Colorado 2022 Regular Session

Colorado House Bill HB1068 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	Second Regular Session
	2	+	Seventy-third General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 22-0116.01 Shelby Ross x4510
1	8		HOUSE BILL 22-1068
2		-	BY REPRESENTATIVE(S) McCormick and Lynch, Amabile, Bernett,
3		-	Bird, Boesenecker, Caraveo, Cutter, Esgar, Exum, Froelich, Geitner,
4		-	Gonzales-Gutierrez, Gray, Hooton, Jodeh, Kipp, Lindsay, Lontine,
5		-	McCluskie, McKean, Michaelson Jenet, Mullica, Pelton, Pico, Ricks,
6		-	Roberts, Sirota, Snyder, Tipper, Titone, Valdez A., Valdez D., Will,
7		-	Woodrow, Young;
8		-	also SENATOR(S) Jaquez Lewis, Coram, Danielson, Fields, Ginal, Hisey,
9		-	Kolker, Lee, Moreno, Pettersen, Priola, Scott, Simpson, Sonnenberg, Story,
10		-	Winter, Woodward.
	9	+	House Committees Senate Committees
	10	+	Public & Behavioral Health & Human Services Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
11	13		C
12		-	ONCERNING MEDICAID REIMBURSEMENT FOR THERAPY USING EQUINE
13		-	MOVEMENT
14		-	.
15		-
16		-	Be it enacted by the General Assembly of the State of Colorado:
17		-	SECTION 1. Legislative declaration. (1) The general assembly
18		-	finds that:
19		-	(a) Therapy using equine movement, often referred to as
20		-	hippotherapy, is regarded as standard practice for occupational therapists,
21		-	physical therapists, and speech-language pathologists and is used to engage
22		-	sensory, neuromotor, and cognitive systems to promote functional treatment
23		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
24		-	officers and the Governor. To determine whether the Governor has signed the bill
25		-	or taken other action on it, please consult the legislative status sheet, the legislative
26		-	history, or the Session Laws.
27		-	________
28		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
29		-	through words or numbers indicate deletions from existing law and such material is not part of
30		-	the act. outcomes. Therapy practitioners use equine movement as a tool integrated
31		-	with the use of other standard therapy tools, equipment, and activities
32		-	during a treatment session.
33		-	(b) Since the 1980s, the American Occupational Therapy
34		-	Association, the American Physical Therapy Association, and the American
35		-	Speech-Language-Hearing Association have recognized that the use of
36		-	equine movement is included in each respective scope of practice and is an
37		-	effective therapy tool that can be utilized in patient treatment plans;
38		-	(c) Currently, there are 102 peer review journal articles, 12 peer
39		-	review case studies, and 13 meta-analyses that support the value of using
40		-	equine movement as a treatment tool to improve function within a therapy
41		-	plan of care for patients with cerebral palsy, multiple sclerosis, Down
42		-	syndrome, postural instability, spinal cord injury, traumatic brain injury,
43		-	language-learning disability, and stroke; and
44		-	(d) Across the United States, there are at least 37 states that provide
45		-	medicaid reimbursement for the use of equine movement as a treatment
46		-	tool. These states recognize that it is within the role of the treating
47		-	professional to select the appropriate treatment tools and activities to meet
48		-	each client's needs.
49		-	(2) Therefore, the general assembly declares that occupational
50		-	therapists, physical therapists, and speech-language pathologists should not
51		-	be penalized and denied medicaid reimbursement for therapy services using
52		-	equine movement as part of their respective practices.
53		-	SECTION 2. In Colorado Revised Statutes, add 25.5-5-332 as
54		-	follows:
55		-	25.5-5-332. Therapy using equine movement - federal
	14	+	ONCERNING MEDICAID REIMBURSEMENT FOR THERAPY USING EQUINE101
	15	+	MOVEMENT.102
	16	+	Bill Summary
	17	+	(Note: This summary applies to this bill as introduced and does
	18	+	not reflect any amendments that may be subsequently adopted. If this bill
	19	+	passes third reading in the house of introduction, a bill summary that
	20	+	applies to the reengrossed version of this bill will be available at
	21	+	http://leg.colorado.gov
	22	+	.)
	23	+	Subject to federal authorization and federal financial participation,
	24	+	on or after January 1, 2023, medicaid reimbursement is available for
	25	+	therapy using equine movement when provided by a physical therapist,
	26	+	an occupational therapist, or a speech-language pathologist.
	27	+	SENATE
	28	+	3rd Reading Unamended
	29	+	April 20, 2022
	30	+	SENATE
	31	+	2nd Reading Unamended
	32	+	April 19, 2022
	33	+	HOUSE
	34	+	3rd Reading Unamended
	35	+	March 17, 2022
	36	+	HOUSE
	37	+	Amended 2nd Reading
	38	+	March 16, 2022
	39	+	HOUSE SPONSORSHIP
	40	+	McCormick and Lynch, Amabile, Bernett, Bird, Boesenecker, Caraveo, Cutter, Esgar,
	41	+	Exum, Froelich, Geitner, Gonzales-Gutierrez, Gray, Hooton, Jodeh, Kipp, Lindsay, Lontine,
	42	+	McCluskie, McKean, Michaelson Jenet, Mullica, Pelton, Pico, Ricks, Roberts, Sirota, Snyder,
	43	+	Tipper, Titone, Valdez A., Valdez D., Will, Woodrow, Young
	44	+	SENATE SPONSORSHIP
	45	+	Jaquez Lewis, Coram, Danielson, Fields, Ginal, Hisey, Kolker, Lee, Moreno, Pettersen,
	46	+	Priola, Scott, Simpson, Sonnenberg, Story, Winter, Woodward
	47	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	48	+	Capital letters or bold & italic numbers indicate new material to be added to existing statute.
