First Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 23-0005.01 Alana Rosen x2606
SENATE BILL 23-031
Senate Committees House Committees
Health & Human Services
Appropriations
A BILL FOR AN ACT
C
ONCERNING IMPROVING OLDER COLORADANS' ACCESS TO TRAINED101
GERIATRIC SPECIALIST HEALTH -CARE PROVIDERS, AND, IN
102
CONNECTION THEREWITH , MAKING AN APPROPRIATION .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 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
SENATE
3rd Reading Unamended
April 14, 2023
SENATE
Amended 2nd Reading
April 13, 2023
SENATE SPONSORSHIP
Danielson and Cutter, Buckner, Exum, Fields, Ginal, Gonzales, Hansen, Jaquez Lewis,
Kolker, Marchman, Priola, Sullivan, Winter F., Zenzinger
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 law.
Dashes through the words or numbers indicate deletions from existing law. offered to Colorado institutions of higher education with clinical health
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.
031-2- Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add part 11 to article2
21 of title 23 as follows:3
PART 114
COLORADO MULTIDISCIPLINARY5
HEALTH-CARE PROVIDER ACCESS6
TRAINING PROGRAM7
23-21-1101. Legislative declaration. (1) T
HE GENERAL8
ASSEMBLY FINDS AND DECLARES THAT :9
(a) O
VER THE PAST DECADE , COLORADO HAS HAD THE10
SECOND-FASTEST-GROWING RATE OF RESIDENTS OVER SIXTY -FIVE YEARS11
OF AGE IN THE UNITED STATES, GROWING AT ROUGHLY FIFTY -ONE12
PERCENT;13
(b) C
URRENTLY, TWENTY-ONE PERCENT OF THE POPULATION IN14
C
OLORADO IS OVER SIXTY-FIVE YEARS OF AGE;15
(c) B
Y 2030, COLORADO WILL HAVE MORE RESIDENTS OVER16
SIXTY-FIVE YEARS OF AGE THAN RESIDENTS UNDER EIGHTEEN YEARS OF17
AGE;18
(d) T
HERE ARE ONLY NINETY -SIX PHYSICIANS TRAINED IN19
GERIATRICS ACROSS THE STATE , AND TWO HUNDRED EIGHTY -NINE20
PHYSICIANS TRAINED IN GERIATRICS ARE NEEDED BY 2050 TO SERVE TEN21
PERCENT OF COLORADANS OVER SIXTY-FIVE YEARS OF AGE;22
(e) O
NLY TWENTY-THREE PERCENT OF DENTAL SCHOOLS ACROSS23
THE UNITED STATES OFFER CLINICAL TRAINING SPECIFIC TO DENTAL CARE24
FOR OLDER ADULTS;25
(f) T
HERE IS A SEVERE SHORTAGE IN THE UNITED STATES OF26
GERIATRIC-TRAINED CLINICIANS ACROSS ALL HEALTH -CARE DISCIPLINES;27
031
-3- (g) THE NUMBER OF OLDER COLORADANS PLACES HIGH RESOURCE1
DEMANDS ON THE STATE'S HEALTH-CARE SYSTEM;2
(h) D
URING A HEALTH-CARE STUDY CONDUCTED BETWEEN 19933
AND 1997, OLDER PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WERE4
PLACED EITHER IN AN ACUTE CARE FOR ELDERS UNIT OR A USUAL -CARE5
CONTROL UNIT. ON AVERAGE, THE LENGTH OF STAY FOR OLDER PATIENTS6
TREATED BY A GERIATRIC-TRAINED INTERDISCIPLINARY TEAM, INCLUDING7
GERIATRICIANS, ADVANCED PRACTICE NURSES , SOCIAL WORKERS ,8
PHARMACISTS, AND PHYSICAL THERAPISTS, WAS SIGNIFICANTLY SHORTER,9
