Colorado 2023 2023 Regular Session

Colorado Senate Bill SB031 Introduced / Bill

Filed 01/10/2023

                    First Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
INTRODUCED
 
 
LLS NO. 23-0005.01 Alana Rosen x2606
SENATE BILL 23-031
Senate Committees House Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING IMPROVING OLDER COLORADANS' ACCESS TO TRAINED101
GERIATRIC SPECIALIST HEALTH -CARE PROVIDERS.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 creates the Colorado multidisciplinary health-care
provider access training program (program) to improve the health care of
medically complex, costly, compromised, and vulnerable older
Coloradans. The university of Colorado Anschutz medical campus shall
develop, implement, and administer the program. The program may be
offered to Colorado institutions of higher education with clinical health
SENATE SPONSORSHIP
Danielson and Cutter, 
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. professions graduate degree programs. The program coordinates and
expands geriatric training opportunities for clinical health professions
graduate students (students) enrolled in participating Colorado institutions
of higher education (participating institutions) across Colorado studying
to become advanced practice providers; dentists; nurses; occupational
therapists; pharmacists; physicians, including medical doctors and doctors
of osteopathy; physical therapists; psychologists; social workers; and
speech-language therapists. Students who successfully complete the
program are awarded certificates and issued letters authorizing those
students to become trainers for the program in clinics across the state.
The bill creates the Colorado multidisciplinary health-care
provider access training program advisory committee (committee) to
ensure that the training for the program is consistent and collaborative
across the fields of study. The committee is required to:
! Appoint a program chair;
! Set the program's standards for training and delivery of
multidisciplinary medical care to medically complex,
costly, compromised, and vulnerable older Coloradans;
! Establish requirements for the program;
! Identify and invite institutions of higher education that
offer appropriate clinical health professions graduate
degree programs to become participating institutions;
! Collaborate with participating institutions of higher
education across Colorado to enhance recruitment of
students to enter a field specific to geriatrics and select
students with an interest in geriatric care to participate in
the program;
! Assist with updating the program's curricula;
! Analyze data collected by the program;
! Build a multidisciplinary network of trained geriatric
clinicians to collaborate and provide opportunities for
clinicians to work together to better understand the roles of
each health-care discipline in urban, rural, and underserved
communities when caring for older Coloradans;
