First Regular Session Seventy-fourth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO. 23-0051.01 Kristen Forrestal x4217 HOUSE BILL 23-1071 House Committees Senate Committees Public & Behavioral Health & Human Services A BILL FOR AN ACT C ONCERNING THE AUTHORITY OF A LICENSED PSYCHOLOGIST TO101 PRESCRIBE PSYCHOTROPIC MEDICATION FOR THE TREATMENT102 OF MENTAL HEALTH DISORDERS .103 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 adds 2 members to the state board of psychologist examiners (board) and requires 2 of the 9 members of the board to be prescribing psychologists. The bill allows a licensed psychologist to prescribe and administer psychotropic medications if the licensed psychologist holds a conditional HOUSE Amended 2nd Reading February 8, 2023 HOUSE SPONSORSHIP Amabile and Bradfield, SENATE SPONSORSHIP Simpson and Fenberg, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. prescription certificate or a prescription certificate issued by the board. A licensed psychologist may apply to the board for a conditional prescription certificate and must include in the application satisfactory evidence that the applicant has met specific educational, supervisory, and clinical requirements. The board is required to issue a conditional prescription certificate to the licensed psychologist if the board determines the applicant has met the requirements. The licensed psychologist with a conditional prescription certificate may only administer and prescribe psychotropic medications under the supervision of a licensed physician or advanced practice registered nurse and must maintain a collaborative relationship with the patient's health-care provider. A licensed psychologist who holds a conditional prescription certificate for 2 years and who meets the specified requirements may apply for and receive a prescription certificate (prescribing psychologist). A licensed psychologist with a prescription certificate may prescribe psychotropic medication to a person if the licensed psychologist: ! Holds a current license in good standing; ! Maintains the required malpractice insurance; and ! Annually completes at least 20 hours of continuing education. The board is authorized to promulgate rules to: ! Implement procedures for obtaining a conditional prescription certificate and a prescription certificate; and ! Establish grounds for denial, suspension, and revocation of the certificates. The bill requires a prescribing psychologist and a licensed psychologist with a conditional prescription certificate to file with the board all individual federal drug enforcement administration registrations and numbers. The board and the Colorado medical board are required to maintain current records of every psychologist with prescriptive