First Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 23-0080.01 Jacob Baus x2173 HOUSE BILL 23-1199 House Committees Senate Committees Judiciary A BILL FOR AN ACT C ONCERNING MEASURES TO PR OVIDE ADDITIONAL ACCESS TO101 SERVICES FOR VICTIMS OF SEXUAL ASSAULT .102 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 requires the department of public safety (department), by December 31, 2024, to develop and maintain a statewide system for victims of alleged sexual assault to monitor the status of evidence obtained from their forensic medical evidence examinations. The system must also provide relevant information for victims regarding the processing, custody, analysis, and destruction of evidence, as well as HOUSE SPONSORSHIP Froelich and Soper, SENATE SPONSORSHIP Winter F., 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. contact information for law enforcement and victim resources. Under current law, the division of criminal justice (division) in the department administers the sexual assault victim emergency payment program (program), which assists victims of sexual assault with medical expenses associated with a sexual assault. The bill repeals the requirement that the department cap an amount payable per victim based on reasonable costs and available funds and instead requires the department to cap amounts payable to medical facilities seeking reimbursement for services. The bill prohibits a medical facility that administers a medical forensic examination to a victim of an alleged sexual assault from billing the victim or the victim's public or private coverage for medical fees or costs associated with the examination unless the victim consents to the billing. A medical facility that administers a forensic medical examination may seek reimbursement from the program. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, add 24-33.5-113.52 as follows:3 24-33.5-113.5. Forensic medical evidence in sexual assault4 cases - tracking system. (1) T HE DEPARTMENT SHALL DEVELOP AND5 MAINTAIN A CONFIDENTIAL AND SECURE STATEWIDE SYSTEM , REFERRED6 TO IN THIS SECTION AS "SYSTEM", FOR VICTIMS OF ALLEGED SEXUAL7 ASSAULT TO MONITOR THE STATUS AND LOCATION OF EVIDENCE OBTAINED8 FROM THEIR FORENSIC MEDICAL EVIDENCE EXAMINATIONS . THE SYSTEM9 MUST BE OPERATIONAL BY DECEMBER 31, 2024. THE DEPARTMENT SHALL10 MAINTAIN AND OPERATE THE SYSTEM .11 (2) (a) (I) I F THE VICTIM OF AN ALLEGED SEXUAL ASSAULT12 CONSENTS TO ANALYSIS OF THE VICTIM 'S FORENSIC MEDICAL EVIDENCE13 EXAMINATION, THE SYSTEM MUST TRACK THE LOCATION , DATE, AND TIME14 OF THE FOLLOWING RELEVANT STAGES :15 (A) F ORENSIC MEDICAL EVIDENCE EXAMINATION ;16 (B) P OSSESSION OF EVIDENCE BY A LAW ENFORCEMENT AGENCY17 HB23-1199-2- FOR STORAGE;1 (C) P OSSESSION BY A FORENSIC LABORATORY FOR ANALYSIS ;2 (D) C OMPLETION OF THE FORENSIC LABORATORY 'S ANALYSIS; AND3 (E) D ATE OF DESTRUCTION.4 (II) I F THE VICTIM OF AN ALLEGED SEXUAL ASSAULT