Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO. 24-0221.01 Jacob Baus x2173 HOUSE BILL 24-1003 House Committees Senate Committees Education 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 SENATE 3rd Reading Unamended April 2, 2024 SENATE Amended 2nd Reading April 1, 2024 HOUSE 3rd Reading Unamended February 29, 2024 HOUSE Amended 2nd Reading February 28, 2024 HOUSE SPONSORSHIP McLachlan and Young, Amabile, Bird, Boesenecker, Brown, Clifford, deGruy Kennedy, Duran, Epps, Froelich, Hamrick, Hernandez, Herod, Jodeh, Joseph, Kipp, Lieder, Lindsay, Lindstedt, Lukens, Mabrey, Marshall, Marvin, Mauro, McCluskie, McCormick, Parenti, Rutinel, Sirota, Story, Valdez, Velasco, Vigil, Weissman, Willford SENATE SPONSORSHIP Simpson and Michaelson Jenet, Bridges, Buckner, Coleman, Cutter, Exum, Gonzales, Jaquez Lewis, Marchman, Priola, Winter F. 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 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 1003 -3- stigmas.1 SECTION 2. In Colorado Revised Statutes, 22-1-119.1, amend2 (1)(a), (1)(b), and (2); and add (1)(c) and (4) 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; AND23 (c) AN EMPLOYEE OR AGENT OF THE SCHOOL MAY FURNISH OPIATE24 ANTAGONISTS ON SCHOOL GROUNDS OR ON A SCHOOL BUS TO ANY25 INDIVIDUAL, INCLUDING A STUDENT, BUT SHALL ONLY FURNISH AN OPIATE26 ANTAGONIST TO A STUDENT IF THE STUDENT HAS RECEIVED APPROPRIATE27 1003 -4- SCHOOL-SPONSORED TRAINING.1 (2) An employee or agent of a school; OR AN EMPLOYEE OR AGENT2 OF THE SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL3 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL4 WHO OPERATES OR IS ON A SCHOOL BUS ; OR BOTH, acting in accordance5 with a policy adopted pursuant to this section is not subject to civil6 liability or criminal prosecution, as specified in sections 13-21-108.7 (3)7 and 18-1-712 (2), respectively.8 (4) THE GENERAL ASSEMBLY ENCOURAGES EACH SCHOOL DISTRICT9 BOARD OF EDUCATION, THE CHARTER SCHOOL INSTITUTE, AND EACH10 GOVERNING BOARD OF A NONPUBLIC SCHOOL TO ADOPT AND IMPLEMENT11 A POLICY FOR AN EMPLOYEE OR AGENT OF THE SCHOOL TO FURNISH AN12 OPIATE ANTAGONIST ON SCHOOL GROUNDS OR ON A SCHOOL BUS TO ANY13 INDIVIDUAL, INCLUDING A STUDENT. IN DEVELOPING THE POLICY, THE14 GENERAL ASSEMBLY ALSO ENCOURAGES EACH SCHOOL DISTRICT BOARD15 OF EDUCATION, THE CHARTER SCHOOL INSTITUTE, AND EACH GOVERNING16 BOARD OF A NONPUBLIC SCHOOL TO CONSIDER PARENT AND STUDENT17 INPUT; INCLUDE EDUCATION AND TRAINING TO PARENTS AND STUDENTS18 REGARDING OPIATE ANTAGONISTS , OPIATE DETECTION TESTS, OR19 NON-LABORATORY DETECTION TESTS; CONSIDER RECOMMENDATIONS TO20 STUDENTS OF A CERTAIN AGE OR GRADE LEVEL FOR WHOM THE POLICY21 APPLIES; AND COLLABORATE WITH GROUPS WHO HAVE DEVELOPED OPIATE22 EDUCATION AND AWARENESS CAMPAIGNS TO ENHANCE THE POLICY .23 SECTION 3. In Colorado Revised Statutes, amend 22-1-119.224 as follows:25 22-1-119.2. Policy for employee and agent furnishing synthetic26 opiate detection tests and non-laboratory additive detection tests -27 1003 -5- legislative intent - definitions. (1) A school district board of1 education of a public school, the state charter school institute for an2 institute charter school, or the governing board of a nonpublic