CMS


HB20-1001 Nicotine Product Regulation 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Nicotine Product Regulation
Sponsors: K. Mullica (D) | C. Larson (R) / J. Bridges (D) | K. Priola (R)
Summary:

Sections 1 through 8 of the act raise the minimum age of a person to whom cigarettes, tobacco products, and nicotine products (products) may be sold from 18 years of age to 21 years of age. A products retailer must card anyone seeking to purchase products who appears to be under 50 years of age at the time of purchase.

Section 1 repeals criminal penalties against a minor for purchasing or attempting to purchase a product.

Section 7 prohibits a retailer from permitting a person under 18 years of age to sell or participate in the sale of products.

Section 8 also:

  • Increases the minimum number of compliance checks required of each retail location at which the products are sold to 2 per year or at least the minimum number annually required by federal regulation, whichever number is greater; and
  • Requires the executive director of the department of revenue (executive director) to adopt rules concerning enforcement of the laws governing the regulation of products, including rules:
  • Regarding enforcement coordination between the division of liquor enforcement (division) in the department of revenue and local licensing authorities and regarding enforcement against products smuggling;
  • Regarding fees, which must not exceed $400 per year, unless the executive director determines that statewide compliance with products regulation has dropped below 90%, at which time the executive director may, by rule, raise the maximum fee to $600; and
  • Authorizing a single, large-operator license fee for retailers with more than 10 retail locations, which fee is not subject to the general maximum fee amount.

Section 9 requires every retailer of the products in the state, on and after July 1, 2021, to obtain a license for each retail location owned. The division is charged with licensing retailers and coordinating with local authorities on retail location compliance checks and investigations of complaints about retailers.

Section 10 prohibits:

  • New retail locations at which products are sold from being located within 500 feet of a school unless a local licensing authority has approved a license application for the new retail location;
  • Retail locations that sell electronic smoking device products from advertising those products in a manner that is visible from outside the retail location; and
  • Delivery of products, other than cigars and pipe tobacco, directly to consumers unless the delivery is made by an owner or employee of a licensed retailer who is at least 21 years of age and, at the time of delivery, checks the identification of the individual receiving the delivery to determine that the individual is 21 years of age or older.

Section 11 authorizes the division to seek injunctive relief against a person who violates the act and impose fines on or suspend or revoke the state license of a retailer found to have violated the act.

Section 12 adjusts the fine amounts for violating the prohibition against selling products to minors from a maximum fine of $1,000 to $15,000 for a fifth or subsequent violation within 24 months to a maximum fine of $1,000 to $15,000 for a fourth or subsequent violation within 24 months. Additionally, the division must prohibit a retailer who commits a second or subsequent violation within 24 months from selling products at the retail location where the violation occurred for a specified period of time, starting with at least 7 days for a second violation within 24 months, to at least 30 days for a third violation within 24 months, and finally for up to 3 years for a fourth or subsequent violation within 24 months.

Additionally, section 12 establishes fines ranging from $1,000 for a first violation to $3,000 for a third or subsequent violation within 24 months for the following violations:

  • Advertising electronic smoking device products at a retail location where they are sold in a manner that is visible from outside the retail location;
  • Delivering products without complying with the delivery requirements; and
  • Selling or offering to sell products without a valid state license. If a person sells or offers to sell products without a valid state license at least 3 times within 24 months, the person is not eligible to apply for a state license for 3 years thereafter.

Further, section 12 also applies the same fine structure that applies to selling products from a vending machine or failing to display the requisite warning to a violation of the prohibition against allowing a person under 18 years of age to sell or participate in the sale of products.

For the 2019-20 state fiscal year, the act appropriates $45,414 to the department of revenue from the liquor enforcement division and state licensing authority cash fund (cash fund) for implementation of the act.

For the 2020-21 state fiscal year, the act appropriates:

  • $2,391,262 to the department of revenue from the cash fund for implementation of the act;
  • $98,605 to the department of law from reappropriated funds received from the department of revenue for legal services for the department of revenue; and
  • $69,450 to the department of personnel from reappropriated funds received from the department of revenue for vehicle replacement lease or purchase.
    (Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
2/12/2020 House Committee on Health & Insurance Refer Amended to Finance
3/2/2020 House Committee on Finance Refer Unamended to Appropriations
3/6/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Laid Over Daily - No Amendments
3/9/2020 House Second Reading Passed with Amendments - Committee, Floor
3/10/2020 House Third Reading Passed - No Amendments
3/13/2020 Introduced In Senate - Assigned to Finance
5/26/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Floor
6/5/2020 Senate Third Reading Passed with Amendments - Floor
6/8/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/14/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1006 Early Childhood Mental Health Consultants 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Early Childhood Mental Health Consultants
Sponsors: J. McCluskie (D) | E. Sirota (D) / B. Pettersen (D) | T. Story (D)
Summary:

Early Childhood and School Readiness Legislative Commission. The bill directs the department of human services (department) to design, implement, and operate a statewide program of early childhood mental health consultation (program). The purpose of the program is to support mental health care across the state in a variety of early childhood settings and practices. Specifically, the program must be designed to:

  • Increase the number of qualified and appropriately trained early childhood mental health consultants (mental health consultants) for on-site consultations; and
  • Utilize the mental health consultants, through on-site visits, to support a variety of early childhood settings and practices from the prenatal period through 8 years of age.

The program must also include a:

  • Model of consultation for mental health consultants (model) that includes job qualifications and expectations, expected outcomes, and guidance on ratios of mental health consultants and the settings they support. The model must include standards and guidelines for mental health consultants developed from evidence-based programs.
  • Professional development plan for mental health consultants;
  • Certification process for mental health consultants; and
  • A published list of certified mental health consultants.

The bill requires the department to actively collect data related to the program and make regular reports on the program to the joint budget committee of the general assembly and as part of its annual "State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act" hearing.

The department, in collaboration with the department of health care policy and financing, is directed to explore additional funding options for the program.


(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services + Appropriations
1/24/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

HB20-1008 Health Care Cost-sharing Consumer Protections 
Calendar Notification: Thursday, December 31 2020
GENERAL ORDERS - SECOND READING OF BILLS
(1) in house calendar.
News:
Short Title: Health Care Cost-sharing Consumer Protections
Sponsors: S. Lontine (D) / R. Fields (D)
Summary:

The bill defines a "health care cost-sharing arrangement" as a health care sharing ministry or medical cost-sharing community that collects funds from its members on a regular basis, at levels established by the arrangement, for purposes of sharing, covering, or defraying the medical costs of its members. A health care cost-sharing arrangement is required to:

  • Report specified information to the commissioner of insurance (commissioner) regarding its operations, financial statements, membership, and medical bills submitted, paid, and denied;
  • Provide certain disclosures on its website, in marketing materials, and to potential members; and
  • Respond to requests for payment of medical expenses from health care providers within a period specified by the commissioner by rule.

If an insurance broker offers to enroll or enrolls individuals or groups in a health care cost-sharing arrangement, the broker must provide the same disclosures that a health care cost-sharing arrangement is required to provide.

The bill also prohibits a health care cost-sharing arrangement or insurance broker from offering or enrolling participants in the arrangement during the annual open enrollment period for health benefit plans.

The commissioner is authorized to adopt rules to implement the data reporting, disclosure, and response time requirements and to impose fines for failure to comply with the requirements and prohibitions specified in the bill.

A person is prohibited from making, issuing, circulating, or causing to be made, issued, or circulated any statement or publication that misrepresents the medical cost-sharing benefits, advantages, conditions, or terms of any health care cost-sharing arrangement. The commissioner is authorized to issue an emergency, ex parte cease-and-desist order against a person the commissioner believes to be violating this prohibition if it appears to the commissioner that the alleged conduct is fraudulent, creates an immediate danger to public safety, or is causing or is reasonably expected to cause significant, imminent, and irreparable public injury. If a person violates the emergency order, the commissioner may impose a civil penalty, order restitution, or both.


(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
2/4/2020 House Committee on Health & Insurance Lay Over Unamended - Amendment(s) Failed
2/19/2020 House Committee on Health & Insurance Refer Amended to Appropriations
2/28/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
3/11/2020 House Second Reading Laid Over to 03/13/2020 - No Amendments
3/13/2020 House Second Reading Laid Over Daily - No Amendments
3/14/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/28/2020 House Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

HB20-1014 Misuse Of Human Reproductive Material 
Calendar Notification: Monday, June 15 2020
THIRD READING OF BILLS - FINAL PASSAGE
(4) in senate calendar.
News:
Short Title: Misuse Of Human Reproductive Material
Sponsors: K. Tipper (D) | J. Rich (R) / B. Gardner (R)
Summary:

The act creates a new civil cause of action and crime if a health care provider, in the course of performing or assisting with an assisted reproduction procedure, knowingly uses gametes from a donor without the express consent of the patient to use the donor's gametes. The act authorizes specified compensatory damages or liquidated damages of $50,000 in the civil action and specifies that the crime is a class 6 felony. Conviction of an offense under the new crime is unprofessional conduct as defined in the licensing statutes for health care providers.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Judiciary
1/28/2020 House Committee on Judiciary Refer Amended to House Committee of the Whole
1/31/2020 House Second Reading Passed with Amendments - Committee
2/3/2020 House Third Reading Passed - No Amendments
2/6/2020 Introduced In Senate - Assigned to Judiciary
2/26/2020 Senate Committee on Judiciary Refer Amended to Appropriations
6/13/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/13/2020 Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
6/15/2020 Senate Third Reading Passed - No Amendments
6/15/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/7/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1017 Substance Use Disorder Treatment In Criminal Justice System 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Substance Use Disorder Treatment In Criminal Justice System
Sponsors: L. Herod (D) | C. Kennedy (D) / K. Donovan (D) | K. Priola (R)
Summary:

Sections 1, 2, 3, and 4 of the act allow the department of corrections, local jails, multijurisdictional jails, municipal jails, and state department of human services facilities (institutions) to make opioid agonists and opioid antagonists available to a person in custody with an opioid use disorder. The institutions are strongly encouraged to maintain the treatment of the person throughout the duration of the person's incarceration or commitment. Qualified medication administration personnel may administer opioid agonists and opioid antagonists. The facilities may contract with community-based health providers for the administration of opioid agonists and opioid antagonists.

Section 5 of the act allows a person to dispose of any controlled substances at a safe station, if safe station personnel are available, and request assistance in gaining access to treatment for a substance use disorder. A "safe station" is defined as any municipal police station; county sheriff's office; or municipal, county, or fire protection district fire station. Safe station personnel shall provide the person with information about the behavioral health crisis response system.

Sections 6 and 7 of the act require the department of corrections and jails to ensure that continuity of care is provided to inmates prior to release, which includes post-release resources and a list of available substance use providers. County jails are required to provide medicaid reenrollment paperwork to a person when the person enters the county jail and file the paperwork with the county department of health and human services upon releasing the person from the county jail's custody.

Section 8 of the act requires the executive director of the department of corrections, in consultation with the offices of behavioral health and economic security in the department of human services, the department of health care policy and financing, the department of local affairs, and local service providers to develop resources for inmates post-release that provide information to help prepare inmates for release and reintegration into their communities.

Section 9 of the act requires a court, when reviewing a petition to seal criminal records, to consider favorably, when applicable, the fact that the petitioner has entered into or successfully completed a licensed substance use disorder treatment program, in determining whether to issue the order.

Sections 10, 11, and 12 of the act allow the office of behavioral health (OBH) in the department of human services (CDHS) to contract with cities and counties for the creation, maintenance, or expansion of criminal justice diversion programs. OBH may require diversion programs to participate as a mobile crisis service. CDHS shall include an update regarding the current status of funding and implementation of the criminal justice diversion programs in its annual SMART Act presentation.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services + Appropriations
2/12/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
6/8/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/9/2020 House Third Reading Passed - No Amendments
6/9/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/10/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Senate Committee of the Whole
6/10/2020 Senate Second Reading Special Order - Passed - No Amendments
6/11/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
7/13/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1028 Need For Juvenile Behavioral Health Treatment 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Need For Juvenile Behavioral Health Treatment
Sponsors: S. Beckman (R) | D. Michaelson Jenet (D) / J. Gonzales (D)
Summary:

School Safety Committee. The bill instructs the school safety resource center (center) to convene a working group of necessary and interested stakeholders to assess the needs of school districts with respect to the adequacy and availability of residential mental health treatment for children and youth who have been identified by school personnel as having severe behavioral or mental health disorders and potential ways to resolve such needs. The working group is directed to gather information on the availability, need, and cost associated with residential treatment services for children and youth in Colorado. The center shall use the data to prepare a report and make any legislative recommendations to address the mental health needs of children and youth in Colorado.

The center is required to present the report and any legislative recommendations as part of its presentation to its committee of reference at a hearing held pursuant to the "State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act" in January 2021.


(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services
1/24/2020 House Committee on Public Health Care & Human Services Postpone Indefinitely
Date Introduced: 2020-01-08
Amendments:
Bill Version: Introduced

HB20-1041 Physician Assistants Financial Responsibility Requirements 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Physician Assistants Financial Responsibility Requirements
Sponsors: L. Cutter (D) | H. McKean (R) / R. Fields (D)
Summary:

The act specifies that a physician assistant who has been practicing for at least 3 years must comply with the same financial responsibility requirements to which physicians are subject, namely to maintain professional liability coverage of at least $1 million per incident and $3 million aggregate per year. Additionally, the act authorizes the Colorado medical board to exempt physician assistants from the financial responsibility requirements, or lessen the requirements, to the same extent permitted for physicians.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services
1/29/2020 House Committee on Public Health Care & Human Services Refer Unamended to House Committee of the Whole
2/3/2020 House Second Reading Passed - No Amendments
2/6/2020 House Third Reading Passed - No Amendments
2/10/2020 Introduced In Senate - Assigned to Health & Human Services
2/27/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
3/3/2020 Senate Second Reading Passed - No Amendments
3/4/2020 Senate Third Reading Passed - No Amendments
3/14/2020 Signed by the Speaker of the House
3/14/2020 Signed by the President of the Senate
3/16/2020 Sent to the Governor
3/20/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments:
Bill Version: Signed Act

HB20-1050 Other Outlet Pharmacies Drug Distribution 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Other Outlet Pharmacies Drug Distribution
Sponsors: E. Hooton (D) | C. Larson (R) / J. Ginal (D) | J. Tate (R)
Summary:

The act clarifies that a registered prescription drug outlet and an other outlet may make a casual sale of a drug in the manufacturer's sealed container to another registered outlet and to a practitioner authorized to prescribe the drug.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services
1/24/2020 House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
2/5/2020 House Second Reading Passed with Amendments - Committee, Floor
2/5/2020 House Second Reading Passed with Amendments - Floor
2/6/2020 House Third Reading Passed - No Amendments
2/10/2020 Introduced In Senate - Assigned to Health & Human Services
3/4/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
3/9/2020 Senate Second Reading Passed - No Amendments
3/10/2020 Senate Third Reading Passed - No Amendments
3/17/2020 Signed by the Speaker of the House
3/17/2020 Signed by the President of the Senate
3/23/2020 Sent to the Governor
3/24/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1056 Nonsubstantive Reorganization Dental Practice Act 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Nonsubstantive Reorganization Dental Practice Act
Sponsors: L. Landgraf (R) | M. Duran (D) / L. Crowder (R) | J. Ginal (D)
Summary:

The act reorganizes the "Dental Practice Act", which includes the laws governing the practices of dentistry and dental hygiene and other procedures, tasks, and activities related to those practices.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
1/22/2020 House Committee on Health & Insurance Refer Unamended to House Committee of the Whole
1/27/2020 House Second Reading Laid Over Daily - No Amendments
1/28/2020 House Second Reading Passed - No Amendments
1/29/2020 House Third Reading Passed - No Amendments
2/3/2020 Introduced In Senate - Assigned to Health & Human Services
2/5/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
2/10/2020 Senate Second Reading Passed - No Amendments
2/11/2020 Senate Third Reading Passed - No Amendments
3/14/2020 Signed by the Speaker of the House
3/14/2020 Signed by the President of the Senate
3/16/2020 Sent to the Governor
3/23/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments:
Bill Version: Signed Act

HB20-1061 Human Immunodeficiency Virus Infection Prevention Medications 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Human Immunodeficiency Virus Infection Prevention Medications
Sponsors: A. Valdez (D) | L. Herod (D) / D. Moreno (D) | K. Priola (R)
Summary:

With regard to coverage under a health benefit plan for HIV infection prevention medications, the bill:

  • Prevents a health insurance carrier from requiring a covered person to undergo step therapy or to receive prior authorization before receiving HIV infection prevention drugs;
  • Requires carriers to cover HIV infection prevention drugs prescribed or dispensed by a pharmacist and to provide an adequate consultative fee to those pharmacists; and
  • Allows a pharmacist to prescribe and dispense HIV infection prevention drugs pursuant to a standing order or a statewide protocol if the pharmacist fulfills specific requirements;
  • Directs the department of public health and environment to develop and implement a standing order for pharmacists to prescribe HIV infection prevention drugs; and
  • Directs the state board of pharmacy, the Colorado medical board, and the state board of nursing, in collaboration with the department of public health and environment, to develop statewide drug therapy protocols for pharmacists to prescribe and dispense HIV infection prevention drugs.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 0/0/2020 House Second Reading -
1/8/2020 Introduced In House - Assigned to Public Health Care & Human Services
1/31/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
2/14/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
2/25/2020 House Second Reading Laid Over Daily - No Amendments
2/27/2020 House Second Reading Laid Over to 03/02/2020 - No Amendments
3/2/2020 House Second Reading Passed with Amendments - Committee
3/3/2020 House Third Reading Re-referred to House Committee of the Whole - No Amendments
3/4/2020 House Second Reading Passed with Amendments - Committee, Floor
3/5/2020 House Third Reading Passed - No Amendments
3/9/2020 Introduced In Senate - Assigned to Health & Human Services
5/27/2020 Senate Committee on Health & Human Services Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Laid Over Daily - No Amendments
6/5/2020 Senate Second Reading Passed with Amendments - Floor
6/6/2020 Senate Third Reading Passed - No Amendments
6/9/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/13/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1065 Harm Reduction Substance Use Disorders 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Harm Reduction Substance Use Disorders
Sponsors: C. Kennedy (D) | L. Herod (D) / B. Pettersen (D) | K. Priola (R)
Summary:

The act:

  • Requires a carrier that provides coverage for opiate antagonists to reimburse a hospital if the hospital provides a covered person with an opiate antagonist upon discharge;
  • Requires a pharmacist who dispenses a prescription for an opioid to notify the individual to whom the opioid is being dispensed about the availability of an opiate antagonist;
  • Allows a pharmacist or pharmacy technician to sell a nonprescription syringe or needle to any person and exempts pharmacists and pharmacy technicians who sell nonprescription syringes or needles from the drug paraphernalia criminal statutes;
  • Extends civil and criminal immunity for a person who acts in good faith to furnish or administer an opiate antagonist to an individual the person believes to be suffering an opiate-related drug overdose when the opiate antagonist was expired; and
  • Allows a nonprofit organization to operate a clean syringe exchange program without local board of health approval and requires the nonprofit organization to annually report specified information to the department of public health and environment.
    (Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
2/19/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/8/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/9/2020 House Third Reading Passed - No Amendments
6/9/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/10/2020 Senate Committee on State, Veterans, & Military Affairs Refer Amended to Senate Committee of the Whole
6/10/2020 Senate Second Reading Special Order - Passed - No Amendments
6/11/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the Speaker of the House
6/29/2020 Signed by the President of the Senate
7/13/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1068 Born Alive Child Physician Relationship 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Born Alive Child Physician Relationship
Sponsors: S. Sandridge (R)
Summary:

The bill establishes a physician-patient relationship between a child born alive after or during an abortion and the physician who performed or attempted to perform the abortion. The bill requires the physician to exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious physician would render to any other child born alive at the same gestational age and requires that the child born alive be immediately transferred to a hospital. The bill creates a civil penalty of $100,000 for a violation enforceable by the attorney general, makes a violation a class 3 felony, and makes a conviction unprofessional conduct for licensing purposes.
(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In House - Assigned to State, Veterans, & Military Affairs
2/11/2020 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Date Introduced: 2020-01-08
Amendments:
Bill Version: Introduced

HB20-1078 Pharmacy Benefit Management Firm Claims Payments 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Pharmacy Benefit Management Firm Claims Payments
Sponsors: S. Jaquez Lewis (D) | K. Mullica (D) / F. Winter (D)
Summary:

Beginning January 1, 2021, the act:

  • Prohibits a pharmacy benefit management firm (PBM) from reimbursing a pharmacy in an amount less than the amount that the PBM reimburses any affiliate for the same pharmacy services;
  • Prohibits PBMs from retroactively reducing payment on a clean claim submitted by a pharmacy unless as the result of an audit conducted in accordance with state law; and
  • Requires health insurers that contract with PBMs to ensure that the PBMs are complying with this prohibition.

