Colorado 2022 Regular Session

Colorado House Bill HB1050 Compare Versions

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Version 2 (New)

Old	New		Differences
	1	+	Second Regular Session
	2	+	Seventy-third General Assembly
	3	+	STATE OF COLORADO
	4	+	REVISED
	5	+	This Version Includes All Amendments Adopted
	6	+	on Second Reading in the Second House
	7	+	LLS NO. 22-0295.02 Christy Chase x2008
1	8		HOUSE BILL 22-1050
2		-	BY REPRESENTATIVE(S) Ricks, Bacon, Benavidez, Bernett, Bird,
3		-	Boesenecker, Caraveo, Exum, Gonzales-Gutierrez, Hooton, Jodeh, Kipp,
4		-	Lindsay, Lontine, Michaelson Jenet, Sirota, Titone;
5		-	also SENATOR(S) Buckner, Ginal, Gonzales, Hinrichsen, Jaquez Lewis,
6		-	Kolker, Lee, Pettersen, Winter, Fenberg.
	9	+	House Committees Senate Committees
	10	+	Health & Insurance Appropriations
	11	+	Appropriations
	12	+	A BILL FOR AN ACT
7	13		C
8		-	ONCERNING FACILITATING THE INTEGRATION OF INTERNATIONAL MEDICAL
9		-	GRADUATES INTO THE
10		-	COLORADO HEALTH-CARE WORKFORCE.
11		-
12		-	Be it enacted by the General Assembly of the State of Colorado:
13		-	SECTION 1. Legislative declaration. (1) The general assembly
14		-	finds that:
15		-	(a) A 2020 study by the Association of American Medical Colleges
16		-	estimates that the United States could see a shortage of between 54,100 and
17		-	139,000 physicians by 2033;
18		-	(b) By 2030, Colorado is expected to have a statewide shortage of
19		-	over 2,400 physicians;
20		-	(c) As of January 2022, Colorado has 123 areas designated as
21		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
22		-	officers and the Governor. To determine whether the Governor has signed the bill
23		-	or taken other action on it, please consult the legislative status sheet, the legislative
24		-	history, or the Session Laws.
25		-	________
26		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
27		-	through words or numbers indicate deletions from existing law and such material is not part of
28		-	the act. primary care health professional shortage areas;
29		-	(d) As of 2017, there were approximately 3,000 immigrants in
30		-	Colorado whose health-related undergraduate degrees were underutilized,
31		-	2,000 of whom received their education outside of the United States;
32		-	(e) Between 1,200 and 1,900 patients can be served for each
33		-	additional physician that is added to Colorado's workforce; and
34		-	(f) According to the National Resident Matching Program:
35		-	(I) In 2021, international medical graduates (IMGs) represented
36		-	21% of medical residency matches nationwide compared to only 4.2% in
37		-	Colorado; and
38		-	(II) Only 2.5% of IMGs matched to a Colorado residency program
39		-	in the past decade.
40		-	(2) The general assembly further finds and declares that:
41		-	(a) Colorado faces an ongoing shortage of physicians, while, at the
42		-	same time, Coloradans who received their medical degrees and training and
43		-	practiced as licensed physicians outside of the United States are
44		-	underutilized and face prohibitive barriers to joining the health-care
45		-	workforce in Colorado;
46		-	(b) Supporting the integration of IMGs into the Colorado health-care
47		-	workforce helps Coloradans across the state and increases access to
48		-	qualified providers;
49		-	(c) IMGs are uniquely situated to use their diverse backgrounds,
50		-	experiences, language, and cultural skills to provide enhanced care to
51		-	diverse patients and communities;
52		-	(d) At the request of the governor and 12 state legislators, the
53		-	nurse-physician advisory task force for Colorado health care (NPATCH)
54		-	examined the issue of licensure pathways for IMGs and issued its
55		-	recommendations on August 6, 2021; and
56		-	(e) In order to help address health-care provider shortages in the
57		-	PAGE 2-HOUSE BILL 22-1050 state and position Colorado to benefit from much-needed and unrealized
58		-	medical expertise in local communities, it is important to enact policies to
59		-	provide qualified IMGs a pathway to licensure and into the state's
60		-	health-care workforce.
61		-	SECTION 2. In Colorado Revised Statutes, add article 87 to title
62		-	8 as follows:
63		-	ARTICLE 87
64		-	International Medical Graduates
65		-	Pathway to Health-care Workforce
	14	+	ONCERNING FACILITATING TH E INTEGRATION OF INTERNATIONAL101
	15	+	MEDICAL GRADUATES INTO THE COLORADO HEALTH -CARE102
	16	+	WORKFORCE.103
	17	+	Bill Summary
	18	+	(Note: This summary applies to this bill as introduced and does
	19	+	not reflect any amendments that may be subsequently adopted. If this bill
	20	+	passes third reading in the house of introduction, a bill summary that
	21	+	applies to the reengrossed version of this bill will be available at
	22	+	http://leg.colorado.gov
	23	+	.)
	24	+	Section 1 of the bill makes legislative declarations and findings
	25	+	regarding the shortage of health-care providers in the state, the presence
	26	+	of qualified, internationally trained medical professionals in the state, the
	27	+	ability of those professionals to assist the state in addressing health-care
	28	+	workforce needs, the barriers to entry into the health-care workforce these
	29	+	SENATE
	30	+	2nd Reading Unamended
	31	+	May 9, 2022
	32	+	HOUSE
	33	+	3rd Reading Unamended
	34	+	May 6, 2022
	35	+	HOUSE
	36	+	Amended 2nd Reading
	37	+	May 5, 2022
	38	+	HOUSE SPONSORSHIP
	39	+	Ricks, Bacon, Benavidez, Bernett, Bird, Boesenecker, Caraveo, Exum, Gonzales-Gutierrez,
	40	+	Hooton, Jodeh, Kipp, Lindsay, Lontine, Michaelson Jenet, Sirota, Titone
	41	+	SENATE SPONSORSHIP
	42	+	Buckner,
	43	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	44	+	Capital letters or bold & italic numbers indicate new material to be added to existing statute.
	45	+	Dashes through the words indicate deletions from existing statute. professionals face, and the need to reduce those barriers to facilitate the
	46	+	integration of these professionals into the state's health-care workforce.
	47	+	Section 2 establishes the following 2 programs in the department
	48	+	of labor and employment (CDLE) to assist international medical
	49	+	graduates (IMGs) seeking to integrate into the state's health-care
	50	+	workforce:
	51	+	! The IMG assistance program, the purpose of which is to
	52	+	provide direct services to IMGs, including a review of an
	53	+	IMG's education, training, and experience to recommend
	54	+	appropriate next steps for integrating IMGs into the state's
	55	+	health-care workforce; technical support through the
	56	+	credential evaluation process; and scholarships to assist in
	57	+	defraying the medical licensure process; and
	58	+	! The clinical readiness program, the purpose of which is to
	59	+	provide curriculum for and assessments of IMGs to help
	60	+	them build the skills necessary to enter a medical residency
	61	+	program.
	62	+	Section 2 also directs the executive director of CDLE to include
	63	+	in its annual report to the general assembly pursuant to the "State
	64	+	Measurement for Accountable, Responsive, and Transparent (SMART)
	65	+	Government Act" information about the IMG assistance program, the
	66	+	clinical readiness program, and any progress made in addressing barriers
	67	+	IMGs face in securing positions in medical residency programs.
	68	+	Section 3 authorizes the executive director of the department of
	69	+	regulatory agencies (DORA), subject to available funding, to award
	70	+	funding to medical residency programs to provide additional residency
	71	+	positions dedicated to qualified IMGs and directs the executive director
	72	+	of DORA to report on any funding awarded for this purpose as part of
	73	+	DORA's annual report to the general assembly pursuant to the "State
	74	+	Measurement for Accountable, Responsive, and Transparent (SMART)
	75	+	Government Act".
	76	+	With regard to requirements for licensure under the "Colorado
	77	+	Medical Practice Act" (act):
	78	+	! Section 4 defines "IMG" for purposes of the act;
	79	+	! Section 5 reduces the length of postgraduate clinical
	80	+	training that an IMG must complete to qualify for a
	81	+	medical license from up to 3 years to one year; and
	82	+	! Section 6 allows an IMG to obtain a reentry license if the
	83	+	IMG has a current or expired international medical license
	84	+	and meets Colorado medical board-specified qualifications
	85	+	and requirements, including an assessment of the IMG's
	86	+	competency to practice.
