Colorado 2023 Regular Session

Colorado Senate Bill SB176 Compare Versions

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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. 23-0473.01 Shelby Ross x4510
18 SENATE BILL 23-176
2-BY SENATOR(S) Moreno and Cutter, Buckner, Coleman, Exum, Hansen,
3-Kolker, Marchman, Mullica, Priola, Roberts, Winter F., Fenberg;
4-also REPRESENTATIVE(S) deGruy Kennedy and Bradley, Amabile, Bird,
5-Boesenecker, Brown, Dickson, Duran, Froelich, Jodeh, Kipp, Lieder,
6-Lindsay, McCormick, Michaelson Jenet, Ricks, Sirota, Snyder, Story,
7-Titone, Valdez, Young, McCluskie.
9+Senate Committees House Committees
10+Health & Human Services Public & Behavioral Health & Human Services
11+Appropriations
12+A BILL FOR AN ACT
813 C
9-ONCERNING MEASURES TO IMPROVE OUTCOMES FOR INDIVIDUALS WITH AN
10-EATING DISORDER
11-.
14+ONCERNING MEASURES TO IMPROV E OUTCOMES FOR INDIVIDUALS101
15+WITH AN EATING DISORDER .102
16+Bill Summary
17+(Note: This summary applies to this bill as introduced and does
18+not reflect any amendments that may be subsequently adopted. If this bill
19+passes third reading in the house of introduction, a bill summary that
20+applies to the reengrossed version of this bill will be available at
21+http://leg.colorado.gov
22+.)
23+The bill prohibits certain health benefit plans or the state medical
24+assistance program from utilizing the body mass index, ideal body weight,
25+or any other standard requiring an achieved weight when determining
26+medical necessity criteria or appropriate level of care for an individual
27+with a diagnosed eating disorder.
28+The bill prohibits a retail establishment from selling, transferring,
29+HOUSE
30+3rd Reading Unamended
31+May 7, 2023
32+HOUSE
33+Amended 2nd Reading
34+May 6, 2023
35+SENATE
36+Amended 3rd Reading
37+April 25, 2023
38+SENATE
39+Amended 2nd Reading
40+April 24, 2023
41+SENATE SPONSORSHIP
42+Moreno and Cutter, Buckner, Coleman, Exum, Fenberg, Hansen, Kolker, Marchman,
43+Mullica, Priola, Roberts, Winter F.
44+HOUSE SPONSORSHIP
45+deGruy Kennedy and Bradley, Amabile, Bird, Boesenecker, Brown, Dickson, Duran,
46+Froelich, Jodeh, Kipp, Lieder, Lindsay, McCluskie, McCormick, Michaelson Jenet, Ricks,
47+Sirota, Snyder, Story, Titone, Valdez, Young
48+Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
49+Capital letters or bold & italic numbers indicate new material to be added to existing law.
50+Dashes through the words or numbers indicate deletions from existing law. or otherwise furnishing dietary supplements for weight loss or
51+over-the-counter diet pills to any individual under 18 years of age without
52+a prescription.
53+The bill requires the behavioral health administration (BHA) to
54+promulgate rules concerning forced feeding tubes for individuals with an
55+eating disorder.
56+No later than July 1, 2024, the bill requires the BHA to require all
57+eating disorder treatment and recovery facilities to hold an appropriate
58+designation based on the level of care the facility provides.
