CMS


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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

HB20-1008 Health Care Cost-sharing Consumer Protections 
Calendar Notification: Friday, February 28 2020
Appropriations
8:00 a.m. Room LSB-A
(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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

HB20-1014 Misuse Of Human Reproductive Material 
Calendar Notification: Wednesday, February 26 2020
SENATE JUDICIARY COMMITTEE
1:30 PM SCR 352
(1) in senate calendar.
News:
Short Title: Misuse Of Human Reproductive Material
Sponsors: K. Tipper (D) | J. Rich (R) / B. Gardner (R)
Summary:

The bill creates a new civil cause of action and a crime if a health care provider in the course of assisted reproduction uses gamete gametes from a person without the written consent of the patient. The bill authorizes specified compensatory damages or liquidated damages of $50,000 in the civil action and specifies that the crime is a class 6 felony. The bill includes that conviction of an offense under the new crime is unprofessional conduct under the licensing to practice medicine.

(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 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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Reengrossed

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:

Opioid and Other Substance Use Disorders Study Committee. The bill requires the department of corrections, local jails, multijurisdictional jails, municipal jails, and state department of human services facilities to make available at least one opioid agonist and one opioid antagonist to a person in custody with an opioid use disorder throughout the duration of the person's incarceration or commitment.

The bill allows a person to dispose of any controlled substances at a safe station and request assistance in gaining access to treatment for a substance use disorder. The bill defines a "safe station" as any municipal police station; county sheriff's office; or municipal, county, or fire protection district fire station.

The bill requires the department of corrections and jails to ensure that continuity of care is provided to inmates prior to release.

The bill 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.

If a person who is the subject of a petition to seal criminal records has entered into or successfully completed a licensed substance use disorder treatment program, the court is required to consider such factor favorably in determining whether to issue the order.

The bill allows the office of behavioral health in the department of human services to contract with cities and counties for the creation, maintenance, or expansion of criminal justice diversion programs. The bill requires the department of human services to include an update regarding the current status of funding and implementation of the criminal justice diversion programs in its annual SMART presentation.

The bill appropriates money to the office of behavioral health in the department of human services for criminal justice diversion programs.


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

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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

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: Thursday, February 27 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM Old Supreme Court
(6) in senate calendar.
News:
Short Title: Physician Assistants Financial Responsibility Requirements
Sponsors: L. Cutter (D) | H. McKean (R) / R. Fields (D)
Summary:

The bill 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 bill 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 the reengrossed version of this bill as introduced in the second house.)

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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Reengrossed

HB20-1050 Other Outlet Pharmacies Drug Distribution 
Calendar Notification: Wednesday, March 4 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
Upon Adjournment Old Supreme Court
(1) in senate calendar.
News:
Short Title: Other Outlet Pharmacies Drug Distribution
Sponsors: E. Hooton (D) | C. Larson (R) / J. Ginal (D) | J. Tate (R)
Summary:

The bill allows ambulatory surgical center other outlets, hospice other outlets, and convalescent center other outlets to:

  • Make a casual sale or loan of prescription drugs to another registered outlet or to a drug wholesaler;
  • Sell or give a prescription drug to a practitioner authorized by law to prescribe the drug; and
  • Supply an emergency kit or starter dose of a prescription drug to specified entities. 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. "Casual sale" does not include the loan of a drug.

(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 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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Reengrossed

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


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

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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Rerevised

HB20-1061 Human Immunodeficiency Virus Infection Prevention Medications 
Calendar Notification: Wednesday, February 26 2020
GENERAL ORDERS - SECOND READING OF BILLS
(13) in house calendar.
News:
Short Title: Human Immunodeficiency Virus Infection Prevention Medications
Sponsors: A. Valdez (D) | L. Herod (D)
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 if the pharmacist fulfills specific requirements.
    (Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

HB20-1065 Harm Reduction Substance Use Disorders 
Calendar Notification: NOT ON CALENDAR
News: Legislation to Combat Opioid Crisis Passes Health and Insurance Committee
Short Title: Harm Reduction Substance Use Disorders
Sponsors: C. Kennedy (D) | L. Herod (D) / B. Pettersen (D) | K. Priola (R)
Summary:

Opioid and Other Substance Use Disorders Study Committee. The bill:

  • 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 ( section 1 of the bill);
  • Allows a pharmacist or pharmacy technician to sell a nonprescription syringe or needle to any person ( sections 2 and 5 );
  • 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 ( sections 3 and 4 );
  • Removes the requirement that entities first receive local board of health approval before operating a clean syringe exchange program ( sections 6 and 7 ); and
  • Provides that money in the harm reduction grant program cash fund is continuously appropriated to the department of public health and environment for purposes of the harm reduction grant program and establishes an annual appropriation of an amount equal to the appropriation for the 2019-20 fiscal year plus $250,000 ( section 8 ).
    (Note: This summary applies to this bill as introduced.)