	87	+	Be it enacted by the General Assembly of the State of Colorado:1
	88	+	1050-2- SECTION 1. Legislative declaration. (1) The general assembly1
	89	+	finds that: 2
	90	+	(a) A 2020 study by the Association of American Medical3
	91	+	Colleges estimates that the United States could see a shortage of between4
	92	+	54,100 and 139,000 physicians by 2033;5
	93	+	(b) By 2030, Colorado is expected to have a statewide shortage of6
	94	+	over 2,400 physicians;7
	95	+	(c) As of January 2022, Colorado has 123 areas designated as8
	96	+	primary care health professional shortage areas;9
	97	+	(d) As of 2017, there were approximately 3,000 immigrants in10
	98	+	Colorado whose health-related undergraduate degrees were underutilized,11
	99	+	2,000 of whom received their education outside of the United States;12
	100	+	(e) Between 1,200 and 1,900 patients can be served for each13
	101	+	additional physician that is added to Colorado's workforce; and14
	102	+	(f) According to the National Resident Matching Program: 15
	103	+	(I) In 2021, international medical graduates (IMGs) represented 21% of16
	104	+	medical residency matches nationwide compared to only 4.2% in17
	105	+	Colorado; and18
	106	+	(II) Only 2.5% of IMGs matched to a Colorado residency program19
	107	+	in the past decade.20
	108	+	(2) The general assembly further finds and declares that:21
	109	+	(a) Colorado faces an ongoing shortage of physicians, while, at22
	110	+	the same time, Coloradans who received their medical degrees and23
	111	+	training and practiced as licensed physicians outside of the Unites States24
	112	+	are underutilized and face prohibitive barriers to joining the health-care25
	113	+	workforce in Colorado;26
	114	+	(b) Supporting the integration of IMGs into the Colorado27
	115	+	1050
	116	+	-3- health-care workforce helps Coloradans across the state and increases1
	117	+	access to qualified providers;2
	118	+	(c) IMGs are uniquely situated to use their diverse backgrounds,3
	119	+	experiences, language, and cultural skills to provide enhanced care to4
	120	+	diverse patients and communities;5
	121	+	(d) At the request of the governor and 12 state legislators, the6
	122	+	nurse-physician advisory task force for Colorado health care (NPATCH)7
	123	+	examined the issue of licensure pathways for IMGs and issued its8
	124	+	recommendations on August 6, 2021; and9
	125	+	(e) In order to help address health-care provider shortages in the10
	126	+	state and position Colorado to benefit from much-needed and unrealized11
	127	+	medical expertise in local communities, it is important to enact policies12
	128	+	to provide qualified IMGs a pathway to licensure and into the state's13
	129	+	health-care workforce.14
	130	+	SECTION 2. In Colorado Revised Statutes, add article 87 to title15
	131	+	8 as follows:16
	132	+	ARTICLE 8717
	133	+	International Medical Graduates18
	134	+	Pathway to Health-care Workforce19
66	135		8-87-101. Definitions. A
67		-	S USED IN THIS ARTICLE 87, UNLESS THE
68		-	CONTEXT OTHERWISE REQUIRES
69		-	:
70		-	(1) "ACGME"
71		-	MEANS THE ACCREDITATION COUNCIL FOR
72		-	GRADUATE MEDICAL EDUCATION, AN ORGANIZATION THAT SETS AND
73		-	MONITORS THE PROFESSIONAL EDUCATIONAL STANDARDS FOR PHYSICIANS
74		-	,
75		-	OR ANY SUCCESSOR ACCREDITING ENTITY .
76		-	(2) "A
77		-	SSISTANCE PROGRAM" MEANS THE IMG ASSISTANCE PROGRAM
78		-	ESTABLISHED IN SECTION
79		-	8-87-102.
80		-	(3) "C
81		-	LINICAL PROGRAM" MEANS THE CLINICAL READINESS PROGRAM
82		-	ESTABLISHED IN SECTION
83		-	8-87-103.
84		-	(4) "C
85		-	OLORADO MEDICAL BOARD " MEANS THE COLORADO MEDICAL
86		-	BOARD CREATED IN SECTION
87		-	12-240-105.
88		-	(5) "D
89		-	EPARTMENT" MEANS THE DEPARTMENT OF LABOR AND
90		-	EMPLOYMENT
91		-	.
92		-	(6) "E
93		-	XECUTIVE DIRECTOR" MEANS THE EXECUTIVE DIRECTOR OF
94		-	THE DEPARTMENT OR THE EXECUTIVE DIRECTOR
95		-	'S DESIGNEE.
96		-	(7) "I
97		-	NTERNATIONAL MEDICAL GRADUATE " OR "IMG" MEANS A
98		-	PHYSICIAN WHO RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS
99		-	FROM A MEDICAL SCHOOL OUTSIDE OF THE
100		-	UNITED STATES OR CANADA.
101		-	(8) "P
102		-	ROGRAM PARTICIPANT" MEANS AN IMG PARTICIPATING IN THE
103		-	PAGE 3-HOUSE BILL 22-1050 ASSISTANCE PROGRAM OR THE CLINICAL PROGRAM .
104		-	(9) "T
105		-	HIRD-PARTY ADMINISTRATOR " OR "THIRD PARTY TO
106		-	ADMINISTER
107		-	" MEANS THE GRANTEE SELECTED BY THE EXECUTIVE DIRECTOR
108		-	PURSUANT TO SECTION
109		-	8-87-102 (1) TO ADMINISTER THE ASSISTANCE
110		-	PROGRAM
111		-	, INCLUDING RECEIVING GRANT FUNDS AND TAKING ON THE
112		-	OBLIGATIONS OF THE ASSISTANCE PROGRAM
113		-	, WHICH INCLUDES PROVIDING
114		-	DIRECT SERVICES TO PROGRAM PARTICIPANTS AND REPORTING TO THE
115		-	EXECUTIVE DIRECTOR
116		-	.
117		-	(10) "USMLE"
118		-	MEANS THE UNITED STATES MEDICAL LICENSING
119		-	EXAMINATION, A THREE-STEP EXAMINATION FOR MEDICAL LICENSURE IN THE
120		-	UNITED STATES.
121		-	8-87-102. IMG assistance program - creation - services - report.
122		-	(1) T
123		-	HE IMG ASSISTANCE PROGRAM IS ESTABLISHED IN THE DEPARTMENT
124		-	TO PROVIDE DIRECT SERVICES TO INTERNATIONAL MEDICAL GRADUATES
125		-	WISHING TO REESTABLISH THEIR MEDICAL CAREERS IN THIS STATE
126		-	. THE
127		-	EXECUTIVE DIRECTOR SHALL CONTRACT WITH A THIRD PARTY TO
128		-	ADMINISTER THE ASSISTANCE PROGRAM AND SHALL COMPLY WITH THE
129		-	"PROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING
130		-	AND CONTRACTING WITH THE THIRD
131		-	-PARTY ADMINISTRATOR.
	136	+	S USED IN THIS ARTICLE 87, UNLESS THE20
	137	+	CONTEXT OTHERWISE REQUIRES :21
	138	+	(1) "ACGME" MEANS THE ACCREDITATION COUNCIL FOR22
	139	+	GRADUATE MEDICAL EDUCATION, AN ORGANIZATION THAT SETS AND23
	140	+	MONITORS THE PROFESSIONAL EDUCATIONAL STANDARDS FOR PHYSICIANS ,24
	141	+	OR ANY SUCCESSOR ACCREDITING ENTITY .25
	142	+	(2) "ASSISTANCE PROGRAM" MEANS THE IMG ASSISTANCE26
	143	+	PROGRAM ESTABLISHED IN SECTION 8-87-102.27
	144	+	1050
	145	+	-4- (3) "CLINICAL PROGRAM" MEANS THE CLINICAL READINESS1
	146	+	PROGRAM ESTABLISHED IN SECTION 8-87-103.2
	147	+	(4) "COLORADO MEDICAL BOARD " MEANS THE COLORADO3
	148	+	MEDICAL BOARD CREATED IN SECTION 12-240-105.4
	149	+	(5) "DEPARTMENT" MEANS THE DEPARTMENT OF LABOR AND5
	150	+	EMPLOYMENT.6
