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-