	49	+	Dashes through the words indicate deletions from existing statute. Be it enacted by the General Assembly of the State of Colorado:1
	50	+	SECTION 1. Legislative declaration. (1) The general assembly2
	51	+	finds that:3
	52	+	(a) Therapy using equine movement, often referred to as4
	53	+	hippotherapy, is regarded as standard practice for occupational therapists,5
	54	+	physical therapists, and speech-language pathologists and is used to6
	55	+	engage sensory, neuromotor, and cognitive systems to promote functional7
	56	+	treatment outcomes. Therapy practitioners use equine movement as a tool8
	57	+	integrated with the use of other standard therapy tools, equipment, and9
	58	+	activities during a treatment session.10
	59	+	(b) Since the 1980s, the American Occupational Therapy11
	60	+	Association, the American Physical Therapy Association, and the12
	61	+	American Speech-Language-Hearing Association have recognized that13
	62	+	the use of equine movement is included in each respective scope of14
	63	+	practice and is an effective therapy tool that can be utilized in patient15
	64	+	treatment plans;16
	65	+	(c) Currently, there are 102 peer review journal articles, 12 peer17
	66	+	review case studies, and 13 meta-analyses that support the value of using18
	67	+	equine movement as a treatment tool to improve function within a therapy19
	68	+	plan of care for patients with cerebral palsy, multiple sclerosis, Down20
	69	+	syndrome, postural instability, spinal cord injury, traumatic brain injury,21
	70	+	language-learning disability, and stroke; and22
	71	+	(d) Across the United States, there are at least 37 states that23
	72	+	provide medicaid reimbursement for the use of equine movement as a24
	73	+	treatment tool. These states recognize that it is within the role of the25
	74	+	treating professional to select the appropriate treatment tools and26
	75	+	activities to meet each client's needs.27
	76	+	1068
	77	+	-2- (2) Therefore, the general assembly declares that occupational1
	78	+	therapists, physical therapists, and speech-language pathologists should2
	79	+	not be penalized and denied medicaid reimbursement for therapy services3
	80	+	using equine movement as part of their respective practices.4
	81	+	SECTION 2. In Colorado Revised Statutes, add 25.5-5-332 as5
	82	+	follows:6
	83	+	25.5-5-332. Therapy using equine movement - federal7
56	84		authorization - definition. (1) S
57		-	UBJECT TO FEDERAL AUTHORIZATION AND
58		-	FEDERAL FINANCIAL PARTICIPATION
59		-	, ON OR AFTER JULY 1, 2024, THERAPY
60		-	USING EQUINE MOVEMENT MAY BE PROVIDED BY A PHYSICAL THERAPIST
61		-	LICENSED PURSUANT TO ARTICLE
62		-	285 OF TITLE 12, AN OCCUPATIONAL
63		-	THERAPIST LICENSED PURSUANT TO ARTICLE
64		-	270 OF TITLE 12, OR A
65		-	SPEECH
66		-	-LANGUAGE PATHOLOGIST CERTIFIED PURSUANT TO ARTICLE 305 OF
67		-	TITLE
68		-	12.
69		-	PAGE 2-HOUSE BILL 22-1068 (2) AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE
70		-	REQUIRES
71		-	, "THERAPY USING EQUINE MOVEMENT " MEANS THERAPEUTIC
72		-	ACTIVITIES THAT LEVERAGE HORSE
73		-	-HUMAN INTERACTIONS TO FACILITATE
74		-	PROGRESSION TOWARD MEETING THERAPEUTIC GOALS
75		-	.
76		-	SECTION 3. Safety clause. The general assembly hereby finds,
77		-	determines, and declares that this act is necessary for the immediate
78		-	preservation of the public peace, health, or safety.
79		-	____________________________ ____________________________
80		-	Alec Garnett Steve Fenberg
81		-	SPEAKER OF THE HOUSE PRESIDENT OF
82		-	OF REPRESENTATIVES THE SENATE
83		-	____________________________ ____________________________
84		-	Robin Jones Cindi L. Markwell
85		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
86		-	OF REPRESENTATIVES THE SENATE
87		-	APPROVED________________________________________
88		-	(Date and Time)
89		-	_________________________________________
90		-	Jared S. Polis
91		-	GOVERNOR OF THE STATE OF COLORADO
92		-	PAGE 3-HOUSE BILL 22-1068
	85	+	UBJECT TO FEDERAL AUTHORIZATION8
	86	+	AND FEDERAL FINANCIAL PARTICIPATION , ON OR AFTER
	87	+	JULY 1, 2024,9
	88	+	THERAPY USING EQUINE MOVEMENT MAY BE PROVIDED BY A PHYSICAL10
	89	+	THERAPIST LICENSED PURSUANT TO ARTICLE 285 OF TITLE 12, AN11
	90	+	OCCUPATIONAL THERAPIST LICENSED PURSUANT TO ARTICLE 270 OF TITLE12
	91	+	12,
	92	+	OR A SPEECH-LANGUAGE PATHOLOGIST CERTIFIED PURSUANT TO13
	93	+	ARTICLE 305 OF TITLE 12.14
	94	+	(2) A
	95	+	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE15
	96	+	REQUIRES, "THERAPY USING EQUINE MOVEMENT " MEANS THERAPEUTIC16
	97	+	ACTIVITIES THAT LEVERAGE HORSE-HUMAN INTERACTIONS TO FACILITATE17
	98	+	PROGRESSION TOWARD MEETING THERAPEUTIC GOALS .18
	99	+	SECTION 3. Safety clause. The general assembly hereby finds,19
	100	+	determines, and declares that this act is necessary for the immediate20
	101	+	preservation of the public peace, health, or safety.21
	102	+	1068
	103	+	-3-