59+Be it enacted by the General Assembly of the State of Colorado:1
1260
13-Be it enacted by the General Assembly of the State of Colorado:
14-SECTION 1. In Colorado Revised Statutes, add 10-16-166 as
15-follows:
16-10-16-166. Prohibition on using the body mass index or ideal
61+ SECTION 1. In Colorado Revised Statutes, add 10-16-1582
62+as follows:3
63+10-16-158. Prohibition on using the body mass index or ideal4
1764 body weight - medical necessity criteria - rules. (1) (a) E
1865 VERY HEALTH
19-BENEFIT PLAN SUBJECT TO PART
20-2, 3, OR 4 OF THIS ARTICLE 16, EXCEPT
21-THOSE DESCRIBED IN SECTION
22-10-16-102 (32)(b), SHALL NOT UTILIZE THE
23-BODY MASS INDEX
24-, IDEAL BODY WEIGHT , OR ANY OTHER STANDARD
25-REQUIRING AN ACHIEVED WEIGHT WHEN DETERMINING MEDICAL NECESSITY
26-OR THE APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DIAGNOSED WITH
27-NOTE: This bill has been prepared for the signatures of the appropriate legislative
28-officers and the Governor. To determine whether the Governor has signed the bill
29-or taken other action on it, please consult the legislative status sheet, the legislative
30-history, or the Session Laws.
31-________
32-Capital letters or bold & italic numbers indicate new material added to existing law; dashes
33-through words or numbers indicate deletions from existing law and such material is not part of
34-the act. AN EATING DISORDER, INCLUDING BUT NOT LIMITED TO BULIMIA NERVOSA ,
35-ATYPICAL ANOREXIA NERVOSA , BINGE-EATING DISORDER, AVOIDANT
36-RESTRICTIVE FOOD INTAKE DISORDER
37-, AND OTHER SPECIFIED FEEDING AND
38-EATING DISORDERS AS DEFINED IN THE MOST RECENT EDITION OF THE
39-DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS.
66+5
67+BENEFIT PLAN SUBJECT TO PART 2, 3, OR 4 OF THIS ARTICLE 16, EXCEPT6
68+THOSE DESCRIBED IN SECTION 10-16-102 (32)(b), SHALL NOT UTILIZE THE7
69+BODY MASS INDEX, IDEAL BODY WEIGHT, OR ANY OTHER STANDARD8
70+REQUIRING AN ACHIEVED WEIGHT WHEN DETERMINING MEDICAL9
71+NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL10
72+DIAGNOSED WITH AN EATING DISORDER , INCLUDING BUT NOT LIMITED TO11
73+BULIMIA NERVOSA, ATYPICAL ANOREXIA NERVOSA , BINGE-EATING12
74+DISORDER, AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER , AND OTHER13
75+SPECIFIED FEEDING AND EATING DISORDERS AS DEFINED IN THE MOST14
76+RECENT EDITION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF15
77+M
78+ENTAL DISORDERS.
79+16
4080 (b) S
4181 UBSECTION (1)(a) OF THIS SECTION DOES NOT APPLY WHEN
42-DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR
43-AN INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA
44-, RESTRICTING
45-SUBTYPE
46-, OR BINGE-EATING/PURGING SUBTYPE; HOWEVER, BODY MASS
47-INDEX
48-, IDEAL BODY WEIGHT, OR ANY OTHER STANDARD REQUIRING AN
49-ACHIEVED BODY WEIGHT MUST NOT BE THE DETERMINING FACTOR WHEN
50-ASSESSING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR AN
51-INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA
52-, RESTRICTING SUBTYPE,
53-OR BINGE-EATING/PURGING SUBTYPE.