The division of insurance is authorized to promulgate rules to establish the manner in which carriers and pharmacy benefit management firms are required to show compliance with the act.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
1/29/2020 House Committee on Health & Insurance Refer Amended to House Committee of the Whole
2/3/2020 House Second Reading Laid Over Daily - No Amendments
2/5/2020 House Second Reading Passed with Amendments - Committee, Floor
2/6/2020 House Third Reading Passed - No Amendments
2/10/2020 Introduced In Senate - Assigned to Health & Human Services
3/4/2020 Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole
3/9/2020 Senate Second Reading Passed with Amendments - Floor
3/10/2020 Senate Third Reading Laid Over Daily - No Amendments
3/12/2020 Senate Third Reading Passed with Amendments - Floor
3/13/2020 House Considered Senate Amendments - Result was to Concur - Repass
3/17/2020 Signed by the Speaker of the House
3/17/2020 Signed by the President of the Senate
3/23/2020 Sent to the Governor
4/1/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1080 Remove Residency Requirement For Marijuana License 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Remove Residency Requirement For Marijuana License
Sponsors: M. Gray (D) | K. Van Winkle (R) / J. Gonzales (D) | V. Marble (R)
Summary:

Under current law, all managers and employees of a medical marijuana business or a retail marijuana business with day-to-day operational control must be Colorado residents when they apply for licensure. The act repeals this residency requirement.

The act clarifies that all employee licenses are valid for a period not to exceed 2 years and all regulated marijuana business licenses and licenses granted to a controlling beneficial owner are valid for one year.


(Note: This summary applies to this bill as enacted.)

Status: 0/0/2020 House Third Reading -
1/8/2020 Introduced In House - Assigned to Business Affairs & Labor
2/4/2020 House Committee on Business Affairs & Labor Refer Unamended to House Committee of the Whole
2/10/2020 House Second Reading Passed - No Amendments
2/11/2020 House Third Reading Laid Over Daily - No Amendments
2/12/2020 House Third Reading Passed - No Amendments
2/13/2020 Introduced In Senate - Assigned to Business, Labor, & Technology
3/4/2020 Senate Committee on Business, Labor, & Technology Refer Amended to Senate Committee of the Whole
3/9/2020 Senate Second Reading Passed with Amendments - Committee
3/10/2020 Senate Third Reading Passed - No Amendments
3/11/2020 House Considered Senate Amendments - Result was to Laid Over Daily
3/13/2020 House Considered Senate Amendments - Result was to Concur - Repass
3/17/2020 Signed by the Speaker of the House
3/17/2020 Signed by the President of the Senate
3/23/2020 Sent to the Governor
3/24/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

HB20-1085 Prevention Of Substance Use Disorders 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Prevention Of Substance Use Disorders
Sponsors: C. Kennedy (D) | L. Herod (D) / F. Winter (D) | K. Priola (R)
Summary:

The act requires a health benefit plan, beginning January 1, 2022, to provide coverage for nonpharmacological treatment as an alternative to opioids. The required coverage must include, at a cost-sharing amount not to exceed the cost-sharing amount for a primary care visit for nonpreventive services and without a prior authorization requirement, at least 6 physical therapy visits, 6 occupational therapy visits,6 chiropractic visits, and 6 acupuncture visits per year.

The act requires an insurance carrier (carrier) that provides prescription drug benefits to provide coverage, beginning January 1, 2022, for at least one atypical opioid that is approved by the federal food and drug administration (FDA) for the treatment of acute or chronic pain at the lowest cost-sharing tier of the carrier's formulary with no requirement for step therapy or prior authorization and to not require step therapy for any additional FDA-approved atypical opioids.

The act precludes a carrier that has a contract with a physical therapist, occupational therapist, or acupuncturist from:

  • Prohibiting the physical therapist, occupational therapist, or acupuncturist from, or penalizing the physical therapist, occupational therapist, or acupuncturist for, providing a covered person information on the amount of the covered person's financial responsibility for the covered person's physical therapy, occupational therapy, or acupuncture services; or
  • Requiring the physical therapist, occupational therapist, or acupuncturist to charge or collect a copayment from a covered person that exceeds the total charges submitted by the physical therapist, occupational therapist, or acupuncturist.

The commissioner of insurance is required to take action against a carrier that the commissioner determines is not complying with these prohibitions.

The act requires the executive director of the department of regulatory agencies to promulgate rules that limit the supply of a benzodiazepine that a prescriber may prescribe to patient who has not had a prescription for benzodiazepine in the last 12 months.

Current law limits an opioid prescriber from prescribing more than a 7-day supply of an opioid to a patient who has not had an opioid prescription within the previous 12 months unless certain conditions apply, and this prescribing limitation is set to repeal on September 1, 2021. The act continues the prescribing limitation indefinitely.

The act requires the Colorado medical board (board) to consult with the center for research into substance use disorder prevention, treatment, and recovery support strategies to promulgate rules establishing competency-based continuing education requirements for physicians and physician assistants concerning prescribing practices for opioids.

With regard to the prescription drug monitoring program (program), the act:

  • Modifies requirements for adding prescription information to the program; (program)
  • Prohibits the state board of pharmacy from charging practitioners or pharmacists a fee for registering or maintaining an account with the program;
  • Continues indefinitely the requirement that a health care provider query the program before prescribing a second fill for an opioid;
  • Requires each health care provider to query the program before prescribing a second fill for a benzodiazepine, unless certain exceptions apply;
  • Requires the board to promulgate rules designating additional controlled substances and other prescription drugs to be tracked by the program; and
  • In addition to current law allowing medical examiners and coroners to query the program when conducting an autopsy, allows medical examiners and coroners to query the program when conducting a death investigation.

The act appropriates $18,540 from the division of professions and occupations cash fund to the department of regulatory agencies to implement the act, with $2,550 allocated to the Colorado medical board and $15,990 reappropriated to the department of law to provide legal services to the department of regulatory agencies.


(Note: This summary applies to this bill as enacted.)

Status: 1/10/2020 Introduced In House - Assigned to Health & Insurance
2/19/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/8/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/9/2020 House Third Reading Passed with Amendments - Floor
6/9/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/10/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Appropriations
6/10/2020 Senate Second Reading Special Order - Passed - No Amendments
6/10/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/11/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the Speaker of the House
6/29/2020 Signed by the President of the Senate
7/2/2020 Governor Vetoed
Date Introduced: 2020-01-10
Amendments: Amendments
Bill Version: Signed Act

HB20-1086 Insurance Coverage Mental Health Wellness Exam 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Insurance Coverage Mental Health Wellness Exam
Sponsors: D. Michaelson Jenet (D) | C. Larson (R) / R. Fields (D)
Summary:

The bill adds a requirement, as part of mandatory health insurance coverage of preventive health care services, that health plans cover an annual mental health wellness examination of up to 60 minutes that is performed by a qualified mental health care provider. The coverage must:

  • Be comparable to the coverage of a physical examination;
  • Comply with the requirements of federal mental health parity laws; and
  • Not require any deductibles, copayments, or coinsurance for the mental health wellness examination.

The bill appropriates $13,347 from the division of insurance cash fund to the division of insurance in the department of regulatory agencies for personal services to implement the bill.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 1/10/2020 Introduced In House - Assigned to Health & Insurance
1/29/2020 House Committee on Health & Insurance Refer Amended to Appropriations
2/14/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
2/19/2020 House Second Reading Passed with Amendments - Committee
2/20/2020 House Third Reading Passed - No Amendments
2/21/2020 Introduced In Senate - Assigned to Health & Human Services
3/11/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
6/10/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-01-10
Amendments: Amendments
Bill Version: Reengrossed

HB20-1090 Pharmacies To Provide Prescription Readers 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Pharmacies To Provide Prescription Readers
Sponsors: M. Young (D)
Summary:

The bill requires a retail community pharmacy, as defined in the bill, to make a prescription reader available to each individual who is blind or visually impaired to whom the pharmacy dispenses a prescription drug.
(Note: This summary applies to this bill as introduced.)

Status: 1/10/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/28/2020 House Committee on Public Health Care & Human Services Postpone Indefinitely
Date Introduced: 2020-01-10
Amendments:
Bill Version: Introduced

HB20-1092 Reimbursement To Federally Qualified Health Centers 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Reimbursement To Federally Qualified Health Centers
Sponsors: Y. Caraveo (D) | P. Will (R) / K. Donovan (D) | B. Rankin (R)
Summary:

The bill requires the department of health care policy and financing to reimburse federally qualified health centers (FQHCs) for telemedicine services and clinical pharmacy services provided to medicaid recipients.
(Note: This summary applies to this bill as introduced.)

Status: 1/13/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/5/2020 House Committee on Public Health Care & Human Services Refer Unamended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-01-13
Amendments:
Bill Version: Introduced

HB20-1098 Prohibition On Abortion After Twenty-two Weeks 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Prohibition On Abortion After Twenty-two Weeks
Sponsors: D. Williams (R)
Summary:

The bill prohibits any person from intentionally or recklessly performing or attempting to perform an abortion on a person if the gestational age of the fetus is 22 weeks or older except in limited circumstances. Any person who performs or attempts to perform an abortion in violation of this section is guilty of a class 1 misdemeanor but may only be subject to punishment by fine and not by jail time.

A woman who has an abortion is not subject to criminal penalties.


(Note: This summary applies to this bill as introduced.)

Status: 1/14/2020 Introduced In House - Assigned to State, Veterans, & Military Affairs
2/11/2020 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Date Introduced: 2020-01-14
Amendments:
Bill Version: Introduced

HB20-1103 Colorectal Cancer Screening Coverage 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Colorectal Cancer Screening Coverage
Sponsors: J. Buckner (D) | P. Will (R) / R. Fields (D) | K. Priola (R)
Summary:

Current law requires health insurance carriers (carriers) to provide preventive health insurance coverage for colorectal cancer screenings in accordance with U.S. preventive services task force guidelines. The bill requires carriers to instead provide coverage for colorectal cancer screenings in accordance with American Cancer Society guidelines. The coverage must include coverage for a colonoscopy or other medical test or procedure for colorectal cancer screening and a follow-up colonoscopy, if necessary, and coverage for high-risk individuals additionally provide coverage for persons 45 years of age and older.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 1/14/2020 Introduced In House - Assigned to Appropriations
1/14/2020 Introduced In House - Assigned to Health & Insurance
1/29/2020 House Committee on Health & Insurance Refer Amended to Appropriations
2/14/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
2/19/2020 House Second Reading Passed with Amendments - Committee
2/20/2020 House Third Reading Passed - No Amendments
2/20/2020 House Third Reading Laid Over Daily - No Amendments
2/28/2020 Introduced In Senate - Assigned to Health & Human Services
5/27/2020 Senate Committee on Health & Human Services Postpone Indefinitely
Date Introduced: 2020-01-14
Amendments: Amendments
Bill Version: Reengrossed

HB20-1113 Mental Health Educational Resources 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Mental Health Educational Resources
Sponsors: B. Titone (D) | K. Van Winkle (R) / J. Bridges (D) | P. Lundeen (R)
Summary:

Under current law, the safe2tell program is required to provide awareness and educational materials to preschools. The act removes this requirement.

The act clarifies that safe2tell does not have to provide information about a call to law enforcement and school personnel if the call was forwarded to the statewide behavioral crisis response system. The act requires the safe2tell program to develop training materials outlining appropriate responses to safe2tell tips to ensure standardized messaging. The act directs the department of law to devise a process and develop standardized protocols so that any communication related to mental health or substance use received by safe2tell may be transferred to the statewide behavioral crisis response system.


(Note: This summary applies to this bill as enacted.)

Status: 1/15/2020 Introduced In House - Assigned to Public Health Care & Human Services + Appropriations
1/31/2020 House Committee on Public Health Care & Human Services Lay Over Unamended - Amendment(s) Failed
2/5/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
6/9/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/9/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/10/2020 House Third Reading Passed - No Amendments
6/10/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/11/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/11/2020 Senate Second Reading Special Order - Passed - No Amendments
6/12/2020 Senate Third Reading Passed - No Amendments
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/8/2020 Governor Signed
Date Introduced: 2020-01-15
Amendments: Amendments
Bill Version: Signed Act

HB20-1131 Menstrual Hygiene Products In Schools Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Menstrual Hygiene Products In Schools Program
Sponsors: B. Titone (D) | Y. Caraveo (D) / F. Winter (D)
Summary:

The bill creates in the department of public health and environment (department) the menstrual hygiene products accessibility grant program (grant program) to provide awards to public schools or school districts in order to provide menstrual hygiene products at no expense to students.

The state board of health is required to promulgate rules necessary for the implementation of the grant program.

The department shall award grants subject to available appropriations, and may seek, accept, and expend gifts, grants, or donations from private or public sources.


(Note: This summary applies to this bill as introduced.)

Status: 1/15/2020 Introduced In House - Assigned to Education + Appropriations
2/6/2020 House Committee on Education Refer Amended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-01-15
Amendments: Amendments
Bill Version: Introduced

HB20-1139 Peer Support Professionals Behavioral Health 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Peer Support Professionals Behavioral Health
Sponsors: R. Pelton (R) | Y. Caraveo (D)
Summary:

The bill adds definitions for "peer support professional" and "recovery support services organization" for the purposes of permissible claims submitted for reimbursement under the medical services program. A recovery support services organization (recovery organization) may bill and submit for reimbursement certain eligible peer support services (support services) provided by peer support professionals. The department of human services (department) is responsible for approving a recovery support services organization for reimbursement for support services. The bill sets forth detailed criteria for approval by the department, and the department is given rule-making authority to establish other criteria and standards as necessary.

The bill creates a refundable income tax credit available for income tax years commencing on or after January 1, 2021, but before January 1, 2031, for eligible peer support professionals (eligible individuals) who have worked in Colorado at least part-time for at least 3 years in the behavioral health sector and who either return to school or who graduate and return to work in the public or private health care sector. The tax credit is available for 4 consecutive years for eligible individuals who return to school and for 3 consecutive years for eligible individuals who return to work after attending school. The office of behavioral health in the department of human services (office) shall, in conjunction with the department of human services, review documentation supplied by eligible individuals seeking the tax credit and provide certification to the department of revenue if eligibility criteria for the tax credit is met. The office may not issue tax credit certificates that total more than $100,000 per income tax year.


(Note: This summary applies to this bill as introduced.)

Status: 1/16/2020 Introduced In House - Assigned to Public Health Care & Human Services + Finance + Appropriations
2/5/2020 House Committee on Public Health Care & Human Services Refer Amended to Finance
2/20/2020 House Committee on Finance Refer Unamended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-01-16
Amendments: Amendments
Bill Version: Introduced

HB20-1140 Direct Primary Care Services For Medicaid Recipients 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Direct Primary Care Services For Medicaid Recipients
Sponsors: P. Buck (R) / J. Ginal (D)
Summary:

The bill prohibits the department of health care policy and financing (department) from denying a medicaid recipient the right to purchase direct primary care services or enter into a direct primary care agreement. On or before July 1, 2025, the department shall submit a report to the joint budget committee on whether allowing medicaid recipients to purchase direct primary care services or enter into a direct primary care agreement resulted in any direct or indirect cost-savings to the state and federal medicaid programs and whether there has been an increase or decrease in overall access to care for medicaid recipients.
(Note: This summary applies to this bill as introduced.)

Status: 1/16/2020 Introduced In House - Assigned to Health & Insurance
3/11/2020 House Committee on Health & Insurance Postpone Indefinitely
Date Introduced: 2020-01-16
Amendments:
Bill Version: Introduced

HB20-1158 Insurance Cover Infertility Diagnosis Treatment Preserve 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Insurance Cover Infertility Diagnosis Treatment Preserve
Sponsors: K. Tipper (D) | L. Herod (D) / F. Winter (D) | S. Fenberg (D)
Summary:

The act enacts the "Colorado Building Families Act", which requires health benefit plans issued or renewed in Colorado on or after January 1, 2022, to cover diagnosis of infertility, treatment for infertility, and fertility preservation services. The coverage for fertility medications must not impose any limits that are not applicable to coverage under the plan for other prescription medications, and the plan cannot impose deductibles, copayments, coinsurance, benefit maximums, waiting periods, or other limitations that are not applicable to other medical services covered under the plan. A religious employer may request an exclusion from the infertility coverage in a health benefit plan offered by the religious employer if the coverage conflicts with the religious organization's bona fide religious beliefs and practices.

