Colorado 2024 Regular Session

Colorado House Bill HB1048 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. 24-0363.01 Christopher McMichael x4775
1	8		HOUSE BILL 24-1048
2		-	BY REPRESENTATIVE(S) McCormick and Martinez, McLachlan,
3		-	Amabile, Bacon, Bird, Boesenecker, Brown, Catlin, Clifford, Epps,
4		-	Froelich, Garcia, Hamrick, Jodeh, Kipp, Lindsay, Lindstedt, Lukens, Lynch,
5		-	Mauro, Parenti, Ricks, Snyder, Soper, Story, Titone, Valdez, Vigil, Young,
6		-	McCluskie, Armagost, English, Herod, Joseph, Lieder, Marshall, Marvin,
7		-	Ortiz, Weinberg, Willford;
8		-	also SENATOR(S) Ginal and Pelton B., Pelton R., Simpson, Bridges,
9		-	Danielson, Hansen, Jaquez Lewis, Kirkmeyer, Kolker, Marchman, Roberts,
10		-	Van Winkle, Will.
	9	+	House Committees Senate Committees
	10	+	Agriculture, Water & Natural Resources Agriculture & Natural Resources
	11	+	A BILL FOR AN ACT
11	12		C
12		-	ONCERNING THE PROVISION OF VETERINARY SERVICES THROUGH
13		-	TELEHEALTH
14		-	.
15		-
16		-	Be it enacted by the General Assembly of the State of Colorado:
17		-	SECTION 1. In Colorado Revised Statutes, 12-315-104, amend
18		-	(19) as follows:
19		-	12-315-104. Definitions. As used in this article 315, unless the
20		-	context otherwise requires:
	13	+	ONCERNING THE PROVISION OF VETERI NARY SERVICES THROUGH101
	14	+	TELEHEALTH.102
	15	+	Bill Summary
	16	+	(Note: This summary applies to this bill as introduced and does
	17	+	not reflect any amendments that may be subsequently adopted. If this bill
	18	+	passes third reading in the house of introduction, a bill summary that
	19	+	applies to the reengrossed version of this bill will be available at
	20	+	http://leg.colorado.gov/
	21	+	.)
	22	+	Water Resources and Agriculture Review Committee. The bill
	23	+	concerns the use of telehealth to provide veterinary services. The bill
	24	+	defines different types of telehealth tools that can be used in a veterinary
	25	+	practice.
	26	+	In current law, one criterion for the establishment of a
	27	+	veterinarian-client-patient relationship is that the veterinarian has
	28	+	SENATE
	29	+	3rd Reading Unamended
	30	+	February 26, 2024
	31	+	SENATE
	32	+	Amended 2nd Reading
	33	+	February 23, 2024
	34	+	HOUSE
	35	+	3rd Reading Unamended
	36	+	February 12, 2024
	37	+	HOUSE
	38	+	Amended 2nd Reading
	39	+	February 9, 2024
	40	+	HOUSE SPONSORSHIP
	41	+	McCormick and Martinez, McLachlan, Amabile, Bacon, Bird, Boesenecker, Brown,
	42	+	Catlin, Clifford, Epps, Froelich, Garcia, Hamrick, Jodeh, Kipp, Lindsay, Lindstedt, Lukens,
	43	+	Lynch, Mauro, McCluskie, Parenti, Ricks, Snyder, Soper, Story, Titone, Valdez, Vigil, Young
	44	+	SENATE SPONSORSHIP
	45	+	Ginal and Pelton B., Pelton R., Simpson, Bridges, Danielson, Hansen, Jaquez Lewis,
	46	+	Kirkmeyer, Kolker, Marchman, Roberts, Van Winkle, Will
	47	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	48	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	49	+	Dashes through the words or numbers indicate deletions from existing law. conducted an examination of the animal that is the patient. The bill
	50	+	clarifies that the examination must be an in-person, physical examination.
	51	+	The bill also extends the veterinarian-client-patient relationship to other
	52	+	licensed veterinarians who share the same physical premises as the
	53	+	veterinarian who established the relationship if the other veterinarians
	54	+	have access to and have reviewed the patient's medical records.
	55	+	The bill allows a licensed veterinarian who has established a
	56	+	veterinarian-client-patient relationship to use telehealth to provide
	57	+	veterinary services to clients and patients in Colorado with the consent of
	58	+	the client. A licensed veterinarian may also refer a patient to a veterinary
	59	+	specialist, who may provide veterinary services via telemedicine under
	60	+	the referring veterinarian's veterinarian-client-patient relationship.
	61	+	The bill authorizes the state board of veterinary medicine to
	62	+	establish rules for the use of telehealth to provide veterinary services.
	63	+	The bill clarifies that only a licensed veterinarian with an
	64	+	established veterinarian-client-patient relationship may prescribe
	65	+	medication using telemedicine.
	66	+	The bill allows a licensed veterinarian who has established a
	67	+	veterinarian-client-patient relationship to supervise veterinary personnel
	68	+	who are not located on the same premises using telesupervision if the
	69	+	veterinarian and the personnel are employees of the same veterinary
	70	+	practice and the veterinary premises, the veterinary professionals or other
	71	+	veterinary personnel, and the patient are all located in Colorado.
	72	+	The bill establishes record-keeping, confidentiality, and privacy
	73	+	requirements related to the use of telehealth.
	74	+	Be it enacted by the General Assembly of the State of Colorado:1
	75	+	SECTION 1. In Colorado Revised Statutes, 12-315-104, amend2
	76	+	(19) as follows:3
	77	+	12-315-104. Definitions. As used in this article 315, unless the4
	78	+	context otherwise requires:5
21	79		(19) (a) "Veterinarian-client-patient relationship" means that
22		-	THE
23		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
24		-	officers and the Governor. To determine whether the Governor has signed the bill
25		-	or taken other action on it, please consult the legislative status sheet, the legislative
26		-	history, or the Session Laws.
