Colorado 2023 Regular Session

Colorado Senate Bill SB031 Compare Versions

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Version 2 (New)

Old	New		Differences
	1	+	First Regular Session
	2	+	Seventy-fourth General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 23-0005.01 Alana Rosen x2606
1	8		SENATE BILL 23-031
2		-	BY SENATOR(S) Danielson and Cutter, Buckner, Exum, Fields, Ginal,
3		-	Gonzales, Hansen, Jaquez Lewis, Kolker, Marchman, Priola, Sullivan,
4		-	Winter F., Zenzinger;
5		-	also REPRESENTATIVE(S) Titone and Lindsay, Amabile, Bird,
6		-	Boesenecker, Brown, Dickson, Duran, English, Epps, Froelich, Garcia,
7		-	Hamrick, Herod, Jodeh, Joseph, Kipp, Lieder, Lukens, Mabrey, Martinez,
8		-	Mauro, McLachlan, Michaelson Jenet, Ortiz, Ricks, Snyder, Story, Velasco,
9		-	Willford, Young, McCluskie.
	9	+	Senate Committees House Committees
	10	+	Health & Human Services Public & Behavioral Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
10	13		C
11		-	ONCERNING IMPROVING OLDER COLORADANS' ACCESS TO TRAINED
12		-	GERIATRIC SPECIALIST HEALTH
13		-	-CARE PROVIDERS, AND, IN
14		-	CONNECTION THEREWITH
15		-	, MAKING AN APPROPRIATION.
16		-
17		-	Be it enacted by the General Assembly of the State of Colorado:
18		-	SECTION 1. In Colorado Revised Statutes, add part 11 to article
19		-	21 of title 23 as follows:
20		-	PART 11
21		-	COLORADO MULTIDISCIPLINARY
22		-	HEALTH-CARE PROVIDER ACCESS
23		-	TRAINING PROGRAM
24		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
25		-	officers and the Governor. To determine whether the Governor has signed the bill
26		-	or taken other action on it, please consult the legislative status sheet, the legislative
27		-	history, or the Session Laws.
28		-	________
29		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
30		-	through words or numbers indicate deletions from existing law and such material is not part of
31		-	the act. 23-21-1101. Legislative declaration. (1) T HE GENERAL ASSEMBLY
32		-	FINDS AND DECLARES THAT
33		-	:
	14	+	ONCERNING IMPROVING OLDER COLORADANS' ACCESS TO TRAINED101
	15	+	GERIATRIC SPECIALIST HEALTH -CARE PROVIDERS, AND, IN
	16	+	102
	17	+	CONNECTION THEREWITH , MAKING AN APPROPRIATION .103
	18	+	Bill Summary
	19	+	(Note: This summary applies to this bill as introduced and does
	20	+	not reflect any amendments that may be subsequently adopted. If this bill
	21	+	passes third reading in the house of introduction, a bill summary that
	22	+	applies to the reengrossed version of this bill will be available at
	23	+	http://leg.colorado.gov
	24	+	.)
	25	+	The bill creates the Colorado multidisciplinary health-care
	26	+	provider access training program (program) to improve the health care of
	27	+	medically complex, costly, compromised, and vulnerable older
	28	+	Coloradans. The university of Colorado Anschutz medical campus shall
	29	+	develop, implement, and administer the program. The program may be
	30	+	HOUSE
	31	+	3rd Reading Unamended
	32	+	May 2, 2023
	33	+	HOUSE
	34	+	2nd Reading Unamended
	35	+	May 1, 2023
	36	+	SENATE
	37	+	3rd Reading Unamended
	38	+	April 14, 2023
	39	+	SENATE
	40	+	Amended 2nd Reading
	41	+	April 13, 2023
	42	+	SENATE SPONSORSHIP
	43	+	Danielson and Cutter, Buckner, Exum, Fields, Ginal, Gonzales, Hansen, Jaquez Lewis,
	44	+	Kolker, Marchman, Priola, Sullivan, Winter F., Zenzinger
	45	+	HOUSE SPONSORSHIP
	46	+	Titone and Lindsay, Amabile, Bird, Boesenecker, Brown, Dickson, Duran, English, Epps,
	47	+	Froelich, Garcia, Hamrick, Herod, Jodeh, Joseph, Kipp, Lieder, Lukens, Mabrey, Martinez,
	48	+	Mauro, McCluskie, McLachlan, Michaelson Jenet, Ortiz, Ricks, Snyder, Story, Velasco,
	49	+	Willford, Young
	50	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	51	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	52	+	Dashes through the words or numbers indicate deletions from existing law. offered to Colorado institutions of higher education with clinical health
	53	+	professions graduate degree programs. The program coordinates and
	54	+	expands geriatric training opportunities for clinical health professions
	55	+	graduate students (students) enrolled in participating Colorado institutions
	56	+	of higher education (participating institutions) across Colorado studying
	57	+	to become advanced practice providers; dentists; nurses; occupational
	58	+	therapists; pharmacists; physicians, including medical doctors and doctors
	59	+	of osteopathy; physical therapists; psychologists; social workers; and
	60	+	speech-language therapists. Students who successfully complete the
	61	+	program are awarded certificates and issued letters authorizing those
	62	+	students to become trainers for the program in clinics across the state.
	63	+	The bill creates the Colorado multidisciplinary health-care
	64	+	provider access training program advisory committee (committee) to
	65	+	ensure that the training for the program is consistent and collaborative
	66	+	across the fields of study. The committee is required to:
	67	+	! Appoint a program chair;
	68	+	! Set the program's standards for training and delivery of
	69	+	multidisciplinary medical care to medically complex,
	70	+	costly, compromised, and vulnerable older Coloradans;
	71	+	! Establish requirements for the program;
	72	+	! Identify and invite institutions of higher education that
	73	+	offer appropriate clinical health professions graduate
	74	+	degree programs to become participating institutions;
	75	+	! Collaborate with participating institutions of higher
	76	+	education across Colorado to enhance recruitment of
	77	+	students to enter a field specific to geriatrics and select
	78	+	students with an interest in geriatric care to participate in
	79	+	the program;
	80	+	! Assist with updating the program's curricula;
	81	+	! Analyze data collected by the program;
	82	+	! Build a multidisciplinary network of trained geriatric
	83	+	clinicians to collaborate and provide opportunities for
	84	+	clinicians to work together to better understand the roles of
	85	+	each health-care discipline in urban, rural, and underserved
	86	+	communities when caring for older Coloradans;
	87	+	! Improve placement of students in experiential clinical
	88	+	training opportunities, prioritizing rural and underserved
	89	+	communities;
	90	+	! Coordinate with graduates of the program to become
	91	+	geriatric trainers for future students; and
	92	+	! Increase the number of clinical training sites across
	93	+	Colorado, specifically in rural and underserved
	94	+	communities.