The act directs the division of insurance to make a determination as to whether the coverage required by the act is in addition to essential health benefits required by the federal "Patient Protection and Affordable Care Act" (Affordable Care Act) and would be subject to defrayal by the state pursuant to the Affordable Care Act. The division is to seek confirmation of its determination from the federal department of health and human services, and the coverage applies and is to be implemented by the division in health benefit plans issued or renewed on or after January 1, 2022, if the division receives confirmation that the coverage is not an additional benefit or if the federal department fails to respond in a timely manner.

The act appropriates $3,337 from the division of insurance cash fund to the division of insurance in the department of regulatory agencies for personal services to implement the act.


(Note: This summary applies to this bill as enacted.)

Status: 1/21/2020 Introduced In House - Assigned to Health & Insurance
2/12/2020 House Committee on Health & Insurance Refer Unamended to Appropriations
2/14/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
2/14/2020 House Second Reading Special Order - Laid Over Daily - No Amendments
2/18/2020 House Second Reading Special Order - Passed with Amendments - Committee
2/19/2020 House Third Reading Passed - No Amendments
2/21/2020 Introduced In Senate - Assigned to Health & Human Services
2/27/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
3/6/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
3/10/2020 Senate Second Reading Laid Over Daily - No Amendments
3/13/2020 Senate Second Reading Passed with Amendments - Committee, Floor
3/14/2020 Senate Third Reading Passed - No Amendments
3/14/2020 House Considered Senate Amendments - Result was to Concur - Repass
3/17/2020 Signed by the Speaker of the House
3/17/2020 Signed by the President of the Senate
3/23/2020 Sent to the Governor
4/1/2020 Governor Signed
Date Introduced: 2020-01-21
Amendments: Amendments
Bill Version: Signed Act

HB20-1160 Drug Price Transparency Insurance Premium Reductions 
Calendar Notification: Monday, June 15 2020
GENERAL ORDERS - SECOND READING OF BILLS
(1) in house calendar.
News:
Short Title: Drug Price Transparency Insurance Premium Reductions
Sponsors: D. Jackson (D) | D. Roberts (D) / J. Ginal (D) | K. Donovan (D)
Summary:

Section 1 of the bill enacts the "Colorado Prescription Drug Price TransparencyAct of 2020", which requires:

  • Health insurers, starting in 2021, to submit to the commissioner of insurance (commissioner) information regarding prescription drugs covered under their health insurance plans that the health insurers paid for in the preceding calendar year, including information about rebates received from prescription drug manufacturers, a certification regarding how rebates were accounted for in insurance premiums, and a list of all pharmacy benefit management firms (PBMs) with whom they contract;
  • Prescription drug manufacturers to notify the commissioner, state purchasers, health insurers, PBMs, pharmacies, and hospitals when the manufacturer, on or after January 1, 2021, increases the price of certain prescription drugs by more than specified amounts or introduces a new specialty drug in the commercial market;
  • Prescription drug manufacturers, within 15 days after the end of each calendar quarter that starts on or after January 1, 2021, to provide specified information to the commissioner regarding the drugs about which the manufacturer notified purchasers;
  • Health insurers or, if applicable, PBMs to annually report specified information to the commissioner regarding rebates and administrative fees received from manufacturers for prescription drugs they paid for in the prior calendar year and the average wholesale price paid for prescription drugs by individuals, small employers, and large employers enrolled in health plans issued by the health insurer or that contain prescription drug benefits managed or administered by the PBM; and
  • Certain nonprofit organizations to compile and submit to the commissioner an annual report indicating the amount of each payment, donation, subsidy, or thing of value received by the nonprofit organization or its officers, employees, or board members from a prescription drug manufacturer, PBM, health insurer, or trade association and the percentage of the nonprofit organization's total gross income that is attributable to those payments, donations, subsidies, or things of value.

The commissioner is required to post the information received from health insurers, prescription drug manufacturers, PBMs, and nonprofit organizations on the division of insurance's website, excluding any information that the commissioner determines is proprietary. Additionally, the commissioner, or a disinterested third-party contractor, is to analyze the data reported by health insurers, prescription drug manufacturers, PBMs, and nonprofit organizations and other relevant information to determine the effect of prescription drug costs on health insurance premiums. The commissioner is to publish a report each year, submit the report to the governor and specified legislative committees, and present the report during annual "State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act" hearings. The commissioner is authorized to adopt rules as necessary to implement the requirements of the bill.

Health insurers that fail to report the required data are subject to a fine of up to $10,000 per day per report. Nonprofit organizations are subject to a fine of up to $10,000 for failure to comply with reporting requirements.

Section 2 specifies that failing to ensure that a PBM that a health insurer uses to manage or administer its prescription drug benefits is complying with reporting requirements constitutes an unfair method of competition and an unfair or deceptive act or practice in the business of insurance.

Section 3 specifies that a PBM is an entity that manages or administers prescription drug benefits for a health insurer, either pursuant to a contract or as an entity associated with the health insurer.

Under sections 4 and 5 , a prescription drug manufacturer that fails to notify purchasers or fails to report required data to the commissioner is subject to discipline by the state board of pharmacy, including a penalty of up to $10,000 per day for each day the manufacturer fails to comply with the notice or reporting requirements. The commissioner is to report manufacturer violations to the state board of pharmacy.

Section 6 requires a health insurer to reduce premiums for the health plans it issues or renews on or after January 1, 2022, to adjust for the rebates the health insurer received from prescription drug manufacturers in the previous plan year.
(Note: This summary applies to this bill as introduced.)

Status: 1/21/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
2/12/2020 House Committee on Health & Insurance Refer Amended to Finance
3/2/2020 House Committee on Finance Refer Unamended to Appropriations
3/13/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
5/28/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Laid Over Daily - No Amendments
Date Introduced: 2020-01-21
Amendments: Amendments
Bill Version: Introduced

HB20-1183 Sunset Continue Certification Of Nurse Aides 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Continue Certification Of Nurse Aides
Sponsors: K. Mullica (D) / J. Ginal (D)
Summary:

The act implements the recommendations of the department of regulatory agencies in its sunset review and report on the certification of nurse aides by the state board of nursing (board) as follows:

  • Continues the regulation of certified nurse aides by the board for 7 years, until 2027;
  • Combines the laws regulating the practice of certified nurse aides with the "Nurse Practice Act";
  • Modifies the grounds for disciplining a certified nurse aide regarding the excessive use or abuse of alcohol or drugs;
  • Eliminates an inconsistency regarding the waiting period to apply for a new certification following the revocation or surrender of a nurse aide certification;
  • Repeals the requirement that the board send communications regarding disciplinary actions by certified mail; and
  • Modifies the exception to uncertified nurse aide practice in a medical facility to allow an uncertified individual to practice for up to 4 months if the practice is within the scope of employment and is part of an approved training program prior to certification and the certification is not by endorsement.

Additionally, the act permits a certified nurse aide, if deemed competent by a registered nurse to do so, to:

  • Place into a minor client's mouth medication that has been sorted by the minor's parent or guardian; and
  • Administer oxygen and change ostomy bags.
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/11/2020 House Committee on Health & Insurance Refer Amended to Finance
2/27/2020 House Committee on Finance Refer Unamended to Appropriations
3/6/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Passed with Amendments - Committee
3/9/2020 House Third Reading Passed - No Amendments
3/11/2020 Introduced In Senate - Assigned to Health & Human Services
5/27/2020 Senate Committee on Health & Human Services Refer Amended to Finance
5/28/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Committee
6/5/2020 Senate Third Reading Passed - No Amendments
6/8/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/10/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/26/2020 Sent to the Governor
6/26/2020 Signed by the Speaker of the House
6/26/2020 Signed by the President of the Senate
6/29/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1198 Pharmacy Benefits Carrier And Pharmacy Benefit Manager Requirements 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Pharmacy Benefits Carrier And Pharmacy Benefit Manager Requirements
Sponsors: J. Buckner (D) / R. Fields (D) | J. Ginal (D)
Summary:

The bill imposes requirements regarding the administration of prescription drug benefits under health benefit plans as follows:

  • Requires a health insurer to submit to the commissioner of insurance a list of pharmacy benefit managers (PBMs) the health insurer uses to manage or administer prescription drug benefits under its health benefit plans offered in this state;
  • Requires health insurers and PBMs to submit their programs for compensating pharmacies and pharmacists and their prescription drug formularies under their prescription drug benefits plans, and the commissioner is authorized to review the compensation programs to ensure they are fair and reasonable to provide an adequate network of pharmacies and pharmacists under their prescription drug benefits plans;
  • Requires a PBM to also report to the commissioner the amount the PBM expects to be reimbursed from health insurers for pharmacist services;
  • Prohibits health insurers and PBMs from:
  • Causing or knowingly permitting the use of any untrue, deceptive, or misleading advertisement, promotion, solicitation, representation, proposal, or offer;
  • Charging a pharmacy or pharmacist a fee for adjudicating a claim;
  • Requiring stricter pharmacy accreditation standards or certification requirements than the standards or requirements that are required by the state board of pharmacy;
  • Reimbursing an independent pharmacy or pharmacist an amount that is less than the amount the health insurer or PBM reimburses an affiliated pharmacy or pharmacist; and
  • Modifying their prescription drug formulary at any time during the benefit year.
  • If a pharmacy or pharmacist is eliminated from a health care provider or PBM network, specifies that the health insurer or PBM is not relieved of any obligation to pay for pharmacist services properly rendered before elimination from the network; and
  • Requires health insurers and PBMs to report specified claims data to the commissioner and the all-payer health claims database.

The commissioner is authorized to adopt rules to implement the bill and to enforce the bill using all powers granted the commissioner under the insurance laws of this state. A health insurer is:

  • Responsible for complying with the bill and ensuring any PBM the health insurer uses is complying with the bill; and
  • Liable for failure of the health insurer or PBM to comply.
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
6/10/2020 House Committee on Health & Insurance Postpone Indefinitely
Date Introduced: 2020-01-30
Amendments:
Bill Version: Introduced

HB20-1206 Sunset Mental Health Professionals 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Mental Health Professionals
Sponsors: D. Michaelson Jenet (D) | L. Landgraf (R) / F. Winter (D) | J. Tate (R)
Summary:

The act implements recommendations of the department of regulatory agencies in its sunset review and report on the regulation of mental health professionals as follows:

  • Continues the regulation of mental health professionals for 9 years, until September 1, 2029;
  • Clarifies that mental health professionals may possess, furnish, and administer opiate antagonists;
  • Exempts students who are enrolled in a school program and are practicing as part of a school practicum or clinical program;
  • Grants title protection to additional persons practicing in the mental health field;
  • Makes the conviction of a crime that is related to mental health practice a violation of the mental health practice acts;
  • Authorizes the appropriate mental health board to suspend a mental health professional's license, certification, or registration for the failure to comply with a board-ordered mental or physical examination; and
  • Repeals the requirement that members of the mental health boards must be United States citizens.

In addition to implementing the sunset recommendations, the act:

  • Allows the staff of a mental health board to approve applications for licensure, certification, and registration without ratification from the respective board unless the board deems ratification necessary;
  • Clarifies that licensees, certificate holders, and registrants are not required to form a professional service corporation;
  • Exempts persons performing auricular acudetox from licensing, certification, and registration requirements;
  • Creates the mental health disciplinary record work group for the purpose of making legislative and rulemaking recommendations concerning records that impact the initial licensure, certification, registration, and ongoing practice of mental health professionals;
  • Clarifies when a mental health professional may disclose a client's confidential communications;
  • Clarifies that it is not a prohibited activity for a mental health professional to offer or accept payment for services provided in connection with a referral as long as the payment is not for the referral itself;
  • Prohibits a contract entered into by a mental health professional for marketing, office space, administrative support, or any other overhead expense from providing remuneration for referrals of clients or patients or otherwise creating financial benefit or incentive to the mental health professional;
  • Allows supervision of an applicant for a social worker license to be done virtually and by a person other than a licensed social worker;
  • Creates a registration process for clinical social work candidates;
  • States that, for licensed social workers or licensed clinical social workers, course work is the only professional competency activity that can fulfill all the continuing competency requirements;
  • Requires applicants for psychology licensure to complete a name-based criminal history record check upon initial application;
  • Requires applicants for a professional counselor license to complete 2,000 hours of practice in counseling, including at least 1,500 hours of face-to-face direct client contact under clinical supervision;
  • Changes the name of "registered psychotherapists" to "unlicensed psychotherapists", allows current psychotherapists to continue to practice as unlicensed psychotherapists, and prohibits the registration of any new psychotherapists with the board of unlicensed psychotherapists;
  • Repeals the provision allowing a licensed mental health professional or a licensure candidate to register with the database of unlicensed psychologists; and
  • Changes the titles of certified addiction counselors to "certified addiction technicians" and "certified addiction specialists" and changes the scope of practice and educational requirements for the certificate holders.
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/19/2020 House Committee on Public Health Care & Human Services Witness Testimony and/or Committee Discussion Only
2/21/2020 House Committee on Public Health Care & Human Services Refer Amended to Finance
3/9/2020 House Committee on Finance Refer Unamended to Appropriations
3/13/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/17/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/26/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
5/27/2020 House Third Reading Passed with Amendments - Floor
5/27/2020 Introduced In Senate - Assigned to
5/28/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/4/2020 Senate Second Reading Laid Over Daily - No Amendments
6/6/2020 Senate Second Reading Passed with Amendments - Floor
6/8/2020 Senate Third Reading Passed - No Amendments
6/10/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/14/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1209 Sunset Nurse-physician Advisory Task Force 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Nurse-physician Advisory Task Force
Sponsors: L. Cutter (D) | K. Mullica (D) / J. Ginal (D)
Summary:

The act continues the nurse-physician advisory task force for Colorado health care (NPATCH) for 7 years, until September 1, 2027. Additionally, the act specifies that 3 of the NPATCH members must be licensed physicians recommended by and representing a statewide physicians' organization that represents multi-specialty physicians and whose membership includes at least one-third of the doctors of medicine and osteopathy licensed in the state.

$15,554 is appropriated from the division of professions and occupations cash fund to the department of regulatory agencies for use by the division of professions and occupations for personal services needed to implement the act.


(Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/14/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
2/28/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
2/28/2020 House Second Reading Special Order - Passed with Amendments - Committee
3/2/2020 House Third Reading Passed - No Amendments
3/3/2020 Introduced In Senate - Assigned to Health & Human Services
3/12/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Committee, Floor
6/5/2020 Senate Third Reading Passed - No Amendments
6/8/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1210 Sunset State Board Of Chiropractic Examiners 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset State Board Of Chiropractic Examiners
Sponsors: Y. Caraveo (D) | M. Duran (D) / R. Fields (D)
Summary:

The act implements the recommendations of the department of regulatory agencies' 2019 sunset review and report on the functions of the Colorado state board of chiropractic examiners (board) by:

  • Continuing the board for 9 years, until 2029;
  • Repealing the requirement that members of the board be citizens of the United States;
  • Repealing the requirement that an applicant for licensure pass the examination given by the National Board of Chiropractic Examiners and authorizing the board to determine the appropriate examination;
  • Changing the continuing education requirements for a licensed chiropractor (licensee) from 15 hours annually to 30 hours every 2 years;
  • Clarifying the grounds for discipline of a licensee concerning the use or abuse of controlled substances or alcohol and modifying the definition of "unethical advertising";
  • Requiring a licensee to notify the board of any physical or mental conditions that limit the ability to safely deliver chiropractic services and allowing the board to enter into an agreement with the licensee that specifies the limitations on the licensee's practice;
  • Clarifying that a license is not prohibited or required for a chiropractic student or intern to perform chiropractic services in this state while under the supervision of a licensee; and
  • Allowing chiropractic students at board-approved schools to perform supervised chiropractic services with the signed, written consent of the patient.
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/12/2020 House Committee on Health & Insurance Refer Unamended to Finance
3/2/2020 House Committee on Finance Refer Unamended to Appropriations
3/13/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/17/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
3/30/2020 House Second Reading Laid Over to 05/26/2020 - No Amendments
5/26/2020 House Second Reading Special Order - Passed - No Amendments
5/27/2020 House Third Reading Passed - No Amendments
5/27/2020 Introduced In Senate - Assigned to Finance
5/28/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed - No Amendments
6/5/2020 Senate Third Reading Passed - No Amendments
6/26/2020 Sent to the Governor
6/26/2020 Signed by the Speaker of the House
6/26/2020 Signed by the President of the Senate
6/29/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments:
Bill Version: Signed Act

HB20-1212 Sunset Naturopathic Doctors 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Naturopathic Doctors
Sponsors: L. Landgraf (R) | Y. Caraveo (D) / N. Todd (D) | J. Tate (R)
Summary:

The act implements the recommendations of the department of regulatory agencies in its sunset review and report on the regulation of naturopathic doctors as follows:

  • Continues the regulation of naturopathic doctors by the department of regulatory agencies for 9 years, until September 1, 2029; and
  • Provides immunity from liability for the director of the division of professions and occupations (director), division staff, consultants, and complainants in any civil action brought against the individual for acts occurring while the individual is acting in the individual's capacity as director, board member, staff, consultant, or witness, respectively.

The act also:

  • Requires that of the 3 doctors of medicine or osteopathy who serve on the naturopathic medicine advisory committee (committee), one must be a pediatrician and one must be a member of a statewide multispecialty medical society;
  • Requires the committee to meet at least once each year and tasks the committee with reviewing the naturopathic doctor formulary, making recommendations to the director on additions to the formulary, and discussing issues of importance to naturopathic doctors and their patients;
  • Allows the director to make additions to the naturopathic formulary; and
  • Prohibits a person who is not registered as a naturopathic doctor from using any title that implies the person is registered or licensed as a naturopathic doctor.
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/14/2020 House Committee on Public Health Care & Human Services Refer Amended to Finance
2/24/2020 House Committee on Finance Refer Unamended to Appropriations
3/6/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Passed with Amendments - Committee
3/9/2020 House Third Reading Passed - No Amendments
3/10/2020 Introduced In Senate - Assigned to Finance
5/26/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Floor
6/5/2020 Senate Third Reading Passed - No Amendments
6/8/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
7/2/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1216 Sunset Continue Nurse Practice Act 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Continue Nurse Practice Act
Sponsors: K. Mullica (D) / J. Ginal (D)
Summary:

The act implements the recommendations of the department of regulatory agencies in its sunset review and report on the "Nurse Practice Act", under which nurses are regulated by the state board of nursing (board), as follows:

  • Continues the regulation of nurses by the board for 7 years, until September 1, 2027;
  • Authorizes the board to enter into a confidential agreement to limit practice with a nurse who has a health condition that affects the ability of the nurse to practice safely and modifies grounds for disciplining a nurse to specify that a nurse may be disciplined for failing to notify the board of a health condition that limits the nurse's ability to practice safely, failing to act within the limits imposed by the health condition, or failing to comply with the terms of a confidential agreement entered into with the board;
  • Adds, as a ground for disciplining a nurse, engaging in a sexual act with a patient during the course of care or within 6 months after care is concluded;
  • Requires licensees and insurance carriers to report malpractice settlements and judgments;
  • Modifies the grounds for discipline relating to alcohol or drug use or abuse to clarify that the use or abuse need not be ongoing to trigger discipline;
  • Requires a nurse to report an adverse action or the surrender of a license within 30 days after the action;
  • Requires a nurse to report a criminal conviction within 30, rather than 45, days after the conviction;
  • Repeals the standards of "willful" and "negligent" with regard to certain grounds for disciplining a nurse;
  • Changes the title "advanced practice nurse" and the acronym "A.P.N." to "advanced practice registered nurse" and "A.P.R.N.";
  • Eliminates the age limit and the requirement to be retired for a nurse to obtain a volunteer license;
  • Repeals the requirement for the director of the division of professions and occupations to consult with the board before appointing an executive administrator and other personnel for the board; and
  • Repeals the requirement for at least one board member to sit on the panel to interview candidates for the board executive administrator position.

