Colorado 2024 Regular Session

Colorado House Bill HB1045 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	Second 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. 24-0314.01 Shelby Ross x4510
1	8		HOUSE BILL 24-1045
2		-	BY REPRESENTATIVE(S) Armagost and deGruy Kennedy, Young, Epps,
3		-	Amabile, Bird, Boesenecker, Brown, Clifford, Daugherty, Duran, Froelich,
4		-	Garcia, Hamrick, Hernandez, Jodeh, Joseph, Kipp, Lieder, Lindsay,
5		-	Lindstedt, Lynch, Mabrey, Martinez, Ortiz, Parenti, Rutinel, Sirota, Snyder,
6		-	Story, Titone, Valdez, Vigil, Willford, Woodrow, McCluskie;
7		-	also SENATOR(S) Mullica and Will, Jaquez Lewis, Priola, Bridges, Cutter,
8		-	Exum, Gonzales, Kolker, Michaelson Jenet, Winter F.
	9	+	House Committees Senate Committees
	10	+	Health & Human Services Health & Human Services
	11	+	Finance Appropriations
	12	+	Legislative Council
	13	+	Appropriations
	14	+	A BILL FOR AN ACT
9	15		C
10		-	ONCERNING TREATMENT FOR SUBSTANCE USE DISORDERS , AND, IN
11		-	CONNECTION THEREWITH
12		-	, MAKING AN APPROPRIATION.
13		-
14		-	Be it enacted by the General Assembly of the State of Colorado:
15		-	SECTION 1. In Colorado Revised Statutes, add 10-16-124.6 as
16		-	follows:
17		-	10-16-124.6. Drugs used for substance use disorder - prior
18		-	authorization prohibited. A
19		-	CARRIER THAT PROVIDES COVERAGE UNDER
20		-	A HEALTH BENEFIT PLAN FOR A DRUG USED TO TREAT A SUBSTANCE USE
21		-	DISORDER SHALL NOT REQUIRE PRIOR AUTHORIZATION
22		-	, AS DEFINED IN
	16	+	ONCERNING TREATMENT FOR SUBSTANCE USE
	17	+	DISORDERS, AND, IN101
	18	+	CONNECTION THEREWITH , MAKING AN APPROPRIATION .102
	19	+	Bill Summary
	20	+	(Note: This summary applies to this bill as introduced and does
	21	+	not reflect any amendments that may be subsequently adopted. If this bill
	22	+	passes third reading in the house of introduction, a bill summary that
	23	+	applies to the reengrossed version of this bill will be available at
	24	+	http://leg.colorado.gov/
	25	+	.)
	26	+	Opioid and Other Substance Use Disorders Study Committee.
	27	+	Section 1 prohibits a carrier that provides coverage under a health benefit
	28	+	plan for a drug used to treat a substance use disorder from requiring prior
	29	+	authorization for the drug based solely on the dosage amount.
	30	+	Section 2 requires an insurance carrier and the medical assistance
	31	+	program to reimburse a licensed pharmacist prescribing or administering
	32	+	SENATE
	33	+	3rd Reading Unamended
	34	+	May 6, 2024
	35	+	SENATE
	36	+	2nd Reading Unamended
	37	+	May 4, 2024
	38	+	HOUSE
	39	+	Amended 3rd Reading
	40	+	April 29, 2024
	41	+	HOUSE
	42	+	Amended 2nd Reading
	43	+	April 26, 2024
	44	+	HOUSE SPONSORSHIP
	45	+	Armagost and deGruy Kennedy, Young, Epps, Amabile, Bird, Boesenecker, Brown,
	46	+	Clifford, Daugherty, Duran, Epps, Froelich, Garcia, Hamrick, Hernandez, Jodeh, Joseph,
	47	+	Kipp, Lieder, Lindsay, Lindstedt, Lynch, Mabrey, Martinez, McCluskie, Ortiz, Parenti,
	48	+	Rutinel, Sirota, Snyder, Story, Titone, Valdez, Vigil, Willford, Woodrow
	49	+	SENATE SPONSORSHIP
	50	+	Mullica and Will, Jaquez Lewis, Priola, Bridges, Cutter, Exum, Gonzales, Kolker,
	51	+	Michaelson Jenet, Winter F.
	52	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	53	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	54	+	Dashes through the words or numbers indicate deletions from existing law. medication-assisted treatment (MAT) pursuant to a collaborative
	55	+	pharmacy practice agreement (collaborative agreement) at a rate equal to
	56	+	the reimbursement rate for other providers. Section 7 amends the practice
	57	+	of pharmacy to include exercising prescriptive authority for any
	58	+	FDA-approved product or medication for opioid use disorder in
	59	+	accordance with federal law, if authorized through a collaborative
	60	+	agreement. Section 8 requires the state board of pharmacy, the Colorado
	61	+	medical board, and the state board of nursing to develop a protocol for
	62	+	pharmacists to prescribe, dispense, and administer medication-assisted
	63	+	treatment. Section 23 requires the medical assistance program to
	64	+	reimburse a pharmacist prescribing or administering medications for
	65	+	opioid use disorder pursuant to a collaborative agreement at a rate equal
	66	+	to the reimbursement rate for other providers.
	67	+	Section 3 requires the commissioner of insurance to:
	68	+	! Review the network adequacy rules promulgated by the
	69	+	commissioner and the division of insurance to ensure that
	70	+	the rules are sufficient to require each carrier to maintain an
	71	+	adequate number of substance use disorder treatment
	72	+	providers in underserved areas and to maintain an adequate
	73	+	number of behavioral health-care providers in all
	74	+	communities; and
	75	+	! Report the rule review findings to the opioid and other
	76	+	substance use disorders study committee, including any
	77	+	recommended rule changes.
	78	+	Sections 4, 5, 6, and 25 authorize licensed clinical social workers
	79	+	and licensed professional counselors (professionals) within their scope of
	80	+	practice to provide clinical supervision to individuals seeking certification
	81	+	as addiction technicians and addiction specialists, and direct the state
	82	+	board of addiction counselors and the state board of human services, as
	83	+	applicable, to adopt rules relating to clinical supervision by these
	84	+	professionals.
	85	+	Section 9 and 10 establish the behavioral health diversion pilot
	86	+	program (pilot program) to award grants to at least 2, but not more than
	87	+	5, district attorneys to divert from the criminal justice system persons who
	88	+	have a behavioral health disorder, including a substance use disorder, that
	89	+	requires early recovery services and treatment that is reasonably expected
	90	+	to deter future criminal behavior.
	91	+	Sections 11 through 16 expand the medication-assisted treatment
	92	+	expansion pilot program to include grants to provide training and ongoing
	93	+	support to pharmacies and pharmacists who are authorized to prescribe,
	94	+	dispense, and administer MAT pursuant to a collaborative agreement and
	95	+	protocol to assist individuals with a substance use disorder.
	96	+	Section 17 requires the department of health care policy and
	97	+	financing (HCPF) to seek federal authorization to provide screening for
	98	+	physical and behavioral health needs, brief intervention, administration
	99	+	1045
	100	+	-2- of medication-assisted treatment, physical and psychiatric prescription
	101	+	medications provided upon release from jail, case management, and care
	102	+	coordination services through the medical assistance program to persons
	103	+	up to 90 days prior to release from jail, a juvenile institutional facility, or
	104	+	a department of corrections facility.
	105	+	Section 18 adds substance use disorder treatment to the list of
	106	+	health-care or mental health-care services that are required to be
	107	+	reimbursed at the same rate for telemedicine as a comparable in-person
	108	+	service.
	109	+	Section 19 requires HCPF to seek federal authorization to provide
	110	+	partial hospitalization for substance use disorder treatment with full
	111	+	federal financial participation.
	112	+	Section 20 requires each managed care entity (MCE) that provides
	113	+	prescription drug benefits or methadone administration for the treatment
	114	+	of substance use disorders to:
	115	+	! Set the reimbursement rate for take-home methadone
	116	+	treatment and office-administered methadone treatment at
	117	+	the same rate; and
	118	+	! Not impose any prior authorization requirements on any
	119	+	prescription medication approved by the FDA for the
	120	+	treatment of substance use disorders, regardless of the
	121	+	dosage amount.
	122	+	Section 21 requires the behavioral health administration to collect
	123	+	data from each withdrawal management facility on the total number of
	124	+	individuals who were denied admittance or treatment for withdrawal
	125	+	management and the reason for the denial and review and approve any
	126	+	admission criteria established by a withdrawal management facility.
	127	+	Section 22 requires each MCE to disclose the aggregated average
	128	+	and lowest rates of reimbursement for a set of behavioral health services
	129	+	determined by HCPF.
	130	+	For the 2024-25 state fiscal year and each state fiscal year
	131	+	thereafter, section 24 appropriates $150,000 from the general fund to the
	132	+	Colorado child abuse prevention trust fund (trust fund) for programs to
	133	+	reduce the occurrence of prenatal substance exposure. For the 2024-25
	134	+	and 2025-26 state fiscal years, section 24 also annually appropriates
	135	+	$50,000 from the general fund to the trust fund to convene a stakeholder
	136	+	group to identify strategies to increase access to child care for families
	137	+	seeking substance use disorder treatment and recovery services.
	138	+	Section 26 requires the behavioral health administration (BHA) to
	139	+	contract with an independent third-party entity to provide services and
	140	+	supports to behavioral health providers seeking to become a behavioral
	141	+	health safety net provider with the goal of the provider becoming
	142	+	self-sustaining.
	143	+	Section 27 creates the contingency management grant program in
	144	+	the BHA to provide grants to substance use disorder treatment programs
	145	+	1045
	146	+	-3- that implement a contingency management program for individuals with
	147	+	a stimulant use disorder.
	148	+	Section 28 requires a county jail seeking to provide services to
	149	+	incarcerated medicaid members to apply for a correctional services
	150	+	provider license from the BHA.
	151	+	Section 29 requires the BHA, in collaboration with HCPF, to
	152	+	convene a working group to study and identify barriers to opening and
	153	+	operating an opioid treatment program, including satellite medication
	154	+	units and mobile methadone clinics.
	155	+	Be it enacted by the General Assembly of the State of Colorado:1
	156	+	SECTION 1. In Colorado Revised Statutes, add 10-16-124.6 as2
	157	+	follows:3
	158	+	10-16-124.6. Drugs used for substance use disorder - prior4
	159	+	authorization prohibited. A CARRIER THAT PROVIDES COVERAGE UNDER5
	160	+	A HEALTH BENEFIT PLAN FOR A DRUG USED TO TREAT A SUBSTANCE USE6
	161	+	DISORDER SHALL NOT REQUIRE PRIOR AUTHORIZATION , AS DEFINED IN7
	162	+	SECTION 10-16-112.5 (7)(d), FOR THE DRUG BASED SOLELY ON THE8
	163	+	DOSAGE AMOUNT.9
	164	+	SECTION 2. In Colorado Revised Statutes, 10-16-144, add (3)10
	165	+	as follows:11
	166	+	10-16-144. Health-care services provided by pharmacists.12
	167	+	(3) (a) NOTWITHSTANDING THE PROVISIONS OF SUBSECTION (1) OF THIS13
	168	+	SECTION TO THE CONTRARY, A HEALTH BENEFIT PLAN DESCRIBED IN14
	169	+	SUBSECTION (1) OF THIS SECTION THAT PROVIDES TREATMENT FOR15
	170	+	SUBSTANCE USE DISORDERS SHALL REIMBURSE A LICENSED PHARMACIST16
	171	+	ACTING WITHIN THE LICENSED PHARMACIST'S SCOPE OF PRACTICE, AND IN17
	172	+	ACCORDANCE WITH THE REQUIREMENTS IN PART 6 OF ARTICLE 280 OF18
	173	+	TITLE 12, FOR THE PROVISION OF MEDICATION -ASSISTED TREATMENT19
	174	+	SERVICES IF THE HEALTH BENEFIT PLAN PROVIDES COVERAGE FOR THE20
	175	+	1045-4- SAME SERVICES PROVIDED BY A LICENSED PHYSICIAN OR AN ADVANCED1
	176	+	PRACTICE REGISTERED NURSE.2
	177	+	(b) A HEALTH BENEFIT PLAN REIMBURSING A LICENSED3
	178	+	PHARMACIST PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION SHALL4
	179	+	REIMBURSE A LICENSED PHARMACIST AT THE SAME RATE THAT THE5
	180	+	HEALTH BENEFIT PLAN REIMBURSES A LICENSED PHYSICIAN OR AN6
	181	+	ADVANCED PRACTICE REGISTERED NURSE WITHIN THE HEALTH BENEFIT7
	182	+	PLAN'S NETWORK OF PARTICIPATING PROVIDERS FOR THE SAME SERVICES.8
	183	+	9
	184	+	SECTION 3. In Colorado Revised Statutes, 12-245-403, add (5)10
	185	+	as follows:11
	186	+	12-245-403. Social work practice defined. (5) S
	187	+	OCIAL WORK12
	188	+	PRACTICE INCLUDES THE CLINICAL SUPERVISION BY A LICENSED CLINICAL13
	189	+	SOCIAL WORKER OF A PERSON WORKING TOWARD CERTIFICATION AS A14
	190	+	CERTIFIED ADDICTION TECHNICIAN OR A CERTIFIED ADDICTION
	191	+	SPECIALIST15
	192	+	PURSUANT TO SECTION 12-245-804 (3.5), IF THE LICENSED CLINICAL16
	193	+	SOCIAL WORKER HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED17
	194	+	ADDICTION COUNSELOR, OR THE EQUIVALENT, AS SPECIFIED IN RULES18
	195	+	PROMULGATED BY THE STATE BOARD OF HUMAN SERVICES PURSUANT TO19
	196	+	SECTION 27-80-108 (1)(e.5) OR 27-50-107 (3)(e)(II), AS APPLICABLE.20
	197	+	SECTION 4. In Colorado Revised Statutes, 12-245-503, add (5)21
	198	+	as follows:22
	199	+	12-245-503. Marriage and family therapy practice defined.23
	200	+	(5) MARRIAGE AND FAMILY THERAPY PRACTICE INCLUDES THE CLINICAL24
	201	+	SUPERVISION BY A LICENSED MARRIAGE AND FAMILY THERAPIST OF A25
	202	+	PERSON WORKING TOWARD CERTIFICATION AS A CERTIFIED ADDICTION26
	203	+	TECHNICIAN OR A CERTIFIED ADDICTION SPECIALIST PURSUANT TO SECTION27
	204	+	1045
	205	+	-5- 12-245-804 (3.5), IF THE LICENSED MARRIAGE AND FAMILY THERAPIST HAS1
	206	+	MET THE EDUCATION REQUIREMENTS FOR A LICENSED ADDICTION2
	207	+	COUNSELOR, OR THE EQUIVALENT, AS SPECIFIED IN RULES PROMULGATED3
	208	+	BY THE STATE BOARD OF HUMAN SERVICES PURSUANT TO SECTION4
	209	+	27-80-108 (1)(e.5) OR 27-50-107 (3)(e)(II), AS APPLICABLE.5
	210	+	SECTION 5. In Colorado Revised Statutes, 12-245-504, add6
	211	+	(1.5) as follows:7
	212	+	12-245-504. Qualifications - examination - licensure and8
	213	+	registration. (1.5) A LICENSED ADDICTION COUNSELOR WHO POSSESSES9
	214	+	A VALID, UNSUSPENDED, AND UNREVOKED LICENSE MAY PROVIDE10
	215	+	CLINICAL SUPERVISION OF AN INDIVIDUAL WORKING TOWARD LICENSURE11
