Do Speech Therapy Centers Need Special Healthcare Compliance?
Key Takeaways: Speech therapy centers are subject to many of the same healthcare compliance laws that apply to larger medical providers. Practices must follow strict HIPAA regulations to safeguard patient information, maintain state licensure through the Colorado Department of Regulatory Agencies (DORA), and meet Medicare and Medicaid documentation and billing requirements. Noncompliance can lead to severe financial penalties, loss of licensure and damage to a practice’s reputation. To stay compliant, speech therapy businesses should routinely review regulatory updates, train staff on data privacy and billing standards and work closely with a small business attorney experienced in healthcare law to ensure their policies, procedures and documentation remain current and legally sound.
Running a speech therapy center involves more than providing quality care to clients; it also means navigating the complex world of healthcare compliance. Many speech therapy business owners assume that only hospitals or large medical practices need to worry about regulations like HIPAA or Medicare documentation standards. In reality, even small or private speech therapy practices fall under many of the same rules designed to protect patient information, ensure accurate billing and maintain proper licensure.
Compliance can seem overwhelming, especially when you’re focused on growing your client base, delivering high-quality speech therapy services and managing day-to-day operations. But understanding your legal responsibilities early on can save your practice from costly fines, reputational damage and operational disruptions down the road. The key is knowing which regulations apply to your business and how to meet those requirements without letting them slow you down.
The following overview will highlight the most critical healthcare compliance matters impacting speech therapy practices. The best way to ensure your practice addresses these issues properly is to work with a team of individuals who know healthcare compliance including a compliance specialist, an IT company that works with healthcare professionals, and an experienced small business lawyer familiar with healthcare law. Receiving proper compliance and legal guidance can help you avoid costly penalties and other consequences which can be potentially damaging to your practice.
HIPAA Compliance
Speech therapy practices collect a wide range of patient-protected health information (PHI), including:
Personal identification information
Medical history
Assessment results
Therapy records
Billing information
As a result, they must comply with regulations established under the Health Insurance Portability and Accountability Act (HIPAA). To adhere to HIPAA requirements, speech therapy practices must:
Conduct risk assessments to identify and mitigate potential security vulnerabilities associated with protected health information
Establish HIPAA-compliant policies and procedures for managing PHI
Train their staff on HIPAA regulations and security measures
Use secure communication methods, such as encrypted email and HIPAA-compliant telehealth platforms, whenever they share patient information
Obtain patient consent and maintain business associated agreements with any partners who handle PHI
Ensure the confidentiality and secure storage of both physical and electronic patient records
Prepare an incident response plan in the event of a privacy breach
HIPAA compliance issues can result in harsh financial, legal and professional penalties. Fines for a HIPAA violation are structured in tiers:
Tier 1 (Lack of Knowledge) – Your practice wasn’t aware of and couldn’t have realistically avoided the violation, even when taking a reasonable amount of care to adhere to HIPAA regulations. Fines range from $100 per violation to $50,000 per violation.
Tier 2 (Reasonable Cause) – Your practice should have been aware of the violation but couldn’t have avoided it even with a reasonable amount of care to adhere to HIPAA regulations. Fines range from $1,000 per violation to $50,000 per violation.
Tier 3 (Willful Neglect) – Your practice suffered a violation due to “willful neglect” of HIPAA regulations, but attempted to correct the violation within 30 days. Fines range from $10,000 per violation to $50,000 per violation.
Tier 4 (Willful Neglect Not Corrected) – Your practice suffered a violation due to “willful neglect” of HIPAA regulations but made no attempt to correct the violation within 30 days. Fines range from $50,000 per violation to $1,500,000 per violation.
In addition, criminal penalties may be assessed according to the following tiered structure:
Tier 1 (Lack of Knowledge/Reasonable Cause) – Up to 1 year in jail
Tier 2 (Obtaining PHI Under False Pretenses) – Up to 5 years in jail
Tier 3 (Obtaining PHI for Personal Gain or with Malicious Intent) – Up to 10 years in jail
In addition, HIPAA violations can result in damage to your reputation and a variety of other professional consequences. Data breaches or improper disclosure of patient information can result in loss of patient trust, reduced business and potential lawsuits from patients affected by the data breach. Your practice may also be required to implement corrective action plans in order to avoid suspension of your professional license.
