
4
Quantitatively Managed
Processes measured and controlled with quantitative objectives.
3
Defined / Standardized CURRENT
Processes characterized for the organization and proactive.
2
Managed / Repeatable
Processes are characterized for projects and often reactive.
1
Initial / Ad Hoc
Processes are unpredictable, poorly controlled, and reactive.

5. Detailed Findings

Missing: Impact Assessment Documentation

CRITICAL

Requirement: SB24-205 §6-1-1703 requires deployers of high-risk AI systems to complete an impact assessment before deployment and annually thereafter.

Current State: No formal impact assessment document exists. The organization has informal notes about the AI system's purpose but no structured assessment covering all required elements.

Required Elements:

Recommended Action: Complete a structured impact assessment using HAIEC's Colorado AI Act template. Estimated effort: 2-3 weeks.

Missing: Consumer Disclosure at Point of Interaction

CRITICAL

Requirement: §6-1-1704 requires deployers to notify consumers that an AI system is being used to make or substantially assist in consequential decisions.

Current State: The patient intake form mentions "technology-assisted triage" but does not specifically disclose that an AI system prioritizes appointments based on symptom analysis.

Recommended Action: Update patient intake forms, waiting room signage, and digital check-in to include clear AI disclosure language. Estimated effort: 1-2 weeks.

Missing: Opt-Out and Appeal Process

CRITICAL

Requirement: §6-1-1704(3) requires deployers to provide a process for consumers to appeal adverse decisions and request human review.

Current State: No formal appeal mechanism exists. Patients can request to speak with a nurse, but this is not documented as an AI decision appeal process.

Recommended Action: Formalize the existing nurse-review pathway as an AI appeal process. Document the process, train staff, and add appeal information to patient-facing materials. Estimated effort: 3-4 weeks.

Partial: Risk Management Program

HIGH

Requirement: §6-1-1702.5 requires a risk management policy that includes bias testing and discrimination monitoring.

Current State: A general risk management policy exists, but it does not include specific provisions for AI bias testing or algorithmic discrimination monitoring. No bias testing has been conducted on the triage model.

Recommended Action: Extend the existing risk management policy to include AI-specific provisions. Conduct initial bias testing across demographic categories. Estimated effort: 4-6 weeks.

Partial: Deployer-Specific Requirements

HIGH

Requirement: Deployers must monitor AI system performance, maintain human oversight, and report discovered discrimination to the Attorney General within 90 days.

Current State: Performance monitoring exists for system uptime but not for decision quality or fairness. Human review level is ad-hoc rather than systematic. No discrimination reporting process is documented.

Recommended Action: Implement fairness monitoring dashboards, define systematic human review triggers, and create a discrimination reporting protocol. Estimated effort: 6-8 weeks.

6. Risk Assessment

Overall Risk Level: HIGH

The Colorado AI Act (SB24-205) takes effect June 30, 2026. The Colorado Attorney General has enforcement authority with penalties up to $20,000 per violation. A 60-day cure period applies to first-time violations, but only if the deployer demonstrates good faith compliance efforts.

6.1 Risk Heat Map

LIKELIHOOD IMPACT Almost Certain Likely Possible Unlikely Rare 1 2 3 Negligible Minor Moderate Major Catastrophic
1. Missing Impact Assessment (4×4=16) 2. Consumer Disclosure Gap (3×4=12) 3. Missing Appeal Process (3×3=9)

6.2 Quantified Risk Register

RiskLikelihoodAnnualized CostExpected LossMitigationResidual
AG enforcement (no impact assessment) 60% $60,000 $36,000 Complete impact assessment within 30 days LOW
Patient discrimination claim 25% $500,000 $125,000 Bias testing + appeal process MEDIUM
Consumer disclosure violation 70% $40,000 $28,000 Deploy disclosure language immediately LOW
Reputational damage (healthcare trust) 20% $1,500,000 $300,000 Proactive compliance + public transparency LOW

7. Financial Impact Analysis

Total Risk Exposure
$489K
Range: $320K – $660K
Cost of Remediation
$18.5K–$35K
Estimated investment required
Return on Investment
14x–19x
Risk reduction per dollar spent

Regulatory Fine Schedule

RegulationPer ViolationMax ExposureNotes
SB24-205 §6-1-1706 $20,000 $60,000 Per violation; 3 critical gaps = 3 violations
HIPAA (related AI breach) $50,000 $250,000 If AI triage causes PHI exposure or discrimination
Patient litigation Varies $500,000 Discrimination or harm from biased triage decisions
Safe Harbor Advantage
Colorado SB24-205 provides an affirmative defense for deployers who comply with nationally recognized AI risk management frameworks (NIST AI RMF, ISO 42001). Meridian Health Systems should consider pursuing ISO 42001 certification to strengthen its legal position and reduce residual risk.