	216	+	AS A MARRIAGE AND FAMILY THERAPIST IF THE LICENSED ADDICTION12
	217	+	COUNSELOR HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED13
	218	+	MARRIAGE AND FAMILY THERAPIST, OR THE EQUIVALENT, AS SPECIFIED IN14
	219	+	RULES PROMULGATED BY THE STATE BOARD OF MARRIAGE AND FAMILY15
	220	+	THERAPIST EXAMINERS CREATED IN SECTION 12-245-502.16
	221	+	SECTION 6. In Colorado Revised Statutes, 12-245-603, add (3)17
	222	+	as follows:18
	223	+	12-245-603. Practice of licensed professional counseling19
	224	+	defined. (3) T
	225	+	HE PRACTICE OF PROFESSIONAL COUNSELING INCLUDES THE20
	226	+	CLINICAL SUPERVISION BY A LICENSED PROFESSIONAL COUNSELOR OF A21
	227	+	PERSON WORKING TOWARD CERTIFICATION AS A CERTIFIED ADDICTION22
	228	+	TECHNICIAN OR A CERTIFIED ADDICTION SPECIALIST PURSUANT TO SECTION23
	229	+	12-245-804 (3.5), IF THE LICENSED PROFESSIONAL COUNSELOR HAS MET24
	230	+	THE EDUCATION REQUIREMENTS FOR A LICENSED ADDICTION COUNSELOR,25
	231	+	OR THE EQUIVALENT, AS SPECIFIED IN RULES PROMULGATED BY THE STATE26
	232	+	BOARD OF HUMAN SERVICES PURSUANT TO SECTION 27-80-108 (1)(e.5) OR27
	233	+	1045
	234	+	-6- 27-50-107 (3)(e)(II), AS APPLICABLE.1
	235	+	SECTION 7. In Colorado Revised Statutes, 12-245-604, add2
	236	+	(1.5) as follows:3
	237	+	12-245-604. Licensure - examination - licensed professional4
	238	+	counselors. (1.5) A LICENSED ADDICTION COUNSELOR WHO POSSESSES A5
	239	+	VALID, UNSUSPENDED, AND UNREVOKED LICENSE MAY PROVIDE CLINICAL6
	240	+	SUPERVISION OF AN INDIVIDUAL WORKING TOWARD LICENSURE AS A7
	241	+	LICENSED PROFESSIONAL COUNSELOR IF THE LICENSED ADDICTION8
	242	+	COUNSELOR HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED9
	243	+	PROFESSIONAL COUNSELOR, OR THE EQUIVALENT, AS SPECIFIED IN RULES10
	244	+	PROMULGATED BY THE STATE BOARD OF LICENSED PROFESSIONAL11
	245	+	COUNSELOR EXAMINERS CREATED IN SECTION .12
	246	+	SECTION 8. In Colorado Revised Statutes, 12-285-803, add (5)13
	247	+	as follows:14
	248	+	12-245-803. Practice of addiction counseling defined - scope of15
	249	+	practice. (5) THE PRACTICE OF ADDICTION COUNSELING INCLUDES16
	250	+	CLINICAL SUPERVISION BY A LICENSED ADDICTION COUNSELOR OF A17
	251	+	PERSON WORKING TOWARD LICENSURE AS A MARRIAGE AND FAMILY18
	252	+	THERAPIST, PURSUANT TO SECTION 12-245-504 (1), OR A LICENSED19
	253	+	PROFESSIONAL COUNSELOR, PURSUANT TO SECTION 12-245-604 (1), IF THE20
	254	+	LICENSED ADDICTION C OUNSELOR HAS MET THE EDUCATION21
	255	+	REQUIREMENTS FOR A LICENSED MARRIAGE AND FAMILY THERAPIST OR22
	256	+	LICENSED PROFESSIONAL COUNSELOR, OR THE EQUIVALENT, AS SPECIFIED23
	257	+	IN RULES PROMULGATED BY THE STATE BOARD OF MARRIAGE AND FAMILY24
	258	+	THERAPIST EXAMINERS CREATED IN SECTION 12-245-502 OR THE STATE25
	259	+	BOARD OF LICENSED PROFESSIONAL COUNSELOR EXAMINERS CREATED IN26
	260	+	SECTION 12-245-602, AS APPLICABLE.27
	261	+	1045
	262	+	-7- SECTION 9. In Colorado Revised Statutes, 12-245-805, add1
	263	+	(2.5)(c) as follows:2
	264	+	12-245-805. Rights and privileges of certification and licensure3
	265	+	- titles - clinical supervision. (2.5) (c) NOTWITHSTANDING ANY4
	266	+	PROVISION OF THIS TITLE 12 TO THE CONTRARY, A LICENSED CLINICAL5
	267	+	SOCIAL WORKER, PURSUANT TO SECTION 12-245-403 (5), A LICENSED6
	268	+	MARRIAGE AND FAMILY THERAPIST , PURSUANT TO SECTION 12-245-5037
	269	+	(5), OR A LICENSED PROFESSIONAL COUNSELOR, PURSUANT TO SECTION8
	270	+	12-245-603 (3), WHO POSSESSES A VALID, UNSUSPENDED, AND9
	271	+	UNREVOKED LICENSE MAY PROVIDE CLINICAL SUPERVISION OF AN10
	272	+	INDIVIDUAL WORKING TOWARD CERTIFICATION AS A CERTIFIED ADDICTION11
	273	+	TECHNICIAN OR CERTIFIED ADDICTION SPECIALIST IF THE LICENSED12
	274	+	CLINICAL SOCIAL WORKER, LICENSED MARRIAGE AND FAMILY THERAPIST,13
	275	+	OR LICENSED PROFESSIONAL COUNSELOR HAS MET THE EDUCATION14
	276	+	REQUIREMENTS FOR A LICENSED ADDICTION COUNSELOR , OR THE15
	277	+	EQUIVALENT, AS SPECIFIED IN RULES PROMULGATED BY THE STATE BOARD16
	278	+	OF HUMAN SERVICES PURSUANT TO SECTION 27-80-108 (1)(e.5) OR17
	279	+	27-50-107 (3)(e)(II), AS APPLICABLE. 18
	280	+	SECTION 10. In Colorado Revised Statutes, 12-280-103, amend19
	281	+	(39)(g)(III), (39)(g)(IV)(C), (39)(j), and (39)(k); and add (27.5),20
	282	+	(39)(g)(V), and (39)(l) as follows:21
	283	+	12-280-103. Definitions - rules. As used in this article 280, unless22
	284	+	the context otherwise requires or the term is otherwise defined in another23
	285	+	part of this article 280:24
	286	+	(27.5) "M
	287	+	EDICATIONS FOR OPIOID USE DISORDER " OR "MOUD"25
	288	+	MEANS TREATMENT FOR AN OPIOID USE DISORDER USING MEDICATIONS26
	289	+	APPROVED BY THE FDA FOR THAT PURPOSE AND PRESCRIBED, DISPENSED,27
	290	+	1045
	291	+	-8- OR ADMINISTERED IN ACCORDANCE WITH NATIONAL , EVIDENCE-BASED1
	292	+	PUBLISHED GUIDANCE.2
	293	+	(39) "Practice of pharmacy" means:3
	294	+	(g) Exercising independent prescriptive authority:4
	295	+	(III) As authorized pursuant to sections 12-30-110 and5
	296	+	12-280-123 (3) regarding opiate antagonists; or6
	297	+	(IV) For drugs that are not controlled substances, drug categories,7
	298	+	or devices that are prescribed in accordance with the product's8
	299	+	FDA-approved labeling and to patients who are at least twelve years of9
	300	+	age and that are limited to conditions that:10
	301	+	(C) Have a test that is used to guide diagnosis or clinical11
	302	+	decision-making and is waived under the federal "Clinical Laboratory12
	303	+	Improvement Amendments of 1988", Pub.L. 100-578, as amended;
	304	+	OR13
	305	+	(V) F
	306	+	OR ANY FDA-APPROVED PRODUCT INDICATED FOR OPIOID14
	307	+	USE DISORDER IN ACCORDANCE WITH FEDERAL LAW AND REGULATIONS ,15
	308	+	INCLUDING MEDICATIONS FOR OPIOID USE DISORDER , IF AUTHORIZED16
	309	+	PURSUANT TO PART 6 OF THIS ARTICLE 280.17
	310	+	(j) Performing other tasks delegated by a licensed physician; and
	311	+	18
	312	+	(k) Providing treatment that is based on national, evidence-based,19
	313	+	published guidance;
	314	+	AND20
	315	+	(l) D
	316	+	ISPENSING OR ADMINISTERING ANY FDA-APPROVED PRODUCT21
	317	+	FOR OPIOID USE DISORDER IN ACCORDANCE WITH FEDERAL LAW AND22
	318	+	REGULATIONS, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER .23
23	319		SECTION
24		-	10-16-112.5 (7)(d), FOR THE DRUG BASED SOLELY ON THE DOSAGE
25		-	AMOUNT
26		-	.
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. SECTION 2. In Colorado Revised Statutes, 10-16-144, add (3) as
35		-	follows:
36		-	10-16-144. Health-care services provided by pharmacists.
37		-	(3) (a) N
38		-	OTWITHSTANDING THE PROVISIONS OF SUBSECTION (1) OF THIS
39		-	SECTION TO THE CONTRARY
40		-	, A HEALTH BENEFIT PLAN DESCRIBED IN
41		-	SUBSECTION
42		-	(1) OF THIS SECTION THAT PROVIDES TREATMENT FOR
43		-	SUBSTANCE USE DISORDERS SHALL REIMBURSE A LICENSED PHARMACIST
44		-	ACTING WITHIN THE LICENSED PHARMACIST
45		-	'S SCOPE OF PRACTICE, AND IN
46		-	ACCORDANCE WITH THE REQUIREMENTS IN PART
47		-	6 OF ARTICLE 280 OF TITLE
48		-	12, FOR THE PROVISION OF MEDICATION-ASSISTED TREATMENT SERVICES IF
49		-	THE HEALTH BENEFIT PLAN PROVIDES COVERAGE FOR THE SAME SERVICES
50		-	PROVIDED BY A LICENSED PHYSICIAN OR AN ADVANCED PRACTICE
51		-	REGISTERED NURSE
52		-	.
	320	+	11. In Colorado Revised Statutes, add 12-280-604 as24
	321	+	follows:25
	322	+	12-280-604. Collaborative pharmacy practice agreement -26
	323	+	statewide drug therapy protocol for medication-assisted treatment27
	324	+	1045
	325	+	-9- for opioid use disorder - rules - definition. (1) A S USED IN THIS1
	326	+	SECTION, "MEDICATION-ASSISTED TREATMENT" MEANS A COMBINATION OF2
	327	+	MEDICATIONS AND BEHAVIORAL THERAPY , SUCH AS BUPRENORPHINE AND3
	328	+	ALL OTHER MEDICATIONS AND THERAPIES APPROVED BY THE FEDERAL4
	329	+	FOOD AND DRUG ADMINISTRATION , TO TREAT OPIOID USE DISORDER.5
	330	+	(2) (a) PURSUANT TO SECTION 12-280-603, THE BOARD, IN6
	331	+	CONJUNCTION WITH THE COLORADO MEDICAL BOARD CREATED IN SECTION7
	332	+	12-240-105
	333	+	AND THE STATE BOARD OF NURSING CREATED IN SECTION8
	334	+	12-255-105,
	335	+	SHALL PROMULGATE RULES
	336	+	NO LATER THAN MAY 1, 2025,9
	337	+	DEVELOPING A STATEWIDE DRUG THERAPY PROTOCOL FOR PHARMACISTS10
	338	+	TO PRESCRIBE, DISPENSE, AND ADMINISTER ONLY FEDERAL DRUG11
	339	+	ENFORCEMENT ADMINISTRATION SCHEDULE III, IV, AND V12
	340	+	FDA-APPROVED PRODUCTS AS MEDICATION-ASSISTED TREATMENT FOR13
	341	+	OPIOID USE DISORDER.14
	342	+	(b) IN DEVELOPING THE STATEWIDE DRUG THERAPY PROTOCOL ,15
	343	+	THE APPLICABLE BOARDS SHALL CONSIDER REQUIREMENTS FOR TRAINING ,16
	344	+	INCLUDING A PROGRAM ACCREDITED BY THE ACCREDITATION COUNCIL17
	345	+	FOR PHARMACY EDUCATION, OR ITS SUCCESSOR ENTITY; PATIENT NOTICE18
	346	+	AND CONSENT; PROVIDER REFERRAL CRITERIA; LAB SCREENING AND19
	347	+	TESTING; MONITORING; PATIENT PRIVACY; AND PATIENT FOLLOW-UP CARE20
	348	+	AND COUNSELING. THE RULES DEVELOPED PURSUANT TO SUBSECTION21
	349	+	(2)(a) OF THIS SECTION MUST SPECIFY THAT ANY COLLABORATING22
	350	+	ENTITIES UTILIZING THE PROTOCOL ARE CLEARLY IDENTIFIED .23
	351	+	(3) T
	352	+	HIS SECTION DOES NOT REQUIRE A STATEWIDE DRUG THERAPY24
	353	+	PROTOCOL OR COLLABORATIVE PHARMACY PRACTICE AGREEMENT BEFORE25
	354	+	A PHARMACIST MAY PRESCRIBE, DISPENSE, OR ADMINISTER
	355	+	ONLY FEDERAL26
	356	+	DRUG ENFORCEMENT ADMINISTRATION SCHEDULE III, IV, AND V27
	357	+	1045
	358	+	-10- FDA-APPROVED PRODUCTS AS MEDICATION -ASSISTED TREATMENT, IF THE1
	359	+	PRESCRIBING, DISPENSING, OR ADMINISTERING MEDICATION -ASSISTED2
	360	+	TREATMENT IS OTHERWISE AUTHORIZED UNDER LAW .3
	361	+	4
	362	+	SECTION 12. In Colorado Revised Statutes, 23-21-802, amend5
	363	+	(1)(h)(I) as follows:6
	364	+	23-21-802. Legislative declaration. (1) The general assembly7
	365	+	finds that:8
	366	+	(h) In order to increase access to addiction treatment in areas of9
	367	+	the state where opioid addiction is prevalent, it is necessary to establish10
	368	+	a pilot program to award grants to:11
	369	+	(I) Organizations, or practices, OR PHARMACIES with nurse12
	370	+	practitioners, and physician assistants, OR PHARMACISTS to enable them13
	371	+	to obtain the training and ongoing support required to prescribe14
	372	+	medications, such as buprenorphine and all other medications and15
	373	+	therapies approved by the federal food and drug administration, to treat16
	374	+	opioid use disorders; and17
	375	+	SECTION 13. In Colorado Revised Statutes, 23-21-803, add18
	376	+	(5.3) as follows:19
	377	+	23-21-803. Definitions. As used in this part 8, unless the context20
	378	+	otherwise requires:21
	379	+	(5.3) "P
	380	+	HARMACIST" MEANS AN INDIVIDUAL LICENSED IN22
	381	+	C
	382	+	OLORADO TO ENGAGE IN THE PRACTICE OF PHARMACY WHO IS23
	383	+	PRESCRIBING MEDICATION-ASSISTED TREATMENT PURSUANT TO PART 6 OF24
	384	+	ARTICLE 280 OF TITLE 12.25
	385	+	SECTION
	386	+	14. In Colorado Revised Statutes, 23-21-804, amend26
	387	+	(1) and (2) as follows:27
	388	+	1045
	389	+	-11- 23-21-804. Medication-assisted treatment expansion pilot1
	390	+	program - created - pilot program location - eligible grant recipients2
	391	+	- rules. (1) (a) There is hereby created the medication-assisted treatment3
	392	+	expansion pilot program to provide grants to community agencies,4
	393	+	office-based practices, behavioral health organizations, and substance5
	394	+	abuse treatment organizations,
	395	+	AND PHARMACIES to enable:6
	396	+	(I) Nurse practitioners or physician assistants working in those7
	397	+	settings to obtain training and ongoing support required under the federal8
	398	+	act in order to prescribe buprenorphine and all other medications and9
	399	+	therapies approved by the federal food and drug administration as part of10
	400	+	medication-assisted treatment provided to individuals with an opioid use11
	401	+	disorder; and
	402	+	12
	403	+	(II) Those agencies, practices, and organizations to provide13
	404	+	behavioral therapies and support in conjunction with medication-assisted14
	405	+	treatment for individuals with an opioid use disorder;
	406	+	AND15
	407	+	(III) P
	408	+	HARMACISTS AUTHORIZED UNDER A STATEWIDE DRUG16
	409	+	THERAPY PROTOCOL PURSUANT TO SECTION 12-280-605, A17
	410	+	COLLABORATIVE PHARMACY PRACTICE AGREEMENT PURSUANT TO PART18
	411	+	6
	412	+	OF ARTICLE 280 OF TITLE 12, OR OTHERWISE AUTHORIZED UNDER LAW TO19
	413	+	PRESCRIBE, DISPENSE, OR ADMINISTER MEDICATION-ASSISTED TREATMENT20
	414	+	FOR INDIVIDUALS WITH AN OPIOID USE DISORDER .21
	415	+	(b) The MAT expansion pilot program is available to provide22
	416	+	grants to community agencies, office-based practices, behavioral health23
	417	+	organizations, and
	418	+	substance abuse treatment organizations practicing or24
	419	+	providing treatment in Pueblo county or Routt county, and, starting in the25
	420	+	2019-20 fiscal year, the San Luis valley and up to two additional counties26
	421	+	selected by the center for participation based on demonstrated need. T
	422	+	HE27
	423	+	1045
	424	+	-12- MAT EXPANSION PILOT PROGRAM MAY ALSO PROVIDE GRANTS TO1
	425	+	PHARMACIES FOR THE PURPOSES ALLOWED UNDER THE GRANT PROGRAM2
	426	+	ONCE THE CONDITIONS DESCRIBED IN SUBSECTION (1)(a)(III) OF THIS3
	427	+	SECTION ARE MET.4
	428	+	(2) A grant recipient may use the money received through the pilot5
	429	+	program for the following purposes:6
	430	+	(a) To enable nurse practitioners or physician assistants practicing7
	431	+	or working in the grant recipient's setting in the pilot program area to8
	432	+	obtain the training required to be a qualified nurse practitioner or9
	433	+	physician assistant in order to prescribe buprenorphine and all other10
	434	+	medications and therapies approved by the federal food and drug11
	435	+	administration as part of medication-assisted treatment for individuals12
	436	+	with opioid use disorders; and13