	151	+	(6) "EXECUTIVE DIRECTOR" MEANS THE EXECUTIVE DIRECTOR OF7
	152	+	THE DEPARTMENT OR THE EXECUTIVE DIRECTOR 'S DESIGNEE.8
	153	+	(7) "INTERNATIONAL MEDICAL GRA DUATE " OR "IMG" MEANS A9
	154	+	PHYSICIAN WHO RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS10
	155	+	FROM A MEDICAL SCHOOL OUTSIDE OF THE UNITED STATES OR CANADA.11
	156	+	(8) "PROGRAM PARTICIPANT" MEANS AN IMG PARTICIPATING IN12
	157	+	THE ASSISTANCE PROGRAM OR THE CLINICAL PROGRAM .13
	158	+	(9) "THIRD-PARTY ADMINISTRATOR " OR "THIRD PARTY TO14
	159	+	ADMINISTER" MEANS THE GRANTEE SELECTED BY THE EXECUTIVE15
	160	+	DIRECTOR PURSUANT TO SECTION 8-87-102 (1) TO ADMINISTER THE16
	161	+	ASSISTANCE PROGRAM, INCLUDING RECEIVING GRANT FUNDS AND TAKING17
	162	+	ON THE OBLIGATIONS OF THE ASSISTANCE PROGRAM , WHICH INCLUDES18
	163	+	PROVIDING DIRECT SERVICES TO PROGRAM PARTICIPANTS AND REPORTING19
	164	+	TO THE EXECUTIVE DIRECTOR.20
	165	+	(10) "USMLE" MEANS THE UNITED STATES MEDICAL LICENSING21
	166	+	E
	167	+	XAMINATION, A THREE-STEP EXAMINATION FOR MEDICAL LICENSURE IN22
	168	+	THE UNITED STATES.23
	169	+	8-87-102. IMG assistance program - creation - services -24
	170	+	report. (1) T
	171	+	HE IMG ASSISTANCE PROGRAM IS ESTABLISHED IN THE25
	172	+	DEPARTMENT TO PROVIDE DIRECT SERVICES TO INTERNATIONAL MEDICAL26
	173	+	GRADUATES WISHING TO REESTABLISH THEIR MEDICAL CAREERS IN THIS27
	174	+	1050
	175	+	-5- STATE. THE EXECUTIVE DIRECTOR SHALL CONTRACT WITH A THIRD PARTY1
	176	+	TO ADMINISTER THE ASSISTANCE PROGRAM AND SHALL COMPLY WITH THE2
	177	+	"P
	178	+	ROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING3
	179	+	AND CONTRACTING WITH THE THIRD -PARTY ADMINISTRATOR.4
132	180		(2) T
133		-	HE ASSISTANCE PROGRAM MUST PROVIDE THE FOLLOWING
134		-	DIRECT SERVICES TO PROGRAM PARTICIPANTS
135		-	:
	181	+	HE ASSISTANCE PROGRAM MUST PROVIDE THE FOLLOWING5
	182	+	DIRECT SERVICES TO PROGRAM PARTICIPANTS :6
136	183		(a) R
137		-	EVIEW THE BACKGROUND , EDUCATION, TRAINING, AND
138		-	EXPERIENCE OF PROGRAM PARTICIPANTS IN ORDER TO RECOMMEND
139		-	APPROPRIATE STEPS TO ENABLE PROGRAM PARTICIPANTS TO INTEGRATE INTO
140		-	THE STATE
141		-	'S HEALTH-CARE WORKFORCE AS PHYSICIANS OR TO PURSUE AN
142		-	ALTERNATIVE HEALTH
143		-	-CARE CAREER;
	184	+	EVIEW THE BACKGROUND , EDUCATION, TRAINING, AND7
	185	+	EXPERIENCE OF PROGRAM PARTICIPANTS IN ORDER TO RECOMMEND8
	186	+	APPROPRIATE STEPS TO ENABLE PROGRAM PARTICIPANTS TO INTEGRATE9
	187	+	INTO THE STATE'S HEALTH-CARE WORKFORCE AS PHYSICIANS OR TO10
	188	+	PURSUE AN ALTERNATIVE HEALTH -CARE CAREER;11
144	189		(b) P
145		-	ROVIDE TECHNICAL SUPPORT AND GUIDANCE TO PROGRAM
146		-	PARTICIPANTS THROUGH THE CREDENTIAL EVALUATION PROCESS
147		-	, INCLUDING
148		-	PREPARING FOR THE
149		-	USMLE AND OTHER APPLICABLE TESTS OR
150		-	EVALUATIONS
151		-	;
	190	+	ROVIDE TECHNICAL SUPPORT AND GUIDANCE TO PROGRAM12
	191	+	PARTICIPANTS THROUGH THE CREDENTIAL EVALUATION PROCESS ,13
	192	+	INCLUDING PREPARING FOR THE USMLE AND OTHER APPLICABLE TESTS14
	193	+	OR EVALUATIONS;15
152	194		(c) P
153		-	ROVIDE SCHOLARSHIPS OR ACCE SS TO SCHOLARSHIPS OR FUNDS
154		-	FOR CERTAIN PROGRAM PARTICIPANTS TO HELP COVER OR OFFSET THE COST
155		-	OF THE MEDICAL LICENSURE PROCESS
156		-	, INCLUDING THE COSTS OF THE
157		-	PAGE 4-HOUSE BILL 22-1050 CREDENTIAL EVALUATION PROCESS , PREPARING FOR THE USMLE AND
158		-	OTHER APPLICABLE TESTS OR EVALUATIONS
159		-	, THE RESIDENCY APPLICATION
160		-	PROCESS
161		-	, AND OTHER COSTS ASSOCIATED WITH RETURNING TO A CAREER IN
162		-	HEALTH CARE
163		-	;
	195	+	ROVIDE SCHOLARSHIPS OR ACCESS TO SCHOLARSHIPS OR16
	196	+	FUNDS FOR CERTAIN PROGRAM PARTICIPANTS TO HELP COVER OR OFFSET17
	197	+	THE COST OF THE MEDICAL LICENSURE PROCESS , INCLUDING THE COSTS OF18
	198	+	THE CREDENTIAL EVALUATION PROCESS , PREPARING FOR THE USMLE AND19
	199	+	OTHER APPLICABLE TESTS OR EVALUATIONS , THE RESIDENCY APPLICATION20
	200	+	PROCESS, AND OTHER COSTS ASSOCIATED WITH RETURNING TO A CAREER21
	201	+	IN HEALTH CARE;22
164	202		(d) I
165		-	N PARTNERSHIP WITH COMMUNITY ORGANIZATIONS WORKING
166		-	WITH
167		-	IMGS, DEVELOP:
	203	+	N PARTNERSHIP WITH COMMUNITY ORGANIZATIONS WORKING23
	204	+	WITH IMGS, DEVELOP:24
168	205		(I) A
169		-	VOLUNTARY ROSTER OF IMGS INTERESTED IN ENTERING THE
170		-	STATE
171		-	'S HEALTH-CARE WORKFORCE AS PHYSICIANS , IN ORDER TO ASSIST IN
172		-	ASSISTANCE PROGRAM PLANNING AND ADMINISTRATION
173		-	, INCLUDING MAKING
174		-	AVAILABLE SUMMARY REPORTS THAT SHOW THE AGGREGATE NUMBER AND
175		-	DISTRIBUTION
176		-	, BY GEOGRAPHIC LOCATION AND SPECIALTY , OF IMGS IN THE
177		-	STATE
178		-	; AND
179		-	(II) A VOLUNTARY ROSTER OF IMGS SEEKING ALTERNATIVE
180		-	HEALTH
181		-	-CARE CAREERS IN ORDER TO SUPPORT THOSE IMGS IN THEIR
182		-	INTEGRATION INTO NONPHYSICIAN HEALTH
183		-	-CARE ROLES; AND
184		-	(e) PROVIDE GUIDANCE TO IMGS TO APPLY FOR MEDICAL RESIDENCY
185		-	PROGRAMS OR OTHER PATHWAYS TO LICENSURE
186		-	.
	206	+	VOLUNTARY ROSTER OF IMGS INTERESTED IN ENTERING THE25
	207	+	STATE'S HEALTH-CARE WORKFORCE AS PHYSICIANS , IN ORDER TO ASSIST26
	208	+	IN ASSISTANCE PROGRAM PLANNING AND ADMINISTRATION , INCLUDING27
	209	+	1050
	210	+	-6- MAKING AVAILABLE SUMMARY REPORTS THAT SHOW THE AGGREGATE1
	211	+	NUMBER AND DISTRIBUTION, BY GEOGRAPHIC LOCATION AND SPECIALTY ,2
	212	+	OF IMGS IN THE STATE; AND3
	213	+	(II) A
	214	+	VOLUNTARY ROSTER OF IMGS SEEKING ALTERNATIVE4
	215	+	HEALTH-CARE CAREERS IN ORDER TO SUPPORT THOSE IMGS IN THEIR5
	216	+	INTEGRATION INTO NONPHYSICIAN HEALTH -CARE ROLES; AND6
	217	+	(e) P
	218	+	ROVIDE GUIDANCE TO IMGS TO APPLY FOR MEDICAL7
	219	+	RESIDENCY PROGRAMS OR OTHER PATHWAYS TO LICENSURE .8
187	220		(3) T
188		-	HE EXECUTIVE DIRECTOR SHALL DETERMINE , WITH INPUT FROM
189		-	STAKEHOLDERS AND AFTER CONSIDERING RELEVANT RESEARCH OF THE
190		-	NEEDS OF THE WORKFORCE AND
191		-	IMGS IN COLORADO, THE ELIGIBILITY
192		-	CRITERIA FOR PARTICIPATION IN THE PROGRAM
193		-	, ANY LIMITS ON THE AMOUNT
194		-	OF DIRECT SERVICES PROVIDED TO AN INDIVIDUAL PROGRAM PARTICIPANT
195		-	,
196		-	ANY CAPS ON SCHOLARSHIP AMOUNTS AVAILABLE UNDER THE ASSISTANCE
197		-	PROGRAM
198		-	, AND ANY OTHER MATTERS REGARDING THE ASSISTANCE
199		-	PROGRAM THAT THE EXECUTIVE DIRECTOR DEEMS NECESSARY
200		-	.