! Improve placement of students in experiential clinical
training opportunities, prioritizing rural and underserved
communities;
! Coordinate with graduates of the program to become
geriatric trainers for future students; and
! Increase the number of clinical training sites across
Colorado, specifically in rural and underserved
communities.
Be it enacted by the General Assembly of the State of Colorado:1
SB23-031-2- SECTION 1. In Colorado Revised Statutes, add part 11 to article1
21 of title 23 as follows:2
PART 113
COLORADO MULTIDISCIPLINARY4
HEALTH-CARE PROVIDER ACCESS5
TRAINING PROGRAM6
23-21-1101.  Legislative declaration. (1)  T
HE GENERAL7
ASSEMBLY FINDS AND DECLARES THAT :8
(a)  O
VER THE PAST DECADE , COLORADO HAS HAD THE9
SECOND-FASTEST-GROWING RATE OF RESIDENTS OVER SIXTY -FIVE YEARS10
OF AGE IN THE UNITED STATES, GROWING AT ROUGHLY FIFTY -ONE11
PERCENT;12
(b)  C
URRENTLY, TWENTY-ONE PERCENT OF THE POPULATION IN13
C
OLORADO IS OVER SIXTY-FIVE YEARS OF AGE;14
(c)  B
Y 2030, COLORADO WILL HAVE MORE RESIDENTS OVER15
SIXTY-FIVE YEARS OF AGE THAN RESIDENTS UNDER EIGHTEEN YEARS OF16
AGE;17
(d)  T
HERE ARE ONLY NINETY -SIX PHYSICIANS TRAINED IN18
GERIATRICS ACROSS THE STATE , AND TWO HUNDRED EIGHTY -NINE19
PHYSICIANS TRAINED IN GERIATRICS ARE NEEDED BY 2050 TO SERVE TEN20
PERCENT OF COLORADANS OVER SIXTY-FIVE YEARS OF AGE;21
(e)  O
NLY TWENTY-THREE PERCENT OF DENTAL SCHOOLS ACROSS22
THE UNITED STATES OFFER CLINICAL TRAINING SPECIFIC TO DENTAL CARE23
FOR OLDER ADULTS;24
(f)  T
HERE IS A SEVERE SHORTAGE IN THE UNITED STATES OF25
GERIATRIC-TRAINED CLINICIANS ACROSS ALL HEALTH -CARE DISCIPLINES;26
(g)  T
HE NUMBER OF OLDER COLORADANS PLACES HIGH RESOURCE27
SB23-031
-3- DEMANDS ON THE STATE'S HEALTH-CARE SYSTEM;1
(h)  D
URING A HEALTH-CARE STUDY CONDUCTED BETWEEN 19932
AND 1997, OLDER PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WERE3
PLACED EITHER IN AN ACUTE CARE FOR ELDERS UNIT OR A USUAL -CARE4
CONTROL UNIT. ON AVERAGE, THE LENGTH OF STAY FOR OLDER PATIENTS5
TREATED BY A GERIATRIC-TRAINED INTERDISCIPLINARY TEAM, INCLUDING6
GERIATRICIANS, ADVANCED PRACTICE NURSES , SOCIAL WORKERS ,7
PHARMACISTS, AND PHYSICAL THERAPISTS, WAS SIGNIFICANTLY SHORTER,8
AT JUST OVER SIX DAYS PER PATIENT FOR THOSE RECEIVING CARE IN THE9
ACUTE CARE FOR ELDERS UNIT VERSUS JUST OVER SEVEN DAYS PER10
PATIENT FOR THOSE IN THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE11
IN CARE PRODUCED LOWER TOTAL INPATIENT COSTS FROM NINE THOUSAND12
FOUR HUNDRED SEVENTY -SEVEN DOLLARS PER PATIENT FOR THOSE13
PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT VERSUS TEN THOUSAND14
FOUR HUNDRED FIFTY-ONE DOLLARS PER PATIENT FOR THOSE PATIENTS IN15
THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE IN CARE FOR THOSE16
PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT MAINTAINED PATIENTS '17
FUNCTIONAL ABILITIES AND DID NOT INCREASE HOSPITAL READMISSION18
RATES.19
(i)  T
HE STUDY DESCRIBED IN SUBSECTION (1)(h) OF THIS SECTION20
