First Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 23-0166.01 Alana Rosen x2606
SENATE BILL 23-014
Senate Committees House Committees
Health & Human Services
Appropriations
A BILL FOR AN ACT
C
ONCERNING ESTABLISHING THE
DISORDERED EATING PREVENTION101
PROGRAM IN THE DEPARTMENT OF PUBLIC HEALTH AND102
ENVIRONMENT, AND, IN CONNECTION THEREWITH , MAKING AN103
APPROPRIATION.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/.)
Colorado Youth Advisory Council Committee. The bill
establishes the office of disordered eating prevention (office) in the
department of public health and environment (department).
SENATE
3rd Reading Unamended
April 25, 2023
SENATE
Amended 2nd Reading
April 24, 2023
SENATE SPONSORSHIP
Moreno, Buckner, Coleman, Cutter, Exum, Fields, Ginal, Hansen, Jaquez Lewis, Mullica,
Priola, Winter F.
HOUSE SPONSORSHIP
Lindsay,
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. The office and the department are required to:
! Create and maintain a resource bank for research,
intervention methods, treatment resources, information on
crisis services, awareness programs, and educational
resources regarding disordered eating prevention and care
in Colorado;
! Collaborate with the office of suicide prevention, the
behavioral health administration, and organizations within
the health-care industry to close gaps in care and provide
support to individuals with disordered eating who transition
out of inpatient care, facilitate public outreach, and
increase awareness regarding disordered eating prevention
and care with a focus on impacted communities, such as
youth, people of color, and lesbian, gay, bisexual, and
transgender individuals;
! Create outreach resources directing youth on how to seek
care for disordered eating and how to report concerns for
other youth, with a focus on impacted communities, such
as lesbian, gay, bisexual, and transgender youth and youth
of color;
! Partner with the department of education to inform
teachers, administrators, school staff, students, and parents
on disordered eating preventions and treatment for youth;
! Collaborate with advocacy groups, including faith-based
organizations, to support a shift in public perception
regarding health-care systems and disordered eating
treatment and prevention;
! Coordinate the disordered eating prevention research grant
program; and
! Prepare written information for primary care offices and
providers throughout the state. The information must be
culturally specific concerning how to recognize and
respond to a patient with disordered eating and include
separate written information for providers and information
that may be shared with an adult patient or a youth patient
and the caregivers of the youth patient.
The bill creates the disordered eating prevention commission
(commission) in the department. The commission will have 17 members
with professional or personal connections to disordered eating prevention.
The purpose of the commission is to:
! Provide public and private leadership on disordered eating
prevention in Colorado;
! Set statewide, data-driven, evidence-based, and clinically
informed priorities for disordered eating prevention in
Colorado;
014
-2- ! Serve as the advisor to the office of disordered eating
prevention;
! Establish and lead subgroups to set strategy and
implementation plans for the office;
! Provide a forum for government agencies, community
members, and lawmakers to examine the current status of
disordered eating prevention policies;
! Provide a voice for youth and focus on youth issues;
! Provide a forum for diverse perspectives to support and
inform diverse communities; and
! Provide a forum for perspectives from rural communities
to support and inform rural communities.
