Colorado 2022 Regular Session

Colorado Senate Bill SB189 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. 22-0094.01 Alana Rosen x2606
8	8	SENATE BILL 22-189
9	9	Senate Committees House Committees
10	10	Health & Human Services
11	11	A BILL FOR AN ACT
12	12	C
13	13	ONCERNING CREATING THE COLORADO MULTIDISCIPLINARY101
14	14	GERIATRIC PROVIDER PIPELINE PROGRAM TO SUPPORT THE102
15	15	HEALTH CARE OF MEDICALLY COMPROMISED OLDER103
16	16	C
17	17	OLORADANS.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 creates the Colorado multidisciplinary geriatric provider
26	26	pipeline program (program) in the university of Colorado Anschutz
27	27	medical campus. The program coordinates and expands geriatric training
28	28	SENATE SPONSORSHIP
29	29	Danielson and Pettersen,
30	30	HOUSE 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. opportunities for clinical graduate students enrolled in participating
35	35	institutions of higher education who study in the health-care fields of
36	36	medicine, medicine with a focus on training to be a physician assistant,
37	37	dentistry, pharmacy, nursing, psychology, and social work.
38	38	The bill creates the geriatric training executive advisory committee
39	39	(committee) to ensure that the training for the program is consistent and
40	40	collaborative across the health-care fields of study. The committee is
41	41	required to:
42	42	! Set the program's standards for training and delivery of
43	43	medical care to the most frail and medically complex,
44	44	costly, and compromised older Coloradans;
45	45	! Collaborate with participating institutions of higher
46	46	education across Colorado to select clinical graduate
47	47	students who have an interest in geriatric care to participate
48	48	in the program;
49	49	! Analyze data collected by the program;
50	50	! Build relationships, collaborate, and create a
51	51	multidisciplinary team that provides opportunities for
52	52	clinicians to work together in teams to better understand
53	53	the roles of each discipline and better place clinical
54	54	graduate students for experiential training opportunities;
55	55	and
56	56	! Coordinate with graduates of the program for opportunities
57	57	to become trainers to future clinical graduate students once
58	58	practicing in the graduate's field of study.
59	59	Be it enacted by the General Assembly of the State of Colorado:1
60	60	SECTION 1. In Colorado Revised Statutes, add part 11 to article2
61	61	21 of title 23 as follows:3
62	62	PART 114
63	63	COLORADO MULTIDICIPLINARY5
64	64	GERIATRIC PROVIDER PIPELINE PROGRAM6
65	65	23-21-1101. Legislative declaration. (1) T
66	66	HE GENERAL7
67	67	ASSEMBLY FINDS AND DECLARES THAT :8
68	68	(a) C
69	69	OLORADO HAS THE SECOND FASTEST GROWING RATE OF9
70	70	RESIDENTS OVER SIXTY-FIVE YEARS OF AGE IN THE UNITED STATES;10
71	71	(b) B
72	72	Y 2050, OVER ONE QUARTER OF THE POPULATION IN11
73	73	SB22-189-2- COLORADO WILL BE OVER SIXTY-FIVE YEARS OF AGE;1
74	74	(c) T
75	75	HERE ARE ONLY NINETY-NINE GERIATRIC PHYSICIANS ACROSS2
76	76	THE STATE;3
77	77	(d) T
78	78	HERE IS A SEVERE SHORTAGE OF GERIATRIC -TRAINED4
79	79	CLINICIANS, PHARMACISTS, AND DENTISTS;5