82+17
83+DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE18
84+FOR AN INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA , RESTRICTING19
85+SUBTYPE, OR BINGE-EATING/PURGING SUBTYPE; HOWEVER, BODY MASS20
86+176-2- INDEX, IDEAL BODY WEIGHT, OR ANY OTHER STANDARD REQUIRING AN1
87+ACHIEVED BODY WEIGHT MUST NOT BE THE DETERMINING FACTOR WHEN2
88+ASSESSING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR3
89+AN INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA , RESTRICTING4
90+SUBTYPE, OR BINGE-EATING/PURGING SUBTYPE.5
5491 (2) T
55-HE FOLLOWING FACTORS, AT A MINIMUM, MUST BE CONSIDERED
56-WHEN DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF
57-CARE FOR AN INDIVIDUAL DIAGNOSED WITH AN EATING DISORDER
58-:
92+HE FOLLOWING FACTORS , AT A MINIMUM , MUST BE
93+6
94+CONSIDERED WHEN DETERMINING MEDICAL NECESSITY OR THE7
95+APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DIAGNOSED WITH AN8
96+EATING DISORDER:9
5997 (a) T
6098 HE INDIVIDUAL'S EATING BEHAVIORS;
99+10
61100 (b) T
62101 HE INDIVIDUAL'S NEED FOR SUPERVISED MEALS AND SUPPORT
63-INTERVENTIONS
64-;
102+11
103+INTERVENTIONS;12
65104 (c) L
66105 ABORATORY RESULTS, INCLUDING BUT NOT LIMITED TO, THE
67-INDIVIDUAL
68-'S HEART RATE, RENAL OR CARDIOVASCULAR ACTIVITY , AND
69-BLOOD PRESSURE
70-;
106+13
107+INDIVIDUAL'S HEART RATE, RENAL OR CARDIOVASCULAR ACTIVITY , AND14
108+BLOOD PRESSURE;15
71109 (d) T
72110 HE RECOVERY ENVIRONMENT ; AND
73-(e) CO-OCCURRING DISORDERS THE INDIVIDUAL MAY HAVE .
111+16
112+(e) C
113+O-OCCURRING DISORDERS THE INDIVIDUAL MAY HAVE .
114+17
74115 (3) T
75-HE COMMISSIONER MAY PROMULGATE RULES AS NECESSARY TO
76-IMPLEMENT AND ENFORCE THIS SECTION
77-.
78-SECTION 2. In Colorado Revised Statutes, add 25.5-5-336 as
79-follows:
80-25.5-5-336. Prohibition on using the body mass index or ideal
81-PAGE 2-SENATE BILL 23-176 body weight - medical necessity criteria. (1) (a) B EGINNING JULY 1, 2023,
82-THE STATE MEDICAL ASSISTANCE PROGRAM SHALL NOT UTILIZE THE BODY
83-MASS INDEX
84-, IDEAL BODY WEIGHT, OR ANY OTHER STANDARD REQUIRING AN
85-ACHIEVED WEIGHT WHEN DETERMINING MEDICAL NECESSITY OR THE
86-APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DIAGNOSED WITH AN
87-EATING DISORDER
88-, INCLUDING BUT NOT LIMITED TO , BULIMIA NERVOSA,
89-ATYPICAL ANOREXIA NERVOSA , BINGE-EATING DISORDER, AVOIDANT
90-RESTRICTIVE FOOD INTAKE DISORDER
91-, AND OTHER SPECIFIED FEEDING AND
92-EATING DISORDERS AS DEFINED IN THE MOST RECENT EDITION OF THE
93-DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS.
116+HE COMMISSIONER MAY PROMULGATE RULES AS NECESSARY
117+18
118+TO IMPLEMENT AND ENFORCE THIS SECTION .19
119+SECTION 2. In Colorado Revised Statutes, add 25.5-5-334 as20
120+follows:21
121+25.5-5-334. Prohibition on using the body mass index or ideal22
122+body weight - medical necessity criteria. (1) (a) B
123+EGINNING JULY 1,
124+23
125+2023,
126+ THE STATE MEDICAL ASSISTANCE PROGRAM SHALL NOT UTILIZE THE
127+24
128+BODY MASS INDEX, IDEAL BODY WEIGHT, OR ANY OTHER STANDARD25
129+REQUIRING AN ACHIEVED WEIGHT WHEN DETERMINING MEDICAL26
130+NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL27
131+176
132+-3- DIAGNOSED WITH AN EATING DISORDER , INCLUDING BUT NOT LIMITED TO,1
133+BULIMIA NERVOSA, ATYPICAL ANOREXIA NERVOSA , BINGE-EATING2
134+DISORDER, AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER , AND OTHER3
135+SPECIFIED FEEDING AND EATING DISORDERS AS DEFINED IN THE MOST4
136+RECENT EDITION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF5
137+M
138+ENTAL DISORDERS.
