Second Regular Session
Seventy-third General Assembly
STATE OF COLORADO
INTRODUCED
LLS NO. 22-0094.01 Alana Rosen x2606
SENATE BILL 22-189
Senate Committees House Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING CREATING THE COLORADO MULTIDISCIPLINARY101
GERIATRIC PROVIDER PIPELINE PROGRAM TO SUPPORT THE102
HEALTH CARE OF MEDICALLY COMPROMISED OLDER103
C
OLORADANS.104
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
The bill creates the Colorado multidisciplinary geriatric provider
pipeline program (program) in the university of Colorado Anschutz
medical campus. The program coordinates and expands geriatric training
SENATE SPONSORSHIP
Danielson and Pettersen,
HOUSE SPONSORSHIP
(None),
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing statute.
Dashes through the words indicate deletions from existing statute. opportunities for clinical graduate students enrolled in participating
institutions of higher education who study in the health-care fields of
medicine, medicine with a focus on training to be a physician assistant,
dentistry, pharmacy, nursing, psychology, and social work.
The bill creates the geriatric training executive advisory committee
(committee) to ensure that the training for the program is consistent and
collaborative across the health-care fields of study. The committee is
required to:
! Set the program's standards for training and delivery of
medical care to the most frail and medically complex,
costly, and compromised older Coloradans;
! Collaborate with participating institutions of higher
education across Colorado to select clinical graduate
students who have an interest in geriatric care to participate
in the program;
! Analyze data collected by the program;
! Build relationships, collaborate, and create a
multidisciplinary team that provides opportunities for
clinicians to work together in teams to better understand
the roles of each discipline and better place clinical
graduate students for experiential training opportunities;
and
! Coordinate with graduates of the program for opportunities
to become trainers to future clinical graduate students once
practicing in the graduate's field of study.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add part 11 to article2
21 of title 23 as follows:3
PART 114
COLORADO MULTIDICIPLINARY5
GERIATRIC PROVIDER PIPELINE PROGRAM6
23-21-1101. Legislative declaration. (1) T
HE GENERAL7
ASSEMBLY FINDS AND DECLARES THAT :8
(a) C
OLORADO HAS THE SECOND FASTEST GROWING RATE OF9
RESIDENTS OVER SIXTY-FIVE YEARS OF AGE IN THE UNITED STATES;10
(b) B
Y 2050, OVER ONE QUARTER OF THE POPULATION IN11
SB22-189-2- COLORADO WILL BE OVER SIXTY-FIVE YEARS OF AGE;1
(c) T
HERE ARE ONLY NINETY-NINE GERIATRIC PHYSICIANS ACROSS2
THE STATE;3
(d) T
HERE IS A SEVERE SHORTAGE OF GERIATRIC -TRAINED4
CLINICIANS, PHARMACISTS, AND DENTISTS;5
(e) T
HE NUMBER OF OLDER COLORADANS WILL PUT HIGH DEM ANDS6
ON THE STATE'S HEALTH-CARE SYSTEM;7
(f) O
N AVERAGE, PATIENTS TREATED BY A GERIATRIC-TRAINED8
PHYSICIAN WERE HOSPITALIZED ONE DAY LESS THAN PATIENTS TREATED9
BY A GENERAL PRACTITIONER;10
(g) T
HE AVERAGE HOSPITAL STAY FOR ONE DAY COSTS ROUGHLY11
TWO THOUSAND DOLLARS OR MORE ; AND12
(h) R
EADMISSION RATES FOR ELDERLY PATIENTS RELEASED FROM13
HOSPITALS WITH ACUTE CARE FOR ELDER UNITS WAS AT LEAST FIVE14
PERCENT LESS COMPARED TO PATIENTS RELEASED FROM HOSPITALS15
WITHOUT ACUTE CARE FOR ELDER UNITS .16
(2) T
HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY17
BUILDING A MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM18
TO TRAIN AND SUPPORT GRADUATE STUDENTS IN THE HEALTH -CARE FIELDS19