RESULTED IN FIFTY-EIGHT FEWER DAYS OF HOSPITALIZATION FOR EVERY21
ONE HUNDRED PATIENTS ADMITTED TO THE ACUTE CARE FOR ELDERS UNIT22
VERSUS THE USUAL-CARE CONTROL UNIT. OVER THE COURSE OF THE23
STUDY, THIS RESULTED IN SAVINGS OF NINETY-SEVEN THOUSAND FOUR24
HUNDRED DOLLARS FOR EVERY ONE HUNDRED PATIENTS ADMITTED TO THE25
ACUTE CARE FOR ELDERS UNIT VERSUS THE USUAL -CARE CONTROL UNIT.26
(j)  H
OSPITAL READMISSION RATES FOR PATIENTS RELEASED FROM27
SB23-031
-4- HOSPITALS WITH ACUTE CARE FOR ELDERS UNITS WERE NEARLY TEN1
PERCENT LESS COMPARED TO READMISSION RATES FOR PATIENTS2
RELEASED FROM HOSPITALS WITHOUT ACUTE CARE FOR ELDERS UNITS ;3
(k)  C
OLORADO ACCOUNTS FOR TWELVE PERCENT OF THE NATIONAL4
MEDICARE BUDGET AS MEASURED BY MEDICARE PART A OR PART B5
PROGRAM PAYMENTS . PAYMENTS FROM THE MEDICARE PROGRAM FOR6
C
OLORADO EQUAL FOUR BILLION FIVE HUNDRED EIGHTY MILLION FOUR7
THOUSAND FIVE HUNDRED NINE DOLLARS , WHICH COVERS FIVE HUNDRED8
TWENTY-EIGHT THOUSAND MEDICARE ENROLLEES .9
(l)  M
EDICAID COVERS ONE IN FIVE AMERICANS AND ACCOUNTS10
FOR SEVENTEEN PERCENT OF THE NATIONAL HEALTH EXPENDITURES	.11
M
EDICAID SPENDING GROWTH IS EXPECTED TO BE A SUBSTANTIAL12
CONTRIBUTOR TO NATIONAL HEALTH SPENDING INCREASES OVER THE13
NEXT TEN YEARS, PRIMARILY DUE TO A POPULATION OF OLDER ADULTS14
WHO ARE ENROLLING IN MEDICAID WITH LONG -TERM SERVICES AND15
SUPPORTS AND HEALTH-CARE NEEDS.16
(2)  T
HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY17
ESTABLISHING A MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS18
TRAINING PROGRAM TO TRAIN AND SUPPORT CLINICAL HEALTH19
PROFESSIONS GRADUATE STUDENTS IN ADVANCED PRACTICE PROVIDER20
PROGRAMS; DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ;21
NURSING; OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY;22
PSYCHOLOGY; SOCIAL WORK; AND SPEECH-LANGUAGE THERAPY, FUTURE23
CLINICIANS TRAINED SPECIFICALLY IN GERIATRICS WILL BETTER MEET THE24
NEEDS OF MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND25
VULNERABLE OLDER COLORADANS. THE MULTIDISCIPLINARY26
HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM IS CORE TO THE27
SB23-031
-5- FUTURE EXPANSION OF MULTIDISCIPLINARY GERIATRIC PRACTICES AMONG1
EACH HEALTH-CARE DISCIPLINE. MEETING THE NEEDS OF COLORADO'S2
OLDER ADULTS WILL SAVE THE STATE MILLIONS OF DOLLARS IN3
HEALTH-CARE COSTS EACH YEAR . THE GENERAL ASSEMBLY FURTHER4
DECLARES THAT COLLABORATION BETWEEN PARTICIPATING INSTITUTIONS5
OF HIGHER EDUCATION, COMMUNITIES, AND HEALTH-CARE PROVIDERS6
WILL ALLOW COLORADO TO PROVIDE THE HIGHEST STANDARD MEDICAL7
CARE TO MEDICALLY COMPLEX, COSTLY, COMPROMISED, AND VULNERABLE8
OLDER COLORADANS AND TO BETTER FILL THE PRESENT AND FUTURE NEED9
FOR GERIATRIC CARE IN URBAN, RURAL, AND UNDERSERVED COMMUNITIES10
ACROSS THE STATE.11
23-21-1102.  Definitions. A
S USED IN THIS PART 11, UNLESS THE12
CONTEXT OTHERWISE REQUIRES :13
(1)  "C
LINICAL HEALTH PROFESSIONS GRADUATE DEGREE14
PROGRAM" MEANS A PROGRAM OF STUDY THAT PREPARES GRADUATE15