authority, including registrations and numbers. The department of regulatory agencies (department) is required to annually collect information regarding prescribing psychologists and licensed psychologists with conditional prescription certificates, to compile the information, and to share the information with the office in the department responsible for conducting sunset reviews for inclusion in each scheduled sunset review concerning the regulation of mental health professionals. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 12-245-301, amend2 1071-2- (4), (5), and (6); and add (7), (8), (9), (10), (11), (12), and (13) as1 follows:2 12-245-301. Definitions. As used in this part 3, unless the context3 otherwise requires:4 (4) "Licensed psychologist" means a person licensed under this5 part 3 "CONDITIONAL PRESCRIPTION CERTIFICATE " MEANS A DOCUMENT6 ISSUED BY THE BOARD TO A LICENSED PSYCHOLOGIST THAT PERMITS THE7 LICENSED PSYCHOLOGIST TO PRESCRIBE PSYCHOTROPIC MEDICATION8 UNDER THE SUPERVISION OF A SUPERVISING CLINICIAN PURSUANT TO THIS9 PART 3.10 (5) "Professional psychological training program" means a11 doctoral training program that:12 (a) Is a planned program of study that reflects an integration of the13 science and practice of psychology; and14 (b) For applicants receiving their terminal degrees after 1990, is15 designated as a doctoral program in psychology by the Association of16 State and Provincial Psychology Boards or the National Register of17 Health Service Psychologists, or is accredited by the American18 Psychological Association or Canadian Psychological Association19 "I NDEPENDENTLY LICENSED PRESCRIBING CLINICIAN " MEANS A PHYSICIAN20 LICENSED PURSUANT TO ARTICLE 240 OF THIS TITLE 12 OR AN ADVANCED21 PRACTICE REGISTERED NURSE AS DEFINED IN SECTION 12-255-104 (1) WHO22 SUPERVISES LICENSED PSYCHOLOGISTS PARTICIPATING IN PRACTICUMS23 DESCRIBED IN SECTION 12-245-309 (2)(a)(IV).24 (6) "Telepsychology" means the provision of psychological 25 services using telecommunications technologies "LICENSED26 PSYCHOLOGIST" MEANS A PERSON LICENSED UNDER THIS PART 3.27 1071 -3- (7) "NARCOTIC DRUG" HAS THE SAME MEANING AS SET FORTH IN1 SECTION 18-18-102 (20).2 (8) "P RESCRIBING PSYCHOLOGIST " MEANS A LICENSED3 PSYCHOLOGIST WHO HOLDS A PRESCRIPTION CERTIFICATE .4 (9) "P RESCRIPTION CERTIFICATE" MEANS A DOCUMENT ISSUED BY5 THE BOARD TO A LICENSED PSYCHOLOGIST THAT PERMITS THE LICENSED6 PSYCHOLOGIST TO PRESCRIBE PSYCHOTROPIC MEDICATIONS PURSUANT TO7 THIS PART 3.8 (10) "P ROFESSIONAL PSYCHOLOGICAL TRAINING PROGRAM " MEANS9 A DOCTORAL TRAINING PROGRAM THAT :10 (a) I S A PLANNED PROGRAM OF STUDY THAT REFLECTS AN11 INTEGRATION OF THE SCIENCE AND PRACTICE OF PSYCHOLOGY ; AND12 (b) F OR APPLICANTS RECEIVING THEIR TERMINAL DEGREES