Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-0221.01 Jacob Baus x2173 HOUSE BILL 24-1003 House Committees Senate Committees Education A BILL FOR AN ACT C ONCERNING MEASURES RELATED TO HARM REDUCTION FOR101 STUDENTS.102 Bill Summary (Note: .This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) Under current law, a school district, the state charter school institute, or the governing board of a nonpublic school may adopt a policy for a school to maintain a supply of and distribute opiate antagonists. The bill allows the adoption of a similar policy for maintaining a supply of opiate antagonists on school buses and extends existing civil and criminal immunity to school bus operators and other employees present on buses HOUSE SPONSORSHIP McLachlan and Young, SENATE SPONSORSHIP Simpson and Michaelson Jenet, 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. if they furnish or administer an opiate antagonist in good faith, in addition to other requirements. Under current law, a school district, the state charter school institute, or the governing board of a nonpublic school may adopt a policy for a school to maintain a supply of and distribute non-laboratory synthetic opiate detection tests. The bill allows the adoption of a similar policy for non-laboratory additive detection tests and extends existing civil immunity provisions to include non-laboratory additive detection tests. The bill requires a school, school district, or the state charter school institute to allow a student to possess or administer on school grounds, on a school bus, or at any school-sponsored event an opiate antagonist and possess a non-laboratory synthetic opiate detection test or a non-laboratory additive detection test. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. Legislative declaration. (1) The general assembly2 finds that:3 (a) Fentanyl, a synthetic opiate painkiller, is killing people who4 did not know they were consuming it. These deaths are known as fentanyl5 poisonings.6 (b) Fentanyl is the most common cause of opiate deaths in the7 United States;8 (c) Colorado's drug overdose rate increased fifty percent from9 May 2019 to May 2021. This is consistent with the national drug10 overdose rate trend.11 (d) In 2018, less than ten percent of Colorado's drug overdoses12 involved fentanyl. In 2021, approximately forty-eight percent of13 Colorado's drug overdoses involved fentanyl.14 (e) Fentanyl is approximately one hundred times stronger than15 morphine and approximately fifty times stronger than heroin. A person16 can overdose on approximately two milligrams of fentanyl.17 HB24-1003-2- (f) A variety of drugs, including cocaine, ecstasy, and pills made1 to look like prescription narcotics, are being laced with fentanyl and2 causing fentanyl poisonings;3 (g) Colorado's students are increasingly vulnerable to opiate4 overdoses as the opiate epidemic continues to plague our state and5 country. This threat can be significantly decreased by providing to6 students and parents greater education about the threat of opiates and7 greater education about and access to opiate antagonists and detection8 products. Availability of and access to opiate antagonists and detection9 products enable immediate and effective response in the case of an10 overdose.11 (h) It is imperative to provide students with the knowledge, tools,12 and skills to save their lives and their peers' lives. It is imperative to13 create connections and communication opportunities with parents and14 school personnel.15 (i) People who attend educational harm reduction programs are16 more likely to voluntarily enter addiction treatment programming; and17 (j) Under current state law, a school district may establish a policy18 to maintain a supply of opiate antagonists and allow staff to administer an19 opiate antagonist to a person experiencing an opiate-related drug20 overdose if the staff has received training. Current state law also allows21 broad allowances for the general public to administer an opiate antagonist22 to a person who is experiencing an opiate-related drug overdose.23 (2) The general assembly declares it is necessary to build upon the24 successes of current state law that make opiate antagonists and detection25 tests available, to create greater accessibility to life-saving tools, and to26 create greater knowledge for students and parents to save lives and reduce27 HB24-1003 -3- stigmas.1 SECTION 2. In Colorado Revised Statutes, 22-1-119.1, amend2 (1)(a), (1)(b), and (2) as follows:3 22-1-119.1. Policy