Colorado 2023 2023 Regular Session

Colorado Senate Bill SB031 Enrolled / Bill

Filed 05/04/2023

                    SENATE BILL 23-031
BY SENATOR(S) Danielson and Cutter, Buckner, Exum, Fields, Ginal,
Gonzales, Hansen, Jaquez Lewis, Kolker, Marchman, Priola, Sullivan,
Winter F., Zenzinger;
also REPRESENTATIVE(S) Titone and Lindsay, Amabile, Bird,
Boesenecker, Brown, Dickson, Duran, English, Epps, Froelich, Garcia,
Hamrick, Herod, Jodeh, Joseph, Kipp, Lieder, Lukens, Mabrey, Martinez,
Mauro, McLachlan, Michaelson Jenet, Ortiz, Ricks, Snyder, Story, Velasco,
Willford, Young, McCluskie.
C
ONCERNING IMPROVING OLDER COLORADANS' ACCESS TO TRAINED
GERIATRIC SPECIALIST HEALTH
-CARE PROVIDERS, AND, IN
CONNECTION THEREWITH
, MAKING AN APPROPRIATION.
 
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. In Colorado Revised Statutes, add part 11 to article
21 of title 23 as follows:
PART 11
COLORADO MULTIDISCIPLINARY
HEALTH-CARE PROVIDER ACCESS
TRAINING PROGRAM
NOTE:  This bill has been prepared for the signatures of the appropriate legislative
officers and the Governor.  To determine whether the Governor has signed the bill
or taken other action on it, please consult the legislative status sheet, the legislative
history, or the Session Laws.
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act. 23-21-1101.  Legislative declaration. (1)  T	HE GENERAL ASSEMBLY
FINDS AND DECLARES THAT
:
(a)  O
VER THE PAST DECADE , COLORADO HAS HAD THE
SECOND
-FASTEST-GROWING RATE OF RESIDENTS OVER SIXTY-FIVE YEARS OF
AGE IN THE 
UNITED STATES, GROWING AT ROUGHLY FIFTY-ONE PERCENT;
(b)  C
URRENTLY, TWENTY-ONE PERCENT OF THE POPULATION IN
COLORADO IS OVER SIXTY-FIVE YEARS OF AGE;
(c)  B
Y 2030, COLORADO WILL HAVE MORE RESIDENTS OVER
SIXTY
-FIVE YEARS OF AGE THAN RESIDENTS UNDER EIGHTEEN YEARS OF AGE	;
(d)  T
HERE ARE ONLY NINETY -SIX PHYSICIANS TRAINED IN
GERIATRICS ACROSS THE STATE
, AND TWO HUNDRED EIGHTY -NINE
PHYSICIANS TRAINED IN GERIATRICS ARE NEEDED BY 
2050 TO SERVE TEN
PERCENT OF 
COLORADANS OVER SIXTY-FIVE YEARS OF AGE;
(e)  O
NLY TWENTY-THREE PERCENT OF DENTAL SCHOOLS ACROSS THE
UNITED STATES OFFER CLINICAL TRAINING SPECIFIC TO DENTAL CARE FOR
OLDER ADULTS
;
(f)  T
HERE IS A SEVERE SHORTAGE IN THE UNITED STATES OF
GERIATRIC
-TRAINED CLINICIANS ACROSS ALL HEALTH -CARE DISCIPLINES;
(g)  T
HE NUMBER OF OLDER COLORADANS PLACES HIGH RESOURCE
DEMANDS ON THE STATE
'S HEALTH-CARE SYSTEM;
(h)  D
URING A HEALTH-CARE STUDY CONDUCTED BETWEEN 1993 AND