STUDENTS TO BECOME HEALTH -CARE PROFESSIONALS.16
(2)  "C
LINICAL HEALTH PROFESSIONS GRADUATE STUDENT " OR17
"
STUDENT" MEANS A CLINICAL HEALTH PROFESSIONS GRADUATE STUDENT18
STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO19
IS TRAINING AS AN ADVANCED PRACTICE PROVIDER ; DENTIST; NURSE;20
OCCUPATIONAL THERAPIST ; PHARMACIST; PHYSICAL THERAPIST ;21
PHYSICIAN, INCLUDING A MEDICAL DOCTOR OR DOCTOR OF OSTEOPATHY ;22
PSYCHOLOGIST; SOCIAL WORKER; OR SPEECH-LANGUAGE THERAPIST.23
(3)  "C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER24
ACCESS TRAINING PROGRAM " OR "PROGRAM" MEANS THE COLORADO25
MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM26
CREATED IN SECTION 23-21-1103.27
SB23-031
-6- (4)  "COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER1
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE " OR "COMMITTEE"2
MEANS THE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER3
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE CREATED IN SECTION4
23-21-1104.5
(5)  "P
ARTICIPATING COLORADO INSTITUTION OF HIGHER6
EDUCATION" MEANS A PRIVATE OR PUBLIC INSTITUTION OF HIGHER7
EDUCATION THAT OFFERS CLINICAL HEALTH PROFESSIONS GRADUATE8
DEGREE PROGRAMS AND PARTICIPATES IN THE 	COLORADO9
MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM .10
23-21-1103.  Colorado multidisciplinary health-care provider11
access training program - created. (1)  T
HERE IS CREATED THE12
C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS13
TRAINING PROGRAM LOCATED AT THE UNIVERSITY OF COLORADO14
A
NSCHUTZ MEDICAL CAMPUS . THE PURPOSE OF THE PROGRAM IS TO15
DEVELOP, IMPLEMENT, AND ADMINISTER GERIATRIC TRAINING16
OPPORTUNITIES THAT WILL ATTRACT CLINICAL HEALTH PROFESSIONS17
GRADUATE STUDENTS FROM PARTICIPATING COLORADO INSTITUTIONS OF18
HIGHER EDUCATION WHO ARE STUDYING IN THE GRADUATE FIELDS OF19
ADVANCED PRACTICE PROVIDER PROGRAMS ; DENTISTRY; MEDICINE,20
INCLUDING OSTEOPATHIC MEDICINE ; NURSING; OCCUPATIONAL THERAPY;21
PHARMACY; PHYSICAL THERAPY ; PSYCHOLOGY; SOCIAL WORK; OR22
SPEECH-LANGUAGE THERAPY TO GERIATRIC TRAINING OPPORTUNITIES .23
(2) (a)  B
EGINNING IN STATE FISCAL YEAR 2024-25, THE24
COMMITTEE, PROGRAM CHAIR APPOINTED PURSUANT TO SECTION25
23-21-1104 (2)(a), 
OR THE PROGRAM CHAIR 'S DESIGNEE, AND26
PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THROUGHOUT27
SB23-031
-7- COLORADO SHALL SELECT TWO CLINICAL HEALTH PROFESSIONS GRADUATE1
STUDENTS PER YEAR FROM EACH FIELD OF STUDY DESCRIBED IN2
SUBSECTION (2)(b) OF THIS SECTION TO PARTICIPATE IN THE PROGRAM 'S3
GERIATRIC CLINICAL TRAINING OPPORTUNITIES . THE COMMITTEE, IN4
COLLABORATION WITH THE PARTICIPATING INSTITUTIONS OF HIGHER5
EDUCATION, SHALL PLACE STUDENTS IN GERIATRIC CLINICAL SETTINGS FOR6
HANDS-ON EXPERIENTIAL TRAINING. THE COMMITTEE SHALL CREATE A7
ROTATION SCHEDULE TO ALLOW STUDENTS ENROLLED IN PARTICIPATING8
INSTITUTIONS OF HIGHER EDUCATION THAT OFFER THE SAME CLINICAL9
HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS TO PARTICIPATE IN10
THE PROGRAM'S CLINICAL TRAINING OPPORTUNITIES.11
(b)  T
WO STUDENTS FROM EACH OF THE FOLLOWING FIELDS OF12
STUDY ARE INCLUDED IN THE PROGRAM :13
(I)  A
DVANCED PRACTICE PROVIDER PROGRAMS ;14
(II)  D
ENTISTRY;15
(III)  M
EDICINE;16
(IV)  N
URSING;17
(V)  O
CCUPATIONAL THERAPY;18
(VI)  O
STEOPATHIC MEDICINE;19
(VII)  P
HARMACY;20
(VIII)  P
HYSICAL THERAPY;21
(IX)  P
SYCHOLOGY;22
(X)  S
OCIAL WORK; AND23
(XI)  S
PEECH-LANGUAGE THERAPY.24
(3)  T
HE PROGRAM IS ENCOURAGED TO PROVIDE UPDATED TRAINING25
EACH YEAR FOR STUDENTS , GERIATRIC-TRAINED FACULTY, AND26
HEALTH-CARE PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC27
SB23-031
-8- APPROACHES, INNOVATIONS, TECHNOLOGIES, NEW CLINICAL HEALTH-CARE1
PROCESSES TO CARE FOR OLDER ADULTS, TEAM TRAINING EXERCISES, AND2
LEADERSHIP TRAINING.3
(4)  T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,4
SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER5
EDUCATION AND HEALTH -CARE PROVIDERS TO PLACE STUDENTS IN6
GERIATRIC CLINICAL SETTINGS FOR HANDS -ON EXPERIENTIAL TRAINING.7
(5)  T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,8
SHALL AWARD A CERTIFICATE TO A STUDENT WHO SUCCESSFULLY9
COMPLETES THE PROGRAM . THE PROGRAM CHAIR, OR THE PROGRAM10
CHAIR'S DESIGNEE, SHALL ISSUE A LETTER TO A STUDENT WHO11
SUCCESSFULLY COMPLETES THE PROGRAM AUTHORIZING THE STUDENT TO12
BECOME A TRAINER FOR THE PROGRAM IN A CLINIC IN THE STATE .13
(6)  T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,14
SHALL GATHER DATA ON THE FOLLOWING :15
(a)  T
HE NUMBER OF STUDENTS PARTICIPATING IN THE PROGRAM16
FROM EACH PARTICIPATING INSTITUTION OF HIGHER EDUCATION ;17
(b)  T
HE NUMBER OF STUDENTS WHO SUCCESSFULLY COMPLETE THE18
PROGRAM;19
(c)  T
HE SUBSEQUENT LOCATIONS AND JOB PLACEMENTS OF20
PROGRAM GRADUATES ;21
(d)  T
HE NUMBER OF PROGRAM GRADUATES WHO BECOME22
TRAINERS; AND23
(e)  T
HE DESCRIPTION OF FACILITIES WHERE PROGRAM GRADUATES24
BECOME TRAINERS.25
23-21-1104.  Colorado multidisciplinary health-care provider26
access training program advisory committee - created - training.27
SB23-031
-9- (1) (a)  THERE IS CREATED THE COLORADO MULTIDISCIPLINARY1
HEALTH-CARE ACCESS TRAINING PROGRAM ADVISORY COMMITTEE TO2
ENSURE THAT TRAINING FOR THE PROGRAM IS CONSISTENT AND3
COLLABORATIVE ACROSS UNIVERSITY DEPARTMENTS , PARTICIPATING4
INSTITUTIONS OF HIGHER EDUCATION, AND HEALTH-CARE COMMUNITIES.5
(b)  O
N OR BEFORE JULY 1, 2023, THE COMMITTEE SHALL CONVENE6
AND CONSIST OF THE PROGRAM CHAIR APPOINTED PURSUANT TO7
SUBSECTION (2)(a) OF THIS SECTION AND MEMBERS INCLUDING BUT NOT8
LIMITED TO ONE REPRESENTATIVE FROM :9
(I)  A
N ADVANCED PRACTICE PROVIDER PROGRAM ;10
(II)  A
 DEPARTMENT OF PSYCHOLOGY ;11
(III)  A
 NURSING PROGRAM;12
(IV)  A
N OCCUPATIONAL THERAPY PROGRAM ;13
(V)  A
 PHYSICAL THERAPY PROGRAM ;14
(VI)  A
 SCHOOL OF DENTAL MEDICINE;15
(VII)  A
 SCHOOL OF MEDICINE;16
(VIII)  A
 SCHOOL OF OSTEOPATHIC MEDICINE;17
(IX)  A
 SCHOOL OF PHARMACY;18