	95	+	031-2- Be it enacted by the General Assembly of the State of Colorado:1
	96	+	SECTION 1. In Colorado Revised Statutes, add part 11 to article2
	97	+	21 of title 23 as follows:3
	98	+	PART 114
	99	+	COLORADO MULTIDISCIPLINARY5
	100	+	HEALTH-CARE PROVIDER ACCESS6
	101	+	TRAINING PROGRAM7
	102	+	23-21-1101. Legislative declaration. (1) T
	103	+	HE GENERAL8
	104	+	ASSEMBLY FINDS AND DECLARES THAT :9
34	105		(a) O
35		-	VER THE PAST DECADE , COLORADO HAS HAD THE
36		-	SECOND
37		-	-FASTEST-GROWING RATE OF RESIDENTS OVER SIXTY-FIVE YEARS OF
38		-	AGE IN THE
39		-	UNITED STATES, GROWING AT ROUGHLY FIFTY-ONE PERCENT;
	106	+	VER THE PAST DECADE , COLORADO HAS HAD THE10
	107	+	SECOND-FASTEST-GROWING RATE OF RESIDENTS OVER SIXTY -FIVE YEARS11
	108	+	OF AGE IN THE UNITED STATES, GROWING AT ROUGHLY FIFTY -ONE12
	109	+	PERCENT;13
40	110		(b) C
41		-	URRENTLY, TWENTY-ONE PERCENT OF THE POPULATION IN
42		-	COLORADO IS OVER SIXTY-FIVE YEARS OF AGE;
	111	+	URRENTLY, TWENTY-ONE PERCENT OF THE POPULATION IN14
	112	+	C
	113	+	OLORADO IS OVER SIXTY-FIVE YEARS OF AGE;15
43	114		(c) B
44		-	Y 2030, COLORADO WILL HAVE MORE RESIDENTS ~~OVER~~
45		-	SIXTY
46		-	~~-FIVE YEARS OF~~ AGE ~~THAN RESIDENTS UNDER EIGHTEEN YEARS OF AGE~~ ;
	115	+	Y 2030, COLORADO WILL HAVE MORE RESIDENTS OVER16
	116	+	SIXTY-FIVE YEARS OF AGE THAN RESIDENTS UNDER EIGHTEEN YEARS OF17
	117	+	AGE;18
47	118		(d) T
48		-	HERE ARE ONLY NINETY -SIX PHYSICIANS TRAINED IN
49		-	GERIATRICS ACROSS THE STATE
50		-	, AND TWO HUNDRED EIGHTY -NINE
51		-	PHYSICIANS TRAINED IN GERIATRICS ARE NEEDED BY
52		-	2050 TO SERVE TEN
53		-	PERCENT OF
54		-	COLORADANS OVER SIXTY-FIVE YEARS OF AGE;
	119	+	HERE ARE ONLY NINETY -SIX PHYSICIANS TRAINED IN19
	120	+	GERIATRICS ACROSS THE STATE , AND TWO HUNDRED EIGHTY -NINE20
	121	+	PHYSICIANS TRAINED IN GERIATRICS ARE NEEDED BY 2050 TO SERVE TEN21
	122	+	PERCENT OF COLORADANS OVER SIXTY-FIVE YEARS OF AGE;22
55	123		(e) O
56		-	NLY TWENTY-THREE PERCENT OF DENTAL SCHOOLS ACROSS THE
57		-	UNITED STATES OFFER CLINICAL TRAINING SPECIFIC TO DENTAL CARE FOR
58		-	OLDER ADULTS
59		-	;
	124	+	NLY TWENTY-THREE PERCENT OF DENTAL SCHOOLS ACROSS23
	125	+	THE UNITED STATES OFFER CLINICAL TRAINING SPECIFIC TO DENTAL CARE24
	126	+	FOR OLDER ADULTS;25
60	127		(f) T
61		-	HERE IS A SEVERE SHORTAGE IN THE UNITED STATES OF
62		-	GERIATRIC
63		-	-TRAINED CLINICIANS ACROSS ALL HEALTH -CARE DISCIPLINES;
64		-	(g) T
65		-	HE NUMBER OF OLDER COLORADANS PLACES HIGH RESOURCE
66		-	DEMANDS ON THE STATE
67		-	'S HEALTH-CARE SYSTEM;
	128	+	HERE IS A SEVERE SHORTAGE IN THE UNITED STATES OF26
	129	+	GERIATRIC-TRAINED CLINICIANS ACROSS ALL HEALTH -CARE DISCIPLINES;27
	130	+	031
	131	+	-3- (g) THE NUMBER OF OLDER COLORADANS PLACES HIGH RESOURCE1
	132	+	DEMANDS ON THE STATE'S HEALTH-CARE SYSTEM;2
68	133		(h) D
69		-	URING A HEALTH-CARE STUDY CONDUCTED BETWEEN 1993 AND
70		-	1997, OLDER PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WERE
71		-	PLACED EITHER IN AN ACUTE CARE FOR ELDERS UNIT OR A USUAL
72		-	-CARE
73		-	CONTROL UNIT
74		-	. ON AVERAGE, THE LENGTH OF STAY FOR OLDER PATIENTS
75		-	TREATED BY A GERIATRIC
76		-	-TRAINED INTERDISCIPLINARY TEAM , INCLUDING
77		-	GERIATRICIANS
78		-	, ADVANCED PRACTICE NURSES , SOCIAL WORKERS ,
79		-	PHARMACISTS, AND PHYSICAL THERAPISTS, WAS SIGNIFICANTLY SHORTER,
80		-	AT JUST OVER SIX DAYS PER PATIENT FOR THOSE RECEIVING CARE IN THE
81		-	ACUTE CARE FOR ELDERS UNIT VERSUS JUST OVER SEVEN DAYS PER PATIENT
82		-	FOR THOSE IN THE USUAL
83		-	-CARE CONTROL UNIT. THE DIFFERENCE IN CARE
84		-	PRODUCED LOWER TOTAL INPATIENT COSTS FROM NINE T HOUSAND FOUR
85		-	HUNDRED SEVENTY
86		-	-SEVEN DOLLARS PER PATIENT FOR THOSE PATIENTS IN
87		-	PAGE 2-SENATE BILL 23-031 THE ACUTE CARE FOR ELDERS UNIT VERSUS TEN THOUSAND FOUR HUNDRED
88		-	FIFTY
89		-	-ONE DOLLARS PER PATIENT FOR THOSE PATIENTS IN THE USUAL -CARE
90		-	CONTROL UNIT
91		-	. THE DIFFERENCE IN CARE FOR THOSE PATIENTS IN THE ACUTE
92		-	CARE FOR ELDERS UNIT MAINTAINED PATIENTS
93		-	' FUNCTIONAL ABILITIES AND
94		-	DID NOT INCREASE HOSPITAL READMISSION RATES
95		-	.
	134	+	URING A HEALTH-CARE STUDY CONDUCTED BETWEEN 19933
	135	+	AND 1997, OLDER PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WERE4
	136	+	PLACED EITHER IN AN ACUTE CARE FOR ELDERS UNIT OR A USUAL -CARE5
	137	+	CONTROL UNIT. ON AVERAGE, THE LENGTH OF STAY FOR OLDER PATIENTS6
	138	+	TREATED BY A GERIATRIC-TRAINED INTERDISCIPLINARY TEAM, INCLUDING7
	139	+	GERIATRICIANS, ADVANCED PRACTICE NURSES , SOCIAL WORKERS ,8
	140	+	PHARMACISTS, AND PHYSICAL THERAPISTS, WAS SIGNIFICANTLY SHORTER,9
	141	+	AT JUST OVER SIX DAYS PER PATIENT FOR THOSE RECEIVING CARE IN THE10
	142	+	ACUTE CARE FOR ELDERS UNIT VERSUS JUST OVER SEVEN DAYS PER11
	143	+	PATIENT FOR THOSE IN THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE12
	144	+	IN CARE PRODUCED LOWER TOTAL INPATIENT COSTS FROM NINE T HOUSAND13
	145	+	FOUR HUNDRED SEVENTY -SEVEN DOLLARS PER PATIENT FOR THOSE14
	146	+	PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT VERSUS TEN THOUSAND15
	147	+	FOUR HUNDRED FIFTY-ONE DOLLARS PER PATIENT FOR THOSE PATIENTS IN16
	148	+	THE USUAL-CARE CONTROL UNIT. THE DIFFERENCE IN CARE FOR THOSE17
	149	+	PATIENTS IN THE ACUTE CARE FOR ELDERS UNIT MAINTAINED PATIENTS '18
	150	+	FUNCTIONAL ABILITIES AND DID NOT INCREASE HOSPITAL READMISSION19
	151	+	RATES.20
96	152		(i) T
97		-	HE STUDY DESCRIBED IN SUBSECTION (1)(h) OF THIS SECTION
98		-	RESULTED IN FIFTY
99		-	-EIGHT FEWER DAYS OF HOSPITALIZATION FOR EVERY ONE
100		-	HUNDRED PATIENTS ADMITTED TO THE ACUTE CARE FOR ELDERS UNIT
101		-	VERSUS THE USUAL
102		-	-CARE CONTROL UNIT. OVER THE COURSE OF THE STUDY,
103		-	THIS RESULTED IN SAVINGS OF NINETY-SEVEN THOUSAND FOUR HUNDRED
104		-	DOLLARS FOR EVERY ONE HUNDRED PATIENTS ADMITTED TO THE ACUTE
105		-	CARE FOR ELDERS UNIT VERSUS THE USUAL
106		-	-CARE CONTROL UNIT.