1997, OLDER PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WERE
PLACED EITHER IN AN ACUTE CARE FOR ELDERS UNIT OR A USUAL
-CARE
CONTROL UNIT
. ON AVERAGE, THE LENGTH OF STAY FOR OLDER PATIENTS
TREATED BY A GERIATRIC
-TRAINED INTERDISCIPLINARY TEAM , INCLUDING
GERIATRICIANS
, ADVANCED PRACTICE NURSES , SOCIAL WORKERS ,
PHARMACISTS, AND PHYSICAL THERAPISTS, WAS SIGNIFICANTLY SHORTER,
AT JUST OVER SIX DAYS PER PATIENT FOR THOSE RECEIVING CARE IN THE
ACUTE CARE FOR ELDERS UNIT VERSUS JUST OVER SEVEN DAYS PER PATIENT
FOR THOSE IN THE USUAL
-CARE CONTROL UNIT. THE DIFFERENCE IN CARE
PRODUCED LOWER TOTAL INPATIENT COSTS FROM NINE T HOUSAND FOUR
HUNDRED SEVENTY
-SEVEN DOLLARS PER PATIENT FOR THOSE PATIENTS IN
PAGE 2-SENATE BILL 23-031 THE ACUTE CARE FOR ELDERS UNIT VERSUS TEN THOUSAND FOUR HUNDRED
FIFTY
-ONE DOLLARS PER PATIENT FOR THOSE PATIENTS IN THE USUAL -CARE
CONTROL UNIT
. THE DIFFERENCE IN CARE FOR THOSE PATIENTS IN THE ACUTE
CARE FOR ELDERS UNIT MAINTAINED PATIENTS
' FUNCTIONAL ABILITIES AND
DID NOT INCREASE HOSPITAL READMISSION RATES
.
(i)  T
HE STUDY DESCRIBED IN SUBSECTION (1)(h) OF THIS SECTION
RESULTED IN FIFTY
-EIGHT FEWER DAYS OF HOSPITALIZATION FOR EVERY ONE
HUNDRED PATIENTS ADMITTED TO THE ACUTE CARE FOR ELDERS UNIT
VERSUS THE USUAL
-CARE CONTROL UNIT. OVER THE COURSE OF THE STUDY,
THIS RESULTED IN SAVINGS OF NINETY-SEVEN THOUSAND FOUR HUNDRED
DOLLARS FOR EVERY ONE HUNDRED PATIENTS ADMITTED TO THE ACUTE
CARE FOR ELDERS UNIT VERSUS THE USUAL
-CARE CONTROL UNIT.
(j)  H
OSPITAL READMISSION RATES FOR PATIENTS RELEASED FROM
HOSPITALS WITH ACUTE CARE FOR ELDERS UNITS WERE NEARLY TEN
PERCENT LESS COMPARED TO READMISSION RATES FOR PATIENTS RELEASED
FROM HOSPITALS WITHOUT ACUTE CARE FOR ELDERS UNITS
;
(k)  C
OLORADO ACCOUNTS FOR TWELVE PERCENT OF THE NATIONAL
MEDICARE BUDGET AS MEASURED BY MEDICARE PART 
A OR PART B
PROGRAM PAYMENTS . PAYMENTS FROM THE MEDICARE PROGRAM FOR
COLORADO EQUAL FOUR BILLION FIVE HUNDRED EIGHTY MILLION FOUR
THOUSAND FIVE HUNDRED NINE DOLLARS
, WHICH COVERS FIVE HUNDRED
TWENTY
-EIGHT THOUSAND MEDICARE ENROLLEES .
(l)  M
EDICAID COVERS ONE IN FIVE AMERICANS AND ACCOUNTS FOR
SEVENTEEN PERCENT OF THE NAT IONAL HEALTH EXPENDITURES
. MEDICAID
SPENDING GROWTH IS EXPECTED TO BE A SUBSTANTIAL CONTRIBUTOR TO
NATIONAL HEALTH SPENDING INCREASES OVER THE NEXT TEN YEARS
,
PRIMARILY DUE TO A POPULATION OF OLDER ADULTS WHO ARE ENROLLING
IN MEDICAID WITH LONG
-TERM SERVICES AND SUPPORTS AND HEALTH -CARE
NEEDS
.