AFTER13 1990, IS DESIGNATED AS A DOCTORAL PROGRAM IN PSYCHOLOGY BY THE14 A SSOCIATION OF STATE AND PROVINCIAL PSYCHOLOGY BOARDS OR THE15 N ATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS OR IS16 ACCREDITED BY THE AMERICAN PSYCHOLOGICAL ASSOCIATION OR17 C ANADIAN PSYCHOLOGICAL ASSOCIATION.18 (11) (a) "P SYCHOTROPIC MEDICATION " MEANS A CONTROLLED19 SUBSTANCE OR DANGEROUS DRUG :20 (I) T HAT MAY NOT BE DISPENSED OR ADMINISTERED WITHOUT A21 PRESCRIPTION;22 (II) F OR WHICH THE PRIMARY INDICATION FOR USE IS APPROVED BY23 THE FEDERAL FOOD AND DRUG ADMINISTRATION FOR THE TREATMENT OF24 MENTAL HEALTH DISORDERS ; AND25 (III) T HAT IS LISTED AS A PSYCHOTHERAPEUTIC AGENT IN THE26 MOST RECENT EDITION OF "DRUG FACTS AND COMPARISONS" OR IN THE27 1071 -4- AMERICAN HOSPITAL FORMULARY SERVICE DRUG INFORMATION1 COMPENDIUM.2 (b) "P SYCHOTROPIC MEDICATION" DOES NOT INCLUDE A NARCOTIC3 DRUG.4 (12) "S UPERVISING CLINICIAN" MEANS A PHYSICIAN LICENSED5 PURSUANT TO ARTICLE 240 OF THIS TITLE 12 OR AN ADVANCED PRACTICED6 REGISTERED NURSE AS DEFINED IN SECTION 12-255-104 (1) WHO7 SUPERVISES LICENSED PSYCHOLOGISTS WITH A CONDITIONAL8 PRESCRIPTION CERTIFICATE PURSUANT TO SECTION 12-245-309 (2)(c).9 (13) "T ELEPSYCHOLOGY" MEANS THE PROVISION OF10 PSYCHOLOGICAL SERVICES USING TELECOMMUNICATIONS TECHNOLOGIES .11 SECTION 2. In Colorado Revised Statutes, 12-245-302, amend12 (2)(a) as follows:13 12-245-302. State board of psychologist examiners - created14 - members - terms. (2) The board consists of seven members who are15 residents of the state of Colorado as follows:16 (a) Four board members must be licensed psychologists, at least17 two of whom shall be engaged in the direct practice of psychology AND18 ONE OF WHOM IS A PRESCRIBING PSYCHOLOGIST; except that, if, after a19 good-faith attempt, the governor determines that an applicant for20 membership on the board pursuant to this subsection (2)(a) who is21 engaged in the direct practice of psychology OR WHO IS A PRESCRIBING22 PSYCHOLOGIST is not available to serve on the board for a particular term,23 the governor may appoint a licensed psychologist who is not engaged in24 the direct practice of psychology OR WHO IS NOT A PRESCRIBING25 PSYCHOLOGIST.26 SECTION 3. In Colorado Revised Statutes, add 12-245-309 as27 1071 -5- follows:1 12-245-309. Prescription authority - psychotropic drugs -2 prescription certificates - requirements - issuance, denial, renewal,3 and revocation of certification - rules. (1) Prescribing and4 administering psychotropic medications. (a) A LICENSED5 PSYCHOLOGIST MAY ONLY ADMINISTER OR PRESCRIBE PSYCHOTROPIC6 MEDICATION TO A PERSON PURSUANT TO THE REQUIREMENTS AND7 LIMITATIONS SET FORTH IN THIS SECTION.8 (b) A LICENSED PSYCHOLOGIST MUST HOLD A PRESCRIPTION9 CERTIFICATE IN ORDER