107		-	(j) H
108		-	OSPITAL READMISSION RATES FOR PATIENTS RELEASED FROM
109		-	HOSPITALS WITH ACUTE CARE FOR ELDERS UNITS WERE NEARLY TEN
110		-	PERCENT LESS COMPARED TO READMISSION RATES FOR PATIENTS RELEASED
111		-	FROM HOSPITALS WITHOUT ACUTE CARE FOR ELDERS UNITS
112		-	;
	153	+	HE STUDY DESCRIBED IN SUBSECTION (1)(h) OF THIS SECTION21
	154	+	RESULTED IN FIFTY-EIGHT FEWER DAYS OF HOSPITALIZATION FOR EVERY22
	155	+	ONE HUNDRED PATIENTS ADMITTED TO THE ACUTE CARE FOR ELDERS UNIT23
	156	+	VERSUS THE USUAL-CARE CONTROL UNIT. OVER THE COURSE OF THE24
	157	+	STUDY, THIS RESULTED IN SAVINGS OF NINETY-SEVEN THOUSAND FOUR25
	158	+	HUNDRED DOLLARS FOR EVERY ONE HUNDRED PATIENTS ADMITTED TO THE26
	159	+	ACUTE CARE FOR ELDERS UNIT VERSUS THE USUAL -CARE CONTROL UNIT.27
	160	+	031
	161	+	-4- (j) HOSPITAL READMISSION RATES FOR PATIENTS RELEASED FROM1
	162	+	HOSPITALS WITH ACUTE CARE FOR ELDERS UNITS WERE NEARLY TEN2
	163	+	PERCENT LESS COMPARED TO READMISSION RATES FOR PATIENTS3
	164	+	RELEASED FROM HOSPITALS WITHOUT ACUTE CARE FOR ELDERS UNITS ;4
113	165		(k) C
114		-	OLORADO ACCOUNTS FOR TWELVE PERCENT OF THE NATIONAL
115		-	MEDICARE BUDGET AS MEASURED BY MEDICARE PART
116		-	A OR PART B
117		-	PROGRAM PAYMENTS . PAYMENTS FROM THE MEDICARE PROGRAM FOR
118		-	COLORADO EQUAL FOUR BILLION FIVE HUNDRED EIGHTY MILLION FOUR
119		-	THOUSAND FIVE HUNDRED NINE DOLLARS
120		-	, WHICH COVERS FIVE HUNDRED
121		-	TWENTY
122		-	-EIGHT THOUSAND MEDICARE ENROLLEES .
	166	+	OLORADO ACCOUNTS FOR TWELVE PERCENT OF THE NATIONAL5
	167	+	MEDICARE BUDGET AS MEASURED BY MEDICARE PART A OR PART B6
	168	+	PROGRAM PAYMENTS . PAYMENTS FROM THE MEDICARE PROGRAM FOR7
	169	+	C
	170	+	OLORADO EQUAL FOUR BILLION FIVE HUNDRED EIGHTY MILLION FOUR8
	171	+	THOUSAND FIVE HUNDRED NINE DOLLARS , WHICH COVERS FIVE HUNDRED9
	172	+	TWENTY-EIGHT THOUSAND MEDICARE ENROLLEES .10
123	173		(l) M
124		-	EDICAID COVERS ONE IN FIVE AMERICANS AND ACCOUNTS FOR
125		-	SEVENTEEN PERCENT OF THE NAT IONAL HEALTH EXPENDITURES
126		-	. MEDICAID
127		-	SPENDING GROWTH IS EXPECTED TO BE A SUBSTANTIAL CONTRIBUTOR TO
128		-	NATIONAL HEALTH SPENDING INCREASES OVER THE NEXT TEN YEARS
129		-	,
130		-	PRIMARILY DUE TO A POPULATION OF OLDER ADULTS WHO ARE ENROLLING
131		-	IN MEDICAID WITH LONG
132		-	-TERM SERVICES AND SUPPORTS AND HEALTH -CARE
133		-	NEEDS
134		-	.
	174	+	EDICAID COVERS ONE IN FIVE AMERICANS AND ACCOUNTS11
	175	+	FOR SEVENTEEN PERCENT OF THE NATIONAL HEALTH EXPENDITURES .12
	176	+	M
	177	+	EDICAID SPENDING GROWTH IS EXPECTED TO BE A SUBSTANTIAL13
	178	+	CONTRIBUTOR TO NATIONAL HEALTH SPENDING INCREASES OVER THE14
	179	+	NEXT TEN YEARS, PRIMARILY DUE TO A POPULATION OF OLDER ADULTS15
	180	+	WHO ARE ENROLLING IN MEDICAID WITH LONG -TERM SERVICES AND16
	181	+	SUPPORTS AND HEALTH-CARE NEEDS.17
135	182		(2) T
136		-	HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY
137		-	ESTABLISHING A MULTIDISCIPLINARY HEALTH
138		-	-CARE PROVIDER ACCESS
139		-	TRAINING PROGRAM TO TRAIN AND SUPPORT CLINICAL HEALTH PROFESSIONS
140		-	GRADUATE STUDENTS IN ADVANCED PR ACTICE PROVIDER PROGRAMS
141		-	;
142		-	DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ; NURSING;
143		-	OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY; PSYCHOLOGY;
144		-	PAGE 3-SENATE BILL 23-031 SOCIAL WORK; AND SPEECH-LANGUAGE THERAPY , FUTURE CLINICIANS
145		-	TRAINED SPECIFICALLY IN GERIATRICS WILL BETTER MEET THE NEEDS OF
146		-	MEDICALLY COMPLEX
147		-	, COSTLY, COMPROMISED, AND VULNERABLE OLDER
148		-	COLORADANS. THE MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS
149		-	TRAINING PROGRAM IS CORE TO THE FUTURE EXPANSION OF
150		-	MULTIDISCIPLINARY GERIATRIC PRACTICES AMONG EACH HEALTH
151		-	-CARE
152		-	DISCIPLINE
153		-	. MEETING THE NEEDS OF COLORADO'S OLDER ADULTS WILL SAVE
154		-	THE STATE MILLIONS OF DOLLARS IN HEALTH
155		-	-CARE COSTS EACH YEAR. THE
156		-	GENERAL ASSEMBLY FURTHER DECLARES THAT COLLABORATION BETWEEN
157		-	PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION
158		-	, COMMUNITIES, AND
159		-	HEALTH
160		-	-CARE PROVIDERS WILL ALLOW COLORADO TO PROVIDE THE HIGHEST
161		-	STANDARD MEDICAL CARE TO MEDICALLY COMPLEX
162		-	, COSTLY,
163		-	COMPROMISED, AND VULNERABLE OLDER COLORADANS AND TO BETTER FILL
164		-	THE PRESENT AND FUTURE NEED FOR GERIATRIC CARE IN URBAN
165		-	, RURAL,
166		-	AND UNDERSERVED COMMUNITIES ACROSS THE STATE .