(2)  T
HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY
ESTABLISHING A MULTIDISCIPLINARY HEALTH
-CARE PROVIDER ACCESS
TRAINING PROGRAM TO TRAIN AND SUPPORT CLINICAL HEALTH PROFESSIONS
GRADUATE STUDENTS IN ADVANCED PR ACTICE PROVIDER PROGRAMS
;
DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ; NURSING;
OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY; PSYCHOLOGY;
PAGE 3-SENATE BILL 23-031 SOCIAL WORK; AND SPEECH-LANGUAGE THERAPY , FUTURE CLINICIANS
TRAINED SPECIFICALLY IN GERIATRICS WILL BETTER MEET THE NEEDS OF
MEDICALLY COMPLEX
, COSTLY, COMPROMISED, AND VULNERABLE OLDER
COLORADANS. THE MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS
TRAINING PROGRAM IS CORE TO THE FUTURE EXPANSION OF
MULTIDISCIPLINARY GERIATRIC PRACTICES AMONG EACH HEALTH
-CARE
DISCIPLINE
. MEETING THE NEEDS OF COLORADO'S OLDER ADULTS WILL SAVE
THE STATE MILLIONS OF DOLLARS IN HEALTH
-CARE COSTS EACH YEAR. THE
GENERAL ASSEMBLY FURTHER DECLARES THAT COLLABORATION BETWEEN
PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION
, COMMUNITIES, AND
HEALTH
-CARE PROVIDERS WILL ALLOW COLORADO TO PROVIDE THE HIGHEST
STANDARD MEDICAL CARE TO MEDICALLY COMPLEX
, COSTLY,
COMPROMISED, AND VULNERABLE OLDER COLORADANS AND TO BETTER FILL
THE PRESENT AND FUTURE NEED FOR GERIATRIC CARE IN URBAN
, RURAL,
AND UNDERSERVED COMMUNITIES ACROSS THE STATE .
23-21-1102.  Definitions. A
S USED IN THIS PART 11, UNLESS THE
CONTEXT OTHERWISE REQUIRES
:
(1)  "C
LINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAM "
MEANS A PROGRAM OF STUDY THAT PREPARES GRADUATE STUDENTS TO
BECOME HEALTH
-CARE PROFESSIONALS.
(2)  "C
LINICAL HEALTH PROFESSIONS GRADUATE STUDENT " OR
"STUDENT" MEANS A CLINICAL HEALTH PROFESSIONS GRADUATE STUDENT
STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO IS
TRAINING AS AN ADVANCED PRACTICE PROVIDER
; DENTIST; NURSE;
OCCUPATIONAL THERAPIST; PHARMACIST; PHYSICAL THERAPIST; PHYSICIAN,
INCLUDING A MEDICAL DOCTOR OR DOCTOR OF OSTEOPATHY ; PSYCHOLOGIST;
SOCIAL WORKER; OR SPEECH-LANGUAGE THERAPIST.
(3)  "C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
ACCESS TRAINING PROGRAM
" OR "PROGRAM" MEANS THE COLORADO
MULTIDISCIPLINARY HEALTH
-CARE PROVIDER ACCESS TRAINING PROGRAM
CREATED IN SECTION 
23-21-1103.
(4)  "C
OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE
" OR "COMMITTEE"
MEANS THE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
ACCESS TRAINING PROGRAM ADVISORY COMMITTEE CREATED IN SECTION
PAGE 4-SENATE BILL 23-031 23-21-1104.
(5)  "P
ARTICIPATING COLORADO INSTITUTION OF HIGHER EDUCATION "
MEANS A PRIVATE OR PUBLIC INSTITUTION OF HIGHER EDUCATION THAT
OFFERS CLINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS AND
PARTICIPATES IN THE 
COLORADO MULTIDISCIPLINARY HEALTH -CARE
PROVIDER ACCESS TRAINING PROGRAM
.
23-21-1103.  Colorado multidisciplinary health-care provider
access training program - created. (1)  T
HERE IS CREATED THE COLORADO
MULTIDISCIPLINARY HEALTH
-CARE PROVIDER ACCESS TRAINING PROGRAM
LOCATED AT THE UNIVERSITY OF 
COLORADO ANSCHUTZ MEDICAL CAMPUS .