	221	+	HE EXECUTIVE DIRECTOR SHALL DETERMINE , WITH INPUT9
	222	+	FROM STAKEHOLDERS AND AFTER CONSIDERING RELEVANT RESEARCH OF10
	223	+	THE NEEDS OF THE WORKFORCE AND IMGS IN COLORADO, THE ELIGIBILITY11
	224	+	CRITERIA FOR PARTICIPATION IN THE PROGRAM , ANY LIMITS ON THE12
	225	+	AMOUNT OF DIRECT SERVICES PROVIDED TO AN INDIVIDUAL PROGRAM13
	226	+	PARTICIPANT, ANY CAPS ON SCHOLARSHIP AMOUNTS AVAILABLE UNDER14
	227	+	THE ASSISTANCE PROGRAM , AND ANY OTHER MATTERS REGARDING THE15
	228	+	ASSISTANCE PROGRAM THAT THE EXECUTIVE DIRECTOR DEEMS16
	229	+	NECESSARY.17
201	230		(4) (a) W
202		-	ITHIN ONE YEAR AFTER IMPLEMENTATION OF THE PROGRAM
203		-	AND ANNUALLY THEREAFTER
204		-	, THE THIRD-PARTY ADMINISTRATOR SHALL
205		-	SUBMIT A REPORT TO THE EXECUTIVE DIRECTOR REGARDING THE OPERATION
206		-	OF THE ASSISTANCE PROGRAM
207		-	, INCLUDING:
	231	+	ITHIN ONE YEAR AFTER IMPLEMENTATION OF THE18
	232	+	PROGRAM AND ANNUALLY THEREAFTER , THE THIRD -PARTY19
	233	+	ADMINISTRATOR SHALL SUBMIT A REPORT TO THE EXECUTIVE DIRECTOR20
	234	+	REGARDING THE OPERATION OF THE ASSISTANCE PROGRAM , INCLUDING:21
208	235		(I) T
209		-	HE NUMBER OF IMGS WHO PARTICIPATED IN THE PROGRAM AND
210		-	THEIR DEMOGRAPHICS
211		-	;
	236	+	HE NUMBER OF IMGS WHO PARTICIPATED IN THE PROGRAM22
	237	+	AND THEIR DEMOGRAPHICS;23
212	238		(II) T
213		-	HE SPECIFIC SERVICES PROVIDED TO PROGRAM PARTICIPANTS ,
214		-	PAGE 5-HOUSE BILL 22-1050 INCLUDING THE NUMBER OF PROGRAM PARTICIPANTS THAT RECEIVED THE
215		-	SERVICE AND THE COST OF PROVIDING THE SERVICE
216		-	;
	239	+	HE SPECIFIC SERVICES PROVIDED TO PROGRAM PARTICIPANTS ,24
	240	+	INCLUDING THE NUMBER OF PROGRAM PARTICIPANTS THAT RECEIVED THE25
	241	+	SERVICE AND THE COST OF PROVIDING THE SERVICE ;26
217	242		(III) T
218		-	HE TOTAL AMOUNT AWARDED TO OR ACCESSED AS
219		-	SCHOLARSHIPS OR OTHER FUNDS BY PROGRAM PARTICIPANTS
220		-	, INCLUDING
221		-	THE AMOUNT OF EACH SCHOLARSHIP OR OTHER F UNDS AWARDED OR
222		-	ACCESSED AND THE ORIGINATION OF THE SCHOLARSHIP OR FUNDS
223		-	;
	243	+	HE TOTAL AMOUNT AWARDED TO OR ACCESSED AS27
	244	+	1050
	245	+	-7- SCHOLARSHIPS OR OTHER FUNDS BY PROGRAM PARTICIPANTS , INCLUDING1
	246	+	THE AMOUNT OF EACH SCHOLARSHIP OR OTHER FUNDS AWARDED OR2
	247	+	ACCESSED AND THE ORIGINATION OF THE SCHOLARSHIP OR FUNDS ;3
224	248		(IV) T
225		-	HE TOTAL COST OF PROVIDING DIRECT SERVICES UNDER THE
226		-	ASSISTANCE PROGRAM
227		-	; AND
228		-	(V) ANY OTHER INFORMATION THE THIRD -PARTY ADMINISTRATOR
229		-	DEEMS APPROPRIATE OR THE EXECUTIVE DIRECTOR REQUESTS
230		-	.
	249	+	HE TOTAL COST OF PROVIDING DIRECT SERVICES UNDER THE4
	250	+	ASSISTANCE PROGRAM; AND5
	251	+	(V) A
	252	+	NY OTHER INFORMATION THE THIRD-PARTY ADMINISTRATOR6
	253	+	DEEMS APPROPRIATE OR THE EXECUTIVE DIRECTOR REQUESTS .7
231	254		(b) T
232		-	HE REPORT MUST NOT INCLUDE ANY PERSONALLY IDENTIFYING
233		-	INFORMATION ABOUT PROGRAM PARTICIPANTS
234		-	.
	255	+	HE REPORT MUST NOT INCLUDE ANY PERSONALLY8
	256	+	IDENTIFYING INFORMATION ABOUT PROGRAM PARTICIPANTS .9
235	257		(c) T
236		-	HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS PART
237		-	OF ITS REPORT PURSUANT TO SECTION
238		-	8-87-104.
239		-	8-87-103. Clinical readiness program - creation - administration
240		-	- required components - participant qualifications - report. (1) T
241		-	HE
242		-	CLINICAL READINESS PROGRAM IS ESTABLISHED IN THE DEPARTMENT TO
243		-	ASSIST
244		-	IMGS ADMITTED TO THE CLINICAL PROGRAM IN BUILDING THE SKILLS
245		-	NECESSARY TO BECOME SUCCESSFUL RESIDENTS IN THE
246		-	UNITED STATES
247		-	MEDICAL SYSTEM
248		-	. BY JANUARY 1, 2023, THE EXECUTIVE DIRECTOR SHALL
249		-	CONTRACT WITH A
250		-	COLORADO-BASED MEDICAL SCHOOL OR
251		-	ACGME-ACCREDITED RESIDENCY PROGRAM TO SERVE AS THE PROGRAM
252		-	ADMINISTRATOR RESPONSIBLE FOR DEVELOPING
253		-	, IMPLEMENTING, AND
254		-	ADMINISTERING THE CLINICAL PROGRAM
255		-	. THE EXECUTIVE DIRECTOR SHALL
256		-	COMPLY WITH THE
257		-	"PROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE
258		-	24, IN SELECTING AND CONTRACTING WITH A COLORADO MEDICAL SCHOOL
259		-	OR RESIDENCY PROGRAM TO SERV E AS THE PROGRAM ADMINISTRATOR
260		-	.
	258	+	HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS10
	259	+	PART OF ITS REPORT PURSUANT TO SECTION 8-87-104.11
	260	+	8-87-103. Clinical readiness program - creation -12
	261	+	administration - required components - participant qualifications -13
	262	+	report. (1) T
	263	+	HE CLINICAL READINESS PROGRAM IS ESTABLISHED IN THE14
	264	+	DEPARTMENT TO ASSIST IMGS ADMITTED TO THE CLINICAL PROGRAM IN15
	265	+	BUILDING THE SKILLS NECESSARY TO BECOME SUCCESSFUL RESIDENTS IN16
	266	+	THE UNITED STATES MEDICAL SYSTEM . BY JANUARY 1, 2023, THE17
	267	+	EXECUTIVE DIRECTOR SHALL CONTRACT WITH A COLORADO-BASED18
	268	+	MEDICAL SCHOOL
	269	+	OR ACGME-ACCREDITED RESIDENCY PROGRAM TO19
	270	+	SERVE AS THE PROGRAM ADMINISTRATOR RESPONSIBLE FOR DEVELOPING ,20
	271	+	IMPLEMENTING, AND ADMINISTERING THE CLINICAL PROGRAM. THE21
	272	+	EXECUTIVE DIRECTOR SHALL COMPLY WITH THE "PROCUREMENT CODE",22
	273	+	ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING AND CONTRACTING WITH23
	274	+	A COLORADO MEDICAL SCHOOL OR RESIDENCY PROGRAM TO SERVE AS THE24
	275	+	PROGRAM ADMINISTRATOR .25
261	276		(2) (a) T
262		-	HE PROGRAM ADMINISTRATOR MUST DEVELOP AND
263		-	IMPLEMENT THE CLINICAL PROGRAM BY
264		-	JANUARY 1, 2024. IN DEVELOPING
265		-	AND IMPLEMENTING THE CLINICAL PROGRAM
266		-	, THE PROGRAM
267		-	ADMINISTRATOR MAY CONSULT AND COORDINATE WITH STAKEHOLDERS
268		-	,
269		-	INCLUDING REPRESENTATIVES FROM :
270		-	PAGE 6-HOUSE BILL 22-1050 (I) STATE AGENCIES, INCLUDING:
	277	+	HE PROGRAM ADMINISTRATOR MUST DEVELOP AND26
	278	+	IMPLEMENT THE CLINICAL PROGRAM BY JANUARY 1, 2024. IN DEVELOPING27
	279	+	1050
	280	+	-8- AND IMPLEMENTING THE CLINICAL PROGRAM , THE PROGRAM1
	281	+	ADMINISTRATOR MAY CONSULT AND COORDINATE WITH STAKEHOLDERS ,2
	282	+	INCLUDING REPRESENTATIVES FROM :3
	283	+	(I) S
	284	+	TATE AGENCIES, INCLUDING:4
271	285		(A) T
272		-	HE COLORADO MEDICAL BOARD ;
	286	+	HE COLORADO MEDICAL BOARD ;5
273	287		(B) T
274		-	HE DEPARTMENT OF REGULATORY AGENCIES ;
	288	+	HE DEPARTMENT OF REGULATORY AGENCIES ;6
275	289		(C) T
276		-	HE DEPARTMENT OF HIGHER EDUCATION ;
	290	+	HE DEPARTMENT OF HIGHER EDUCATION ;7
277	291		(D) T
278		-	HE DEPARTMENT OF LABOR AND EMPLOYMENT ;
	292	+	HE DEPARTMENT OF LABOR AND EMPLOYMENT ;8
279	293		(E) T
280		-	HE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ;
	294	+	HE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ;9
281	295		(F) T
282		-	HE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING ; AND
283		-	(G) THE OFFICE OF NEW AMERICANS CREATED IN SECTION 8-3.7-103;
	296	+	HE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING ;10
	297	+	AND11
	298	+	(G) T
	299	+	HE OFFICE OF NEW AMERICANS CREATED IN SECTION12
	300	+	8-3.7-103;13
284	301		(II) T
285		-	HE HEALTH-CARE INDUSTRY, INCLUDING:
	302	+	HE HEALTH-CARE INDUSTRY, INCLUDING:14
286	303		(A) H
287		-	OSPITALS;
	304	+	OSPITALS;15
288	305		(B) C
289		-	OMMUNITY PROVIDERS; AND
290		-	(C) MEDICAL RESIDENCY PROGRAMS ;
	306	+	OMMUNITY PROVIDERS; AND16
	307	+	(C) M
	308	+	EDICAL RESIDENCY PROGRAMS ;17
291	309		(III) C
292		-	OMMUNITY-BASED ORGANIZATIONS , INCLUDING A
293		-	COMMUNITY
294		-	-BASED ORGANIZATION SERVING IMMIGRANTS AND REFUGEES ;
	310	+	OMMUNITY-BASED ORGANIZATIONS , INCLUDING A18
	311	+	COMMUNITY-BASED ORGANIZATION SERVING IMMIGRANTS AND REFUGEES ;19
295	312		(IV) H
296		-	IGHER EDUCATION INSTITUTIONS; AND
297		-	(V) THE IMG COMMUNITY.