AT JUST OVER SIX DAYS PER PATIENT FOR THOSE RECEIVING CARE IN THE10
ACUTE CARE FOR ELDERS UNIT VERSUS JUST OVER SEVEN DAYS PER11
PATIENT FOR THOSE IN THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE12
IN CARE PRODUCED LOWER TOTAL INPATIENT COSTS FROM NINE T HOUSAND13
FOUR HUNDRED SEVENTY -SEVEN DOLLARS PER PATIENT FOR THOSE14
PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT VERSUS TEN THOUSAND15
FOUR HUNDRED FIFTY-ONE DOLLARS PER PATIENT FOR THOSE PATIENTS IN16
THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE IN CARE FOR THOSE17
PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT MAINTAINED PATIENTS '18
FUNCTIONAL ABILITIES AND DID NOT INCREASE HOSPITAL READMISSION19
RATES.20
(i) T
HE STUDY DESCRIBED IN SUBSECTION (1)(h) OF THIS SECTION21
RESULTED IN FIFTY-EIGHT FEWER DAYS OF HOSPITALIZATION FOR EVERY22
ONE HUNDRED PATIENTS ADMITTED TO THE ACUTE CARE FOR ELDERS UNIT23
VERSUS THE USUAL-CARE CONTROL UNIT. OVER THE COURSE OF THE24
STUDY, THIS RESULTED IN SAVINGS OF NINETY-SEVEN THOUSAND FOUR25
HUNDRED DOLLARS FOR EVERY ONE HUNDRED PATIENTS ADMITTED TO THE26
ACUTE CARE FOR ELDERS UNIT VERSUS THE USUAL -CARE CONTROL UNIT.27
031
-4- (j) HOSPITAL READMISSION RATES FOR PATIENTS RELEASED FROM1
HOSPITALS WITH ACUTE CARE FOR ELDERS UNITS WERE NEARLY TEN2
PERCENT LESS COMPARED TO READMISSION RATES FOR PATIENTS3
RELEASED FROM HOSPITALS WITHOUT ACUTE CARE FOR ELDERS UNITS ;4
(k) C
OLORADO ACCOUNTS FOR TWELVE PERCENT OF THE NATIONAL5
MEDICARE BUDGET AS MEASURED BY MEDICARE PART A OR PART B6
PROGRAM PAYMENTS . PAYMENTS FROM THE MEDICARE PROGRAM FOR7
C
OLORADO EQUAL FOUR BILLION FIVE HUNDRED EIGHTY MILLION FOUR8
THOUSAND FIVE HUNDRED NINE DOLLARS , WHICH COVERS FIVE HUNDRED9
TWENTY-EIGHT THOUSAND MEDICARE ENROLLEES .10
(l) M
EDICAID COVERS ONE IN FIVE AMERICANS AND ACCOUNTS11
FOR SEVENTEEN PERCENT OF THE NATIONAL HEALTH EXPENDITURES .12
M
EDICAID SPENDING GROWTH IS EXPECTED TO BE A SUBSTANTIAL13
CONTRIBUTOR TO NATIONAL HEALTH SPENDING INCREASES OVER THE14
NEXT TEN YEARS, PRIMARILY DUE TO A POPULATION OF OLDER ADULTS15
WHO ARE ENROLLING IN MEDICAID WITH LONG -TERM SERVICES AND16
SUPPORTS AND HEALTH-CARE NEEDS.17
(2) T
HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY18
ESTABLISHING A MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS19
TRAINING PROGRAM TO TRAIN AND SUPPORT CLINICAL HEALTH20
PROFESSIONS GRADUATE STUDENTS IN ADVANCED PRACTICE PROVIDER21
PROGRAMS; DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ;22
NURSING; OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY;23
PSYCHOLOGY; SOCIAL WORK; AND SPEECH-LANGUAGE THERAPY, FUTURE24
CLINICIANS TRAINED SPECIFICALLY IN GERIATRICS WILL BETTER MEET THE25
NEEDS OF MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND26