	183	+	HEREFORE, THE GENERAL ASSEMBLY DECLARES THAT BY18
	184	+	ESTABLISHING A MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS19
	185	+	TRAINING PROGRAM TO TRAIN AND SUPPORT CLINICAL HEALTH20
	186	+	PROFESSIONS GRADUATE STUDENTS IN ADVANCED PRACTICE PROVIDER21
	187	+	PROGRAMS; DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ;22
	188	+	NURSING; OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY;23
	189	+	PSYCHOLOGY; SOCIAL WORK; AND SPEECH-LANGUAGE THERAPY, FUTURE24
	190	+	CLINICIANS TRAINED SPECIFICALLY IN GERIATRICS WILL BETTER MEET THE25
	191	+	NEEDS OF MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND26
	192	+	VULNERABLE OLDER COLORADANS. THE MULTIDISCIPLINARY27
	193	+	031
	194	+	-5- HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM IS CORE TO THE1
	195	+	FUTURE EXPANSION OF MULTIDISCIPLINARY GERIATRIC PRACTICES AMONG2
	196	+	EACH HEALTH-CARE DISCIPLINE. MEETING THE NEEDS OF COLORADO'S3
	197	+	OLDER ADULTS WILL SAVE THE STATE MILLIONS OF DOLLARS IN4
	198	+	HEALTH-CARE COSTS EACH YEAR . THE GENERAL ASSEMBLY FURTHER5
	199	+	DECLARES THAT COLLABORATION BETWEEN PARTICIPATING INSTITUTIONS6
	200	+	OF HIGHER EDUCATION, COMMUNITIES, AND HEALTH-CARE PROVIDERS7
	201	+	WILL ALLOW COLORADO TO PROVIDE THE HIGHEST STANDARD MEDICAL8
	202	+	CARE TO MEDICALLY COMPLEX, COSTLY, COMPROMISED, AND VULNERABLE9
	203	+	OLDER COLORADANS AND TO BETTER FILL THE PRESENT AND FUTURE NEED10
	204	+	FOR GERIATRIC CARE IN URBAN, RURAL, AND UNDERSERVED COMMUNITIES11
	205	+	ACROSS THE STATE.12
167	206		23-21-1102. Definitions. A
168		-	S USED IN THIS PART 11, UNLESS THE
169		-	CONTEXT OTHERWISE REQUIRES
170		-	:
	207	+	S USED IN THIS PART 11, UNLESS THE13
	208	+	CONTEXT OTHERWISE REQUIRES :14
171	209		(1) "C
172		-	LINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAM "
173		-	MEANS A PROGRAM OF STUDY THAT PREPARES GRADUATE STUDENTS TO
174		-	BECOME HEALTH
175		-	-CARE PROFESSIONALS.
	210	+	LINICAL HEALTH PROFESSIONS GRADUATE DEGREE15
	211	+	PROGRAM" MEANS A PROGRAM OF STUDY THAT PREPARES GRADUATE16
	212	+	STUDENTS TO BECOME HEALTH -CARE PROFESSIONALS.17
176	213		(2) "C
177		-	LINICAL HEALTH PROFESSIONS GRADUATE STUDENT " OR
178		-	"~~STUDENT" MEANS A CLINICAL HEALTH PROFESSIONS GRADUATE STUDENT~~
179		-	~~STUDYING AT~~ A ~~PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO IS~~
180		-	~~TRAINING AS AN ADVANCED PRACTICE PROVIDER~~
181		-	; DENTIST; NURSE;
182		-	OCCUPATIONAL THERAPIST; PHARMACIST; PHYSICAL THERAPIST; ~~PHYSICIAN,~~
183		-	INCLUDING A MEDICAL DOCTOR OR DOCTOR OF OSTEOPATHY ; ~~PSYCHOLOGIST;~~
184		-	SOCIAL WORKER; OR SPEECH-LANGUAGE THERAPIST.
	214	+	LINICAL HEALTH PROFESSIONS GRADUATE STUDENT " OR18
	215	+	"
	216	+	STUDENT" MEANS A CLINICAL HEALTH PROFESSIONS GRADUATE STUDENT19
	217	+	STUDYING AT A PARTICIPATING INSTITUTION OF HIGHER EDUCATION WHO20
	218	+	IS TRAINING AS AN ADVANCED PRACTICE PROVIDER ; DENTIST; NURSE;21
	219	+	OCCUPATIONAL THERAPIST ; PHARMACIST; PHYSICAL THERAPIST ;22
	220	+	PHYSICIAN, INCLUDING A MEDICAL DOCTOR OR DOCTOR OF OSTEOPATHY ;23
	221	+	PSYCHOLOGIST; SOCIAL WORKER; OR SPEECH-LANGUAGE THERAPIST.24
185	222		(3) "C
186		-	OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
187		-	ACCESS TRAINING PROGRAM
188		-	" OR "PROGRAM" MEANS THE COLORADO
189		-	MULTIDISCIPLINARY HEALTH
190		-	-CARE PROVIDER ACCESS TRAINING PROGRAM
191		-	CREATED IN SECTION
192		-	23-21-1103.
	223	+	OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER25
	224	+	ACCESS TRAINING PROGRAM " OR "PROGRAM" MEANS THE COLORADO26
	225	+	MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM27
	226	+	031
	227	+	-6- CREATED IN SECTION 23-21-1103.1
193	228		(4) "C
194		-	OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
195		-	ACCESS TRAINING PROGRAM ADVISORY COMMITTEE
196		-	" OR "COMMITTEE"
197		-	MEANS THE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
198		-	ACCESS TRAINING PROGRAM ADVISORY COMMITTEE CREATED IN SECTION
199		-	PAGE 4-SENATE BILL 23-031 23-21-1104.
	229	+	OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER2
	230	+	ACCESS TRAINING PROGRAM ADVISORY COMMITTEE " OR "COMMITTEE"3
	231	+	MEANS THE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER4
	232	+	ACCESS TRAINING PROGRAM ADVISORY COMMITTEE CREATED IN SECTION5
	233	+	23-21-1104.6
200	234		(5) "P
201		-	ARTICIPATING COLORADO INSTITUTION OF HIGHER EDUCATION "
202		-	MEANS A PRIVATE OR PUBLIC INSTITUTION OF HIGHER EDUCATION THAT
203		-	OFFERS CLINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS AND
204		-	PARTICIPATES IN THE
205		-	COLORADO MULTIDISCIPLINARY HEALTH -CARE
206		-	PROVIDER ACCESS TRAINING PROGRAM
207		-	.
208		-	23-21-1103. Colorado multidisciplinary health-care provider
	235	+	ARTICIPATING COLORADO INSTITUTION OF HIGHER7
	236	+	EDUCATION" MEANS A PRIVATE OR PUBLIC INSTITUTION OF HIGHER8
	237	+	EDUCATION THAT OFFERS CLINICAL HEALTH PROFESSIONS GRADUATE9
	238	+	DEGREE PROGRAMS AND PARTICIPATES IN THE COLORADO10
	239	+	MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM .11
	240	+	23-21-1103. Colorado multidisciplinary health-care provider12
209	241		access training program - created. (1) T
210		-	HERE IS CREATED THE COLORADO
211		-	MULTIDISCIPLINARY HEALTH
212		-	-CARE PROVIDER ACCESS TRAINING PROGRAM
213		-	LOCATED AT THE UNIVERSITY OF
214		-	COLORADO ANSCHUTZ MEDICAL CAMPUS .