	313	+	IGHER EDUCATION INSTITUTIONS; AND20
	314	+	(V) T
	315	+	HE IMG COMMUNITY.21
298	316		(b) T
299		-	HE CLINICAL PROGRAM MUST INCLUDE AT LEAST THE
300		-	FOLLOWING ELEMENTS
301		-	:
	317	+	HE CLINICAL PROGRAM MUST INCLUDE AT LEAST THE22
	318	+	FOLLOWING ELEMENTS:23
302	319		(I) A
303		-	MECHANISM FOR PROCESSING AND ASSESSING PROGRAM
304		-	APPLICATIONS
305		-	;
	320	+	MECHANISM FOR PROCESSING AND ASSESSING PROGRAM24
	321	+	APPLICATIONS;25
306	322		(II) P
307		-	ROGRAM CURRICULUM , INCLUDING CURRICULUM:
	323	+	ROGRAM CURRICULUM , INCLUDING CURRICULUM:26
308	324		(A) P
309		-	ERTAINING TO THE PRACTICE OF ONE OR MORE PRIMARY CARE
310		-	PAGE 7-HOUSE BILL 22-1050 SPECIALTIES; AND
311		-	(B) THAT PROVIDES INPATIENT AND OUTPATIENT TRAINING
312		-	OPPORTUNITIES COMBINED WITH COMMUNITY AND CLASSROOM
313		-	-BASED
314		-	COMPONENTS TO PREPARE PROGRAM PARTICIPANTS TO MATCH INTO AND
315		-	SUCCEED IN A
316		-	UNITED STATES RESIDENCY PROGRAM ; AND
317		-	(III) AN ASSESSMENT SYSTEM TO A SSESS THE CLINICAL READINESS
318		-	OF PROGRAM PARTICIPANTS TO SERVE IN A
319		-	UNITED STATES RESIDENCY
320		-	PROGRAM
321		-	, INCLUDING CLINICAL READINESS FOR THE PRACTICE OF ONE OR
322		-	MORE PRIMARY CARE SPECIALTIES AND ADDITIONAL ASSESSMENTS AS
323		-	RESOURCES ARE AVAILABLE
324		-	.
	325	+	ERTAINING TO THE PRACTICE OF ONE OR MORE PRIMARY CARE27
	326	+	1050
	327	+	-9- SPECIALTIES; AND1
	328	+	(B) T
	329	+	HAT PROVIDES INPATIENT AND OUTPATIENT TRAINING2
	330	+	OPPORTUNITIES COMBINED WITH COMMUNITY AND CLASSROOM -BASED3
	331	+	COMPONENTS TO PREPARE PROGRAM PARTICIPANTS TO MATCH INTO AND4
	332	+	SUCCEED IN A UNITED STATES RESIDENCY PROGRAM ; AND5
	333	+	(III) A
	334	+	N ASSESSMENT SYSTEM TO ASSESS THE CLINICAL READINESS6
	335	+	OF PROGRAM PARTICIPANTS TO SERVE IN A UNITED STATES RESIDENCY7
	336	+	PROGRAM, INCLUDING CLINICAL READINESS FOR THE PRACTICE OF ONE OR8
	337	+	MORE PRIMARY CARE SPECIALTIES AND ADDITIONAL ASSESSMENTS AS9
	338	+	RESOURCES ARE AVAILABLE.10
325	339		(3) (a) T
326		-	HE PROGRAM ADMINISTRATOR SHALL DESIGNATE A
327		-	PROGRAM DIRECTOR
328		-	, WHO MUST BE A PHYSICIAN LICENSED TO PRACTICE
329		-	MEDICINE IN THIS STATE
330		-	.
	340	+	HE PROGRAM ADMINISTRATOR SHALL DESIGNATE A11
	341	+	PROGRAM DIRECTOR, WHO MUST BE A PHYSICIAN LICENSED TO PRACTICE12
	342	+	MEDICINE IN THIS STATE.13
331	343		(b) T
332		-	HE PROGRAM DIRECTOR SHALL :
	344	+	HE PROGRAM DIRECTOR SHALL :14
333	345		(I) D
334		-	EVELOP AN OPERATING PLAN AND B UDGET FOR THE CLINICAL
335		-	PROGRAM
336		-	;
	346	+	EVELOP AN OPERATING PLAN AND BUDGET FOR THE CLINICAL15
	347	+	PROGRAM;16
337	348		(II) D
338		-	EVELOP AND IMPLEMENT THE CURRICULUM FOR AND
339		-	ASSESSMENTS OF PROGRAM PARTICIPANTS FOR CLINICAL READINESS
340		-	, EXCEPT
341		-	AS PROVIDED IN SUBSECTION
342		-	(3)(c) OF THIS SECTION;
	349	+	EVELOP AND IMPLEMENT THE CURRICULUM FOR AND17
	350	+	ASSESSMENTS OF PROGRAM PARTICIPANTS FOR CLINICAL READINESS ,18
	351	+	EXCEPT AS PROVIDED IN SUBSECTION (3)(c) OF THIS SECTION;19
343	352		(III) W
344		-	ORK WITH RESIDENCY PROGRAMS IN THE STATE TO ADDRESS
345		-	BARRIERS
346		-	IMGS FACE IN SECURING RESIDENCY POSITIONS IN THE STATE ,
347		-	INCLUDING EVALUATING OTHER METHODS FOR TESTING AN IMG'S CLINICAL
348		-	READINESS
349		-	, EXPLORING ALTERNATIVES TO THE REQUIREMENT THAT AN
350		-	APPLICANT FOR A RESIDENCY POSITION BE A RECENT GRADUATE OF MEDICAL
351		-	SCHOOL
352		-	, AND DEVELOPING RIGOROUS CLINICAL ASSESSMENTS AND
353		-	OPPORTUNITIES FOR
354		-	IMGS TO OBTAIN IN-DEPTH CLINICAL EXPERIENCE IN
355		-	THE
356		-	UNITED STATES; AND
357		-	(IV) MAKE REPORTS AND RECOMMENDATIONS AS REQUIRED BY
358		-	SUBSECTION
359		-	(7) OF THIS SECTION.
	353	+	ORK WITH RESIDENCY PROGRAMS IN THE STATE TO ADDRESS20
	354	+	BARRIERS IMGS FACE IN SECURING RESIDENCY POSITIONS IN THE STATE ,21
	355	+	INCLUDING EVALUATING OTHER METHODS FOR TESTING AN IMG'S22
	356	+	CLINICAL READINESS, EXPLORING ALTERNATIVES TO THE REQUIREMENT23
	357	+	THAT AN APPLICANT FOR A RESIDENCY POSITION BE A RECENT GRADUATE24
	358	+	OF MEDICAL SCHOOL, AND DEVELOPING RIGOROUS CLINICAL ASSESSMENTS25
	359	+	AND OPPORTUNITIES FOR IMGS TO OBTAIN IN -DEPTH CLINICAL26
	360	+	EXPERIENCE IN THE UNITED STATES; AND27
	361	+	1050
	362	+	-10- (IV) MAKE REPORTS AND RECOMME NDATIONS AS REQUIRED BY1
	363	+	SUBSECTION (6) OF THIS SECTION.2
360	364		(c) T
361		-	HE PROGRAM DIRECTOR MAY CONTRACT WITH ~~AN INDEPENDENT~~
362		-	ENTITY OR A STATE AGENCY TO CONDUCT ASSESSMENTS ~~OF THE CLINICAL~~
363		-	~~PAGE 8-HOUSE BILL 22-1050~~ READINESS OF PROGRAM PARTICIPANTS .