27		-	________
28		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
29		-	through words or numbers indicate deletions from existing law and such material is not part of
30		-	the act. relationship established when:
31		-	(a) (I) The veterinarian has assumed the responsibility for making
32		-	medical judgments regarding the health of an animal and the need for
33		-	medical treatment, and the owner,
34		-	OWNER'S AGENT, or other AUTHORIZED
35		-	caretaker has agreed to follow the instruction of the veterinarian;
36		-	(b) (II) There is sufficient knowledge of an animal by the
37		-	veterinarian to initiate at least a general or preliminary diagnosis of the
38		-	medical condition of the animal, which means that the veterinarian has
39		-	recently seen and is personally acquainted with the keeping and care of the
40		-	animal by virtue of an
41		-	IN-PERSON, PHYSICAL examination of the animal or
42		-	by medically appropriate and timely visits to the premises where the animal
43		-	is kept; and
	80	+	THE6
	81	+	relationship established when:7
	82	+	(a) (I) The veterinarian has assumed the responsibility for making8
	83	+	medical judgments regarding the health of an animal and the need for9
	84	+	medical treatment, and the owner, OWNER'S AGENT, or other AUTHORIZED10
	85	+	caretaker has agreed to follow the instruction of the veterinarian;11
	86	+	1048-2- (b) (II) There is sufficient knowledge of an animal by the1
	87	+	veterinarian to initiate at least a general or preliminary diagnosis of the2
	88	+	medical condition of the animal, which means that the veterinarian has3
	89	+	recently seen and is personally acquainted with the keeping and care of4
	90	+	the animal by virtue of an
	91	+	IN-PERSON, PHYSICAL examination of the5
	92	+	animal or by medically appropriate and timely visits to the premises6
	93	+	where the animal is kept; and7
44	94		(c)
45		-	(III) The practicing veterinarian is readily available, or ~~has~~
46		-	arranged for emergency coverage, for follow-up evaluation in the ~~event of~~
47		-	adverse reactions or failure of the treatment regimen.
	95	+	(III) The practicing veterinarian is readily available, or has8
	96	+	arranged for emergency coverage, for follow-up evaluation in the event9
	97	+	of adverse reactions or failure of the treatment regimen.10
48	98		(b) A
49		-	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP ESTABLISHED
50		-	ACCORDING TO SUBSECTION
51		-	(19)(a) OF THIS SECTION MAY EXTEND TO OTHER
52		-	LICENSED VETERINARIANS WORKING OUT OF THE SAME PHYSICAL PRACTICE
53		-	LOCATION AS THE VETERINARIAN WHO ESTABLISHED THE
54		-	VETERINARIAN
55		-	-CLIENT-PATIENT RELATIONSHIP IF THE OTHER LICENSED
56		-	VETERINARIANS HAVE ACCESS TO AND HAVE REVIEWED THE PATIENT
57		-	'S
58		-	MEDICAL RECORDS
59		-	.
60		-	SECTION 2. In Colorado Revised Statutes, 12-315-106, add (9) as
61		-	follows:
62		-	12-315-106. Board of veterinary medicine - creation - powers -
63		-	rules. (9) (a) T
64		-	HE BOARD MAY PROMULGATE RULES REGARDING THE USE OF
65		-	TELEHEALTH TO PROVIDE VETERINARY SERVICES IN
66		-	COLORADO PURSUANT
67		-	TO PART
68		-	3 OF THIS ARTICLE 315.
69		-	(b) I
70		-	N DEVELOPING RULES PURSUANT TO SUBSECTION (9)(a) OF THIS
71		-	SECTION
72		-	, THE BOARD SHALL CONSULT WITH LICENSED VETERINARIANS ,
73		-	REGISTERED VETERINARY TECHNICIANS , CLIENTS, AND OTHER RELEVANT
74		-	STAKEHOLDERS AS DETERMINED BY THE BOARD
75		-	.
76		-	PAGE 2-HOUSE BILL 24-1048 SECTION 3. In Colorado Revised Statutes, add part 3 to article
77		-	315 of title 12 as follows:
78		-	PART 3
79		-	USE OF TELEHEALTH TO PROVIDE
80		-	VETERINARY SERVICES
	99	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP ESTABLISHED11
	100	+	ACCORDING TO SUBSECTION (19)(a) OF THIS SECTION MAY EXTEND TO12
	101	+	OTHER LICENSED VETERINARIANS
	102	+	WORKING OUT OF THE SAME PHYSICAL13
	103	+	PRACTICE LOCATION AS THE VETERINARIAN WHO ESTABLISHED THE14
	104	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP IF THE OTHER LICENSED15
	105	+	VETERINARIANS HAVE ACCESS TO AND HAVE REVIEWED THE PATIENT 'S16
	106	+	MEDICAL RECORDS.17
	107	+	SECTION 2. In Colorado Revised Statutes, 12-315-106, add (9)18
	108	+	as follows:19
	109	+	12-315-106. Board of veterinary medicine - creation - powers20
	110	+	- rules. (9) (a) THE BOARD MAY PROMULGATE RULES REGARDING THE USE21
	111	+	OF TELEHEALTH TO PROVIDE VETERINARY SERVICES IN COLORADO22
	112	+	PURSUANT TO PART 3 OF THIS ARTICLE 315.23
	113	+	(b) IN DEVELOPING RULES PURSUANT TO SUBSECTION (9)(a) OF24
	114	+	THIS SECTION, THE BOARD SHALL CONSULT WITH LICENSED25
	115	+	VETERINARIANS, REGISTERED VETERINARY TECHNICIANS, CLIENTS, AND26
	116	+	OTHER RELEVANT STAKE HOLDERS AS DETERMINED BY THE BOARD .27
	117	+	1048
	118	+	-3- SECTION 3. In Colorado Revised Statutes, add part 3 to article1
	119	+	315 of title 12 as follows:2
	120	+	PART 33
	121	+	USE OF TELEHEALTH TO PROVIDE4
	122	+	VETERINARY SERVICES5
81	123		12-315-301. Definitions - rules. A
82		-	S USED IN THIS PART 3, UNLESS
83		-	THE CONTEXT OTHERWISE REQUIRES
84		-	:
	124	+	S USED IN THIS PART 3, UNLESS6
	125	+	THE CONTEXT OTHERWISE REQUIRES :7
85	126		(1) "T
86		-	ELE-ADVICE" MEANS THE PROVISION OF ANY HEALTH
87		-	INFORMATION
88		-	, OPINION, OR GUIDANCE BY A VETERINARY PROFESSIONAL
89		-	THAT IS NOT INTENDED TO DIAGNOSE
90		-	, TREAT, OR ISSUE PROGNOSES OF AN
91		-	ANIMAL
92		-	'S, OR GROUP OF ANIMALS', PHYSICAL OR BEHAVIORAL ILLNESS OR
93		-	INJURY
94		-	. A VETERINARIAN-CLIENT-PATIENT RELATIONSHIP IS NOT REQUIRED
95		-	TO PROVIDE TELE
96		-	-ADVICE.
	127	+	ELE-ADVICE" MEANS THE PROVISION OF ANY HEALTH8
	128	+	INFORMATION, OPINION, OR GUIDANCE BY A VETERINARY PROFESSIONAL9
	129	+	THAT IS NOT INTENDED TO DIAGNOSE,
	130	+	TREAT, OR ISSUE PROGNOSES OF AN10
	131	+	ANIMAL'S, OR GROUP OF ANIMALS', PHYSICAL OR BEHAVIORAL ILLNESS OR11
	132	+	INJURY. A VETERINARIAN-CLIENT-PATIENT RELATIONSHIP IS NOT12
	133	+	REQUIRED TO PROVIDE TELE-ADVICE.13
97	134		(2) "T
98		-	ELECONSULTING" MEANS A VETERINARIAN WHO
99		-	COMMUNICATES WITH A VETERINARY SPECIALIST OR OTHER QUALIFIED
100		-	EXPERT USING TELECOMMUNICATIONS TECHNOLOGY TO GAIN INSIGHT OR
101		-	ADVICE REGARDING THE CARE OF A PATIENT
102		-	.