The bill creates the disordered eating prevention research grant
program (grant program) in the department. The purpose of the grant
program is to provide financial assistance to eligible applicants to conduct
research on risk factors for disordered eating, the impact disordered
eating has on Colorado, or public health interventions that examine and
address the root causes of disordered eating.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add part 20 to article2
20.5 of title 25 as follows:3
PART 204
DISORDERED5
EATING PREVENTION PROGRAM6
25-20.5-2001. Legislative declaration. (1) T
HE GENERAL7
ASSEMBLY FINDS AND DECLARES THAT :8
(a) E
ATING DISORDERS ARE INCREASINGLY RECOGNIZED AS A9
LEADING CAUSE OF MORBIDITY AND MORTALITY ;10
(b) I
N 2015, COLORADO HAD THE FIFTH-HIGHEST RATE OF EATING11
DISORDERS IN THE COUNTRY AMONG YOUTH ;12
13
(c) PEOPLE OF COLOR; LESBIAN, GAY, BISEXUAL, OR TRANSGENDER14
INDIVIDUALS; YOUTH; AND OLDER COLORADANS ARE MORE LIKELY TO15
014-3- SUFFER FROM DISORDERED EATING BUT LESS LIKELY TO RECEIVE EATING1
DISORDER TREATMENT, CREATING A DISPROPORTIONATE GAP IN EATING2
DISORDER PREVENTION AND CARE ; AND3
(d) THERE IS LIMITED STATE-SPECIFIC RESEARCH ON DISORDERED4
EATING AND ITS IMPACTS ON THE STATE OF COLORADO.5
(2) T
HE GENERAL ASSEMBLY FINDS , THEREFORE, THAT TO6
UNDERSTAND DISORDERED EATING AND ITS IMPACTS ON COLORADANS,7
THE STATE MUST FOCUS ON DEVELOPING RESEARCH AND RESOURCES TO8
EDUCATE COLORADANS ON THE SEVERITY OF DISORDERED EATING ,
9
PREVENT DISORDERED EATING IN COLORADO, AND SUPPORT COLORADANS10
WHO DEVELOP DISORDERED EATING . IT IS ALSO IMPORTANT TO RECOGNIZE11
THAT DISORDERED EATING HARMS AND INCREASES THE MORTALITY RATE12
OF PEOPLE OF COLOR; LESBIAN, GAY, BISEXUAL, OR TRANSGENDER13
INDIVIDUALS; YOUTH; AND OLDER COLORADANS.14
25-20.5-2002. Definitions. A
S USED IN THIS PART 20, UNLESS THE15
CONTEXT OTHERWISE REQUIRES :16
17
(1) "D
ISORDERED EATING" MEANS A RANGE OF IRREGULAR EATING18
DISORDERS THAT MAY WARRANT A DIAGNOSIS .19
(2) "D
ISORDERED EATING PREVENTION PROGRAM " OR "PROGRAM"
20
MEANS THE DISORDERED EATING PREVENTION PROGRAM CREATED IN21
SECTION 25-20.5-2003.22
(3) "DISORDERED EATING PREVENTION RESEARCH GRANT23
PROGRAM" OR "GRANT PROGRAM" MEANS THE DISORDERED EATING24
PREVENTION RESEARCH GRANT PROGRAM CREATED IN SECTION25
25-20.5-2005.26
27
014
-4- (4) "YOUTH" MEANS AN INDIVIDUAL WHO IS LESS THAN1
TWENTY-FIVE YEARS OF AGE.2
25-20.5-2003. Disordered eating prevention program -3
creation - reports. (1) O
N OR BEFORE JULY 1, 2024, THE DISORDERED
4
EATING PREVENTION PROGRAM IS CREATED IN THE DEPARTMENT WITHIN5
THE PREVENTION SERVICES DIVISION , ESTABLISHED IN SECTION6
25-20.5-103.7
(2) T
HE DIVISION SHALL:
8
(a) C
REATE AND MAINTAIN AN EXTERNAL -FACING RESOURCE THAT
9
IS UPDATED ANNUALLY AND INCLUDES KEY INFORMATION ABOUT10
DISORDERED EATING, INCLUDING RISK FACTORS AND PREVENTION11
FACTORS. THE EXTERNAL-FACING RESOURCE MUST BE CULTURALLY12
SENSITIVE, AND, WHEN POSSIBLE, AVAILABLE IN BOTH ENGLISH AND13
S
PANISH.