T
HE PURPOSE OF THE PROGRAM IS TO DEVELOP , IMPLEMENT, AND
ADMINISTER GERIATRIC TRAINING OPPORTUNITIES THAT WILL ATTRACT
CLINICAL HEALTH PROFESSIONS GRADUATE STUDENTS FROM PARTICIPATING
COLORADO INSTITUTIONS OF HIGHER EDUCATION WHO ARE STUDYING IN THE
GRADUATE FIELDS OF ADVANCED PR ACTICE PROVIDER PROGRAMS
;
DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ; NURSING;
OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY; PSYCHOLOGY;
SOCIAL WORK; OR SPEECH-LANGUAGE THERAPY TO GERIATRIC TRAINING
OPPORTUNITIES
.
(2) (a)  B
EGINNING IN STATE FISCAL YEAR 2024-25, THE COMMITTEE,
PROGRAM CHAIR APPOINTED PURSUANT TO SECTION 23-21-1104 (2)(a), OR
THE PROGRAM CHAIR
'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF
HIGHER EDUCATION THROUGHOUT 
COLORADO SHALL SELECT TWO CLINICAL
HEALTH PROFESSIONS GRADUATE STUDENTS PER YEAR FROM EACH FIELD OF
STUDY DESCRIBED IN SUBSECTION
 (2)(b) OF THIS SECTION TO PARTICIPATE
IN THE PROGRAM
'S GERIATRIC CLINICAL TRAINING OPPORTUNITIES . THE
COMMITTEE
, IN COLLABORATION WITH THE PARTICIPATING INSTITUTIONS OF
HIGHER EDUCATION
, SHALL PLACE STUDENTS IN GERIATRIC CLINICAL
SETTINGS FOR HANDS
-ON EXPERIENTIAL TRAINING. THE COMMITTEE SHALL
CREATE A ROTATION SCHEDULE TO ALLOW STUDENTS ENROLLED IN
PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THAT OFFER THE SAME
CLINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS TO
PARTICIPATE IN THE PROGRAM
'S CLINICAL TRAINING OPPORTUNITIES.
(b)  T
WO STUDENTS FROM EACH OF THE FOLLOWING FIELDS OF STUDY
ARE INCLUDED IN THE PROGRAM
:
PAGE 5-SENATE BILL 23-031 (I)  ADVANCED PRACTICE PROVIDER PROGRAMS ;
(II)  D
ENTISTRY;
(III)  M
EDICINE;
(IV)  N
URSING;
(V)  O
CCUPATIONAL THERAPY;
(VI)  O
STEOPATHIC MEDICINE;
(VII)  P
HARMACY;
(VIII)  P
HYSICAL THERAPY;
(IX)  P
SYCHOLOGY;
(X)  S
OCIAL WORK; AND
(XI)  SPEECH-LANGUAGE THERAPY.
(3)  T
HE PROGRAM IS ENCOURAGED TO PROVIDE UPDATED TRAINING
EACH YEAR FOR STUDENTS
, GERIATRIC-TRAINED FACULTY , AND
HEALTH
-CARE PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC
APPROACHES
, INNOVATIONS, TECHNOLOGIES, NEW CLINICAL HEALTH-CARE
PROCESSES TO CARE FOR OLDER ADULTS
, TEAM TRAINING EXERCISES, AND
LEADERSHIP TRAINING
.
(4)  T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER
EDUCATION AND HEALTH
-CARE PROVIDERS TO PLACE STUDENTS IN
GERIATRIC CLINICAL SETTINGS FOR HANDS
-ON EXPERIENTIAL TRAINING.
(5)  T
HE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
SHALL AWARD A CERTIFICATE TO A STUDENT WHO SUCCESSFULLY
COMPLETES THE PROGRAM
. THE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S
DESIGNEE
, SHALL ISSUE A LETTER TO A STUDENT WHO SUCCESSFULLY
COMPLETES THE PROGRAM AUTHORIZING THE STUDENT TO BECOME A
TRAINER FOR THE PROGRAM IN A CLINIC IN THE STATE
.