	437	+	(b) To increase access to medication-assisted treatment for14
	438	+	individuals with opioid use disorders in the pilot program area;
	439	+	AND15
	440	+	(c) T
	441	+	O OBTAIN TRAINING FOR PHARMACISTS TO PROVIDE16
	442	+	MEDICATION-ASSISTED TREATMENT SERVICES.17
	443	+	SECTION
	444	+	15. In Colorado Revised Statutes, 23-21-805, amend18
	445	+	(2)(a)(V) and (2)(a)(VI); and add (2)(a)(VII) as follows:19
	446	+	23-21-805. MAT expansion advisory board - created - duties.20
	447	+	(2) (a) The advisory board consists of representatives of the following21
	448	+	entities or organizations who are designated by the entity or organization:22
	449	+	(V) The Colorado Academy of Physician Assistants; and23
	450	+	(VI) The physician assistant program at the university of24
	451	+	Colorado;
	452	+	AND25
	453	+	(VII) T
	454	+	HE COLORADO PHARMACISTS SOCIETY .26
	455	+	SECTION
	456	+	16. In Colorado Revised Statutes, 23-21-806, amend27
	457	+	1045
	458	+	-13- (1) introductory portion, (1)(c), (2)(b), (2)(d), and (3); and repeal (1)(d)1
	459	+	as follows:2
	460	+	23-21-806. Grant application - criteria - awards. (1) To receive3
	461	+	a grant, an eligible organization, or practice, OR PHARMACY must submit4
	462	+	an application to the center in accordance with pilot program guidelines5
	463	+	and procedures established by the center. At a minimum, the application6
	464	+	must include the following information:7
	465	+	(c) The number of nurse practitioners, or physician assistants, OR8
	466	+	PHARMACISTS willing to complete the required training;9
	467	+	(d) Identification of any incentives to assist nurse practitioners or10
	468	+	physician assistants in completing the required training and becoming11
	469	+	certified to prescribe buprenorphine;12
	470	+	(2) The advisory board shall review the applications received13
	471	+	pursuant to this section and make recommendations to the center14
	472	+	regarding grant recipients and awards. In recommending grant awards and15
	473	+	in awarding grants, the advisory board and the center shall consider the16
	474	+	following criteria:17
	475	+	(b) The number of opioid-dependent patients that WHO could be18
	476	+	served by nurse practitioners, or physician assistants, OR PHARMACISTS19
	477	+	working in or with a practice or organization applying for a grant;20
	478	+	(d) The written commitment of the applicant to have nurse21
	479	+	practitioners, or physician assistants, OR PHARMACISTS participate in22
	480	+	periodic consultations with center staff; and23
	481	+	(3) Subject to available appropriations, in the 2019-20 and24
	482	+	2020-21 fiscal years, the center shall award grants to applicants approved25
	483	+	in accordance with this section and shall distribute the grant money to26
	484	+	grant recipients within ninety days after issuing the grant awards.27
	485	+	1045
	486	+	-14- SECTION 17. In Colorado Revised Statutes, 23-21-807, amend1
	487	+	(1) introductory portion, (1)(c), (2) introductory portion, (2)(e), and2
	488	+	(2)(g); repeal (2)(c); and add (1)(e) as follows:3
	489	+	23-21-807. Reporting requirements. (1) Each organization, or4
	490	+	practice,
	491	+	OR PHARMACY that receives a grant through the pilot program5
	492	+	shall submit an annual report to the center by a date set by the center. At6
	493	+	a minimum, the report must include the following information:7
	494	+	(c) The number of nurse practitioners, or
	495	+	physician assistants, OR8
	496	+	PHARMACISTS who were trained; and who received certification to9
	497	+	prescribe buprenorphine and all other medications and therapies approved10
	498	+	by the federal food and drug administration to treat opioid use disorder;11
	499	+	and12
	500	+	(e) A
	501	+	DETAILED DESCRIPTION OF THE TRAINING RECEIVED BY13
	502	+	PHARMACISTS; WHETHER THE PHARMACISTS WHO RECEIVED TRAINING ARE14
	503	+	CURRENTLY ABLE TO PROVIDE AND ARE PROVIDING MEDICATION -ASSISTED15
	504	+	TREATMENT TO OPIOID-DEPENDENT PATIENTS; AND THE NUMBER OF16
	505	+	OPIOID-DEPENDENT PATIENTS TREATED DURING THE PILOT PROGRAM17
	506	+	PERIOD BY EACH PHARMACIST.18
	507	+	(2) On or before June 30, 2018, and on or before each June 30
	508	+	19
	509	+	through June 30, 2021, The center shall ANNUALLY submit a summarized20
	510	+	report on the pilot program to the health and human services committee21
	511	+	of the senate and the health and insurance and the public health care and22
	512	+	human services committees of the house of representatives, or any23
	513	+	successor committees, and to the governor. At a minimum, the report24
	514	+	must include:25
	515	+	(c) The total number of nurse practitioners and physician26
	516	+	assistants who completed the required training and became certified to27
	517	+	1045
	518	+	-15- prescribe buprenorphine, listed by county participating in the pilot1
	519	+	program;2
	520	+	(e) A summary of policies and procedures instituted by grant3
	521	+	recipients related to the provision of MAT by qualified nurse4
	522	+	practitioners, and physician assistants, AND PHARMACISTS;5
	523	+	(g) A summary of lessons learned and recommendations for6
	524	+	implementing MAT as provided by nurse practitioners, and physician7
	525	+	assistants, and
	526	+	PHARMACISTS in other communities in the state.8
	527	+	SECTION
	528	+	18. In Colorado Revised Statutes, add 25.5-4-505.59
	529	+	as follows:10
	530	+	25.5-4-505.5. Federal authorization related to persons involved11
	531	+	in the criminal justice system - report - rules - legislative declaration.12
	532	+	(1) (a) T
	533	+	HE GENERAL ASSEMBLY FINDS THAT :13
	534	+	(I) F
	535	+	OR DECADES, FEDERAL MEDICAID POLICY PROHIBITED THE USE14
	536	+	OF FEDERAL FUNDING FOR INCARCERATED MEDICAID MEMBERS ;15
	537	+	(II) W
	538	+	ITH THE EMERGING OPPORTUNITY TO ALLOW FOR COVERAGE16
	539	+	OF INCARCERATED MEDICAID MEMBERS , COLORADO IS SUPPORTIVE OF17
	540	+	ENSURING THESE MEMBERS HAVE ACCESS TO NEEDED SERVICES AND18
	541	+	TREATMENT; AND19
	542	+	(III) C
	543	+	OLORADO IS COMMITTED TO ENSURING MEDICAID MEMBERS20
	544	+	HAVE ACCESS TO A CIVIL, COMMUNITY-BASED SYSTEM THAT MEETS21
	545	+	MEMBERS' NEEDS AND ENSURES COLORADO'S COUNTY JAILS, JUVENILE22
	546	+	FACILITIES, AND PRISONS DO NOT BECOME PRIMARY ACCESS POINTS FOR23
	547	+	HEALTH-CARE SERVICES FOR PEOPLE EXPERIENCING BEHAVIORAL HEALTH24
	548	+	CONDITIONS.25
	549	+	(b) T
	550	+	HEREFORE, THE GENERAL ASSEMBLY DECLARES IT IS IN THE26
	551	+	BEST INTEREST OF ALL COLORADANS, AND ESPECIALLY COLORADANS27
	552	+	1045
	553	+	-16- LIVING WITH BEHAVIORAL HEALTH CONDITIONS , TO REQUIRE THE1
	554	+	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING TO SEEK A2
	555	+	FEDERAL WAIVER OF THE MEDICAID INMATE EXCLUSION POLICY THAT3
	556	+	INCLUDES ANNUAL DATA REPORTING REQUIREMENTS THAT :4
	557	+	(I) I
	558	+	NFORM COLORADANS REGARDING THE UNMET HEALTH NEEDS5
	559	+	OF INDIVIDUALS INVOLVED IN THE CRIMINAL JUSTICE SYSTEM ;6
	560	+	(II) P
	561	+	ROMOTE THE ESTABLISHMENT OF CONTINUOUS CIVIL SYSTEMS7
	562	+	OF CARE WITHIN COMMUNITIES DEMONSTRABLY COMMITTED TO8
	563	+	DIVERSION OR DEFLECTION EFFORTS , INCLUDING BUT NOT LIMITED TO9
	564	+	MOBILE OUTREACH, CO-RESPONDER PROGRAMS , AND PROSECUTOR- OR10
	565	+	JUDICIAL-LED INITIATIVES; AND11
	566	+	(III) A
	567	+	IM TO REDUCE UNNECESSARY INVOLVEMENT WITH THE12
	568	+	CRIMINAL JUSTICE SYSTEM AND INCREASE ACCESS TO COMMUNITY -BASED13
	569	+	HOUSING, HEALTH CARE, SUPPORTS, AND SERVICES.14
	570	+	(2) (a) NO LATER THAN APRIL 1, 2024, THE STATE DEPARTMENT15
	571	+	SHALL SEEK A FEDERAL AUTHORIZATION TO PROVIDE, THROUGH THE16
	572	+	STATE MEDICAL ASSISTANCE PROGRAM , MEDICATION-ASSISTED17
	573	+	TREATMENT AND CASE MANAGEMENT TO A MEMBER PRIOR TO THE18
	574	+	MEMBER'S RELEASE AND A THIRTY -DAY SUPPLY OF PRESCRIPTION19
	575	+	MEDICATIONS TO A MEMBER UPON THE MEMBER'S RELEASE FROM A20
	576	+	JUVENILE INSTITUTIONAL FACILITY, AS DEFINED IN SECTION 25-1.5-30121
	577	+	(2)(b), OR A DEPARTMENT OF CORRECTIONS FACILITY .22
	578	+	(b) B
	579	+	EGINNING JULY 1, 2025, AND SUBJECT TO AVAILABLE23
	580	+	APPROPRIATIONS, THE SERVICES DESCRIBED IN SUBSECTION (2)(a) OF THIS24
	581	+	SECTION ARE AVAILABLE UPON RECEIPT OF THE NECESSARY FEDERAL25
	582	+	AUTHORIZATION.26 (3) (a) (I) NO LATER THAN APRIL 1, 2025, THE STATE DEPARTMENT27
	583	+	1045
	584	+	-17- SHALL SEEK A FEDERAL AUTHORIZATION TO PROVIDE, THROUGH THE1
	585	+	STATE MEDICAL ASSISTANCE PROGRAM , MEDICATION-ASSISTED2
	586	+	TREATMENT AND CASE MANAGEMENT TO A MEMBER PRIOR TO THE3
	587	+	MEMBER'S RELEASE FROM JAIL AND A THIRTY-DAY SUPPLY OF4
	588	+	PRESCRIPTION MEDICATIONS TO A MEMBER UPON THE MEMBER'S RELEASE5
	589	+	FROM JAIL.6
	590	+	(II) THE STATE DEPARTMENT SHALL IMPLEMENT SUBSECTION7
	591	+	(3)(a)(I) OF THIS SECTION ONLY IF THE STATE DEPARTMENT DETERMINES8
	592	+	THAT PROVIDING THE SERVICES DESCRIBED IN SUBSECTION (3)(a)(I) OF9
	593	+	THIS SECTION IS BUDGET NEUTRAL.10
	594	+	(b) B
	595	+	EGINNING JULY 1, 2026, AND SUBJECT TO AVAILABLE11
	596	+	APPROPRIATIONS, THE SERVICES DESCRIBED IN SUBSECTION (3)(a) OF THIS12
	597	+	SECTION ARE AVAILABLE UPON RECEIPT OF THE NECESSARY FEDERAL13
	598	+	AUTHORIZATION.14
	599	+	(4) U
	600	+	PON RECEIPT OF THE NECESSARY FEDERAL AUTHORIZATION ,15
	601	+	THE STATE DEPARTMENT SHALL :16
	602	+	(a) C
	603	+	ONDUCT A RIGOROUS STAKEHOLDER PROCESS THAT17
	604	+	INCLUDES, BUT IS NOT LIMITED TO , RECEIVING FEEDBACK FROM18
	605	+	INDIVIDUALS WITH LIVED EXPERIENCE IN ACCESSING, OR THE INABILITY TO19
	606	+	ACCESS, BEHAVIORAL HEALTH SERVICES IN CIVIL SETTINGS, COUNTY JAILS,20
	607	+	JUVENILE INSTITUTIONAL FACILITIES , AND THE DEPARTMENT OF21
	608	+	CORRECTIONS; AND22
	609	+	(b) R
	610	+	EQUIRE EACH COUNTY WITH A COUNTY JAIL SEEKING TO23
	611	+	PROVIDE SERVICES PURSUANT TO THIS SECTION TO DEMONSTRATE A24
	612	+	COMMITMENT TO DIVERSION OR DEFLECTION EFFORTS , INCLUDING BUT25
	613	+	NOT LIMITED TO MOBILE OUTREACH , CO-RESPONDER PROGRAMS , AND26
	614	+	PROSECUTOR- OR JUDICIAL-LED INITIATIVES THAT AIM TO REDUCE27
	615	+	1045
	616	+	-18- UNNECESSARY INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM AND1
	617	+	INCREASE ACCESS TO COMMUNITY -BASED HOUSING, HEALTH CARE,2
	618	+	SUPPORTS, AND SERVICES.3
	619	+	(5) (a) T
	620	+	HE STATE DEPARTMENT SHALL ONLY REIMBURSE AN4
	621	+	OPIOID TREATMENT PROGRAM , AS DEFINED IN SECTION 27-80-203, FOR5
	622	+	ADMINISTERING MEDICATION-ASSISTED TREATMENT IN A JAIL SETTING. AT6
	623	+	A MINIMUM, AN OPIOID TREATMENT PROGRAM THAT ADMINISTERS7
	624	+	MEDICATION-ASSISTED TREATMENT SHALL:8
	625	+	(I) E
	626	+	MPLOY A PHYSICIAN MEDICAL DIRECTOR ;9
	627	+	(II) E
	628	+	NSURE THE INDIVIDUAL RECEIVING MEDICATION -ASSISTED10
	629	+	TREATMENT UNDERGOES A MINIMUM OBSERVATION PERIOD AFTER11
	630	+	RECEIVING MEDICATION-ASSISTED TREATMENT, AS DETERMINED BY12
	631	+	BEHAVIORAL HEALTH ADMINISTRATION RULE PURSUANT TO SECTION13
	632	+	27-80-204;
	633	+	AND14
	634	+	(III) M
	635	+	EET ALL CRITICAL INCIDENT REPORTING REQUIREMENTS AS15
	636	+	DETERMINED BY BEHAVIORAL HEALTH ADMINISTRATION RULE PURSUANT16
	637	+	TO SECTION 27-80-204.17
	638	+	(b) T
	639	+	HE STATE DEPARTMENT SHALL ENSURE AS PART OF THE STATE18
	640	+	DEPARTMENT'S QUALITY OVERSIGHT THAT OPIOID TREATMENT PROGRAMS19
	641	+	THAT ADMINISTER MEDICATION -ASSISTED TREATMENT IN A JAIL SETTING20
	642	+	MAINTAIN EMERGENCY POLICIES AND PROCEDURES THAT ADDRESS21
	643	+	ADVERSE OUTCOMES.22
	644	+	(6) T
	645	+	HE STATE DEPARTMENT MAY EXPAND SERVICES AVAILABLE23
	646	+	PURSUANT TO THIS SECTION AS AUTHORIZED PURSUANT TO FEDERAL LAW24
	647	+	AND REGULATIONS. IF THE STATE DEPARTMENT SEEKS TO EXPAND25
	648	+	SERVICES, THE STATE DEPARTMENT SHALL DEMONSTRATE HOW THE STATE26
	649	+	DEPARTMENT WILL ENSURE QUALITY OF CARE AND CLIENT SAFETY , WHICH27
	650	+	1045
	651	+	-19- MUST INCLUDE ADDRESSING QUALITY AND SAFETY IN ADMINISTERING1
	652	+	MEDICATIONS IN A JAIL SETTING.2
	653	+	(7) (a) B
	654	+	EGINNING JULY 1, 2025, AND EACH JULY 1 THEREAFTER,3
	655	+	THE STATE DEPARTMENT SHALL ANNUALLY REPORT TO THE HOUSE OF4
	656	+	REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND HUMAN5
	657	+	SERVICES COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES6
	658	+	COMMITTEE, OR THEIR SUCCESSOR COMMITTEES , THE FOLLOWING7
	659	+	INFORMATION:8
	660	+	(I) D
	661	+	E-IDENTIFIED INFORMATION OF INDIVIDUALS WHO HAVE9
	662	+	ACCESSED SERVICES, INCLUDING EACH INDIVIDUAL'S DEMOGRAPHICS, THE10
	663	+	TYPE OF SERVICES THE INDIVIDUAL ACCESSED , THE DURATION OF THE11
	664	+	SERVICES OFFERED IN A CARCERAL SETTING COMPARED TO THE DURATION12
	665	+	OF THE SAME SERVICES OFFERED IN A CIVIL SETTING , AND THE13
	666	+	INDIVIDUAL'S EXPERIENCES BEFORE AND AFTER INCARCERATION ,14
	667	+	INCLUDING BUT NOT LIMITED TO:15
	668	+	(A) E
	669	+	MERGENCY ROOM OR CRISIS SYSTEM VISITS ;16
	670	+	(B) I
	671	+	NPATIENT STAYS FOR A PRIMARY BEHAVIORAL HEALTH17
	672	+	CONDITION; AND18
	673	+	(C) S
	674	+	ERVICES ACCESSED IN A QUALIFIED RESIDENTIAL TREATMENT19
	675	+	PROGRAM, AS DEFINED IN SECTION 19-1-103, OR A PSYCHIATRIC20
	676	+	RESIDENTIAL TREATMENT FACILITY , AS DEFINED IN SECTION 25.5-4-103;21
	677	+	(II) T
	678	+	HE TOTAL NUMBER OF MEDICAID MEMBERS WHO WERE22
	679	+	UNHOUSED BEFORE OR AFTER INCARCERATION , IF AVAILABLE;23
	680	+	(III) T
	681	+	HE TOTAL NUMBER OF UNIQUE INCARCERATION STAYS BY24
	682	+	MEDICAID MEMBERS, AS DEMONSTRATED BY THE SERVICES ACCESSED ;25
	683	+	(IV) T
	684	+	HE TOTAL NUMBER OF INDIVIDUALS WHO ACCESSED26
	685	+	SERVICES IN A CIVIL SETTING PRIOR TO ARREST OR DETAINMENT AND WERE27
	686	+	1045
	687	+	-20- SUBSEQUENTLY EVALUATED FOR COMPETENCY , ORDERED TO COMPETENCY1
	688	+	RESTORATION, RESTORED TO COMPETENCY , OR FOUND INCOMPETENT TO2
	689	+	PROCEED IN A FORENSIC SETTING; AND3
	690	+	(V) P
	691	+	ERSISTENT GAPS IN CONTINUITY OF CARE IN4
	692	+	LEAST-RESTRICTIVE CIVIL SETTINGS.5
	693	+	(b) N