In addition to implementing the sunset recommendations, the act:

  • Reduces the number of experience hours required for an A.P.R.N. to obtain prescriptive authority from 1,000 hours to 750 hours and includes a legislative declaration stating that the experience hours should not be adjusted downward before the next sunset review of the "Nurse Practice Act";
  • Eliminates the requirement that an A.P.R.N. seeking or who has obtained prescriptive authority develop, maintain, or update an articulated plan and that the board audit those plans;
  • Adds definitions of "collaboration", "delegation of patient care", and "licensed health care provider" to the "Nurse Practice Act" for purposes of clarifying the ability of nurses to delegate nursing tasks to other providers and assistive personnel; and
  • Modifies the definitions of "practice of practical nursing" and "practice of professional nursing".
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/11/2020 House Committee on Health & Insurance Refer Amended to Finance
2/27/2020 House Committee on Finance Refer Unamended to Appropriations
3/6/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Laid Over Daily - No Amendments
3/10/2020 House Second Reading Passed with Amendments - Committee, Floor
3/11/2020 House Third Reading Passed with Amendments - Floor
5/26/2020 Introduced In Senate - Assigned to Finance
5/28/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/3/2020 Senate Second Reading Special Order - Passed - No Amendments
6/4/2020 Senate Third Reading Passed - No Amendments
6/26/2020 Sent to the Governor
6/26/2020 Signed by the Speaker of the House
6/26/2020 Signed by the President of the Senate
6/30/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1218 Sunset Continue Hearing Aid Providers 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Continue Hearing Aid Providers
Sponsors: J. Buckner (D) | S. Jaquez Lewis (D) / J. Danielson (D)
Summary:

The act implements recommendations of the department of regulatory agencies' sunset review and report on the licensing of hearing aid providers by:

  • Continuing the licensing of hearing aid providers for 11 years, to 2031;
  • Requiring final agency actions to be appealed directly to the court of appeals;
  • Repealing language specifying that the hearing aid provider practice act does not prohibit an individual from performing tasks that would be permissible if the licensee was not licensed;
  • Prohibiting a person who is not licensed as a hearing aid provider from using any titles that imply the person is qualified as a hearing aid provider;
  • Requiring a hearing aid provider to be licensed before directly or indirectly selling or negotiating to sell any hearing aid for the hearing impaired;
  • Repealing references to the national competency examination of the National Board for Certification in Hearing Instrument Sciences and requiring the director of the division of professions and occupations (director) to determine the competency examination required for licensure;
  • Requiring hearing aid providers to post a surety bond, maintain professional liability insurance, or comply with other financial responsibility requirements determined by the director;
  • Adding failure to practice according to commonly accepted professional standards to the grounds for discipline;
  • Authorizing the director to accept disciplinary action taken by another state, a local jurisdiction, or the federal government as prima facie evidence of misconduct if the basis for the action would be grounds for discipline in Colorado; and
  • Adding deceptive trade practice provisions related to the sale of hearing aids by hearing aid providers.

In addition to implementing the sunset recommendations, the act also:

  • Updates the scope of practice to require either the initial testing or the first fitting to be performed in-person; and
  • Requires each hearing aid provider to attend at least 8 hours of continuing education each year.
    (Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/26/2020 House Committee on Health & Insurance Refer Amended to Finance
3/12/2020 House Committee on Finance Refer Unamended to Appropriations
6/3/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/4/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/4/2020 House Second Reading Passed with Amendments - Floor
6/5/2020 House Third Reading Passed - No Amendments
6/8/2020 Introduced In Senate - Assigned to Finance
6/8/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/9/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/9/2020 Senate Second Reading Special Order - Passed with Amendments - Committee
6/10/2020 Senate Third Reading Passed - No Amendments
6/11/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
7/14/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1219 Sunset Continue Licensing Audiologists 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Continue Licensing Audiologists
Sponsors: J. Buckner (D) | S. Jaquez Lewis (D) / J. Danielson (D)
Summary:

The act implements the recommendations of the department of regulatory agencies' sunset review and report on the licensing of audiologists by:

  • Continuing the licensing of audiologists for 11 years, to 2031;
  • Requiring licensees and insurance carriers to report any malpractice settlements or judgments to the director of the division of professions and occupations in the department of regulatory agencies within 30 days and specifying that failure of a licensee to comply with this requirement is grounds for discipline;
  • Requiring final agency actions to be appealed directly to the court of appeals;
  • Amending the language in the grounds for discipline referring to an alcohol or substance use disorder; and
  • Adding deceptive trade practice provisions related to the dispensing of hearing aids by audiologists.

The act also requires each audiologist to complete at least 10 hours of continuing education each license renewal period.


(Note: This summary applies to this bill as enacted.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/26/2020 House Committee on Health & Insurance Refer Amended to Finance
3/12/2020 House Committee on Finance Refer Unamended to Appropriations
6/3/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/4/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/5/2020 House Third Reading Passed - No Amendments
6/6/2020 Introduced In Senate - Assigned to Finance
6/8/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/9/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/9/2020 Senate Second Reading Special Order - Passed with Amendments - Floor
6/10/2020 Senate Third Reading Passed - No Amendments
6/11/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/12/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/14/2020 Governor Signed
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Signed Act

HB20-1221 Complementary Or Alternative Medicine Pilot Program 
Calendar Notification: Thursday, December 31 2020
GENERAL ORDERS - SECOND READING OF BILLS
(3) in house calendar.
News:
Short Title: Complementary Or Alternative Medicine Pilot Program
Sponsors: C. Kennedy (D) / R. Zenzinger (D) | J. Smallwood (R)
Summary:

The complementary or alternative medicine pilot program (pilot program) currently applies to any person with a spinal cord injury. The bill expands the pilot program to include persons with a primary condition of multiple sclerosis, a brain injury, spina bifida, muscular dystrophy, or cerebral palsy and a secondary condition of paralysis. Additionally, an eligible person must reside in either Adams county, Arapahoe county, Boulder county, the city and county of Broomfield, the city and county of Denver, Douglas county, El Paso county, Jefferson county, Larimer county, Pueblo county, or Weld county.
(Note: This summary applies to this bill as introduced.)

Status: 1/31/2020 Introduced In House - Assigned to Health & Insurance
3/4/2020 House Committee on Health & Insurance Refer Amended to House Committee of the Whole
3/9/2020 House Second Reading Laid Over Daily - No Amendments
3/10/2020 House Second Reading Laid Over to 03/13/2020 - No Amendments
3/14/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/28/2020 House Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Introduced

HB20-1230 Sunset Occupational Therapy Practice Act 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Sunset Occupational Therapy Practice Act
Sponsors: J. Singer (D) | C. Larson (R) / R. Fields (D)
Summary:

The act implements, with amendments, the recommendations of the department of regulatory agencies (department) in its sunset review and report on the licensing of occupational therapists and occupational therapy assistants (OTAs) by the director of the division of professions and occupations in the department. Specifically, the act:

  • Continues the "Occupational Therapy Practice Act" for 10 years, until 2030;
  • Modifies the legislative declaration and definitions related to the scope of practice of occupational therapy;
  • Designates "occupational therapy consultant", "M.O.T.", "M.O.T./L.", "occupational therapy assistant", "O.T.A.", and "C.O.T.A." as protected titles and clarifies that individuals who legally practice temporarily as occupational therapists in Colorado may use protected titles;
  • Reorders and amends certain provisions concerning examinations and applications for licensure by occupational therapists and OTAs; and
  • Adds certain prohibited behaviors as grounds for discipline.
    (Note: This summary applies to this bill as enacted.)

Status: 1/31/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/14/2020 House Committee on Public Health Care & Human Services Refer Amended to Finance
2/24/2020 House Committee on Finance Refer Unamended to Appropriations
3/6/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Passed with Amendments - Committee
3/9/2020 House Third Reading Passed - No Amendments
3/10/2020 Introduced In Senate - Assigned to Health & Human Services
5/27/2020 Senate Committee on Health & Human Services Refer Unamended to Finance
5/28/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Floor
6/5/2020 Senate Third Reading Passed - No Amendments
6/8/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/10/2020 House Considered Senate Amendments - Result was to Concur - Repass
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/11/2020 Governor Signed
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Final Act

HB20-1232 Equity In Access To Clinical Trials In Medicaid 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Equity In Access To Clinical Trials In Medicaid
Sponsors: D. Michaelson Jenet (D) | L. Liston (R) / N. Todd (D) | K. Priola (R)
Summary:

The act authorizes the state medical assistance program (medicaid) to cover routine costs associated with phase I through phase IV clinical trials involving the prevention, detection, diagnosis, or treatment of life-threatening or debilitating diseases or conditions. The medicaid recipient's (recipient's) treating physician must determine that the recipient has a qualifying disease or condition and that the recipient meets the selection criteria for the clinical trial. The clinical trial must be an approved clinical trial, as described in the act, and must be conducted by agencies and organizations specified in the act.

As used in the act, "routine costs" include medically necessary items or services included under the medicaid program for a recipient, to the extent that the provision of such items or services to the individual outside the course of such participation would otherwise be covered under the medical assistance program, without regard to whether the recipient is participating in a clinical trial. Routine costs do not include items specified in the act, including the investigational item, device, or service itself; items and services provided solely to satisfy data collection and analysis needed for the clinical trial; and items, drugs, or services that would otherwise be provided by the clinical trial or provided for free to any individual participating in the clinical trial.


(Note: This summary applies to this bill as enacted.)

Status: 1/31/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
3/3/2020 House Committee on Health & Insurance Refer Unamended to Appropriations
3/13/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/13/2020 House Second Reading Laid Over to 05/26/2020 - No Amendments
3/17/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/26/2020 House Second Reading Special Order - Passed with Amendments - Floor
5/27/2020 House Third Reading Passed - No Amendments
5/27/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
5/28/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/2/2020 Senate Second Reading Passed - No Amendments
6/3/2020 Senate Third Reading Passed - No Amendments
6/26/2020 Sent to the Governor
6/26/2020 Signed by the Speaker of the House
6/26/2020 Signed by the President of the Senate
7/10/2020 Governor Signed
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Signed Act

HB20-1236 Health Care Coverage Easy Enrollment Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Health Care Coverage Easy Enrollment Program
Sponsors: S. Lontine (D) | P. Will (R) / J. Tate (R) | J. Bridges (D)
Summary:

The act creates the Colorado affordable health care coverage easy enrollment program (program) for the purpose of leveraging the tax filing process to connect uninsured Coloradans to free or subsidized health care coverage through a health care coverage affordability program, which includes medicaid, the children's basic health plan, or a subsidized health benefit plan, or other creditable coverage. The program will allow Coloradans to request on their state income tax returns that the Colorado health benefit exchange (exchange) assess whether uninsured household members are potentially eligible for free or subsidized health care coverage. If the tax filer requests that the eligibility of uninsured household members be assessed under the program, the tax filer will receive information about coverage options and assistance with enrollment.

The act creates the affordable health care coverage easy enrollment advisory committee (advisory committee) to guide implementation of the program. The advisory committee is co-chaired by the executive director of the exchange and the executive director of the department of revenue (department), or their designees, and consists of the following 9 members, appointed by the board of directors of the exchange:

  • A representative of the department of health care policy and financing;
  • A representative of the division of insurance in the department of regulatory agencies;
  • A representative of consumer advocacy groups;
  • A representative of small employers;
  • A representative of insurers;
  • A health care consumer;
  • A health coverage guide or other person with expertise in the process of applying for federal insurance or assistance;
  • An insurance producer; and
  • A tax preparer.

If the exchange verifies that the uninsured individual is a United States citizen, the exchange, through procedures determined by the advisory committee, will assess whether uninsured individuals identified through the program are potentially eligible for a health care coverage affordability program or other creditable coverage, notify uninsured individuals about their potential eligibility, and enroll or assist with enrolling uninsured individuals in creditable coverage.

The department is required to implement the tax forms and schedules created by the advisory committee and to share the tax information gathered, as authorized by individual tax filers, with the exchange.

The executive director of the department is required to promulgate rules to implement the new tax forms and schedules and to implement the authorized sharing of the tax information provided on the state individual income tax return forms for the purpose of enrolling uninsured individuals in a health care coverage affordability program.


(Note: This summary applies to this bill as enacted.)

Status: 1/31/2020 Introduced In House - Assigned to Finance + Appropriations
2/20/2020 House Committee on Finance Refer Amended to Appropriations
3/6/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
3/6/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
3/9/2020 House Third Reading Passed - No Amendments
3/10/2020 Introduced In Senate - Assigned to Finance
5/26/2020 Senate Committee on Finance Refer Unamended to Senate Committee of the Whole
5/27/2020 Senate Second Reading Laid Over Daily - No Amendments
5/28/2020 Senate Second Reading Passed - No Amendments
6/1/2020 Senate Third Reading Passed - No Amendments
6/3/2020 Senate Third Reading Laid Over Daily - No Amendments
6/3/2020 Senate Third Reading Reconsidered - No Amendments
6/4/2020 Senate Third Reading Passed with Amendments - Floor
6/5/2020 House Considered Senate Amendments - Result was to Laid Over Daily
6/10/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/22/2020 Sent to the Governor
6/22/2020 Signed by the Speaker of the House
6/22/2020 Signed by the President of the Senate
7/7/2020 Governor Signed
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Signed Act

HB20-1237 Medicaid Managed Care Assignment For Child Welfare 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Medicaid Managed Care Assignment For Child Welfare
Sponsors: M. Young (D) | L. Saine (R) / D. Moreno (D) | J. Sonnenberg (R)
Summary:

For a child or youth who obtains services under the state's medicaid program through the initiation of a dependency and neglect action or juvenile delinquency action resulting in out-of-home placement, the act requires the department of health care policy and financing (department) to assign the child or youth to the managed care entity (MCE) in the county in which the action was initiated. The department shall only change the MCE designation if requested by the county with jurisdiction over the action or the child's or youth's legal guardian.


(Note: This summary applies to this bill as enacted.)

Status: 1/31/2020 Introduced In House - Assigned to Public Health Care & Human Services
3/11/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
3/13/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/26/2020 House Second Reading Special Order - Passed with Amendments - Committee
5/27/2020 House Third Reading Passed - No Amendments
5/27/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
5/28/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/2/2020 Senate Second Reading Passed - No Amendments
6/3/2020 Senate Third Reading Passed - No Amendments
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
6/22/2020 Sent to the Governor
7/11/2020 Governor Signed
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Signed Act

HB20-1239 Consumer Protections Concerning Vaccinations 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Consumer Protections Concerning Vaccinations
Sponsors: D. Williams (R)
Summary:

The bill creates the "Vaccine Consumer Protection Act" (Act), which Act:

  • Requires health care providers and health care facilities to provide vaccine information to patients;
  • Requires health care providers and health care facilities that recommend or administer a vaccine to a patient to ensure that the patient or the patient's parent or guardian completes a vaccination contraindication checklist created by the state board of health;
  • Requires health care providers and health care facilities to report vaccine adverse events to the federal vaccine adverse event reporting system;
  • Prohibits health care providers and health care facilities from recommending or administering a vaccine to a patient who is under 18 years of age without the consent of the patient's parent or guardian;
  • Prohibits health care providers, health care facilities, health insurers, and schools from treating people who delay or decline vaccinations differently than people who have received vaccinations;
  • Authorizes the assessment of fines for violations of the Act; and
  • Requires the department of public health and environment to post specific vaccine information on its website.
    (Note: This summary applies to this bill as introduced.)

Status: 1/31/2020 Introduced In House - Assigned to Health & Insurance
2/26/2020 House Committee on Health & Insurance Postpone Indefinitely
Date Introduced: 2020-01-31
Amendments:
Bill Version: Introduced

HB20-1264 Health Care Contract Hospital System Carriers Providers 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Health Care Contract Hospital System Carriers Providers
Sponsors: C. Kennedy (D)
Summary:

The bill prohibits a health system from requiring a carrier, as a condition of a contract for the delivery of health care services, to:

  • Contract with every hospital or other facility within the health system;
  • Agree to provide the same reimbursement rates at each hospital or other facility within the health system; or
  • Contract with all of the hospitals in the health system in order to access a lower reimbursement rate than is otherwise offered by the health system.

The bill also precludes a hospital or health system from, as a condition of a contract:

  • Prohibiting a carrier from contracting with any other hospital or health system;
  • Prohibiting a health care provider or provider group from contracting with any other hospital or health system.

The bill states that if, pursuant to the terms of employment or certain contract terms, a health care provider is prohibited from referring a patient to a health care provider outside the health system in which the referring provider is employed or contracted, the health care provider must disclose this restriction to any patient who the health care provider refers to another health care provider within the same health system.

The bill makes necessary conforming amendments.


(Note: This summary applies to this bill as introduced.)