school may3 adopt and implement a policy whereby a school under its jurisdiction may4 acquire and maintain a supply of non-laboratory synthetic opiate detection5 tests, NON-LABORATORY ADDITIVE DETECTION TESTS , OR BOTH, and an6 employee or agent of the school may furnish non-laboratory synthetic7 opiate detection tests, NON-LABORATORY ADDITIVE DETECTION TESTS , OR8 BOTH, on school grounds to any individual.9 10 (2) As used in this section, "non-laboratory synthetic opiate11 detection test" means a product that is intended or designed to detect the12 presence of a synthetic opiate UNLESS THE CONTEXT OTHERWISE13 REQUIRES:14 (a) "N ON-LABORATORY ADDITIVE DETECTION TEST " MEANS A15 PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE PRESENCE OF16 AN ADDITIVE TO A SYNTHETIC OPIATE OR AN IMMEDIATE PRECURSOR TO A17 SYNTHETIC OPIATE.18 (b) "N ON-LABORATORY SYNTHETIC OPIATE DETECTION TEST "19 MEANS A PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE20 PRESENCE OF A SYNTHETIC OPIATE.21 SECTION 4. In Colorado Revised Statutes, add 22-1-119.7 as22 follows:23 22-1-119.7. Student possession and administration of opiate24 antagonists and possession of non-laboratory detection tests. (1) A25 SCHOOL DISTRICT OR THE STATE CHARTER SCHOOL INSTITUTE SHALL NOT26 PROHIBIT A STUDENT OF THE SCHOOL DISTRICT OR INSTITUTE CHARTER27 1003 -6- SCHOOL FROM, OR DISCIPLINE A STUDENT OF THE SCHOOL DISTRICT OR1 INSTITUTE CHARTER SCHOOL FOR POSSESSING OR ADMINISTERING AN2 OPIATE ANTAGONIST ON SCHOOL GROUNDS , ON A SCHOOL BUS, OR AT ANY3 SCHOOL-SPONSORED EVENT.4 (2) A SCHOOL, SCHOOL DISTRICT, OR THE STATE CHARTER SCHOOL5 INSTITUTE SHALL NOT PROHIBIT A STUDENT OF THE SCHOOL DISTRICT OR6 INSTITUTE CHARTER SCHOOL FROM POSSESSING A NON-LABORATORY7 SYNTHETIC OPIATE DETECTION TEST OR NON -LABORATORY ADDITIVE8 DETECTION TEST ON SCHOOL GR OUNDS , ON A SCHOOL BUS, OR AT ANY9 SCHOOL-SPONSORED EVENT.10 (3) A STUDENT IS NOT SUBJECT TO CIVIL LIABILITY OR CRIMINAL11 PROSECUTION IF THE STUDENT ACTS AS SPECIFIED IN SECTIONS12 13-21-108.7, 13-21-108.8, OR 18-1-712.13 SECTION 5. In Colorado Revised Statutes, 12-30-110, amend14 (1)(a)(V) as follows:15 12-30-110. Prescribing or dispensing an opiate antagonist -16 authorized recipients - definitions. (1) (a) A prescriber may prescribe17 or dispense, directly or in accordance with standing orders and protocols,18 an opiate antagonist to:19 (V) A school district, school, or employee or agent of a school; OR20 AN EMPLOYEE OR AGENT OF THE SCHOOL DISTRICT , A DISTRICT SCHOOL,21 THE CHARTER SCHOOL INSTITUTE, AN INSTITUTE CHARTER SCHOOL, OR A22 NONPUBLIC SCHOOL WHO OPERATES OR IS ON A SCHOOL BUS ;23 SECTION 6. In Colorado Revised Statutes, 13-21-108.7, amend24 (3)(b)(I) as follows:25 13-21-108.7. Persons rendering emergency assistance through26 the administration of an opiate antagonist - limited immunity -27 1003 -7- legislative declaration - definitions. (3) General immunity. (b) This1 subsection (3) also applies to:2 (I) A person or entity described in section 12-30-110 (1)(a);3 except that an employee or agent of a school, OR AN EMPLOYEE OR AGENT4 OF A SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL5 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL6 WHO