Status: 1/8/2020 Introduced In House - Assigned to Health & Insurance
2/19/2020 House Committee on Health & Insurance Refer Amended to Appropriations
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

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: Wednesday, March 4 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
Upon Adjournment Old Supreme Court
(2) in senate calendar.
News:
Short Title: Pharmacy Benefit Management Firm Claims Payments
Sponsors: S. Jaquez Lewis (D) | K. Mullica (D) / F. Winter (D)
Summary:

The bill specifies the amount that prohibits a pharmacy benefit management firm (PBM) is required to reimburse from reimbursing a pharmacy for clean claims and reasonable dispensing fees in an amount less than the amount that the PBM reimburses any affiliate for the same pharmacy services.

The bill also prohibits PBMs from retroactively reducing payment on a clean claim submitted by a pharmacy unless the PBM determines, through an audit conducted in accordance with state law, that the claim was not a clean claim or the retroactive reduction is to correct a clerical error . Health insurers that contract with PBMs must ensure that the PBMs are complying with this prohibition. and the reporting requirements and are subject to penalties for failure to do so.

(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 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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Reengrossed

HB20-1080 Remove Residency Requirement For Marijuana License 
Calendar Notification: Wednesday, March 4 2020
SENATE BUSINESS, LABOR, & TECHNOLOGY COMMITTEE
1:30 PM SCR 354
(1) in senate 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 bill repeals this residency requirement.


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

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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Reengrossed

HB20-1085 Prevention Of Substance Use Disorders 
Calendar Notification: NOT ON CALENDAR
News: Legislation to Combat Opioid Crisis Passes Health and Insurance Committee
Short Title: Prevention Of Substance Use Disorders
Sponsors: C. Kennedy (D) | L. Herod (D) / F. Winter (D) | K. Priola (R)
Summary:

Opioid and Other Substance Use Disorders Study Committee.

The bill requires the commissioner of insurance (commissioner) to promulgate rules that establish diagnoses of covered conditions for which nonpharmacological alternatives to opioids are appropriate. Each health benefit plan is required to provide coverage for at least 6 physical therapy visits and 6 occupational therapy visits per year or 12 acupuncture visits per year, with a maximum of one copayment per year for 12 covered visits. The bill requires the commissioner to conduct an actuarial study to determine the economic feasibility prior to including acupuncture as a covered alternative treatment. ( section 1 of the bill).

The bill prohibits an insurance carrier (carrier) from limiting or excluding coverage for an atypical opioid or a nonopioid medication that is approved by the federal food and drug administration by mandating that a covered person undergo step therapy or obtain prior authorization if the atypical opioid or nonopioid medication is prescribed by the covered person's health care provider. The carrier is required to make the atypical opioid or nonopioid medication available at the lowest cost-sharing tier applicable to a covered opioid with the same indication ( section 2 ).

The bill 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 from 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 is required to take action against a carrier that the commissioner determines is not complying with these prohibitions ( section 3 ).

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 bill continues the prescribing limitation indefinitely ( sections 4 through 10 ).

The bill requires the executive director of the department of regulatory agencies (department) to consult with the center for research into substance use disorder prevention, treatment, and recovery support strategies (center) and the state medical board to promulgate rules establishing competency-based continuing education requirements for physicians and physician assistants concerning prescribing practices for opioids ( section 11 ).

The bill modifies requirements for adding prescription information to the prescription drug monitoring program (program) and allows the department of health care policy and financing and the health information organization network access to the program ( sections 12 and 13 ).

The bill continues indefinitely the requirement that a health care provider query the program before prescribing a second fill for an opioid and requires each health care provider to query the program before prescribing a benzodiazepine, unless certain exceptions apply. The bill also requires the director of the division of professions and occupations in the department to promulgate rules designating additional controlled substances and other prescription drugs to be tracked by the program. In addition to current law allowing medical examiners and coroners to query the program when conducting an autopsy, the bill allows medical examiners and coroners to query the program when conducting a death investigation ( sections 13 through 15 ).

The bill appropriates money to:

  • The department of public health and environment annually to address opioid and other substance use disorders through local public health agencies ( section 16 );
  • The department of health care policy and financing to extend the operation of the substance use disorder screening, brief intervention, and referral to treatment grant program ( section 17 ); and
  • The department of human services for allocation to the center for continuing education activities for opioid prescribers, including education for prescribing benzodiazepines ( section 18 ).

The bill directs the office of behavioral health in the department of human services to convene a collaborative with institutions of higher education, nonprofit agencies, and state agencies for the purpose of gathering feedback from local public health agencies, institutions of higher education, nonprofit agencies, and state agencies concerning evidence-based prevention practices ( section 19 ).
(Note: This summary applies to this bill as introduced.)

Status: 1/10/2020 Introduced In House - Assigned to Health & Insurance
2/19/2020 House Committee on Health & Insurance Refer Amended to Appropriations
Date Introduced: 2020-01-10
Amendments: Amendments
Bill Version: Introduced

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
Date Introduced: 2020-01-10
Amendments: Amendments
Bill Version: Reengrossed

HB20-1090 Pharmacies To Provide Prescription Readers 
Calendar Notification: Friday, February 28 2020
Public Health Care & Human Services
Upon Adjournment Room 0112
(4) in house 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
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
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: Wednesday, February 26 2020
THIRD READING OF BILLS - FINAL PASSAGE
(1) in house 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.
(Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-14
Amendments: Amendments
Bill Version: Engrossed

HB20-1113 Mental Health Educational Resources 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Mental Health Educational Resources
Sponsors: B. Titone (D) | L. Landgraf (R)
Summary:

No later than July 1, 2020, the department of human services (department), with assistance from other departments and organizations, shall create and maintain a website that provides internet links to relevant information and resources available to individuals seeking behavioral health care services. The website must include information about the Colorado SEE ME campaign and the national suicide prevention hotline, demographic-specific information about behavioral health care providers available in each geographic region, internet links to each behavioral health care provider's website, and internet links to skilled nursing facilities available in each geographic region.