	135	+	ELECONSULTING" MEANS A VETERINARIAN WHO14
	136	+	COMMUNICATES WITH A VETERINARY SPECIALIST OR OTHER QUALIFIED15
	137	+	EXPERT USING TELECOMMUNICATIONS TECHNOLOGY TO GAIN INSIGHT OR16
	138	+	ADVICE REGARDING THE CARE OF A PATIENT .17
103	139		(3) "T
104		-	ELE-EDUCATION" MEANS THE USE OF INFORMATION AND
105		-	TELECOMMUNICATIONS TECHNOLOGY FOR DISTANCE LEARNING
106		-	.
	140	+	ELE-EDUCATION" MEANS THE USE OF INFORMATION AND18
	141	+	TELECOMMUNICATIONS TECHNOLOGY FOR DISTANCE LEARNING .19
107	142		(4) (a) "T
108		-	ELEHEALTH" MEANS THE USE OF TELECOMMUNICATIONS
109		-	TECHNOLOGY TO PROVIDE VETERINARY SERVICES OR TO COLLECT AND
110		-	DELIVER VETERINARY HEALTH INFORMATION OR EDUCATION VIRTUALLY
111		-	AND CAN ENCOMPASS GENERAL V ETERINARY SERVICES OR PATIENT
112		-	-SPECIFIC
113		-	VETERINARY SERVICES
114		-	.
	143	+	ELEHEALTH" MEANS THE USE OF TELECOMMUNICATIONS20
	144	+	TECHNOLOGY TO PROVIDE VETERINARY SERVICES OR TO COLLECT AND21
	145	+	DELIVER VETERINARY HEALTH INFORMATION OR EDUCATION VIRTUALLY22
	146	+	AND CAN ENCOMPASS GENERAL VETERINARY SERVICES OR23
	147	+	PATIENT-SPECIFIC VETERINARY SERVICES.24
115	148		(b) "T
116		-	ELEHEALTH" MAY INCLUDE TELE-ADVICE, TELECONSULTING,
117		-	TELE-EDUCATION, TELEMEDICINE, TELEMONITORING, TELEREFERRAL,
118		-	TELESUPERVISION, TELETRIAGE, AND OTHER TOOLS THAT ~~HELP VETERINARY~~
119		-	~~PROFESSIONALS DELIVER VETERINARY EDUCATION AND SERVICES~~
120		-	~~VIRTUALLY~~
121		-	.
	149	+	ELEHEALTH" MAY INCLUDE TELE-ADVICE, TELECONSULTING,25
	150	+	TELE-EDUCATION, TELEMEDICINE, TELEMONITORING, TELEREFERRAL,26
	151	+	TELESUPERVISION, TELETRIAGE, AND OTHER TOOLS THAT HELP27
	152	+	1048
	153	+	-4- VETERINARY PROFESSIONALS DELIVER VETERINARY EDUCATION AND1
	154	+	SERVICES VIRTUALLY.2
122	155		(5) "T
123		-	ELEMEDICINE" MEANS THE REMOTE PRACTICE ~~OF VETERINARY~~
124		-	MEDICINE THROUGH THE USE OF ~~TELECOMMUNICATIONS TECHNOLOGY THAT~~
125		-	ALLOWS A LICENSED VETERINARIAN WITH ~~AN ESTABLISHED~~
126		-	~~PAGE 3-HOUSE BILL 24-1048~~ VETERINARIAN-CLIENT-PATIENT RELATIONSHIP ~~TO EVALUATE , DIAGNOSE,~~
127		-	AND TREAT A PATIENT VIRTUALLY.
	156	+	ELEMEDICINE" MEANS THE REMOTE PRACTICE OF3
	157	+	VETERINARY MEDICINE THROUGH THE USE OF TELECOMMUNICATIONS4
	158	+	TECHNOLOGY THAT ALLOWS A LICENSED VETERINARIAN WITH AN5
	159	+	ESTABLISHED VETERINARIAN -CLIENT-PATIENT RELATIONSHIP TO6
	160	+	EVALUATE, DIAGNOSE, AND TREAT A PATIENT VIRTUALLY.7
128	161		(6) "T
129		-	ELEMONITORING" MEANS THE USE OF TELECOMMUNICATIONS
130		-	TECHNOLOGY TO AUGMENT VETERINARY SERVICES BY COLLECTING AND
131		-	DELIVERING HEALTH INFORMATION FROM A PATIENT
132		-	.
	162	+	ELEMONITORING" MEANS THE USE OF TELECOMMUNICATIONS8
	163	+	TECHNOLOGY TO AUGMENT VETERINARY SERVICES BY COLLECTING AND9
	164	+	DELIVERING HEALTH INFORMATION FROM A PATIENT .10
133	165		(7) "T
134		-	ELEREFERRAL" MEANS A VETERINARIAN WITH AN ESTABLISHED
135		-	VETERINARIAN
136		-	-CLIENT-PATIENT RELATIONSHIP WHO REFERS THE CLIENT TO
137		-	A VETERINARY SPECIALIST TO PROVIDE VETERINARY SERVICES USING
138		-	TELECOMMUNICATIONS TECHNOLOGY UNDER THE ESTABLISHED
139		-	VETERINARIAN
140		-	-CLIENT-PATIENT RELATIONSHIP.
	166	+	ELEREFERRAL" MEANS A VETERINARIAN WITH AN11
	167	+	ESTABLISHED VETERINARIAN-CLIENT-PATIENT RELATIONSHIP WHO REFERS12
	168	+	THE CLIENT TO A VETERINARY SPECIALIST TO PROVIDE VETERINARY13
	169	+	SERVICES USING TELECOMMUNICATIONS TECHNOLOGY UNDER THE14
	170	+	ESTABLISHED VETERINARIAN-CLIENT-PATIENT RELATIONSHIP.15
141	171		(8) "T
142		-	ELESUPERVISION" MEANS THE SUPERVISION OF INDIVIDUALS
143		-	PROVIDING VETERINARY SERVICES USING MEDIA SUCH AS AUDIO
144		-	,
145		-	AUDIO-VISUAL CONFERENCING , TEXT MESSAGING, E-MAIL, OR OTHER
146		-	VIRTUAL OR DIGITAL TECHNOLOGIES
147		-	.