VULNERABLE OLDER COLORADANS. THE MULTIDISCIPLINARY27
031
-5- HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM IS CORE TO THE1
FUTURE EXPANSION OF MULTIDISCIPLINARY GERIATRIC PRACTICES AMONG2
EACH HEALTH-CARE DISCIPLINE. MEETING THE NEEDS OF COLORADO'S3
OLDER ADULTS WILL SAVE THE STATE MILLIONS OF DOLLARS IN4
HEALTH-CARE COSTS EACH YEAR . THE GENERAL ASSEMBLY FURTHER5
DECLARES THAT COLLABORATION BETWEEN PARTICIPATING INSTITUTIONS6
OF HIGHER EDUCATION, COMMUNITIES, AND HEALTH-CARE PROVIDERS7
WILL ALLOW COLORADO TO PROVIDE THE HIGHEST STANDARD MEDICAL8
CARE TO MEDICALLY COMPLEX, COSTLY, COMPROMISED, AND VULNERABLE9
OLDER COLORADANS AND TO BETTER FILL THE PRESENT AND FUTURE NEED10
FOR GERIATRIC CARE IN URBAN, RURAL, AND UNDERSERVED COMMUNITIES11
ACROSS THE STATE.12
23-21-1102. Definitions. A
S USED IN THIS PART 11, UNLESS THE13
CONTEXT OTHERWISE REQUIRES :14
(1) "C
LINICAL HEALTH PROFESSIONS GRADUATE DEGREE15
PROGRAM" MEANS A PROGRAM OF STUDY THAT PREPARES GRADUATE16
STUDENTS TO BECOME HEALTH -CARE PROFESSIONALS.17
(2) "C
LINICAL HEALTH PROFESSIONS GRADUATE STUDENT " OR18
"
STUDENT" MEANS A CLINICAL HEALTH PROFESSIONS GRADUATE STUDENT19
STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO20
IS TRAINING AS AN ADVANCED PRACTICE PROVIDER ; DENTIST; NURSE;21
OCCUPATIONAL THERAPIST ; PHARMACIST; PHYSICAL THERAPIST ;22
PHYSICIAN, INCLUDING A MEDICAL DOCTOR OR DOCTOR OF OSTEOPATHY ;23
PSYCHOLOGIST; SOCIAL WORKER; OR SPEECH-LANGUAGE THERAPIST.24
(3) "C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER25
ACCESS TRAINING PROGRAM " OR "PROGRAM" MEANS THE COLORADO26
MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM27
031
-6- CREATED IN SECTION 23-21-1103.1
(4) "C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER2
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE " OR "COMMITTEE"3
MEANS THE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER4
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE CREATED IN SECTION5
23-21-1104.6
(5) "P
ARTICIPATING COLORADO INSTITUTION OF HIGHER7
EDUCATION" MEANS A PRIVATE OR PUBLIC INSTITUTION OF HIGHER8
EDUCATION THAT OFFERS CLINICAL HEALTH PROFESSIONS GRADUATE9
DEGREE PROGRAMS AND PARTICIPATES IN THE COLORADO10
MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM .11
23-21-1103. Colorado multidisciplinary health-care provider12
access training program - created. (1) T
HERE IS CREATED THE13
C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS14
TRAINING PROGRAM LOCATED AT THE UNIVERSITY OF COLORADO15
A
NSCHUTZ MEDICAL CAMPUS . THE PURPOSE OF THE PROGRAM IS TO16
DEVELOP, IMPLEMENT, AND ADMINISTER GERIATRIC TRAINING17
OPPORTUNITIES THAT WILL ATTRACT CLINICAL HEALTH PROFESSIONS18
GRADUATE STUDENTS FROM PARTICIPATING COLORADO INSTITUTIONS OF19