	365	+	HE PROGRAM DIRECTOR MAY CONTRACT WITH AN3
	366	+	INDEPENDENT ENTITY OR A STATE AGENCY TO CONDUCT ASSESSMENTS OF4
	367	+	THE CLINICAL READINESS OF PROGRAM PARTICIPANTS .5
364	368		(4) T
365		-	O QUALIFY TO PARTICIPATE IN THE CLINICAL PROGRAM , AN
366		-	APPLICANT MUST
367		-	:
	369	+	O QUALIFY TO PARTICIPATE IN THE CLINICAL PROGRAM , AN6
	370	+	APPLICANT MUST:7
368	371		(a) B
369		-	E AN IMG WHOSE MEDICAL DEGREE OR ~~QUALIFICATIONS HAVE~~
370		-	BEEN EVALUATED BY A CREDENTIALING AGENCY APPROVED BY ~~THE~~
371		-	~~COLORADO MEDICAL BOARD AND DETERMINED TO BE EQUIVALENT TO A~~
372		-	~~MEDICAL DEGREE FROM AN ACCREDITED~~ MEDICAL ~~SCHOOL IN THE~~
373		-	~~UNITED~~
374		-	~~STATES OR CANADA OR A STATE OR COUNTRY WITH WHICH COLORADO HAS~~
375		-	A ~~RECIPROCAL LICENSE AGREEMENT~~
376		-	; ~~AND~~
377		-	(b) ~~HAVE ACHIEVED A PASSING SCORE ON THE USMLE STEP ONE~~
378		-	~~AND~~ STEP ~~TWO EXAMINATIONS~~
379		-	.
	372	+	E AN IMG WHOSE MEDICAL DEGREE OR QUALIFICATIONS8
	373	+	HAVE BEEN EVALUATED BY A CREDENTIALING AGENCY APPROVED BY THE9
	374	+	C
	375	+	OLORADO MEDICAL BOARD AND DETERMINED TO BE EQUIVALENT TO A10
	376	+	MEDICAL DEGREE FROM AN ACCREDITED MEDICAL SCHOOL IN THE UNITED11
	377	+	S
	378	+	TATES OR CANADA OR A STATE OR COUNTRY WITH WHICH COLORADO12
	379	+	HAS A RECIPROCAL LICENSE AGREEMENT ; AND13
	380	+	(b) H
	381	+	AVE ACHIEVED A PASSING SCORE ON THE USMLE STEP ONE14
	382	+	AND STEP TWO EXAMINATIONS .15
380	383		(5) O
381		-	NCE A PROGRAM PARTICIPANT COMPLETES THE CURRICULUM
382		-	FOR THE CLINICAL PROGRAM
383		-	, THE PROGRAM DIRECTOR OR AN ENTITY WITH
384		-	WHOM THE PROGRAM DIRECTOR C ONTRACTS SHALL ASSESS THE PROGRAM
385		-	PARTICIPANT FOR CLINICAL READINESS FOR A RESIDENCY PROGRAM
386		-	. IF THE
387		-	PROGRAM PARTICIPANT PASSES THE ASSESSMENT
388		-	, THE PROGRAM DIRECTOR
389		-	SHALL
390		-	:
	384	+	NCE A PROGRAM PARTICIPANT COMPLETES THE CURRICULUM16
	385	+	FOR THE CLINICAL PROGRAM, THE PROGRAM DIRECTOR OR AN ENTITY WITH17
	386	+	WHOM THE PROGRAM DIRECTOR C ONTRACTS SHALL ASSESS THE PROGRAM18
	387	+	PARTICIPANT FOR CLINICAL READINESS FOR A RESIDENCY PROGRAM . IF THE19
	388	+	PROGRAM PARTICIPANT PASSES THE ASSESSMENT , THE PROGRAM DIRECTOR20
	389	+	SHALL:21
391	390		(a) I
392		-	SSUE THE PROGRAM PARTICIPANT AN INDUSTRY -RECOGNIZED
393		-	CREDENTIAL OF CLINICAL READINESS
394		-	; AND
395		-	(b) SUBMIT A REPORT AND RECOMMENDATION TO THE
396		-	ADMINISTRATOR OF THE ASSISTANCE PROGRAM AND THE DEPARTMENT
397		-	REGARDING THE PROGRAM PARTICIPANT
398		-	.
399		-	(6) T
400		-	HE PROGRAM ADMINISTRATOR SHALL ALLOW AN IMG WHO
401		-	SUCCESSFULLY COMPLETES THE CLINICAL PROGRAM TO INTERVIEW FOR A
402		-	POSITION IN THE PROGRAM ADMINISTRATOR
403		-	'S RESIDENCY PROGRAM.
404		-	(7) (a) B
405		-	Y JANUARY 1, 2025, AND BY EACH JANUARY 1 THEREAFTER,
406		-	THE PROGRAM DIRECTOR, IN CONSULTATION WITH THE COLORADO MEDICAL
407		-	BOARD AND OTHER STAKEHOLDERS
408		-	, SHALL SUBMIT A REPORT REGARDING
409		-	THE CLINICAL PROGRAM TO
410		-	:
	391	+	SSUE THE PROGRAM PARTICIPANT AN INDUSTRY -RECOGNIZED22
	392	+	CREDENTIAL OF CLINICAL READINESS; AND23
	393	+	(b) S
	394	+	UBMIT A REPORT AND RECOMMENDATION TO THE24
	395	+	ADMINISTRATOR OF THE ASSISTANCE PROGRAM AND THE DEPARTMENT25
	396	+	REGARDING THE PROGRAM PARTICIPANT .26
	397	+	(6) THE PROGRAM ADMINISTRATOR SHALL ALLOW AN IMG WHO27
	398	+	1050
	399	+	-11- SUCCESSFULLY COMPLETES THE CLINICAL PROGRAM TO INTERVIEW FOR A1
	400	+	POSITION IN THE PROGRAM ADMINISTRATOR 'S RESIDENCY PROGRAM.2
	401	+	(7) (a) BY JANUARY 1, 2025, AND BY EACH JANUARY 13
	402	+	THEREAFTER, THE PROGRAM DIRECTOR , IN CONSULTATION WITH THE4
	403	+	C
	404	+	OLORADO MEDICAL BOARD AND OTHER STAKEHOLDERS , SHALL SUBMIT5
	405	+	A REPORT REGARDING THE CLINICAL PROGRAM TO :6
411	406		(I) T
412		-	HE EXECUTIVE DIRECTOR; AND
413		-	PAGE 9-HOUSE BILL 22-1050 (II) THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF REGULATORY
414		-	AGENCIES
415		-	.
	407	+	HE EXECUTIVE DIRECTOR; AND7
	408	+	(II) T
	409	+	HE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF8
	410	+	REGULATORY AGENCIES.9
	411	+	(b)
	412	+	THE REPORT MUST INCLUDE:10
	413	+	(I) I
	414	+	NFORMATION ABOUT THE OPERATIONS OF THE CLINICAL11
	415	+	PROGRAM, INCLUDING THE NUMBER OF IMGS WHO PARTICIPATED IN AND12
	416	+	COMPLETED THE CLINICAL PROGRAM ; AND13
	417	+	(II) R
	418	+	ECOMMENDATIONS REGARDING :14
	419	+	(A) C
	420	+	HANGES TO PROFESSIONAL LICENSURE REQUIREMENTS THAT15
	421	+	PROMOTE THE INCREASED UTILIZATION OF IMGS IN THE STATE'S16
	422	+	HEALTH-CARE WORKFORCE; AND17
416	423		(B) T
417		-	HE REPORT MUST INCLUDE:
418		-	(I) I
419		-	NFORMATION ABOUT THE OPERATIONS OF THE CLINICAL
420		-	PROGRAM
421		-	, INCLUDING THE NUMBER OF IMGS WHO PARTICIPATED IN AND
422		-	COMPLETED THE CLINICAL PROGRAM
423		-	; AND
424		-	(II) RECOMMENDATIONS REGARDING :
425		-	(A) C
426		-	HANGES TO PROFESSIONAL LICENSURE REQUIREMENTS THAT
427		-	PROMOTE THE INCREASED UTILIZATION OF
428		-	IMGS IN THE STATE'S
429		-	HEALTH
430		-	-CARE WORKFORCE; AND
431		-	(B) THE CREATION OF A CERTIFICATION RECOGNIZED BY THE
432		-	DEPARTMENT
433		-	, THE DEPARTMENT OF HIGHER EDUCATION , OR THE UNITED
434		-	STATES DEPARTMENT OF LABOR .
	424	+	HE CREATION OF A CERTIFICATION RECOGNIZED BY THE18
	425	+	DEPARTMENT, THE DEPARTMENT OF HIGHER EDUCATION , OR THE UNITED19
	426	+	S
	427	+	TATES DEPARTMENT OF LABOR .20
435	428		(c) T
436		-	HE REPORT MUST NOT INCLUDE ANY PERSONALLY IDENTIFYING
437		-	INFORMATION ABOUT ANY PROGRAM PARTICIPANT
438		-	.