	172	+	ELESUPERVISION" MEANS THE SUPERVISION OF INDIVIDUALS16
	173	+	PROVIDING VETERINARY SERVICES USING MEDIA SUCH AS AUDIO ,17
	174	+	AUDIO-VISUAL CONFERENCING, TEXT MESSAGING, E-MAIL, OR OTHER18
	175	+	VIRTUAL OR DIGITAL TECHNOLOGIES .19
148	176		(9) "T
149		-	ELETRIAGE" MEANS THE SAFE, APPROPRIATE, AND TIMELY
150		-	ASSESSMENT OF AN ANIMAL
151		-	, OR A GROUP OF ANIMALS, UNDER CONDITIONS
152		-	OF UNCERTAINTY AND URGENCY
153		-	, AND THE POSSIBLE REFERRAL TO A
154		-	LICENSED VETERINARIAN
155		-	, AFTER DISCUSSION WITH THE INDIVIDUAL
156		-	RESPONSIBLE FOR THE ANIMAL OR GROUP OF ANIMALS
157		-	, USING
158		-	TELECOMMUNICATIONS TECHNOLOGY
159		-	. A VETERINARIAN-CLIENT-PATIENT
160		-	RELATIONSHIP IS NOT REQUIRED FOR SUCH AN ASSESSMENT OR REFERRAL
161		-	.
	177	+	ELETRIAGE" MEANS THE SAFE, APPROPRIATE, AND TIMELY20
	178	+	ASSESSMENT OF AN ANIMAL, OR A GROUP OF ANIMALS, UNDER CONDITIONS21
	179	+	OF UNCERTAINTY AND URGENCY , AND THE POSSIBLE REFERRAL TO A22
	180	+	LICENSED VETERINARIAN, AFTER DISCUSSION WITH THE INDIVIDUAL23
	181	+	RESPONSIBLE FOR THE ANIMAL OR GROUP OF ANIMALS , USING24
	182	+	TELECOMMUNICATIONS TECHNOLOGY . A VETERINARIAN-CLIENT-PATIENT25
	183	+	RELATIONSHIP IS NOT REQUIRED FOR SUCH AN ASSESSMENT OR REFERRAL .26
162	184		"T
163		-	ELETRIAGE" DOES NOT INCLUDE THE RENDERING OF A DIAGNOSIS BUT MAY
164		-	INCLUDE THE PROVISION OF TELE
165		-	-ADVICE.
	185	+	ELETRIAGE" DOES NOT INCLUDE THE RENDERING OF A DIAGNOSIS BUT
	186	+	27
	187	+	1048
	188	+	-5- MAY INCLUDE THE PROVISION OF TELE-ADVICE.1
166	189		(10) "V
167		-	ETERINARY SPECIALIST" MEANS A VETERINARIAN WHO IS
168		-	FORMALLY RECOGNIZED AS A SPECIALIST FROM A SPECIALTY ORGANIZATION
169		-	THAT IS RECOGNIZED BY THE
170		-	AMERICAN VETERINARY MEDICAL
171		-	ASSOCIATION'S AMERICAN BOARD OF VETERINARY SPECIALTIES, OR ITS
172		-	SUCCESSOR ORGANIZATION
173		-	, OR ANOTHER ASSOCIATION THAT REC OGNIZES
174		-	VETERINARY SPECIALISTS THAT THE STATE BOARD OF V ETERINARY MEDICINE
175		-	HAS APPROVED BY RULE
176		-	.
177		-	12-315-302. Veterinarian-client-patient relationship -
	190	+	ETERINARY SPECIALIST" MEANS A VETERINARIAN WHO IS2
	191	+	FORMALLY RECOGNIZED AS A SPECIALIST FROM A SPECIALTY3
	192	+	ORGANIZATION THAT IS RECOGNIZED BY THE AMERICAN VETERINARY4
	193	+	M
	194	+	EDICAL ASSOCIATION'S AMERICAN BOARD OF VETERINARY5
	195	+	S
	196	+	PECIALTIES, OR ITS SUCCESSOR ORGANIZATION , OR ANOTHER6
	197	+	ASSOCIATION THAT RECOGNIZES V ETERINARY SPECIALISTS THAT THE7
	198	+	STATE BOARD OF VETERINARY MEDICINE HAS APPROVED BY RULE .8
	199	+	12-315-302. Veterinarian-client-patient relationship -9
178	200		telemedicine. (1) O
179		-	NLY A LICENSED VETERINARIAN MAY ESTABLISH A
180		-	VETERINARIAN
181		-	-CLIENT-PATIENT RELATIONSHIP IN THIS STATE.
182		-	PAGE 4-HOUSE BILL 24-1048 (2) (a) A VETERINARIAN-CLIENT-PATIENT RELATIONSHIP MUST BE
183		-	ESTABLISHED BY AN IN
184		-	-PERSON, PHYSICAL EXAMINATION OF THE ANIMAL OR
185		-	TIMELY VISITS TO THE PREMISES WHERE THE ANIMAL IS KEPT
186		-	.
	201	+	NLY A LICENSED VETERINARIAN MAY ESTABLISH A10
	202	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP IN THIS STATE.11
	203	+	(2) (a) A
	204	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP MUST BE12
	205	+	ESTABLISHED BY AN IN-PERSON, PHYSICAL EXAMINATION OF THE ANIMAL13
	206	+	OR TIMELY VISITS TO THE PREMISES WHERE THE ANIMAL IS KEPT .14
187	207		(b) A
188		-	VETERINARY SPECIALIST MAY USE TELECOMMUNICATIONS
189		-	TECHNOLOGY TO SEE A PATIENT UNDER ANOTHER VETERINARIAN
190		-	'S
191		-	PREVIOUSLY ESTABLISHED VETERINARIAN
192		-	-CLIENT-PATIENT RELATIONSHIP
193		-	PURSUANT TO SECTION
194		-	12-315-306.
	208	+	VETERINARY SPECIALIST MAY USE TELECOMMUNICATIONS15
	209	+	TECHNOLOGY TO SEE A PATIENT UNDER ANOTHER VETERINARIAN 'S16
	210	+	PREVIOUSLY ESTABLISHED VETERINARIAN -CLIENT-PATIENT RELATIONSHIP17
	211	+	PURSUANT TO SECTION 12-315-306.18
195	212		(3) A
196		-	N ESTABLISHED VETERINARIAN-CLIENT-PATIENT RELATIONSHIP
197		-	MAY BE MAINTAINED THROUGH EXAMINATIONS THAT OCCUR USING
198		-	TELECOMMUNICATIONS TECHNOLOGY IN BETWEEN APPROPRIATE IN
199		-	-PERSON,
200		-	PHYSICAL EXAMINATIONS OR VISITS TO THE PREMISES WHERE THE PATIENT
201		-	IS KEPT
202		-	.
203		-	12-315-303. Treatment of patients using telehealth - telemedicine
204		-	- licensure - technology - consent. (1) (a) A
205		-	PERSON MUST BE LICENSED TO
206		-	PRACTICE VETERINARY MEDICINE IN
207		-	COLORADO IN ORDER TO PRACTICE
208		-	TELEMEDICINE IN
209		-	COLORADO.