No later than April 1, 2021, the department shall issue a request for proposal to contract with an organization to develop and distribute community- and demographic-specific targeted messaging related to the website. The messaging must be distributed no later than January 1, 2022.

The bill allows a health care professional who is required to complete continuing competency requirements to take a course in mental health education to satisfy the continuing competency requirements.


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

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
Date Introduced: 2020-01-15
Amendments: Amendments
Bill Version: Introduced

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
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
Date Introduced: 2020-01-16
Amendments: Amendments
Bill Version: Introduced

HB20-1140 Direct Primary Care Services For Medicaid Recipients 
Calendar Notification: Wednesday, March 11 2020
Health & Insurance
1:30 p.m. Room 0112
(1) in house 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
Date Introduced: 2020-01-16
Amendments:
Bill Version: Introduced

HB20-1158 Insurance Cover Infertility Diagnosis Treatment Preserve 
Calendar Notification: Thursday, February 27 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM Old Supreme Court
(3) in senate 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 bill 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.

The bill 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 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: 1/21/2020 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
Date Introduced: 2020-01-21
Amendments: Amendments
Bill Version: Reengrossed

HB20-1160 Drug Price Transparency Insurance Premium Reductions 
Calendar Notification: Monday, March 2 2020
Finance
1:30 p.m. Room 0112
(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
Date Introduced: 2020-01-21
Amendments: Amendments
Bill Version: Introduced

HB20-1183 Sunset Continue Certification Of Nurse Aides 
Calendar Notification: Thursday, February 27 2020
Finance
Upon Adjournment Room 0112
(4) in house calendar.
News:
Short Title: Sunset Continue Certification Of Nurse Aides
Sponsors: K. Mullica (D) / J. Ginal (D)
Summary:

Sunset Process - House Health and Insurance Committee. The bill 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.
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/11/2020 House Committee on Health & Insurance Refer Amended to Finance
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Introduced

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
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:

Sunset Process - House Public Health Care and Human Services Committee. The bill:

  • Continues the regulation of mental health professionals until 2029;
  • Clarifies that mental health professionals may administer opiate antagonists;
  • 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;
  • Requires a mental health professional to disclose to clients that the client's medical records may not be maintained longer than 7 years;
  • Exempts students who are enrolled in a school program and are practicing as part of a school practicum or clinical program from licensing, certification, and registration requirements;
  • Grants title protection to additional persons practicing in the mental health field;
  • Clarifies that a mental health professional may disclose confidential communications if there is a threat to a school or its employees and personnel;
  • Makes the conviction of a crime that is related to mental health practice a violation of the mental health practice acts;
  • Makes the failure to report the conviction of a felony a violation of the mental health practice acts;
  • Clarifies that it is not a prohibited activity for a mental health professional to offer or accept payment for services provided from a referral;
  • Authorizes the appropriate regulatory 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;
  • Allows mental health professionals to resolve certain issues informally prior to reporting a violation to the applicable board;
  • Allows supervision of an applicant for a social worker license to be done virtually and by a person other than a licensed social worker;
  • Repeals the requirement that a candidate for a social work license must be supervised by a licensed social worker and allows supervision as approved by the state board of social work examiners;
  • 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;
  • Repeals the requirements that members of the mental health boards must be United States citizens;
  • Repeals the provision allowing a licensed mental health professional or a licensure candidate to register with the database of registered psychologists; and
  • Grants general rule-making authority to the state board of addiction counselor examiners and requires the state board of human services in the department of human services to establish by rule education requirements for addiction counselors.
    (Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Introduced

HB20-1209 Sunset Nurse-physician Advisory Task Force 
Calendar Notification: Friday, February 28 2020
Appropriations
8:00 a.m. Room LSB-A
(7) in house calendar.
News:
Short Title: Sunset Nurse-physician Advisory Task Force
Sponsors: L. Cutter (D) | K. Mullica (D) / J. Ginal (D)
Summary:

Sunset Process - House Public Health Care and Human Services Committee. The bill implements the recommendation of the department of regulatory agencies' sunset review and report on the nurse-physician advisory task force for Colorado health care (NPATCH) by continuing the NPATCH indefinitely.
(Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Introduced

HB20-1210 Sunset State Board Of Chiropractic Examiners 
Calendar Notification: Monday, March 2 2020
Finance
1:30 p.m. Room 0112
(2) in house calendar.
News:
Short Title: Sunset State Board Of Chiropractic Examiners
Sponsors: Y. Caraveo (D) | M. Duran (D) / R. Fields (D)
Summary:

Sunset Process - House Health and Insurance Committee. The bill implements the recommendations of the department of regulatory agencies' sunset review and report on the functions of the state board of chiropractic examiners (board) by:

  • Continuing the board for 9 years, until 2029 ( sections 1 and 2 of the bill);
  • Repealing the requirement that members of the board be citizens of the United States ( section 1 );
  • 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 ( section 4 );
  • Changing the continuing education requirements for a licensed chiropractor (licensee) from 15 hours annually to 30 hours every 2 years ( section 5 );
  • 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" ( section 6 );
  • 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 agreements with the licensee that specify the limitations on the licensee's practice ( sections 3, 6, and 7 );
  • 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 ( section 8 ); and
  • Allowing chiropractic students at board-approved schools to perform supervised chiropractic services with the signed, written consent of the patient ( section 9 ).
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/12/2020 House Committee on Health & Insurance Refer Unamended to Finance
Date Introduced: 2020-01-30
Amendments:
Bill Version: Introduced

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)
Summary:

Sunset Process - House Public Health Care and Human Services Committee. The bill implements recommendations of the department of regulatory agencies' sunset review and report on the regulation of naturopathic doctors by:

  • Continuing the regulation of naturopathic doctors for 9 years, to 2029 ( sections 1 and 2 of the bill);
  • Providing immunity from liability for the director of the division of professions and occupations, 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 ( section 3 );
  • Removing references to the North American Board of Naturopathic Examiners and the Council on Naturopathic Medical Education ( sections 4 and 6 ); and
  • Repealing the requirement that a naturopathic doctor develop and execute a collaborative agreement with a licensed physician before the naturopathic doctor can treat children under the age of 2 ( sections 5 and 7 ).
    (Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Introduced

HB20-1216 Sunset Continue Nurse Practice Act 
Calendar Notification: Thursday, February 27 2020
Finance
Upon Adjournment Room 0112
(5) in house calendar.
News:
Short Title: Sunset Continue Nurse Practice Act
Sponsors: K. Mullica (D) / J. Ginal (D)
Summary:

Sunset Process - House Health and Insurance Committee. The bill implements the recommendations of the department of regulatory agencies in its sunset review and report on the "Nurse Practice Act" (act), under which nurses are regulated by the state board of nursing (board). Specifically, the bill:

  • Continues the act for 7 years, until September 1, 2027 ( sections 1 and 2 of the bill);
  • 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 ( sections 3 through 5 );
  • 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 ( section 4 );
  • Requires licensees and insurance carriers to report malpractice settlements and judgments ( sections 4 and 6 through 8 );
  • 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 ( section 4 );
  • Requires a nurse to report an adverse action or the surrender of a license within 30 days after the action ( section 4 );
  • Requires a nurse to report a criminal conviction within 30, rather than 45, days after the conviction ( section 4 );
  • Repeals the standards of "willful" and "negligent" with regard to certain grounds for disciplining a nurse ( section 4 );
  • Changes the title "advanced practice nurse" and the acronym "A.P.N." to "advanced practice registered nurse" and "A.P.R.N." ( sections 9 through 17 );
  • Eliminates the requirement that an advanced practice nurse (APN) with prescriptive authority maintain and update an articulated plan once the APN has completed the provisional prescriptive authority period ( section 13 );
  • Authorizes, rather than requires, the board to conduct random audits of an APN's articulated plan regarding the APN's provisional prescriptive authority ( section 13 );
  • Eliminates the age limit for a nurse to obtain a volunteer license ( sections 18 and 19 );
  • 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 ( section 20 );
  • Repeals the requirement for at least one board member to sit on the panel to interview candidates for the board executive administrator position ( section 20 ); and
  • Makes technical amendments to the act to: Split 2 distinct grounds for discipline that are included in a single paragraph in the disciplinary section of the act into 2 separate paragraphs; replaces references in the act to the term "refuse" with the term "deny"; and repeals an obsolete provision ( sections 4 and 21 through 25 ).
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
2/11/2020 House Committee on Health & Insurance Refer Amended to Finance
Date Introduced: 2020-01-30
Amendments: Amendments
Bill Version: Introduced

HB20-1218 Sunset Continue Hearing Aid Providers 
Calendar Notification: Wednesday, February 26 2020
Health & Insurance
1:30 p.m. Room 0112
(2) in house calendar.
News:
Short Title: Sunset Continue Hearing Aid Providers
Sponsors: J. Buckner (D) / J. Danielson (D)
Summary:

Sunset Process - House Health and Insurance Committee. The bill implements the recommendations of the department of regulatory agencies' sunset review and report on the licensing of hearing aid providers by combining the audiologist practice act with the hearing aid provider practice act and:

  • Continuing the licensing of hearing aid providers for 11 years, to 2031 ( sections 4 and 5 of the bill);
  • Requiring final agency actions to be appealed directly to the court of appeals ( section 1 );
  • Requiring a hearing aid provider to be licensed before directly or indirectly selling or negotiating to sell any hearing aid for the hearing impaired ( section 2 );
  • 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 ( section 2 );
  • Removing 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 ( section 2 );
  • Requiring hearing aid providers to maintain a surety bond ( section 2 );
  • Adding failure to practice according to commonly accepted professional standards to the grounds for discipline ( section 2 );
  • Authorizing the director of the division of professions and occupations 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 ( section 2 );
  • Repealing references to the national competency examination and the National Board for Certification in Hearing Instrument Sciences ( section 2 );
  • Restoring the deceptive trade practice provisions related to the sale of hearing aids ( section 3 ); and
  • Making conforming amendments necessary to combine the audiologist practice act with the hearing aid provider practice act and make the additional recommended changes ( sections 6 through 32 ).
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
Date Introduced: 2020-01-30
Amendments:
Bill Version: Introduced

HB20-1219 Sunset Continue Licensing Audiologists 
Calendar Notification: Wednesday, February 26 2020
Health & Insurance
1:30 p.m. Room 0112
(3) in house calendar.
News:
Short Title: Sunset Continue Licensing Audiologists
Sponsors: J. Buckner (D) / J. Danielson (D)
Summary:

Sunset Process - House Health and Insurance Committee. The bill implements the recommendations of the department of regulatory agencies' sunset review and report on the licensing of audiologists by combining the audiologist practice act with the hearing aid provider practice act and:

  • Continuing the licensing of audiologists for 11 years, to 2031 ( sections 5 and 6 of the bill);
  • 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 ( section 1 );
  • Requiring final agency actions to be appealed directly to the court of appeals ( section 2 );
  • Amending the language in the grounds for discipline referring to an alcohol or substance use disorder ( section 3 );
  • Restoring the deceptive trade practice provisions related to the sale of hearing aids ( section 4 ); and
  • Making conforming amendments necessary to combine the audiologist practice act with the hearing aid provider practice act and make the additional recommended changes ( sections 7 through 35 ).
    (Note: This summary applies to this bill as introduced.)

Status: 1/30/2020 Introduced In House - Assigned to Health & Insurance
Date Introduced: 2020-01-30
Amendments:
Bill Version: Introduced

HB20-1221 Complementary Or Alternative Medicine Pilot Program 
Calendar Notification: NOT ON 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
Date Introduced: 2020-01-31
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:

Sunset Process - House Public Health Care and Human Services Committee. The bill 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:

  • Sections 1 and 2 of the bill continue the "Occupational Therapy Practice Act" (act) for 10 years, until 2030, rather than for 7 years, as recommended by the department;
  • Sections 3 and 4 modify the legislative declaration and definitions related to the scope of practice of occupational therapy;
  • Section 5 designates "occupational therapy consultant", "M.O.T.", "M.O.T./L.", "occupational therapy assistant", and "O.T.A." as protected titles under the act and clarifies that individuals who legally practice temporarily as occupational therapists in Colorado may use protected titles;
  • Sections 7, 8, and 14 reorder and amend certain provisions of the act concerning examinations and applications for licensure by occupational therapists and OTAs;
  • Sections 11 and 13 add certain prohibited behaviors as grounds for discipline and reorder certain provisions concerning disciplinary proceedings; and
  • Sections 6, 9, 10, and 12 make technical corrections throughout the act.
    (Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Introduced

HB20-1232 Equity In Access To Clinical Trials In Medicaid 
Calendar Notification: Tuesday, March 3 2020
Health & Insurance
Upon Adjournment Room 0112
(1) in house calendar.
News:
Short Title: Equity In Access To Clinical Trials In Medicaid
Sponsors: D. Michaelson Jenet (D) | L. Liston (R) / N. Todd (D)
Summary:

The bill 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 bill, and must be conducted by agencies and organizations specified in the bill.

"Routine costs", as defined in the bill, 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 bill, 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 introduced.)

Status: 1/31/2020 Introduced In House - Assigned to Health & Insurance + Appropriations
Date Introduced: 2020-01-31
Amendments:
Bill Version: Introduced

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 bill 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. The program will allow Coloradans to ask on their state income tax returns for the Colorado health benefit exchange (exchange) to 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 bill creates the affordable health care coverage easy enrollment advisory committee (advisory committee) to guide implementation of the program. The advisory committee will be chaired by the executive director of the exchange and the executive director of the department of revenue (department) and will include representatives of the department of health care policy and financing, the division of insurance in the department of regulatory agencies, consumer advocacy groups, health care consumers, small employers, health insurance carriers, tax preparers, and insurance producers.

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 shall 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 introduced.)

Status: 1/31/2020 Introduced In House - Assigned to Finance + Appropriations
2/20/2020 House Committee on Finance Refer Amended to Appropriations
Date Introduced: 2020-01-31
Amendments: Amendments
Bill Version: Introduced

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, the bill directs 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 or the child's or youth's legal guardian. If the child or youth obtains services other than through an initiated dependency and neglect action, then reassignment to another MCE may only be requested by the child's or youth's legal guardian.
(Note: This summary applies to this bill as introduced.)

