Colorado 2022 Regular Session

Colorado House Bill HB1158 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	Second Regular Session
2	2	Seventy-third General Assembly
3	3	STATE OF COLORADO
4	4	INTRODUCED
5	5
6	6
7	7	LLS NO. 22-0718.01 Jane Ritter x4342
8	8	HOUSE BILL 22-1158
9	9	House Committees Senate Committees
10	10	Public & Behavioral Health & Human Services
11	11	A BILL FOR AN ACT
12	12	C
13	13	ONCERNING THE ESTABLISHMENT OF A CENTER AT THE COLORADO101
14	14	S
15	15	PRINGS CAMPUS OF THE UNIVERSITY OF COLORADO TO102
16	16	PROVIDE ACCESSIBLE COMMUNITY SERVICES RELATED TO103
17	17	SUBSTANCE USE.104
18	18	Bill Summary
19	19	(Note: This summary applies to this bill as introduced and does
20	20	not reflect any amendments that may be subsequently adopted. If this bill
21	21	passes third reading in the house of introduction, a bill summary that
22	22	applies to the reengrossed version of this bill will be available at
23	23	http://leg.colorado.gov
24	24	.)
25	25	The bill establishes the CARE center in the Colorado Springs
26	26	campus of the university of Colorado (center). The purpose of the center
27	27	is to provide accessible substance use prevention and treatment services
28	28	HOUSE SPONSORSHIP
29	29	Sandridge and Snyder,
30	30	SENATE SPONSORSHIP
31	31	(None),
32	32	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
33	33	Capital letters or bold & italic numbers indicate new material to be added to existing statute.
34	34	Dashes through the words indicate deletions from existing statute. to the community, train competent and culturally responsive substance
35	35	use counselors, and collect data that will contribute to research regarding
36	36	the efficacy of substance use interventions. The center shall submit a
37	37	report on its work and data collected to the health and human services
38	38	committee of the senate and the public and behavioral health and human
39	39	services committee of the house of representatives, or any successor
40	40	committees, on or before December 30, 2027.
41	41	Be it enacted by the General Assembly of the State of Colorado:1
42	42	SECTION 1. Legislative declaration. (1) The general assembly2
43	43	finds and declares that:3
44	44	(a) According to the 2018 national survey on drug use and health,4
45	45	nearly eight percent of persons twelve years of age and older needed5
46	46	substance abuse treatment in the previous year, yet only close to two6
47	47	percent received treatment for a substance use disorder. This treatment7
48	48	gap may be explained by a variety of factors, from individual attitudes8
49	49	toward substance use disorder treatment, to market and environmental9
50	50	variables, and the characteristics of licensed counselors who provide10
51	51	services, such as attitude, knowledge, and ability.11
52	52	(b) Barriers to a person's ability to engage in substance use12
53	53	prevention and treatment include:13
54	54	(I) Lack of accessible treatment options due to geographic14
55	55	location, such as in rural communities;15
56	56	(II) Inadequate access to transportation to travel to treatment16
57	57	facilities;17
58	58	(III) Lack of health insurance or difficulties accessing providers18
59	59	approved by health insurance;19
60	60	(IV) Lack of funding necessary to pay for treatment;20
61	61	(V) Social stigma; and21
62	62	(VI) Lack of integration of care. The lack of integrated care22
63	63	HB22-1158-2- occurs when clients change levels of care during treatment. The lack of1
64	64	integration and collaboration among treatment providers results in clients2
65	65	"falling through the cracks".3
66	66	(c) Research has demonstrated that untreated substance use4
67	67	disorders cost society approximately four hundred forty-two billion5
68	68	dollars each year in criminal justice expenses, as well as loss of6
69	69	productivity and health-care costs;7
70	70	(d) For every dollar invested in substance use disorder treatment,8
71	71	twelve dollars are saved in health care, criminal justice costs, theft, and9
72	72	drug-related crime;10
73	73	(e) In 2018, the United States department of health and human11
74	74	services estimated that Colorado had a shortage of approximately one12
75	75	hundred and ten addictions counselors. If the number of addictions13
76	76	counselors introduced to the workforce through training programs14
77	77	remains constant, the shortage is expected to increase to a shortage of15
78	78	four hundred and thirty addictions counselors by 2030.16
79	79	(f) The Colorado Springs campus of the university of Colorado is17
80	80	uniquely situated to provide persons experiencing substance use disorders18
81	81	issues with behavioral health treatment. The department of counseling19