14
(b) C
OLLABORATE WITH THE OFFICE OF SUICIDE PREVENTION ,
15
CREATED IN SECTION 25-1.5-101 (1)(w), AND OTHER PROGRAMS WITHIN16
THE DIVISION TO ALIGN WORK FOCUSED ON DISORDERED EATING ,17
FACILITATE PUBLIC OUTREACH, AND INCREASE AWARENESS REGARDING18
DISORDERED EATING PREVENTION WITH A FOCUS ON IMPACTED19
COMMUNITIES, SUCH AS YOUTH, OLDER COLORADANS, PEOPLE OF COLOR,20
AND LESBIAN, GAY, BISEXUAL AND TRANSGENDER INDIVIDUALS ;21
(c) P
ARTNER WITH THE DEPARTMENT OF EDUCATION TO INFORM
22
TEACHERS, ADMINISTRATORS, SCHOOL STAFF, STUDENTS AND PARENTS ON23
DISORDERED EATING PREVENTION ; AND24
(d) C
OORDINATE THE DISORDERED EATING PREVENTION RESEARCH
25
GRANT PROGRAM.26
(3) T
HE DIVISION MAY:
27
014
-5- (a) CONTRACT WITH A THIRD-PARTY TO CONDUCT FOCUS GROUPS ,1
INTERVIEW KEY INDIVIDUALS , CONDUCT SURVEYS, AND ESTABLISH A2
COLLABORATIVE GROUP TO DISCUSS KEY ISSUES REGARDING DISORDERED3
EATING PREVENTION;4
(b) P
ARTNER WITH THE BEHAVIORAL HEALTH ADMINISTRATION ,
5
CREATED IN SECTION 27-50-102; AND6
(c) I
DENTIFY DISORDERED EATING PREVENTION STRATEGIES ,
7
INCLUDING DISMANTLING DISCRIMINATION AND BIAS WITH REGARD TO8
WEIGHT. 9
(1) THE DIVISION MAY SEEK, ACCEPT, AND EXPEND GIFTS, GRANTS,10
OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE PURPOSES OF11
THIS SECTION.12
(2) NOTWITHSTANDING SECTION 24-1-136 (11)(a)(I), ON OR13
BEFORE NOVEMBER 1, 2025, AND EVERY NOVEMBER 1 THEREAFTER, THE14
DIVISION SHALL SUBMIT TO THE HEALTH AND HUMAN SERVICES15
COMMITTEE OF THE SENATE AND THE PUBLIC AND BE HAVIORAL HEALTH16
AND HUMAN SERVICES COMMITTEE OF THE HOUSE OF REPRESENTATIVES ,17
OR ANY SUCCESSOR COMMITTEES , A REPORT THAT SUMMARIZES THE18
RECOMMENDATIONS FROM THE INFORMATION THE DIVISION RECEIVES19
REGARDING THE DISORDERED EATING PREVENTION RESEARCH GRANT20
PROGRAM PURSUANT TO SECTION 25-20.5-2005 (3)(b). THE DIVISION21
SHALL INCLUDE IN THE REPORT ANY FINDINGS AND RECOMMENDATIONS IT22
HAS TO IMPROVE DISORDERED EATING PREVENTION IN THE STATE .23
24
25
26
25-20.5-2004. Disordered eating prevention research grant27
014
-6- program - creation - process - reporting requirements - definitions -1
repeal. (1) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE2
REQUIRES:3
(a) "E
LIGIBLE APPLICANT" MEANS AN INDIVIDUAL, NONPROFIT4
ORGANIZATION, OR FOR-PROFIT ORGANIZATION THAT C ONDUCTS5
RESEARCH ON DISORDERED EATING AND PREVENTION IN YOUTH , ADULTS,
6
AND OLDER COLORADANS OR SERVES YOUTH , ADULTS, AND OLDER7
C
OLORADANS WHO HAVE DISORDERED EATING
TRAITS.8
(b) "G
RANT RECIPIENT" MEANS AN ELIGIBLE APPLICANT THAT THE9
DIVISION
SELECTS TO RECEIVE MONEY THROUGH THE GRANT PROGRAM .10
(2) (a) T
HERE IS CREATED IN THE DIVISION
THE DISORDERED11
EATING PREVENTION RESEARCH GRANT PROGRAM . THE PURPOSE OF THE12
GRANT PROGRAM IS TO PROVIDE FINANCIAL ASSISTANCE TO ELIGIBLE13
APPLICANTS TO CONDUCT RESEARCH ON THE ROOT CAUSES OF DISORDERED14