	213	+	N ESTABLISHED VETERINARIAN -CLIENT-PATIENT19
	214	+	RELATIONSHIP MAY BE MAINTAINED THROUGH EXAMINATIONS THAT20
	215	+	OCCUR USING TELECOMMUNICATIONS TECHNOLOGY IN BETWEEN21
	216	+	APPROPRIATE IN-PERSON, PHYSICAL EXAMINATIONS OR VISITS TO THE22
	217	+	PREMISES WHERE THE PATIENT IS KEPT.23
	218	+	12-315-303. Treatment of patients using telehealth -24
	219	+	telemedicine - licensure - technology - consent. (1) (a) A
	220	+	PERSON MUST25
	221	+	BE LICENSED TO PRACTICE VETERINARY MEDICINE IN COLORADO IN ORDER26
	222	+	TO PRACTICE TELEMEDICINE IN COLORADO.27
	223	+	1048
	224	+	-6- (b) A PERSON WHO IS NOT A LICENSED VETERINARIAN IN1
	225	+	C
	226	+	OLORADO AND WHO USES TELEMEDICINE TO PROVIDE VETERINARY2
	227	+	SERVICES TO ANIMALS AND INDIVIDUALS RESPONSIBLE FOR THE ANIMALS3
	228	+	ENGAGES IN THE UNAUTHORIZED PRACTICE OF VETERINARY MEDICINE .4
	229	+	S
	230	+	UCH PERSON IS SUBJECT TO PENALTIES FOR THE UNAUTHORIZED PRACTICE5
	231	+	OF VETERINARY MEDICINE PURSUANT TO SECTION 12-315-114.6
	232	+	(2) A
	233	+	LICENSED VETERINARIAN SHALL EMPLOY SOUND ,7
	234	+	PROFESSIONAL JUDGMENT WHEN DETERMINING WHETHER TO PROVIDE8
	235	+	VETERINARY SERVICES TO A PATIENT THROUGH TELEMEDICINE AND SHALL9
	236	+	USE TELEMEDICINE ONLY WHEN SUCH USE IS MEDICALLY APPROPRIATE10
	237	+	BASED ON THE PATIENT'S CONDITION.11
	238	+	(3) A
	239	+	VETERINARY PROFESSIONAL SHALL ENSURE THAT THE12
	240	+	TECHNOLOGY USED WHEN PROVIDING VETERINARY SERVICES THROUGH13
	241	+	TELEHEALTH IS OF APPROPRIATE QUALITY TO ENSURE :14
	242	+	(a) A
	243	+	CCURACY OF THE REMOTE ASSESSMENT OF THE PATIENT 'S15
	244	+	CONDITION OR BEHAVIOR;16
	245	+	(b) C
	246	+	LEAR COMMUNICATION WITH CLIENTS ; AND17
	247	+	(c) C
	248	+	OMPLIANCE WITH ALL RELEVANT PRIVACY AND18
	249	+	CONFIDENTIALITY REQUIREMENTS .19
	250	+	(4) (a) A
	251	+	VETERINARY PROFESSIONAL SHALL OBTAIN CONSENT20
	252	+	FROM THE CLIENT BEFORE PROVIDING VETERINARY SERVICES THROUGH21
	253	+	TELEHEALTH AND SHALL RECORD THE CLIENT 'S CONSENT IN THE PATIENT'S22
	254	+	MEDICAL RECORD.23
210	255		(b) A
211		-	PERSON WHO IS NOT A LICENSED VETERINARIAN IN COLORADO
212		-	AND WHO USES TELEMEDICINE TO PROVIDE VETERINARY SERVICES TO
213		-	ANIMALS AND INDIVIDUALS RESPONSIBLE FOR THE ANIMALS ENGAGES IN THE
214		-	UNAUTHORIZED PRACTICE OF VETERINARY MEDICINE
215		-	. SUCH PERSON IS
216		-	SUBJECT TO PENALTIES FOR THE UNAUTHORIZED PRACTICE OF VETERINARY
217		-	MEDICINE PURSUANT TO SECTION
218		-	12-315-114.
	256	+	VETERINARY PROFESSIONAL USING TELEHEALTH TO PROVIDE24
	257	+	VETERINARY SERVICES SHALL INFORM THE CLIENT , OR THE CLIENT'S25
	258	+	AUTHORIZED REPRESENTATIVE , OF:26
	259	+	(I) T
	260	+	HE VETERINARY PROFESSIONAL 'S NAME, LOCATION, AND, IF27
	261	+	1048
	262	+	-7- APPLICABLE, LICENSE NUMBER AND LICENSURE STATUS ;1
	263	+	(II) W
	264	+	HETHER, IN THE VETERINARIAN'S PROFESSIONAL OPINION,2
	265	+	THE PATIENT'S CONDITION CAN BE ACCURATELY DIAGNOSED OR TREATED3
	266	+	USING TELEMEDICINE; AND4
	267	+	(III) T
	268	+	HE DIAGNOSIS, PROGNOSIS, AND TREATMENT OPTIONS FOR5
	269	+	THE PATIENT.6
	270	+	12-315-304. Standard of care. (1) A
	271	+	LICENSED VETERINARIAN7
	272	+	USING TELEHEALTH TO PROVIDE VETERINARY SERVICES SHALL CONDUCT8
	273	+	ALL NECESSARY PATIENT EVALUATIONS AND TREATMENT USING THE9
	274	+	APPLICABLE STANDARD OF CARE FOR THOSE EVALUATIONS AND10
	275	+	TREATMENTS.11
219	276		(2) A
220		-	LICENSED VETERINARIAN SHALL EMPLOY SOUND ,
221		-	PROFESSIONAL JUDGMENT WHEN DETERMINING WHETHER TO PROVIDE
222		-	VETERINARY SERVICES TO A PATIENT THROUGH TELEMEDICINE AND SHALL
223		-	USE TELEMEDICINE ONLY WHEN SUCH USE IS MEDICALLY APPROPRIATE
224		-	BASED ON THE PATIENT
225		-	'S CONDITION.
226		-	(3) A
227		-	VETERINARY PROFESSIONAL SHALL ENSURE THAT THE
228		-	TECHNOLOGY USED WHEN PROVIDING VETERINARY SERVICES THROUGH
229		-	TELEHEALTH IS OF APPROPRIATE QUALITY TO ENSURE
230		-	:
231		-	(a) A
232		-	CCURACY OF THE REMOTE ASSESSMENT OF THE PATIENT 'S
233		-	CONDITION OR BEHAVIOR
234		-	;
235		-	PAGE 5-HOUSE BILL 24-1048 (b) CLEAR COMMUNICATION WITH CLIENTS ; AND
236		-	(c) COMPLIANCE WITH ALL RELEVANT PRIVACY AND
237		-	CONFIDENTIALITY REQUIREMENTS
238		-	.