80	80	(e) T
81	81	HE NUMBER OF OLDER COLORADANS WILL PUT HIGH DEM ANDS6
82	82	ON THE STATE'S HEALTH-CARE SYSTEM;7
83	83	(f) O
84	84	N AVERAGE, PATIENTS TREATED BY A GERIATRIC-TRAINED8
85	85	PHYSICIAN WERE HOSPITALIZED ONE DAY LESS THAN PATIENTS TREATED9
86	86	BY A GENERAL PRACTITIONER;10
87	87	(g) T
88	88	HE AVERAGE HOSPITAL STAY FOR ONE DAY COSTS ROUGHLY11
89	89	TWO THOUSAND DOLLARS OR MORE ; AND12
90	90	(h) R
91	91	EADMISSION RATES FOR ELDERLY PATIENTS RELEASED FROM13
92	92	HOSPITALS WITH ACUTE CARE FOR ELDER UNITS WAS AT LEAST FIVE14
93	93	PERCENT LESS COMPARED TO PATIENTS RELEASED FROM HOSPITALS15
94	94	WITHOUT ACUTE CARE FOR ELDER UNITS .16
95	95	(2) T
96	96	HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY17
97	97	BUILDING A MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM18
98	98	TO TRAIN AND SUPPORT GRADUATE STUDENTS IN THE HEALTH -CARE FIELDS19
99	99	OF MEDICINE, MEDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN20
100	100	ASSISTANT, PHARMACY, DENTISTRY, NURSING, PSYCHOLOGY, AND SOCIAL21
101	101	WORK, FUTURE CLINICIANS WILL BETTER MEET THE NEEDS OF THE MOST22
102	102	FRAIL AND MEDICALLY COMPLEX , COSTLY, AND COMPROMISED OLDER23
103	103	C
104	104	OLORADANS. COLLABORATION BETWEEN PARTICIPATING INSTITUTIONS24
105	105	OF HIGHER EDUCATION, COMMUNITIES, AND MEDICAL PROVIDERS WILL25
106	106	ALLOW COLORADO TO PROVIDE HIGH -QUALITY MEDICAL CARE TO THE26
107	107	MOST FRAIL AND MEDICALLY COMPLEX , COSTLY, AND COMPROMISED27
108	108	SB22-189
109	109	-3- OLDER COLORADANS AND TO BETTER FILL THE NEED FOR GERIATRIC CARE1
110	110	IN COMMUNITIES ACROSS THE STATE .2
111	111	23-21-1102. Definitions. A
112	112	S USED IN THIS PART 11, UNLESS THE3
113	113	CONTEXT OTHERWISE REQUIRES :4
114	114	(1) "C
115	115	LINICAL GRADUATE STUDENT" MEANS A GRADUATE STUDENT5
116	116	STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO6
117	117	IS TRAINING AS A DOCTOR, PHYSICIAN ASSISTANT, PHARMACIST, NURSE,7
118	118	DENTIST, PSYCHOLOGIST, OR SOCIAL WORKER.8
119	119	(2) "C
120	120	OLORADO MULTIDISCIPLINARY GERIATRIC PROVIDER9
121	121	PIPELINE PROGRAM " OR "PROGRAM" MEANS THE COLORADO10
122	122	MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM CREATED IN11
123	123	SECTION 23-21-1103.12
124	124	(3) "C
125	125	ONGREGATE CARE COMMUNITY " MEANS A RESIDENTIAL13
126	126	CARE FACILITY FOR OLDER ADULTS.14
127	127	(4) "G
128	128	ERIATRIC TRAINING EXECUTIVE ADVISORY COMMITTEE " OR15
129	129	"
130	130	COMMITTEE" MEANS THE GERIATRIC TRAINING EXECUTIVE ADVISORY16
131	131	COMMITTEE CREATED IN SECTION 23-21-1104.17
132	132	(5) "P
133	133	ARTICIPATING INSTITUTION OF HIGHER EDUCATION " MEANS18
134	134	A PRIVATE INSTITUTION OF HIGHER EDUCATION OR A PUBLIC INSTITUTION19
135	135	OF HIGHER EDUCATION PARTICIPATING IN THE COLORADO20
136	136	MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM .21
137	137	23-21-1103. Colorado multidisciplinary geriatric provider22
138	138	pipeline program - created. (1) T
139	139	HERE IS CREATED THE COLORADO23
140	140	MULTIDISCIPLINARY GERIATRIC PROVIDER PIPELINE PROGRAM IN THE24
141	141	UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS . THE PURPOSE25