	694	+	OTWITHSTANDING SECTION 24-1-136 (11)(a)(I) TO THE6
	695	+	CONTRARY, THE STATE DEPARTMENT'S REPORT CONTINUES INDEFINITELY.7
	696	+	(8) T
	697	+	HE STATE DEPARTMENT MAY PROMULGATE RULES FOR THE8
	698	+	IMPLEMENTATION OF THIS SECTION.9
	699	+	SECTION
	700	+	19. In Colorado Revised Statutes, 25.5-5-320, amend10
	701	+	(7) as follows:11
	702	+	25.5-5-320. Telemedicine - reimbursement - disclosure12
	703	+	statement - rules - definition. (7) As used in this section, "health-care13
	704	+	or mental health-care services" includes speech therapy, physical therapy,14
	705	+	occupational therapy, dental care, hospice care, home health care,15
	706	+	SUBSTANCE USE DISORDER TREATMENT , and pediatric behavioral health16
	707	+	care.17
	708	+	SECTION
	709	+	20. In Colorado Revised Statutes, 25.5-5-325, amend18
	710	+	(1); and add (2.5) as follows:19
	711	+	25.5-5-325. Partial hospitalization and residential and20
	712	+	inpatient substance use disorder treatment - medical detoxification21
	713	+	services - federal approval - performance review report. (1) Subject22
	714	+	to available appropriations and to the extent permitted under federal law,23
	715	+	the medical assistance program pursuant to this article 5 and articles 4 and24
	716	+	6 of this title 25.5 includes
	717	+	PARTIAL HOSPITALIZATION AND residential and25
	718	+	inpatient substance use disorder treatment and medical detoxification26
	719	+	services. Participation in
	720	+	PARTIAL HOSPITALIZATION AND the residential27
	721	+	1045
	722	+	-21- and inpatient substance use disorder treatment and medical detoxification1
	723	+	services benefit is limited to persons who meet nationally recognized,2
	724	+	evidence-based level of care criteria for
	725	+	PARTIAL HOSPITALIZATION OR3
	726	+	residential and inpatient substance use disorder treatment and medical4
	727	+	detoxification services. The benefit shall
	728	+	MUST serve persons with5
	729	+	substance use disorders, including those with co-occurring mental health6
	730	+	disorders. All levels of nationally recognized, evidence-based levels of7
	731	+	care for
	732	+	PARTIAL HOSPITALIZATION AND residential and inpatient8
	733	+	substance use disorder treatment and medical detoxification services must9
	734	+	be included in the benefit.10
	735	+	(2.5) N
	736	+	O LATER THAN JULY 1, 2026, THE STATE DEPARTMENT11
	737	+	SHALL SEEK FEDERAL AUTHORIZATION TO PROVIDE PARTIAL12
	738	+	HOSPITALIZATION FOR SUBSTANCE USE DISORDER TREATMENT WITH FULL13
	739	+	FEDERAL FINANCIAL PARTICIPATION . PARTIAL HOSPITALIZATION FOR14
	740	+	SUBSTANCE USE DISORDER TREATMENT SHALL NOT TAKE EFFECT UNTIL15
	741	+	FEDERAL APPROVAL HAS BEEN OBTAINED .16
	742	+	SECTION
	743	+	21. In Colorado Revised Statutes, 25.5-5-422, amend17
	744	+	(2) as follows:18
	745	+	25.5-5-422. Medication-assisted treatment - limitations on19
	746	+	MCEs - definition. (2) Notwithstanding any provision of law to the20
	747	+	contrary, beginning January 1, 2020, each MCE that provides prescription21
	748	+	drug benefits
	749	+	OR METHADONE ADMINISTRATION for the treatment of22
	750	+	substance use disorders shall:23
	751	+	(a) Not impose any prior authorization requirements on any24
	752	+	prescription medication approved by the FDA for the treatment of25
	753	+	substance use disorders,
	754	+	REGARDLESS OF THE DOSAGE AMOUNT ;26
	755	+	(b) Not impose any step therapy requirements as a prerequisite to27
	756	+	1045
	757	+	-22- authorizing coverage for a prescription medication approved by the FDA1
	758	+	for the treatment of substance use disorders; and2
	759	+	(c) Not exclude coverage for any prescription medication3
	760	+	approved by the FDA for the treatment of substance use disorders and any4
	761	+	associated counseling or wraparound services solely on the grounds that5
	762	+	the medications and services were court ordered;
	763	+	AND6
	764	+	(d) S
	765	+	ET THE REIMBURSEMENT RATE FOR TAKE -HOME METHADONE7
	766	+	TREATMENT AND OFFICE-ADMINISTERED METHADONE TREATMENT AT THE8
	767	+	SAME RATE.9
	768	+	SECTION
	769	+	22. In Colorado Revised Statutes, add 27-60-116 as10
	770	+	follows:11
	771	+	27-60-116. Withdrawal management facilities - data collection12
	772	+	- approval of admission criteria - definition - repeal. (1) (a) N
	773	+	O LATER13
	774	+	THAN JULY 1, 2025, THE BEHAVIORAL HEALTH ADMINISTRATION SHALL14
	775	+	COLLECT DATA FROM EACH WITHDRAWAL MANAGEMENT FACILITY ON THE15
	776	+	TOTAL NUMBER OF INDIVIDUALS WHO WERE DENIED ADMITTANCE OR16
	777	+	TREATMENT FOR WITHDRAWAL MANAGEMENT DURING THE PREVIOUS17
	778	+	CALENDAR YEAR AND THE REASON FOR THE DENIAL .18
	779	+	(b) T
	780	+	HE BHA SHALL SHARE THE DATA RECEIVED FROM19
	781	+	WITHDRAWAL MANAGEMENT FACILITIES PURS UANT TO SUBSECTION (1)(a)20
	782	+	OF THIS SECTION WITH BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES21
	783	+	ORGANIZATIONS.22
	784	+	(2) B
	785	+	EGINNING JANUARY 1, 2025, THE BHA SHALL REVIEW AND23
	786	+	APPROVE ANY ADMISSION CRITERIA ESTABLISHED BY A WITHDRAWAL24
	787	+	MANAGEMENT FACILITY, AS DEFINED IN SECTION 27-66.5-102.25
	788	+	(3) A
	789	+	S USED IN THIS SECTION, "WITHDRAWAL MANAGEMENT26
	790	+	FACILITY" HAS THE SAME MEANING AS SET FORTH IN SECTION 27-66.5-102.27
	791	+	1045
	792	+	-23- SECTION 23. In Colorado Revised Statutes, add 25.5-5-427 as1
	793	+	follows:2
	794	+	25.5-5-427. Managed care entities - behavioral health3
	795	+	providers - disclosure of reimbursement rates. (1) THE STATE4
	796	+	DEPARTMENT SHALL REQUIRE EACH MCE THAT CONTRACTS WITH THE5
	797	+	STATE DEPARTMENT TO DISCLOSE THE AGGREGATED AVERAGE AND6
	798	+	LOWEST RATES OF REIMBURSEMENT FOR A SET OF BEHAVIORAL HEALTH7
	799	+	SERVICES DETERMINED BY THE STATE DEPARTMENT .8
	800	+	(2) BEHAVIORAL HEALTH PROVIDERS ARE AUTHORIZED TO9
	801	+	DISCLOSE THE REIMBURSEMENT RATES PAID BY AN MCE TO THE10
	802	+	BEHAVIORAL HEALTH PROVIDER .11
	803	+	SECTION 24. In Colorado Revised Statutes, amend 25.5-5-51012
	804	+	as follows:13
	805	+	25.5-5-510. Pharmacy reimbursement - substance use disorder14
	806	+	- injections. If a pharmacy has entered into a collaborative pharmacy15
	807	+	practice agreement with one or more physicians pursuant to section16
	808	+	12-280-602 to administer A PHARMACY ADMINISTERING injectable17
	809	+	antagonist medication for medication-assisted treatment for substance use18
	810	+	disorders the pharmacy administering the drug shall receive an enhanced19
	811	+	dispensing fee that aligns with the administration fee paid to a provider20
	812	+	in a clinical setting.21
	813	+	SECTION 25. In Colorado Revised Statutes, add 25.5-5-512.522
	814	+	as follows:23
	815	+	25.5-5-512.5. Medications for opioid use disorder -24
	816	+	pharmacists - reimbursement - definition. (1) A
	817	+	S USED IN THIS25
	818	+	SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES, "MEDICATIONS FOR26
	819	+	OPIOID USE DISORDER" OR "MOUD" HAS THE MEANING AS SET FORTH IN27
	820	+	1045
	821	+	-24- SECTION 12-280-103 (27.5).1
	822	+	(2) T
	823	+	HE STATE DEPARTMENT SHALL REIMBURSE A LICENSED2
	824	+	PHARMACIST FOR PRESCRIBING OR ADMINISTERING MEDICATIONS FOR AN3
	825	+	OPIOID USE DISORDER, IF THE PHARMACIST IS AUTHORIZED PURSUANT TO4
	826	+	ARTICLE 280 OF TITLE 12, AT A RATE EQUAL TO THE REIMBURSEMENT5
	827	+	PROVIDED TO A PHYSICIAN , PHYSICIAN ASSISTANT, OR ADVANCED6
	828	+	PRACTICE REGISTERED NURSE FOR THE SAME SERVICES .7
	829	+	(3) T
	830	+	HE STATE DEPARTMENT SHALL SEEK ANY FEDERAL8
	831	+	AUTHORIZATION NECESSARY TO IMPLEMENT THIS SECTION .9
	832	+	SECTION
	833	+	26. In Colorado Revised Statutes, 26.5-3-206, add (4)10
	834	+	as follows:11
	835	+	26.5-3-206. Colorado child abuse prevention trust fund -12
	836	+	creation - source of funds - repeal. (4) (a) F
	837	+	OR THE 2024-25 STATE13
	838	+	FISCAL YEAR AND EACH STATE FISCAL YEAR THEREAFTER , THE GENERAL14
	839	+	ASSEMBLY SHALL APPROPRIATE ONE HUNDRED FIFTY THOUSAND DOLLARS15
	840	+	TO THE TRUST FUND . THE BOARD SHALL DISTRIBUTE THE MONEY16
	841	+	APPROPRIATED PURSUANT TO THIS SUBSECTION (4)(a) FOR PROGRAMS TO17
	842	+	REDUCE THE OCCURRENCE OF PRENATAL SUBSTANCE EXPOSURE IN18
	843	+	ACCORDANCE WITH SECTION 26.5-3-205 (1)(h)(III).19
	844	+	(b) (I) F
	845	+	OR THE 2024-25 AND 2025-26 STATE FISCAL YEARS, THE20
	846	+	GENERAL ASSEMBLY SHALL ANNUALLY APPROPRIATE FIFTY THOUSAND21
	847	+	DOLLARS TO THE TRUST FUND. THE BOARD SHALL DISTRIBUTE THE MONEY22
	848	+	APPROPRIATED PURSUANT TO THIS SUBSECTION (4)(b) TO CONVENE A23
	849	+	STAKEHOLDER GROUP TO IDENTIFY STRATEGIES TO INCREASE ACCESS TO24
	850	+	CHILD CARE FOR FAMILIES SEEKING SUBSTANCE USE DISORDER TREATMENT25
	851	+	AND RECOVERY SERVICES.26
	852	+	(II) T
	853	+	HIS SUBSECTION (4)(b) IS REPEALED, EFFECTIVE JUNE 30,27
	854	+	1045
	855	+	-25- 2027.1
	856	+	2
	857	+	SECTION 27. In Colorado Revised Statutes, add 27-50-305 as3
	858	+	follows:4
	859	+	27-50-305. Resources to support behavioral health safety net5
	860	+	providers - independent third-party contract. (1) N
	861	+	O LATER THAN6
	862	+	J
	863	+	ULY 1, 2025, THE BHA SHALL CONTRACT WITH AN INDEPENDENT7
	864	+	THIRD-PARTY ENTITY TO PROVIDE SERVICES AND SUPPORTS TO8
	865	+	BEHAVIORAL HEALTH PROVIDERS SEEKING TO BECOME A BEHAVIORAL9
	866	+	HEALTH SAFETY NET PROVIDER WITH THE GOAL OF THE PROVIDER10
	867	+	BECOMING SELF-SUSTAINING.11
	868	+	(2) T
	869	+	HE INDEPENDENT THIRD -PARTY ENTITY SHALL ASSIST12
	870	+	BEHAVIORAL HEALTH PROVIDERS IN ACCESSING ALTERNATIVE PAYMENT13
	871	+	MODELS AND ENHANCED REIMBURSEMENT RATES THR OUGH THE BHA AND14
	872	+	MEDICAID BY PROVIDING:15
	873	+	(a) S
	874	+	UPPORT TO PROVIDERS IN COMPLETING THE ANNUAL COST16
	875	+	REPORTING TO INFORM MEDICAID RATE -SETTING;17
53	876		(b) A
54		-	HEALTH BENEFIT PLAN REIMBURSING A LICENSED PHARMACIST
55		-	PURSUANT TO SUBSECTION
56		-	(3)(a) OF THIS SECTION SHALL REIMBURSE A
57		-	LICENSED PHARMACIST AT THE SAME RATE THAT THE HEALTH BENEFIT PLAN
58		-	REIMBURSES A LICENSED PHYSICIAN OR AN ADVANCED PRACTICE
59		-	REGISTERED NURSE WITHIN THE HEALTH BENEFIT PLAN
60		-	'S NETWORK OF
61		-	PARTICIPATING PROVIDERS FOR THE SAME SERVICES
62		-	.
63		-	SECTION 3. In Colorado Revised Statutes, 12-245-403, add (5) as
64		-	follows:
65		-	12-245-403. Social work practice defined. (5) S
66		-	OCIAL WORK
67		-	PRACTICE INCLUDES THE CLINICAL SUPERVISION BY A LICENSED CLINICAL
68		-	SOCIAL WORKER OF A PERSON WORKING TOWARD CERTIFICATION AS A
69		-	CERTIFIED ADDICTION TECHNICIAN OR A CERTIFIED ADDICTION SPECIALIST
70		-	PURSUANT TO SECTION
71		-	12-245-804 (3.5), IF THE LICENSED CLINICAL SOCIAL
72		-	WORKER HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED
73		-	ADDICTION COUNSELOR
74		-	, OR THE EQUIVALENT , AS SPECIFIED IN RULES
75		-	PROMULGATED BY THE STATE BOARD OF HUMAN SERVICES PURSUANT TO
	877	+	NALYSIS OF CURRENT ACCOUNTING PRACTICES AND18
	878	+	RECOMMENDATIONS ON IMPLEMENTING NEW OR MODIFIED PRACTICES TO19
	879	+	SUPPORT THE SOUNDNESS OF COST REPORTING ;20
	880	+	(c) A
	881	+	DMINISTRATIVE SUPPORT FOR ENROLLING IN DIFFERENT21
	882	+	PAYER TYPES, INCLUDING, BUT NOT LIMITED TO, MEDICAID, MEDICARE,22
	883	+	AND COMMERCIAL INSURANCE ;23
	884	+	(d) B
	885	+	ILLING AND CODING SUPPORT;24
	886	+	(e) C
	887	+	LAIMS PROCESSING;25
	888	+	(f) D
	889	+	ATA ANALYSIS;26
	890	+	(g) C
	891	+	OMPLIANCE AND TRAINING ON POLICIES AND PROCEDURES ;27
	892	+	1045
	893	+	-26- (h) SHARED PURCHASING FOR TECHNOLOGY ;1
	894	+	(i) A
	895	+	SSISTANCE IN BUILDING PROVIDER CAPACITY TO BECOME A2
	896	+	BEHAVIORAL HEALTH SAFETY NET PROVIDER ; AND3
	897	+	(j) A
	898	+	NY OTHER SERVICE AND SUPPORT APPROVED BY THE BHA.4
	899	+	(3) T
	900	+	HE INDEPENDENT THIRD-PARTY ENTITY SHALL PRIORITIZE5
	901	+	PROVIDING SERVICES AND SUPPORTS TO A BEHAVIORAL HEALTH PROVIDER6
	902	+	THAT HAS NOT PREVIOUSLY USED THE STATE COST REPORT PROCESS TO SET7
	903	+	MEDICAID RATES.8
	904	+	(4) T
	905	+	HE INDEPENDENT THIRD -PARTY ENTITY SHALL BE9
	906	+	NONPARTISAN AND SHALL NOT LOBBY , PERSONALLY OR IN ANY OTHER10
	907	+	MANNER, DIRECTLY OR INDIRECTLY, FOR OR AGAINST ANY PENDING11
	908	+	LEGISLATION BEFORE THE GENERAL ASSEMBLY .12
76	909		SECTION
77		-	27-80-108 (1)(e.5) OR 27-50-107 (3)(e)(II), AS APPLICABLE.
78		-	SECTION 4. In Colorado Revised Statutes, 12-245-503, add (5) as
79		-	follows:
80		-	12-245-503. Marriage and family therapy practice defined.
81		-	PAGE 2-HOUSE BILL 24-1045 (5) MARRIAGE AND FAMILY THERAPY PRACTICE INCLUDES THE CLINICAL
82		-	SUPERVISION BY A LICENSED MARRIAGE AND FAMILY THERAPIST OF A
83		-	PERSON WORKING TOWARD CERTIFICATION AS A CERTIFIED ADDICTION
84		-	TECHNICIAN OR A CERTIFIED ADDICTION SPECIALIST PURSUANT TO SECTION
85		-	12-245-804 (3.5), IF THE LICENSED MARRIAGE AND FAMILY THERAPIST HAS
86		-	MET THE EDUCATION REQUIREMENTS FOR A LICENSED ADDICTION
87		-	COUNSELOR
88		-	, OR THE EQUIVALENT, AS SPECIFIED IN RULES PROMULGATED BY
89		-	THE STATE BOARD OF HUMAN SERVICES PURSUANT TO SECTION
90		-	27-80-108
91		-	(1)(e.5)
92		-	OR 27-50-107 (3)(e)(II), AS APPLICABLE.
93		-	SECTION 5. In Colorado Revised Statutes, 12-245-504, add (1.5)
94		-	as follows:
95		-	12-245-504. Qualifications - examination - licensure and
96		-	registration. (1.5) A
97		-	LICENSED ADDICTION COUNSELOR WHO POSSESSES A
98		-	VALID
99		-	, UNSUSPENDED, AND UNREVOKED LICENSE MAY PROVIDE CLINICAL
100		-	SUPERVISION OF AN INDIVIDUAL WORKING TOWARD LICENSURE AS A
101		-	MARRIAGE AND FAMILY THERAPIST IF THE LICENSED ADDICTION COUNSELOR
102		-	HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED MARRIAGE AND
103		-	FAMILY THERAPIST
104		-	, OR THE EQUIVALENT , AS SPECIFIED IN RULES
105		-	PROMULGATED BY THE STATE BOARD OF MARRIAGE AND FAMILY THERAPIST
106		-	EXAMINERS CREATED IN SECTION
107		-	12-245-502.
108		-	SECTION 6. In Colorado Revised Statutes, 12-245-603, add (3) as
109		-	follows:
110		-	12-245-603. Practice of licensed professional counseling defined.