239		-	(4) (a) A
240		-	VETERINARY PROFESSIONAL SHALL OBTAIN CONSENT FROM
241		-	THE CLIENT BEFORE PROVIDING VETERINARY SERVICES THROUGH
242		-	TELEHEALTH AND SHALL RECORD THE CLIENT
243		-	'S CONSENT IN THE PATIENT'S
244		-	MEDICAL RECORD
245		-	.
	277	+	LICENSED VETERINARIAN SHALL NOT RECOMMEND12
	278	+	TREATMENT OR CARE FOR AN ANIMAL BASED SOLELY ON A CLIENT 'S13
	279	+	RESPONSES TO AN ONLINE QUESTIONNAIRE .14
	280	+	12-315-305. Prescribing medication through telemedicine.15
	281	+	(1) (a) E
	282	+	XCEPT AS PROVIDED IN SUBSECTION (3) OF THIS SECTION, ONLY
	283	+	16
	284	+	A LICENSED VETERINARIAN WITH AN ESTABLISHED17
	285	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP MAY PRESCRIBE18
	286	+	MEDICATION THROUGH TELEMEDICINE .19
246	287		(b) A
247		-	VETERINARY PROFESSIONAL USING TELEHEALTH TO PROVIDE
248		-	VETERINARY SERVICES SHALL INFORM THE CLIENT
249		-	, OR THE CLIENT'S
250		-	AUTHORIZED REPRESENTATIVE
251		-	, OF:
252		-	(I) T
253		-	HE VETERINARY PROFESSIONAL 'S NAME, LOCATION, AND, IF
254		-	APPLICABLE
255		-	, LICENSE NUMBER AND LICENSURE STATUS ;
256		-	(II) W
257		-	HETHER, IN THE VETERINARIAN'S PROFESSIONAL OPINION, THE
258		-	PATIENT
259		-	'S CONDITION CAN BE ACCURATELY DIAGNOSED OR TREATED USING
260		-	TELEMEDICINE
261		-	; AND
262		-	(III) THE DIAGNOSIS, PROGNOSIS, AND TREATMENT OPTIONS FOR THE
263		-	PATIENT
264		-	.
265		-	12-315-304. Standard of care. (1) A
266		-	LICENSED VETERINARIAN
267		-	USING TELEHEALTH TO PROVIDE VETERINARY SERVICES SHALL C ONDUCT ALL
268		-	NECESSARY PATIENT EVALUATIONS AND TREATMENT USING THE APPLICABLE
269		-	STANDARD OF CARE FOR THOSE EVALUATIONS AND TREATMENTS
270		-	.
	288	+	LICENSED VETERINARIAN SHALL USE PROFESSI ONAL20
	289	+	JUDGMENT WHEN DETERMINING IF IT IS APPROPRIATE TO PRESCRIBE21
	290	+	MEDICATION THROUGH TELEMEDICINE .22
271	291		(2) A
272		-	LICENSED VETERINARIAN SHALL NOT RECOMMEND TREATMENT
273		-	OR CARE FOR AN ANIMAL BASED SOLELY ON A CLIENT
274		-	'S RESPONSES TO AN
275		-	ONLINE QUESTIONNAIRE
276		-	.
277		-	12-315-305. Prescribing medication through telemedicine.
278		-	(1) (a) E
279		-	XCEPT AS PROVIDED IN SUBSECTION (3) OF THIS SECTION, ONLY A
280		-	LICENSED VETERINARIAN WITH AN ESTABLISHED
281		-	VETERINARIAN
282		-	-CLIENT-PATIENT RELATIONSHIP MAY PRESCRIBE MEDICATION
283		-	THROUGH TELEMEDICINE
284		-	.
285		-	(b) A
286		-	LICENSED VETERINARIAN SHALL USE PROFESSIONAL JUDGMENT
287		-	PAGE 6-HOUSE BILL 24-1048 WHEN DETERMINING IF IT IS APPROPRIATE TO PRESCRIBE MEDICATION
288		-	THROUGH TELEMEDICINE
289		-	.
290		-	(2) A
291		-	LICENSED VETERINARIAN WHO PRESCRIBES MEDICATION
292		-	THROUGH TELEMEDICINE IS SUBJECT TO THE LIMITATIONS ON PRESCRIPTIONS
293		-	SPECIFIED IN SECTION
294		-	12-30-109.
	292	+	LICENSED VETERINARIAN WHO PRESCRIBES MEDICATION23
	293	+	THROUGH TELEMEDICINE IS SUBJECT TO THE LIMITATIONS ON24
	294	+	PRESCRIPTIONS SPECIFIED IN SECTION 12-30-109.25
295	295		(3) I
296	296		N ACCORDANCE WITH SECTION 12-315-105 (2)(b), A LICENSED
297		-	VETERINARIAN WHO DOES NOT HAVE AN ESTABLISHED
298		-	VETERINARIAN
299		-	-CLIENT-PATIENT RELATIONSHIP WITH AN ANIMAL AND ITS
300		-	OWNER MAY USE TELEMEDICINE TO ADMINISTER
301		-	, DISTRIBUTE, OR DISPENSE
302		-	A PRESCRIPTION DRUG THAT HAS BEEN PRESCRIBED BY ANOTHER LICENSED
303		-	VETERINARIAN WHO HAS AN ESTABLISHED VETERINARIAN
304		-	-CLIENT-PATIENT
305		-	RELATIONSHIP
306		-	.
	297	+	26
	298	+	VETERINARIAN WHO DOES NOT HAVE AN ESTABLISHED27
	299	+	1048
	300	+	-8- VETERINARIAN-CLIENT-PATIENT RELATIONSHIP WITH AN ANIMAL AND ITS1
	301	+	OWNER MAY USE TELEMEDICINE TO ADMINISTER , DISTRIBUTE, OR DISPENSE2
	302	+	A PRESCRIPTION DRUG THAT HAS BEEN PRESCRIBED BY ANOTHER LICENSED3
	303	+	VETERINARIAN WHO HAS AN ESTABLISHED VETERINARIAN -CLIENT-PATIENT4
	304	+	RELATIONSHIP.5
307	305		12-315-306. Telereferral. (1) A
308		-	VETERINARIAN WITH AN
309		-	ESTABLISHED VETERINARIAN
310		-	-CLIENT-PATIENT RELATIONSHIP MAY REFER A
311		-	PATIENT TO A VETERINARY SPECIALIST
312		-	.