State Licensing and Certification Requirements
The Colorado Department of Regulatory Agencies (DORA) has established licensure and certification requirements for speech therapists. These include:
Completion of a master’s degree or higher in speech language pathology or communication sciences and disorders from an accredited institution
Completion of a clinical fellowship program consisting of 1,260 hours under supervision
Passing score of 162 or higher on the national Speech-Language Pathology Examination
Submission of official transcripts, proof of clinical fellowship completion, national exam scores, a patient medical record security plan, proof of professional liability insurance and results of a background check
Renewal of speech therapy licenses is required annually, with a renewal deadline of November 30. In order to renew your license, you must complete all required continuing education coursework.
Failure to comply with all state licensure requirements can result in a variety of penalties, including:
License suspension or revocation
Fines
Probation or letter of admonition
Cease-and-desist order for your practice
Medicare and Medicaid Compliance Requirements
Speech therapy practices must also comply with federal Medicare and Medicaid requirements associated with proper billing, reimbursement and provision of services. These include:
Providing proper documentation that treatments are medically necessary
Using correct CPT and modifier codes
Submitting timely, accurate claims consistent with Medicare and Medicaid regulations
Adhering to any applicable state-specific Medicaid billing protocols
Staying current with annual updates to fee schedules, codes and documentation requirements
Failing to comply with these regulations can result in claim denials, practice audits, loss of provider status and other penalties.
Legal Help for Speech Therapy Businesses
The penalties for compliance violations can be devastating for your speech therapy practice. To avoid these issues, it’s important to have a team to help you comply with legal rules, compliancy rules, and accounting rules. This means that you need a team to help you. Working with a business attorney who represents speech therapy practices is an important step that will help you avoid compliance violations in addition to a compliancy specialist and your CPA. If you need help with compliance issues, reach out to Elizabeth Lewis to make sure you have a team of support.
Elizabeth Lewis represents small and medium-sized businesses in the Denver area, and she regularly helps speech therapy practices navigate the business issues, including working with their compliance specialists, CPAs, IT companies, and healthcare billing companies in a team effort to avoid costly compliance violations. Elizabeth will ensure you remain current on the latest regulations and advise you on any actions your practice needs to take to have the best practice possible.
In addition, she provides comprehensive legal services that can ensure the interests of your speech therapy business are protected at all times. Whether you need assistance with business formation matters, drafting and reviewing contracts, navigating a contract dispute or employment law matters, Elizabeth will provide the sound legal guidance your practice needs.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves clients in Denver and the surrounding areas.
Key Takeaways: Colorado med spa owners must comply with strict state laws that govern business ownership, medical oversight and patient transparency. The new 2025 Disclosure Law (HB 1024) requires on-site, online and patient consent disclosures when unlicensed professionals perform delegated procedures. Med spas must also adhere to the Corporate Practice of Medicine (CPOM) doctrine, which restricts ownership of medical practices to licensed physicians and mandates compliant MSO structures for non-physician involvement. Additionally, every med spa must have an actively involved, Colorado-licensed medical director. Working with an experienced small business attorney is essential to ensure full compliance, avoid fines and protect the long-term success of your med spa.
If you run a med spa in Colorado, there are certain state laws governing the industry that have a significant impact on how you run your business. It’s important to be familiar with these laws and regulations to ensure compliance, prevent liability, and avoid costly fines and penalties. The best way to ensure compliance is to work with an experienced small business attorney who can help you navigate the Colorado laws and regulations governing med spas operating in the state.
The following overview will help you understand the most important laws you need to know. At the Law Office of E.C. Lewis, we regularly provide a wide range of legal services to med spas, and we can make sure you remain compliant with all the laws impacting your business.
New 2025 Disclosure Law (HB 1024)
Colorado recently passed a new law intended to improve transparency regarding the use of unlicensed professionals to perform medical-aesthetic services. This law, Colorado House Bill 1024 (HB 1024), implements new disclosure requirements when med spas delegate the administration of procedures used for cosmetic or therapeutic purposes to unlicensed individuals. HB 1024 expands on the existing guidelines established by the Colorado Board of Medical Examiners under Rule 800, which provides guidelines on how these services can be delegated to unlicensed professionals.
The new law doesn’t change the scope of the circumstances under which these services can be delegated. It simply requires practices to make the following disclosures when these services are being delegated to unlicensed practitioners:
On-site signage
Online and advertising disclosures
Patient informed consent
On-Site Signage
Med spas must prominently display a sign at the physical location where services are provided letting patients know that certain medical-aesthetic services are performed by unlicensed professionals. The sign must include the following information:
The name, license number and contact information of the delegating practitioner
A link to the Colorado Medical Board’s website page where patients can file complaints
Online and Advertising Disclosures
Med spas must add clear statements to their website and all advertising materials indicating:
Medical-aesthetic services are delegated
The name and license number of the delegating provider
This messaging must be clearly visible on all website service pages associated with treatments that are delegated, as well as on the bio pages of any unlicensed team members who perform these delegated procedures.