for employee and agent possession and4 administration of opiate antagonists - definitions. (1) A school district5 board of education of a public school, the state charter school institute for6 an institute charter school, or the governing board of a nonpublic school7 may adopt and implement a policy whereby:8 (a) A school under its jurisdiction may acquire and maintain a9 stock supply of opiate antagonists ON SCHOOL GROUNDS; ON A SCHOOL10 BUS OPERATED BY A DISTRICT SCHOOL , SCHOOL DISTRICT, THE CHARTER11 SCHOOL INSTITUTE, INSTITUTE CHARTER SCHOOL, OR NONPUBLIC SCHOOL;12 OR BOTH; and13 (b) An employee or agent of the school; OR AN EMPLOYEE OR14 AGENT OF A SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL15 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL16 WHO OPERATES OR IS ON A SCHOOL BUS ; OR BOTH, may, after receiving17 appropriate training, administer an opiate antagonist on school grounds18 OR A SCHOOL BUS to assist an individual who is at risk of experiencing an19 opiate-related drug overdose event. The training provided pursuant to this20 subsection (1)(b) must include risk factors for overdose, recognizing an21 overdose, calling emergency medical services, rescue breathing, and22 administering an opiate antagonist.23 (2) An employee or agent of a school; OR AN EMPLOYEE OR AGENT24 OF THE SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL25 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL26 WHO OPERATES OR IS ON A SCHOOL BUS ; OR BOTH, acting in accordance27 HB24-1003 -4- with a policy adopted pursuant to this section is not subject to civil1 liability or criminal prosecution, as specified in sections 13-21-108.7 (3)2 and 18-1-712 (2), respectively.3 SECTION 3. In Colorado Revised Statutes, amend 22-1-119.24 as follows:5 22-1-119.2. Policy for employee and agent furnishing synthetic6 opiate detection tests and non-laboratory additive detection tests -7 legislative intent - definitions. (1) (a) A school district board of8 education of a public school, the state charter school institute for an9 institute charter school, or the governing board of a nonpublic school may10 adopt and implement a policy whereby a school under its jurisdiction may11 acquire and maintain a supply of non-laboratory synthetic opiate detection12 tests, NON-LABORATORY ADDITIVE DETECTION TESTS , OR BOTH, and an13 employee or agent of the school may furnish non-laboratory synthetic14 opiate detection tests, NON-LABORATORY ADDITIVE DETECTION TESTS , OR15 BOTH, on school grounds to any individual.16 (b) T HE GENERAL ASSEMBLY ENCOURAGES EACH SCHOOL DISTRICT17 BOARD OF EDUCATION, THE STATE CHARTER SCHOOL INSTITUTE, AND EACH18 GOVERNING BOARD OF A NONPUBLIC SCHOOL TO ADOPT AND IMPLEMENT19 A POLICY PURSUANT TO SUBSECTION (1)(a) OF THIS SECTION. IN20 DEVELOPING THE POLICY, THE GENERAL ASSEMBLY ALSO ENCOURAGES21 EACH SCHOOL DISTRICT BOARD OF EDUCATION , THE STATE CHARTER22 SCHOOL INSTITUTE, AND EACH GOVERNING BOARD OF A NONPUBLIC23 SCHOOL TO CONSIDER PARENT AND STUDENT INPUT ; CONSIDER EDUCATION24 AND TRAINING TO PARENTS AND STUDENTS REGARDING OPIATE25 ANTAGONISTS, OPIATE DETECTION TESTS , OR NON-LABORATORY26 DETECTION TESTS; AND COLLABORATE WITH GROUPS WHO HAVE27 HB24-1003 -5- DEVELOPED OPIATE EDUCATION AND AWARENESS CAMPAIGNS TO ENHANCE1 THE POLICY.2 (2) As used in this section, "non-laboratory synthetic opiate3 detection test" means a product that is intended or designed to detect the4 presence of a synthetic opiate UNLESS THE CONTEXT OTHERWISE5 REQUIRES:6 (a) "N ON-LABORATORY ADDITIVE DETECTION TEST " MEANS A7 PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE PRESENCE OF8 AN ADDITIVE TO A SYNTHETIC OPIATE OR AN IMMEDIATE PRECURSOR TO A9 SYNTHETIC OPIATE.10 (b) "N ON-LABORATORY SYNTHETIC OPIATE DETECTION TEST "11 MEANS A PRODUCT THAT IS INTENDE D OR DESIGNED TO DETECT THE12 PRESENCE OF A SYNTHETIC OPIATE.13 SECTION 4. In Colorado Revised Statutes, add 22-1-119.7 as14 follows:15 22-1-119.7. Student possession and administration of opiate16 antagonists and possession of non-laboratory detection tests. (1) A17 SCHOOL, SCHOOL DISTRICT, OR THE STATE CHARTER SCHOOL INSTITUTE18 SHALL ALLOW A STUDENT OF THE SCHOOL , SCHOOL DISTRICT, OR19 INSTITUTE CHARTER SCHOOL TO POSSES OR ADMINISTER AN OPIATE20 ANTAGONIST ON SC HOOL GROUNDS , ON A SCHOOL BUS, OR AT ANY21 SCHOOL-SPONSORED EVENT.22 (2) A SCHOOL, SCHOOL DISTRICT, OR THE STATE CHARTER SCHOOL23 INSTITUTE SHALL ALLOW A STUDENT OF THE SCHOOL , SCHOOL DISTRICT,24 OR INSTITUTE CHARTER SCHOOL TO POSSESS A NON -LABORATORY25 SYNTHETIC