111		-	(3) T
112		-	HE PRACTICE OF PROFESSIONAL COUNSELING INCLUDES THE CLINICAL
113		-	SUPERVISION BY A LICENSED PROFESSIONAL COUNSELOR OF A PERSON
114		-	WORKING TOWARD CERTIFICATION AS A CERTIFIED ADDICTION TECHNICIAN
115		-	OR A CERTIFIED ADDICTION SPECIALIST PURSUANT TO SECTION
116		-	12-245-804
117		-	(3.5),
118		-	IF THE LICENSED PROFESSIONAL COUNSELOR HAS MET THE EDUCATION
119		-	REQUIREMENTS FOR A LICENSED ADDICTION COUNSELOR
120		-	, OR THE
121		-	EQUIVALENT
122		-	, AS SPECIFIED IN RULES PROMULGATED BY THE STATE BOARD
123		-	OF HUMAN SERVICES PURSUANT TO SECTION
124		-	27-80-108 (1)(e.5) OR
125		-	27-50-107 (3)(e)(II), AS APPLICABLE.
126		-	SECTION 7. In Colorado Revised Statutes, 12-245-604, add (1.5)
127		-	as follows:
128		-	PAGE 3-HOUSE BILL 24-1045 12-245-604. Licensure - examination - licensed professional
129		-	counselors. (1.5) A
130		-	LICENSED ADDICTION COUNSELOR WHO POSSESSES A
131		-	VALID
132		-	, UNSUSPENDED, AND UNREVOKED LICENSE MAY PROVIDE CLINICAL
133		-	SUPERVISION OF AN INDIVIDUAL WORKING TOWARD LICENSURE AS A
134		-	LICENSED PROFESSIONAL COUNSELOR IF THE LICENSED ADDICTION
135		-	COUNSELOR HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED
136		-	PROFESSIONAL COUNSELOR
137		-	, OR THE EQUIVALENT, AS SPECIFIED IN RULES
138		-	PROMULGATED BY THE STATE BOARD OF LICENSED PROFESSIONAL
139		-	COUNSELOR EXAMINERS CREATED IN SECTION
140		-	12-245-602.
141		-	SECTION 8. In Colorado Revised Statutes, 12-285-803, add (5) as
142		-	follows:
143		-	12-245-803. Practice of addiction counseling defined - scope of
144		-	practice. (5) T
145		-	HE PRACTICE OF ADDICTION COUNSELING INCLUDES CLINICAL
146		-	SUPERVISION BY A LICENSED ADDICTION COUNSELOR OF A PERSON WORKING
147		-	TOWARD LICENSURE AS A MARRIAGE AND FAMILY THERAPIST
148		-	, PURSUANT TO
149		-	SECTION
150		-	12-245-504 (1), OR A LICENSED PROFESSIONAL COUNSELOR ,
151		-	PURSUANT TO SECTION 12-245-604 (1), IF THE LICENSED ADDICTION
152		-	COUNSELOR HAS MET THE EDUCATION REQUIREMENTS FOR A LICENSED
153		-	MARRIAGE AND FAMILY THERAPIST OR LICENSED PROFESSIONAL C OUNSELOR
154		-	,
155		-	OR THE EQUIVALENT, AS SPECIFIED IN RULES PROMULGATED BY THE STATE
156		-	BOARD OF MARRIAGE AND FAMILY THERAPIST EXAMINERS CREATED IN
157		-	SECTION
158		-	12-245-502 OR THE STATE BOARD OF LICENSED PROFESSIONAL
159		-	COUNSELOR EXAMINERS CREATED IN SECTION
160		-	12-245-602, AS APPLICABLE.
161		-	SECTION 9. In Colorado Revised Statutes, 12-245-805, add
162		-	(2.5)(c) as follows:
163		-	12-245-805. Rights and privileges of certification and licensure
164		-	- titles - clinical supervision. (2.5) (c) N
165		-	OTWITHSTANDING ANY PROVISION
166		-	OF THIS TITLE
167		-	12 TO THE CONTRARY, A LICENSED CLINICAL SOCIAL WORKER,
168		-	PURSUANT TO SECTION 12-245-403 (5), A LICENSED MARRIAGE AND FAMILY
169		-	THERAPIST
170		-	, PURSUANT TO SECTION 12-245-503 (5), OR A LICENSED
171		-	PROFESSIONAL COUNSELOR
172		-	, PURSUANT TO SECTION 12-245-603 (3), WHO
173		-	POSSESSES A VALID
174		-	, UNSUSPENDED, AND UNREVOKED LICENSE MAY PROVIDE
175		-	CLINICAL SUPERVISION OF AN INDIVIDUAL WORKING TOWARD CERTIFICATION
176		-	AS A CERTIFIED ADDICTION TECHNICIAN OR CERTIFIED ADDICTION SPECIALIST
177		-	IF THE LICENSED CLINICAL SOCIAL WORKER
178		-	, LICENSED MARRIAGE AND
179		-	FAMILY THERAPIST
180		-	, OR LICENSED PROFESSIONAL COUNSELOR HAS MET THE
181		-	PAGE 4-HOUSE BILL 24-1045 EDUCATION REQUIREMENTS FOR A LICENSED ADDICTION COUNSELOR , OR THE
182		-	EQUIVALENT
183		-	, AS SPECIFIED IN RULES PROMULGATED BY THE STATE BOARD
184		-	OF HUMAN SERVICES PURSUANT TO SECTION
185		-	27-80-108 (1)(e.5) OR
186		-	27-50-107 (3)(e)(II), AS APPLICABLE.
187		-	SECTION 10. In Colorado Revised Statutes, 12-280-103, amend
188		-	(39)(g)(III), (39)(g)(IV)(C), (39)(j), and (39)(k); and add (27.5), (39)(g)(V),
189		-	and (39)(l) as follows:
190		-	12-280-103. Definitions - rules. As used in this article 280, unless
191		-	the context otherwise requires or the term is otherwise defined in another
192		-	part of this article 280:
193		-	(27.5) "M
194		-	EDICATIONS FOR OPIOID USE DISORDER " OR "MOUD"
195		-	MEANS TREATMENT FOR AN OPIOID USE DISORDER USING MEDICATIONS
196		-	APPROVED BY THE
197		-	FDA FOR THAT PURPOSE AND PRESCRIBED, DISPENSED, OR
198		-	ADMINISTERED IN ACCORDANCE WITH NATIONAL
199		-	, EVIDENCE-BASED
200		-	PUBLISHED GUIDANCE
201		-	.
202		-	(39) "Practice of pharmacy" means:
203		-	(g) Exercising independent prescriptive authority:
204		-	(III) As authorized pursuant to sections 12-30-110 and 12-280-123
205		-	(3) regarding opiate antagonists; or
206		-	(IV) For drugs that are not controlled substances, drug categories,
207		-	or devices that are prescribed in accordance with the product's
208		-	FDA-approved labeling and to patients who are at least twelve years of age
209		-	and that are limited to conditions that:
210		-	(C) Have a test that is used to guide diagnosis or clinical
211		-	decision-making and is waived under the federal "Clinical Laboratory
212		-	Improvement Amendments of 1988", Pub.L. 100-578, as amended;
213		-	OR
214		-	(V) FOR ANY FDA-APPROVED PRODUCT INDICATED FOR OPIOID USE
215		-	DISORDER IN ACCORDANCE WITH FEDERAL LAW AND REGULATIONS
216		-	,
217		-	INCLUDING MEDICATIONS FOR OPIOID USE DISORDER , IF AUTHORIZED
218		-	PURSUANT TO PART
219		-	6 OF THIS ARTICLE 280.
220		-	(j) Performing other tasks delegated by a licensed physician; and
221		-	PAGE 5-HOUSE BILL 24-1045 (k) Providing treatment that is based on national, evidence-based,
222		-	published guidance;
223		-	AND
224		-	(l) DISPENSING OR ADMINISTERING ANY FDA-APPROVED PRODUCT
225		-	FOR OPIOID USE DISORDER IN ACCORDANCE WITH FEDERAL LAW AND
226		-	REGULATIONS
227		-	, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER .
228		-	SECTION 11. In Colorado Revised Statutes, add 12-280-604 as
229		-	follows:
230		-	12-280-604. Collaborative pharmacy practice agreement -
231		-	statewide drug therapy protocol for medication-assisted treatment for
232		-	opioid use disorder - rules - definition. (1) A
233		-	S USED IN THIS SECTION,
234		-	"
235		-	MEDICATION-ASSISTED TREATMENT " MEANS A COMBINATION OF
236		-	MEDICATIONS AND BEHAVIORAL THERAPY
237		-	, SUCH AS BUPRENORPHINE AND
238		-	ALL OTHER MEDICATIONS AND THERAPIES APPROVED BY THE FEDERAL FOOD
239		-	AND DRUG ADMINISTRATION
240		-	, TO TREAT OPIOID USE DISORDER.
241		-	(2) (a) P
242		-	URSUANT TO SECTION 12-280-603, THE BOARD, IN
243		-	CONJUNCTION WITH THE
244		-	COLORADO MEDICAL BOARD CREATED IN SECTION
245		-	12-240-105 AND THE STATE BOARD OF NURSING CREATED IN SECTION
246		-	12-255-105, SHALL PROMULGATE RULES NO LATER THAN MAY 1, 2025,
247		-	DEVELOPING A STATEWIDE DRUG THERAPY PROTOCOL FOR PHARMACISTS TO
248		-	PRESCRIBE
249		-	, DISPENSE, AND ADMINISTER ONLY FEDERAL DRUG ENFORCEMENT
250		-	ADMINISTRATION SCHEDULE
251		-	III, IV, AND V FDA-APPROVED PRODUCTS AS
252		-	MEDICATION
253		-	-ASSISTED TREATMENT FOR OPIOID USE DISORDER .
254		-	(b) I
255		-	N DEVELOPING THE STATEWIDE DRUG THERAPY PROTOCOL , THE
256		-	APPLICABLE BOARDS SHALL CONSIDER REQUIREMENTS FOR TRAINING
257		-	,
258		-	INCLUDING A PROGRAM ACCREDITED BY THE ACCREDITATION COUNCIL FOR
259		-	PHARMACY EDUCATION, OR ITS SUCCESSOR ENTITY; PATIENT NOTICE AND
260		-	CONSENT
261		-	; PROVIDER REFERRAL CRITERIA; LAB SCREENING AND TESTING;
262		-	MONITORING; PATIENT PRIVACY; AND PATIENT FOLLOW -UP CARE AND
263		-	COUNSELING
264		-	. THE RULES DEVELOPED PURSUANT TO SUBSECTION (2)(a) OF
265		-	THIS SECTION MUST SPECIFY THAT ANY COLLABORATING ENTITIES UTILIZING
266		-	THE PROTOCOL ARE CLEARLY IDENTIFIED
267		-	.
268		-	(3) T
269		-	HIS SECTION DOES NOT REQUIRE A STATEWIDE DRUG THERAPY
270		-	PROTOCOL OR COLLABORATIVE PHARMACY PRACTICE AGREEMENT BEFORE
271		-	A PHARMACIST MAY PRESCRIBE
272		-	, DISPENSE, OR ADMINISTER ONLY FEDERAL
273		-	PAGE 6-HOUSE BILL 24-1045 DRUG ENFORCEMENT ADMINISTRATION SCHEDULE III, IV, AND V
274		-	FDA-
275		-	APPROVED PRODUCTS AS MEDICATION -ASSISTED TREATMENT, IF THE
276		-	PRESCRIBING
277		-	, DISPENSING, OR ADMINISTERING MEDICATION -ASSISTED
278		-	TREATMENT IS OTHERWISE AUTHORIZED UNDER LAW
279		-	.
280		-	SECTION 12. In Colorado Revised Statutes, 23-21-802, amend
281		-	(1)(h)(I) as follows:
282		-	23-21-802. Legislative declaration. (1) The general assembly finds
283		-	that:
284		-	(h) In order to increase access to addiction treatment in areas of the
285		-	state where opioid addiction is prevalent, it is necessary to establish a pilot
286		-	program to award grants to:
287		-	(I) Organizations, or
288		-	practices, OR PHARMACIES with nurse
289		-	practitioners, and physician assistants, OR PHARMACISTS to enable them to
290		-	obtain the training and ongoing support required to prescribe medications,
291		-	such as buprenorphine and all other medications and therapies approved by
292		-	the federal food and drug administration, to treat opioid use disorders; and
293		-	SECTION 13. In Colorado Revised Statutes, 23-21-803, add (5.3)
294		-	as follows:
295		-	23-21-803. Definitions. As used in this part 8, unless the context
296		-	otherwise requires:
297		-	(5.3) "P
298		-	HARMACIST" MEANS AN INDIVIDUAL LICENSED IN COLORADO
299		-	TO ENGAGE IN THE PRACTICE OF PHARMACY WHO IS PRESCRIBING
300		-	MEDICATION
301		-	-ASSISTED TREATMENT PURSUANT TO PART 6 OF ARTICLE 280 OF
302		-	TITLE
303		-	12.
304		-	SECTION 14. In Colorado Revised Statutes, 23-21-804, amend (1)
305		-	and (2) as follows:
306		-	23-21-804. Medication-assisted treatment expansion pilot
307		-	program - created - pilot program location - eligible grant recipients -
308		-	rules. (1) (a) There is hereby
309		-	created the medication-assisted treatment
310		-	expansion pilot program to provide grants to community agencies,
311		-	office-based practices, behavioral health organizations, and
312		-	substance abuse
313		-	PAGE 7-HOUSE BILL 24-1045 treatment organizations, AND PHARMACIES to enable:
314		-	(I) Nurse practitioners or physician assistants working in those
315		-	settings to obtain training and ongoing support required under the federal
316		-	act in order to prescribe buprenorphine and all other medications and
317		-	therapies approved by the federal food and drug administration as part of
318		-	medication-assisted treatment provided to individuals with an opioid use
319		-	disorder; and
320		-	(II) Those agencies, practices, and organizations to provide
321		-	behavioral therapies and support in conjunction with medication-assisted
322		-	treatment for individuals with an opioid use disorder;
323		-	AND
324		-	(III) PHARMACISTS AUTHORIZED UNDER A STATEWIDE DRUG
325		-	THERAPY PROTOCOL PURSUANT TO SECTION
326		-	12-280-605, A COLLABORATIVE
327		-	PHARMACY PRACTICE AGREEMENT PURSUANT TO PART
328		-	6 OF ARTICLE 280 OF
329		-	TITLE
330		-	12, OR OTHERWISE AUTHORIZED UNDER LAW TO PRESCRIBE , DISPENSE,
331		-	OR ADMINISTER MEDICATION-ASSISTED TREATMENT FOR INDIVIDUALS WITH
332		-	AN OPIOID USE DISORDER
333		-	.
334		-	(b) The MAT expansion pilot program is available to provide grants
335		-	to community agencies, office-based practices, behavioral health
336		-	organizations, and
337		-	substance abuse treatment organizations practicing or
338		-	providing treatment in Pueblo county or Routt county, and, starting in the
339		-	2019-20 fiscal year, the San Luis valley and up to two
340		-	additional counties
341		-	selected by the center for participation based on demonstrated need. T
342		-	HE
343		-	MAT EXPANSION PILOT PROGRAM MAY ALSO PROVIDE GRANTS TO
344		-	PHARMACIES FOR THE PURPOSES ALLOWED UNDER THE GRANT PROGRAM
345		-	ONCE THE CONDITIONS DESCRIBED IN SUBSECTION
346		-	(1)(a)(III) OF THIS
347		-	SECTION ARE MET
348		-	.
349		-	(2) A grant recipient may use the money received through the pilot
350		-	program for the following purposes:
351		-	(a) To enable nurse practitioners or physician assistants practicing
352		-	or working in the grant recipient's setting in the pilot program area to obtain
353		-	the training required to be a qualified nurse practitioner or physician
354		-	assistant in order to prescribe buprenorphine and all other medications and
355		-	therapies approved by the federal food and drug administration as part of
356		-	medication-assisted treatment for individuals with opioid use disorders; and
357		-	PAGE 8-HOUSE BILL 24-1045 (b) To increase access to medication-assisted treatment for
358		-	individuals with opioid use disorders in the pilot program area;
359		-	AND
360		-	(c) TO OBTAIN TRAINING FOR PHARMACISTS TO PROVIDE
361		-	MEDICATION
362		-	-ASSISTED TREATMENT SERVICES.
363		-	SECTION 15. In Colorado Revised Statutes, 23-21-805, amend
364		-	(2)(a)(V) and (2)(a)(VI); and add (2)(a)(VII) as follows:
365		-	23-21-805. MAT expansion advisory board - created - duties.
366		-	(2) (a) The advisory board consists of representatives of the following
367		-	entities or organizations who are designated by the entity or organization:
368		-	(V) The Colorado Academy of Physician Assistants; and(VI) The physician assistant program at the university of Colorado;
369		-	AND
370		-	(VII) THE COLORADO PHARMACISTS SOCIETY .
371		-	SECTION 16. In Colorado Revised Statutes, 23-21-806, amend (1)
372		-	introductory portion, (1)(c), (2)(b), (2)(d), and (3); and repeal (1)(d) as
373		-	follows:
374		-	23-21-806. Grant application - criteria - awards. (1) To receive
375		-	a grant, an eligible organization, or practice, OR PHARMACY must submit an
376		-	application to the center in accordance with pilot program guidelines and
377		-	procedures established by the center. At a minimum, the application must
378		-	include the following information:
379		-	(c) The number of nurse practitioners, or
380		-	physician assistants, OR
381		-	PHARMACISTS
382		-	willing to complete the required training;
383		-	(d) Identification of any incentives to assist nurse practitioners orphysician assistants in completing the required training and becoming
384		-	certified to prescribe buprenorphine;
385		-	(2) The advisory board shall review the applications received
386		-	pursuant to this section and make recommendations to the center regarding
387		-	grant recipients and awards. In recommending grant awards and in
388		-	awarding grants, the advisory board and the center shall consider the
389		-	PAGE 9-HOUSE BILL 24-1045 following criteria:
390		-	(b) The number of opioid-dependent patients that WHO could be
391		-	served by nurse practitioners, or physician assistants, OR PHARMACISTS
392		-	working in or with a practice or organization applying for a grant;
393		-	(d) The written commitment of the applicant to have nurse
394		-	practitioners, or physician assistants, OR PHARMACISTS participate in
395		-	periodic consultations with center staff; and
396		-	(3) Subject to available appropriations, in the 2019-20 and 2020-21
397		-	fiscal years, the center shall award grants to applicants approved in
398		-	accordance with this section and shall distribute the grant money to grant
399		-	recipients within ninety days after issuing the grant awards.