Status: 2/3/2020 Introduced In House - Assigned to Health & Insurance
6/10/2020 House Committee on Health & Insurance Postpone Indefinitely
Date Introduced: 2020-02-03
Amendments:
Bill Version: Introduced

HB20-1270 One Parent Consent For Behavioral Health Services 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: One Parent Consent For Behavioral Health Services
Sponsors: D. Michaelson Jenet (D) / R. Fields (D)
Summary:

The bill authorizes a physician or a mental health professional (professional) to evaluate or treat a minor patient (minor) for a behavioral health disorder with the consent of only one parent or legal guardian of the minor if both parents have legal decision-making authority over the minor, but not when there is an existing court order providing that the parents or legal guardians have joint-decision making authority concerning the medical or behavioral health decisions of the minor . The professional shall act in the best interest of the minor and provide services for a behavioral health disorder only in accordance with the professional's own advice or recommendation. The bill defines a minor as a person who is under 15 years of age.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 0/0/2020 House Second Reading -
0/0/2020 House Third Reading -
2/3/2020 Introduced In House - Assigned to Public Health Care & Human Services
2/14/2020 House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
2/20/2020 House Second Reading Laid Over Daily - No Amendments
2/21/2020 House Second Reading Special Order - Passed with Amendments - Committee
2/24/2020 House Third Reading Laid Over Daily - No Amendments
2/27/2020 House Third Reading Passed - No Amendments
2/28/2020 Introduced In Senate - Assigned to Judiciary
3/11/2020 Senate Committee on Judiciary Refer Unamended to Senate Committee of the Whole
3/14/2020 Senate Second Reading Laid Over Daily - No Amendments
5/28/2020 Senate Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-02-03
Amendments: Amendments
Bill Version: Reengrossed

HB20-1283 Administration Of Inhaler For Respiratory Distress 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Administration Of Inhaler For Respiratory Distress
Sponsors: J. Buckner (D) / N. Todd (D)
Summary:

The bill amends existing law relating to the administration of epinephrine auto-injectors to include permitting public schools to obtain a stock supply of inhalers containing albuterol (inhaler) that the school nurse or trained school personnel may administer to a student who the school nurse or trained personnel believe is experiencing respiratory distress. Persons administering an inhaler must complete training on administering an inhaler and on recognizing symptoms of respiratory distress.

The state board of education, with assistance from the department of public health and environment, shall promulgate rules for the administration of inhalers to students, including education and training necessary for personnel administering inhalers.

The inhalers may be obtained and used through standing orders and protocols issued by a licensed physician and other medical personnel with prescriptive authority. Schools may seek monetary donations to purchase inhalers and may enter into arrangements with manufacturers and suppliers to obtain inhalers at reduced prices or for free.

If a school district acts consistent with the law and does not engage in willful or wanton conduct that causes damages, the school, school district, and school employees are immune from civil liability for any damages related to administering the inhaler to a student who was believed to be in respiratory distress.

In addition, the bill amends existing law relating to the administration of epinephrine auto-injectors outside of school settings to include permitting authorized entities, such as recreation camps, amusement parks, and sports arenas, to obtain a stock supply of inhalers containing albuterol to administer to persons believed to be in respiratory distress. Persons administering the inhalers for authorized entities must complete training on administering an inhaler and on recognizing symptoms of respiratory distress.

The inhalers may be obtained and used through standing orders and protocols issued by a licensed physician and other medical personnel with prescriptive authority. Authorized entities may seek monetary donations to purchase inhalers.

If an authorized entity acts consistent with the law and does not engage in willful or wanton conduct that causes damages, the authorized entity and its employees are immune from criminal liability or civil suit for any damages related to administering the inhaler to a person who was believed to be in respiratory distress.

A physician, school nurse, pharmacist, and other medical personnel acting in accordance with the law are not subject to discipline by a licensing board for either administering an inhaler in a school or for prescribing inhalers for a school or a designated entity.


(Note: This summary applies to this bill as introduced.)

Status: 2/4/2020 Introduced In House - Assigned to Education
3/5/2020 House Committee on Education Postpone Indefinitely
Date Introduced: 2020-02-04
Amendments:
Bill Version: Introduced

HB20-1312 Behavioral Health Training Requirements Educator License 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Behavioral Health Training Requirements Educator License
Sponsors: D. Michaelson Jenet (D) | B. Titone (D) / N. Todd (D) | D. Hisey (R)
Summary:

The act creates a requirement that of the 90 hours of professional development training currently required for renewal of a teacher's license during the term of the teacher's license, at least 10 of those hours must include some form of behavioral health training that is culturally responsive and trauma- and evidence-informed and increases awareness of laws and practices relating to educating students with disabilities in the classroom, including child find and inclusive learning environments. The 10 clock hours may be obtained by any combination of related courses, so long as at least 1 of the 10 clock hours is related to behavioral health training and at least 1 of the 10 clock hours is related to educating students with disabilities in the classroom.

The act requires teacher preparation programs to include in program graduation requirements that each teacher candidate in an initial educator licensure program complete at least 1 semester- or quarter-length course in behavioral health training that is culturally responsive and trauma- and evidence-informed.


(Note: This summary applies to this bill as enacted.)

Status: 2/21/2020 Introduced In House - Assigned to Education
3/12/2020 House Committee on Education Refer Amended to House Committee of the Whole
5/28/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Laid Over Daily - No Amendments
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/9/2020 House Third Reading Passed - No Amendments
6/9/2020 Introduced In Senate - Assigned to Finance
6/10/2020 Senate Committee on Finance Refer Unamended to Senate Committee of the Whole
6/10/2020 Senate Second Reading Special Order - Passed - No Amendments
6/11/2020 Senate Third Reading Passed - No Amendments
7/2/2020 Sent to the Governor
7/2/2020 Signed by the President of the Senate
7/2/2020 Signed by the Speaker of the House
7/8/2020 Governor Signed
Date Introduced: 2020-02-21
Amendments: Amendments
Bill Version: Signed Act

HB20-1314 Behavioral Health Crisis Response Training 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Behavioral Health Crisis Response Training
Sponsors: M. Young (D) | R. Pelton (R)
Summary:

The bill directs the state department of health care policy and financing (department) to issue a request for proposals to contract with a vendor to provide a comprehensive care coordination and treatment training model (model) for persons with intellectual and developmental disabilities and co-occurring behavioral health needs. The selected vendor must be able to provide the model using teleconferencing formats to better reach rural areas of the state. Community-centered boards, mental health centers, and program-approved service agencies shall nominate up to 20 providers to receive the training. The department may select an additional 10 providers from underserved areas of the state to receive the training.
(Note: This summary applies to this bill as introduced.)

Status: 2/21/2020 Introduced In House - Assigned to Public Health Care & Human Services
3/13/2020 House Committee on Public Health Care & Human Services Refer Amended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-02-21
Amendments: Amendments
Bill Version: Introduced

HB20-1316 Gestational And Genetic Surrogacy Agreements 
Calendar Notification: Thursday, December 31 2020
GENERAL ORDERS - SECOND READING OF BILLS
(18) in house calendar.
News:
Short Title: Gestational And Genetic Surrogacy Agreements
Sponsors: M. Froelich (D) / J. Ginal (D)
Summary:

The bill repeals a section on assisted reproduction of the "Uniform Parentage Act" and replaces it with a new "Colorado Surrogacy Agreement Act" (act). The act:

  • Establishes eligibility requirements for entering into surrogacy agreements (agreements) and required elements of the agreements;
  • Contains provisions governing the termination of agreements and the effect of a death or a change in marital status of any of the parties to such agreements;
  • Authorizes court orders recognizing and enforcing agreements; and
  • Specifies the duties of persons under the agreements.
    (Note: This summary applies to this bill as introduced.)

Status: 2/21/2020 Introduced In House - Assigned to Public Health Care & Human Services
3/13/2020 House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
5/28/2020 House Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-02-21
Amendments: Amendments
Bill Version: Introduced

HB20-1319 Prohibit Sale Of Flavored Nicotine Products 
Calendar Notification: Thursday, December 31 2020
GENERAL ORDERS - SECOND READING OF BILLS
(6) in house calendar.
News:
Short Title: Prohibit Sale Of Flavored Nicotine Products
Sponsors: Y. Caraveo (D) | K. Becker (D) / R. Fields (D) | K. Priola (R)
Summary:

On and after September 1, 2020, the bill prohibits the sale of flavored cigarettes, tobacco products, and nicotine products, including flavored electronic cigarettes, and products intended to be added to cigarettes, tobacco products, or nicotine products to produce a flavor other than tobacco.


(Note: This summary applies to this bill as introduced.)

Status: 2/21/2020 Introduced In House - Assigned to Health & Insurance
3/4/2020 House Committee on Health & Insurance Lay Over Unamended - Amendment(s) Failed
3/10/2020 House Committee on Health & Insurance Refer Amended to House Committee of the Whole
3/13/2020 House Second Reading Laid Over Daily - No Amendments
3/14/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/28/2020 House Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-02-21
Amendments: Amendments
Bill Version: Introduced

HB20-1326 Create Occupational Credential Portability Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Create Occupational Credential Portability Program
Sponsors: S. Bird (D) | K. Van Winkle (R) / P. Lee (D) | B. Gardner (R)
Summary:

The act creates the occupational credential portability program (program) in the division of professions and occupations within the department of regulatory agencies, which permits a member of a regulated profession or occupation from another jurisdiction to obtain licensure, certification, registration, or enrollment in the profession or occupation in this state by endorsement, reciprocity, or transfer. The program is available to members of business and health care professions and occupations regulated by the division and the regulatory boards in the division for which licensure, certification, registration, or enrollment by endorsement is permitted under current law; except that the following professions and occupations are specifically excluded from the program:

  • Combative sports;
  • Electricians;
  • Fantasy contests;
  • Mortuaries and crematories;
  • Nontransplant tissue banks;
  • Outfitters and guides;
  • Passenger tramway operators;
  • Plumbers;
  • Private investigators;
  • Direct-entry midwives; and
  • Surgical assistants and surgical technologists.

Under the program, the director of the division and most regulatory boards and commissions within the division (regulators) are required to strive to reduce certification, registration, licensure, and enrollment barriers for applicants and to adopt rules to establish the program in the least burdensome way necessary to protect the public.

The act also relocates the existing occupational credential exemption for military spouses to the new occupational credential portability program and modifies the exemption by specifying that the exemption is valid for 3 years and applying the exemption to all members of business and health care professions and occupations regulated by the division and the regulatory boards in the division.


(Note: This summary applies to this bill as enacted.)

Status: 2/25/2020 Introduced In House - Assigned to Business Affairs & Labor
3/11/2020 House Committee on Business Affairs & Labor Refer Amended to House Committee of the Whole
5/26/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
5/27/2020 House Third Reading Passed - No Amendments
5/27/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
5/28/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/2/2020 Senate Second Reading Passed - No Amendments
6/3/2020 Senate Third Reading Passed - No Amendments
6/16/2020 Sent to the Governor
6/16/2020 Signed by the Speaker of the House
6/16/2020 Signed by the President of the Senate
6/25/2020 Governor Signed
Date Introduced: 2020-02-25
Amendments: Amendments
Bill Version: Signed Act

HB20-1331 Transportation Services For Medicaid Waiver Recipients 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Transportation Services For Medicaid Waiver Recipients
Sponsors: C. Larson (R) | M. Duran (D)
Summary:

The bill requires the department of health care policy and financing (department) to create and implement an expedited provider enrollment approval process and an expedited review of qualifications for transportation service providers for medicaid waiver recipients (providers) no later than July 1, 2021.

The bill requires the department to engage in a stakeholder process to develop a report that identifies barriers and potential solutions to medicaid waiver recipients accessing transportation services within the long-term support and services system and to submit the report to specified committees of the general assembly no later than January 15, 2021.
(Note: This summary applies to this bill as introduced.)

Status: 2/25/2020 Introduced In House - Assigned to Public Health Care & Human Services + Appropriations
3/11/2020 House Committee on Public Health Care & Human Services Refer Unamended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-02-25
Amendments:
Bill Version: Introduced

HB20-1349 Colorado Affordable Health Care Option 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Colorado Affordable Health Care Option
Sponsors: D. Roberts (D) | C. Kennedy (D) / K. Donovan (D)
Summary:

Beginning January 1, 2022, the bill requires a health insurance carrier (carrier) that offers an individual health benefit plan in this state to offer a Colorado option plan in the Colorado counties where the carrier offers the individual health benefit plan. The commissioner of insurance (commissioner) is required to develop and implement a Colorado option plan that must:

  • Be offered to Colorado residents who purchase health insurance in the individual market;
  • Implement a standardized plan that:
  • Allows consumers to easily compare health benefit plans; and
  • Provides first-dollar, predeductible coverage for certain services;
  • Include the essential health benefits package;
  • Provide different, specific levels of coverage;
  • Include a hospital reimbursement rate formula;
  • Require hospital participation;
  • Require a minimum medical loss ratio of 85%; and
  • Require carriers and pharmacy benefit management firms to pass rebate savings through to consumers and document the savings and pass-through in a form and manner determined by the commissioner.

The Colorado option advisory board (board) is created to advise and make recommendations to the commissioner on all aspects of the Colorado option plan.

The bill authorizes the commissioner to promulgate rules to develop, implement, and operate the Colorado option plan, including:

  • Expanding the Colorado option plan to the small group market;
  • Establishing a hospital reimbursement rate formula; and
  • Requiring carriers to offer the Colorado option plan in specific counties.

If a hospital refuses to participate in the Colorado option plan, the department of public health and environment may issue a warning, impose fines, or suspend, revoke, or impose conditions on the hospital's license.

The commissioner, in consultation with the board, is required to evaluate the Colorado option plan beginning July 1, 2024, and each year thereafter.


(Note: This summary applies to this bill as introduced.)

Status: 3/5/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
3/11/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/16/2020 House Committee on Appropriations Lay Over Unamended - Amendment(s) Failed
Date Introduced: 2020-03-05
Amendments: Amendments
Bill Version: Introduced

HB20-1362 Limit Increase to Medicaid Nursing Facility Rates 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Limit Increase to Medicaid Nursing Facility Rates
Sponsors: J. McCluskie (D) | K. Ransom (R) / R. Zenzinger (D)
Summary:

The act limits to 2% the annual increase in the general fund share of per diem rates to nursing facilities for the 2020-21 and 2021-22 state fiscal years.

For the 2020-21 fiscal year, the act decreases the general fund appropriation to the department of health care policy and financing for medical services premiums by $3,288,230, with an anticipated corresponding decrease in federal funds of $3,722,921.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/29/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1364 Repeal Opioid Awareness Program And Appropriation 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Repeal Opioid Awareness Program And Appropriation
Sponsors: D. Esgar (D) | K. Ransom (R) / D. Moreno (D) | R. Zenzinger (D)
Summary:

Current law requires appropriations of $750,000 for state fiscal years 2019-20 through 2023-24 from the marijuana tax cash fund to the center for research into substance use disorder prevention, treatment, and recovery support strategies to implement a program to increase public awareness concerning the safe use, storage, and disposal of opioids and the availability of naloxone and other drugs used to block the effects of an opioid overdose. The act reduces the appropriation to $250,000 for state fiscal years 2020-21 through 2023-24.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/29/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Passed with Amendments - Floor
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments: Amendments
Bill Version: Signed Act

HB20-1371 Delay Substance Use And Mental Health Services Grant Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Delay Substance Use And Mental Health Services Grant Program
Sponsors: D. Esgar (D) | J. McCluskie (D) / D. Moreno (D) | R. Zenzinger (D)
Summary:

Existing law requires the department of local affairs (department) to award grants to counties pursuant to the community substance use and mental health services grant program (grant program) and requires the general assembly, beginning in fiscal year 2020-21, to appropriate money for the grant program from the estimated savings from House Bill 19-1263, concerning changing the penalty for certain violations pursuant to the "Uniform Controlled Substances Act of 2013".

The act makes the department's requirement to issue grants subject to available appropriations, removes the requirement to appropriate money for the grant program, and states the general assembly's intent to fund the grant program with money generated from the estimated savings from House Bill 19-1263.

An appropriation to the department for program costs related to field services is decreased by $66,208, and an appropriation to the department for community substance use and mental health services grants is decreased by $1,800,000.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
6/22/2020 Sent to the Governor
6/29/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1373 Use Of Tobacco Revenues Under Fiscal Emergency 
Calendar Notification: Monday, June 15 2020
GENERAL ORDERS - SECOND READING OF BILLS
(2) in house calendar.
News:
Short Title: Use Of Tobacco Revenues Under Fiscal Emergency
Sponsors: D. Esgar (D) | J. McCluskie (D) / D. Moreno (D) | R. Zenzinger (D)
Summary:

Joint Budget Committee. Pursuant to the declaration of a state fiscal emergency (emergency declaration), for the 2020-21 fiscal year only, the bill expands the purposes for which tobacco tax revenues in the tobacco education programs fund and the prevention, early detection, and treatment fund may be used to include any health-related purpose and to serve populations enrolled in the children's basic health plan and the Colorado medical assistance program at the programs' respective levels of enrollment as of January 1, 2005.

Also pursuant to the emergency declaration, for the 2020-21 fiscal year only, the bill authorizes grantees under certain programs funded through tobacco tax revenue to use the grant money to investigate and control the spread of COVID-19.

The bill repeals an obsolete provision of law.

The bill makes and reduces certain appropriations.


(Note: This summary applies to this bill as introduced.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/1/2020 House Second Reading Laid Over Daily - No Amendments
Date Introduced: 2020-05-26
Amendments:
Bill Version: Introduced

HB20-1385 Use Of Increased Medicaid Match 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Use Of Increased Medicaid Match
Sponsors: D. Esgar (D) | J. McCluskie (D) / D. Moreno (D) | R. Zenzinger (D)
Summary:

For fiscal years 2019-20 and 2020-21, the act specifies that:

  • If a provider or a school district submits a certification of public expenditure pursuant to federal law, the provider or school district shall receive federal matching funds in the amount of 50% of the amount certified, and any federal financial participation in excess of 50% of the amount certified must be transferred to the general fund for the medical assistance program;
  • The amount of increased federal financial participation in excess of 50% generated from appropriations out of the healthcare affordability and sustainability fee cash fund must be used to offset other general fund appropriations for the medical assistance program;
  • The amount of increased federal financial participation in excess of 50% for reimbursements and payments must be transferred from the medicaid nursing facility cash fund to the general fund for the medical assistance program expenditures; and
  • The appropriation to the university of Colorado for fee-for-service contracts for health services is reduced by the amount of federal financial participation that exceeds 50%.

The act makes adjustments to the appropriations to transfer the amounts in excess of 50% to the general fund and appropriates those amounts for the medical services program.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
6/22/2020 Sent to the Governor
6/29/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1386 Use Fees For Medical Assistance Program General Fund Offset 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Use Fees For Medical Assistance Program General Fund Offset
Sponsors: J. McCluskie (D) / D. Moreno (D)
Summary:

For the 2020-21 state fiscal year (FY 2020-21), the act:

  • Authorizes the use of healthcare affordability and sustainability fee revenue for state medical assistance program expenditures;
  • Requires $161 million to be appropriated from the healthcare affordability and sustainability fee cash fund to offset general fund expenditures for the state medical assistance program;
  • Reduces the FY 2020-21 general fund appropriation to the department of health care policy and financing (HCPF) for medical services premiums by $161 million; and
  • Appropriates $161 million from the healthcare affordability and sustainability fee cash fund to HCPF for medical services premiums.