215		-	T
216		-	HE PURPOSE OF THE PROGRAM IS TO DEVELOP , IMPLEMENT, AND
217		-	ADMINISTER GERIATRIC TRAINING OPPORTUNITIES THAT WILL ATTRACT
218		-	CLINICAL HEALTH PROFESSIONS GRADUATE STUDENTS FROM PARTICIPATING
219		-	COLORADO INSTITUTIONS OF HIGHER EDUCATION WHO ARE STUDYING IN THE
220		-	GRADUATE FIELDS OF ADVANCED PR ACTICE PROVIDER PROGRAMS
221		-	;
222		-	DENTISTRY; MEDICINE, INCLUDING OSTEOPATHIC MEDICINE ; NURSING;
223		-	OCCUPATIONAL THERAPY ; PHARMACY; PHYSICAL THERAPY; PSYCHOLOGY;
224		-	SOCIAL WORK; OR SPEECH-LANGUAGE THERAPY TO GERIATRIC TRAINING
225		-	OPPORTUNITIES
226		-	.
	242	+	HERE IS CREATED THE13
	243	+	C
	244	+	OLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER ACCESS14
	245	+	TRAINING PROGRAM LOCATED AT THE UNIVERSITY OF COLORADO15
	246	+	A
	247	+	NSCHUTZ MEDICAL CAMPUS . THE PURPOSE OF THE PROGRAM IS TO16
	248	+	DEVELOP, IMPLEMENT, AND ADMINISTER GERIATRIC TRAINING17
	249	+	OPPORTUNITIES THAT WILL ATTRACT CLINICAL HEALTH PROFESSIONS18
	250	+	GRADUATE STUDENTS FROM PARTICIPATING COLORADO INSTITUTIONS OF19
	251	+	HIGHER EDUCATION WHO ARE STUDYING IN THE GRADUATE FIELDS OF20
	252	+	ADVANCED PRACTICE PROVIDER PROGRAMS ; DENTISTRY; MEDICINE,21
	253	+	INCLUDING OSTEOPATHIC MEDICINE ; NURSING; OCCUPATIONAL THERAPY;22
	254	+	PHARMACY; PHYSICAL THERAPY ; PSYCHOLOGY; SOCIAL WORK; OR23
	255	+	SPEECH-LANGUAGE THERAPY TO GERIATRIC TRAINING OPPORTUNITIES .24
227	256		(2) (a) B
228		-	EGINNING IN STATE FISCAL YEAR 2024-25, THE COMMITTEE,
229		-	PROGRAM CHAIR APPOINTED PURSUANT TO SECTION 23-21-1104 (2)(a), OR
230		-	THE PROGRAM CHAIR
231		-	'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF
232		-	HIGHER EDUCATION THROUGHOUT
233		-	COLORADO SHALL SELECT TWO CLINICAL
234		-	HEALTH PROFESSIONS GRADUATE STUDENTS PER YEAR FROM EACH FIELD OF
235		-	STUDY DESCRIBED IN SUBSECTION
236		-	(2)(b) OF THIS SECTION TO PARTICIPATE
237		-	IN THE PROGRAM
238		-	'S GERIATRIC CLINICAL TRAINING OPPORTUNITIES . THE
239		-	COMMITTEE
240		-	, IN COLLABORATION WITH THE PARTICIPATING INSTITUTIONS OF
241		-	HIGHER EDUCATION
242		-	, SHALL PLACE STUDENTS IN GERIATRIC CLINICAL
243		-	SETTINGS FOR HANDS
244		-	-ON EXPERIENTIAL TRAINING. THE COMMITTEE SHALL
245		-	CREATE A ROTATION SCHEDULE TO ALLOW STUDENTS ENROLLED IN
246		-	PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THAT OFFER THE SAME
247		-	CLINICAL HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS TO
248		-	PARTICIPATE IN THE PROGRAM
249		-	'S CLINICAL TRAINING OPPORTUNITIES.
	257	+	EGINNING IN STATE FISCAL YEAR 2024-25, THE25
	258	+	COMMITTEE, PROGRAM CHAIR APPOINTED PURSUANT TO SECTION26
	259	+	23-21-1104 (2)(a),
	260	+	OR THE PROGRAM CHAIR 'S DESIGNEE, AND27
	261	+	031
	262	+	-7- PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION THROUGHOUT1
	263	+	C
	264	+	OLORADO SHALL SELECT TWO CLINICAL HEALTH PROFESSIONS GRADUATE2
	265	+	STUDENTS PER YEAR FROM EACH FIELD OF STUDY DESCRIBED IN3
	266	+	SUBSECTION (2)(b) OF THIS SECTION TO PARTICIPATE IN THE PROGRAM 'S4
	267	+	GERIATRIC CLINICAL TRAINING OPPORTUNITIES . THE COMMITTEE, IN5
	268	+	COLLABORATION WITH THE PARTICIPATING INSTITUTIONS OF HIGHER6
	269	+	EDUCATION, SHALL PLACE STUDENTS IN GERIATRIC CLINICAL SETTINGS FOR7
	270	+	HANDS-ON EXPERIENTIAL TRAINING. THE COMMITTEE SHALL CREATE A8
	271	+	ROTATION SCHEDULE TO ALLOW STUDENTS ENROLLED IN PARTICIPATING9
	272	+	INSTITUTIONS OF HIGHER EDUCATION THAT OFFER THE SAME CLINICAL10
	273	+	HEALTH PROFESSIONS GRADUATE DEGREE PROGRAMS TO PARTICIPATE IN11
	274	+	THE PROGRAM'S CLINICAL TRAINING OPPORTUNITIES.12
250	275		(b) T
251		-	WO STUDENTS FROM EACH OF THE FOLLOWING FIELDS ~~OF STUDY~~
252		-	ARE INCLUDED IN THE PROGRAM
253		-	:
254		-	~~PAGE 5-SENATE BILL 23-031 (I) ADVANCED~~ PRACTICE PROVIDER PROGRAMS ;
	276	+	WO STUDENTS FROM EACH OF THE FOLLOWING FIELDS OF13
	277	+	STUDY ARE INCLUDED IN THE PROGRAM :14
	278	+	(I) A
	279	+	DVANCED PRACTICE PROVIDER PROGRAMS ;15
255	280		(II) D
256		-	ENTISTRY;
	281	+	ENTISTRY;16
257	282		(III) M
258		-	EDICINE;
	283	+	EDICINE;17
259	284		(IV) N
260		-	URSING;
	285	+	URSING;18
261	286		(V) O
262		-	CCUPATIONAL THERAPY;
	287	+	CCUPATIONAL THERAPY;19
263	288		(VI) O
264		-	STEOPATHIC MEDICINE;
	289	+	STEOPATHIC MEDICINE;20
265	290		(VII) P
266		-	HARMACY;
	291	+	HARMACY;21
267	292		(VIII) P
268		-	HYSICAL THERAPY;
	293	+	HYSICAL THERAPY;22
269	294		(IX) P
270		-	SYCHOLOGY;
	295	+	SYCHOLOGY;23
271	296		(X) S
272		-	OCIAL WORK; AND
273		-	(XI) SPEECH-LANGUAGE THERAPY.