	306	+	VETERINARIAN WITH AN6
	307	+	ESTABLISHED VETERINARIAN-CLIENT-PATIENT RELATIONSHIP MAY REFER7
	308	+	A PATIENT TO A VETERINARY SPECIALIST.8
313	309		(2) A
314		-	VETERINARY SPECIALIST TO WHOM A PATIENT IS REFERRED
315		-	MAY PROVIDE VETERINARY SERVICES USING TELECOMMUNICATIONS
316		-	TECHNOLOGY FOR THE PATIENT AND CLIENT UNDER THE REFERRING
317		-	VETERINARIAN
318		-	'S VETERINARIAN-CLIENT-PATIENT RELATIONSHIP.
	310	+	VETERINARY SPECIALIST TO WHOM A PATIENT IS REFERRED9
	311	+	MAY PROVIDE VETERINARY SERVICES USING TELECOMMUNICATIONS10
	312	+	TECHNOLOGY FOR THE PATIENT AND CLIENT UNDER THE REFERRING11
	313	+	VETERINARIAN'S VETERINARIAN-CLIENT-PATIENT RELATIONSHIP.12
319	314		(3) A
320		-	VETERINARY SPECIALIST TO WHOM A PATIENT IS REFERRED
321		-	SHALL PROVIDE THE REFERRING VETERINARIAN WITH INFORMATION RELATED
322		-	TO THE DIAGNOSIS
323		-	, TREATMENT, AND PROGRESS OF THE PATIENT.
	315	+	VETERINARY SPECIALIST TO WHOM A PATIENT IS REFERRED13
	316	+	SHALL PROVIDE THE REFERRING VETERINARIAN WITH INFORMATION14
	317	+	RELATED TO THE DIAGNOSIS, TREATMENT, AND PROGRESS OF THE PATIENT.15
324	318		(4) (a) A
325		-	VETERINARY SPECIALIST TO WHOM A PATIENT IS REFERRED
326		-	SHALL NOT PRESCRIBE MEDICATIONS TO THE PATIENT UNLESS THE
327		-	VETERINARY SPECIALIST ESTABLISHES A VETERINARIAN
328		-	-CLIENT-PATIENT
329		-	RELATIONSHIP THROUGH AN IN
330		-	-PERSON, PHYSICAL EXAMINATION OF THE
331		-	PATIENT
332		-	.
	319	+	VETERINARY SPECIALIST TO WHOM A PATIENT IS16
	320	+	REFERRED SHALL NOT PRESCRIBE MEDICATIONS TO THE PATIENT UNLESS17
	321	+	THE VETERINARY SPECIALIST ESTABLISHES A18
	322	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP THROUGH AN IN -PERSON,19
	323	+	PHYSICAL EXAMINATION OF THE PATIENT .20
333	324		(b) T
334		-	HE LICENSED VETERINARIAN WITH THE ESTABLISHED
335		-	VETERINARIAN
336		-	-CLIENT-PATIENT RELATIONSHIP MAY PRESCRIBE
337		-	MEDICATIONS TO THE PATIENT AFTER CONSULTATION WITH THE VETERINARY
338		-	SPECIALIST TO WHOM THE PATIENT WAS REFERRED
339		-	.
	325	+	HE LICENSED VETERINARIAN WITH THE ESTABLISHED21
	326	+	VETERINARIAN-CLIENT-PATIENT RELATIONSHIP MAY PRESCRIBE22
	327	+	MEDICATIONS TO THE PATIENT AFTER CONSULTATION WITH THE23
	328	+	VETERINARY SPECIALIST TO WHOM THE PATIENT WAS REFERRED .24
340	329		12-315-307. Telesupervision. (1) A
341		-	LICENSED VETERINARIAN MAY
342		-	PAGE 7-HOUSE BILL 24-1048 PROVIDE, AT THE VETERINARIAN 'S DISCRETION, TELESUPERVISION OF
343		-	REGISTERED VETERINARY TECHNICIANS FOR TASKS THAT DO NOT REQUIRE
344		-	DIRECT OR IMMEDIATE SUPERVISION
345		-	, PURSUANT TO BOARD RULES.
	330	+	LICENSED VETERINARIAN25
	331	+	MAY PROVIDE, AT THE VETERINARIAN'S DISCRETION, TELESUPERVISION
	332	+	OF26
	333	+	REGISTERED VETERINARY TECHNICIANS FOR TASKS THAT DO NOT REQUIRE27
	334	+	1048
	335	+	-9- DIRECT OR IMMEDIATE SUPERVISION, PURSUANT TO BOARD RULES.1
346	336		(2) A
347		-	SUPERVISING LICENSED VETERINARIAN WHO HAS AN
348		-	ESTABLISHED VETERINARIAN
349		-	-CLIENT-PATIENT RELATIONSHIP MAY USE
350		-	TELESUPERVISION TO SUPERVISE REGISTERED VETERINARY TECHNICIANS
351		-	WHO ARE NOT LOCATED ON THE SAME PREMISES AS THE SUPERVISING
352		-	VETERINARIAN IF
353		-	:
	337	+	SUPERVISING LICENSED VETERINARIAN WHO HAS AN2
	338	+	ESTABLISHED VETERINARIAN -CLIENT-PATIENT RELATIONSHIP MAY USE3
	339	+	TELESUPERVISION TO SUPERVISE
	340	+	REGISTERED VETERINARY TECHNICIANS4
	341	+	WHO ARE NOT LOCATED ON THE SAME PREMISES AS THE SUPERVISING5
	342	+	VETERINARIAN IF:6
354	343		(a) T
355		-	HE SUPERVISING LICENSED VETERINARIAN AND THE REGISTERED
356		-	VETERINARY TECHNICIANS ARE EMPLOYEES OF THE SAME VETERINARY
357		-	PRACTICE LOCATION
358		-	; AND
359		-	(b) THE VETERINARY PROFESSIONALS ARE REGISTERED OR LICENSED
360		-	IN
361		-	COLORADO AND THE PATIENT IS LOCATED IN COLORADO.
362		-	12-315-308. Emergency care - continuity of care. (1) A
363		-	LICENSED
364		-	VETERINARIAN WHO PRACTICES VETERINARY MEDICINE THROUGH
365		-	TELEMEDICINE SHALL BE AVAILABLE IN PERSON AT A VETERINARY PREMISES
366		-	THAT IS ACCESSIBLE TO THE CLIENT AND PATIENT OR SHALL ARRANGE FOR
367		-	ANOTHER LICENSED VETERINARIAN IN
368		-	COLORADO TO BE AT A VETERINARY
369		-	PREMISES THAT IS ACCESSIBLE TO THE CLIENT AND PATIENT IN CASE OF AN
370		-	EMERGENCY OR FOR NECESSARY FOLLOW
371		-	-UP EVALUATIONS.