139+6
94140 (b) S
95141 UBSECTION (1)(a) OF THIS SECTION DOES NOT APPLY WHEN
96-DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE FOR
97-AN INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA
98-, RESTRICTING
99-SUBTYPE
100-; HOWEVER, BODY MASS INDEX, IDEAL BODY WEIGHT, OR ANY
101-OTHER STANDARD REQUIRING AN ACHIEVED B ODY WEIGHT MUST NOT BE THE
102-DETERMINING FACTOR WHEN ASSESSING MEDICAL NECESSITY OR THE
103-APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DIAGNOSED WITH
104-ANOREXIA NERVOSA
105-, RESTRICTING SUBTYPE.
142+7
143+DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF CARE8
144+FOR AN INDIVIDUAL DIAGNOSED WITH ANOREXIA NERVOSA , RESTRICTING9
145+SUBTYPE; HOWEVER, BODY MASS INDEX, IDEAL BODY WEIGHT, OR ANY10
146+OTHER STANDARD REQUIRING AN ACHIEVED BODY WEIGHT MUST NOT BE11
147+THE DETERMINING FACTOR WHEN ASSESSING MEDICAL NECESSITY OR THE12
148+APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DIAGNOSED WITH13
149+ANOREXIA NERVOSA, RESTRICTING SUBTYPE.14
106150 (2) T
107-HE FOLLOWING FACTORS, AT A MINIMUM, MUST BE CONSIDERED
108-WHEN DETERMINING MEDICAL NECESSITY OR THE APPROPRIATE LEVEL OF
109-CARE FOR AN INDIVIDUAL DIAGNOSED WITH AN EATING DISORDER
110-:
151+HE FOLLOWING FACTORS , AT A MINIMUM , MUST BE
152+15
153+CONSIDERED WHEN DETERMINING MEDICAL NECESSITY OR THE16
154+APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL DI AGNOSED WITH AN17
155+EATING DISORDER:18
111156 (a) T
112157 HE INDIVIDUAL'S EATING BEHAVIORS;
158+19
113159 (b) T
114160 HE INDIVIDUAL'S NEED FOR SUPERVISED MEALS AND SUPPORT
115-INTERVENTIONS
116-;
161+20
162+INTERVENTIONS;21
117163 (c) L
118164 ABORATORY RESULTS, INCLUDING BUT NOT LIMITED TO, THE
119-INDIVIDUAL
120-'S HEART RATE, RENAL OR CARDIOVASCULAR ACTIVITY , AND
121-BLOOD PRESSURE
122-;
165+22
166+INDIVIDUAL'S HEART RATE, RENAL OR CARDIOVASCULAR ACTIVITY , AND23
167+BLOOD PRESSURE;24
123168 (d) T
124169 HE RECOVERY ENVIRONMENT ; AND
125-(e) CO-OCCURRING DISORDERS THE INDIVIDUAL MAY HAVE .
126-SECTION 3. In Colorado Revised Statutes, add article 26 to title
127-6 as follows:
128-PAGE 3-SENATE BILL 23-176 ARTICLE 26
129-Regulation Of Dietary Supplements For Weight Loss
130-6-26-101. Definitions. A
131-S USED IN THIS ARTICLE 26, UNLESS THE
132-CONTEXT OTHERWISE REQUIRES
133-:
134-(1) (a) "O
135-VER-THE-COUNTER DIET PILL" MEANS A CLASS OF DRUGS
136-THAT ARE LABELED AND MARKETED UNDER THE
137-"FEDERAL FOOD, DRUG,
138-AND COSMETIC ACT", 21 U.S.C. SEC. 301 ET SEQ., FOR THE PURPOSE OF
139-ACHIEVING WEIGHT LOSS THAT ARE LAWFULLY SOLD
140-, TRANSFERRED, OR
141-OTHERWISE FURNISHED WITHOUT A PRESCRIPTION
142-.
170+25
171+(e) C
172+O-OCCURRING DISORDERS THE INDIVIDUAL MAY HAVE .