The act also clarifies that if the amount of healthcare affordability and sustainability fee revenue collected exceeds a federal limit, hospitals that received such excess federal matching money are responsible for repaying the excess federal money and any associated federal penalties to the federal government.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the President of the Senate
6/29/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1391 Behavioral Health Programs Appropriations 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Behavioral Health Programs Appropriations
Sponsors: D. Esgar (D) | J. McCluskie (D) / D. Moreno (D) | R. Zenzinger (D)
Summary:

The act removes the requirement that the state department of human services (department) implement a behavioral health capacity tracking system and make available to the public appropriate information from the capacity tracking system, unless money is appropriated for the system.

The act removes the requirement that the department implement a care navigation program to assist engaged clients in obtaining access to treatment for substance use disorders, unless money is appropriated for the program. The act requires the department to report to the general assembly if the care navigation program is implemented.

For the 2020-21 fiscal year, the act reduces the appropriation from the marijuana tax cash fund, created in section 39-28.8-501, to the department of human services by $546,013.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/29/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/4/2020 Senate Second Reading Special Order - Laid Over Daily - No Amendments
6/5/2020 Senate Second Reading Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/29/2020 Sent to the Governor
6/29/2020 Signed by the Speaker of the House
6/29/2020 Signed by the President of the Senate
6/30/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1393 Expand Mental Health Diversion Pilot Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Expand Mental Health Diversion Pilot Program
Sponsors: D. Esgar (D) | J. McCluskie (D) / R. Zenzinger (D) | B. Rankin (R)
Summary:

Under current law, the alternative pilot programs to divert individuals with mental health conditions may operate in up to 4 judicial districts. The act allows the programs to be expanded into 5 or more judicial districts to increase the number of participants.


(Note: This summary applies to this bill as enacted.)

Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/29/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Passed - No Amendments
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/3/2020 House Third Reading Passed - No Amendments
6/3/2020 Introduced In Senate - Assigned to Appropriations
6/4/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/5/2020 Senate Second Reading Special Order - Passed - No Amendments
6/6/2020 Senate Third Reading Passed - No Amendments
6/22/2020 Sent to the Governor
6/22/2020 Signed by the President of the Senate
6/22/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-05-26
Amendments:
Bill Version: Signed Act

HB20-1411 COVID-19 Funds Allocation For Behavioral Health 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: COVID-19 Funds Allocation For Behavioral Health
Sponsors: D. Michaelson Jenet (D) | T. Kraft-Tharp (D) / B. Pettersen (D) | R. Fields (D)
Summary:

The act appropriates money from the cares subfund in the general fund to the department of human services, the department of public health and environment, the department of higher education, and the department of law for behavioral health programs and services that were not accounted for in the state budget most recently approved as of March 27, 2020, and are necessary to respond to the COVID-19 public health emergency. All of the appropriations must be expended on or before December 30, 2020.


(Note: This summary applies to this bill as enacted.)

Status: 6/4/2020 Introduced In House - Assigned to State, Veterans, & Military Affairs
6/5/2020 House Committee on State, Veterans, & Military Affairs Refer Amended to Appropriations
6/8/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/9/2020 House Third Reading Passed - No Amendments
6/9/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/10/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Appropriations
6/10/2020 Senate Second Reading Special Order - Passed - No Amendments
6/10/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/11/2020 Senate Third Reading Passed - No Amendments
6/19/2020 Sent to the Governor
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
6/22/2020 Governor Signed
Date Introduced: 2020-06-04
Amendments: Amendments
Bill Version: Signed Act

HB20-1415 Whistleblower Protection Public Health Emergencies 
Calendar Notification: Monday, June 15 2020
CONSIDERATION OF SENATE AMENDMENTS TO HOUSE BILLS
(1) in house calendar.
News:
Short Title: Whistleblower Protection Public Health Emergencies
Sponsors: L. Herod (D) | T. Sullivan (D) / B. Pettersen (D) | R. Rodriguez (D)
Summary:

The act prohibits a principal, which includes an employer, certain labor contractors, public employers, and entities that contract with 5 or more independent contractors, from discriminating, retaliating, or taking adverse action against any worker who:

  • In good faith, raises any concern about workplace health and safety practices or hazards related to a public health emergency to the principal, the principal's agent, other workers, a government agency, or the public if the workplace health and safety practices fail to meet guidelines established by a federal, state, or local public health agency with jurisdiction over the workplace;
  • Voluntarily wears at the worker's workplace the worker's own personal protective equipment, such as a mask, faceguard, or gloves, under specified circumstances; or
  • Opposes a practice the worker reasonably believes is unlawful or makes a charge, testifies, assists, or participates in an investigation, proceeding, or hearing of alleged unlawful acts.

Additionally, a principal is prohibited from requiring or attempting to require a worker to sign a contract or other agreement that limits or prevents the worker from disclosing information about workplace health and safety practices or hazards related to a public health emergency.

A worker who knowingly discloses false information or discloses information with reckless disregard for the truth or falsity of the information is not protected under the act.

A person may seek relief by:

  • Filing a complaint with the division of labor standards and statistics (division) in the department of labor and employment;
  • Bringing an action in district court, after exhausting administrative remedies; or
  • Bringing a whistleblower action in the name of the state in district court, after exhausting administrative remedies.

The division is authorized to adopt rules necessary to implement the act.

$270,153 is appropriated to the department of labor and employment from the employment support fund, of which $206,193 is allocated for use by the division for enforcement of worker's rights related to a public health emergency, based on the assumption that the division will require an additional 2.5 FTE, and $63,960 is reappropriated to the department of law for legal services.


(Note: This summary applies to this bill as enacted.)

Status: 6/4/2020 Introduced In House - Assigned to Finance
6/6/2020 House Committee on Finance Refer Amended to Appropriations
6/8/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/9/2020 House Third Reading Passed - No Amendments
6/9/2020 Introduced In Senate - Assigned to Finance
6/10/2020 Senate Committee on Finance Refer Amended to Appropriations
6/11/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/11/2020 Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
6/13/2020 Senate Third Reading Passed - No Amendments
6/15/2020 House Considered Senate Amendments - Result was to Concur - Repass
6/26/2020 Sent to the Governor
6/26/2020 Signed by the Speaker of the House
6/26/2020 Signed by the President of the Senate
7/11/2020 Governor Signed
Date Introduced: 2020-06-04
Amendments: Amendments
Bill Version: Signed Act

HB20-1425 Hospital Patient Visitation Rights During COVID-19 
Calendar Notification: Monday, June 15 2020
THIRD READING OF BILLS - FINAL PASSAGE - CONSENT CALENDAR
(1) in senate calendar.
News: Colorado bill would make hospitals allow a visitor for COVID-19 patients
Short Title: Hospital Patient Visitation Rights During COVID-19
Sponsors: T. Geitner (R) | E. Hooton (D) / J. Smallwood (R) | J. Ginal (D)
Summary:

The act acknowledges the challenges to the state's health care systems caused by the COVID-19 virus, which has resulted in hospitals, in their efforts to keep patients and employees in a safe environment and minimize the risk of spreading the virus, limiting patients' ability to have loved ones visit them during hospitalizations. The act encourages hospitals to follow infection prevention protocols and identify ways to improve patient visitation policies.


(Note: This summary applies to this bill as enacted.)

Status: 6/10/2020 Introduced In House - Assigned to Public Health Care & Human Services
6/11/2020 House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
6/11/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/12/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/12/2020 House Third Reading Passed - No Amendments
6/12/2020 Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
6/13/2020 Senate Second Reading Special Order - Passed - No Amendments
6/15/2020 Senate Third Reading Passed - No Amendments
6/22/2020 Sent to the Governor
6/22/2020 Signed by the President of the Senate
6/22/2020 Signed by the Speaker of the House
6/29/2020 Governor Signed
Date Introduced: 2020-06-11
Amendments:
Bill Version: Signed Act

HJR20-1008 Declaring Fiscal Emergency For Use Of Tobacco Tax 
Calendar Notification: Monday, June 15 2020
CONSIDERATION OF RESOLUTION(S)
(1) in house calendar.
News:
Short Title: Declaring Fiscal Emergency For Use Of Tobacco Tax
Sponsors: D. Esgar (D) | J. McCluskie (D) / D. Moreno (D) | R. Zenzinger (D)
Summary: *** No bill summary available ***
Status: 5/26/2020 Introduced In House - Assigned to Appropriations
5/27/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
5/28/2020 House Second Reading Laid Over Daily - No Amendments
6/1/2020 House Third Reading Laid Over Daily - No Amendments
Date Introduced: 2020-05-26
Amendments:
Bill Version: Introduced

SB20-001 Expand Behavioral Health Training For K-12 Educators 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Expand Behavioral Health Training For K-12 Educators
Sponsors: R. Fields (D) / E. Sirota (D) | K. Van Winkle (R)
Summary:

School Safety Committee. The bill requires the department of education (department) to offer a train the trainer program (program) designed to improve school culture, promote youth behavioral and mental health, and prepare attendees to teach a youth behavioral and mental health training course. The department must make the program available to employees of a school district, charter school, or board of cooperative services (local education provider). A local education provider and its employees are not required to participate in the program. The department may enter into an agreement with an organization to provide the program. The department is required to annually evaluate the effectiveness of the program. The general assembly is required to annually appropriate up to $1 million for the program. The program is repealed June 30, 2024.

The program must include evidence-based instruction on, and prepare an attendee to teach a youth behavioral and mental health training course that includes, any of the following subjects:

  • Using trauma-informed approaches to improve overall school climate and culture;
  • Identifying behavioral and mental health challenges and substance use disorders;
  • Restorative practices for addressing youth behavioral and mental health challenges;
  • Improving youth social and emotional health;
  • Bullying prevention and intervention strategies;
  • Encouraging positive bystander behavior;
  • Best practices for providing assistance in noncrisis situations;
  • De-escalation of crisis situations; or
  • Identifying and accessing available behavioral and mental health resources and substance use disorder support services and treatment.
    (Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In Senate - Assigned to Education
2/6/2020 Senate Committee on Education Refer Amended to Appropriations
3/13/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
5/26/2020 Senate Second Reading Laid Over Daily - No Amendments
5/28/2020 Senate Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-005 Covered Person Cost-sharing Collected By Carriers 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Covered Person Cost-sharing Collected By Carriers
Sponsors: F. Winter (D) | K. Priola (R) / J. McCluskie (D)
Summary:

The bill prohibits carriers from inducing, incentivizing, or otherwise requiring:

  • A health care provider to collect any coinsurance, copayment, or deductible directly from a covered person or the covered person's responsible party; or
  • A covered person to pay any coinsurance, copayment, or deductible directly to a health care provider.

The carrier is required to collect any cost-sharing amounts owed by a covered person directly from the covered person in one consolidated bill.


(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
2/27/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
6/13/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-007 Treatment Opioid And Other Substance Use Disorders 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Treatment Opioid And Other Substance Use Disorders
Sponsors: B. Pettersen (D) | F. Winter (D) / B. Buentello (D) | J. Wilson (R)
Summary:

The act requires insurance carriers to provide coverage for the treatment of substance use disorders in accordance with the American society of addiction medicine (ASAM) criteria for placement, medical necessity, and utilization management determinations in accordance with the most recent edition of the ASAM criteria. The act also authorizes the commissioner of insurance, in consultation with the department of human services (DHS) and the department of health care policy and financing, to identify by rule alternate nationally recognized substance-use-disorder-specific treatment criteria if the ASAM criteria are no longer available, relevant, or reflect best practices. These provisions apply to health benefits plans issued or renewed on or after January 1, 2022.

The act prohibits managed service organization contracted providers; withdrawal management services; and recovery residences from denying access to medical or substance use disorder treatment services, including recovery services, to persons who are participating in prescribed medication-assisted treatment for substance use disorders. In addition, the act prohibits courts and parole, probation, and community corrections from prohibiting the use of prescribed medication-assisted treatment as a condition of participation or placement.

The act requires managed care entities to provide coordination of care for the full continuum of substance use disorder and mental health treatment and recovery services, including support for individuals transitioning between levels of care.

The act authorizes the commissioner of insurance, in consultation with the department of public health and environment (CDPHE), to promulgate rules, or to seek a revision of the essential health benefits package, for prescription medications for medication-assisted treatment to be included on insurance carriers' formularies.

The act requires insurance carriers to report to the commissioner of insurance on the number of in-network providers who are licensed to prescribe medication-assisted treatment for substance use disorders, including buprenorphine, and the number of prescriptions for medication-assisted treatment filled by enrollees. Further, insurance carriers shall report on the carrier's efforts to ensure sufficient capacity for and access to medication-assisted treatment. The act requires the commissioner of insurance to promulgate rules concerning the reporting.

The act requires insurance carriers to provide coverage for at least one opiate antagonist.

The act consolidates part 1 of article 82 of title 27, Colorado Revised Statutes, relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of drugs into the existing part 1 of article 81 of title 27 relating to emergency treatment and voluntary and involuntary commitment of persons for treatment of alcohol use disorders, in order to create a single process that includes all substances. The new scope of part 1 of article 81 of title 27 includes both alcohol use disorder and substance use disorder under the defined term "substance use disorder".The amendments and additions to part 1 of article 81 of title 27 include:

  • Defining "administrator" to include an administrator's designee;
  • Adding a definition of "incapacitated by substances" to include a person who is incapacitated by alcohol or incapacitated by substances;
  • Changing terminology throughout that refer to "substances" to include both alcohol and drugs;
  • Adjusting the duration of the initial involuntary commitment from 30 days to up to 90 days;
  • Allowing a person to enter into a stipulated order for committed treatment, expediting placement into treatment;
  • Removing the mandatory hearing for the initial involuntary commitment but allowing a person to request a hearing if the person does not want to enter into a stipulated order for committed treatment;
  • Incorporating in statute "patient's rights" relating to civil commitment;
  • Using person-centered language throughout the statutory process; and
  • Relocating the existing opioid crisis recovery funds advisory committee from article 82 in title 27 to article 81 in title 27.

In addition, the act amends statutory references, including several in the professional licensing statutes in title 12, Colorado Revised Statutes, to remove references to both alcohol use disorder and substance use disorder as grounds for professional discipline, and replaces those terms with the single term "substance use disorder", which the act now defines in article 81 of title 27 to include both drugs and alcohol. The act also amends statutory references to provisions in part 2 of article 82 of title 27, which the act repeals and replaces those references with a new reference to the relevant provisions in article 81 of title 27.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/30/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
3/13/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
5/26/2020 Senate Second Reading Laid Over Daily - No Amendments
6/5/2020 Senate Second Reading Passed with Amendments - Floor
6/6/2020 Senate Third Reading Passed - No Amendments
6/8/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
6/10/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/11/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/11/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/12/2020 House Third Reading Passed - No Amendments
6/13/2020 Senate Considered House Amendments - Result was to Pass
6/13/2020 Senate Considered House Amendments - Result was to Reconsider
6/13/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/24/2020 Signed by the President of the Senate
6/29/2020 Sent to the Governor
6/29/2020 Signed by the Speaker of the House
7/13/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

SB20-014 Excused Absences In Public Schools For Behavioral Health 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Excused Absences In Public Schools For Behavioral Health
Sponsors: R. Fields (D) / D. Michaelson Jenet (D) | L. Cutter (D)
Summary:

School Safety Committee. Current law requires school districts to adopt a written policy setting forth the school district's attendance requirements. The bill requires the policy to include excused absences for behavioral health concerns.
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 1/8/2020 Introduced In Senate - Assigned to Education
2/6/2020 Senate Committee on Education Refer Unamended - Consent Calendar to Senate Committee of the Whole
2/11/2020 Senate Second Reading Passed - No Amendments
2/12/2020 Senate Third Reading Passed - No Amendments
2/12/2020 Introduced In House - Assigned to Education
3/3/2020 House Committee on Education Refer Unamended to House Committee of the Whole
3/5/2020 House Second Reading Special Order - Passed - No Amendments
3/6/2020 House Third Reading Laid Over Daily - No Amendments
3/9/2020 House Third Reading Passed - No Amendments
3/16/2020 Signed by the President of the Senate
3/17/2020 Sent to the Governor
3/17/2020 Signed by the Speaker of the House
3/23/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments:
Bill Version: Signed Act

SB20-022 Increase Medical Providers For Senior Citizens 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Increase Medical Providers For Senior Citizens
Sponsors: J. Danielson (D) / B. Titone (D) | M. Duran (D)
Summary:

The bill modifies the Colorado health service corps program administered by the primary care office (office) in the department of public health and environment, which includes a loan repayment program, as follows:

  • Allows geriatric advanced practice providers, which include advanced practice nurses and physician assistants, to participate in the loan repayment program on the condition of committing to provide geriatric care to older adults in health professional shortage areas for a specified period; and
  • Requires the general assembly to annually and continuously appropriate money from the general fund to the office for the 2020-21 through the 2024-25 fiscal years to help repay loans for geriatric advanced practice providers.
    (Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/30/2020 Senate Committee on Health & Human Services Refer Unamended to Appropriations
3/13/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
5/26/2020 Senate Second Reading Laid Over Daily - No Amendments
5/28/2020 Senate Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-028 Substance Use Disorder Recovery 
Calendar Notification: Monday, June 15 2020
CONSIDERATION OF HOUSE AMENDMENTS TO SENATE BILLS
(2) in senate calendar.
News:
Short Title: Substance Use Disorder Recovery
Sponsors: B. Pettersen (D) | K. Priola (R) / B. Buentello (D) | L. Herod (D)
Summary:

The act:

  • Continues the opioid and other substance use disorders study committee (committee) for an additional 4 years, meeting every other year beginning in 2021;
  • In addition to the existing areas of study, for the 2021 interim, requires the committee to study the relationship between mental health conditions and substance use disorders and the effect of COVID-19 on substance use disorders;
  • Requires the state substance abuse trend and response task force to convene stakeholders for the purpose of generating policy recommendations related to opioid and other substance use disorders and reviewing progress on bills introduced by the committee and passed by the general assembly;
  • Modifies how child abuse, neglect, or dependency is determined in situations involving alcohol or substance exposure; and
  • Authorizes the statewide perinatal substance use data linkage project to conduct ongoing research related to the incidence of perinatal substance exposure or related infant and family health and human service outcomes based on the new standards for determining child abuse, neglect, or dependency when alcohol or substance exposure is involved.