Status: 1/31/2020 Introduced In House - Assigned to Public Health Care & Human Services
Date Introduced: 2020-01-31
Amendments:
Bill Version: Introduced

HB20-1239 Consumer Protections Concerning Vaccinations 
Calendar Notification: Wednesday, February 26 2020
Health & Insurance
1:30 p.m. Room 0112
(4) in house 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
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
Date Introduced: 2020-02-03
Amendments:
Bill Version: Introduced

HB20-1270 One Parent Consent For Behavioral Health Services 
Calendar Notification: Wednesday, February 26 2020
THIRD READING OF BILLS - FINAL PASSAGE
(15) in house 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. 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: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-02-03
Amendments: Amendments
Bill Version: Engrossed

HB20-1283 Administration Of Inhaler For Respiratory Distress 
Calendar Notification: Thursday, March 5 2020
House Education
1:30 p.m. Room 0107
(2) in house 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
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 bill creates a requirement that of the 90 hours of professional development training currently required for educator licensure renewal during the term of the educator'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.

The bill requires teacher preparation programs to include in program graduation requirements that each teacher candidate in an initial educator licensure program complete at least 10 hours of behavioral health training that is culturally responsive and trauma- and evidence-informed.
(Note: This summary applies to this bill as introduced.)

Status: 2/21/2020 Introduced In House - Assigned to Education
Date Introduced: 2020-02-21
Amendments:
Bill Version: Introduced

HB20-1314 Behavioral Health Crisis Response Training 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Behavioral Health Crisis Response Training
Sponsors: M. Young (D)
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
Date Introduced: 2020-02-21
Amendments:
Bill Version: Introduced

HB20-1316 Gestational And Genetic Surrogacy Agreements 
Calendar Notification: NOT ON 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
Date Introduced: 2020-02-21
Amendments:
Bill Version: Introduced

HB20-1319 Prohibit Sale Of Flavored Nicotine Products 
Calendar Notification: NOT ON 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
Date Introduced: 2020-02-21
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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-005 Covered Person Cost-sharing Collected By Carriers 
Calendar Notification: Thursday, February 27 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM Old Supreme Court
(5) in senate 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
Date Introduced: 2020-01-08
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:

Opioid and Other Substance Use Disorders Study Committee. Section 1 of the bill requires updated community assessments every 2 years of the sufficiency of substance use disorder services in the community to be compiled by an independent entity contracted by the department of human services (DHS). The assessment must include input and the opportunity for review and comment from community entities and individuals. Based on the community assessment, the managed service organization will prepare a draft community action plan and shall allow time for stakeholder review and comment on the plan.

Section 2 of the bill 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 bill also authorizes the commissioner of insurance, in consultation with 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.

Sections 3, 4, and 5 of the bill increases funding by $1 million for provider loan forgiveness and scholarships from the Colorado health service corps fund in the department of public health and environment (CDPHE). The bill recognizes a goal of the loan forgiveness and scholarship programs of creating a diverse health care workforce that is able to address the needs of underserved populations and communities.

Section 6 of the bill authorizes a pharmacy that has entered into a collaborative pharmacy agreement with one or more physicians to receive an enhanced dispensing fee for the administration of all injectable medications for medication-assisted treatment that are approved by the federal food and drug administration, and not just injectable antagonist medication.

Section 7 of the bill requires DHS to commission a state child care and treatment study and final report to make findings and recommendations concerning gaps in family-centered substance use disorder treatment and to identify alternative payment structures for funding child care and children's services alongside substance use disorder treatment of a child's parent. DHS shall distribute the report to the general assembly and present the report in its annual presentation to committees of the general assembly.

Sections 8, 9, 10, 11, and 12 of the bill prohibit 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 bill prohibits courts and parole, probation, and community corrections from prohibiting the use of prescribed medication-assisted treatment as a condition of participation or placement.

Section 13 of the bill 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.

Section 14 of the bill appropriates $250,000 to the office of behavioral health in DHS for allocation to the center for research into substance use disorder prevention, treatment, and recovery support strategies for the continued employment of grant writers to aid local communities in need of assistance to access federal and state money to address opioid and other substance use disorders in their communities.

Section 15 of the bill authorizes the commissioner of insurance, in consultation with 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.

Section 16 of the bill 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 of that number, to indicate how many providers are actively prescribing medication-assisted treatment. The bill requires the commissioner of insurance to promulgate rules concerning the reporting.

Section 17 of the bill requires insurance carriers to provide coverage for naloxone hydrochloride, or other similarly acting drug, without prior authorization and without imposing any deductible, copayment, coinsurance, or other cost-sharing requirement.

Section 18 of the bill requires DHS to implement a program for training and community outreach relating to, at a minimum, the availability of and process for civil commitment of persons with an alcohol or substance use disorder. The training must be provided to first responders, law enforcement, emergency departments, primary care providers, and persons and families of persons with a substance use disorder, among others.

Sections 19 through 65 of the bill consolidate part 1 of article 82 of title 27, C.R.S., 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, C.R.S., 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, C.R.S., 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, C.R.S., 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 to 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, C.R.S., to article 81 in title 27, C.R.S.

In addition, the bill makes conforming amendments, including several in the professional licensing statutes in title 12, C.R.S., 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 bill now defines in article 81 of title 27, C.R.S., to include both drugs and alcohol.