Patient Informed Consent
Prior to providing treatment, med spas must obtain a signed informed consent form from each patient. The informed consent form must:
Acknowledge that the patient is receiving medical-aesthetic services that have been delegated to an unlicensed professional under the supervision of a licensed provider
Include all the information contained on the disclosure sign posted in the office
Be retained for at least seven years by the med spa
Important Actions for Med Spas to Take
If you haven’t already adjusted your processes and materials to comply with HB 1024, make sure to take the following actions right away:
Audit your current marketing materials, including your website, to make sure all necessary disclosures have been added
Update your informed consent forms to address the new requirements
Create and post the required sign in your office
Train your team on how they should talk with patients about delegation of services to unlicensed professionals
Ownership and Corporate Practice of Medicine (CPOM) Doctrine
The Corporate Practice of Medicine (COPM) doctrine has established regulations regarding who can legally own medical practices, including businesses such as med spas. The purpose of this doctrine is to ensure medical decisions are made by licensed physicians without the influence of corporate investors that may prioritize profits over patient care.
Under the CPOM:
Only licensed physicians can own medical practices. They can own their practice individually or they can create a professional corporation and companies where all shareholders are licensed physicians.
Physician assistants can have an ownership stake in a medical practice as long as it is a minority ownership, and the majority owner must be a licensed physician.
Non-physician ownership of medical practices can exist through the presence of a Management Services Organization (MSO) which separates the medical decision-making power from the ability to provide business services.
When an MSO structure is used for ownership of a medical practice:
The physician-owned PC is responsible for all aspects of providing clinical services, including all medical decisions
The MSO handles tasks and decisions associated with management, facilities, equipment and marketing
CPOM Impact on Med Spas
The hybrid medical-aesthetic nature of med spas creates unique challenges to CPOM compliance that aren’t found in other medical practices. Since medical treatments such as dermal fillers, BOTOX® Cosmetic and laser treatments are categorized as medical procedures requiring physician oversight, aestheticians cannot independently own med spas providing these services. Instead, they must operate under a doctor’s supervision in a business that is physician owned.
If you’re using an MSO structure to run your med spa, it must be structured in the following way to avoid CPOM compliance issues:
A physician-owned medical entity which provides all treatments
A separate MSO entity handling non-medical services
Clear supervision protocols governing non-licensed providers administering medical procedures
Compliant fee structures
Common CPOM violations impacting Colorado med spas include:
Fee-splitting arrangements between physician and MSO that resemble profit sharing
Non-medical MSO entity employs physicians to provide medical services
Non-physician stakeholders in the MSO exert influence over decisions requiring medical judgment
Control arrangements that don’t work according to the operating agreements established between the physician-owned PC and the MSO
Medical Director Requirements
Every med spa offering medical services must have a Colorado-licensed medical director who provides oversight over clinical operations. In addition, the medical director must:
Be actively involved in the practice
Live in Colorado
Display their license and contact information prominently at the med spa
Med spas that fail to adhere to these medical director requirements can potentially face significant fines and penalties.
Elizabeth Lewis Can Help
The consequences for failing to comply with these laws and regulations can be devastating for your med spa practice. They may include costly fines, forced corrective actions, increased regulatory scrutiny, administrative citations and, in some instances, suspension of operations. The best way to avoid these consequences is to work with an experienced small business attorney who can review your policies and business structure to ensure you remain compliant. At the Law Office of E.C. Lewis, we have you covered.
Elizabeth Lewis has been providing comprehensive legal services for small businesses in Colorado since 2007. She has extensive experience working with med spas, and she can help you navigate the complex laws governing your practice. Elizabeth will provide the guidance you need to ensure you remain compliant with current laws, and she’ll regularly inform you of important actions to take when new laws get enacted. These protections are critical to the ongoing success of your med spa.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves clients in Denver and the surrounding areas.
9 Reasons Your Dental, Physical Therapy or Chiropractic Practice Needs a Small Business Lawyer
Key Takeaways: Hiring a business lawyer for dental, physical therapy and chiropractic practices helps protect your practice from costly mistakes, ensures compliance with Colorado healthcare and business laws, and supports long-term growth. From setting up your legal structure and drafting contracts to handling employment issues, lease negotiations, and risk management, a lawyer who understands the unique needs of medical practices can provide peace of mind and keep your focus on your patients.