173+26
174+ 27
175+176
176+-4- 1
177+SECTION 3. In Colorado Revised Statutes, add article 26 to title2
178+6 as follows:3
179+ARTICLE 264
180+Regulation Of Dietary Supplements For Weight Loss5
181+6-26-101. Definitions. AS USED IN THIS ARTICLE 26, UNLESS THE6
182+CONTEXT OTHERWISE REQUIRES :7
183+ 8
184+(1) (a) "OVER-THE-COUNTER DIET PILL" MEANS A CLASS OF DRUGS9
185+THAT ARE LABELED AND MARKETED UNDER THE "FEDERAL FOOD, DRUG,10
186+AND COSMETIC ACT", 21 U.S.C. SEC. 301 ET SEQ., FOR THE PURPOSE OF11
187+ACHIEVING WEIGHT LOSS THAT ARE LAWFULLY SOLD , TRANSFERRED, OR12
188+OTHERWISE FURNISHED WITHOUT A PRESCRIPTION .13
143189 (b) "O
144-VER-THE-COUNTER DIET PILL" INCLUDES PRODUCTS MARKETED
145-WITH A DRUG FACTS PANEL PURSUANT TO FEDERAL REGULATIONS THAT
146-CONTAIN EITHER APPROVED DRUG INGREDIENTS OR INGREDIENTS DEEMED
147-ADULTERATED PURSUANT TO
148-21 U.S.C. SEC. 342, OR BOTH.
149-(2) "R
150-ETAIL ESTABLISHMENT" MEANS ANY VENDOR THAT , IN THE
151-REGULAR COURSE OF BUSINESS
152-, SELLS OVER-THE-COUNTER DIET PILLS AT
153-RETAIL DIRECTLY TO THE PUBLIC
154-, INCLUDING BUT NOT LIMITED TO ,
155-PHARMACIES, GROCERY STORES, OTHER RETAIL STORES, AND VENDORS THAT
156-ACCEPT ORDERS PLACED BY MAIL
157-, TELEPHONE, ELECTRONIC MAIL, INTERNET
158-WEBSITE
159-, ONLINE CATALOG, OR SOFTWARE APPLICATION.
160-6-26-102. Over-the-counter diet pills - prohibition on selling to
161-persons under eighteen years of age - deceptive trade practice - rules.
162-(1) (a) A
163- RETAIL ESTABLISHMENT SHALL NOT SELL , TRANSFER, OR
164-OTHERWISE FURNISH OVER
165--THE-COUNTER DIET PILLS TO ANY PERSON UNDER
166-EIGHTEEN YEARS OF AGE
167-.
190+VER-THE-COUNTER DIET PILL" INCLUDES PRODUCTS14
191+MARKETED WITH A DRUG FACTS PANEL PURSUANT TO FEDERAL15
192+REGULATIONS THAT CONTAIN EITHER APPROVED DRUG INGREDIENTS OR16
193+INGREDIENTS DEEMED ADULTERATED PURSUANT TO 21 U.S.C. SEC. 342,17
194+OR BOTH.18
195+(2)
196+ "RETAIL ESTABLISHMENT" MEANS ANY VENDOR THAT, IN THE19
197+REGULAR COURSE OF BUSINESS, SELLS OVER-THE-COUNTER DIET PILLS20
198+AT RETAIL DIRECTLY TO THE PUBLIC, INCLUDING BUT NOT LIMITED TO,21
199+PHARMACIES, GROCERY STORES, OTHER RETAIL STORES, AND VENDORS22
200+THAT ACCEPT ORDERS PLACED BY MAIL , TELEPHONE, ELECTRONIC MAIL,23
201+INTERNET WEBSITE, ONLINE CATALOG, OR SOFTWARE APPLICATION.24
202+6-26-102. Over-the-counter diet pills - prohibition on selling25
203+to persons under eighteen years of age - deceptive trade practice - 26
204+rules. (1) (a) A
205+ RETAIL ESTABLISHMENT SHALL NOT SELL, TRANSFER, OR27
206+176
207+-5- OTHERWISE FURNISH OVER-THE-COUNTER DIET PILLS TO ANY PERSON1
208+UNDER EIGHTEEN YEARS OF AGE .2
168209 (b) A
169- RETAIL ESTABLISHMENT SHALL REQUEST VALID
210+ RETAIL ESTABLISHMENT SHALL REQUEST VALID3
170211 IDENTIFICATION FROM ANY PERSON WHO ATTEMPTS TO PURCHASE
171-OVER
172--THE-COUNTER DIET PILLS IF THAT PERSON REASONABLY APPEARS TO
173-THE RETAIL ESTABLISHMENT TO BE UNDER EIGHTEEN YEARS OF AGE
174-.