PAGE 6-SENATE BILL 23-031 (6)  THE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
SHALL GATHER DATA ON THE FOLLOWING :
(a)  T
HE NUMBER OF STUDENTS PARTICIPATING IN THE PROGRAM
FROM EACH PARTICIPATING INSTITUTION OF HIGHER EDUCATION
;
(b)  T
HE NUMBER OF STUDENTS WHO SUCCESSFULLY COMPLETE THE
PROGRAM
;
(c)  T
HE SUBSEQUENT LOCATIONS AND JOB PLACEMENTS OF PROGRAM
GRADUATES
;
(d)  T
HE NUMBER OF PROGRAM GRADUATES WHO BECOME TRAINERS ;
AND
(e)  THE DESCRIPTION OF FACILITIES WHERE PROGRAM GRADUATES
BECOME TRAINERS
.
23-21-1104.  Colorado multidisciplinary health-care provider
access training program advisory committee - created - training.
(1) (a)  T
HERE IS CREATED THE COLORADO MULTIDISCIPLINARY
HEALTH
-CARE ACCESS TRAINING PR OGRAM ADVISORY COMMITTEE TO
ENSURE THAT TRAINING FOR THE PROGRAM IS CONSISTENT AND
COLLABORATIVE ACROSS UNIVERSITY DEPARTMENTS
, PARTICIPATING
INSTITUTIONS OF HIGHER EDUCATION
, AND HEALTH-CARE COMMUNITIES.
(b)  O
N OR BEFORE JULY 1, 2023, THE COMMITTEE SHALL CONVENE
AND CONSIST OF THE PROGRAM CHAIR APPOINTED PURSUANT TO SUBSECTION
(2)(a) OF THIS SECTION AND MEMBERS INCLUDING BUT NOT LIMITED TO ONE
REPRESENTATIVE FROM
:
(I)  A
N ADVANCED PRACTICE PROVIDER PROGRAM ;
(II)  A
 DEPARTMENT OF PSYCHOLOGY ;
(III)  A
 NURSING PROGRAM;
(IV)  A
N OCCUPATIONAL THERAPY PROGRAM ;
(V)  A
 PHYSICAL THERAPY PROGRAM ;
PAGE 7-SENATE BILL 23-031 (VI)  A SCHOOL OF DENTAL MEDICINE;
(VII)  A
 SCHOOL OF MEDICINE;
(VIII)  A
 SCHOOL OF OSTEOPATHIC MEDICINE;
(IX)  A
 SCHOOL OF PHARMACY;
(X)  A
 SOCIAL WORK PROGRAM; AND
(XI)  A SPEECH-LANGUAGE THERAPY PROGRAM .
(2) (a)  O
N OR BEFORE DECEMBER 1, 2023, THE COMMITTEE SHALL:
(I)  A
PPOINT A PROGRAM CHAIR;
(II)  S
ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY
OF MEDICAL CARE TO MEDICALLY COMPLEX
, COSTLY, COMPROMISED, AND
VULNERABLE OLDER 
COLORADANS;
(III)  E
STABLISH THE REQUIREMENTS FOR THE PROGRAM ; AND
(IV)  IDENTIFY AND INVITE PRIVATE OR PUBLIC INSTITUTIONS OF
HIGHER EDUCATION THAT OFFER APPROPRIATE CLINICAL HEALTH
PROFESSIONS GRADUATE DEGREE PROGRAMS TO BECOME PARTICIPATING
INSTITUTIONS OF HIGHER EDUCATION
.
(b)  I
N ADDITION TO THE DUTIES SET FORTH IN SUBSECTION (2)(a) OF
THIS SECTION
, THE COMMITTEE SHALL:
(I)  C
OLLABORATE WITH THE PROGRAM CHAIR , OR THE PROGRAM
CHAIR
'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION
TO SELECT STUDENTS WHO HAVE AN INTEREST IN GERIATRIC CARE TO
PARTICIPATE IN THE PROGRAM
;
(II)  A
NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (6);
(III)  B
UILD A MULTIDISCIPLINARY NETWORK OF TRAINED GERIATRIC
CLINICIANS TO COLLABORATE AND PROVIDE OPPORTUNITIES FOR CLINICIANS
TO WORK TOGETHER TO BETTER UNDERSTAND THE ROLES OF EACH
PAGE 8-SENATE BILL 23-031 HEALTH-CARE DISCIPLINE IN URBAN , RURAL, AND UNDERSERVED
COMMUNITIES WHEN TREATING OLDER 
COLORADANS;
(IV)  I
MPROVE PLACEMENT OF CLINICAL GRADUATE STUDENTS IN
EXPERIENTIAL CLINICAL TRAINING OPPORTUNITIES
, PRIORITIZING RURAL AND
UNDERSERVED COMMUNITIES
;
(V)  C
OORDINATE WITH GRADUATES OF THE PROGRAM TO BECOME
TRAINERS FOR FUTURE STUDENTS
; AND
(VI)  INCREASE THE NUMBER OF CLINICAL TRAINING SITES ACROSS
COLORADO, SPECIFICALLY IN RURAL AND UNDERSERVED COMMUNITIES .