HIGHER EDUCATION WHO ARE STUDYING IN THE GRADUATE FIELDS OF20
ADVANCED PRACTICE PROVIDER PROGRAMS ; DENTISTRY; MEDICINE,21
INCLUDING OSTEOPATHIC MEDICINE ; NURSING; OCCUPATIONAL THERAPY;22
PHARMACY; PHYSICAL THERAPY ; PSYCHOLOGY; SOCIAL WORK; OR23
SPEECH-LANGUAGE THERAPY TO GERIATRIC TRAINING OPPORTUNITIES .24
(2) (a) B
EGINNING IN STATE FISCAL YEAR 2024-25, THE25
COMMITTEE, PROGRAM CHAIR APPOINTED PURSUANT TO SECTION26
23-21-1104 (2)(a),
OR THE PROGRAM CHAIR 'S DESIGNEE, AND27
031
-7- PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THROUGHOUT1
C
OLORADO SHALL SELECT TWO CLINICAL HEALTH PROFESSIONS GRADUATE2
STUDENTS PER YEAR FROM EACH FIELD OF STUDY DESCRIBED IN3
SUBSECTION (2)(b) OF THIS SECTION TO PARTICIPATE IN THE PROGRAM 'S4
GERIATRIC CLINICAL TRAINING OPPORTUNITIES . THE COMMITTEE, IN5
COLLABORATION WITH THE PARTICIPATING INSTITUTIONS OF HIGHER6
EDUCATION, SHALL PLACE STUDENTS IN GERIATRIC CLINICAL SETTINGS FOR7
HANDS-ON EXPERIENTIAL TRAINING. THE COMMITTEE SHALL CREATE A8
ROTATION SCHEDULE TO ALLOW STUDENTS ENROLLED IN PARTICIPATING9
INSTITUTIONS OF HIGHER EDUCATION THAT OFFER THE SAME CLINICAL10
HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS TO PARTICIPATE IN11
THE PROGRAM'S CLINICAL TRAINING OPPORTUNITIES.12
(b) T
WO STUDENTS FROM EACH OF THE FOLLOWING FIELDS OF13
STUDY ARE INCLUDED IN THE PROGRAM :14
(I) A
DVANCED PRACTICE PROVIDER PROGRAMS ;15
(II) D
ENTISTRY;16
(III) M
EDICINE;17
(IV) N
URSING;18
(V) O
CCUPATIONAL THERAPY;19
(VI) O
STEOPATHIC MEDICINE;20
(VII) P
HARMACY;21
(VIII) P
HYSICAL THERAPY;22
(IX) P
SYCHOLOGY;23
(X) S
OCIAL WORK; AND24
(XI) S
PEECH-LANGUAGE THERAPY.25
(3) T
HE PROGRAM IS ENCOURAGED TO PROVIDE UPDATED TRAINING26
EACH YEAR FOR STUDENTS , GERIATRIC-TRAINED FACULTY, AND27
031
-8- HEALTH-CARE PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC1
APPROACHES, INNOVATIONS, TECHNOLOGIES, NEW CLINICAL HEALTH-CARE2
PROCESSES TO CARE FOR OLDER ADULTS, TEAM TRAINING EXERCISES, AND3
LEADERSHIP TRAINING.4
(4) T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,5
SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER6
EDUCATION AND HEALTH -CARE PROVIDERS TO PLACE STUDENTS IN7
GERIATRIC CLINICAL SETTINGS FOR HANDS -ON EXPERIENTIAL TRAINING.8
(5) T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,9
SHALL AWARD A CERTIFICATE TO A STUDENT WHO SUCCESSFULLY10
COMPLETES THE PROGRAM . THE PROGRAM CHAIR, OR THE PROGRAM11
CHAIR'S DESIGNEE, SHALL ISSUE A LETTER TO A STUDENT WHO12
SUCCESSFULLY COMPLETES THE PROGRAM AUTHORIZING THE STUDENT TO13
BECOME A TRAINER FOR THE PROGRAM IN A CLINIC IN THE STATE .14
(6) T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,15
SHALL GATHER DATA ON THE FOLLOWING :16
(a) T
HE NUMBER OF STUDENTS PARTICIPATING IN THE PROGRAM17