DOES NOT5 CONSENT TO HAVING THE EVIDENCE OBTAINED FROM THE VICTIM 'S6 FORENSIC MEDICAL EVIDENCE EXAMINATION ANALYZED , THE RELEVANT7 STAGES OF ANALYSIS INCLUDE:8 (A) F ORENSIC MEDICAL EVIDENCE EXAMINATION ;9 (B) P OSSESSION OF EVIDENCE BY A LAW ENFORCEMENT AGENCY10 FOR STORAGE; AND11 (C) D ATE OF DESTRUCTION.12 (b) T HE SYSTEM MUST PROVIDE VICTIMS OF AN ALLEGED SEXUAL13 ASSAULT WITH INFORMATION CONCERNING :14 (I) N AVIGATING THE CRIMINAL JUSTICE SYSTEM ;15 (II) U P-TO-DATE STATUTORY AND REGULATORY INFORMATION ;16 (III) D EADLINES REGARDING THE PROCESSING , CUSTODY,17 ANALYSIS, AND DESTRUCTION OF EVIDENCE OBTAINED FROM FORENSIC18 MEDICAL EXAMINATIONS;19 (IV) H OW A VICTIM OF ALLEGED SEXUAL ASSAULT MAY OBJECT TO20 THE DESTRUCTION OF FORENSIC MEDICAL EVIDENCE PURSUANT TO21 SECTION 24-4.1-303;22 (V) C ONTACT INFORMATION FOR THE SYSTEM 'S ADMINISTRATOR23 AND FOR THE LAW ENFORCEMENT AGENCY STORING EVIDENCE OBTAINED24 FROM THE VICTIM OF ALLEGED SEXUAL ASSAULT 'S FORENSIC MEDICAL25 EVIDENCE EXAMINATION; AND26 (VI) C OMMUNITY-BASED RESOURCES AND SERVICES FOR VICTIMS27 HB23-1199 -3- OF SEXUAL ASSAULT.1 (3) (a) E VERY STATE OR LOCAL LAW ENFORCEMENT AGENCY ,2 MEDICAL FACILITY, CRIME LABORATORY, OR OTHER PERSON OR ENTITY3 THAT SUPPLIES OR PERFORMS FORENSIC MEDICAL EVIDENCE4 EXAMINATIONS, ANALYZES EVIDENCE OBTAINED FROM FORENSIC MEDICAL5 EVIDENCE EXAMINATIONS , OR IS RESPONSIBLE FOR THE STORAGE OR6 DESTRUCTION OF EVIDENCE OBTAINED FROM FORENSIC MEDICAL EVIDENCE7 EXAMINATIONS, SHALL PARTICIPATE IN THE SYSTEM.8 (b) T HE FEDERAL BUREAU OF INVESTIGATION , A TRIBAL LAW9 ENFORCEMENT AGENCY LOCATED IN COLORADO, OR A FEDERAL INDIAN10 HEALTH SERVICE LOCATED IN COLORADO THAT SUPPLIES FORENSIC11 MEDICAL EVIDENCE EXAMINATIONS , PERFORMS FORENSIC MEDICAL12 EVIDENCE EXAMINATIONS , ANALYZES EVIDENCE OBTAINED FROM13 FORENSIC MEDICAL EVIDENCE EXAMINATIONS , OR IS RESPONSIBLE FOR THE14 STORAGE OR DESTRUCTION OF EVIDENCE OBTAINED FROM FORENSIC15 MEDICAL EXAMINATIONS MAY PARTICIPATE IN THE SYSTEM .16 (4) (a) O N OR AFTER JANUARY 30, 2026, AND ON OR BEFORE17 J ANUARY 30 OF EACH YEAR THEREAFTER, THE EXECUTIVE DIRECTOR OF18 THE DEPARTMENT SHALL SUBMIT A REPORT TO THE JUDICIARY19 COMMITTEES OF THE HOUSE OF REPRESENTATIVES AND SENATE , OR ANY20 SUCCESSOR COMMITTEES, INCLUDING THE FOLLOWING INFORMATION FROM21 THE PRECEDING CALENDAR YEAR :22 (I) T HE NUMBER OF FORENSIC MEDICAL EVIDENCE EXAMINATIONS23 REPORTED INTO THE SYSTEM, IN TOTAL AND DISAGGREGATED BY THE TYPE24 OF REPORT;25 (II) T HE TOTAL NUMBER OF FORENSIC MEDICAL EVIDENCE26 EXAMINATIONS ANALYZED BY A FORENSIC LABORATORY ; AND27 HB23-1199 -4- (III) THE TOTAL NUMBER OF FORENSIC MEDICAL EVIDENCE1 EXAMINATIONS PENDING ANALYSIS BY A FORENSIC LABORATORY .2 (b) T HE DEPARTMENT SHALL ENSURE THE REPORT DOES NOT3 DISCLOSE ANY INFORMATION IN VIOLATION OF APPLICABLE STATE AND4 FEDERAL LAWS REGARDING THE CONFIDENTIALITY OF AN INDIVIDUAL 'S5 INFORMATION.6 (c) N OTWITHSTANDING