$74,620 is appropriated from the general fund to the department of human services and reappropriated to the department of law to purchase legal services. The appropriation to the office of the governor, for use by the office of information technology for applications administration, is reduced by $74,620.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/30/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Laid Over to 06/08/2020 - No Amendments
6/6/2020 Senate Second Reading Special Order - Passed with Amendments - Committee
6/8/2020 Senate Third Reading Passed - No Amendments
6/8/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
6/10/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/11/2020 House Committee on Appropriations Refer Amended to House Committee of the Whole
6/11/2020 House Second Reading Special Order - Laid Over Daily - No Amendments
6/12/2020 House Second Reading Special Order - Passed with Amendments - Committee, Floor
6/13/2020 House Third Reading Passed - No Amendments
6/15/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/19/2020 Signed by the President of the Senate
6/22/2020 Sent to the Governor
6/22/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

SB20-033 Allow Medicaid Buy-in Program After Age 65 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Allow Medicaid Buy-in Program After Age 65
Sponsors: J. Tate (R) | R. Fields (D) / S. Lontine (D)
Summary:

Subject to federal authorization and funding, the act authorizes working adults with disabilities who are 65 years of age or older to continue participating in the existing medicaid buy-in program (program).

The act directs the department of health care policy and financing (department) to seek federal authorization to expand the program to include individuals in the work incentives eligibility group, which is defined, to match federal eligibility criteria, as individuals who are age 65 years or older with a disability who, except for assets or income, would be eligible for the supplemental security income program. The department shall submit necessary state plan amendments to implement the program and must implement the program by July 1, 2022.

For the 2020-21 fiscal year, the act appropriates $50,000 from the general fund to the department, with $50,000 anticipated in federal funds.


(Note: This summary applies to this bill as enacted.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
2/6/2020 Senate Committee on Health & Human Services Lay Over Unamended - Amendment(s) Failed
2/12/2020 Senate Committee on Health & Human Services Refer Amended to Finance
2/27/2020 Senate Committee on Finance Refer Unamended to Appropriations
3/6/2020 Senate Committee on Appropriations Refer Amended - Consent Calendar to Senate Committee of the Whole
3/10/2020 Senate Second Reading Passed with Amendments - Committee
3/11/2020 Senate Third Reading Passed - No Amendments
3/11/2020 Introduced In House - Assigned to Public Health Care & Human Services
5/27/2020 House Committee on Public Health Care & Human Services Refer Amended to Finance
6/4/2020 House Committee on Finance Refer Unamended to Appropriations
6/4/2020 House Second Reading Laid Over to 06/08/2020 - No Amendments
6/8/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/8/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/9/2020 House Third Reading Passed - No Amendments
6/10/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/19/2020 Sent to the Governor
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
7/7/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Signed Act

SB20-040 Require License Practice Genetic Counseling 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Require License Practice Genetic Counseling
Sponsors: J. Ginal (D) | N. Todd (D) / J. Buckner (D) | D. Michaelson Jenet (D)
Summary:

The bill enacts the "Genetic Counselor Licensure Act". On and after June 1, 2021, a person cannot practice genetic counseling without being licensed by the director of the division of professions and occupations in the department of regulatory agencies. To be licensed, a person must have been certified by a national body; except that the director may issue a provisional license to a candidate for certification pursuant to requirements established by rule.

The bill gives title protection to genetic counselors and standard licensing, rule-making, and disciplinary powers to the director. Genetic counselors must have insurance. The bill repeals the act on September 1, 2027, subject to sunset review. Genetic counselors are subject to the mandatory disclosures of the "Michael Skolnik Medical Transparency Act of 2010".

The bill appropriates $35,895 from the division of professions and occupations cash fund to the division of professions and occupations in the department of regulatory agencies, of which $15,990 is reappropriated to the department of law, to implement the act.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/30/2020 Senate Committee on Health & Human Services Refer Unamended to Finance
2/4/2020 Senate Committee on Finance Refer Unamended to Appropriations
2/25/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
2/27/2020 Senate Second Reading Laid Over Daily - No Amendments
3/3/2020 Senate Second Reading Passed with Amendments - Committee
3/4/2020 Senate Third Reading Passed - No Amendments
3/5/2020 Introduced In House - Assigned to Public Health Care & Human Services
3/13/2020 House Committee on Public Health Care & Human Services Refer Unamended to Finance
5/28/2020 House Committee on Finance Postpone Indefinitely
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Reengrossed

SB20-043 Out-of-network Provider Reimbursement Rate 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Out-of-network Provider Reimbursement Rate
Sponsors: J. Tate (R) / D. Valdez (D)
Summary:

The act corrects the reimbursement rate specified in law that a health insurance carrier is required to reimburse an out-of-network health care provider who provides either emergency services to a covered person or covered nonemergency services to a covered person at an in-network facility so that the law accurately states the reimbursement rate as the greater of:

  • 110% of the carrier's median in-network rate of reimbursement; or
  • The sixtieth percentile of the in-network rate of reimbursement for the same service in the same geographic area for the prior year based on claims from the all-payer health claims database.
    (Note: This summary applies to this bill as enacted.)

Status: 0/0/2020 House Third Reading -
1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/29/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
2/3/2020 Senate Second Reading Passed - No Amendments
2/4/2020 Senate Third Reading Passed - No Amendments
2/6/2020 Introduced In House - Assigned to Health & Insurance
2/18/2020 House Committee on Health & Insurance Refer Unamended to House Committee of the Whole
2/21/2020 House Second Reading Special Order - Passed - No Amendments
2/24/2020 House Third Reading Laid Over Daily - No Amendments
2/27/2020 House Third Reading Passed - No Amendments
3/3/2020 Signed by the President of the Senate
3/4/2020 Sent to the Governor
3/4/2020 Signed by the Speaker of the House
3/11/2020 Governor Signed
Date Introduced: 2020-01-08
Amendments:
Bill Version: Signed Act

SB20-045 Colorado Department Of Public Health And Environment Hospital License Requirements 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Colorado Department Of Public Health And Environment Hospital License Requirements
Sponsors: J. Tate (R) / D. Valdez (D)
Summary:

Statutory Revision Committee. The bill repeals language requiring each hospital license issued by the department of public health and environment to include the signature of the president of the state board of health (state board), the attestation of the secretary of the state board, and the state board's seal.
(Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In Senate - Assigned to Health & Human Services
1/29/2020 Senate Committee on Health & Human Services Postpone Indefinitely
Date Introduced: 2020-01-08
Amendments:
Bill Version: Introduced

SB20-075 Competency Evaluations By Advanced Practice Nurses 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Competency Evaluations By Advanced Practice Nurses
Sponsors: L. Crowder (R)
Summary:

The bill expands the list of persons authorized to conduct evaluations to determine if a defendant charged with a crime is competent to stand trial.


(Note: This summary applies to this bill as introduced.)

Status: 1/13/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
2/5/2020 Senate Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Date Introduced: 2020-01-13
Amendments:
Bill Version: Introduced

SB20-077 Born Alive Child Physician Relationship 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Born Alive Child Physician Relationship
Sponsors: R. Woodward (R) / S. Sandridge (R)
Summary:

The bill establishes a physician-patient relationship between a child born alive after or during an abortion and the physician who performed or attempted to perform the abortion. The bill requires the physician to exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious physician would render to any other child born alive at the same gestational age and requires that the child born alive be immediately transferred to a hospital. The bill creates a civil penalty of $100,000 for a violation enforceable by the attorney general, makes a violation a class 3 felony, and makes a conviction unprofessional conduct for licensing purposes.
(Note: This summary applies to this bill as introduced.)

Status: 1/13/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
2/3/2020 Senate Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Date Introduced: 2020-01-13
Amendments:
Bill Version: Introduced

SB20-084 Prohibit Requiring Employee Immunization 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Prohibit Requiring Employee Immunization
Sponsors: V. Marble (R) / L. Saine (R)
Summary:

The bill prohibits an employer, including a licensed health facility, from taking adverse action against an employee or an applicant for employment based on the employee's or applicant's immunization status. The bill allows an aggrieved person to file a civil action for injunctive, affirmative, and equitable relief.


(Note: This summary applies to this bill as introduced.)

Status: 1/13/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
2/10/2020 Senate Committee on State, Veterans, & Military Affairs Postpone Indefinitely
Date Introduced: 2020-01-13
Amendments:
Bill Version: Introduced

SB20-102 Provider Disclose Discipline Convict Sex Offense 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Provider Disclose Discipline Convict Sex Offense
Sponsors: J. Ginal (D) | J. Cooke (R) / Y. Caraveo (D) | B. Titone (D)
Summary:

Beginning March 1, 2021, the act requires a health care provider (provider) to disclose to patients if the provider has been convicted of a sex offense or has been subject to final agency action resulting in probation or a limitation on practice when the discipline is based in whole or in part on the provider's sexual misconduct. The act specifies the content of the disclosure and requires the provider to obtain the patient's signed agreement to treatment and acknowledgment of receipt of the disclosure before rendering services to the patient.

The disclosure requirement ends when a provider has satisfied the requirements of probation or other limitations on the provider's ability to practice. Additionally, a provider is not required to make the disclosure before providing professional services to a patient who is unconscious or otherwise unable to comprehend or sign the disclosure and for whom a guardian is unavailable; who seeks care at an emergency room or freestanding emergency department or at an unscheduled visit; who is unknown to the provider until immediately before the start of the patient visit; or with whom the provider does not have a direct treatment relationship or direct contact.

Failure to comply with the requirements of the act constitutes unprofessional conduct or grounds for discipline under the practice act that regulates the provider's profession but does not create a private right of action.


(Note: This summary applies to this bill as enacted.)

Status: 1/14/2020 Introduced In Senate - Assigned to Judiciary
2/5/2020 Senate Committee on Judiciary Refer Amended - Consent Calendar to Senate Committee of the Whole
2/10/2020 Senate Second Reading Passed with Amendments - Committee
2/11/2020 Senate Third Reading Passed - No Amendments
2/13/2020 Introduced In House - Assigned to Health & Insurance
3/3/2020 House Committee on Health & Insurance Lay Over Unamended - Amendment(s) Failed
3/10/2020 House Committee on Health & Insurance Refer Amended to House Committee of the Whole
3/13/2020 House Second Reading Laid Over Daily - No Amendments
3/14/2020 House Second Reading Laid Over to 03/30/2020 - No Amendments
5/28/2020 House Second Reading Laid Over to 06/01/2020 - No Amendments
6/1/2020 House Second Reading Passed with Amendments - Committee
6/2/2020 House Third Reading Laid Over Daily - No Amendments
6/5/2020 House Third Reading Passed - No Amendments
6/8/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/10/2020 Signed by the President of the Senate
6/13/2020 Signed by the Speaker of the House
6/15/2020 Sent to the Governor
6/30/2020 Governor Signed
Date Introduced: 2020-01-14
Amendments: Amendments
Bill Version: Signed Act

SB20-107 Drug Production Costs Transparency Analysis Report 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Drug Production Costs Transparency Analysis Report
Sponsors: J. Ginal (D) / K. Mullica (D) | D. Jackson (D)
Summary:

The bill directs the department of health care policy and financing (state department), or a third party with whom the department contracts, to collect, analyze, and report prescription drug production cost data regarding the 20 highest-cost prescription drugs per course of therapy and the 20 highest-cost prescription drugs by volume that were purchased or paid for by the departments of corrections, human services, personnel, and health care policy and financing (departments) during the 2019-20 and future state fiscal years. Upon receipt of a list of the highest-cost prescription drugs purchased or paid for by the departments, the state department or its designated contractor, as applicable, is directed to request from the manufacturers of the drugs on the list information showing the basis for and components of the wholesale acquisition cost (WAC) of each drug on the list.

The state department or its designated contractor, as applicable, is to analyze the data received from drug manufacturers and report its findings regarding the basis for the WAC for each prescription drug on the list, specifying the percentage of the WAC that is attributable to each component driving the WAC. The state department is required to provide an annual prescription drug price transparency report by December 1, 2021, and each December 1 thereafter to specified legislative committees. The state department and its designated contractor, as applicable, are required to maintain the confidentiality of any proprietary information received from a drug manufacturer, and that information is exempt from the "Colorado Open Records Act".

The executive director of the state department is authorized to adopt rules as necessary to implement and administer the bill. A manufacturer that fails to report the required information is subject to a civil penalty of up to $10,000 per day.


(Note: This summary applies to this bill as introduced.)

Status: 1/15/2020 Introduced In Senate - Assigned to Health & Human Services
2/6/2020 Senate Committee on Health & Human Services Lay Over Unamended - Amendment(s) Failed
2/13/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
3/13/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
5/26/2020 Senate Second Reading Laid Over Daily - No Amendments
6/3/2020 Senate Second Reading Laid Over to 12/31/2020 - No Amendments
Date Introduced: 2020-01-15
Amendments: Amendments
Bill Version: Introduced

SB20-113 Colorado Department Of Public Health And Environment Health Facility License Requirements 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Colorado Department Of Public Health And Environment Health Facility License Requirements
Sponsors: J. Tate (R) / D. Valdez (D)
Summary:

The act repeals language requiring each health facility license issued by the department of public health and environment to include the signature of the president of the state board of health, the attestation of the secretary of the state board, and the state board's seal.


(Note: This summary applies to this bill as enacted.)

Status: 0/0/2020 House Third Reading -
1/17/2020 Introduced In Senate - Assigned to Health & Human Services
1/29/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
2/3/2020 Senate Second Reading Passed - No Amendments
2/4/2020 Senate Third Reading Passed - No Amendments
2/6/2020 Introduced In House - Assigned to Health & Insurance
2/18/2020 House Committee on Health & Insurance Refer Unamended to House Committee of the Whole
2/21/2020 House Second Reading Special Order - Passed - No Amendments
2/24/2020 House Third Reading Laid Over Daily - No Amendments
2/27/2020 House Third Reading Passed - No Amendments
3/3/2020 Signed by the President of the Senate
3/4/2020 Sent to the Governor
3/4/2020 Signed by the Speaker of the House
3/11/2020 Governor Signed
Date Introduced: 2020-01-17
Amendments:
Bill Version: Signed Act

SB20-119 Expand Canadian Prescription Drug Import Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Expand Canadian Prescription Drug Import Program
Sponsors: J. Ginal (D) / S. Jaquez Lewis (D)
Summary:

In 2019, the Colorado general assembly enacted, and the governor subsequently signed into law, the Canadian prescription drug importation program (program) in the department of health care policy and financing (department). The department is directed to request approval of the program on or before September 1, 2020, from the United States secretary of health and human services and to implement the program upon receipt of approval.

The bill states that the department may expand the program to allow a manufacturer, wholesale distributor, or pharmacy from a nation other than Canada to export prescription drugs into the state under the program if certain conditions are met.

If, upon the satisfaction of these conditions, the department decides to expand the program, the executive director of the department shall notify the president of the senate and the speaker of the house of representatives, as well as the health and human services committee of the senate and the health and insurance committee of the house of representatives, or any successor committees, of the department's intent to do so. The executive director shall provide the notice at least 30 days before the program is expanded, and the notice may include any recommendations of the department for legislation to amend the program to reflect its expansion.


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 1/24/2020 Introduced In Senate - Assigned to Health & Human Services
2/13/2020 Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole
2/19/2020 Senate Second Reading Laid Over Daily - No Amendments
2/21/2020 Senate Second Reading Laid Over to 02/25/2020 - No Amendments
2/26/2020 Senate Second Reading Passed with Amendments - Floor
2/27/2020 Senate Third Reading Passed - No Amendments
2/28/2020 Introduced In House - Assigned to Health & Insurance
6/10/2020 House Committee on Health & Insurance Postpone Indefinitely
Date Introduced: 2020-01-24
Amendments: Amendments
Bill Version: Reengrossed

SB20-127 Committee Actuarial Review Health Care Plan Legislation 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Committee Actuarial Review Health Care Plan Legislation
Sponsors: J. Smallwood (R) | N. Todd (D)
Summary:

The bill creates the health benefit plan design change review committee (committee) in the division of insurance to review introduced bills that impose new requirements on, or amend existing requirements of, health benefit plans. For any such bill, the committee shall conduct an actuarial review of the near-term effects of the bill, including:

  • An estimate of the number of Colorado residents who will be directly affected by the bill;
  • Estimates of changes in the rates of utilization of specific health care services that may result from the bill;
  • Estimates concerning any changes in consumer cost sharing that would result from the bill;
  • The financial impact, if any, of the bill on group benefit plans offered under the "State Employees Group Benefits Act", regardless of whether the bill makes any amendment to that act;
  • The financial impact, if any, of the bill on medical assistance programs under the "Colorado Medical Assistance Act", regardless of whether the bill makes any amendment to that act; and
  • The financial impact, if any, of the bill on small-, medium-, and large-sized business employers.

The bill authorizes the commissioner of insurance to promulgate rules as necessary for the operation of the committee.


(Note: This summary applies to this bill as introduced.)

Status: 1/27/2020 Introduced In Senate - Assigned to Health & Human Services
2/13/2020 Senate Committee on Health & Human Services Refer Unamended to Appropriations
6/13/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-01-27
Amendments:
Bill Version: Introduced

SB20-145 Repeal Colorado Reinsurance Program 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Repeal Colorado Reinsurance Program
Sponsors: J. Smallwood (R)
Summary:

The bill repeals the Colorado reinsurance program in 2022 and limits the operation of the program to one benefit year.


(Note: This summary applies to this bill as introduced.)

Status: 1/27/2020 Introduced In Senate - Assigned to Finance
2/13/2020 Senate Committee on Finance Postpone Indefinitely
Date Introduced: 2020-01-27
Amendments:
Bill Version: Introduced

SB20-156 Protecting Preventive Health Care Coverage 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Protecting Preventive Health Care Coverage
Sponsors: B. Pettersen (D) | D. Moreno (D) / D. Esgar (D) | K. Mullica (D)
Summary:

The bill codifies a number of preventive health care services currently required to be covered by health insurance carriers pursuant to the federal "Patient Protection and Affordable Care Act" and adds them to the current list of services required to be covered by Colorado health insurance carriers, which services are not subject to policy deductibles, copayments, or coinsurance. The bill expands certain preventive health care services to include osteoporosis screening, urinary incontinence screening, and screening and treatment of a sexually transmitted infection (STI).

Current law requires a health care provider or facility to perform a diagnostic exam for an STI and subsequently prescribe treatment for an STI at the request of a minor patient. The bill allows a health care provider to administer, dispense, or prescribe preventive measures or medications where applicable. The consent of a parent is not a prerequisite for a minor to receive preventive care, but a health care provider shall counsel the minor on the importance of bringing the minor's parent or legal guardian into the minor's confidence regarding the services.