Owning and running a dental, physical therapy, or chiropractic practice involves more than providing excellent patient care. You are also operating a small business in a heavily regulated industry. The business side of healthcare requires careful attention to contracts, compliance, employment matters, and risk management. Without proper legal guidance, even well-intentioned practice owners can face costly disputes or penalties.
This is where working with a small business lawyer who understands medical practices in Colorado makes a significant difference. A lawyer with this focus can serve as your trusted advisor, helping you make confident decisions and avoid preventable problems. Below, we’ll cover the most important reasons why your practice should have legal support in place.
Choosing the Right Business Structure
The way your practice is structured legally impacts taxes, liability, and growth potential. Many medical professionals start their practices as sole proprietorships or partnerships, only to later discover that they lack protection from personal liability.
A business lawyer can ensure you choose the business structure that is best for your specific situation. They will also make sure your structure complies with Colorado laws that apply specifically to healthcare providers.
Drafting and Reviewing Contracts
Contracts form the foundation of your practice. From employment agreements and vendor contracts to patient forms and equipment leases, every document should protect your interests.
Too often, healthcare providers sign contracts without fully understanding the legal implications. A small business lawyer for dental, physical therapy and chiropractic practices can review contracts created by other parties before you sign them and draft clear agreements on your behalf that prevent contract disputes. This is especially important in employment contracts where restrictive covenants, compensation structures, and termination clauses can have long-term effects on your practice. It is also important for medical equipment as for practices such as dental practices, that equipment may be extremely expensive and subject to non-standard equipment purchase agreements and/or leases.
Navigating Employment Law and HR Issues
Your staff plays a central role in the patient experience. But it’s important to remember that anytime you’re managing employees, it creates legal responsibilities. Wage laws, overtime rules, wrongful termination claims, and workplace policies all carry risks for practice owners.
A small business lawyer can help you create compliant employee handbooks, establish clear job agreements, and set policies that protect both you and your staff. When employment law issues arise, your lawyer can advise you on the proper steps to resolve them quickly and legally.
Lease Negotiations and Real Estate Agreements
Most practices operate out of leased office space, and commercial lease agreements are rarely straightforward. Landlords often use complex terms that can put tenants at a disadvantage. At some point in time, you may experience an issue that requires the assistant of a real estate law expert.
A small business lawyer can negotiate your lease to secure favorable terms on rent increases, maintenance responsibilities, and renewal options. They can also review agreements for new office space or expansions to ensure your long-term needs are covered. In a competitive commercial real estate market like Colorado, having a lawyer review your lease before signing can prevent expensive surprises later.
Regulatory Compliance for Medical Practices
Healthcare practices must comply with a wide range of state and federal regulations. Dental, physical therapy, and chiropractic practices all face unique requirements regarding patient privacy, billing, and record-keeping.
Even small violations can lead to serious consequences that may include hefty fines and damage to your reputation. A lawyer familiar with both small business law and healthcare regulations can help you set up compliance processes and keep them current as laws change.
Planning for Growth, Transitions and Exit Strategies
As your practice grows, you may consider adding partners, merging with another practice or even selling. Each of these transitions involves complex legal steps that directly affect your financial future.
A business lawyer can help draft buy-sell agreements, guide you through partnership negotiations, and prepare you for a smooth exit when the time is right. By planning ahead, you protect the value of the business you worked hard to build.
Risk Management and Liability Protection
Every medical practice faces the risk of disputes from patients, vendors, or employees. While professional liability insurance covers malpractice claims, it does not address many of the legal risks associated with running a business.
A small business lawyer can help you create policies, procedures and contracts that reduce the likelihood of disputes. If a dispute does arise, your lawyer will already know your practice and be ready to protect your interests.
Peace of Mind to Focus on Patient Care
Perhaps the greatest benefit of working with a lawyer is peace of mind. Running a dental, physical therapy or chiropractic practice comes with enough stress without worrying about legal missteps. Having a lawyer in your corner allows you to focus on what matters most – providing excellent care to your patients – while knowing your business’ important legal matters are handled properly.
Elizabeth Lewis Can Help
Elizabeth Lewis has been helping small businesses in the Denver area navigate complex legal challenges since 2007. She has experience working with a wide range of medical practices, including dental, physical therapy and chiropractic practices, and she understands the unique legal issues facing these businesses. This expertise can help you minimize the risk of costly legal problems down the road and in the event that one arises, she’ll make sure the best interests of your business are protected.
Elizabeth is committed to developing deep relationships with her clients. She understands that the when she knows the specific needs of your practice, she’ll be able to more effectively provide the legal guidance you need. This approach allows her to make customized legal recommendations that are specifically tailored to your practice.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves clients in Denver and the surrounding areas.