	429	+	HE REPORT MUST NOT INCLUDE ANY PERSONALLY21
	430	+	IDENTIFYING INFORMATION ABOUT ANY PROGRAM PARTICIPANT .22
439	431		(d) T
440		-	HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS PART
441		-	OF ITS REPORT PURSUANT TO SECTION
442		-	8-87-104.
	432	+	HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS23
	433	+	PART OF ITS REPORT PURSUANT TO SECTION 8-87-104.24
443	434		8-87-104. Report to the general assembly. T
444		-	HE EXECUTIVE
445		-	DIRECTOR SHALL REPORT ON THE ASSISTANCE PROGRAM AND THE CLINICAL
446		-	PROGRAM AS PART OF THE DEPARTMENT
447		-	'S ANNUAL REPORTING UNDER THE
448		-	"STATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND
449		-	TRANSPARENT (SMART) GOVERNMENT ACT", PART 2 OF ARTICLE 7 OF
450		-	TITLE
451		-	2. THE EXECUTIVE DIRECTOR SHALL INCLUDE IN THE REPORT
452		-	PURSUANT TO THIS SECTION INFORMATION INCLUDED IN THE REPORTS
453		-	SUBMITTED TO THE EXECUTIVE DIRECTOR PURSUANT TO SECTIONS
	435	+	HE EXECUTIVE25
	436	+	DIRECTOR SHALL REPORT ON THE ASSISTANCE PROGRAM AND THE26
	437	+	CLINICAL PROGRAM AS PART OF THE DEPARTMENT 'S ANNUAL REPORTING27
	438	+	1050
	439	+	-12- UNDER THE "STATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE,1
	440	+	AND TRANSPARENT (SMART) GOVERNMENT ACT", PART 2 OF ARTICLE 72
	441	+	OF TITLE 2. THE EXECUTIVE DIRECTOR SHALL INCLUDE IN THE REPORT3
	442	+	PURSUANT TO THIS SECTION INFORMATION INCLUDED IN THE REPORTS4
	443	+	SUBMITTED TO THE EXECUTIVE DIRECTOR PURS UANT TO SECTIONS5
454	444		8-87-102
455		-	(4)
456		-	AND 8-87-103 (7) AND INFORMATION REGARDING ANY PROGRESS MADE
457		-	PURSUANT TO SECTION
458		-	8-87-103 (3)(b)(III) IN ADDRESSING BARRIERS
459		-	INTERNATIONAL MEDICAL GRADUATES FACE IN SECURING POSITIONS IN
460		-	MEDICAL RESIDENCY PROGRAMS
461		-	.
462		-	8-87-105. Funding for programs - gifts, grants, and donations -
463		-	implementation contingent on receipt of funding. (1) T
464		-	HE GENERAL
465		-	PAGE 10-HOUSE BILL 22-1050 ASSEMBLY MAY APPROPRIATE MONEY FROM THE GENERAL FUND OR ANY
466		-	OTHER SOURCE TO THE DEPARTMENT FOR THE PURPOSES OF IMPLEMENTING
467		-	AND ADMINISTERING THE ASSISTANCE PROGRAM AND THE CLINICAL
468		-	PROGRAM PURSUANT TO THIS ARTICLE
469		-	87.
470		-	(2) T
471		-	HE DEPARTMENT MAY SEEK , ACCEPT, AND EXPEND GIFTS,
472		-	GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE
473		-	PURPOSES OF IMPLEMENTING AND ADMINISTERING THE ASSISTANCE
474		-	PROGRAM AND THE CLINICAL PROGRAM PURSUANT TO THIS ARTICLE
475		-	87.
476		-	(3) (a) U
477		-	NLESS THE DEPARTMENT RECEIVES AN AMOUNT OF
478		-	APPROPRIATIONS
479		-	, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER
480		-	THE COSTS OF THE ASSISTANCE PROGRAM
481		-	, THE DEPARTMENT SHALL NOT
482		-	IMPLEMENT THE ASSISTANCE PROGRAM
483		-	.
484		-	(b) U
485		-	NLESS THE DEPARTMENT RECEIVES AN AMOUNT OF
486		-	APPROPRIATIONS
487		-	, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER
488		-	THE COSTS OF THE CLINICAL PROGRAM
489		-	, THE DEPARTMENT SHALL NOT
490		-	IMPLEMENT THE CLINICAL PROGRAM
491		-	.
492		-	SECTION 3. In Colorado Revised Statutes, 12-240-104, amend
493		-	(5.7); and add (5.6) as follows:
494		-	12-240-104. Definitions. As used in this article 240, unless the
495		-	context otherwise requires:
	445	+	(4) AND 8-87-103
	446	+	(7) AND INFORMATION REGARDING ANY6
	447	+	PROGRESS MADE PURSUANT TO SECTION 8-87-103 (3)(b)(III) IN7
	448	+	ADDRESSING BARRIERS INTERNATIONAL MEDICAL GRADUATES FACE IN8
	449	+	SECURING POSITIONS IN MEDICAL RESIDENCY PROGRAMS .9
	450	+	8-87-105. Funding for programs - gifts, grants, and donations10
	451	+	- implementation contingent on receipt of funding. (1) THE GENERAL11
	452	+	ASSEMBLY MAY APPROPRIATE MONEY FROM THE GENERAL FUND OR ANY12
	453	+	OTHER SOURCE TO THE DEPARTMENT FOR THE PURPOSES OF IMPLEMENTING13
	454	+	AND ADMINISTERING THE ASSISTANCE PROGRAM AND THE CLINICAL14
	455	+	PROGRAM PURSUANT TO THIS ARTICLE 87.15
	456	+	(2) THE DEPARTMENT MAY SEEK, ACCEPT, AND EXPEND GIFTS,16
	457	+	GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE17
	458	+	PURPOSES OF IMPLEMENTING AND ADMINISTERING THE ASSISTANCE18
	459	+	PROGRAM AND THE CLINICAL PROGRAM PURSUANT TO THIS ARTICLE 87.19
	460	+	(3) (a) UNLESS THE DEPARTMENT RECEIVES AN AMOUNT OF20
	461	+	APPROPRIATIONS, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER21
	462	+	THE COSTS OF THE ASSISTANCE PROGRAM, THE DEPARTMENT SHALL NOT22
	463	+	IMPLEMENT THE ASSISTANCE PROGRAM .23
	464	+	(b) UNLESS THE DEPARTMENT RECEIVES AN AMOUNT OF24
	465	+	APPROPRIATIONS, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER25
	466	+	THE COSTS OF THE CLINICAL PROGRAM , THE DEPARTMENT SHALL NOT26
	467	+	IMPLEMENT THE CLINICAL PROGRAM .27
	468	+	1050
	469	+	-13- 1
	470	+	SECTION 3. In Colorado Revised Statutes, 12-240-104, amend2
	471	+	(5.7); and add (5.6) as follows:3
	472	+	12-240-104. Definitions. As used in this article 240, unless the4
	473	+	context otherwise requires:5
496	474		(5.6) "D
497		-	ISTANT SITE" HAS THE MEANING SET FORTH IN ~~SECTION~~
498		-	10-16-123 (4)(a).
	475	+	ISTANT SITE" HAS THE MEANING SET FORTH IN SECTION6
	476	+	10-16-123 (4)(a).7
499	477		(5.7) "Distant site" has the meaning set forth in section 10-16-123
500		-	(4)(a) "INTERNATIONAL MEDICAL GRADUATE " MEANS A PHYSICIAN WHO
501		-	RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS FROM A MEDICAL
502		-	SCHOOL OUTSIDE OF THE
503		-	UNITED STATES OR CANADA.