TO PRESCRIBE OR ADMINISTER PSYCHOTROPIC10 MEDICATION.11 (2) Prescription certificate. (a) A LICENSED PSYCHOLOGIST MAY12 APPLY TO THE BOARD FOR A PRESCRIPTION CERTIFICATE IN THE FORM13 AND MANNER APPROVED BY THE BOARD . THE APPLICANT MUST INCLUDE14 SATISFACTORY EVIDENCE THAT THE APPLICANT :15 (I) H AS COMPLETED A DOCTORAL PROGRAM IN PSYCHOLOGY FROM16 AN APPROVED SCHOOL OR FROM A DOC TORAL PROGRAM THAT WAS NOT17 ACCREDITED AT THE TIME OF THE APPLICANT 'S GRADUATION BUT MEETS18 THE PROFESSIONAL STANDARDS APPROVED BY THE BOARD ;19 (II) H AS SUCCESSFULLY COMPLETED A MASTER OF SCIENCE IN A20 CLINICAL PSYCHOPHARMACOLOGY PROGRAM THAT IS DESIGNATED BY THE21 A MERICAN PSYCHOLOGICAL ASSOCIATION OR ANY EDUCATION AS SET22 FORTH IN RULES PROMULGATED BY THE BOARD WITH APPROVAL OF THE23 C OLORADO MEDICAL BOARD AND THAT CONSISTS OF DIDACTIC24 INSTRUCTION OF AT LEAST FOUR HUNDRED FIFTY CLASSROOM HOURS IN AT25 LEAST THE FOLLOWING CORE AREAS OF INSTRUCTION :26 (A) N EUROSCIENCE;27 1071 -6- (B) PHARMACOLOGY;1 (C) P SYCHOPHARMACOLOGY ;2 (D) P HYSIOLOGY;3 (E) P ATHOPHYSIOLOGY;4 (F) A PPROPRIATE AND RELEVANT PHYSICAL AND LABORATORY5 ASSESSMENT; AND6 (G) C LINICAL PHARMACOTHERAPEUTICS ;7 (III) H AS PASSED THE PSYCHOPHARMACOLOGY EXAMINATION FOR8 PSYCHOLOGISTS DEVELOPED BY THE ASSOCIATION OF STATE AND9 P ROVINCIAL PSYCHOLOGY BOARDS, OR ITS SUCCESSOR ORGANIZATION;10 (IV) H AS BEEN CERTIFIED BY EACH OF THE APPLICANT 'S11 INDEPENDENTLY LICENSED PRESCRIBING CLINICIANS AS HAVING12 SUCCESSFULLY COMPLETED , IN NOT LESS THAN TWELVE MONTHS BUT NO13 MORE THAN TWENTY-FOUR MONTHS, A SUPERVISED AND RELEVANT14 CLINICAL EXPERIENCE APPROVED BY THE BOARD AND THE COLORADO15 MEDICAL BOARD THAT CONSISTS OF :16 (A) A ONE-TO-ONE, IN-PERSON SUPERVISED PRACTICUM, OF AT17 LEAST SEVEN HUNDRED FIFTY HOURS TREATING AT LEAST ONE HUNDRED18 FIFTY CLIENTS WITH MENTAL HEALTH DISORDERS UNDER THE SUPERVISION19 OF ANY ONE OR A COMBINATION OF APPROPRIATELY TRAINED20 INDEPENDENTLY LICENSED PRESCRIBING CLINICIANS WHO HAVE BEEN21 DETERMINED BY THE BOARD AND THE COLORADO MEDICAL BOARD AS22 COMPETENT TO TRAIN THE APPLICANT IN THE TREATMENT OF A DIVERSE23 CLIENT POPULATION;24 (B) INCLUDED IN THE SEVEN HUNDRED FIFTY HOURS REQUIRED IN25 SUBSECTION (2)(a)(IV)(B) OF THIS SECTION AT LEAST AN EIGHTY-HOUR26 PRACTICUM IN OBSERVATIONAL CLINICAL ASSESSMENT AND27 1071 -7- PATHOPHYSIOLOGY UNDER THE SUPERVISION OF AN INDEPENDENTLY1 LICENSED PRESCRIBING PHYSICIAN; AND2 (C) IF THE LICENSED PSYCHOLOGIST IS WORKING WITH PEDIATRIC3 OR GERIATRIC PATIENTS, AT LEAST TWO HUNDRED FIFTY OF THE SEVEN4 HUNDRED FIFTY HOURS REQUIRED IN SUBSECTION (2)(a)(IV)(B) OF THIS5 SECTION UNDER THE SUPERVISION OF ONE OR MORE INDEPENDENT6 LICENSED PRESCRIBING CLINICIANS WHO WORK WITH PEDIATRIC OR7 GERIATRIC PATIENTS, WHICHEVER IS