OPIATE DETECTION TEST OR NON -LABORATORY ADDITIVE26 DETECTION TEST ON SCHOOL GR OUNDS , ON A SCHOOL BUS, OR AT ANY27 HB24-1003 -6- SCHOOL-SPONSORED EVENT.1 SECTION 5. In Colorado Revised Statutes, 12-30-110, amend2 (1)(a)(V) as follows:3 12-30-110. Prescribing or dispensing an opiate antagonist -4 authorized recipients - definitions. (1) (a) A prescriber may prescribe5 or dispense, directly or in accordance with standing orders and protocols,6 an opiate antagonist to:7 (V) A school district, school, or employee or agent of a school; OR8 AN EMPLOYEE OR AGENT OF THE SCHOOL DISTRICT , A DISTRICT SCHOOL,9 THE CHARTER SCHOOL INSTITUTE, AN INSTITUTE CHARTER SCHOOL, OR A10 NONPUBLIC SCHOOL WHO OPERATES OR IS ON A SCHOOL BUS ;11 SECTION 6. In Colorado Revised Statutes, 13-21-108.7, amend12 (3)(b)(I) as follows:13 13-21-108.7. Persons rendering emergency assistance through14 the administration of an opiate antagonist - limited immunity -15 legislative declaration - definitions. (3) General immunity. (b) This16 subsection (3) also applies to:17 (I) A person or entity described in section 12-30-110 (1)(a);18 except that an employee or agent of a school, OR AN EMPLOYEE OR AGENT19 OF A SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL20 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL21 WHO OPERATES OR IS ON A SCHOOL BUS, must be acting in accordance with22 section 12-30-110 (1)(b), (2)(b), and (4)(b), and, as applicable, section23 22-1-119.1; and24 SECTION 7. In Colorado Revised Statutes, amend 13-21-108.825 as follows:26 13-21-108.8. Persons furnishing a non-laboratory synthetic27 HB24-1003 -7- opiate detection test or a non-laboratory additive detection test -1 limited immunity - definitions. (1) Except as provided in subsection (2)2 of this section, a person who or entity that acts in good faith to furnish a3 non-laboratory synthetic opiate detection test OR A NON-LABORATORY4 ADDITIVE DETECTION TEST, including an expired non-laboratory synthetic5 opiate detection test OR NON-LABORATORY ADDITIVE DETECTION TEST , to6 another person is not liable for any civil damages for acts, omissions7 made as a result of the act, or for any act or omission made if the8 non-laboratory synthetic opiate detection test OR NON-LABORATORY9 ADDITIVE DETECTION TEST is stolen, defective, or produces an inaccurate10 result.11 (2) A manufacturer, as defined in section 13-21-401 (1), of12 non-laboratory synthetic opiate detection tests OR NON-LABORATORY13 ADDITIVE DETECTION TESTS is not immune from liability as described in14 subsection (1) of this section.15 (3) For purposes of this section, "non-laboratory synthetic opiate 16 detection test" means a product that is intended or designed to detect the17 presence of a synthetic opiate UNLESS THE CONTEXT OTHERWISE18 REQUIRES:19 (a) "N ON-LABORATORY ADDITIVE DETECTION TEST " MEANS A20 PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE PRESENCE OF21 AN ADDITIVE TO A SYNTHETIC OPIATE OR AN IMMEDIATE PRECURSOR TO A22 SYNTHETIC OPIATE.23 (b) "N ON-LABORATORY SYNTHETIC OPIATE DETECTION TEST "24 MEANS A PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE25 PRESENCE OF A SYNTHETIC OPIATE.26 SECTION 8. In Colorado Revised Statutes, 18-1-712, amend27 HB24-1003 -8- (2)(b)(I) as follows:1 18-1-712. Immunity for a person who administers an opiate2 antagonist during an opiate-related drug overdose event - definitions.3 (2) General immunity. (b) This subsection (2) also applies to:4 (I) A person or entity described in section 12-30-110 (1)(a);5 except that an employee or agent of a school, OR AN EMPLOYEE OR AGENT6 OF A SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL7 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL8 WHO OPERATES OR IS ON A SCHOOL BUS, must be acting in accordance with9 section 12-30-110 (1)(b), (2)(b), and (4)(b), and, as applicable, section10 22-1-119.1; and11 SECTION 9. Act subject to petition - effective date. This act12 takes effect at 12:01 a.m. on the day following the expiration of the13 ninety-day period after final adjournment of the general assembly; except14 that, if a referendum petition is filed pursuant to section 1 (3) of article V15 of the state constitution against this act or an item, section, or part of this16 act within such period, then the act, item, section, or part will not take17 effect unless approved by the people at the general election to be held in18 November 2024 and, in such case, will take effect on the date of the19 official declaration of the vote thereon by the governor.20 HB24-1003 -9-