400		-	SECTION 17. In Colorado Revised Statutes, 23-21-807, amend (1)
401		-	introductory portion, (1)(c), (2) introductory portion, (2)(e), and (2)(g);
402		-	repeal (2)(c); and add (1)(e) as follows:
403		-	23-21-807. Reporting requirements. (1) Each organization, or
404		-	practice, OR PHARMACY that receives a grant through the pilot program shall
405		-	submit an annual report to the center by a date set by the center. At a
406		-	minimum, the report must include the following information:
407		-	(c) The number of nurse practitioners, or
408		-	physician assistants, OR
409		-	PHARMACISTS
410		-	who were trained; and who received certification to prescribe
411		-	buprenorphine and all other medications and therapies approved by the
412		-	federal food and drug administration to treat opioid use disorder; and
413		-	(e) A
414		-	DETAILED DESCRIPTION OF THE TRAINING RECEIVED BY
415		-	PHARMACISTS
416		-	; WHETHER THE PHARMACISTS WHO RECEIVED TRAINING ARE
417		-	CURRENTLY ABLE TO PROVIDE AND ARE PROVIDING MEDICATION
418		-	-ASSISTED
419		-	TREATMENT TO OPIOID
420		-	-DEPENDENT PATIENTS; AND THE NUMBER OF
421		-	OPIOID
422		-	-DEPENDENT PATIENTS TREATED DURING THE PILOT PROGRAM PERIOD
423		-	BY EACH PHARMACIST
424		-	.
425		-	(2) On or before June 30, 2018, and on or before each June 30
426		-	through June 30, 2021, The center shall ANNUALLY submit a summarized
427		-	report on the pilot program to the health and human services committee of
428		-	the senate and the health and insurance and the public health care and
429		-	PAGE 10-HOUSE BILL 24-1045 human services committees of the house of representatives, or any
430		-	successor committees, and to the governor. At a minimum, the report must
431		-	include:
432		-	(c) The total number of nurse practitioners and physician assistants
433		-	who completed the required training and became certified to prescribe
434		-	buprenorphine, listed by county participating in the pilot program;
435		-	(e) A summary of policies and procedures instituted by grant
436		-	recipients related to the provision of MAT by qualified nurse practitioners,
437		-	and
438		-	physician assistants, AND PHARMACISTS;
439		-	(g) A summary of lessons learned and recommendations for
440		-	implementing MAT as provided by nurse practitioners, and physician
441		-	assistants, and
442		-	PHARMACISTS in other communities in the state.
443		-	SECTION 18. In Colorado Revised Statutes, add 25.5-4-505.5 as
444		-	follows:
445		-	25.5-4-505.5. Federal authorization related to persons involved
446		-	in the criminal justice system - report - rules - legislative declaration.
447		-	(1) (a) T
448		-	HE GENERAL ASSEMBLY FINDS THAT :
449		-	(I) F
450		-	OR DECADES, FEDERAL MEDICAID POLICY PROHIBITED THE USE
451		-	OF FEDERAL FUNDING FOR INCARCERATED MEDICAID MEMBERS
452		-	;
453		-	(II) W
454		-	ITH THE EMERGING OPPORTUNITY TO ALLOW FOR COVERAGE
455		-	OF INCARCERATED MEDICAID MEMBERS
456		-	, COLORADO IS SUPPORTIVE OF
457		-	ENSURING THESE MEMBERS HAVE ACCESS TO NEEDED SERVICES AND
458		-	TREATMENT
459		-	; AND
460		-	(III) COLORADO IS COMMITTED TO ENSURING MEDICAID MEMBERS
461		-	HAVE ACCESS TO A CIVIL
462		-	, COMMUNITY-BASED SYSTEM THAT MEETS
463		-	MEMBERS
464		-	' NEEDS AND ENSURES COLORADO'S COUNTY JAILS, JUVENILE
465		-	FACILITIES
466		-	, AND PRISONS DO NOT BECOME PRIMARY ACCESS POINTS FOR
467		-	HEALTH
468		-	-CARE SERVICES FOR PEOPLE EXPERIENCING BEHAVIORAL HEALTH
469		-	CONDITIONS
470		-	.
471		-	(b) T
472		-	HEREFORE, THE GENERAL ASSEMBLY DECLARES IT IS IN THE
473		-	BEST INTEREST OF ALL
474		-	COLORADANS, AND ESPECIALLY COLORADANS LIVING
475		-	PAGE 11-HOUSE BILL 24-1045 WITH BEHAVIORAL HEALTH CONDITIONS , TO REQUIRE THE DEPARTMENT OF
476		-	HEALTH CARE POLICY AND FINANCING TO SEEK A FEDERAL WAIVER OF THE
477		-	MEDICAID INMATE EXCLUSION POLICY THAT INCLUDES ANNUAL DATA
478		-	REPORTING REQUIREMENTS THAT
479		-	:
480		-	(I) I
481		-	NFORM COLORADANS REGARDING THE UNMET HEALTH NEEDS OF
482		-	INDIVIDUALS INVOLVED IN THE CRIMINAL JUSTICE SYSTEM
483		-	;
484		-	(II) P
485		-	ROMOTE THE ESTABLISHMENT OF CONTINUOUS CIVIL SYSTEMS
486		-	OF CARE WITHIN COMMUNITIES DEMONSTRABLY COMMITTED TO DIVERSION
487		-	OR DEFLECTION EFFORTS
488		-	, INCLUDING BUT NOT LIMITED TO MOBILE
489		-	OUTREACH
490		-	, CO-RESPONDER PROGRAMS, AND PROSECUTOR- OR JUDICIAL-LED
491		-	INITIATIVES
492		-	; AND
493		-	(III) AIM TO REDUCE UNNECESSARY INVOLVEMENT WITH THE
494		-	CRIMINAL JUSTICE SYSTEM AND INCREASE ACCESS TO COMMUNITY
495		-	-BASED
496		-	HOUSING
497		-	, HEALTH CARE, SUPPORTS, AND SERVICES.
498		-	(2) (a) N
499		-	O LATER THAN APRIL 1, 2024, THE STATE DEPARTMENT
500		-	SHALL SEEK A FEDERAL AUTHORIZATION TO PROVIDE
501		-	, THROUGH THE STATE
502		-	MEDICAL ASSISTANCE PROGRAM
503		-	, MEDICATION-ASSISTED TREATMENT AND
504		-	CASE MANAGEMENT TO A MEMBER PRIOR TO THE MEMBER
505		-	'S RELEASE AND A
506		-	THIRTY
507		-	-DAY SUPPLY OF PRESCRIPTION MEDICATIONS TO A MEMBER UPON
508		-	THE MEMBER
509		-	'S RELEASE FROM A JUVENILE INSTITUTIONAL FACILITY , AS
510		-	DEFINED IN SECTION
511		-	25-1.5-301 (2)(b), OR A DEPARTMENT OF CORRECTIONS
512		-	FACILITY
513		-	.
514		-	(b) B
515		-	EGINNING JULY 1, 2025, AND SUBJECT TO AVAILABLE
516		-	APPROPRIATIONS
517		-	, THE SERVICES DESCRIBED IN SUBSECTION (2)(a) OF THIS
518		-	SECTION ARE AVAILABLE UPON RECEIPT OF THE NECESSARY FEDERAL
519		-	AUTHORIZATION
520		-	.
521		-	(3) (a) (I) N
522		-	O LATER THAN APRIL 1, 2025, THE STATE DEPARTMENT
523		-	SHALL SEEK A FEDERAL AUTHORIZATION TO PROVIDE
524		-	, THROUGH THE STATE
525		-	MEDICAL ASSISTANCE PROGRAM
526		-	, MEDICATION-ASSISTED TREATMENT AND
527		-	CASE MANAGEMENT TO A MEMBER PRIOR TO THE MEMBER
528		-	'S RELEASE FROM
529		-	JAIL AND A THIRTY
530		-	-DAY SUPPLY OF PRESCRIPTION MEDICATIONS TO A
531		-	MEMBER UPON THE MEMBER
532		-	'S RELEASE FROM JAIL.
533		-	(II) T
534		-	HE STATE DEPARTMENT SHALL IMPLEMENT SUBSECTION
535		-	PAGE 12-HOUSE BILL 24-1045 (3)(a)(I) OF THIS SECTION ONLY IF THE STATE DEPARTMENT DETERMINES
536		-	THAT PROVIDING THE SERVICES DESCRIBED IN SUBSECTION
537		-	(3)(a)(I) OF THIS
538		-	SECTION IS BUDGET NEUTRAL
539		-	.
540		-	(b) B
541		-	EGINNING JULY 1, 2026, AND SUBJECT TO AVAILABLE
542		-	APPROPRIATIONS
543		-	, THE SERVICES DESCRIBED IN SUBSECTION (3)(a) OF THIS
544		-	SECTION ARE AVAILABLE UPON RECEIPT OF THE NECESSARY FEDERAL
545		-	AUTHORIZATION
546		-	.
547		-	(4) U
548		-	PON RECEIPT OF THE NECESSARY FEDERAL AUTHORIZATION , THE
549		-	STATE DEPARTMENT SHALL
550		-	:
551		-	(a) C
552		-	ONDUCT A RIGOROUS STAKEHOLDER PROCESS THAT INCLUDES ,
553		-	BUT IS NOT LIMITED TO, RECEIVING FEEDBACK FROM INDIVIDUALS WITH
554		-	LIVED EXPERIENCE IN ACCESSING
555		-	, OR THE INABILITY TO ACCESS ,
556		-	BEHAVIORAL HEALTH SERVICES IN CIVIL SETTINGS, COUNTY JAILS, JUVENILE
557		-	INSTITUTIONAL FACILITIES
558		-	, AND THE DEPARTMENT OF CORRECTIONS ; AND
559		-	(b) REQUIRE EACH COUNTY WITH A COUNTY JAIL SEEKING TO
560		-	PROVIDE SERVICES PURSUANT TO THIS SECTION TO DEMONSTRATE A
561		-	COMMITMENT TO DIVERSION OR DEFLECTION EFFORTS
562		-	, INCLUDING BUT NOT
563		-	LIMITED TO MOBILE OUTREACH
564		-	, CO-RESPONDER PROGRAMS , AND
565		-	PROSECUTOR
566		-	- OR JUDICIAL-LED INITIATIVES THAT AIM TO REDUCE
567		-	UNNECESSARY INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM AND
568		-	INCREASE ACCESS TO COMMUNITY
569		-	-BASED HOUSING, HEALTH CARE,
570		-	SUPPORTS, AND SERVICES.
571		-	(5) (a) T
572		-	HE STATE DEPARTMENT SHALL ONLY REIMBURSE AN OPIOID
573		-	TREATMENT PROGRAM
574		-	, AS DEFINED IN SECTION 27-80-203, FOR
575		-	ADMINISTERING MEDICATION
576		-	-ASSISTED TREATMENT IN A JAIL SETTING. AT
577		-	A MINIMUM
578		-	, AN OPIOID TREATMENT PROGRAM THAT ADMINISTERS
579		-	MEDICATION
580		-	-ASSISTED TREATMENT SHALL:
581		-	(I) E
582		-	MPLOY A PHYSICIAN MEDICAL DIRECTOR ;
583		-	(II) E
584		-	NSURE THE INDIVIDUAL RECEIVING MEDICATION -ASSISTED
585		-	TREATMENT UNDERGOES A MINIMUM OBSERVATION PERIOD AFTER
586		-	RECEIVING MEDICATION
587		-	-ASSISTED TREATMENT , AS DETERMINED BY
588		-	BEHAVIORAL HEALTH ADMINISTRATION RULE PURSUANT TO SECTION
589		-	27-80-204; AND
590		-	PAGE 13-HOUSE BILL 24-1045 (III) MEET ALL CRITICAL INCIDENT REPORTING REQUIREMENTS AS
591		-	DETERMINED BY BEHAVIORAL HEALTH ADMINISTRATION RULE PURSUANT TO
592		-	SECTION
593		-	27-80-204.
594		-	(b) T
595		-	HE STATE DEPARTMENT SHALL ENSURE AS PART OF THE STATE
596		-	DEPARTMENT
597		-	'S QUALITY OVERSIGHT THAT OPIOID TREATMENT PROGRAMS
598		-	THAT ADMINISTER MEDICATION
599		-	-ASSISTED TREATMENT IN A JAIL SETTING
600		-	MAINTAIN EMERGENCY POLICIES AND PROCEDURES THAT ADDRESS ADVERSE
601		-	OUTCOMES
602		-	.
	910	+	28. In Colorado Revised Statutes, add 27-50-804 as13
	911	+	follows:14
	912	+	27-50-804. Contingency management grant program -15
	913	+	creation - definitions - repeal. (1) A
	914	+	S USED IN THIS SECTION, UNLESS16
	915	+	THE CONTEXT OTHERWISE REQUIRES :17
	916	+	(a) "C
	917	+	ONTINGENCY MANAGEMENT PROGRAM " MEANS AN18
	918	+	EVIDENCE-BASED TREATMENT PROGRAM THAT PROVIDES MOTIVATIONAL19
	919	+	INCENTIVES TO TREAT INDIVIDUALS WITH A STIMULANT USE DISORDER .20
	920	+	(b) "G
	921	+	RANT PROGRAM" MEANS THE CONTINGENCY MANAGEMENT21
	922	+	GRANT PROGRAM CREATED IN SUBSECTION (2) OF THIS SECTION.22
	923	+	(c) "S
	924	+	TIMULANT USE DISORDER " MEANS A SUBSTANCE USE23
	925	+	DISORDER, AS DEFINED IN SECTION 27-80-203 (23.3), INVOLVING A CLASS24
	926	+	OF DRUGS THAT INCLUDES COCAINE , METHAMPHETAMINE , OR25
	927	+	PRESCRIPTION STIMULANTS.26
	928	+	(d) "S
	929	+	UBSTANCE USE DISORDER TREATMENT PROGRAM " HAS THE27
	930	+	1045
	931	+	-27- SAME MEANING AS SET FORTH IN SECTION 27-80-203 (23.5).1
	932	+	(2) T
	933	+	HERE IS CREATED IN THE BEHAVIORAL HEALTH2
	934	+	ADMINISTRATION THE CONTINGENC Y MANAGEMENT GRANT PROGRAM TO3
	935	+	PROVIDE GRANTS TO SUBSTANCE USE DISORDER TREATMENT PROGRAMS4
	936	+	THAT IMPLEMENT A CONTINGENCY MANAGEMENT PROGRAM FOR5
	937	+	INDIVIDUALS WITH A STIMULANT USE DISORDER .6
	938	+	(3) (a) G
	939	+	RANT RECIPIENTS MAY USE THE MONEY RECEIVED7
	940	+	THROUGH THE GRANT PROGRAM FOR STAFFING , TRAINING, SUPPLIES,8
	941	+	ADMINISTRATIVE COSTS, THE COSTS OF VOUCHERS AND PRIZES UP TO FIVE9
	942	+	HUNDRED NINETY-NINE DOLLARS PER CLIENT DURING THE TREATMENT10
	943	+	PERIOD, AND OTHER RELATED EXPENSES AS APPROVED BY THE BHA.11
	944	+	(b) A
	945	+	NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST12
	946	+	SUPPLEMENT AND NOT SUPPLANT EXISTING SUBSTANCE USE DISORDER13
	947	+	TREATMENT AND OTHER HEALTH -CARE SERVICES. GRANT RECIPIENTS14
	948	+	SHALL NOT USE MONEY RECEIVED THROUGH THE GRANT PROGRAM FOR15
	949	+	ONGOING OR EXISTING EXECUTIVE AND SENIOR STAFF SALARIES OR16
	950	+	SERVICES ALREADY COVERED BY MEDICAID OR A CLIENT 'S INSURANCE.17
	951	+	(4) T
	952	+	HE BHA SHALL ADMINISTER THE GRANT PROGRAM AND ,18
	953	+	SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD GRANTS AS19
	954	+	PROVIDED IN THIS SECTION.20
	955	+	(5) I
	956	+	N SELECTING GRANT RECIPIENTS, THE BHA SHALL PRIORITIZE21
	957	+	APPLICANTS THAT RESIDE IN A JURISDICTION WITH DEMONSTRATED NEED22
	958	+	TO HELP MITIGATE OVERDOSE INCIDENTS AND OVERDOSE DEATHS .23
603	959		(6) T
604		-	HE STATE DEPARTMENT MAY EXPAND SERVICES AVAILABLE
605		-	PURSUANT TO THIS SECTION AS AUTHORIZED PURSUANT TO FEDERAL LAW
606		-	AND REGULATIONS
607		-	. IF THE STATE DEPARTMENT SEEKS TO EXPAND SERVICES ,
608		-	THE STATE DEPARTMENT SHALL DEMONSTRATE HOW THE STATE
609		-	DEPARTMENT WILL ENSURE QUALITY OF CARE AND CLIENT SAFETY
610		-	, WHICH
611		-	MUST INCLUDE ADDRESSING QUALITY AND SAFETY IN ADMINISTERING
612		-	MEDICATIONS IN A JAIL SETTING
613		-	.