APPLICABLE, IF THE LICENSED8 PSYCHOLOGIST IS WORKING WITH PEDIATRIC OR GERIATRIC PATIENTS ;9 10 (V) HAS SUCCESSFULLY UNDERGONE A PROCESS OF INDEPENDENT11 PEER REVIEW AS SET FORTH IN RULE OF THE BOARD AND APPROVED BY THE12 COLORADO MEDICAL BOARD ;13 (VI) MAINTAINS COMMERCIAL PROFESSIONAL LIABILITY14 INSURANCE WITH AN INSURER AUTHORIZED TO DO BUSINESS IN THIS STATE15 OR AN ELIGIBLE NONADMITTED INSURER AUTHORIZED TO PROVIDE16 INSURANCE PURSUANT TO ARTICLE 5 OF TITLE 10 IN A MINIMUM17 INDEMNITY AMOUNT OF ONE MILLION DOLLARS PER INCIDENT AND THREE18 MILLION DOLLARS ANNUAL AGGREGATE PER YEAR ; AND19 (VII) MEETS ALL OTHER REQUIREMENTS AS DETERMINED BY THE20 BOARD.21 (b) T HE BOARD SHALL ISSUE A PRESCRIPTION CERTIFICATE TO AN22 APPLICANT WHO THE BOARD DETERMINES HAS MET THE REQUIREMENTS OF23 SUBSECTION (2)(a) OF THIS SECTION. A LICENSED PSYCHOLOGIST WITH A24 PRESCRIPTION CERTIFICATE MAY PRESCRIBE AND ADMINISTER25 PSYCHOTROPIC MEDICATION TO A PERSON IF THE LICENSED PSYCHOLOGIST :26 (I) H OLDS A CURRENT LICENSE IN GOOD ST ANDING TO PRACTICE27 1071 -8- PSYCHOLOGY IN THIS STATE;1 (II) M AINTAINS THE COMMERCIAL PROFESSIONAL LIABILITY2 INSURANCE REQUIRED BY SUBSECTION (2)(a)(VI) OF THIS SECTION; AND3 (III) COMPLETES AT LEAST FORTY HOURS OF CONTINUING4 EDUCATION EVERY TWO YEARS IN THE AREAS OF PHARMACOLOGY AND5 PSYCHOPHARMACOLOGY FOR PRESCRIBING PSYCHOLOGISTS OR A GREATER6 AMOUNT AS REQUIRED BY THE BOARD .7 (3) Prescription certificate by endorsement. U PON PAYMENT OF8 THE REQUIRED LICENSING FEES AND APPROVAL OF THE APPLICATION FOR9 A PRESCRIPTION CERTIFICATE BY ENDORSEMENT , THE BOARD MAY CERTIFY10 BY ENDORSEMENT AND GRANT A PRESCRIPTION CERTIFICATE TO AN11 APPLICANT WHO HAS:12 (a) A CURRENT LICENSE IN GOOD STANDING TO PRACTICE13 PSYCHOLOGY FROM ANOTHER STATE ; AND14 (b) (I) U NRESTRICTED PRESCRIPTIVE AUTHORITY FROM ANOTHER15 STATE THAT IMPOSES THE EDUCATION , SUPERVISION, AND TRAINING16 REQUIREMENTS REQUIRED BY THIS SECTION AND BY RULE OF THE BOARD ;17 OR18 (II) T RAINING FROM THE UNITED STATES DEPARTMENT OF19 DEFENSE PSYCHOPHARMACOLOGY DEMONSTRATION PROJECT FOR20 LICENSED PSYCHOLOGISTS OR OTHER SIMILAR PROGRAM THAT IMPOSES21 THE EDUCATION, SUPERVISION, AND TRAINING REQUIREMENTS REQUIRED22 BY THIS SECTION AND BY RULE OF THE BOARD .23 (4) Rules. T HE BOARD MAY PROMULGATE RULES TO :24 (a) I MPLEMENT PROCEDURES FOR OBTAINING A PRESCRIPTION25 CERTIFICATE AND RENEWALS FOR THE CERTIFICATES ; AND26 (b) I N ADDITION TO THE GROUNDS FOR DISCIPLINE IN SECTION27 1071 -9- 12-245-224, ESTABLISH THE GROUNDS FOR DENIAL , SUSPENSION, AND1 REVOCATION OF A PRESCRIPTION CERTIFICATE, INCLUDING FOR THE2 SUSPENSION OF A LICENSE TO PRACTICE PSYCHOLOGY UPON THE3 SUSPENSION OR REVOCATION OF A CERTIFICATE .4 (5) Prescribing and administering practices. (a) A PRESCRIBING5 