OF MEDICINE, MEDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN20
ASSISTANT, PHARMACY, DENTISTRY, NURSING, PSYCHOLOGY, AND SOCIAL21
WORK, FUTURE CLINICIANS WILL BETTER MEET THE NEEDS OF THE MOST22
FRAIL AND MEDICALLY COMPLEX , COSTLY, AND COMPROMISED OLDER23
C
OLORADANS. COLLABORATION BETWEEN PARTICIPATING INSTITUTIONS24
OF HIGHER EDUCATION, COMMUNITIES, AND MEDICAL PROVIDERS WILL25
ALLOW COLORADO TO PROVIDE HIGH -QUALITY MEDICAL CARE TO THE26
MOST FRAIL AND MEDICALLY COMPLEX , COSTLY, AND COMPROMISED27
SB22-189
-3- OLDER COLORADANS AND TO BETTER FILL THE NEED FOR GERIATRIC CARE1
IN COMMUNITIES ACROSS THE STATE .2
23-21-1102. Definitions. A
S USED IN THIS PART 11, UNLESS THE3
CONTEXT OTHERWISE REQUIRES :4
(1) "C
LINICAL GRADUATE STUDENT" MEANS A GRADUATE STUDENT5
STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO6
IS TRAINING AS A DOCTOR, PHYSICIAN ASSISTANT, PHARMACIST, NURSE,7
DENTIST, PSYCHOLOGIST, OR SOCIAL WORKER.8
(2) "C
OLORADO MULTIDISCIPLINARY GERIATRIC PROVIDER9
PIPELINE PROGRAM " OR "PROGRAM" MEANS THE COLORADO10
MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM CREATED IN11
SECTION 23-21-1103.12
(3) "C
ONGREGATE CARE COMMUNITY " MEANS A RESIDENTIAL13
CARE FACILITY FOR OLDER ADULTS.14
(4) "G
ERIATRIC TRAINING EXECUTIVE ADVISORY COMMITTEE " OR15
"
COMMITTEE" MEANS THE GERIATRIC TRAINING EXECUTIVE ADVISORY16
COMMITTEE CREATED IN SECTION 23-21-1104.17
(5) "P
ARTICIPATING INSTITUTION OF HIGHER EDUCATION " MEANS18
A PRIVATE INSTITUTION OF HIGHER EDUCATION OR A PUBLIC INSTITUTION19
OF HIGHER EDUCATION PARTICIPATING IN THE COLORADO20
MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM .21
23-21-1103. Colorado multidisciplinary geriatric provider22
pipeline program - created. (1) T
HERE IS CREATED THE COLORADO23
MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM IN THE24
UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS . THE PURPOSE25
OF THE PROGRAM IS TO COORDINATE AND EXPAND GERIATRIC TRAINING26
OPPORTUNITIES FOR CLINICAL GRADUATE STUDENTS FROM PARTICIPATING27
SB22-189
-4- INSTITUTIONS OF HIGHER EDUCATION WHO ARE STUDYING IN THE FIELDS1
OF MEDICINE, MEDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN2
ASSISTANT, PHARMACY, DENTISTRY, NURSING, PSYCHOLOGY, AND SOCIAL3
WORK.4
(2) B
EGINNING IN THE STATE FISCAL YEAR 2023-24, THE5
COMMITTEE, PROGRAM CHAIR OR THE PROGRAM CHAIR 'S DESIGNEE, AND6
PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THROUGHOUT7
C
OLORADO SHALL SELECT TWO CLINICAL GRADUATE STUDENTS PER YEAR8
FROM EACH FIELD OF STUDY DESCRIBED IN THIS SUBSECTION (2) TO9
PARTICIPATE IN THE PROGRAM 'S GERIATRIC CURRICULUM . THE10
COMMITTEE, IN COLLABORATION WITH THE PARTICIPATING INSTITUTIONS11
OF HIGHER EDUCATION, SHALL PLACE CLINICAL GRADUATE STUDENTS IN12
GERIATRIC CLINICAL SETTINGS FOR HANDS -ON EXPERIENTIAL TRAINING.13
T
WO CLINICAL GRADUATE STUDENTS FROM THE FOLLOWING FIELDS OF14
STUDY ARE INCLUDED IN THE PROGRAM :15
(a) M
EDICINE;16
(b) M
EDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN17
ASSISTANT;18
(c) P
HARMACY;19
(d) D
ENTISTRY;20
(e) N
URSING;21
(f) P
SYCHOLOGY; AND22
(g) S
OCIAL WORK.23
(3) T
HE PROGRAM MUST PROVIDE UPDATED TRAINING EACH YEAR24
FOR CLINICAL GRADUATE STUDENTS , PROFESSORS, AND COMMUNITY25
HEALTH PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC26
APPROACHES, INNOVATIONS, AND TECHNOLOGIES.27
SB22-189
-5- (4) THE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,1
SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER2
EDUCATION, COMMUNITY HEALTH PROVIDERS , AND CONGREGATE CARE3
COMMUNITIES TO PLACE CLINICAL GRADUATE STUDENTS IN GERIATRIC4