Key Takeaways: Therapy practices face serious legal risks if compliance is overlooked. The most common issues include breaches of confidentiality and HIPAA privacy rules, improper therapist–patient boundaries, failures in informed consent and accurate documentation, and billing errors that may trigger audits, fines, or fraud claims. Partnering with a small business lawyer for medical practices helps therapists protect patient trust, maintain licensure, and avoid costly penalties while allowing you to keep your focus on quality patient care.
Therapists play an important role in the lives of their patients. As steward of your patients’ mental health, you must walk a delicate line between providing the help your patients need and adhering to the strict legal and ethical guidelines governing the industry. There are many potential legal issues which can impact your therapy practice, and the consequences for legal violations can be severe. Fines, license suspensions, costly medical malpractice lawsuits, and damage to your professional reputation can all potentially occur if you don’t have the proper legal guidance to navigate the varied requirements placed on therapists.
Confidentiality and privacy are critical components of the therapist/patient relationship. For patients to feel comfortable talking about highly personal information, they need to feel secure that this information will remain private and confidential. Therapists must adhere to confidentiality standards build into the American Psychological Association’s (APA) code of ethics, and they must also comply with HIPAA confidentiality regulations protecting the medical records and personal information of patients.
Confidentiality breaches can range from the improper sharing of client information to failing to secure patient health records. These violations can result in heavy fines and other penalties under HIPAA and state laws. To avoid these issues, therapists must use secure systems, train their staff on all state and federal confidentiality regulations, and obtain explicit client consent before disclosing any information.
Boundary Management Issues
As a therapist, you must maintain appropriate boundaries with your patients in order to preserve a professional relationship. When these boundaries aren’t upheld, it can potentially create a conflict of interest and impair your ability to provide the impartial treatment your clients require and deserve.
Therapists must establish clear boundaries with patients regarding:
Physical Contact – Engaging in a sexual relationship with a patient is never acceptable and can result in significant harm. It’s common for patients to regress, experience feelings of guilt or isolation, lose their ability to trust and be at an increased risk of suicide when they have a sexual relationship with their therapist. Sexual relationships with patients is never appropriate.
Dual Relationships – For the therapist/patient relationship to remain professional, it’s critical to avoid a dual relationship. Dual relationships can occur when a patient is your friend, family member or business partner. Therefore, it is not appropriate to treat people you have a pre-existing relationship with.
Personal Disclosure – While the relationship between a therapist and patient is intimate by nature, it’s important for therapists to avoid disclosing intimate details of their personal life, as this can constitute an ethical violation. As a professional, you should always maintain a boundary between your personal life and your patient’s.
Failing to maintain proper professional boundaries or abusing the therapist/patient dynamic can result in serious legal consequences such as medical malpractice lawsuits and potential license revocation. In some cases, it may even result in criminal charges.
Informed Consent and Documentation Issues
Informed consent is critical to ensure your patients have realistic expectations for their treatment. Some of the important informed consent topics you should discuss with your patients include:
Limits of confidentiality
Your expertise, training, and experience
Fees and billing practices
The specific services you can’t or won’t provide
The nature and extent of your record keeping
The patient’s right to terminate treatment and any resulting financial obligations
The length of time you believe the relationship will last
In addition, it’s important to adhere to best practices for documentation of patient care. This includes:
Providing documentation in a timely manner (within 24 hours of the therapy session)
Linking progress notes to the treatment plan
Including verbatim statements when relevant
Using objective, professional language
Avoiding copy/pasting prior notes
Failing to adhere to federal and Colorado-specific informed consent requirements or neglecting to maintain accurate records can potentially expose you to malpractice lawsuits and insurance audit failures.
Billing Accuracy Issues
Billing accuracy is critical when submitting claims to insurance companies for reimbursement, especially when working with Medicare or Medicaid. Improper billing, up-coding, or submitting claims for undocumented or non-rendered services is a violation of the False Claims Act, and it can result in audits, fines and, in some instances, criminal charges for fraud. To avoid these serious penalties, you must make sure your billing is accurate, services are justified and all claims are supported by proper documentation.
Elizabeth Lewis Can Help Your Therapy Practice Avoid Legal Issues
The best way to avoid the serious consequences associated with these common legal issues is to work with an experienced small business lawyer. At the Law Office of E.C. Lewis, we’ll make sure your practice remains protected.
Elizabeth Lewis is a small business lawyer for medical practices, mental health practices, and alternative health practices in the Denver area, and she regularly helps therapy practices remain compliant with all state and federal regulations. Elizabeth will provide the guidance you need to navigate the complex legal challenges impacting your practice. Her assistance may include reviewing your policies, providing ongoing compliance training and making sure you understand how to maintain proper patient documentation.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves clients in Denver and the surrounding areas of Colorado.