504		-	SECTION 4. In Colorado Revised Statutes, 12-240-114, amend (1)
505		-	introductory portion as follows:
506		-	12-240-114. International medical graduates - degree
507		-	equivalence. (1) For graduates of schools other than those approved by the
508		-	Liaison Committee on Medical Education or the American Osteopathic
509		-	PAGE 11-HOUSE BILL 22-1050 Association, or the successor of either entity INTERNATIONAL MEDICAL
510		-	GRADUATES
511		-	, the board may
512		-	SHALL require three years ONE YEAR of
513		-	postgraduate clinical training approved by the board. An applicant whose
514		-	foreign
515		-	INTERNATIONAL medical school is not an approved medical college
516		-	is eligible for licensure at the discretion of the board if the applicant meets
517		-	all other requirements for licensure and holds specialty board certification,
518		-	current at the time of application for licensure, conferred by a regular
519		-	member board of the American Board of Medical Specialties or the
520		-	American Osteopathic Association. The factors to be considered by the
521		-	board in the exercise of its discretion in determining the qualifications of
522		-	applicants shall
523		-	MUST include the following:
524		-	SECTION 5. In Colorado Revised Statutes, 12-240-119, amend (1)
525		-	and (2)(a) introductory portion; and add (2)(a.5) and (4) as follows:
526		-	12-240-119. Reentry license - period of inactivity - international
527		-	medical graduate - competency assessment - board rules - conversion
528		-	to full license. (1) (a) Notwithstanding any other provision of this article
529		-	240, the board may issue a reentry license to:
	478	+	8
	479	+	(4)(a) "INTERNATIONAL MEDICAL GRADUATE " MEANS A PHYSICIAN WHO9
	480	+	RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS FROM A MEDICAL10
	481	+	SCHOOL OUTSIDE OF THE UNITED STATES OR CANADA.11
	482	+	SECTION 4. In Colorado Revised Statutes, 12-240-114, amend12
	483	+	(1) introductory portion as follows:13
	484	+	12-240-114. International medical graduates - degree14
	485	+	equivalence. (1) For graduates of schools other than those approved by15
	486	+	the Liaison Committee on Medical Education or the American16
	487	+	Osteopathic Association, or the successor of either entity INTERNATIONAL17
	488	+	MEDICAL GRADUATES, the board may SHALL require three years ONE YEAR18
	489	+	of postgraduate clinical training approved by the board. An applicant19
	490	+	whose foreign INTERNATIONAL medical school is not an approved medical20
	491	+	college is eligible for licensure at the discretion of the board if the21
	492	+	applicant meets all other requirements for licensure and holds specialty22
	493	+	board certification, current at the time of application for licensure,23
	494	+	conferred by a regular member board of the American Board of Medical24
	495	+	Specialties or the American Osteopathic Association. The factors to be25
	496	+	considered by the board in the exercise of its discretion in determining the26
	497	+	qualifications of applicants shall MUST include the following:27
	498	+	1050
	499	+	-14- SECTION 5. In Colorado Revised Statutes, 12-240-119, amend1
	500	+	(1) and (2)(a) introductory portion; and add (2)(a.5) and (4) as follows: 2
	501	+	12-240-119. Reentry license - period of inactivity -3
	502	+	international medical graduate - competency assessment - board4
	503	+	rules - conversion to full license. (1) (a) Notwithstanding any other5
	504	+	provision of this article 240, the board may issue a reentry license to:6
530	505		(I) A physician,
531		-	A physician assistant, or AN anesthesiologist
532		-	assistant who has not actively practiced medicine, practiced as a physician
533		-	assistant, or practiced as an anesthesiologist assistant, as applicable, for the
534		-	two-year period immediately preceding the filing of an application for a
535		-	reentry license, or who has not otherwise maintained continued competency
536		-	during that period, as determined by the board;
537		-	OR
538		-	(II) AN INTERNATIONAL MEDICAL GRADUATE WHO :
	506	+	A physician assistant, or AN anesthesiologist7
	507	+	assistant who has not actively practiced medicine, practiced as a physician8
	508	+	assistant, or practiced as an anesthesiologist assistant, as applicable, for9
	509	+	the two-year period immediately preceding the filing of an application for10
	510	+	a reentry license, or who has not otherwise maintained continued11
	511	+	competency during that period, as determined by the board;
	512	+	OR12
	513	+	(II) A
	514	+	N INTERNATIONAL MEDICAL GRADUATE WHO :13
539	515		(A) H
540		-	OLDS A CURRENT OR EXPIRED INTERNATIONAL LICENSE OR
541		-	MEETS OTHER QUALIFICATIONS SPECIFIED BY THE BOARD BY RULE
542		-	; AND
543		-	(B) SATISFIES ANY OTHER REQUIREMENTS ESTABLISHED BY THE
544		-	BOARD BY RULE
545		-	, WHICH MAY INCLUDE A RECOMMENDATION OF THE
546		-	INTERNATIONAL MEDICAL GRADUATE FROM THE ADMINISTRATOR OF THE
547		-	IMG ASSISTANCE PROGRAM CREATED IN SECTION 8-87-102 OR FROM THE
548		-	PROGRAM DIRECTOR OF THE CLINICAL READINESS PROGRAM CREATED IN
	516	+	OLDS A CURRENT OR EXPIRED INTERNATIONAL LICENSE OR14
	517	+	MEETS OTHER QUALIFICATIONS SPECIFIED BY THE BOARD BY RULE ; AND15
	518	+	(B) S
	519	+	ATISFIES ANY OTHER REQUIREMENTS ESTABLISHED BY THE16
	520	+	BOARD BY RULE, WHICH MAY INCLUDE A RECOMMENDATION OF THE17
	521	+	INTERNATIONAL MEDICAL GRADUATE FROM THE ADMINISTRATOR OF THE18
	522	+	IMG
	523	+	ASSISTANCE PROGRAM CREATED IN SECTION 8-87-102 OR FROM THE19
	524	+	PROGRAM DIRECTOR OF THE CLINICAL READINESS PROGRAM CREATED IN20
	525	+	SECTION 8-87-103 OR A REQUIREMENT FOR SPECIFIC
	526	+	TRAINING. 21
	527	+	(b) The board may charge a fee for a reentry license.22
	528	+	(2) (a) In order to qualify for a reentry license, the physician,23
	529	+	physician assistant, or anesthesiologist assistant, OR INTERNATIONAL24
	530	+	MEDICAL GRADUATE shall submit to evaluations, assessments, and an25
	531	+	educational program as required by the board. The board may work with26
	532	+	a private entity that specializes in physician, physician assistant, or27
	533	+	1050
	534	+	-15- anesthesiologist assistant assessment to:1
	535	+	(a.5) F
	536	+	OR INTERNATIONAL MEDICAL GRADUATES , THE BOARD MAY2
	537	+	APPROVE AN ASSESSMENT MODEL TO ASSESS THE COMPETENCY OF3
	538	+	INTERNATIONAL MEDICAL GRADUATES APPLYING FOR A REENTRY LICENSE4
	539	+	UNDER THIS SECTION AND SHALL APPROVE CRITERIA , INCLUDING MINIMUM5
	540	+	REQUIREMENTS, STANDARDS, AND COMPETENCIES, FOR THE ASSESSMENT6
	541	+	OF THESE APPLICANTS.7
	542	+	(4) T
	543	+	HE BOARD SHALL ADOPT RULES AS NECESSARY :8
	544	+	(I) T
	545	+	O SPECIFY REQUIREMENTS APPLICABLE TO INTERNATIONAL9
	546	+	MEDICAL GRADUATES PURSUANT TO SUBSECTION (1)(a)(II) OF THIS10
	547	+	SECTION; AND11
	548	+	(II) R
	549	+	EGARDING THE CRITERIA FOR AN ASSESSMENT MODEL TO12
	550	+	ASSESS THE COMPETENCY OF INTERNATIONAL MEDICAL GRADUATES13
	551	+	PURSUANT TO SUBSECTION (2) OF THIS SECTION.14
549	552		SECTION
550		-	8-87-103 OR A REQUIREMENT FOR SPECIFIC TRAINING.
551		-	(b) The board may charge a fee for a reentry license.
552		-	PAGE 12-HOUSE BILL 22-1050 (2) (a) In order to qualify for a reentry license, the physician,
553		-	physician assistant, or anesthesiologist assistant, OR INTERNATIONAL
554		-	MEDICAL GRADUATE
555		-	shall submit to evaluations, assessments, and an
556		-	educational program as required by the board. The board may work with a
557		-	private entity that specializes in physician, physician assistant, or
558		-	anesthesiologist assistant assessment to:
559		-	(a.5) F
560		-	OR INTERNATIONAL MEDICAL GRADUATES , THE BOARD MAY
561		-	APPROVE AN ASSESSMENT MODEL TO ASSESS THE COMPETENCY OF
562		-	INTERNATIONAL MEDICAL GRADUATES APPLYING FOR A REENTRY LICENSE
563		-	UNDER THIS SECTION AND SHALL APPROVE CRITERIA
564		-	, INCLUDING MINIMUM
565		-	REQUIREMENTS
566		-	, STANDARDS, AND COMPETENCIES, FOR THE ASSESSMENT OF
567		-	THESE APPLICANTS
568		-	.
569		-	(4) T
570		-	HE BOARD SHALL ADOPT RULES AS NECESSARY :
571		-	(a) T
572		-	O SPECIFY REQUIREMENTS APPLICABLE TO INTERNATIONAL
573		-	MEDICAL GRADUATES PURSUANT TO SUBSECTION
574		-	(1)(a)(II) OF THIS SECTION;
575		-	AND
576		-	(b) REGARDING THE CRITERIA FOR AN ASSESSMENT MODEL TO
577		-	ASSESS THE COMPETENCY OF INTERNATIONAL MEDICAL GRADUATES
578		-	PURSUANT TO SUBSECTION
579		-	(2) OF THIS SECTION.
580		-	SECTION 6. Safety clause. The general assembly hereby finds,
581		-	PAGE 13-HOUSE BILL 22-1050 determines, and declares that this act is necessary for the immediate
582		-	preservation of the public peace, health, or safety.
583		-	____________________________ ____________________________
584		-	Alec Garnett Steve Fenberg
585		-	SPEAKER OF THE HOUSE PRESIDENT OF
586		-	OF REPRESENTATIVES THE SENATE
587		-	____________________________ ____________________________
588		-	Robin Jones Cindi L. Markwell
589		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
590		-	OF REPRESENTATIVES THE SENATE
591		-	APPROVED________________________________________
592		-	(Date and Time)
593		-	_________________________________________
594		-	Jared S. Polis
595		-	GOVERNOR OF THE STATE OF COLORADO
596		-	PAGE 14-HOUSE BILL 22-1050
	553	+	6. Safety clause. The general assembly hereby finds,15
	554	+	determines, and declares that this act is necessary for the immediate16
	555	+	preservation of the public peace, health, or safety. 17
	556	+	1050
	557	+	-16-