PSYCHOLOGIST MAY:6 (I) P RESCRIBE PSYCHOTROPIC MEDICATION THROUGH THE USE OF7 TELEPSYCHOLOGY; AND8 (II) P RESCRIBE AND ADMINISTER PSYCHOTROPIC MEDICATION9 WITHIN THE RECOGNIZED SCOPE OF PRACTICE , INCLUDING ORDERING AND10 REVIEWING LABORATORY TESTS IN CONJUNCTION WITH A PRESCRIPTION11 FOR THE TREATMENT OF A MENTAL HEALTH DISORDER .12 (b) W HEN PRESCRIBING A PSYCHOTROPIC MEDICATION FOR A13 CLIENT, THE PRESCRIBING PSYCHOLOGIST OR THE LICENSED PSYCHOLOGIST14 WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL MAINTAIN AN15 ONGOING COLLABORATIVE RELATIONSHIP WITH THE HEALTH -CARE16 PROVIDER WHO OVERSEES THE CLIENT 'S GENERAL MEDICAL CARE TO17 ENSURE THAT NECESSARY MEDICAL EXAMINATIONS ARE CONDUCTED , THE18 PSYCHOTROPIC MEDICATION IS APPROPRIATE FOR THE CLIENT 'S MEDICAL19 CONDITION, AND SIGNIFICANT CHANGES IN THE CLIENT 'S MEDICAL OR20 PSYCHOLOGICAL CONDITIONS ARE DISCUSSED .21 (c) (I) A PRESCRIBING PSYCHOLOGIST OR A LICENSED22 PSYCHOLOGIST WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL23 OBTAIN A RELEASE OF INFORMATION FROM A CLIENT OR THE CLIENT 'S24 LEGAL GUARDIAN AUTHORIZING THE PSYCHOLOGIST TO CONTACT THE25 CLIENT'S PRIMARY TREATING HEALTH-CARE PROVIDER, AS REQUIRED BY26 LAW.27 1071 -10- (II) IF A CLIENT OR THE CLIENT'S LEGAL GUARDIAN REFUSES TO1 SIGN A RELEASE OF INFORMATION FOR THE CLIENT 'S PRIMARY TREATING2 HEALTH-CARE PROVIDER, THE PRESCRIBING PSYCHOLOGIST OR LICENSED3 PSYCHOLOGIST WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL :4 (A) I NFORM THE CLIENT OR THE CLIENT'S LEGAL GUARDIAN THAT5 THE PSYCHOLOGIST CANNOT TREAT THE CLIENT PHARMACOLOGICALLY6 WITHOUT AN ONGOING COLLABORATIVE RELATIONSHIP WITH THE CLIENT 'S7 PRIMARY TREATING HEALTH -CARE PROVIDER; AND8 (B) R EFER THE CLIENT TO ANOTHER PRESCRIBER WHO IS NOT9 REQUIRED TO MAINTAIN AN ONGOING COLLABORATIVE RELATIONSHIP10 WITH A HEALTH-CARE PROVIDER.11 (III) A PRESCRIBING PSYCHOLOGIST OR A LICENSED PSYCHOLOGIST12 WITH A CONDITIONAL PRESCRIPTION CERTIFICATE MUST PROVIDE WRITTEN13 NOTICE TO THE PRIMARY TREATING HEALTH -CARE PROVIDER WITHIN ONE14 WEEK AFTER THE PSYCHOLOGIST ISSUES OR ADMINISTERS A PRESCRIPTION15 FOR A PSYCHOTROPIC MEDICATION TO THE CLIENT .16 (IV) I F A CLIENT DOES NOT HAVE A PRIMARY TREATING17 HEALTH-CARE PROVIDER, THE PRESCRIBING PSYCHOLOGIST OR LICENSED18 PSYCHOLOGIST WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL19 REFER THE CLIENT TO A HEALTH -CARE PROVIDER PRIOR TO20 PSYCHOPHARMACOLOGICAL TREATMENT . THE PSYCHOLOGIST MUST21 RECEIVE THE RESULTS OF THE HEALTH-CARE PROVIDER'S ASSESSMENT AND22 SHALL CONTACT THE HEALTH -CARE PROVIDER WHO CONDUCTED THE23 ASSESSMENT PRIOR TO PRESCRIBING A PSYCHOTROPIC MEDICATION TO THE24 CLIENT.25 (V) O NCE A COLLABORATIVE RELATIONSHIP IS ESTABLISHED WITH26 THE PRIMARY TREATING HEALTH-CARE