THE REQUIREMENT IN SECTION 24-1-1367 (11)(a)(I), THE REQUIREMENT TO SUBMIT THE REPORT REQUIRED IN THIS8 SUBSECTION (4) CONTINUES INDEFINITELY.9 (5) T HE DEPARTMENT SHALL CONSULT WITH THE OFFICE OF10 LIAISON FOR MISSING AND MURDERED INDIGENOUS RELATIVES TO MAKE11 RECOMMENDATIONS TO ENSURE THE SYSTEM DEVELOPED PURSUANT TO12 THIS SECTION IS ACCESSIBLE TO VICTIMS OF ALLEGED SEXUAL ASSAULT IN13 A TRIBAL JURISDICTION.14 SECTION 2. In Colorado Revised Statutes, 18-3-407.7, amend15 (1), (2)(a), and (2)(c); repeal (2)(b); and add (4) and (5) as follows:16 18-3-407.7. Sexual assault victim emergency payment17 program - creation - eligibility. (1) There is hereby created the sexual18 assault victim emergency payment program, referred to in this section as19 the "program", in the division of criminal justice in the department of20 public safety. The purpose of the program is to assist medical-reporting 21 victims of sexual assault with medical expenses associated with a sexual22 assault. that are not otherwise covered pursuant to section 18-3-407.5 or23 any other victim compensation program.24 (2) (a) A medical-reporting victim must request and receive a25 medical forensic examination to be eligible to have medical costs and fees26 covered through the program. The division of criminal justice shall27 HB23-1199 -5- develop a policy for administering the program. The policy must include1 a requirement to establish a cap for the amount payable per victim based2 on actual and reasonable costs and available funds, but the minimum cap3 must not be less than one thousand dollars. The program must cover4 medical fees and costs associated with obtaining the medical forensic5 examination, including but not limited to emergency department fees and6 costs, laboratory fees, prescription medication, and physician's fees, as7 long as funds are available. The program may also cover medical fees and8 costs for injuries directly related to the sexual assault. The program may9 also pay for any uncovered direct costs of the medical forensic10 examination for a medical-reporting victim. The total amount paid for all11 expenses must not exceed the annual cap established by the division of12 criminal justice.13 (b) The program shall be the payer of last resort.14 (c) A hospital shall limit the amounts charged for emergency or15 associated fees and costs eligible for payment pursuant to paragraph (a)16 of this subsection (2) to not more than the lowest negotiated rate from a17 private health plan THE DEPARTMENT OF PUBLIC SAFETY SHALL ESTABLISH18 A MAXIMUM AMOUNT PAYABLE TO A MEDICAL FACILITY SEEKING19 REIMBURSEMENT PURSUANT TO THE PROGRAM FOR SERVICES ELIGIBLE FOR20 PAYMENT PURSUANT TO SUBSECTION (2)(a) OF THIS SECTION.21 (4) B Y DECEMBER 31, 2024, THE DIVISION OF CRIMINAL JUSTICE22 SHALL DEVELOP AND MAINTAIN A SYSTEM THAT ALLOWS THE DIVISION TO23 TRACK CLAIMS, PROCESS INVOICES, SORT INFORMATION, AND PRODUCE24 