142	142	OF THE PROGRAM IS TO COORDINATE AND EXPAND GERIATRIC TRAINING26
143	143	OPPORTUNITIES FOR CLINICAL GRADUATE STUDENTS FROM PARTICIPATING27
144	144	SB22-189
145	145	-4- INSTITUTIONS OF HIGHER EDUCATION WHO ARE STUDYING IN THE FIELDS1
146	146	OF MEDICINE, MEDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN2
147	147	ASSISTANT, PHARMACY, DENTISTRY, NURSING, PSYCHOLOGY, AND SOCIAL3
148	148	WORK.4
149	149	(2) B
150	150	EGINNING IN THE STATE FISCAL YEAR 2023-24, THE5
151	151	COMMITTEE, PROGRAM CHAIR OR THE PROGRAM CHAIR 'S DESIGNEE, AND6
152	152	PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THROUGHOUT7
153	153	C
154	154	OLORADO SHALL SELECT TWO CLINICAL GRADUATE STUDENTS PER YEAR8
155	155	FROM EACH FIELD OF STUDY DESCRIBED IN THIS SUBSECTION (2) TO9
156	156	PARTICIPATE IN THE PROGRAM 'S GERIATRIC CURRICULUM . THE10
157	157	COMMITTEE, IN COLLABORATION WITH THE PARTICIPATING INSTITUTIONS11
158	158	OF HIGHER EDUCATION, SHALL PLACE CLINICAL GRADUATE STUDENTS IN12
159	159	GERIATRIC CLINICAL SETTINGS FOR HANDS -ON EXPERIENTIAL TRAINING.13
160	160	T
161	161	WO CLINICAL GRADUATE STUDENTS FROM THE FOLLOWING FIELDS OF14
162	162	STUDY ARE INCLUDED IN THE PROGRAM :15
163	163	(a) M
164	164	EDICINE;16
165	165	(b) M
166	166	EDICINE WITH A FOCUS ON TRAINING TO BE A PHYSICIAN17
167	167	ASSISTANT;18
168	168	(c) P
169	169	HARMACY;19
170	170	(d) D
171	171	ENTISTRY;20
172	172	(e) N
173	173	URSING;21
174	174	(f) P
175	175	SYCHOLOGY; AND22
176	176	(g) S
177	177	OCIAL WORK.23
178	178	(3) T
179	179	HE PROGRAM MUST PROVIDE UPDATED TRAINING EACH YEAR24
180	180	FOR CLINICAL GRADUATE STUDENTS , PROFESSORS, AND COMMUNITY25
181	181	HEALTH PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC26
182	182	APPROACHES, INNOVATIONS, AND TECHNOLOGIES.27
183	183	SB22-189
184	184	-5- (4) THE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,1
185	185	SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER2
186	186	EDUCATION, COMMUNITY HEALTH PROVIDERS , AND CONGREGATE CARE3
187	187	COMMUNITIES TO PLACE CLINICAL GRADUATE STUDENTS IN GERIATRIC4
188	188	CLINICAL SETTINGS FOR HANDS-ON EXPERIENTIAL TRAINING.5
189	189	(5) T
190	190	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,6
191	191	SHALL GATHER DATA ON THE FOLLOWING :7
192	192	(a) T
193	193	HE NUMBER OF CLINICAL GRADUATE STUDENTS8
194	194	PARTICIPATING IN THE PROGRAM FROM EACH PARTICIPATING INSTITUTION9
195	195	OF HIGHER EDUCATION;10
196	196	(b) T
197	197	HE NUMBER OF CLINICAL GRADUATE STUDENTS WHO11
198	198	GRADUATE FROM THE PROGRAM ; AND12
199	199	(c) T
200	200	HE SUBSEQUENT LOCATION AND JOB PLACEMENT OF PROGRAM13
201	201	GRADUATES.14
202	202	23-21-1104. Geriatric training executive advisory committee15
203	203	- created - training. (1) T
204	204	HERE IS CREATED THE GERIATRIC TRAINING16
205	205	EXECUTIVE ADVISORY COMMITTEE TO ENSURE THAT TRAINING FOR THE17
206	206	PROGRAM IS CONSISTENT AND COLLABORATIVE ACROSS THE UNIVERSITY18
207	207	DEPARTMENTS, PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION, AND19
208	208	MEDICAL FIELDS. THE COMMITTEE SHALL CONSIST OF THE PROGRAM20
209	209	CHAIR, APPOINTED PURSUANT TO SUBSECTION (2)(a) OF THIS SECTION, AND21