175-(2) A
176- VIOLATION OF THIS ARTICLE 26 IS A DECEPTIVE TRADE
177-PRACTICE PURSUANT TO SECTION
178-6-1-105 (1)(cccc).
179-SECTION 4. In Colorado Revised Statutes, 6-1-105, add (1)(cccc)
180-PAGE 4-SENATE BILL 23-176 as follows:
181-6-1-105. Unfair or deceptive trade practices. (1) A person
182-engages in a deceptive trade practice when, in the course of the person's
183-business, vocation, or occupation, the person:
184-(cccc) S
185-ELLS OR OFFERS FOR SALE A PRODUCT THAT IS
186-AGE
187--RESTRICTED TO A PERSON WHO DOES NOT MEET THE AGE RESTRICTION .
188-SECTION 5. Effective date. This act takes effect upon passage;
189-except that section 1 of this act takes effect January 1, 2024, and section 3
190-of this act takes effect July 1, 2024.
191-SECTION 6. Safety clause. The general assembly hereby finds,
192-PAGE 5-SENATE BILL 23-176 determines, and declares that this act is necessary for the immediate
193-preservation of the public peace, health, or safety.
194-____________________________ ____________________________
195-Steve Fenberg Julie McCluskie
196-PRESIDENT OF SPEAKER OF THE HOUSE
197-THE SENATE OF REPRESENTATIVES
198-____________________________ ____________________________
199-Cindi L. Markwell Robin Jones
200-SECRETARY OF CHIEF CLERK OF THE HOUSE
201-THE SENATE OF REPRESENTATIVES
202- APPROVED________________________________________
203- (Date and Time)
204- _________________________________________
205- Jared S. Polis
206- GOVERNOR OF THE STATE OF COLORADO
207-PAGE 6-SENATE BILL 23-176
212+4
213+OVER-THE-COUNTER DIET PILLS IF THAT PERSON REASONABLY APPEARS TO5
214+THE RETAIL ESTABLISHMENT TO BE UNDER EIGHTEEN YEARS OF AGE .6
215+(2) A VIOLATION OF THIS ARTICLE 26 IS A DECEPTIVE TRADE7
216+PRACTICE PURSUANT TO SECTION 6-1-105 (1)(uuu).8
217+SECTION 4. In Colorado Revised Statutes, 6-1-105, add9
218+(1)(uuu) as follows:10
219+6-1-105. Unfair or deceptive trade practices. (1) A person11
220+engages in a deceptive trade practice when, in the course of the person's12
221+business, vocation, or occupation, the person:13
222+(uuu) SELLS OR OFFERS FOR SALE A PRODUCT THAT IS14
223+AGE-RESTRICTED TO A PERSON WHO DOES NOT MEET THE AGE15
224+RESTRICTION.16
225+ 17
226+SECTION 5. Effective date. This act takes effect upon passage;18
227+except that section 1 of this act takes effect January 1, 2024, and section19
228+3 of this act takes effect July 1, 2024.20
229+SECTION 6. Safety clause. The general assembly hereby finds,21
230+determines, and declares that this act is necessary for the immediate22
231+preservation of the public peace, health, or safety.23
232+176
233+-6-