614		-	(7) (a) B
615		-	EGINNING JULY 1, 2025, AND EACH JULY 1 THEREAFTER, THE
616		-	STATE DEPARTMENT SHALL ANNUALLY REPORT TO THE HOUSE OF
617		-	REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND HUMAN SERVICES
618		-	COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES COMMITTEE
619		-	,
620		-	OR THEIR SUCCESSOR COMMITTEES , THE FOLLOWING INFORMATION :
621		-	(I) D
622		-	E-IDENTIFIED INFORMATION OF INDIVIDUALS WHO HAVE
623		-	ACCESSED SERVICES
624		-	, INCLUDING EACH INDIVIDUAL'S DEMOGRAPHICS, THE
625		-	TYPE OF SERVICES THE INDIVIDUAL ACCESSED
626		-	, THE DURATION OF THE
627		-	SERVICES OFFERED IN A CARCERAL SETTING COMPARED TO THE DURATION
628		-	OF THE SAME SERVICES OFFERED IN A CIVIL SETTING
629		-	, AND THE INDIVIDUAL'S
630		-	EXPERIENCES BEFORE AND AFTER INCARCERATION
631		-	, INCLUDING BUT NOT
632		-	LIMITED TO
633		-	:
634		-	(A) E
635		-	MERGENCY ROOM OR CRISIS SYSTEM VISITS ;
636		-	(B) I
637		-	NPATIENT STAYS FOR A PRIMARY BEHAVIORAL HEALTH
638		-	CONDITION
639		-	; AND
640		-	(C) SERVICES ACCESSED IN A QUALIFIED RESIDENTIAL TREATMENT
641		-	PROGRAM
642		-	, AS DEFINED IN SECTION 19-1-103, OR A PSYCHIATRIC RESIDENTIAL
643		-	TREATMENT FACILITY
644		-	, AS DEFINED IN SECTION 25.5-4-103;
645		-	PAGE 14-HOUSE BILL 24-1045 (II) THE TOTAL NUMBER OF MEDICAID MEMBERS WHO WERE
646		-	UNHOUSED BEFORE OR AFTER INCARCERATION
647		-	, IF AVAILABLE;
648		-	(III) T
649		-	HE TOTAL NUMBER OF UNIQUE INCARCERATION STAYS BY
650		-	MEDICAID MEMBERS
651		-	, AS DEMONSTRATED BY THE SERVICES ACCESSED ;
652		-	(IV) T
653		-	HE TOTAL NUMBER OF INDIVIDUALS WHO ACCESSED SERVICES
654		-	IN A CIVIL SETTING PRIOR TO ARREST OR DETAINMENT AND WERE
655		-	SUBSEQUENTLY EVALUATED FOR COMPETENCY
656		-	, ORDERED TO COMPETENCY
657		-	RESTORATION
658		-	, RESTORED TO COMPETENCY , OR FOUND INCOMPETENT TO
659		-	PROCEED IN A FORENSIC SETTING
660		-	; AND
661		-	(V) PERSISTENT GAPS IN CONTINUITY OF CARE IN LEAST-RESTRICTIVE
662		-	CIVIL SETTINGS
663		-	.
664		-	(b) N
665		-	OTWITHSTANDING SECTION 24-1-136 (11)(a)(I) TO THE
666		-	CONTRARY
667		-	, THE STATE DEPARTMENT'S REPORT CONTINUES INDEFINITELY.
668		-	(8) T
669		-	HE STATE DEPARTMENT MAY PROMULGATE RULES FOR THE
670		-	IMPLEMENTATION OF THIS SECTION
671		-	.
672		-	SECTION 19. In Colorado Revised Statutes, 25.5-5-320, amend
673		-	(7) as follows:
674		-	25.5-5-320. Telemedicine - reimbursement - disclosure statement
675		-	- rules - definition. (7) As used in this section, "health-care or mental
676		-	health-care services" includes speech therapy, physical therapy,
677		-	occupational therapy, dental care, hospice care, home health care,
678		-	SUBSTANCE USE DISORDER TREATMENT , and pediatric behavioral health
679		-	care.
680		-	SECTION 20. In Colorado Revised Statutes, 25.5-5-325, amend
681		-	(1); and add (2.5) as follows:
682		-	25.5-5-325. Partial hospitalization and residential and inpatient
683		-	substance use disorder treatment - medical detoxification services -
684		-	federal approval - performance review report. (1) Subject to available
685		-	appropriations and to the extent permitted under federal law, the medical
686		-	assistance program pursuant to this article 5 and articles 4 and 6 of this title
687		-	25.5 includes
688		-	PARTIAL HOSPITALIZATION AND residential and inpatient
689		-	PAGE 15-HOUSE BILL 24-1045 substance use disorder treatment and medical detoxification services.
690		-	Participation in
691		-	PARTIAL HOSPITALIZATION AND the residential and inpatient
692		-	substance use disorder treatment and medical detoxification services benefit
693		-	is limited to persons who meet nationally recognized, evidence-based level
694		-	of care criteria for
695		-	PARTIAL HOSPITALIZATION OR residential and inpatient
696		-	substance use disorder treatment and medical detoxification services. The
697		-	benefit shall
698		-	MUST serve persons with substance use disorders, including
699		-	those with co-occurring mental health disorders. All levels of nationally
700		-	recognized, evidence-based levels of care for
701		-	PARTIAL HOSPITALIZATION
702		-	AND
703		-	residential and inpatient substance use disorder treatment and medical
704		-	detoxification services must be included in the benefit.
705		-	(2.5) N
706		-	O LATER THAN JULY 1, 2026, THE STATE DEPARTMENT SHALL
707		-	SEEK FEDERAL AUTHORIZATION TO PROVIDE PARTIAL HOSPITALIZATION FOR
708		-	SUBSTANCE USE DISORDER TREATMENT WITH FULL FEDERAL FINANCIAL
709		-	PARTICIPATION
710		-	. PARTIAL HOSPITALIZATION FOR SUBSTANCE USE DISORDER
711		-	TREATMENT SHALL NOT TAKE EFFECT UNTIL FEDERAL APPROVAL HAS BEEN
712		-	OBTAINED
713		-	.
714		-	SECTION 21. In Colorado Revised Statutes, 25.5-5-422, amend
715		-	(2) as follows:
716		-	25.5-5-422. Medication-assisted treatment - limitations on MCEs
717		-	- definition. (2) Notwithstanding any provision of law to the contrary,
718		-	beginning January 1, 2020,
719		-	each MCE that provides prescription drug
720		-	benefits
721		-	OR METHADONE ADMINISTRATION for the treatment of substance use
722		-	disorders shall:
723		-	(a) Not impose any prior authorization requirements on any
724		-	prescription medication approved by the FDA for the treatment of substance
725		-	use disorders,
726		-	REGARDLESS OF THE DOSAGE AMOUNT ;
727		-	(b) Not impose any step therapy requirements as a prerequisite to
728		-	authorizing coverage for a prescription medication approved by the FDA for
729		-	the treatment of substance use disorders; and(c) Not exclude coverage for any prescription medication approved
730		-	by the FDA for the treatment of substance use disorders and any associated
731		-	counseling or wraparound services solely on the grounds that the
732		-	medications and services were court ordered;
733		-	AND
734		-	PAGE 16-HOUSE BILL 24-1045 (d) SET THE REIMBURSEMENT RATE FOR TAKE -HOME METHADONE
735		-	TREATMENT AND OFFICE
736		-	-ADMINISTERED METHADONE TREATMENT AT THE
737		-	SAME RATE
738		-	.
739		-	SECTION 22. In Colorado Revised Statutes, add 27-60-116 as
740		-	follows:
741		-	27-60-116. Withdrawal management facilities - data collection
742		-	- approval of admission criteria - definition - repeal. (1) (a) N
743		-	O LATER
744		-	THAN
745		-	JULY 1, 2025, THE BEHAVIORAL HEALTH ADMINISTRATION SHALL
746		-	COLLECT DATA FROM EACH WITHDRAWAL MANAGEMENT FACILITY ON THE
747		-	TOTAL NUMBER OF INDIVIDUALS WHO WERE DENIED ADMITTANCE OR
748		-	TREATMENT FOR WITHDRAWAL MANAGEMENT DURING THE PREVIOUS
749		-	CALENDAR YEAR AND THE REASON FOR THE DENIAL
750		-	.
751		-	(b) T
752		-	HE BHA SHALL SHARE THE DATA RECEIVED FROM WITHDRAWAL
753		-	MANAGEMENT FACILITIES PURSUANT TO SUBSECTION
754		-	(1)(a) OF THIS SECTION
755		-	WITH BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANIZATIONS
756		-	.
757		-	(2) B
758		-	EGINNING JANUARY 1, 2025, THE BHA SHALL REVIEW AND
759		-	APPROVE ANY ADMISSION CRITERIA ESTABLISHED BY A WITHDRAWAL
760		-	MANAGEMENT FACILITY
761		-	, AS DEFINED IN SECTION 27-66.5-102.
762		-	(3) A
763		-	S USED IN THIS SECTION, "WITHDRAWAL MANAGEMENT
764		-	FACILITY
765		-	" HAS THE SAME MEANING AS SET FORTH IN SECTION 27-66.5-102.
766		-	SECTION 23. In Colorado Revised Statutes, add 25.5-5-427 as
767		-	follows:
768		-	25.5-5-427. Managed care entities - behavioral health providers
769		-	- disclosure of reimbursement rates. (1) T
770		-	HE STATE DEPARTMENT SHALL
771		-	REQUIRE EACH
772		-	MCE THAT CONTRACTS WITH THE STATE DEPARTMENT TO
773		-	DISCLOSE THE AGGREGATED AVERAGE AND LOWEST RATES OF
774		-	REIMBURSEMENT FOR A SET OF BEHAVIORAL HEALTH SERVICES DETERMINED
775		-	BY THE STATE DEPARTMENT
776		-	.
777		-	(2) B
778		-	EHAVIORAL HEALTH PROVIDERS ARE AUTHORIZED TO DISCLOSE
779		-	THE REIMBURSEMENT RATES PAID BY AN
780		-	MCE TO THE BEHAVIORAL HEALTH
781		-	PROVIDER
782		-	.
783		-	PAGE 17-HOUSE BILL 24-1045 SECTION 24. In Colorado Revised Statutes, amend 25.5-5-510 as
784		-	follows:
785		-	25.5-5-510. Pharmacy reimbursement - substance use disorder
786		-	- injections. If a pharmacy has entered into a collaborative pharmacy
787		-	practice agreement with one or more physicians pursuant to section
788		-	12-280-602 to administer A PHARMACY ADMINISTERING injectable
789		-	antagonist medication for medication-assisted treatment for substance use
790		-	disorders the pharmacy administering the drug
791		-	shall receive an enhanced
792		-	dispensing fee that aligns with the administration fee paid to a provider in
793		-	a clinical setting.
794		-	SECTION 25. In Colorado Revised Statutes, add 25.5-5-512.5 as
795		-	follows:
796		-	25.5-5-512.5. Medications for opioid use disorder - pharmacists
797		-	- reimbursement - definition. (1) A
798		-	S USED IN THIS SECTION, UNLESS THE
799		-	CONTEXT OTHERWISE REQUIRES
800		-	, "MEDICATIONS FOR OPIOID USE DISORDER"
801		-	OR "MOUD" HAS THE MEANING AS SET FORTH IN SECTION 12-280-103
802		-	(27.5).
803		-	(2) T
804		-	HE STATE DEPARTMENT SHALL REIMBURSE A LICENSED
805		-	PHARMACIST FOR PRESCRIBING OR ADMINISTERING MEDICATIONS FOR AN
806		-	OPIOID USE DISORDER
807		-	, IF THE PHARMACIST IS AUTHORIZED PURSUANT TO
808		-	ARTICLE
809		-	280 OF TITLE 12, AT A RATE EQUAL TO THE REIMBURSEMENT
810		-	PROVIDED TO A PHYSICIAN
811		-	, PHYSICIAN ASSISTANT, OR ADVANCED PRACTICE
812		-	REGISTERED NURSE FOR THE SAME SERVICES
813		-	.
814		-	(3) T
815		-	HE STATE DEPARTMENT SHALL SEEK ANY FEDERAL
816		-	AUTHORIZATION NECESSARY TO IMPLEMENT THIS SECTION
817		-	.
818		-	SECTION 26. In Colorado Revised Statutes, 26.5-3-206, add (4)
819		-	as follows:
820		-	26.5-3-206. Colorado child abuse prevention trust fund -
821		-	creation - source of funds - repeal. (4) (a) F
822		-	OR THE 2024-25 STATE FISCAL
823		-	YEAR AND EACH STATE FISCAL YEAR THEREAFTER
824		-	, THE GENERAL ASSEMBLY
825		-	SHALL APPROPRIATE ONE HUNDRED FIFTY THOUSAND DOLLARS TO THE
826		-	TRUST FUND
827		-	. THE BOARD SHALL DISTRIBUTE THE MONEY APPROPRIATED
828		-	PURSUANT TO THIS SUBSECTION
829		-	(4)(a) FOR PROGRAMS TO REDUCE THE
830		-	PAGE 18-HOUSE BILL 24-1045 OCCURRENCE OF PRENATAL SUBSTANCE EXPOSURE IN ACCORDANCE WITH
831		-	SECTION
832		-	26.5-3-205 (1)(h)(III).
833		-	(b) (I) F
834		-	OR THE 2024-25 AND 2025-26 STATE FISCAL YEARS, THE
835		-	GENERAL ASSEMBLY SHALL ANNUALLY APPROPRIATE FIFTY THOUSAND
836		-	DOLLARS TO THE TRUST FUND
837		-	. THE BOARD SHALL DISTRIBUTE THE MONEY
838		-	APPROPRIATED PURSUANT TO THIS SUBSECTION
839		-	(4)(b) TO CONVENE A
840		-	STAKEHOLDER GROUP TO IDENTIFY STRATEGIES TO INCREASE ACCESS TO
841		-	CHILD CARE FOR FAMILIES SEEKING SUBSTANCE USE DISORDER TREATMENT
842		-	AND RECOVERY SERVICES
843		-	.
844		-	(II) T
845		-	HIS SUBSECTION (4)(b) IS REPEALED, EFFECTIVE JUNE 30, 2027.
846		-	SECTION 27. In Colorado Revised Statutes, add 27-50-305 as
847		-	follows:
848		-	27-50-305. Resources to support behavioral health safety net
849		-	providers - independent third-party contract. (1) N
850		-	O LATER THAN JULY
851		-	1, 2025, THE BHA SHALL CONTRACT WITH AN INDEPENDENT THIRD -PARTY
852		-	ENTITY TO PROVIDE SERVICES AND SUPPORTS TO BEHAVIORAL HEALTH
853		-	PROVIDERS SEEKING TO BECOME A BEHAVIORAL HEALTH SAFETY NET
854		-	PROVIDER WITH THE GOAL OF THE PROVIDER BECOMING SELF
855		-	-SUSTAINING.
856		-	(2) T
857		-	HE INDEPENDENT THIRD -PARTY ENTITY SHALL ASSIST
858		-	BEHAVIORAL HEALTH PROVIDERS IN ACCESSING ALTERNATIVE PAYMENT
859		-	MODELS AND ENHANCED REIMBURSEMENT RATES THROUGH THE
860		-	BHA AND
861		-	MEDICAID BY PROVIDING
862		-	:
863		-	(a) S
864		-	UPPORT TO PROVIDERS IN COMPLETING THE ANNUAL COST
865		-	REPORTING TO INFORM MEDICAID RATE
866		-	-SETTING;
867		-	(b) A
868		-	NALYSIS OF CURRENT ACCOUNTING PRACTICES AND
869		-	RECOMMENDATIONS ON IMPLEMENTING NEW OR MODIFIED PRACTICES TO
870		-	SUPPORT THE SOUNDNESS OF COST REPORTING
871		-	;
872		-	(c) A
873		-	DMINISTRATIVE SUPPORT FOR ENROLLING IN DIFFERENT PAYER
874		-	TYPES
875		-	, INCLUDING, BUT NOT LIMITED TO, MEDICAID, MEDICARE, AND
876		-	COMMERCIAL INSURANCE
877		-	;
878		-	(d) B
879		-	ILLING AND CODING SUPPORT;
880		-	PAGE 19-HOUSE BILL 24-1045 (e) CLAIMS PROCESSING;
881		-	(f) D
882		-	ATA ANALYSIS;
883		-	(g) C
884		-	OMPLIANCE AND TRAINING ON POLICIES AND PROCEDURES ;
885		-	(h) S
886		-	HARED PURCHASING FOR TECHNOLOGY ;
887		-	(i) A
888		-	SSISTANCE IN BUILDING PROVIDER CAPACITY TO BECOME A
889		-	BEHAVIORAL HEALTH SAFETY NET PROVIDER
890		-	; AND
891		-	(j) ANY OTHER SERVICE AND SUPPORT APPROVED BY THE BHA.
892		-	(3) T
893		-	HE INDEPENDENT THIRD-PARTY ENTITY SHALL PRIORITIZE
894		-	PROVIDING SERVICES AND SUPPORTS TO A BEHAVIORAL HEALTH PROVIDER
895		-	THAT HAS NOT PREVIOUSLY USED THE STATE COST REPORT PROCESS TO SET
896		-	MEDICAID RATES
897		-	.
898		-	(4) T
899		-	HE INDEPENDENT THIRD-PARTY ENTITY SHALL BE NONPARTISAN
900		-	AND SHALL NOT LOBBY
901		-	, PERSONALLY OR IN ANY OTHER MANNER , DIRECTLY
902		-	OR INDIRECTLY
903		-	, FOR OR AGAINST ANY PENDING LEGISLATION BEFORE THE
904		-	GENERAL ASSEMBLY
905		-	.
906		-	SECTION 28. In Colorado Revised Statutes, add 27-50-805 as
907		-	follows:
908		-	27-50-805. Contingency management grant program - creation
909		-	- definitions - repeal. (1) A
910		-	S USED IN THIS SECTION, UNLESS THE CONTEXT
911		-	OTHERWISE REQUIRES
912		-	:
913		-	(a) "C
914		-	ONTINGENCY MANAGEMENT PROGRAM " MEANS AN
915		-	EVIDENCE
916		-	-BASED TREATMENT PROGRAM THAT PROVIDES MOTIVATIONAL
917		-	INCENTIVES TO TREAT INDIVIDUALS WITH A STIMULANT USE DISORDER
918		-	.
919		-	(b) "G
920		-	RANT PROGRAM" MEANS THE CONTINGENCY MANAGEMENT
921		-	GRANT PROGRAM CREATED IN SUBSECTION
922		-	(2) OF THIS SECTION.
923		-	(c) "S
924		-	TIMULANT USE DISORDER" MEANS A SUBSTANCE USE DISORDER,
925		-	AS DEFINED IN SECTION 27-80-203 (23.3), INVOLVING A CLASS OF DRUGS
926		-	THAT INCLUDES COCAINE
927		-	, METHAMPHETAMINE , OR PRESCRIPTION
928		-	PAGE 20-HOUSE BILL 24-1045 STIMULANTS.
929		-	(d) "S
930		-	UBSTANCE USE DISORDER TREATMENT PROGRAM " HAS THE
931		-	SAME MEANING AS SET FORTH IN SECTION
932		-	27-80-203 (23.5).