210	210	MEMBERS, INCLUDING, BUT NOT LIMITED TO:22
211	211	(a) O
212	212	NE REPRESENTATIVE FROM THE SCHOOL OF MEDICINE ;23
213	213	(b) O
214	214	NE REPRESENTATIVE FROM THE SCHOOL OF PHARMACY ;24
215	215	(c) O
216	216	NE REPRESENTATIVE FROM THE SCHOOL OF DENTAL25
217	217	MEDICINE;26
218	218	(d) O
219	219	NE REPRESENTATIVE FROM A NURSING PROGRAM ;27
220	220	SB22-189
221	221	-6- (e) ONE REPRESENTATIVE FROM THE DEPARTMENT OF1
222	222	PSYCHOLOGY; AND2
223	223	(f) O
224	224	NE REPRESENTATIVE FROM A SOCIAL WORK PROGRAM .3
225	225	(2) T
226	226	HE COMMITTEE SHALL:4
227	227	(a) A
228	228	PPOINT A PROGRAM CHAIR;5
229	229	(b) S
230	230	ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY6
231	231	OF MEDICAL CARE TO THE MOST FRAIL AND MEDICALLY COMPLEX , COSTLY,7
232	232	AND COMPROMISED OLDER COLORADANS;8
233	233	(c) C
234	234	OLLABORATE WITH THE PROGRAM CHAIR AND PARTICIPATING9
235	235	INSTITUTIONS OF HIGHER EDUCATION TO SELECT CLINICAL GRADUATE10
236	236	STUDENTS WHO HAVE AN INTEREST IN GERIATRIC CARE TO PARTICIPATE IN11
237	237	THE PROGRAM;12
238	238	(d) A
239	239	NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (5);13
240	240	(e) B
241	241	UILD RELATIONSHIPS, COLLABORATE, AND CREATE A14
242	242	MULTIDISCIPLINARY TEAM THAT PROVIDES OPPORTUNITIES FOR CLINICIANS15
243	243	TO WORK TOGETHER IN TEAMS TO BETTER UNDERSTAND THE ROLES OF16
244	244	EACH DISCIPLINE AND BETTER PLACE CLINICAL GRADUATE STUDENTS FOR17
245	245	EXPERIENTIAL TRAINING OPPORTUNITIES ; AND18
246	246	(f) C
247	247	OORDINATE WITH GRADUATES OF THE PROGRAM FOR19
248	248	OPPORTUNITIES TO BECOME TRAINERS TO FUTURE CLINICAL GRADUATE20
249	249	STUDENTS ONCE PRACTICING IN THE GRADUATE 'S FIELD OF STUDY.21
250	250	23-21-1105. Reporting. B
251	251	Y JULY 1, 2024, AND NO LATER THAN22
252	252	J
253	253	ULY 1 EACH YEAR THEREAFTER, A REPRESENTATIVE OF THE PROGRAM23
254	254	SHALL SUBMIT A REPORT OF THE DATA COLLECTED IN SECTION 23-21-110324
255	255	(5)
256	256	AND RECOMMENDATIONS FOR LEGISLATIVE OR REGULATORY CHANGES25
257	257	TO FACILITATE THE EFFECTIVE IMPLEMENTATION OF THE PROGRAM TO THE26
258	258	PUBLIC AND BEHAVIORAL HEALTH AND HUMAN SERVICES COMMITTEE OF27
259	259	SB22-189
260	260	-7- THE SENATE, THE HEALTH AND HUMAN SERVICES COMMI TTEE OF THE1
261	261	SENATE, OR THEIR SUCCESSOR COMMITTEES. NOTWITHSTANDING SECTION2
262	262	24-1-136 (11)(a)(I),
263	263	THE REPORTING REQUIREMENT IN THIS SECTION3
264	264	CONTINUES INDEFINITELY.4
265	265	SECTION 2. Act subject to petition - effective date. This act5
266	266	takes effect at 12:01 a.m. on the day following the expiration of the6
267	267	ninety-day period after final adjournment of the general assembly; except7
268	268	that, if a referendum petition is filed pursuant to section 1 (3) of article V8
269	269	of the state constitution against this act or an item, section, or part of this9
270	270	act within such period, then the act, item, section, or part will not take10
271	271	effect unless approved by the people at the general election to be held in11
272	272	November 2022 and, in such case, will take effect on the date of the12
273	273	official declaration of the vote thereon by the governor.13
274	274	SB22-189
275	275	-8-