	344	+	HE SUPERVISING LICENSED VETERINARIAN AND THE7 REGISTERED VETERINARY TECHNICIANS ARE EMPLOYEES OF THE SAME8
	345	+	VETERINARY PRACTICE LOCATION; AND9
	346	+	(b) THE VETERINARY PROFESSIONALS ARE REGISTERED OR10
	347	+	LICENSED IN COLORADO AND THE PATIENT IS LOCATED IN COLORADO.11
	348	+	12-315-308. Emergency care - continuity of care. (1) A12
	349	+	LICENSED VETERINARIAN WHO PRACTICES VETERINARY MEDICINE13
	350	+	THROUGH TELEMEDICINE SHALL BE AVAILABLE IN PERSON AT A14
	351	+	VETERINARY PREMISES THAT IS ACCE SSIBLE TO THE CLIENT AND PATIENT15
	352	+	OR SHALL ARRANGE FOR ANOTHER LICENSED VETERINARIAN IN COLORADO16
	353	+	TO BE AT A VETERINARY PREMISES THAT IS ACCESSIBLE TO THE CLIENT17
	354	+	AND PATIENT IN CASE OF AN EMERGENCY OR FOR NECESSARY FOLLOW -UP18
	355	+	EVALUATIONS.19
372	356		(2) A
373		-	LICENSED VETERINARIAN SHALL PROVIDE THE CLIENT WITH A
374		-	PLAN FOR EMERGENCY OR FOLLOW
375		-	-UP CARE WHEN PROVIDING VETERINARY
376		-	SERVICES THROUGH TELEMEDICINE
377		-	.
	357	+	LICENSED VETERINARIAN SHALL PROVIDE THE CLIENT WITH20
	358	+	A PLAN FOR EMERGENCY OR FOLLOW -UP CARE WHEN PROVIDING21
	359	+	VETERINARY SERVICES THROUGH TELEMEDICINE .22
378	360		12-315-309. Medical records - definition. (1) A
379		-	S USED IN THIS
380		-	SECTION
381		-	, UNLESS THE CONTEXT OTHERWISE REQUIRES , "ANIMAL CARE
382		-	PROVIDER
383		-	" HAS THE MEANING SET FORTH IN SECTION 12-315-119 (1).
	361	+	S USED IN THIS23
	362	+	SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES , "ANIMAL CARE24
	363	+	PROVIDER" HAS THE MEANING SET FORTH IN SECTION 12-315-119 (1).25
384	364		(2) A
385		-	N ANIMAL CARE PROVIDER THAT USES TELEHEALTH ~~TO PROVIDE~~
386		-	VETERINARY SERVICES SHALL MAINTAIN MEDICAL ~~RECORDS PURSUANT TO~~
387		-	~~SECTION~~
388		-	12-315-119.
	365	+	N ANIMAL CARE PROVIDER THAT USES TELEHEALTH TO26
	366	+	PROVIDE VETERINARY SERVICES SHALL MAINTAIN MEDICAL RECORDS27
	367	+	1048
	368	+	-10- PURSUANT TO SECTION 12-315-119.1
389	369		(3) A
390		-	N ANIMAL CARE PROVIDER THAT CREATES MEDICAL RECORDS
391		-	DURING THE PROVISION OF VETERINARY SERVICES
392		-	, INCLUDING THE CLIENT'S
393		-	CONSENT TO TELEHEALTH SERVICES
394		-	, SHALL INCLUDE THE RECORDS IN THE
395		-	PAGE 8-HOUSE BILL 24-1048 PATIENT'S MEDICAL RECORD AND MAKE THE RECORDS ACCESSIBLE TO BOTH
396		-	THE CLIENT AND THE ANIMAL CARE PROVIDER
397		-	.
	370	+	N ANIMAL CARE PROVIDER THAT CREATES MEDICAL RECORDS2
	371	+	DURING THE PROVISION OF VETERINARY SERVICES , INCLUDING THE3
	372	+	CLIENT'S CONSENT TO TELEHEALTH SERVICES , SHALL INCLUDE THE4
	373	+	RECORDS IN THE PATIENT'S MEDICAL RECORD AND MAKE THE RECORDS5
	374	+	ACCESSIBLE TO BOTH THE CLIENT AND THE ANIMAL CARE PROVIDER .6
398	375		12-315-310. Confidentiality and privacy. A
399		-	LICENSED
400		-	VETERINARIAN SHALL ENSURE THAT A CLIENT
401		-	'S PRIVACY AND
402		-	CONFIDENTIALITY ARE PROTECTED WHEN THE VETERINARIAN IS PROVIDING
403		-	VETERINARY SERVICES USING TELEHEALTH PURSUANT TO THE
404		-	VETERINARIAN
405		-	'S PROFESSIONAL AND LEGAL OBLIGATIONS .
406		-	SECTION 4. Act subject to petition - effective date. This act
407		-	takes effect at 12:01 a.m. on the day following the expiration of the
408		-	ninety-day period after final adjournment of the general assembly; except
409		-	that, if a referendum petition is filed pursuant to section 1 (3) of article V
410		-	of the state constitution against this act or an item, section, or part of this act
411		-	within such period, then the act, item, section, or part will not take effect
412		-	unless approved by the people at the general election to be held in
413		-	PAGE 9-HOUSE BILL 24-1048 November 2024 and, in such case, will take effect on the date of the official
414		-	declaration of the vote thereon by the governor.
415		-	____________________________ ____________________________
416		-	Julie McCluskie Steve Fenberg
417		-	SPEAKER OF THE HOUSE PRESIDENT OF
418		-	OF REPRESENTATIVES THE SENATE
419		-	____________________________ ____________________________
420		-	Robin Jones Cindi L. Markwell
421		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
422		-	OF REPRESENTATIVES THE SENATE
423		-	APPROVED________________________________________
424		-	(Date and Time)
425		-	_________________________________________
426		-	Jared S. Polis
427		-	GOVERNOR OF THE STATE OF COLORADO
428		-	PAGE 10-HOUSE BILL 24-1048
	376	+	LICENSED7
	377	+	VETERINARIAN SHALL ENSURE THAT A CLIENT 'S PRIVACY AND8
	378	+	CONFIDENTIALITY ARE PROTECTED WHEN THE VETERINARIAN IS PROVIDING9
	379	+	VETERINARY SERVICES USING TELEHEALTH PURSUANT TO THE10
	380	+	VETERINARIAN'S PROFESSIONAL AND LEGAL OBLIGATIONS .11
	381	+	SECTION 4. Act subject to petition - effective date. This act12
	382	+	takes effect at 12:01 a.m. on the day following the expiration of the13
	383	+	ninety-day period after final adjournment of the general assembly; except14
	384	+	that, if a referendum petition is filed pursuant to section 1 (3) of article V15
	385	+	of the state constitution against this act or an item, section, or part of this16
	386	+	act within such period, then the act, item, section, or part will not take17
	387	+	effect unless approved by the people at the general election to be held in18
	388	+	November 2024 and, in such case, will take effect on the date of the19
	389	+	official declaration of the vote thereon by the governor.20
	390	+	1048
	391	+	-11-