	297	+	OCIAL WORK; AND24
	298	+	(XI) S
	299	+	PEECH-LANGUAGE THERAPY.25
274	300		(3) T
275		-	HE PROGRAM IS ENCOURAGED TO PROVIDE UPDATED TRAINING
276		-	EACH YEAR FOR STUDENTS
277		-	, GERIATRIC-TRAINED FACULTY , AND
278		-	HEALTH
279		-	-CARE PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC
280		-	APPROACHES
281		-	, INNOVATIONS, TECHNOLOGIES, NEW CLINICAL HEALTH-CARE
282		-	PROCESSES TO CARE FOR OLDER ADULTS
283		-	, TEAM TRAINING EXERCISES, AND
284		-	LEADERSHIP TRAINING
285		-	.
	301	+	HE PROGRAM IS ENCOURAGED TO PROVIDE UPDATED TRAINING26
	302	+	EACH YEAR FOR STUDENTS , GERIATRIC-TRAINED FACULTY, AND27
	303	+	031
	304	+	-8- HEALTH-CARE PROVIDERS TO REVIEW NEW PATIENT -CENTERED GERIATRIC1
	305	+	APPROACHES, INNOVATIONS, TECHNOLOGIES, NEW CLINICAL HEALTH-CARE2
	306	+	PROCESSES TO CARE FOR OLDER ADULTS, TEAM TRAINING EXERCISES, AND3
	307	+	LEADERSHIP TRAINING.4
286	308		(4) T
287		-	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
288		-	SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER
289		-	EDUCATION AND HEALTH
290		-	-CARE PROVIDERS TO PLACE STUDENTS IN
291		-	GERIATRIC CLINICAL SETTINGS FOR HANDS
292		-	-ON EXPERIENTIAL TRAINING.
	309	+	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,5
	310	+	SHALL COLLABORATE WITH PARTICIPATING INSTITUTIONS OF HIGHER6
	311	+	EDUCATION AND HEALTH -CARE PROVIDERS TO PLACE STUDENTS IN7
	312	+	GERIATRIC CLINICAL SETTINGS FOR HANDS -ON EXPERIENTIAL TRAINING.8
293	313		(5) T
294		-	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
295		-	SHALL AWARD A CERTIFICATE TO A STUDENT WHO SUCCESSFULLY
296		-	COMPLETES THE PROGRAM
297		-	. THE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S
298		-	DESIGNEE
299		-	, SHALL ISSUE A LETTER TO A STUDENT WHO SUCCESSFULLY
300		-	COMPLETES THE PROGRAM AUTHORIZING THE STUDENT TO BECOME A
301		-	TRAINER FOR THE PROGRAM IN A CLINIC IN THE STATE
302		-	.
303		-	PAGE 6-SENATE BILL 23-031 (6) THE PROGRAM CHAIR, OR THE PROGRAM CHAIR 'S DESIGNEE,
304		-	SHALL GATHER DATA ON THE FOLLOWING :
	314	+	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,9
	315	+	SHALL AWARD A CERTIFICATE TO A STUDENT WHO SUCCESSFULLY10
	316	+	COMPLETES THE PROGRAM . THE PROGRAM CHAIR, OR THE PROGRAM11
	317	+	CHAIR'S DESIGNEE, SHALL ISSUE A LETTER TO A STUDENT WHO12
	318	+	SUCCESSFULLY COMPLETES THE PROGRAM AUTHORIZING THE STUDENT TO13
	319	+	BECOME A TRAINER FOR THE PROGRAM IN A CLINIC IN THE STATE .14
	320	+	(6) T
	321	+	HE PROGRAM CHAIR, OR THE PROGRAM CHAIR'S DESIGNEE,15
	322	+	SHALL GATHER DATA ON THE FOLLOWING :16
305	323		(a) T
306		-	HE NUMBER OF STUDENTS PARTICIPATING IN THE PROGRAM
307		-	FROM EACH PARTICIPATING INSTITUTION OF HIGHER EDUCATION
308		-	;
	324	+	HE NUMBER OF STUDENTS PARTICIPATING IN THE PROGRAM17
	325	+	FROM EACH PARTICIPATING INSTITUTION OF HIGHER EDUCATION ;18
309	326		(b) T
310		-	HE NUMBER OF STUDENTS WHO SUCCESSFULLY COMPLETE THE
311		-	PROGRAM
312		-	;
	327	+	HE NUMBER OF STUDENTS WHO SUCCESSFULLY COMPLETE THE19
	328	+	PROGRAM;20
313	329		(c) T
314		-	HE SUBSEQUENT LOCATIONS AND JOB PLACEMENTS OF PROGRAM
315		-	GRADUATES
316		-	;
	330	+	HE SUBSEQUENT LOCATIONS AND JOB PLACEMENTS OF21
	331	+	PROGRAM GRADUATES ;22
317	332		(d) T
318		-	HE NUMBER OF PROGRAM GRADUATES WHO BECOME TRAINERS ;
319		-	AND
320		-	(e) THE DESCRIPTION OF FACILITIES WHERE PROGRAM GRADUATES
321		-	BECOME TRAINERS
322		-	.
323		-	23-21-1104. Colorado multidisciplinary health-care provider
324		-	access training program advisory committee - created - training.
	333	+	HE NUMBER OF PROGRAM GRADUATES WHO BECOME23
	334	+	TRAINERS; AND24
	335	+	(e) T
	336	+	HE DESCRIPTION OF FACILITIES WHERE PROGRAM GRADUATES25
	337	+	BECOME TRAINERS.26
	338	+	23-21-1104. Colorado multidisciplinary health-care provider27
	339	+	031
	340	+	-9- access training program advisory committee - created - training.1
325	341		(1) (a) T
326		-	HERE IS CREATED THE COLORADO MULTIDISCIPLINARY
327		-	HEALTH
328		-	-CARE ACCESS TRAINING PR OGRAM ADVISORY COMMITTEE TO
329		-	ENSURE THAT TRAINING FOR THE PROGRAM IS CONSISTENT AND
330		-	COLLABORATIVE ACROSS UNIVERSITY DEPARTMENTS
331		-	, PARTICIPATING
332		-	INSTITUTIONS OF HIGHER EDUCATION
333		-	, AND HEALTH-CARE COMMUNITIES.
	342	+	HERE IS CREATED THE COLORADO MULTIDISCIPLINARY2
	343	+	HEALTH-CARE ACCESS TRAINING PR OGRAM ADVISORY COMMITTEE TO3
	344	+	ENSURE THAT TRAINING FOR THE PROGRAM IS CONSISTENT AND4
	345	+	COLLABORATIVE ACROSS UNIVERSITY DEPARTMENTS , PARTICIPATING5
	346	+	INSTITUTIONS OF HIGHER EDUCATION, AND HEALTH-CARE COMMUNITIES.6
334	347		(b) O
335		-	N OR BEFORE JULY 1, 2023, THE COMMITTEE SHALL CONVENE
336		-	AND CONSIST OF THE PROGRAM CHAIR APPOINTED PURSUANT TO SUBSECTION
337		-	(2)(a) OF THIS SECTION AND MEMBERS INCLUDING BUT NOT LIMITED TO ONE
338		-	REPRESENTATIVE FROM
339		-	:
	348	+	N OR BEFORE JULY 1, 2023, THE COMMITTEE SHALL CONVENE7
	349	+	AND CONSIST OF THE PROGRAM CHAIR APPOINTED PURS UANT TO8
	350	+	SUBSECTION (2)(a) OF THIS SECTION AND MEMBERS INCLUDING BUT NOT9
	351	+	LIMITED TO ONE REPRESENTATIVE FROM :10
340	352		(I) A
341		-	N ADVANCED PRACTICE PROVIDER PROGRAM ;
	353	+	N ADVANCED PRACTICE PROVIDER PROGRAM ;11
342	354		(II) A
343		-	DEPARTMENT OF PSYCHOLOGY ;
	355	+	DEPARTMENT OF PSYCHOLOGY ;12
344	356		(III) A
345		-	NURSING PROGRAM;
	357	+	NURSING PROGRAM;13
346	358		(IV) A
347		-	N OCCUPATIONAL THERAPY PROGRAM ;
	359	+	N OCCUPATIONAL THERAPY PROGRAM ;14
348	360		(V) A
349		-	PHYSICAL THERAPY PROGRAM ;
350		-	PAGE 7-SENATE BILL 23-031 (VI) A SCHOOL OF DENTAL MEDICINE;
	361	+	PHYSICAL THERAPY PROGRAM ;15
	362	+	(VI) A
	363	+	SCHOOL OF DENTAL MEDICINE;16
351	364		(VII) A
352		-	SCHOOL OF MEDICINE;
	365	+	SCHOOL OF MEDICINE;17
353	366		(VIII) A
354		-	SCHOOL OF OSTEOPATHIC MEDICINE;
	367	+	SCHOOL OF OSTEOPATHIC MEDICINE;18
355	368		(IX) A
356		-	SCHOOL OF PHARMACY;
	369	+	SCHOOL OF PHARMACY;19
357	370		(X) A
358		-	SOCIAL WORK PROGRAM; AND
359		-	(XI) A SPEECH-LANGUAGE THERAPY PROGRAM .