CLINICAL SETTINGS FOR HANDS-ON EXPERIENTIAL TRAINING.5
(5) T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,6
SHALL GATHER DATA ON THE FOLLOWING :7
(a) T
HE NUMBER OF CLINICAL GRADUATE STUDENTS8
PARTICIPATING IN THE PROGRAM FROM EACH PARTICIPATING INSTITUTION9
OF HIGHER EDUCATION;10
(b) T
HE NUMBER OF CLINICAL GRADUATE STUDENTS WHO11
GRADUATE FROM THE PROGRAM ; AND12
(c) T
HE SUBSEQUENT LOCATION AND JOB PLACEMENT OF PROGRAM13
GRADUATES.14
23-21-1104. Geriatric training executive advisory committee15
- created - training. (1) T
HERE IS CREATED THE GERIATRIC TRAINING16
EXECUTIVE ADVISORY COMMITTEE TO ENSURE THAT TRAINING FOR THE17
PROGRAM IS CONSISTENT AND COLLABORATIVE ACROSS THE UNIVERSITY18
DEPARTMENTS, PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION, AND19
MEDICAL FIELDS. THE COMMITTEE SHALL CONSIST OF THE PROGRAM20
CHAIR, APPOINTED PURSUANT TO SUBSECTION (2)(a) OF THIS SECTION, AND21
MEMBERS, INCLUDING, BUT NOT LIMITED TO:22
(a) O
NE REPRESENTATIVE FROM THE SCHOOL OF MEDICINE ;23
(b) O
NE REPRESENTATIVE FROM THE SCHOOL OF PHARMACY ;24
(c) O
NE REPRESENTATIVE FROM THE SCHOOL OF DENTAL25
MEDICINE;26
(d) O
NE REPRESENTATIVE FROM A NURSING PROGRAM ;27
SB22-189
-6- (e) ONE REPRESENTATIVE FROM THE DEPARTMENT OF1
PSYCHOLOGY; AND2
(f) O
NE REPRESENTATIVE FROM A SOCIAL WORK PROGRAM .3
(2) T
HE COMMITTEE SHALL:4
(a) A
PPOINT A PROGRAM CHAIR;5
(b) S
ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY6
OF MEDICAL CARE TO THE MOST FRAIL AND MEDICALLY COMPLEX , COSTLY,7
AND COMPROMISED OLDER COLORADANS;8
(c) C
OLLABORATE WITH THE PROGRAM CHAIR AND PARTICIPATING9
INSTITUTIONS OF HIGHER EDUCATION TO SELECT CLINICAL GRADUATE10
STUDENTS WHO HAVE AN INTEREST IN GERIATRIC CARE TO PARTICIPATE IN11
THE PROGRAM;12
(d) A
NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (5);13
(e) B
UILD RELATIONSHIPS, COLLABORATE, AND CREATE A14
MULTIDISCIPLINARY TEAM THAT PROVIDES OPPORTUNITIES FOR CLINICIANS15
TO WORK TOGETHER IN TEAMS TO BETTER UNDERSTAND THE ROLES OF16
EACH DISCIPLINE AND BETTER PLACE CLINICAL GRADUATE STUDENTS FOR17
EXPERIENTIAL TRAINING OPPORTUNITIES ; AND18
(f) C
OORDINATE WITH GRADUATES OF THE PROGRAM FOR19
OPPORTUNITIES TO BECOME TRAINERS TO FUTURE CLINICAL GRADUATE20
STUDENTS ONCE PRACTICING IN THE GRADUATE 'S FIELD OF STUDY.21
23-21-1105. Reporting. B
Y JULY 1, 2024, AND NO LATER THAN22
J
ULY 1 EACH YEAR THEREAFTER, A REPRESENTATIVE OF THE PROGRAM23
SHALL SUBMIT A REPORT OF THE DATA COLLECTED IN SECTION 23-21-110324
(5)
AND RECOMMENDATIONS FOR LEGISLATIVE OR REGULATORY CHANGES25
TO FACILITATE THE EFFECTIVE IMPLEMENTATION OF THE PROGRAM TO THE26
PUBLIC AND BEHAVIORAL HEALTH AND HUMAN SERVICES COMMITTEE OF27
SB22-189
-7- THE SENATE, THE HEALTH AND HUMAN SERVICES COMMI TTEE OF THE1
SENATE, OR THEIR SUCCESSOR COMMITTEES. NOTWITHSTANDING SECTION2
24-1-136 (11)(a)(I),
THE REPORTING REQUIREMENT IN THIS SECTION3
CONTINUES INDEFINITELY.4
SECTION 2. Act subject to petition - effective date. This act5
takes effect at 12:01 a.m. on the day following the expiration of the6
ninety-day period after final adjournment of the general assembly; except7
that, if a referendum petition is filed pursuant to section 1 (3) of article V8
of the state constitution against this act or an item, section, or part of this9
act within such period, then the act, item, section, or part will not take10
effect unless approved by the people at the general election to be held in11
November 2022 and, in such case, will take effect on the date of the12
official declaration of the vote thereon by the governor.13
SB22-189
-8-