REPORTS CONCERNING, AT A MINIMUM:25 (a) T HE NUMBER OF MEDICAL FORENSIC EXAMINATIONS PAID FOR26 BY THE PROGRAM;27 HB23-1199 -6- (b) THE TOTAL COST OF SERVICES COMPENSATED RELATED TO1 MEDICAL FORENSIC EXAMINATIONS PAID FOR BY THE PROGRAM ;2 (c) I NFORMATION CONCERNING THE STATUS OF CLAIMS IN THE3 SYSTEM, INCLUDING THE NUMBER OF CLAIMS PAID , THE NUMBER OF4 CLAIMS DENIED, THE NUMBER OF CLAIMS PENDING APPROVAL OR DENIAL ,5 AND THE AVERAGE TIME BETWEEN REIMBURSEMENT CLAIM SUBMISSION6 AND APPROVAL OR DENIAL BY THE PROGRAM ;7 (d) T HE NAMES AND LOCATIONS OF MEDICAL FACILITIES THAT8 SUBMITTED CLAIMS FOR REIMBURSEMENT FROM THE PROGRAM ; AND9 (e) D EMOGRAPHIC INFORMATION OF VICTIMS WHOSE CLAIMS ARE10 REIMBURSED THROUGH THE PROGRAM , IF AVAILABLE.11 (5) (a) O N OR BEFORE JANUARY 30, 2026, AND ON OR BEFORE12 J ANUARY 30 OF EACH YEAR THEREAFTER, THE DIVISION SHALL SUBMIT A13 REPORT TO THE JUDICIARY COMMITTEES OF THE HOUSE OF14 REPRESENTATIVES AND SENATE , OR ANY SUCCESSOR COMMITTEES , WITH15 THE INFORMATION DESCRIBED IN SUBSECTION (4) OF THIS SECTION FROM16 THE PRECEDING CALENDAR YEAR .17 (b) T HE DEPARTMENT SHALL ENSURE THE REPORT DOES NOT18 DISCLOSE ANY INFORMATION IN VIOLATION OF APPLICABLE STATE AND19 FEDERAL LAWS REGARDING THE CONFIDENTIALITY OF AN INDIVIDUAL 'S20 INFORMATION.21 (c) N OTWITHSTANDING THE REQUIREMENT IN SECTION 24-1-13622 (11)(a)(I), THE REQUIREMENT TO SUBMIT THE REPORT REQUIRED IN THIS23 SUBSECTION (5) CONTINUES INDEFINITELY.24 SECTION 3. In Colorado Revised Statutes, add 25-3-130 as25 follows:26 25-3-130. Prohibition on billing for medical forensic27 HB23-1199 -7- examinations and related services - exception. (1) N OTWITHSTANDING1 ANY LAW TO THE CONTRARY , A MEDICAL FACILITY REGULATED BY THE2 DEPARTMENT THAT ADMINISTERS A MEDICAL FORENSIC EVIDENCE3 EXAMINATION TO A VICTIM OF AN ALLEGED SEXUAL ASSAULT SHALL NOT4 BILL, CHARGE, OR COLLECT FROM THE VICTIM OR FROM THE VICTIM 'S5 PUBLIC OR COMMERCIAL COVERAGE FOR ANY MEDICAL FEES OR COSTS6 ASSOCIATED WITH OBTAINING A MEDICAL FORENSIC EVIDENCE7 EXAMINATION, INCLUDING BUT NOT LIMITED TO EMERGENCY DEPARTMENT8 FEES AND COSTS, LABORATORY FEES , PRESCRIPTION MEDICATION ,9 PHYSICIAN'S FEES, AND COSTS FOR INJURIES DIRECTLY RELATED TO THE10 ALLEGED SEXUAL ASSAULT , UNLESS THE INDIVIDUAL CONSENTS TO THE11 BILL, CHARGE, OR COLLECTION.12 (2) N OTHING IN THIS SECTION PROHIBITS A MEDICAL FACILITY13 REGULATED BY THE DEPARTMENT THAT ADMINISTERS A MEDICAL14 FORENSIC EVIDENCE EXAMINATION TO A VICTIM OF AN ALLEGED SEXUAL15 ASSAULT FROM SEEKING REIMBURSEMENT FOR ANY FEES AND COSTS16 DESCRIBED IN SECTION (1) OF THIS SECTION FROM THE SEXUAL ASSAULT17 VICTIM EMERGENCY PAYMENT PROGRAM , CREATED AND EXISTING18 PURSUANT TO SECTION 18-3-407.7.19 SECTION 4. Safety clause. The general assembly hereby finds,20 determines, and declares that this act is necessary for the immediate21 preservation of the public peace, health, or safety.22 HB23-1199 -8-