Key takeaways: Starting a business in Denver offers exciting opportunities, but success depends on navigating critical legal considerations. From choosing the right entity structure and protecting intellectual property to ensuring compliance, drafting contracts, and securing investor-friendly funding, each decision shapes long-term growth. Addressing these issues early with the guidance of a startup business lawyer helps Colorado founders avoid costly pitfalls and build a strong foundation for success.
Denver provides an optimal environment for startup businesses to thrive. In recent years, the Denver/Boulder/Colorado Springs corridor has been dubbed “Silicon Mountain” due to the abundance of prominent tech startups in the region. While tech companies have been leading the charge for new business growth in the Denver area, startups in many other industries have been thriving in the business-friendly climate established by local and state laws.
Starting a new business in Denver can prove to be a highly lucrative and rewarding venture, but it also comes with a variety of legal challenges that must be navigated. Understanding the various legal considerations impacting your new startup, and taking the proper steps to address them, will play a significant role in your ability to make the leap from a fledgling business to a company that endures long-term success. Working with an experienced startup business lawyer will ensure each of these issues are handled properly, allowing you to avoid a variety of serious headaches down the road.
Choosing the Right Business Formation and Structure
Choosing the right business entity and structure will be one of the most important decisions you make with your startup. The structure you choose will impact taxation, your personal liability, fundraising opportunities, regulatory obligations, and the day-to-day operations of your business. Getting this decision right will ensure your business has the legal protections to support growth and minimize risks.
There are several ways you can structure your startup business:
Sole Proprietorship
Simplest structure, easy and inexpensive to set up
Full control for the owner
No liability protection – personal and business assets are legally the same
Best only for low-risk or short-term ventures due to personal liability exposure
No filing required with the Colorado Secretary of State unless operating under a trade name (“DBA”), which costs approximately $20 to register
Limited Liability Company (LLC)
Blends simplicity of sole proprietorship with liability protection
Flexible taxation – pass-through to personal returns or elect corporate taxation
Operating agreements allow broad control with fewer statutory requirements than corporations
Popular for startups seeking liability protection and management flexibility
Slightly higher costs and paperwork; some investors prefer C-corps
Requires filing Articles of Organization with the Colorado Secretary of State (approximately $50 fee)
Must maintain a registered agent with a Colorado physical address and file annual periodic reports to remain in good standing
Corporation (C-Corp or S-Corp)
Strongest liability protection for shareholders, directors, and officers
Eligible for Section 1202 Qualified Small Business Stock (C-corp)
Professional image, better suited to attract venture capital or angel investors
Disadvantages – more statutory formalities, regulatory requirements, and potential double taxation (C-corp)
Best for startups planning to scale rapidly or seek outside investment
Requires filing Articles of Incorporation with the Colorado Secretary of State (approximately $50 fee)
Corporations must adopt bylaws, hold shareholder and board meetings, and submit annual periodic reports
Key takeaway: An experienced startup business lawyer can guide you through the process to ensure you choose the right structure to balance your specific needs for liability protection, tax advantages and operational flexibility.
Legal Compliance and Risk Management
Your business will need to comply with a variety of laws and regulations governing your industry. These regulations can be extremely complex, blending federal and state laws with requirements from agencies that govern businesses in your industry. Maintaining compliance with these laws is critical to minimize risks to your business and avoid costly penalties.
Some of the compliance issues you may need to address include:
Key takeaway: An experienced small business lawyer can help you navigate all the laws and regulations governing your business.
Drafting Proper Contracts and Agreements
Drafting proper contracts and agreements is critical to the success of every startup business. They clearly define the terms of your relationships with partners, employees, customers and suppliers, and other third-party vendors. When contracts are constructed properly, they create clarity and accountability for the parties entering into the agreement, and they provide important legal protections for your business. On the other hand, poorly written contracts can lead to misunderstandings, disputes and costly legal battles.
Key takeaway: An experienced small business lawyer can draft, review and negotiate the contracts you enter into, ensuring they protect the interests of your new business.
Protecting Intellectual Property
Depending on the specific nature of your startup, your intellectual property may be one of your most valuable assets, and protecting your intellectual property is critical to your ability to maintain a competitive edge in your industry.
Some key areas of intellectual property you may need to consider as you start your business include:
Trademarks
Covers brand names, logos, slogans, and other business identifiers
Key takeaway: Intellectual property laws are highly complex, and a startup business lawyer can help you navigate the process by identifying your intellectual property assets, filing all necessary applications, and ensuring these assets are protected from infringement by competitors.