82	82	and human services intends to establish a center, informally referred to as20
83	83	the "CARE center", to provide on-site, no-cost community counseling21
84	84	services with highly trained counseling interns under the supervision of22
85	85	a faculty of fully licensed and certified mental health, substance use, and23
86	86	mental health counselors.24
87	87	(g) Once the CARE center is formalized, it will ensure counseling25
88	88	services are accessible by circumventing common barriers to treatment in26
89	89	the following ways:27
90	90	HB22-1158
91	91	-3- (I) Administering telehealth services using a HIPAA-compliant1
92	92	platform to ensure persons in rural communities and those with limited2
93	93	transportation resources may access care;3
94	94	(II) Providing services at no cost to the client; and4
95	95	(III) Training student counselors in culturally responsive,5
96	96	integrated healthcare, and evidence-based substance use and mental6
97	97	health treatment modalities.7
98	98	(h) The CARE center will gather outcome data from each8
99	99	participating client, including demographics; responses to interventions;9
100	100	and changes in health, symptoms, and well-being. This information will10
101	101	contribute to research on the efficacy of interventions for substance use11
102	102	disorder treatment.12
103	103	(2) Therefore, the general assembly declares it is in the best13
104	104	interest of the state to formalize the CARE center and its services in14
105	105	statute. This will increase accessibility of substance use disorder15
106	106	treatment services by decreasing barriers to care and improving health16
107	107	disparities and supporting the education and training of substance use17
108	108	counselors-in-training. The interests of the state are further supported by18
109	109	the expansion of research to increase the understanding of substance use19
110	110	prevention and treatment interventions.20
111	111	SECTION 2. In Colorado Revised Statutes, add 27-81-119 as21
112	112	follows:22
113	113	27-81-119. CARE counseling center - established - purpose -23
114	114	reporting. (1) O
115	115	N OR BEFORE DECEMBER 1, 2022, THE COLORADO24
116	116	S
117	117	PRINGS CAMPUS OF THE UNIVERSITY OF COLORADO SHALL ESTABLISH25
118	118	THE CARE COUNSELING CENTER, REFERRED TO IN THIS SECTION AS THE26
119	119	"
120	120	CENTER". THE PURPOSE OF THE CENTER IS TO PROVIDE ACCESSIBLE27
121	121	HB22-1158
122	122	-4- SUBSTANCE USE PREVENTION AND TREATMENT SERVICES TO THE1
123	123	COMMUNITY, TRAIN COMPETENT AND CULTURALLY RESPONSIVE2
124	124	SUBSTANCE USE COUNSELORS , AND COLLECT DATA THAT WILL3
125	125	CONTRIBUTE TO RESEARCH REGARDING THE EFFICACY OF SUBSTANCE USE4
126	126	INTERVENTIONS.5
127	127	(2) O
128	128	N OR BEFORE DECEMBER 30, 2027, THE CENTER SHALL6
129	129	SUBMIT A REPORT TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF7
130	130	THE SENATE AND THE PUBLIC AND BEHAVIORAL HEALTH AND HUMAN8
131	131	SERVICES COMMITTEE OF THE HOUSE OF REPRESENTATIVES , OR ANY9
132	132	SUCCESSOR COMMITTEES , CONTAINING THE FOLLOWING INFORMATION ,10
133	133	BASED ON DATA COLLECTED THROUGH THE CENTER :11
134	134	(a) T
135	135	HE TOTAL NUMBER OF CLIENTS TREATED BY THE CENTER12
136	136	SINCE ITS ESTABLISHMENT;13
137	137	(b) T
138	138	HE TOTAL NUMBER OF REPEAT CLIENTS TREATED BY THE14
139	139	CENTER;15
140	140	(c) B
141	141	EST PRACTICES FOR SCREENING AND ADMITTING POTENTIAL16
142	142	CLIENTS FOR ADMISSION FOR THE LEVEL OF CARE PROVIDED AT THE17
143	143	CENTER;18
144	144	(d) B
145	145	EST PRACTICES FOR ASSESSING THE PRESENCE OF A19
146	146	SUBSTANCE USE DISORDER; RISK FACTORS FOR THE DEVELOPMENT OF A20
147	147	SUBSTANCE USE DISORDER ; PROTECTIVE AND RESILIENCY FACTORS21
148	148	ASSOCIATED WITH ADAPTATION ; AND PREVENTION OF PROBLEMATIC22
149	149	SUBSTANCE USE;23
150	150	(e) B
151	151	EST PRACTICES FOR INCREASING CLIENT ACCESS TO24
152	152	SUBSTANCE USE TREATMENT , AS WELL AS OTHER HEALTH CARE SERVICES;25
153	153	AND26
154	154	(f) I
155	155	DENTIFICATION OF EFFECTIVE INTERVENTIONS FOR THE27
156	156	HB22-1158
157	157	-5- TREATMENT AND PREVENTION OF SUBSTANCE USE DISORDERS AND1
158	158	SYMPTOMS AND HOW THESE INTERVENTIONS IMPACT THE HEALTH AND2
159	159	WELL-BEING OF CLIENTS.3
160	160	(3) T
161	161	HE CENTER MAY CONTRACT WITH OTHER ENTITIES IN THE4
162	162	UNIVERSITY OF COLORADO SYSTEM TO ACQUIRE RESOURCES NEEDED FOR5
163	163	THE OPERATION OF THE CENTER.6
164	164	SECTION 3. Safety clause. The general assembly hereby finds,7
165	165	determines, and declares that this act is necessary for the immediate8
166	166	preservation of the public peace, health, or safety.9
167	167	HB22-1158
168	168	-6-