FROM EACH PARTICIPATING INSTITUTION OF HIGHER EDUCATION ;18
(b) T
HE NUMBER OF STUDENTS WHO SUCCESSFULLY COMPLETE THE19
PROGRAM;20
(c) T
HE SUBSEQUENT LOCATIONS AND JOB PLACEMENTS OF21
PROGRAM GRADUATES ;22
(d) T
HE NUMBER OF PROGRAM GRADUATES WHO BECOME23
TRAINERS; AND24
(e) T
HE DESCRIPTION OF FACILITIES WHERE PROGRAM GRADUATES25
BECOME TRAINERS.26
23-21-1104. Colorado multidisciplinary health-care provider27
031
-9- access training program advisory committee - created - training.1
(1) (a) T
HERE IS CREATED THE COLORADO MULTIDISCIPLINARY2
HEALTH-CARE ACCESS TRAINING PR OGRAM ADVISORY COMMITTEE TO3
ENSURE THAT TRAINING FOR THE PROGRAM IS CONSISTENT AND4
COLLABORATIVE ACROSS UNIVERSITY DEPARTMENTS , PARTICIPATING5
INSTITUTIONS OF HIGHER EDUCATION, AND HEALTH-CARE COMMUNITIES.6
(b) O
N OR BEFORE JULY 1, 2023, THE COMMITTEE SHALL CONVENE7
AND CONSIST OF THE PROGRAM CHAIR APPOINTED PURS UANT TO8
SUBSECTION (2)(a) OF THIS SECTION AND MEMBERS INCLUDING BUT NOT9
LIMITED TO ONE REPRESENTATIVE FROM :10
(I) A
N ADVANCED PRACTICE PROVIDER PROGRAM ;11
(II) A
DEPARTMENT OF PSYCHOLOGY ;12
(III) A
NURSING PROGRAM;13
(IV) A
N OCCUPATIONAL THERAPY PROGRAM ;14
(V) A
PHYSICAL THERAPY PROGRAM ;15
(VI) A
SCHOOL OF DENTAL MEDICINE;16
(VII) A
SCHOOL OF MEDICINE;17
(VIII) A
SCHOOL OF OSTEOPATHIC MEDICINE;18
(IX) A
SCHOOL OF PHARMACY;19
(X) A
SOCIAL WORK PROGRAM; AND20
(XI) A
SPEECH-LANGUAGE THERAPY PROGRAM .21
(2) (a) O
N OR BEFORE DECEMBER 1, 2023, THE COMMITTEE SHALL:22
(I) A
PPOINT A PROGRAM CHAIR;23
(II) S
ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY24
OF MEDICAL CARE TO MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND25
VULNERABLE OLDER COLORADANS;26
(III) E
STABLISH THE REQUIREMENTS FOR THE PROGRAM ; AND27
031
-10- (IV) IDENTIFY AND INVITE PRIVATE OR PUBLIC INSTITUTIONS OF1
HIGHER EDUCATION THAT OFFER APPROPRIATE CLINICAL HEALTH2
PROFESSIONS GRADUATE DEGREE PROGRAMS TO BECOME PARTICIPATING3
INSTITUTIONS OF HIGHER EDUCATION.4
(b) I
N ADDITION TO THE DUTIES SET FORTH IN SUBSECTION (2)(a)5
OF THIS SECTION, THE COMMITTEE SHALL:6
(I) C
OLLABORATE WITH THE PROGRAM CHAIR , OR THE PROGRAM7
CHAIR'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF HIGHER8
EDUCATION TO SELECT STUDENTS WHO HAVE AN INTEREST IN GERIATRIC9
CARE TO PARTICIPATE IN THE PROGRAM ;10
(II) A
NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (6);11
(III) B
UILD A MULTIDISCIPLINARY NETWORK OF TRAINED12
GERIATRIC CLINICIANS TO COLLABORATE AND PROVIDE OPPORTUNITIES13
FOR CLINICIANS TO WORK TOGETHER TO BETTER UNDERSTAND THE ROLES14
OF EACH HEALTH-CARE DISCIPLINE IN URBAN, RURAL, AND UNDERSERVED15
COMMUNITIES WHEN TREATING OLDER COLORADANS;16
(IV) I
MPROVE PLACEMENT OF CLINICAL GRADUATE STUDENTS IN17