Current law requires the executive director of the department of health care policy and financing to authorize reimbursement for medical or diagnostic services provided by a certified family planning clinic. The bill defines family planning services and authorizes reimbursement for family planning services. The bill allows staffing by medical professionals to be accomplished through telemedicine.


(Note: This summary applies to this bill as introduced.)

Status: 2/4/2020 Introduced In Senate - Assigned to Health & Human Services
2/26/2020 Senate Committee on Health & Human Services Refer Amended to Appropriations
6/13/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-02-04
Amendments: Amendments
Bill Version: Introduced

SB20-163 School Entry Immunization 
Calendar Notification: NOT ON CALENDAR
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Short Title: School Entry Immunization
Sponsors: J. Gonzales (D) | K. Priola (R) / K. Mullica (D) | D. Roberts (D)
Summary:

The act codifies a definition of "nonmedical exemption" to mean an immunization exemption based upon a religious belief whose teachings are opposed to immunizations or a personal belief that is opposed to immunizations.

The act requires the department of public health and environment (department) to develop standardized forms and a submission process for persons who want to claim a nonmedical exemption for an immunization for a religious or personal belief. A person who wants to claim a nonmedical exemption for an immunization can do so by submitting to the school either:

  • A certificate of completion of the online education module; or
  • A certificate of nonmedical exemption.

The act requires the department to annually evaluate the state's immunization practices, including an examination of best practices and guidelines recommended by the advisory committee on immunization practices. The state board of health may update the state's immunization practices pursuant to the annual evaluation.

The act creates a vaccinated children standard, whereby the immunization rate goal for every school is 95% of the student population to be vaccinated. The act requires the department to amend an immunization document it currently publishes annually to include information about the vaccinated children standard. Every school shall publish its immunization rate and exemption rate for the measles, mumps, and rubella vaccine on the document and annually distribute it to the parents, legal guardians, and students of the school.

The act requires, as applicable, a practitioner who is a licensed physician, physician assistant, advanced practice nurse, or person authorized to administer immunizations within their scope of practice to students to submit immunization, medical, or nonmedical exemption data to the immunization tracking system. The practitioner is not subject to a regulatory sanction for noncompliance.

The act appropriates $41,906 from the general fund to the department of public health and environment for the following uses:

  • $31,884 for use by the environmental epidemiology division for program costs and an additional 0.1 FTE; and
  • $10,022 for the purchase of information technology services, which is reappropriated to the office of the governor for use by the office of information technology.
    (Note: This summary applies to this bill as enacted.)

Status: 2/11/2020 Introduced In Senate - Assigned to Health & Human Services
2/19/2020 Senate Committee on Health & Human Services Refer Unamended to Appropriations
2/25/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
2/27/2020 Senate Second Reading Passed with Amendments - Committee, Floor
2/28/2020 Senate Third Reading Passed - No Amendments
3/2/2020 Introduced In House - Assigned to Health & Insurance
6/7/2020 House Committee on Health & Insurance Refer Unamended to Appropriations
6/9/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/9/2020 House Second Reading Special Order - Passed with Amendments - Floor
6/10/2020 House Third Reading Passed - No Amendments
6/13/2020 Senate Considered House Amendments - Result was to Not Concur - Request Conference Committee
6/13/2020 First Conference Committee Result was to Adopt Reengrossed w/ Amendments
6/13/2020 Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
6/13/2020 House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
6/13/2020 First Conference Committee Result was to
6/18/2020 Signed by the President of the Senate
6/19/2020 Sent to the Governor
6/19/2020 Signed by the Speaker of the House
6/25/2020 Governor Signed
Date Introduced: 2020-02-11
Amendments: Amendments
Bill Version: Signed Act

SB20-173 Reimbursement Rates Alternative Care Facilities 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Reimbursement Rates Alternative Care Facilities
Sponsors: J. Sonnenberg (R) / R. Pelton (R)
Summary:

The bill requires the state board of medical services to adopt rules creating an enhanced or tiered reimbursement rate or rates for secure alternative care facilities that have higher staffing ratios due to providing services to persons with dementia or other conditions. The department of health care policy and financing shall confer with interested stakeholders concerning the appropriate reimbursement rate or rates and may review enhanced or tiered reimbursement rate structures from other states. The state department shall seek any federal authorization necessary to implement the reimbursement rates.
(Note: This summary applies to this bill as introduced.)

Status: 2/20/2020 Introduced In Senate - Assigned to Health & Human Services
3/5/2020 Senate Committee on Health & Human Services Refer Unamended to Appropriations
6/13/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-02-20
Amendments:
Bill Version: Introduced

SB20-176 Protect Neutral Determinations In Health Insurance 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Protect Neutral Determinations In Health Insurance
Sponsors: J. Danielson (D) | J. Ginal (D) / B. Titone (D) | M. Young (D)
Summary:

The act clarifies 2008 legislation prohibiting discretionary clauses in certain plans and insurance policies and providing for the de novo standard of review (roughly translated as "anew" or "from a clean slate") in any court by:

  • Declaring that the legislation should be construed broadly to effectuate its remedial purpose, notwithstanding any contractual or statutory choice-of-law provision to the contrary;
  • Nullifying any contract provision that purports to give an insurer or its agent discretionary authority to determine the insured person's entitlement to benefits in any specific circumstance; and
  • Separating the provision requiring de novo review of policy disputes from the provision allowing a claimant to demand a jury trial, to clarify that these are separate issues.

The act applies to all plans and policies existing, offered, issued, delivered, or renewed in Colorado or providing health or disability benefits to a resident or domiciliary of Colorado on or after the applicable effective date of the act.


(Note: This summary applies to this bill as enacted.)

Status: 2/20/2020 Introduced In Senate - Assigned to Health & Human Services
2/27/2020 Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
3/3/2020 Senate Second Reading Passed - No Amendments
3/4/2020 Senate Third Reading Laid Over Daily - No Amendments
3/5/2020 Senate Third Reading Passed - No Amendments
3/5/2020 Introduced In House - Assigned to Health & Insurance
6/10/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/10/2020 House Committee on Health & Insurance Refer Amended to House Committee of the Whole
6/11/2020 House Third Reading Laid Over Daily - No Amendments
6/12/2020 House Third Reading Passed - No Amendments
6/13/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/23/2020 Signed by the President of the Senate
6/29/2020 Sent to the Governor
6/29/2020 Signed by the Speaker of the House
7/14/2020 Governor Signed
Date Introduced: 2020-02-20
Amendments: Amendments
Bill Version: Signed Act

SB20-181 Measures On Incompetent To Proceed 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Measures On Incompetent To Proceed
Sponsors: P. Lee (D) / M. Weissman (D)
Summary:

Under current law, a competency report must include an opinion regarding whether the defendant can be restored to competency. In relation to that report and opinion:

  • If a court within the previous 5 years has found that the defendant will not attain competency within the reasonably foreseeable future and the evaluator provides an opinion that there is a substantial probability of attaining competency within the reasonably foreseeable future, the act requires the evaluator to state why the defendant's circumstances are different from the prior court's finding;
  • When the defendant is diagnosed with a moderate to severe intellectual or developmental disability, acquired or traumatic brain injury, or dementia that affects the defendant's ability to gain or maintain competency and the evaluator's opinion is that there is a substantial probability of attaining competency, the act requires the evaluator to state whether the evaluator believes there are unique or different services outside the standard competency restoration curriculum developed by the department that the defendant may need in order to be restored to competency within the reasonably foreseeable future; and
  • When the defendant has been found incompetent to proceed 3 or more times over the previous 3 years in the current case or any other case and even if the defendant is later restored, the act requires the evaluator to specifically identify those instances of findings of incompetency in the report.

When the defendant's evaluation includes one of the above situations, the court shall hold a hearing, within 35 days of receiving the report, on the issue of whether there is a substantial probability that the defendant will be restored to competency within the reasonably foreseeable future. At the hearing, there is a presumption that the defendant will not attain competency within the reasonably foreseeable future. A party attempting to overcome that presumption must prove by a preponderance of the evidence that there is a substantial probability that restoration efforts will be successful within the reasonably foreseeable future.

Under current law, when a defendant is found incompetent to proceed and charged with certain offenses that are not victims' rights act crimes, the court may dismiss those charges. The act removes the victims' rights act crimes limitation.

When the defendant is in custody on a misdemeanor, petty offense, or traffic offense, and is incompetent to proceed, the act requires the court to set a hearing on bond within 7 days of the defendant being found incompetent to proceed. At the bond hearing there is a presumption that the court shall order a personal recognizance bond. If the court does not order a personal recognizance bond, the court shall make findings of fact based on clear and convincing evidence that extraordinary circumstances exist to overcome the presumption of a release and the clinical recommendation for outpatient treatment.

When a defendant is found incompetent to proceed or when civil commitment proceedings are initiated in a municipal case, the municipal court shall dismiss the case.


(Note: This summary applies to this bill as enacted.)

Status: 2/20/2020 Introduced In Senate - Assigned to Judiciary
3/11/2020 Senate Committee on Judiciary Refer Amended to Appropriations
6/2/2020 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
6/4/2020 Senate Second Reading Passed with Amendments - Committee
6/5/2020 Senate Third Reading Passed - No Amendments
6/5/2020 Introduced In House - Assigned to State, Veterans, & Military Affairs
6/9/2020 House Committee on State, Veterans, & Military Affairs Refer Unamended to House Committee of the Whole
6/10/2020 House Second Reading Special Order - Passed - No Amendments
6/11/2020 House Third Reading Laid Over Daily - No Amendments
6/12/2020 House Third Reading Passed - No Amendments
6/18/2020 Signed by the President of the Senate
6/19/2020 Sent to the Governor
6/19/2020 Signed by the Speaker of the House
6/29/2020 Governor Signed
Date Introduced: 2020-02-20
Amendments: Amendments
Bill Version: Signed Act

SB20-188 Plain Language In Hospital Bills 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Plain Language In Hospital Bills
Sponsors: R. Fields (D)
Summary:

The bill requires a health care facility to provide an itemized statement or bill to a patient within 30 days after discharge from the facility or within 7 days after the patient's written request. The statement or bill must list all medical services provided in understandable language, without using procedure codes or drug codes exclusively and with a breakdown of the charges for which payment is expected from the patient.


(Note: This summary applies to this bill as introduced.)

Status: 3/2/2020 Introduced In Senate - Assigned to Health & Human Services
5/27/2020 Senate Committee on Health & Human Services Postpone Indefinitely
Date Introduced: 2020-03-02
Amendments:
Bill Version: Introduced

SB20-212 Reimbursement For Telehealth Services 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Reimbursement For Telehealth Services
Sponsors: F. Winter (D) | J. Tate (R) / S. Lontine (D) | M. Soper (R)
Summary:

The act prohibits a health insurance carrier from:

  • Imposing specific requirements or limitations on the HIPAA-compliant technologies used to deliver telehealth services;
  • Requiring a covered person to have a previously established patient-provider relationship with a specific provider in order to receive medically necessary telehealth services from the provider; or
  • Imposing additional certification, location, or training requirements as a condition of reimbursement for telehealth services.

The act specifies that, to the extent the state board of health adopts rules addressing supervision requirements for home care agencies, the rules must allow for supervision in person or by telemedicine or telehealth.

For purposes of the medicaid program, the act:

  • Requires the department of health care policy and financing (state department) to allow home care agencies to supervise services through telemedicine or telehealth;
  • Clarifies the methods of communication that may be used for telemedicine;
  • Requires the state department to reimburse rural health clinics, the federal Indian health service, and federally qualified health centers for telemedicine services provided to medicaid recipients and to do so at the same rate as the department reimburses those services when provided in person;
  • Requires the state department to post telemedicine utilization data to the state department's website no later than 30 days after the effective date of the act and update the data every other month through state fiscal year 2020-21; and
  • Specifies that health care and mental health care services include speech therapy, physical therapy, occupational therapy, hospice care, home health care, and pediatric behavioral health care.

The act appropriates $5,068,381 to the state department from the care subfund for telemedicine expansion services and prohibits the state department from using the appropriation for the state-share of medicaid services.


(Note: This summary applies to this bill as enacted.)

Status: 6/1/2020 Introduced In Senate - Assigned to State, Veterans, & Military Affairs
6/2/2020 Senate Committee on State, Veterans, & Military Affairs Refer Amended to Appropriations
6/6/2020 Senate Committee on Appropriations Refer Amended - Consent Calendar to Senate Committee of the Whole
6/8/2020 Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
6/9/2020 Senate Third Reading Passed - No Amendments
6/9/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
6/10/2020 House Committee on Health & Insurance Refer Amended to Appropriations
6/11/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/11/2020 House Second Reading Special Order - Passed - No Amendments
6/11/2020 House Second Reading Passed with Amendments - Committee
6/11/2020 House Second Reading Special Order - Passed with Amendments - Committee
6/12/2020 House Third Reading Passed - No Amendments
6/13/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/19/2020 Sent to the Governor
6/19/2020 Signed by the Speaker of the House
6/19/2020 Signed by the President of the Senate
7/7/2020 Governor Signed
Date Introduced: 2020-06-01
Amendments: Amendments
Bill Version: Signed Act

SB20-215 Health Insurance Affordability Enterprise 
Calendar Notification: Monday, June 15 2020
CONSIDERATION OF HOUSE AMENDMENTS TO SENATE BILLS
(6) in senate calendar.
News: 12 bills Colorado lawmakers passed in 2020 that you should know about
Short Title: Health Insurance Affordability Enterprise
Sponsors: D. Moreno (D) | K. Donovan (D) / C. Kennedy (D) | J. McCluskie (D)
Summary:

The bill establishes the health insurance affordability enterprise, for purposes of section 20 of article X of the state constitution, that is authorized to assess a health insurance affordability fee (insurer fee) on certain health insurers and a special assessment (hospital assessment) on hospitals in order to:

  • Provide business services to carriers that pay the fee, including services to increase enrollment in health benefit plans offered by carriers across the state; increasing the number of individuals who are able to purchase health benefit plans in the individual market by providing financial support for certain qualifying individuals; funding the reinsurance program that offsets the costs carriers would otherwise pay for covering consumers with high medical costs; improving the stability of the market throughout the state by providing consistent private health care coverage and reducing the movement of individuals between group and individual coverage and from insured to uninsured status; and reducing provider cost shifting from the individual market and the uninsured to the group market; and creating a healthier risk pool for all carriers by establishing a path for consistent coverage for individuals; and
  • Provide business services to hospitals, including increasing hospital revenues by reducing the amount of uncompensated care provided by hospitals; and reducing the need of providers to shift costs of providing uncompensated care to other payers ; and expanding access to high-quality, affordable health care for low-income and uninsured residents .

The enterprise is to start assessing and collecting the insurer fee in 2021, which fee is based on a percentage of premiums collected by health insurers in the previous calendar year on health benefit plans issued in the state. The hospital assessment is a specified amount assessed and collected in the 2022 and 2023 calendar years. Money collected from the insurer fee and hospital assessment is to be deposited in the health insurance affordability cash fund (fund), which the bill creates. The bill also transfers an amount of premium taxes collected by the state in 2020 or later years that exceeds the amount collected in 2019, but not more than 10% of the enterprise's revenues, to the fund.

The enterprise is required to use the insurer fee, the hospital assessment, and any premium tax revenues or other money available in the fund, in accordance with the allocation specified in the bill, for the following purposes:

  • To provide funding for the reinsurance program established by House Bill 19-1168;
  • To provide payments to carriers to increase the affordability of health insurance on the individual market for Coloradans who receive the premium tax credit available under federal law;
  • To provide subsidies for state-subsidized individual health coverage plans purchased by qualified low-income individuals who are not eligible for the premium tax credit or public assistance health care programs;
  • To pay the actual administrative costs of the enterprise and the division of insurance for implementing and administering the bill, limited to 3% of the enterprise's revenues; and
  • To pay the costs for consumer enrollment, outreach, and education activities regarding health care coverage.

The enterprise is governed by a 9-member board composed of the executive director of the Colorado health benefit exchange and the commissioner of insurance or their designees and 7 members appointed by the governor and representing various aspect of the health care industry and health care consumers.

With regard to the reinsurance program and enterprise established pursuant to House Bill 19-1168, the bill:

  • Incorporates the reinsurance program enterprise within the health insurance affordability enterprise;
  • Eliminates funding for the reinsurance program from special assessments on hospitals and health insurers, excess premium tax revenues, and specified transfers from the state general fund and instead allocates a portion of the health insurance affordability enterprise revenues to the reinsurance program annually; and
  • Extends the reinsurance program, subject to federal approval of a new or extended state innovation waiver to enable the state to operate the reinsurance program and access federal funding for the program.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status: 6/2/2020 Introduced In Senate - Assigned to Finance
6/3/2020 Senate Committee on Finance Refer Unamended to Appropriations
6/6/2020 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
6/8/2020 Senate Second Reading Special Order - Passed with Amendments - Floor
6/9/2020 Senate Third Reading Passed - No Amendments
6/9/2020 Introduced In House - Assigned to Finance + Appropriations
6/10/2020 House Committee on Finance Refer Unamended to Appropriations
6/11/2020 House Committee on Appropriations Refer Unamended to House Committee of the Whole
6/11/2020 House Second Reading Special Order - Laid Over Daily - No Amendments
6/12/2020 House Second Reading Special Order - Passed with Amendments - Floor
6/13/2020 House Third Reading Passed with Amendments - Floor
6/15/2020 Senate Considered House Amendments - Result was to Concur - Repass
6/19/2020 Signed by the President of the Senate
6/22/2020 Sent to the Governor
6/22/2020 Signed by the Speaker of the House
6/30/2020 Governor Signed
Date Introduced: 2020-06-02
Amendments: Amendments
Bill Version: Signed Act

SB20-216 Workers' Compensation For COVID-19 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Workers' Compensation For COVID-19
Sponsors: R. Rodriguez (D) / K. Mullica (D)
Summary:

The bill provides that, for purposes of the "Workers' Compensation Act of Colorado", if an essential worker who works outside of the home contracts COVID-19, the contraction is:

  • Presumed to have arisen out of and in the course of employment; and
  • A compensable accident, injury, or occupational disease.

An essential worker is considered to have contracted COVID-19 if the worker tests positive for the virus that causes COVID-19, is diagnosed with COVID-19 by a licensed physician, or has COVID-19 listed as the cause of death on the worker's death certificate.


(Note: This summary applies to this bill as introduced.)

Status: 6/2/2020 Introduced In Senate - Assigned to Finance
6/8/2020 Senate Committee on Finance Refer Amended to Appropriations
6/10/2020 Senate Committee on Appropriations Postpone Indefinitely
Date Introduced: 2020-06-02
Amendments: Amendments
Bill Version: Introduced