(X)  A
 SOCIAL WORK PROGRAM; AND19
(XI)  A
 SPEECH-LANGUAGE THERAPY PROGRAM .20
(2) (a)  O
N OR BEFORE DECEMBER 1, 2023, THE COMMITTEE SHALL:21
(I)  A
PPOINT A PROGRAM CHAIR;22
(II)  S
ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY23
OF MEDICAL CARE TO MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND24
VULNERABLE OLDER COLORADANS;25
(III)  E
STABLISH THE REQUIREMENTS FOR THE PROGRAM ; AND26
(IV)  I
DENTIFY AND INVITE PRIVATE OR PUBLIC INSTITUTIONS OF27
SB23-031
-10- HIGHER EDUCATION THAT OFFER APPROPRIATE CLINICAL HEALTH1
PROFESSIONS GRADUATE DEGREE PROGRAMS TO BECOME PARTICIPATING2
INSTITUTIONS OF HIGHER EDUCATION.3
(b)  I
N ADDITION TO THE DUTIES SET FORTH IN SUBSECTION (2)(a)4
OF THIS SECTION, THE COMMITTEE SHALL:5
(I)  C
OLLABORATE WITH THE PROGRAM CHAIR , OR THE PROGRAM6
CHAIR'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF HIGHER7
EDUCATION TO SELECT STUDENTS WHO HAVE AN INTEREST IN GERIATRIC8
CARE TO PARTICIPATE IN THE PROGRAM ;9
(II)  A
NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (6);10
(III)  B
UILD A MULTIDISCIPLINARY NETWORK OF TRAINED11
GERIATRIC CLINICIANS TO COLLABORATE AND PROVIDE OPPORTUNITIES12
FOR CLINICIANS TO WORK TOGETHER TO BETTER UNDERSTAND THE ROLES13
OF EACH HEALTH-CARE DISCIPLINE IN URBAN, RURAL, AND UNDERSERVED14
COMMUNITIES WHEN TREATING OLDER COLORADANS;15
(IV)  I
MPROVE PLACEMENT OF CLINICAL GRADUATE STUDENTS IN16
EXPERIENTIAL CLINICAL TRAINING OPPORTUNITIES , PRIORITIZING RURAL17
AND UNDERSERVED COMMUNITIES ;18
(V)  C
OORDINATE WITH GRADUATES OF THE PROGRAM TO BECOME19
TRAINERS FOR FUTURE STUDENTS ; AND20
(VI)  I
NCREASE THE NUMBER OF CLINICAL TRAINING SITES ACROSS21
C
OLORADO, SPECIFICALLY IN RURAL AND UNDERSERVED COMMUNITIES .22
23-21-1105.  Reporting. (1)  B
Y JULY 1, 2025, AND NO LATER23
THAN JULY 1 EACH YEAR THEREAFTER , A REPRESENTATIVE OF THE24
PROGRAM SHALL SUBMIT A REPORT CONTAINING THE DATA COLLECTED25
PURSUANT TO SECTION 23-21-1103 (6) AND RECOMMENDATIONS FOR26
LEGISLATIVE OR REGULATORY CHANGES TO FACILITATE EFFECTIVE27
SB23-031
-11- IMPLEMENTATION OF THE PROGRAM TO THE HEALTH AND HUMAN SERVICES1
COMMITTEE OF THE SENATE, THE HEALTH AND INSURANCE COMMITTEE OF2
THE HOUSE OF REPRESENTATIVES, OR THEIR SUCCESSOR COMMITTEES .3
(2)  N
OTWITHSTANDING SECTION 24-1-136 (11)(a)(I), THE4
REPORTING REQUIREMENT IN THIS SECTION CONTINUES INDEFINITELY .5
SECTION 2. In Colorado Revised Statutes, 23-18-308, add6
(1)(k) as follows:7
23-18-308.  Fee-for-service contracts - limited purpose - repeal.8
(1)  Subject to available appropriations, the department shall enter into9
fee-for-service contracts for the following purposes:10
(k)  T
HE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER11
ACCESS TRAINING PROGRAM CREATED IN SECTION 23-21-1103.12
SECTION 3. Safety clause. The general assembly hereby finds,13
determines, and declares that this act is necessary for the immediate14
preservation of the public peace, health, or safety.15
SB23-031
-12-