Funding Your Startup
Many startups need to secure funding to help get their business off the ground. There are a variety of potential ways you can finance your new business, and choosing the right funding structure is critical to ensure the long-term success of your company. When financing arrangements and investor agreements aren’t structured properly, it can result in a variety of issues, including investor disputes and diminished control over your company.
Securing funding for your new startup can be a complex process, and there are a variety of important considerations you’ll need to address to protect your interests during this process:
Valuation & Control
Secure a valuation that reflects growth potential to minimize founder dilution
Negotiate terms that preserve founder control over strategic decisions
Colorado startups often attract investors from Denver–Boulder VC hubs; founders should benchmark valuations against Front Range deal activity to avoid undervaluation
Investor Rights & Obligations
Define rights for board seats, voting, and information access
Clarify obligations for funding disbursements and follow-on investments
Early-stage funding in Colorado frequently involves convertible notes and SAFEs, so carefully review terms on conversion rights and equity impact
Exit Strategies
Plan for exits via acquisitions, mergers, or IPOs
Address liquidation preferences to balance founder and investor interests
Many Colorado startups exit via regional M&A rather than IPOs; understanding industry-specific local buyer trends (i.e., tech, energy, healthcare) is critical when drafting exit clauses
Key takeaway: An experienced startup business lawyer can help you negotiate investor agreements to ensure the terms protect your best interests and help you maintain control of the company. They can also assist with due diligence on investors to prevent working with someone who may present a conflict of interest.
Elizabeth Lewis Can Help
Receiving the proper legal advice when setting up a new business is critical to your long-term success. It will help you lay the foundation for a successful operation while avoiding many of the pitfalls that can potentially derail a startup in its early stages. At the Law Office of E.C. Lewis, we can help you navigate the important legal considerations that need to be addressed during this important formative stage of your new business.
Elizabeth Lewis is a small business lawyer who has been helping startups in Denver navigate the requirements of business formation since 2010. She understands the complex legal requirements associated with starting a business, and she can ensure these matters are handled correctly to provide your startup with the important protections it needs.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves small businesses in Denver and throughout Colorado.
Key takeaways: Medical practices must balance exceptional patient care with strict compliance to federal and Colorado healthcare laws. Key legal issues include privacy and data protection, HIPAA enforcement, telehealth compliance, employment agreements, the Corporate Practice of Medicine doctrine, patient record-keeping, and medical malpractice.
While providing exceptional patient care is the primary responsibility of medical practices, it’s not the only concern they must address. There are many aspects to running a medical practice, and complying with legal regulations governing the healthcare industry must always be a point of emphasis. Doctors and practice managers must navigate a constantly shifting landscape of legal requirements that affect patient privacy, employment agreements, telehealth services, and the structure of the practice itself. In recent years, federal and Colorado laws have introduced new regulations that directly impact the ways medical practices must operate.
There are a wide range of legal issues that can impact your practice, and often these issues come with severe consequences that can potentially derail your business. The high stakes associated with these legal issues mean that it’s critical to work with an experienced business lawyer for medical practices who can help you navigate these issues.
The following overview will help you understand some of the most pressing legal issues impacting medical practices in Colorado. However, the best way to ensure your practice remains compliant with the latest laws and regulations is to consult with a business attorney who has extensive experience working with healthcare practices.
Colorado Privacy and Data Protection Laws
Patient privacy is one of the most pressing legal issues impacting healthcare practices. On the federal level, medical practices must comply with HIPAA’s requirements for safeguarding protected health information. But Colorado has also enacted state-level privacy rules that go beyond the regulations established by HIPAA:
The Colorado Privacy Act (CPA, effective July 2023) – Grants patients consumer data rights, including recognition of Universal Opt-Out Mechanisms (UOOMs) such as Global Privacy Control (GPC).
Breach Notification Law – Colorado requires notification of affected patients, and in some cases the Colorado Attorney General, following a data breach. This law applies to both medical and non-medical identifiers.
Key takeaway: Colorado practices must comply with HIPAA and CPA rules, honor GPC opt-outs, and follow strict breach notification deadlines.
Federal HIPAA Enforcement and Security Updates
HIPAA compliance was briefly mentioned above, but it deserves its own discussion. The Health Insurance Portability and Accountability Act (HIPAA) remains the foundation for protecting patient health data nationwide, and recent trends show stricter enforcement:
The Office for Civil Rights (OCR) has increased penalties for practices that fail to prevent ransomware or phishing breaches.
