Medical Malpractice Laws in Colorado (2026): Deadlines & Caps

Colorado medical malpractice claims follow a two-year deadline with a three-year outer limit, require a pre-suit certificate of review, and are subject to damage caps that were raised sharply in 2024 and continue to climb. This page explains the current law for 2026, with each key figure traced to the Colorado Revised Statutes or the enacting legislation. It is general legal information, not legal advice.

The Deadline to Sue (Statute of Limitations)

Under Colorado Revised Statutes section 13-80-102.5, a medical malpractice action must generally be brought within two years after the cause of action accrues. The claim accrues on the earlier of the date the patient knew of the injury and its cause, or the date the patient should have known of both through reasonable diligence. This is a discovery rule, so the two-year clock can start later than the date of the negligent act.

Because the start date depends on what the patient knew or should have known, the deadline is fact-specific. Anyone who suspects malpractice should confirm the accrual date with counsel rather than assume the clock has not yet started.

Statute of Repose

Colorado pairs the two-year limitations period with a three-year statute of repose. As a general matter, no malpractice action may be brought more than three years after the act or omission, regardless of when the injury is discovered. The repose period sets the absolute outer boundary for filing.

The three-year repose has exceptions. It does not cut off a claim where the provider knowingly concealed the act, where the claim is based on a foreign object left in the body, or where the patient could not have discovered the injury and its cause despite reasonable diligence. Those exceptions are narrow and should be evaluated carefully.

Deadlines for Minors

Colorado extends the deadline for young children. When the patient was under six years old at the time of the act, the claim may be brought before the child's eighth birthday. Other minors and persons under a legal disability may also have tolled deadlines. Families should confirm the exact date, because the child-specific rule differs from the adult two-year period.

Damage Caps After HB24-1472

Colorado caps the damages a patient can recover in a medical malpractice case, but the legislature raised those caps significantly in House Bill 24-1472, signed June 3, 2024 and effective January 1, 2025. The bill replaced the long-standing flat caps (a $300,000 non-economic cap and roughly $1 million total cap) with a schedule that increases each year.

C.R.S. 13-64-302(1)(b) sets the general per-patient cap, covering all damages for a course of care, at the greater of $1,000,000 or 125% of the noneconomic-damages figure in C.R.S. 13-21-203(1)(b) in effect when the act or omission occurred. Because that figure is $810,000 for 2026, the per-patient total cap for acts or omissions in 2026 is $1,012,500. Within that total, the noneconomic-damages sub-limit for acts or omissions on or after January 1, 2026 and before January 1, 2027 is $530,000, rising to $645,000 (2027), $760,000 (2028), and $875,000 (2029). HB24-1472 also raised the separate, higher limit on noneconomic damages that applies in medical malpractice wrongful-death cases, codified at C.R.S. 13-21-203(1)(b): $555,000 (2025), $810,000 (2026), $1,065,000 (2027), $1,320,000 (2028), and $1,575,000 (2029), then biennial inflation adjustment starting in 2030. Each of those wrongful-death figures limits noneconomic damages only; it is not a ceiling on total recovery.

Beginning in 2030, the caps adjust biennially for inflation. Because the operative figure depends on the year of the act or omission, the correct cap for a specific case should always be confirmed.

When a Cap May Be Exceeded

Colorado's medical malpractice cap statute (C.R.S. 13-64-302(1)(b)) allows a court, for good cause shown and where applying the limit would be unfair, to award the present value of additional past and future economic damages above the cap. This safety valve applies to economic damages only; it does not lift the cap on noneconomic damages. It is decided case by case, so the interaction between the cap and specific categories of loss is best reviewed with counsel.

Certificate of Review

Colorado requires a certificate of review in professional-negligence cases that need expert testimony, under Colorado Revised Statutes section 13-20-602. The plaintiff's attorney must file the certificate within 60 days of serving the complaint, declaring that the attorney consulted a qualified expert who concluded the claim does not lack substantial justification.