PROVIDER OR OTHER HEALTH-CARE27 1071 -11- PROVIDER TO WHOM THE PSYCHOLOGIST REFERS THE CLIENT PURSUANT TO1 SUBSECTION (6)(c)(IV) OF THIS SECTION, THE PRESCRIBING PSYCHOLOGIST2 OR LICENSED PSYCHOLOGIST WITH A CONDITIONAL PRESCRIPTION3 CERTIFICATE SHALL MAINTAIN AND DOCUMENT THE COLLABORATIVE4 RELATIONSHIP TO ENSURE THAT RELEVANT INFORMATION IS EXCHANGED5 ACCURATELY AND IN A TIMELY MANNER . THE ONGOING COLLABORATIVE6 RELATIONSHIP MUST BE MAINTAINED ACCORDING TO THE FOLLOWING :7 (A) A PRESCRIBING PSYCHOLOGIST OR LICENSED PSYCHOLOGIST8 WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL NOTIFY THE9 PRIMARY TREATING HEALTH -CARE PROVIDER OR OTHER HEALTH -CARE10 PROVIDER TO WHOM THE PSYCHOLOGIST REFERS THE CLIENT PURSUANT TO11 SUBSECTION (6)(c)(IV) OF THIS SECTION IF THE CLIENT EXPERIENCES12 ADVERSE EFFECTS FROM MEDICATIONS PRESCRIBED BY THE PSYCHOLOGIST13 THAT MAY BE RELATED TO THE CLIENT'S MEDICAL CONDITION FOR WHICH14 THE CLIENT IS BEING TREATED BY THE PRIMARY TREATING HEALTH -CARE15 PROVIDER OR OTHER HEALTH-CARE PROVIDER;16 (B) A PRESCRIBING PSYCHOLOGIST OR LICENSED PSYCHOLOGIST17 WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL NOTIFY THE18 PRIMARY TREATING HEALTH -CARE PROVIDER OR OTHER HEALTH -CARE19 PROVIDER TO WHOM THE PSYCHOLOGIST REFERS THE CLIENT PURSUANT TO20 SUBSECTION (6)(c)(IV) OF THIS SECTION REGARDING RESULTS OF21 LABORATORY TESTS RELATED TO THE MEDICAL CARE OF THE CLIENT THAT22 HAVE BEEN ORDERED BY THE PSYCHOLOGIST IN CONJUNCTION WITH23 PSYCHOPHARMACOLOGICAL TREATMENT ; AND24 (C) A PRESCRIBING PSYCHOLOGIST OR LICENSED PSYCHOLOGIST25 WITH A CONDITIONAL PRESCRIPTION CERTIFICATE SHALL NOTIFY A26 PRIMARY TREATING HEALTH -CARE PROVIDER OR OTHER HEALTH -CARE27 1071 -12- PROVIDER TO WHOM THE PSYCHOLOGIST REFERS THE CLIENT PURSUANT TO1 SUBSECTION (6)(c)(IV) OF THIS SECTION AS SOON AS POSSIBLE OF ANY2 CHANGE IN THE CLIENT'S PSYCHOLOGICAL CONDITION THAT MAY AFFECT3 THE MEDICAL TREATMENT BEING PROVIDED BY THE HEALTH -CARE4 PROVIDER.5 (VI) T HIS SUBSECTION (6) DOES NOT REQUIRE A PRESCRIBING6 PSYCHOLOGIST OR A LICENSED PSYCHOLOGIST WITH A CONDITIONAL7 PRESCRIPTION CERTIFICATE TO GIVE PRIOR NOTICE TO OR OBTAIN PRIOR8 APPROVAL FROM A HEALTH-CARE PROVIDER TO PRESCRIBE PSYCHOTROPIC9 MEDICATION TO A CLIENT WITH WHOM THE LICENSED PSYCHOLOGIST HAS10 AN ESTABLISHED PSYCHOLOGIST -CLIENT RELATIONSHIP.11 (d) I N ACCORDANCE WITH SECTION 12-245-203, A PRESCRIBING12 PSYCHOLOGIST SHALL NOT PRESCRIBE MEDICATION TO A CLIENT UNLESS13 IT IS WITHIN THE PRESCRIBING PSYCHOLOGIST 'S SCOPE OF TRAINING,14 EXPERIENCE, AND COMPETENCE.15 16 (6) Complaints. THE COLORADO MEDICAL BOARD SHALL REVIEW17 COMPLAINTS IN THE NORMAL COURSE OF BUSINESS AND MAKE18 RECOMMENDATIONS TO THE BOARD REGARDING VIOLATIONS OF THIS19 SECTION AND DISCIPLINARY