	371	+	SOCIAL WORK PROGRAM; AND20
	372	+	(XI) A
	373	+	SPEECH-LANGUAGE THERAPY PROGRAM .21
360	374		(2) (a) O
361		-	N OR BEFORE DECEMBER 1, 2023, THE COMMITTEE SHALL:
	375	+	N OR BEFORE DECEMBER 1, 2023, THE COMMITTEE SHALL:22
362	376		(I) A
363		-	PPOINT A PROGRAM CHAIR;
	377	+	PPOINT A PROGRAM CHAIR;23
364	378		(II) S
365		-	ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY
366		-	OF MEDICAL CARE TO MEDICALLY COMPLEX
367		-	, COSTLY, COMPROMISED, AND
368		-	VULNERABLE OLDER
369		-	COLORADANS;
	379	+	ET THE PROGRAM'S STANDARDS FOR TRAINING AND DELIVERY24
	380	+	OF MEDICAL CARE TO MEDICALLY COMPLEX , COSTLY, COMPROMISED, AND25
	381	+	VULNERABLE OLDER COLORADANS;26
370	382		(III) E
371		-	STABLISH THE REQUIREMENTS FOR THE PROGRAM ; ~~AND~~
372		-	~~(IV) IDENTIFY AND INVITE PRIVATE OR PUBLIC INSTITUTIONS OF~~
373		-	~~HIGHER EDUCATION THAT OFFER APPROPRIATE CLINICAL HEALTH~~
374		-	~~PROFESSIONS GRADUATE DEGREE PROGRAMS TO BECOME PARTICIPATING~~
375		-	~~INSTITUTIONS OF HIGHER EDUCATION~~
376		-	.
	383	+	STABLISH THE REQUIREMENTS FOR THE PROGRAM ; AND27
	384	+	031
	385	+	-10- (IV) IDENTIFY AND INVITE PRIVATE OR PUBLIC INSTITUTIONS OF1
	386	+	HIGHER EDUCATION THAT OFFER APPROPRIATE CLINICAL HEALTH2
	387	+	PROFESSIONS GRADUATE DEGREE PROGRAMS TO BECOME PARTICIPATING3
	388	+	INSTITUTIONS OF HIGHER EDUCATION.4
377	389		(b) I
378		-	N ADDITION TO THE DUTIES SET FORTH IN SUBSECTION (2)(a) OF
379		-	THIS SECTION
380		-	, THE COMMITTEE SHALL:
	390	+	N ADDITION TO THE DUTIES SET FORTH IN SUBSECTION (2)(a)5
	391	+	OF THIS SECTION, THE COMMITTEE SHALL:6
381	392		(I) C
382		-	OLLABORATE WITH THE PROGRAM CHAIR , OR THE PROGRAM
383		-	CHAIR
384		-	'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF HIGHER EDUCATION
385		-	TO SELECT STUDENTS WHO HAVE AN INTEREST IN GERIATRIC CARE TO
386		-	PARTICIPATE IN THE PROGRAM
387		-	;
	393	+	OLLABORATE WITH THE PROGRAM CHAIR , OR THE PROGRAM7
	394	+	CHAIR'S DESIGNEE, AND PARTICIPATING INSTITUTIONS OF HIGHER8
	395	+	EDUCATION TO SELECT STUDENTS WHO HAVE AN INTEREST IN GERIATRIC9
	396	+	CARE TO PARTICIPATE IN THE PROGRAM ;10
388	397		(II) A
389		-	NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (6);
	398	+	NALYZE THE DATA COLLECTED IN SECTION 23-21-1103 (6);11
390	399		(III) B
391		-	UILD A MULTIDISCIPLINARY NETWORK OF TRAINED GERIATRIC
392		-	CLINICIANS TO COLLABORATE AND PROVIDE OPPORTUNITIES FOR CLINICIANS
393		-	TO WORK TOGETHER TO BETTER UNDERSTAND THE ROLES OF EACH
394		-	PAGE 8-SENATE BILL 23-031 HEALTH-CARE DISCIPLINE IN URBAN , RURAL, AND UNDERSERVED
395		-	COMMUNITIES WHEN TREATING OLDER
396		-	COLORADANS;
	400	+	UILD A MULTIDISCIPLINARY NETWORK OF TRAINED12
	401	+	GERIATRIC CLINICIANS TO COLLABORATE AND PROVIDE OPPORTUNITIES13
	402	+	FOR CLINICIANS TO WORK TOGETHER TO BETTER UNDERSTAND THE ROLES14
	403	+	OF EACH HEALTH-CARE DISCIPLINE IN URBAN, RURAL, AND UNDERSERVED15
	404	+	COMMUNITIES WHEN TREATING OLDER COLORADANS;16
397	405		(IV) I
398		-	MPROVE PLACEMENT OF CLINICAL GRADUATE STUDENTS IN
399		-	EXPERIENTIAL CLINICAL TRAINING OPPORTUNITIES
400		-	, PRIORITIZING RURAL AND
401		-	UNDERSERVED COMMUNITIES
402		-	;
	406	+	MPROVE PLACEMENT OF CLINICAL GRADUATE STUDENTS IN17
	407	+	EXPERIENTIAL CLINICAL TRAINING OPPORTUNITIES , PRIORITIZING RURAL18
	408	+	AND UNDERSERVED COMMUNITIES ;19
403	409		(V) C
404		-	OORDINATE WITH GRADUATES OF THE PROGRAM TO BECOME
405		-	TRAINERS FOR FUTURE STUDENTS
406		-	; AND
407		-	(VI) INCREASE THE NUMBER OF CLINICAL TRAINING SITES ACROSS
408		-	COLORADO, SPECIFICALLY IN RURAL AND UNDERSERVED COMMUNITIES .