When the defendant is a physician, the certificate must state that the consulted expert meets Colorado's qualifications for expert witnesses in medical malpractice actions. Failure to file a required certificate of review can result in dismissal of the complaint, so it is treated as a critical early step.

Pre-Suit Notice

Colorado does not impose a general statutory notice-of-intent-to-sue requirement or a mandatory screening panel for medical malpractice claims. The certificate of review under section 13-20-602 is the principal pre-suit expert hurdle, rather than a separate notice statute. Different rules can apply to claims against public entities and their employees, so government-defendant cases should be reviewed separately.

Standard of Care and Who May Be Liable

A Colorado malpractice claim turns on whether the provider met the standard of care of a reasonably careful provider in the same field. Physicians, surgeons, nurses, hospitals, and other licensed providers may be liable, and hospitals can be responsible for the negligence of their employees. Under Colorado law, an expert testifying against a physician must be a licensed physician with substantial familiarity with the relevant standard of care, so qualified expert testimony is generally required.

Comparative Negligence

Colorado follows modified comparative negligence with a 50 percent bar. A patient who is partly at fault can still recover, with the award reduced by the patient's percentage of fault, but a patient found 50 percent or more at fault recovers nothing. How fault is allocated among the patient and multiple defendants can significantly affect recovery, particularly where several providers were involved in the care at issue.

Timing the Certificate of Review

The certificate of review is one of the most common procedural traps in Colorado professional-negligence litigation. Section 13-20-602 requires the plaintiff's attorney to file it within 60 days after serving the complaint, unless the court grants additional time for good cause. Because the consultation with a qualified expert has to happen before the certificate can be filed, the expert review effectively becomes part of preparing the case rather than an afterthought.

A narrow exception exists where the claim does not require expert testimony, such as certain negligence-per-se claims based on a clear statutory violation. Outside that narrow band, missing the certificate deadline risks dismissal, so plaintiffs generally line up an expert early.

Claims Against Public Hospitals and Providers

When the defendant is a public entity or a public employee, such as a county hospital or a provider at a government facility, the Colorado Governmental Immunity Act can impose additional requirements and shorter notice deadlines that operate separately from the general malpractice rules. These government-defendant cases carry their own strict timelines, so it is important to identify early whether a public entity is involved and to consult a Colorado-licensed attorney about the applicable notice obligations.

Wrongful-Death Medical Malpractice

When malpractice causes death, eligible survivors or the estate may bring a wrongful-death claim, and a higher limit on noneconomic damages applies under C.R.S. 13-21-203(1)(b), as amended by HB24-1472. That subsection opens "notwithstanding the limitation set forth in subsection (1)(a) of this section or in section 13-64-302 (1)," so it substitutes for the $530,000 noneconomic sub-limit in C.R.S. 13-64-302 rather than operating outside that section. For acts or omissions on or after January 1, 2026 and before January 1, 2027, that noneconomic limit is $810,000; it rises to $1,065,000 (2027), $1,320,000 (2028), and $1,575,000 (2029), then adjusts biennially for inflation starting in 2030.

That $810,000 figure is not a ceiling on total recovery. The C.R.S. 13-64-302(1)(b) per-patient cap on all damages still applies, and because that cap is set at the greater of $1,000,000 or 125% of the C.R.S. 13-21-203(1)(b) figure, it is $1,012,500 for acts or omissions in 2026. Economic damages such as lost financial support and medical or funeral expenses are therefore recoverable above the noneconomic limit up to that total, and the good-cause exception described above can allow additional economic damages beyond it. The deadline and the list of who may sue can differ from a personal-injury claim, so families should confirm the applicable figures with a Colorado-licensed attorney.

How to Evaluate and Preserve a Possible Claim

If you suspect that medical care caused harm, request complete medical records and write down the timeline while the details are clear. Many Colorado medical malpractice attorneys offer a free initial consultation and work on a contingency fee, meaning the fee comes from any recovery. No attorney can guarantee an outcome or a dollar amount, and every case depends on its specific facts, the certificate-of-review requirement, and the governing deadlines.