ACTION TO BE TAKEN BY THE BOARD , IF20 APPLICABLE.21 (7) Prescription information. T HE ENTITY THAT DISPENSES A22 PRESCRIPTION FOR A PSYCHOTROPIC MEDICATION WRITTEN BY A23 PRESCRIBING PSYCHOLOGIST SHALL COMPLY WITH APPLICABLE STATE AND24 FEDERAL LAWS.25 (8) Disclosure. A PRESCRIBING PSYCHOLOGIST SHALL DISCLOSE TO26 EACH PATIENT TO WHOM THE PSYCHOLOGIST PRESCRIBES A PSYCHOTROPIC27 1071 -13- MEDICATION THAT THE PSYCHOLOGIST IS NOT A PHYSICIAN LICENSED TO1 PRACTICE MEDICINE. THE DISCLOSURE MUST BE IN WRITING, SIGNED BY2 THE PATIENT, AND KEPT IN THE PATIENT'S RECORD ON FILE WITH THE3 PSYCHOLOGIST.4 (9) A PRESCRIBING PSYCHOLOGIST SHALL NOT PRESCRIBE ANY5 DRUG TO A PERSON UNDER EIGHTEEN YEARS OF AGE WITHOUT INFORMED6 CONSENT FROM THE PARENT OR GUARDIAN OF SUCH PERSON .7 (10) Drug enforcement administration number. E ACH8 PRESCRIBING PSYCHOLOGIST SHALL FILE WITH THE BOARD, IN THE FORM9 AND MANNER DETERMINED BY THE BOARD , ALL INDIVIDUAL FEDERAL10 DRUG ENFORCEMENT ADMINISTRATION REGISTRATIONS AND NUMBERS .11 T HE BOARD AND THE COLORADO MEDICAL BOARD SHALL MAINTAIN12 CURRENT RECORDS OF EVERY PSYCHOLOGIST WITH PRESCRIPTIVE13 AUTHORITY, INCLUDING THE PSYCHOLOGIST 'S REGISTRATIONS AND14 NUMBERS.15 (11) (a) T HE DEPARTMENT SHALL ANNUALLY COLLECT16 INFORMATION REGARDING :17 (I) THE NUMBER OF PRESCRIBING PSYCHOLOGISTS IN THIS STATE;18 (II) T HE LOCATION OF PRACTICE OF EACH PRESCRIBING19 PSYCHOLOGIST;20 (III) T HE NUMBER OF PRESCRIBING PSYCHOLOGISTS WHO21 ACCEPT CLIENTS WITH PRIVATE HEALTH INSURANCE OR WHO ARE22 ENROLLED IN THE MEDICAL ASSISTANCE PROGRAM ESTABLISHED23 PURSUANT TO PARTS 4 TO 6 OF TITLE 25.5;24 (IV) T HE TYPE OF PRACTICE OF EACH PRESCRIBING PSYCHOLOGIST;25 AND 26 (V) T HE POPULATIONS SERVED BY EACH PRESCRIBING27 1071 -14- PSYCHOLOGIST.1 (b) T HE DEPARTMENT SHALL COMPILE THE INFORMATION AND2 SHARE IT WITH THE OFFICE IN THE DEPARTMENT THAT IS RESPONSIBLE FOR3 CONDUCTING SUNSET REVIEWS PURSUANT TO SECTION 24-34-104. THE4 OFFICE SHALL INCLUDE THE INFORMATION IN EACH SCHEDULED SUNSET5 REVIEW CONCERNING THE REGULATION OF MENTAL HEALTH6 PROFESSIONALS PURSUANT TO SECTION 24-34-104.7 SECTION 4. Act subject to petition - effective date. This act8 takes effect at 12:01 a.m. on the day following the expiration of the9 ninety-day period after final adjournment of the general assembly; except10 that, if a referendum petition is filed pursuant to section 1 (3) of article V11 of the state constitution against this act or an item, section, or part of this12 act within such period, then the act, item, section, or part will not take13 effect unless approved by the people at the general election to be held in14 November 2024 and, in such case, will take effect on the date of the15 official declaration of the vote thereon by the governor.16 1071 -15-