The bill also makes conforming amendments to remove statutory references to provisions in part 2 of article 82 of title 27, C.R.S., which the bill repeals, and replaces those references with a new reference to the relevant provisions in article 81 of title 27, C.R.S.


(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 Amended to Appropriations
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-014 Excused Absences In Public Schools For Behavioral Health 
Calendar Notification: Tuesday, March 3 2020
House Education
1:30 p.m. Room 0107
(2) in house calendar.
News:
Short Title: Excused Absences In Public Schools For Behavioral Health
Sponsors: R. Fields (D) / D. Michaelson Jenet (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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Reengrossed

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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Introduced

SB20-028 Substance Use Disorder Recovery 
Calendar Notification: NOT ON CALENDAR
News:
Short Title: Substance Use Disorder Recovery
Sponsors: B. Pettersen (D) | K. Priola (R) / B. Buentello (D) | L. Herod (D)
Summary:

Opioid and Other Substance Use Disorders Study Committee. The bill:

  • Annually appropriates $250,000 to the department of labor and employment for the purpose of providing peer coaching and peer specialist training for individuals recovering from substance use disorders ( section 1 of the bill);
  • Continues the opioid and other substance use disorders study committee (committee) for an additional 4 years, meeting every other year beginning in 2021 ( sections 2 and 3 );
  • Requires the state substance abuse trend and response task force to: Convene stakeholders for the purpose of reviewing progress on bills introduced by the committee and passed by the general assembly and generating policy recommendations related to opioid and other substance use disorders; and submit its annual report to the committee ( section 4 );
  • Modifies how the determination of child abuse, neglect, or dependency is determined in situations involving alcohol or substance exposure ( sections 5 to 7 );
  • Annually appropriates $2 million to the office of behavioral health (office) in the department of human services for the purpose of expanding the individual placement and support program ( section 8 );
  • Requires the center for research into substance use disorder prevention, treatment, and recovery support strategies (center) to design and conduct a comprehensive review of Colorado's substance use disorder treatment and recovery services to inform a state plan for the delivery of services across the continuum of care for individuals at risk of relapse and appropriates $500,000 to the center for the completion of the review ( section 9 );
  • Requires the center, through 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. The bill also annually appropriates $75,000 to the center to conduct the research ( section 10 ).
  • Requires the office to establish a program to assist individuals with substance use disorders by providing the individuals with temporary financial housing assistance and annually appropriates $4 million to the office for purposes of the program ( section 11 ); and
  • Creates the recovery support services grant program in the office to provide grants to recovery community organizations, and annually appropriates $3.5 million to implement the program ( section 12 ).
    (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 Amended to Appropriations
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-033 Allow Medicaid Buy-in Program After Age 65 
Calendar Notification: Thursday, February 27 2020
SENATE FINANCE COMMITTEE
Upon Adjournment SCR 357
(2) in senate calendar.
News:
Short Title: Allow Medicaid Buy-in Program After Age 65
Sponsors: J. Tate (R) | R. Fields (D) / S. Lontine (D)
Summary:

The bill authorizes working adults with disabilities who are over 65 years of age to continue participating in the existing medicaid buy-in program as a state-funded program, without federal matching money, if, in part, the working adult:

  • Is enrolled in or has applied for medicare;
  • Is eligible for and receiving long-term care home- and community-based services or durable medical equipment as part of complex rehabilitative services or has extraordinary medical expenses, as determined by rule of the state board, that are not covered by medicare;
  • Except as specified in the bill, was continuously enrolled in and receiving services through the medicaid buy-in program for at least one year immediately prior to attaining 65 years of age; and
  • Continues to meet the work requirements for the medicaid buy-in program.
    (Note: This summary applies to this bill as introduced.)

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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-040 Require License Practice Genetic Counseling 
Calendar Notification: Thursday, February 27 2020
GENERAL ORDERS - SECOND READING OF BILLS
(3) in senate 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".
(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 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
Date Introduced: 2020-01-08
Amendments: Amendments
Bill Version: Introduced

SB20-043 Out-of-network Provider Reimbursement Rate 
Calendar Notification: Wednesday, February 26 2020
THIRD READING OF BILLS - FINAL PASSAGE
(7) in house calendar.
News:
Short Title: Out-of-network Provider Reimbursement Rate
Sponsors: J. Tate (R) / D. Valdez (D)
Summary:

Statutory Revision Committee. House Bill 19-1174, enacted January 1, 2020, requires a health insurance carrier to reimburse an out-of-network health care provider who provides emergency services or covered nonemergency services to a covered person at an in-network facility 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 claims database.

The bill corrects a conforming amendment that was made in House Bill 19-1174 that inaccurately stated the reimbursement rate.


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

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
Date Introduced: 2020-01-08
Amendments:
Bill Version: Revised

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:

The bill requires certain health care providers to disclose to patients if the provider has been convicted of a sex offense or has been subject to final disciplinary 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 bill specifies the form, manner, and content of the disclosures 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. Failure to comply with the requirements of the bill constitutes unprofessional conduct or grounds for discipline under the practice act that regulates the provider's profession.