8. Industry Benchmarking

50th percentile
Average performance — on par with peers but below leaders
MetricYour ScoreIndustry AvgDeltaStatus
Overall Compliance Score 62% 58% +4%
Impact Assessment Complete No 32% Yes Behind
Consumer Disclosure Partial 28% Full Partial
Appeal Process None 18% Yes Behind
Risk Management Policy 67% 55% +12%
Documentation Quality 83% 62% +21%
Benchmark Methodology
Benchmarks are derived from HAIEC's analysis of 150+ healthcare organizations subject to Colorado AI Act requirements as of Q1 2026. Note: Since the law has not yet taken effect (June 30, 2026), benchmarks reflect preparedness levels, not enforcement outcomes. Meridian Health Systems ranks at the 50th percentile, with strengths in documentation and risk management but critical gaps in impact assessment and appeal processes.

9. Remediation Roadmap

Phase 1: Immediate (0-30 days)
By March 13, 2026
Phase 2: Short-Term (30-60 days)
By April 12, 2026
Phase 3: Medium-Term (60-120 days)
By June 11, 2026
Phase 4: Pre-Deadline Verification (120-139 days)
By June 30, 2026

4. Methodology

This assessment was conducted using HAIEC's deterministic Compliance Wizard engine, which evaluates organizational readiness against the specific requirements of Colorado SB24-205.

Assessment Framework

MARPP Framework

Key Regulatory References

Provision Section Requirement
High-Risk Classification §6-1-1702(1) AI systems making consequential decisions in employment, education, finance, healthcare, legal
Impact Assessment §6-1-1703 Required before deployment and annually; must cover purpose, benefits, risks, data, outputs
Consumer Disclosure §6-1-1704 Notify consumers of AI use at point of interaction
Appeal Rights §6-1-1704(3) Provide process for consumers to appeal and request human review
Penalties §6-1-1706 Up to $20,000 per violation; 60-day cure period for first-time violations
Effective Date SB 25B-004 June 30, 2026 (delayed from February 1, 2026)

10. Resource Estimates

Activity Estimated Effort Estimated Cost Priority
Impact Assessment Documentation 2-3 weeks $3,000 - $5,000 CRITICAL
Consumer Disclosure Implementation 1-2 weeks $1,500 - $3,000 CRITICAL
Appeal Process Design & Training 3-4 weeks $4,000 - $7,000 CRITICAL
Risk Management Policy Update 2 weeks $2,000 - $4,000 HIGH
Bias Testing (Initial) 4-6 weeks $5,000 - $10,000 HIGH
Fairness Monitoring Setup 3-4 weeks $3,000 - $6,000 MEDIUM
Total Estimated 12-18 weeks $18,500 - $35,000

Note: Unlike NYC Local Law 144, Colorado does not require third-party bias audits, which typically cost $15K-$20K annually. Internal compliance is permitted, significantly reducing costs.

11. Management Response & Action Owners

This section documents management's acknowledgment of findings and assigned remediation owners.

IDFindingSeverityOwnerTarget DateStatus
F-001 Impact Assessment Documentation CRITICAL To be assigned TBD Pending
F-002 Consumer Disclosure at Point of Interaction CRITICAL To be assigned TBD Pending
F-003 Opt-Out and Appeal Process CRITICAL To be assigned TBD Pending
F-004 Risk Management Program (Bias Testing) HIGH To be assigned TBD Pending
F-005 Deployer-Specific Requirements HIGH To be assigned TBD Pending

Management should complete the Owner, Target Date, and Status columns and return a signed copy to the compliance team within 10 business days.

12. Evidence Chain & Audit Trail

All evidence artifacts are SHA-256 hashed for integrity verification. The chain below documents the provenance of each evidence item used in this assessment.

Engine Version HAIEC Analysis Engine v2026.1.0 Generated At 2026-02-11T14:32:00.000Z Report Hash c7d2e8f4a1b5c9d3e7f1a5b9c3d7e1f5a9b3c7d1e5f9a3b7c1d5e9f3a7b1c5
IDTypeDescriptionSHA-256
EVD-001 Questionnaire Colorado AI Act compliance questionnaire responses (24 questions) a1b5c9d3...e7f1
EVD-002 AI System Metadata Patient Triage AI system configuration and model card b9c3d7e1...f5a9
EVD-003 Scoring Model MARPP deterministic scoring output (8 sections) c7d1e5f9...a3b7
EVD-004 Benchmark Data Healthcare industry comparison dataset (Q1 2026) d5e9f3a7...b1c5
EVD-005 Financial Model Risk exposure calculation inputs (Colorado-specific) e3f7a1b5...c9d3