	410	+	OORDINATE WITH GRADUATES OF THE PROGRAM TO BECOME20
	411	+	TRAINERS FOR FUTURE STUDENTS ; AND21
	412	+	(VI) I
	413	+	NCREASE THE NUMBER OF CLINICAL TRAINING SITES ACROSS22
	414	+	C
	415	+	OLORADO, SPECIFICALLY IN RURAL AND UNDERSERVED COMMUNITIES .23
409	416		23-21-1105. Reporting. (1) B
410		-	Y JULY 1, 2025, AND NO LATER THAN
411		-	JULY 1 EACH YEAR THEREAFTER , A REPRESENTATIVE OF THE PROGRAM
412		-	SHALL SUBMIT A REPORT CONTAINING THE DATA COLLECTED PURSUANT TO
413		-	SECTION
414		-	23-21-1103 (6) AND RECOMMENDATIONS FOR LEGISLATIVE OR
415		-	REGULATORY CHANGES TO FACILITATE EFFECTIVE IMPLEMENTATION OF THE
416		-	PROGRAM TO THE HEALTH AND HUMAN SERVICES COMMITTEE OF THE
417		-	SENATE
418		-	, THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE OF
419		-	REPRESENTATIVES
420		-	, OR THEIR SUCCESSOR COMMITTEES .
	417	+	Y JULY 1, 2025, AND NO LATER24
	418	+	THAN JULY 1 EACH YEAR THEREAFTER , A REPRESENTATIVE OF THE25
	419	+	PROGRAM SHALL SUBMIT A REPORT CONTAINING THE DATA COLLECTED26
	420	+	PURSUANT TO SECTION 23-21-1103 (6) AND RECOMMENDATIONS FOR27
	421	+	031
	422	+	-11- LEGISLATIVE OR REGULATORY CHANGES TO FACILITATE EFFECTIVE1
	423	+	IMPLEMENTATION OF THE PROGRAM TO THE HEALTH AND HUMAN SERVICES2
	424	+	COMMITTEE OF THE SENATE, THE HEALTH AND INSURANCE COMMITTEE OF3
	425	+	THE HOUSE OF REPRESENTATIVES, OR THEIR SUCCESSOR COMMITTEES .4
421	426		(2) N
422		-	OTWITHSTANDING SECTION 24-1-136 (11)(a)(I), THE REPORTING
423		-	REQUIREMENT IN THIS SECTION CONTINUES INDEFINITELY
424		-	.
425		-	SECTION 2. In Colorado Revised Statutes, 23-3.3-103, add (16)
426		-	as follows:
427		-	23-3.3-103. Annual appropriations - repeal. (16) T
428		-	HE PROVISIONS
429		-	OF SUBSECTION
430		-	(1) OF THIS SECTION CONCERNING APPROPRIATIONS FOR
431		-	STUDENT FINANCIAL ASSISTANCE PURSUANT TO THIS ARTICLE
432		-	3.3 DO NOT
433		-	APPLY TO APPROPRIATIONS MADE PURSUANT TO PART
434		-	11 OF ARTICLE 21 OF
435		-	THIS TITLE
436		-	23 FOR THE COLORADO MULTIDISCIPLINARY HEALTH -CARE
437		-	PROVIDER ACCESS TRAINING PROGRAM
438		-	.
439		-	SECTION 3. In Colorado Revised Statutes, 23-18-308, add (1)(l)
440		-	as follows:
441		-	23-18-308. Fee-for-service contracts - limited purpose - repeal.
442		-	(1) Subject to available appropriations, the department shall enter into
443		-	PAGE 9-SENATE BILL 23-031 fee-for-service contracts for the following purposes:
444		-	(l) T
445		-	HE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER
446		-	ACCESS TRAINING PROGRAM CREATED IN SECTION
447		-	23-21-1103.
448		-	SECTION 4. Appropriation. (1) For the 2023-24 state fiscal year,
449		-	$784,269 is appropriated to the department of higher education. This
450		-	appropriation is from the general fund. To implement this act, the
451		-	department may use this appropriation for the college opportunity fund
452		-	program to be used for limited purpose fee-for-service contracts with state
453		-	institutions.
454		-	(2) For the 2023-24 state fiscal year, $784,269 is appropriated to the
455		-	department of higher education. This appropriation is from reappropriated
456		-	funds received from the limited purpose fee-for-service contracts with state
457		-	institutions under subsection (1) of this section. To implement this act, the
458		-	department may use this appropriation for the regents of the university of
459		-	Colorado.
460		-	SECTION 5. Safety clause. The general assembly hereby finds,
461		-	PAGE 10-SENATE BILL 23-031 determines, and declares that this act is necessary for the immediate
462		-	preservation of the public peace, health, or safety.
463		-	____________________________ ____________________________
464		-	Steve Fenberg Julie McCluskie
465		-	PRESIDENT OF SPEAKER OF THE HOUSE
466		-	THE SENATE OF REPRESENTATIVES
467		-	____________________________ ____________________________
468		-	Cindi L. Markwell Robin Jones
469		-	SECRETARY OF CHIEF CLERK OF THE HOUSE
470		-	THE SENATE OF REPRESENTATIVES
471		-	APPROVED________________________________________
472		-	(Date and Time)
473		-	_________________________________________
474		-	Jared S. Polis
475		-	GOVERNOR OF THE STATE OF COLORADO
476		-	PAGE 11-SENATE BILL 23-031
	427	+	OTWITHSTANDING SECTION 24-1-136 (11)(a)(I), THE5
	428	+	REPORTING REQUIREMENT IN THIS SECTION CONTINUES INDEFINITELY .6
	429	+	SECTION 2. In Colorado Revised Statutes, 23-3.3-103, add (12)
	430	+	7
	431	+	as follows:8
	432	+	23-3.3-103. Annual appropriations - repeal. (12) T
	433	+	HE
	434	+	9
	435	+	PROVISIONS OF SUBSECTION (1) OF THIS SECTION CONCERNING10
	436	+	APPROPRIATIONS FOR STUDENT FINANCIAL ASSISTANCE PURS UANT TO THIS11
	437	+	ARTICLE 3.3 DO NOT APPLY TO APPROPRIATIONS MADE PURSUANT TO PART12
	438	+	11
	439	+	OF ARTICLE 21 OF THIS TITLE 23 FOR THE COLORADO
	440	+	13
	441	+	MULTIDISCIPLINARY HEALTH-CARE PROVIDER ACCESS TRAINING PROGRAM .14
	442	+	SECTION 3. In Colorado Revised Statutes, 23-18-308, add15
	443	+	(1)(k) as follows:16
	444	+	23-18-308. Fee-for-service contracts - limited purpose - repeal.17
	445	+	(1) Subject to available appropriations, the department shall enter into18
	446	+	fee-for-service contracts for the following purposes:19
	447	+	(k) T
	448	+	HE COLORADO MULTIDISCIPLINARY HEALTH -CARE PROVIDER20
	449	+	ACCESS TRAINING PROGRAM CREATED IN SECTION 23-21-1103.21
	450	+	SECTION 4. Appropriation. (1) For the 2023-24 state fiscal
	451	+	22
	452	+	year, $784,269 is appropriated to the department of higher education. This23
	453	+	appropriation is from the general fund. To implement this act, the24
	454	+	department may use this appropriation for the college opportunity fund25
	455	+	program to be used for limited purpose fee-for-service contracts with26
	456	+	state institutions.27
	457	+	031
	458	+	-12- (2) For the 2023-24 state fiscal year, $784,269 is appropriated to1
	459	+	the department of higher education. This appropriation is from2
	460	+	reappropriated funds received from the limited purpose fee-for-service3
	461	+	contracts with state institutions under subsection (1) of this section. To4
	462	+	implement this act, the department may use this appropriation for the5
	463	+	regents of the university of Colorado.6
	464	+	SECTION 5. Safety clause. The general assembly hereby finds,7
	465	+	determines, and declares that this act is necessary for the immediate8
	466	+	preservation of the public peace, health, or safety.9
	467	+	031
	468	+	-13-