OPERATES OR IS ON A SCHOOL BUS, must be acting in accordance with7 section 12-30-110 (1)(b), (2)(b), and (4)(b), and, as applicable, section8 22-1-119.1; and9 SECTION 7. In Colorado Revised Statutes, amend 13-21-108.810 as follows:11 13-21-108.8. Persons furnishing a non-laboratory synthetic12 opiate detection test or a non-laboratory additive detection test -13 limited immunity - definitions. (1) Except as provided in subsection (2)14 of this section, a person who or entity that acts in good faith to furnish a15 non-laboratory synthetic opiate detection test OR A NON-LABORATORY16 ADDITIVE DETECTION TEST, including an expired non-laboratory synthetic17 opiate detection test OR NON-LABORATORY ADDITIVE DETECTION TEST , to18 another person is not liable for any civil damages for acts, omissions19 made as a result of the act, or for any act or omission made if the20 non-laboratory synthetic opiate detection test OR NON-LABORATORY21 ADDITIVE DETECTION TEST is stolen, defective, or produces an inaccurate22 result.23 (2) A manufacturer, as defined in section 13-21-401 (1), of24 non-laboratory synthetic opiate detection tests OR NON-LABORATORY25 ADDITIVE DETECTION TESTS is not immune from liability as described in26 subsection (1) of this section.27 1003 -8- (3) For purposes of this section, "non-laboratory synthetic opiate1 detection test" means a product that is intended or designed to detect the2 presence of a synthetic opiate UNLESS THE CONTEXT OTHERWISE3 REQUIRES:4 (a) "N ON-LABORATORY ADDITIVE DETECTION TEST " MEANS A5 PRODUCT THAT IS INTENDED OR DESIGNED TO DETECT THE PRESENCE OF6 AN ADDITIVE TO A SYNTHETIC OPIATE OR AN IMMEDIATE PRECURSOR TO A7 SYNTHETIC OPIATE.8 (b) "N ON-LABORATORY SYNTHETIC OPIATE DETECTION TEST "9 MEANS A PRODUCT THAT IS INTENDE D OR DESIGNED TO DETECT THE10 PRESENCE OF A SYNTHETIC OPIATE.11 SECTION 8. In Colorado Revised Statutes, 18-1-712, amend12 (2)(b)(I) as follows:13 18-1-712. Immunity for a person who administers an opiate14 antagonist during an opiate-related drug overdose event - definitions.15 (2) General immunity. (b) This subsection (2) also applies to:16 (I) A person or entity described in section 12-30-110 (1)(a);17 except that an employee or agent of a school, OR AN EMPLOYEE OR AGENT18 OF A SCHOOL DISTRICT, A DISTRICT SCHOOL, THE CHARTER SCHOOL19 INSTITUTE, AN INSTITUTE CHARTER SCHOOL , OR A NONPUBLIC SCHOOL20 WHO OPERATES OR IS ON A SCHOOL BUS, must be acting in accordance with21 section 12-30-110 (1)(b), (2)(b), and (4)(b), and, as applicable, section22 22-1-119.1; and23 SECTION 9. Act subject to petition - effective date. This act24 takes effect at 12:01 a.m. on the day following the expiration of the25 ninety-day period after final adjournment of the general assembly; except26 that, if a referendum petition is filed pursuant to section 1 (3) of article V27 1003 -9- of the state constitution against this act or an item, section, or part of this1 act within such period, then the act, item, section, or part will not take2 effect unless approved by the people at the general election to be held in3 November 2024 and, in such case, will take effect on the date of the4 official declaration of the vote thereon by the governor.5 1003 -10-