933		-	(2) T
934		-	HERE IS CREATED IN THE BEHAVIORAL HEALTH ADMINISTRATION
935		-	THE CONTINGENCY MANAGEMENT GRANT PROGRAM TO PROVIDE GRANTS TO
936		-	SUBSTANCE USE DISORDER TREATMENT PROGRAMS THAT IMPLEMENT A
937		-	CONTINGENCY MANAGEMENT PROGRAM FOR INDIVIDUALS WITH A
938		-	STIMULANT USE DISORDER
939		-	.
940		-	(3) (a) G
941		-	RANT RECIPIENTS MAY USE THE MONEY RECEIVED THROUGH
942		-	THE GRANT PROGRAM FOR STAFFING
943		-	, TRAINING, SUPPLIES, ADMINISTRATIVE
944		-	COSTS
945		-	, THE COSTS OF VOUCHERS AND PRIZES UP TO FIVE HUNDRED
946		-	NINETY
947		-	-NINE DOLLARS PER CLIENT DURING THE TREATMENT PERIOD , AND
948		-	OTHER RELATED EXPENSES AS APPROVED BY THE
949		-	BHA.
950		-	(b) A
951		-	NY MONEY RECEIVED THROUGH THE GRANT PROGRAM MUST
952		-	SUPPLEMENT AND NOT SUPPLANT EXISTING SUBSTANCE USE DISORDER
953		-	TREATMENT AND OTHER HEALTH
954		-	-CARE SERVICES. GRANT RECIPIENTS SHALL
955		-	NOT USE MONEY RECEIVED THROUGH THE GRANT PROGRAM FOR ONGOING OR
956		-	EXISTING EXECUTIVE AND SENIOR STAFF SALARIES OR SERVICES ALREADY
957		-	COVERED BY MEDICAID OR A CLIENT
958		-	'S INSURANCE.
959		-	(4) T
960		-	HE BHA SHALL ADMINISTER THE GRANT PROGRAM AND ,
961		-	SUBJECT TO AVAILABLE APPROPRIATIONS , SHALL AWARD GRANTS AS
962		-	PROVIDED IN THIS SECTION
963		-	.
964		-	(5) I
965		-	N SELECTING GRANT RECIPIENTS, THE BHA SHALL PRIORITIZE
966		-	APPLICANTS THAT RESIDE IN A JURISDICTION WITH DEMONSTRATED NEED TO
967		-	HELP MITIGATE OVERDOSE INCIDENTS AND OVERDOSE DEATHS
968		-	.
969		-	(6) T
970		-	HE BHA MAY CONTRACT WITH A GRANT APPLICATION AND
971		-	SUPPORT TEAM TO ASSIST THE
972		-	BHA WITH DRAFTING THE GRANT
973		-	APPLICATION
974		-	, REVIEWING APPLICATIONS , AND ADMINISTERING AND
975		-	PROCESSING GRANT AWARDS
976		-	.
977		-	(7) T
978		-	HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.
979		-	SECTION 29. In Colorado Revised Statutes, 27-80-116, add (5) as
980		-	PAGE 21-HOUSE BILL 24-1045 follows:
981		-	27-80-116. Fetal alcohol spectrum disorders - legislative
982		-	declaration - health warning signs - federal funding. (5) T
983		-	HE
984		-	BEHAVIORAL HEALTH ADMINISTRATION IS AUTHORIZED TO APPLY FOR
985		-	FEDERAL FUNDING FOR FETAL ALCOHOL SPECTRUM DISORDER PROGRAMS
986		-	AND TO RECEIVE AND DISBURSE THE FEDERAL F UNDS TO PUBLIC AND
987		-	PRIVATE NONPROFIT ORGANIZATIONS
988		-	.
989		-	SECTION 30. In Colorado Revised Statutes, amend 10-22.3-102
990		-	as follows:
991		-	10-22.3-102. Repeal of article. This article 22.3 is repealed,
992		-	effective September 1, 2024
993		-	SEPTEMBER 1, 2026.
994		-	SECTION 31. Appropriation. (1) For the 2024-25 state fiscal
995		-	year, $250,000 is appropriated to the department of human services. This
996		-	appropriation is from the general fund. To implement this act, the
997		-	department may use this appropriation for criminal justice diversion
998		-	programs.
999		-	(2) For the 2024-25 state fiscal year, $250,000 is appropriated to the
1000		-	judicial department. This appropriation is from the general fund. To
1001		-	implement this act, the department may use this appropriation for district
1002		-	attorney adult pretrial diversion programs.
1003		-	(3) For the 2024-25 state fiscal year, $1,325,647 is appropriated to
1004		-	the department of human services for use by the behavioral health
1005		-	administration. This appropriation is from the general fund. To implement
1006		-	this act, the administration may use this appropriation as follows:
1007		-	(a) $30,152 for program administration related the community
1008		-	behavioral health administration, which amount is based on an assumption
1009		-	that the administration will require an additional 0.3 FTE;
1010		-	(b) $545,495 for contract and data management related to substance
1011		-	use treatment and prevention services; and
1012		-	(c) $750,000 for the contingency management grant related to
1013		-	substance use treatment and prevention services, which amount is based on
1014		-	PAGE 22-HOUSE BILL 24-1045 an assumption that the administration will require an additional 1.0 FTE.
1015		-	(4) For the 2024-25 state fiscal year, $176,831 is appropriated to the
1016		-	department of health care policy and financing for use by the executive
1017		-	director's office. This appropriation consists of $155,946 from the general
1018		-	fund and $20,885 from the healthcare affordability and sustainability cash
1019		-	fund created in section 25.5-4-402.4 (5)(a), C.R.S. To implement this act,
1020		-	the office may use this appropriation as follows:
1021		-	(a) $117,563 general fund for personal services, which amount is
1022		-	based on an assumption that the office will require an additional 2.7 FTE;
1023		-	(b) $11,733 general fund for operating expenses; and
1024		-	(c) $47,535, which consists of $26,650 general fund and $20,885
1025		-	from the healthcare affordability and sustainability cash fund, for medicaid
1026		-	management information system maintenance and projects.
1027		-	(5) For the 2024-25 state fiscal year, the general assembly
1028		-	anticipates that the department of health care policy and financing will
1029		-	receive $525,189 in federal funds for use by the executive director's office
1030		-	to implement this act, which amount is subject to the "(I)" notation as
1031		-	defined in the annual general appropriation act for the same fiscal year. The
1032		-	appropriation in subsection (4) of this section is based on the assumption
1033		-	that the department will receive this amount of federal funds to be used as
1034		-	follows:
1035		-	(a) $117,562 for personal services;
1036		-	(b) $11,733 for operating expenses; and
1037		-	(c) $395,894 for medicaid management information system
1038		-	maintenance and projects.
1039		-	(6) For the 2024-25 state fiscal year, $25,060 is appropriated to the
1040		-	department of health care policy and financing for use by the executive
1041		-	director's office. This appropriation consists of $14,049 from the general
1042		-	fund, and is subject to the "(M)" notation as defined in the annual general
1043		-	appropriation act for the same fiscal year, and $11,011 from the healthcare
1044		-	affordability and sustainability cash fund created in section 25.5-4-402.4
1045		-	PAGE 23-HOUSE BILL 24-1045 (5)(a), C.R.S. To implement this act, the office may use this appropriation
1046		-	for the Colorado benefits management systems, operating and contract
1047		-	expenses.
1048		-	(7) For the 2024-25 state fiscal year, the general assembly
1049		-	anticipates that the department of health care policy and financing will
1050		-	receive $208,705 in federal funds for use by the executive director's office
1051		-	to implement this act. The appropriation in subsection (6) of this section is
1052		-	based on the assumption that the department will receive this amount of
1053		-	federal funds to be used for the Colorado benefits management systems,
1054		-	operating and contract expenses.
1055		-	(8) For the 2024-25 state fiscal year, $200,000 is appropriated to the
1056		-	Colorado child abuse prevention trust fund created in section 26.5-3-206
1057		-	(1), C.R.S. This appropriation is from the general fund. The department of
1058		-	early childhood is responsible for the accounting related to this
1059		-	appropriation.
1060		-	(9) For the 2024-25 state fiscal year, $200,000 is appropriated to the
1061		-	department of early childhood for use by the community and family support
1062		-	division. This appropriation is from reappropriated funds in the Colorado
1063		-	child abuse prevention trust fund under subsection (8) of this section. To
1064		-	implement this act, the division may use this appropriation for the child
1065		-	maltreatment prevention.
1066		-	(10) For the 2024-25 state fiscal year, $36,514 is appropriated to the
1067		-	department of regulatory agencies for use by the division of insurance. This
1068		-	appropriation is from the division of insurance cash fund created in section
1069		-	10-1-103 (3)(a)(I), C.R.S. To implement this act, the division may use this
1070		-	appropriation as follows:
1071		-	(a) $29,332 for personal services, which amount is based on an
1072		-	assumption that the division will require an additional 0.4 FTE; and
1073		-	(b) $7,182 for operating expenses.
1074		-	SECTION 32. Act subject to petition - effective date. Section
1075		-	27-60-116 (1)(b), as enacted in section 22 of this act, takes effect July 1,
1076		-	2025, and the remainder of this act takes effect at 12:01 a.m. on the day
1077		-	following the expiration of the ninety-day period after final adjournment of
1078		-	PAGE 24-HOUSE BILL 24-1045 the general assembly; except that, if a referendum petition is filed pursuant
1079		-	to section 1 (3) of article V of the state constitution against this act or an
1080		-	item, section, or part of this act within such period, then the act, item,
1081		-	section, or part will not take effect unless approved by the people at the
1082		-	general election to be held in November 2024 and, in such case, will take
1083		-	effect on the date of the official declaration of the vote thereon by the
1084		-	governor; except that section 27-60-116 (1)(b), as enacted in section 22 of
1085		-	this act, takes effect July 1, 2025.
1086		-	____________________________ ____________________________
1087		-	Julie McCluskie Steve Fenberg
1088		-	SPEAKER OF THE HOUSE PRESIDENT OF
1089		-	OF REPRESENTATIVES THE SENATE
1090		-	____________________________ ____________________________
1091		-	Robin Jones Cindi L. Markwell
1092		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
1093		-	OF REPRESENTATIVES THE SENATE
1094		-	APPROVED________________________________________
1095		-	(Date and Time)
1096		-	_________________________________________
1097		-	Jared S. Polis
1098		-	GOVERNOR OF THE STATE OF COLORADO
1099		-	PAGE 25-HOUSE BILL 24-1045
	960	+	HE BHA MAY CONTRACT WITH A GRANT APPLICATION AND24
	961	+	SUPPORT TEAM TO ASSIST THE BHA WITH DRAFTING THE GRANT25
	962	+	APPLICATION, REVIEWING APPLICATIONS , AND ADMINISTERING AND26
	963	+	PROCESSING GRANT AWARDS .27
	964	+	1045
	965	+	-28- (7) THIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.1
	966	+	2
	967	+	SECTION 29. In Colorado Revised Statutes, 27-80-116, add (5)3
	968	+	as follows:4
	969	+	27-80-116. Fetal alcohol spectrum disorders - legislative5
	970	+	declaration - health warning signs - federal funding. (5) THE6
	971	+	BEHAVIORAL HEALTH ADMINISTRATION IS AUTHORIZED TO APPLY FOR7
	972	+	FEDERAL FUNDING FOR FETAL ALCOHOL SPECTRUM DISORDER PROGRAMS8
	973	+	AND TO RECEIVE AND DISBURSE THE FEDERAL FUNDS TO PUBLIC AND9
	974	+	PRIVATE NONPROFIT ORGANIZATIONS .10
	975	+	SECTION 30. In Colorado Revised Statutes, amend 10-22.3-10211
	976	+	as follows:12
	977	+	10-22.3-102. Repeal of article. This article 22.3 is repealed,13
	978	+	effective September 1, 2024 SEPTEMBER 1, 2026.14
	979	+	SECTION 31. Appropriation. (1) For the 2024-25 state fiscal15
	980	+	year, $250,000 is appropriated to the department of human services. This16
	981	+	appropriation is from the general fund. To implement this act, the17
	982	+	department may use this appropriation for criminal justice diversion18
	983	+	programs.19
	984	+	(2) For the 2024-25 state fiscal year, $250,000 is appropriated to20
	985	+	the judicial department. This appropriation is from the general fund. To21
	986	+	implement this act, the department may use this appropriation for district22
	987	+	attorney adult pretrial diversion programs.23
	988	+	(3) For the 2024-25 state fiscal year, $1,325,647 is appropriated24
	989	+	to the department of human services for use by the behavioral health25
	990	+	administration. This appropriation is from the general fund. To implement26
	991	+	this act, the administration may use this appropriation as follows:27
	992	+	1045
	993	+	-29- (a) $30,152 for program administration related the community1
	994	+	behavioral health administration, which amount is based on an2
	995	+	assumption that the administration will require an additional 0.3 FTE;3
	996	+	(b) $545,495 for contract and data management related to4
	997	+	substance use treatment and prevention services; and5
	998	+	(c) $750,000 for the contingency management grant related to6
	999	+	substance use treatment and prevention services, which amount is based7
	1000	+	on an assumption that the administration will require an additional 1.08
	1001	+	FTE.9
	1002	+	(4) For the 2024-25 state fiscal year, $176,831 is appropriated to10
	1003	+	the department of health care policy and financing for use by the11
	1004	+	executive director's office. This appropriation consists of $155,946 from12
	1005	+	the general fund and $20,885 from the healthcare affordability and13
	1006	+	sustainability cash fund created in section 25.5-4-402.4 (5)(a), C.R.S. To14
	1007	+	implement this act, the office may use this appropriation as follows:15
	1008	+	(a) $117,563 general fund for personal services, which amount is16
	1009	+	based on an assumption that the office will require an additional 2.7 FTE;17
	1010	+	(b) $11,733 general fund for operating expenses; and18
	1011	+	(c) $47,535, which consists of $26,650 general fund and $20,88519
	1012	+	from the healthcare affordability and sustainability cash fund, for20
	1013	+	medicaid management information system maintenance and projects.21
	1014	+	(5) For the 2024-25 state fiscal year, the general assembly22
	1015	+	anticipates that the department of health care policy and financing will23
	1016	+	receive $525,189 in federal funds for use by the executive director's24
	1017	+	office to implement this act, which amount is subject to the "(I)" notation25
	1018	+	as defined in the annual general appropriation act for the same fiscal year.26
	1019	+	The appropriation in subsection (4) of this section is based on the27
	1020	+	1045
	1021	+	-30- assumption that the department will receive this amount of federal funds1
	1022	+	to be used as follows:2
	1023	+	(a) $117,562 for personal services;3
	1024	+	(b) $11,733 for operating expenses; and4
	1025	+	(c) $395,894 for medicaid management information system5
	1026	+	maintenance and projects.6
	1027	+	(6) For the 2024-25 state fiscal year, $25,060 is appropriated to7
	1028	+	the department of health care policy and financing for use by the8
	1029	+	executive director's office. This appropriation consists of $14,049 from9
	1030	+	the general fund, and is subject to the "(M)" notation as defined in the10
	1031	+	annual general appropriation act for the same fiscal year, and $11,01111
	1032	+	from the healthcare affordability and sustainability cash fund created in12
	1033	+	section 25.5-4-402.4 (5)(a), C.R.S. To implement this act, the office may13
	1034	+	use this appropriation for the Colorado benefits management systems,14
	1035	+	operating and contract expenses.15
	1036	+	(7) For the 2024-25 state fiscal year, the general assembly16
	1037	+	anticipates that the department of health care policy and financing will17
	1038	+	receive $208,705 in federal funds for use by the executive director's18
	1039	+	office to implement this act. The appropriation in subsection (6) of this19
	1040	+	section is based on the assumption that the department will receive this20
	1041	+	amount of federal funds to be used for the Colorado benefits management21
	1042	+	systems, operating and contract expenses.22
	1043	+	(8) For the 2024-25 state fiscal year, $200,000 is appropriated to23
	1044	+	the Colorado child abuse prevention trust fund created in section24
	1045	+	26.5-3-206 (1), C.R.S. This appropriation is from the general fund. The25
	1046	+	department of early childhood is responsible for the accounting related to26
	1047	+	this appropriation. 27
	1048	+	1045
	1049	+	-31- (9) For the 2024-25 state fiscal year, $200,000 is appropriated to1
	1050	+	the department of early childhood for use by the community and family2
	1051	+	support division. This appropriation is from reappropriated funds in the3
	1052	+	Colorado child abuse prevention trust fund under subsection (8) of this4
	1053	+	section. To implement this act, the division may use this appropriation for5
	1054	+	the child maltreatment prevention.6
	1055	+	(10) For the 2024-25 state fiscal year, $36,514 is appropriated to7
	1056	+	the department of regulatory agencies for use by the division of insurance.8
	1057	+	This appropriation is from the division of insurance cash fund created in9
	1058	+	section 10-1-103 (3)(a)(I), C.R.S. To implement this act, the division may10
	1059	+	use this appropriation as follows:11
	1060	+	(a) $29,332 for personal services, which amount is based on an12
	1061	+	assumption that the division will require an additional 0.4 FTE; and13
	1062	+	(b) $7,182 for operating expenses.14
	1063	+	SECTION 32. Act subject to petition - effective date. Section15
	1064	+	27-60-116 (1)(b), as enacted in section 22 of this act, takes effect July 1,16
	1065	+	2025, and the remainder of this act takes effect at 12:01 a.m. on the day17
	1066	+	following the expiration of the ninety-day period after final adjournment18
	1067	+	of the general assembly; except that, if a referendum petition is filed19
	1068	+	pursuant to section 1 (3) of article V of the state constitution against this20
	1069	+	act or an item, section, or part of this act within such period, then the act,21
	1070	+	item, section, or part will not take effect unless approved by the people22
	1071	+	at the general election to be held in November 2024 and, in such case,23
	1072	+	will take effect on the date of the official declaration of the vote thereon24
	1073	+	by the governor; except that section 27-60-116 (1)(b), as enacted in25
	1074	+	section 22 of this act, takes effect July 1, 2025.26
	1075	+	1045
	1076	+	-32-