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

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
Date Introduced: 2020-01-14
Amendments: Amendments
Bill Version: Reengrossed

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
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: Wednesday, February 26 2020
THIRD READING OF BILLS - FINAL PASSAGE
(8) in house calendar.
News:
Short Title: Colorado Department Of Public Health And Environment Health Facility License Requirements
Sponsors: J. Tate (R) / D. Valdez (D)
Summary:

Statutory Revision Committee. The bill 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 (state board), the attestation of the secretary of the state board, and the state board's seal.
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

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
Date Introduced: 2020-01-17
Amendments:
Bill Version: Revised

SB20-119 Expand Canadian Prescription Drug Import Program 
Calendar Notification: Wednesday, February 26 2020
GENERAL ORDERS - SECOND READING OF BILLS
(2) in senate 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 this bill as introduced.)

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
Date Introduced: 2020-01-24
Amendments:
Bill Version: Introduced

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
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: Wednesday, February 26 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
Upon Adjournment Old Supreme Court
(3) in senate 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
Date Introduced: 2020-02-04
Amendments:
Bill Version: Introduced

SB20-163 School Entry Immunization 
Calendar Notification: Thursday, February 27 2020
GENERAL ORDERS - SECOND READING OF BILLS (CONTINUED)
(5) in senate calendar.
News: Bill to tighten vaccine exemptions passes first hurdle, but lawmakers want changes
Colorado lawmakers failed to pass a bill to improve immunization rates in 2019. What’s new this year?
Colorado bill to tighten vaccine exemptions gets first hearing
Short Title: School Entry Immunization
Sponsors: J. Gonzales (D) | K. Priola (R) / K. Mullica (D)
Summary:

The bill 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.

Under current law, each student must submit to a school, as defined in section 25-4-901, either a certificate of immunization, a certificate of medical exemption, or a statement of nonmedical exemption for an immunization for a religious or personal belief. The bill 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 for a religious or personal belief 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 bill 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 bill creates a vaccine-protected children standard, whereby the immunization rate goal for every school is 95% of the student population to be vaccinated. The bill requires the department to amend an immunization document it currently publishes annually to include information about the vaccine-protected children standard. Every school shall publish its immunization rate and exemption rate on the document and annually distribute it to the parents, legal guardians, and students of the school.

The bill requires, as applicable, a practitioner who is a licensed physician, physician assistant, advanced practice nurse, or person authorized pursuant to title 12 to administer immunizations within their scope of practice to students and to submit immunization, medical, or nonmedical exemption data to the immunization tracking system. The practitioner is not subject to a regulatory sanction for noncompliance.


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

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
Date Introduced: 2020-02-11
Amendments: Amendments
Bill Version: Introduced

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
Date Introduced: 2020-02-20
Amendments:
Bill Version: Introduced

SB20-176 Protect Neutral Determinations In Health Insurance 
Calendar Notification: Thursday, February 27 2020
SENATE HEALTH & HUMAN SERVICES COMMITTEE
1:30 PM Old Supreme Court
(1) in senate calendar.
News:
Short Title: Protect Neutral Determinations In Health Insurance
Sponsors: J. Danielson (D)
Summary:

The bill clarifies 2008 legislation prohibiting discretionary clauses in certain plans and insurance policies and providing for the de novo standard of review 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 entitlement to benefits;
  • Severing a claimant's right to de novo review of policy disputes from the claimant's right to a jury trial of those disputes; and
  • Specifying that the commissioner of insurance may adopt rules as necessary to enforce this prohibition.
    (Note: This summary applies to this bill as introduced.)

Status: 2/20/2020 Introduced In Senate - Assigned to Health & Human Services
Date Introduced: 2020-02-20
Amendments:
Bill Version: Introduced

SB20-181 Measures On Incompetent To Proceed 
Calendar Notification: Wednesday, March 4 2020
SENATE JUDICIARY COMMITTEE
1:30 PM SCR 352
(3) in senate 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 evaluator shall 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 evaluator shall state what circumstances will reasonably change in the defendant's condition to believe the defendant will 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 evaluator shall 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 the charges. The bill removes the victims' rights act crimes limitation.

When the defendant is in custody on a misdemeanor, petty offense, traffic offense, or traffic infraction and is incompetent to proceed, the court, within 7 days of the defendant being found incompetent to proceed, shall set a hearing on bond. 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 must make findings of fact that extraordinary circumstances exist to overcome the presumption of a release and the clinical recommendation for outpatient treatment by clear and convincing evidence.

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

The state court administrator shall appoint a 6-member committee to review the impacts of enhanced sentencing laws on people with health conditions, including mental health, intellectual or developmental disabilities, traumatic brain injuries, and other neurocognitive health conditions such as Alzheimer's or dementia. The committee shall produce a report outlining budgetary, legislative, regulatory, and practice recommendations no later than November 15, 2020. Recommendations must include ways to help protect the safety and well-being of first responders and shall also include mechanisms to ensure people with health conditions are not unnecessarily involved in the criminal or juvenile justice systems due to unmet health needs.


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

Status: 2/20/2020 Introduced In Senate - Assigned to Judiciary
Date Introduced: 2020-02-20
Amendments:
Bill Version: Introduced