Proposed updates to HIPAA’s Security Rule would require:
Multi-factor authentication
Regular employee phishing training
Stronger encryption
Key takeaway: Federal regulators are expanding HIPAA enforcement, so practices should adopt multi-factor authentication, employee training, and encryption even before updates become law.
Colorado Telehealth Compliance Laws
Telehealth has become an important tool used by healthcare practices. Medical providers significantly expanded their use of telehealth services during the COVID-19 pandemic, and it has now become an essential component of the services many medical practices offer.
Telehealth services are subject to specific Colorado regulations:
Patient Consent – Providers must obtain and document patient consent (verbal or written) prior to delivering telehealth services. Written disclosures are required for initial visits, except in emergencies.
Standard of Care – Telehealth visits must meet the same standard of care as in-person visits.
Billing Compliance – Providers may only bill for services within their scope of practice.
HIPAA/Medicaid Rules – All record keeping requirements remain in place.
Licensure – Providers must be licensed in Colorado to deliver telehealth services to Colorado patients.
Key takeaway: Colorado telehealth rules require documented patient consent, equal standards of care, compliance with billing limits, and HIPAA-compliant recordkeeping.
Employment Agreements and Non-Compete Restrictions
Hiring and retaining physicians and healthcare staff is challenging, and Colorado law limits restrictive employment clauses:
Existing Colorado Law – Non-compete agreements for physicians are enforceable only in narrow situations, such as recovering certain damages.
Senate Bill 25-083 (effective August 2025) –Senate Bill 25-083 further limits non-compete clauses for physicians, advanced practice nurses, physician assistants and dentists.
Key takeaway: Colorado medical practices must revise employment contracts to comply with Senate Bill 25-083, which significantly restricts non-compete agreements for healthcare providers.
Colorado’s Corporate Practice of Medicine (CPOM) Doctrine
Colorado’s Corporate Practice of Medicine (CPOM) doctrine prohibits non-physicians from owning or controlling medical practices. This rule exists to ensure that medical judgement remains in the hands of licensed professionals and prevents conflicts of interest where financial or corporate motives might negatively impact patient care.
It’s critical to ensure your medical practice is structured in a way that adheres to the terms of the CPOM doctrine:
Rule – Only licensed physicians can control medical decisions.
Business Model Workaround – Many practices use a physician-owned professional corporation (PC) that partners with a management services organization (MSO) for administrative tasks.
Compliance requirement – Contracts must clearly separate clinical decision-making (physicians) from administrative functions (MSO).
Key takeaway: To comply with CPOM laws, Colorado medical practices must keep clinical control in physician hands and avoid agreements that let corporations influence medical decisions.
Colorado Medical Record-Keeping Laws
Colorado law establishes clear retention and custodianship rules for medical records:
Adult Patients – Records must be kept for at least seven years after the last treatment.
Minor Patients – Records must be kept until age 21, or seven years after the last treatment (whichever is later).
Custodianship Plan – Every medical practice must have a written plan for record access if the physician retires, closes, or sells the practice.
Key takeaway: Colorado requires strict medical record retention timelines and written custodianship plans to ensure patients can access records during practice transitions.
Medical Malpractice Liability
Medical malpractice remains a significant risk for healthcare providers. While most doctors are highly skilled and take the proper measures to ensure patients receive the best possible care, there are instances when mistakes are made. Even with malpractice insurance, these lawsuits can be costly, time-consuming and damaging to your practice’s reputation. In the event that you face a malpractice lawsuit, it’s critical to prepare for these claims with strong documentation, compliance and legal support.
Key takeaway: Malpractice lawsuits are costly and reputation-damaging, so Colorado practices must carry proper insurance and work with experienced legal counsel.
Legal Help for Your Medical Practice
Whether you’re currently facing a legal issue or simply want to ensure your practice is in compliance with the complex web of laws governing the healthcare industry in Colorado, working with an experienced business attorney is critical to the ongoing success of your medical practice. At the Law Office of E.C. Lewis, we can ensure your practice is protected from these legal issues.
Elizabeth Lewis is a Denver business lawyer who has helped many medical practices navigate the complex legal environment they face. Her extensive knowledge of the federal and state laws governing medical practices will help you address just about any legal challenge that may arise. Elizabeth believes in building strong relationships with her clients based on trust and transparency. She takes the time to learn about the specifics of your practice in order to provide customized legal recommendations based on your unique needs. This approach ensures your practice’s best interests will be protected at all times.
Contact us today to schedule a consultation. The Law Office of E.C. Lewis serves medical practices and med spas in Denver and throughout Colorado.