EATING AND EXAMINE THE RISK FACTORS AND PROTECTIVE FACTORS FOR15
DISORDERED EATING IN YOUTH, ADULTS, AND OLDER COLORADANS.16
(b) O
N OR BEFORE OCTOBER 1, 2024, THE DIVISION SHALL ADOPT
17
GUIDELINES FOR THE GRANT PROGRAM. THE GUIDELINES MUST INCLUDE:18
(I) A
PPLICATION PROCEDURES BY WHICH ELIGIBLE APPLICANTS19
MAY APPLY FOR A GRANT PURSUANT TO THIS SECTION ;20
(II) C
RITERIA TO USE IN SELECTING ELIGIBLE APPLICANTS TO21
RECEIVE GRANT MONEY AND DETERMINING THE AMOUNT OF GRANT22
MONEY TO BE AWARDED TO EACH GRANT RECIPIENT ;
23
(III) P
ROCEDURES FOR THE ADMINISTRATION OF THE GRANT24
PROGRAM, INCLUDING THE DATES THE DEPARTMENT AND THE OFFICE OF25
DISORDERED EATING PREVENTION ANNOUNCE THE GRANT PROGRAM ,26
BEGIN ACCEPTING APPLICATIONS, ALLOW ELIGIBLE APPLICANTS TO SUBMIT27
014
-7- APPLICATIONS, AND BEGIN DISTRIBUTING GRANT MONEY TO THE1
GRANTEES; AND2
(IV) R
EPORTING PROCEDURES FOR GRANT RECIPIENTS .
3
4
(3) (a) E
ACH GRANT RECIPIENT SHALL SUBMIT A WRITTEN REPORT5
TO THE DIVISION. THE REPORT MUST INCLUDE A SUMMARY OF
THE6
RESEARCH MADE POSSIBLE BY THE GRANT MONEY .7
(b) T
HE DIVISION
SHALL INCLUDE IN THE REPORT REQUIRED8
PURSUANT TO SECTION 25-20.5-2003 (4) THE FOLLOWING INFORMATION9
REGARDING THE ADMINISTRATION OF THE GRANT PROGRAM DURING THE10
PRECEDING YEAR:11
(I) T
HE NUMBER OF GRANT RECIPIENTS THAT RECEIVED MONEY12
FROM THE GRANT PROGRAM ;13
(II) T
HE AMOUNT OF EACH GRANT AWARD TO EACH GRANT14
RECIPIENT;15
(III) A
SUMMARY OF GRANT RECIPIENTS ' WRITTEN REPORTS16
DESCRIBED IN SUBSECTION (3)(a) OF THIS SECTION.17
(4) T
HE DIVISION
MAY SEEK, ACCEPT, AND EXPEND GIFTS, GRANTS,18
OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE PURPOSES OF19
THIS SECTION.20
(5) T
HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.21
22
23
SECTION 2. Appropriation. For the 2023-24 state fiscal year,24
$26,679 is appropriated to the department of public health and25
environment for use by the prevention services division. This26
appropriation is from the general fund and is based on an assumption that27
014
-8- the division will require an additional 0.2 FTE. To implement this act, the1
division may use this appropriation for the disordered eating prevention2
program related to family and community health.3
SECTION 3. Act subject to petition - effective date. This act4
takes effect at 12:01 a.m. on the day following the expiration of the5
ninety-day period after final adjournment of the general assembly; except6
that, if a referendum petition is filed pursuant to section 1 (3) of article V7
of the state constitution against this act or an item, section, or part of this8
act within such period, then the act, item, section, or part will not take9
effect unless approved by the people at the general election to be held in10
November 2024 and, in such case, will take effect on the date of the11
official declaration of the vote thereon by the governor.12
014
-9-