23-21-1105.  Reporting. (1)  B
Y JULY 1, 2025, AND NO LATER THAN
JULY 1 EACH YEAR THEREAFTER , A REPRESENTATIVE OF THE PROGRAM
SHALL SUBMIT A REPORT CONTAINING THE DATA COLLECTED PURSUANT TO
SECTION 
23-21-1103 (6) AND RECOMMENDATIONS FOR LEGISLATIVE OR
REGULATORY CHANGES TO FACILITATE EFFECTIVE IMPLEMENTATION OF THE
PROGRAM TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE
SENATE
, THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF
REPRESENTATIVES
, OR THEIR SUCCESSOR COMMITTEES .
(2)  N
OTWITHSTANDING SECTION 24-1-136 (11)(a)(I), THE REPORTING
REQUIREMENT IN THIS SECTION CONTINUES INDEFINITELY
.
SECTION 2. In Colorado Revised Statutes, 23-3.3-103, add (16)
as follows:
23-3.3-103.  Annual appropriations - repeal. (16)  T
HE PROVISIONS
OF SUBSECTION 
(1) OF THIS SECTION CONCERNING APPROPRIATIONS FOR
STUDENT FINANCIAL ASSISTANCE PURSUANT TO THIS ARTICLE 
3.3 DO NOT
APPLY TO APPROPRIATIONS MADE PURSUANT TO PART 
11 OF ARTICLE 21 OF
THIS TITLE 
23 FOR THE COLORADO MULTIDISCIPLINARY HEALTH -CARE
PROVIDER ACCESS TRAINING PROGRAM
.
SECTION 3. In Colorado Revised Statutes, 23-18-308, add (1)(l)
as follows:
23-18-308.  Fee-for-service contracts - limited purpose - repeal.
(1)  Subject to available appropriations, the department shall enter into
PAGE 9-SENATE BILL 23-031 fee-for-service contracts for the following purposes:
(l)  T
HE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
ACCESS TRAINING PROGRAM CREATED IN SECTION 
23-21-1103.
SECTION 4. Appropriation. (1)  For the 2023-24 state fiscal year,
$784,269 is appropriated to the department of higher education. This
appropriation is from the general fund. To implement this act, the
department may use this appropriation for the college opportunity fund
program to be used for limited purpose fee-for-service contracts with state
institutions.
(2)  For the 2023-24 state fiscal year, $784,269 is appropriated to the
department of higher education. This appropriation is from reappropriated
funds received from the limited purpose fee-for-service contracts with state
institutions under subsection (1) of this section. To implement this act, the
department may use this appropriation for the regents of the university of
Colorado.
SECTION 5. Safety clause. The general assembly hereby finds,
PAGE 10-SENATE BILL 23-031 determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, or safety.
____________________________  ____________________________
Steve Fenberg Julie McCluskie
PRESIDENT OF SPEAKER OF THE HOUSE
THE SENATE OF REPRESENTATIVES
____________________________  ____________________________
Cindi L. Markwell Robin Jones
SECRETARY OF CHIEF CLERK OF THE HOUSE
THE SENATE OF REPRESENTATIVES
            APPROVED________________________________________
                                                        (Date and Time)
                              _________________________________________
                             Jared S. Polis
                             GOVERNOR OF THE STATE OF COLORADO
PAGE 11-SENATE BILL 23-031