13. Next Steps

Recommended Actions

  1. Draft and deploy consumer disclosure language on patient intake forms — within 14 days
  2. Formalize nurse-review pathway as AI appeal mechanism — within 30 days
  3. Complete structured impact assessment for Patient Triage AI — within 45 days
  4. Extend risk management policy with AI-specific bias testing provisions — within 60 days
  5. Conduct initial bias testing across demographic categories — within 90 days
  6. Deploy fairness monitoring dashboards — within 120 days
  7. Assign management response owners for all findings — within 10 business days
  8. Re-run HAIEC assessment to verify compliance before June 30, 2026 deadline — by June 1, 2026

Contact HAIEC: compliance@haiec.com | www.haiec.com

Appendix A: Colorado AI Act Regulatory Reference

SectionRequirementApplies ToPenalty
§6-1-1702(1)High-risk AI system classificationDeveloper & Deployer
§6-1-1702.5Risk management policy with bias testingDeveloper & DeployerUp to $20,000
§6-1-1703Impact assessment before deployment (annual)DeployerUp to $20,000
§6-1-1704Consumer disclosure at point of interactionDeployerUp to $20,000
§6-1-1704(3)Appeal process and human reviewDeployerUp to $20,000
§6-1-1705Developer duties (documentation, testing)DeveloperUp to $20,000
§6-1-1706Enforcement and penaltiesBoth$20,000/violation
SB 25B-004Effective date delay to June 30, 2026Both

Appendix B: Evidence Checklist

Evidence ItemStatusNotes
Impact assessment documentMISSINGRequired per §6-1-1703
Consumer disclosure languagePARTIALMentions "technology-assisted" but not AI specifically
Appeal process documentationMISSINGRequired per §6-1-1704(3)
Risk management policy (AI-specific)PARTIALGeneral policy exists; needs AI bias testing addendum
Bias testing resultsMISSINGNo testing conducted on triage model
AI system model cardEXISTSMaintained internally
Training data documentationEXISTSMaintained internally
AG discrimination reporting protocolMISSINGRequired within 90 days of discovery
Human oversight proceduresPARTIALAd-hoc; needs formalization

Appendix C: Glossary of Terms

TermDefinition
High-Risk AI SystemAn AI system that makes or is a substantial factor in making a consequential decision in areas including employment, education, financial services, healthcare, housing, insurance, or legal services (§6-1-1702(1)).
Consequential DecisionA decision that has a material legal or similarly significant effect on a consumer's access to or the cost, terms, or availability of essential services.
DeployerA person doing business in Colorado that deploys a high-risk AI system. Meridian Health Systems is a deployer of the Patient Triage AI.
DeveloperA person doing business in Colorado that develops or intentionally and substantially modifies an AI system. Meridian is also a developer of the Patient Triage AI.
Algorithmic DiscriminationAny condition in which the use of an AI system results in an unlawful differential treatment or impact that disfavors an individual or group on the basis of a protected characteristic.
Impact AssessmentA documented evaluation of the purpose, intended benefits, known limitations, potential risks, data categories, outputs, and discrimination mitigation measures of a high-risk AI system.
Cure PeriodA 60-day period during which a deployer may remedy a violation before the AG takes enforcement action, applicable only to first-time violations where good faith is demonstrated.
MARPPMethodology for Auditable, Reproducible, and Provable Processes — HAIEC's deterministic analysis framework.

Appendix D: References & Standards

  1. Colorado SB24-205 (Concerning Consumer Protections for AI), signed May 17, 2024
  2. Colorado SB 25B-004 (AI Act Amendment), signed August 28, 2025 — delays effective date to June 30, 2026
  3. Colorado Consumer Protection Act, C.R.S. §6-1-101 et seq.
  4. NIST AI Risk Management Framework (AI RMF 1.0), January 2023
  5. ISO/IEC 42001:2023 — AI Management System Standard
  6. HIPAA Privacy Rule, 45 C.F.R. Part 160 and Subparts A and E of Part 164
  7. HIPAA Security Rule, 45 C.F.R. Part 160 and Subparts A and C of Part 164
  8. ADA Title III — Public Accommodations (healthcare facilities)
  9. HAIEC Industry Analysis: Colorado AI Act Healthcare Compliance Benchmarks (Q1 2026)

Document Status: This compliance assessment contains deterministic analysis generated by the HAIEC Analysis Engine. All evidence is SHA-256 hashed for integrity verification. This document is complete as per the defined scope and ready for independent review and certification under Colorado SB24-205.

This report does NOT constitute legal advice. The Colorado AI Act (SB24-205) is subject to regulatory interpretation by the Colorado Attorney General's office. Consult qualified legal counsel for compliance decisions. Statutory references are to SB24-205 as amended by SB 25B-004.

Auditor Verification & Sign-off

This section is reserved for the independent reviewer of this Colorado AI Act compliance assessment.

Reviewer Name
Organization
License / Certification #
Review Date
Verification Status ☐ Verified & Approved ☐ Approved with Conditions ☐ Requires Revision
Signature