EXPERIENTIAL CLINICAL TRAINING OPPORTUNITIES , PRIORITIZING RURAL18
AND UNDERSERVED COMMUNITIES ;19
(V) C
OORDINATE WITH GRADUATES OF THE PROGRAM TO BECOME20
TRAINERS FOR FUTURE STUDENTS ; AND21
(VI) I
NCREASE THE NUMBER OF CLINICAL TRAINING SITES ACROSS22
C
OLORADO, SPECIFICALLY IN RURAL AND UNDERSERVED COMMUNITIES .23
23-21-1105. Reporting. (1) B
Y JULY 1, 2025, AND NO LATER24
THAN JULY 1 EACH YEAR THEREAFTER , A REPRESENTATIVE OF THE25
PROGRAM SHALL SUBMIT A REPORT CONTAINING THE DATA COLLECTED26
PURSUANT TO SECTION 23-21-1103 (6) AND RECOMMENDATIONS FOR27
031
-11- LEGISLATIVE OR REGULATORY CHANGES TO FACILITATE EFFECTIVE1
IMPLEMENTATION OF THE PROGRAM TO THE HEALTH AND HUMAN SERVICES2
COMMITTEE OF THE SENATE, THE HEALTH AND INSURANCE COMMITTEE OF3
THE HOUSE OF REPRESENTATIVES, OR THEIR SUCCESSOR COMMITTEES .4
(2) N
OTWITHSTANDING SECTION 24-1-136 (11)(a)(I), THE5
REPORTING REQUIREMENT IN THIS SECTION CONTINUES INDEFINITELY .6
SECTION 2. In Colorado Revised Statutes, 23-3.3-103, add (12)
7
as follows:8
23-3.3-103. Annual appropriations - repeal. (12) T
HE
9
PROVISIONS OF SUBSECTION (1) OF THIS SECTION CONCERNING10
APPROPRIATIONS FOR STUDENT FINANCIAL ASSISTANCE PURS UANT TO THIS11
ARTICLE 3.3 DO NOT APPLY TO APPROPRIATIONS MADE PURSUANT TO PART12
11
OF ARTICLE 21 OF THIS TITLE 23 FOR THE COLORADO
13
MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM .14
SECTION 3. In Colorado Revised Statutes, 23-18-308, add15
(1)(k) as follows:16
23-18-308. Fee-for-service contracts - limited purpose - repeal.17
(1) Subject to available appropriations, the department shall enter into18
fee-for-service contracts for the following purposes:19
(k) T
HE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER20
ACCESS TRAINING PROGRAM CREATED IN SECTION 23-21-1103.21
SECTION 4. Appropriation. (1) For the 2023-24 state fiscal
22
year, $784,269 is appropriated to the department of higher education. This23
appropriation is from the general fund. To implement this act, the24
department may use this appropriation for the college opportunity fund25
program to be used for limited purpose fee-for-service contracts with26
state institutions.27
031
-12- (2) For the 2023-24 state fiscal year, $784,269 is appropriated to1
the department of higher education. This appropriation is from2
reappropriated funds received from the limited purpose fee-for-service3
contracts with state institutions under subsection (1) of this section. To4
implement this act, the department may use this appropriation for the5
regents of the university of Colorado.6
SECTION 5. Safety clause. The general assembly hereby finds,7
determines, and declares that this act is necessary for the immediate8
preservation of the public peace, health, or safety.9
031
-13-