2 | | - | BY REPRESENTATIVE(S) Amabile and Herod, Bacon, Boesenecker, |
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3 | | - | Brown, deGruy Kennedy, Froelich, Garcia, Hernandez, Jodeh, Kipp, Lieder, |
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4 | | - | Lindsay, Lindstedt, Mabrey, McCormick, Rutinel, Sirota, Story, Velasco, |
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5 | | - | Weissman, Woodrow, McCluskie; |
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6 | | - | also SENATOR(S) Gonzales and Buckner, Bridges, Coleman, Cutter, |
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7 | | - | Exum, Fields, Ginal, Hansen, Hinrichsen, Jaquez Lewis, Kolker, |
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8 | | - | Marchman, Michaelson Jenet, Priola, Sullivan, Winter F. |
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| 9 | + | House Committees Senate Committees |
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| 10 | + | Judiciary Judiciary |
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| 11 | + | A BILL FOR AN ACT |
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10 | | - | ONCERNING PROHIBITIONS ON THE OFFICIAL USE OF THE TERM "EXCITED |
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11 | | - | DELIRIUM |
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12 | | - | ". |
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13 | | - | |
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14 | | - | Be it enacted by the General Assembly of the State of Colorado: |
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15 | | - | SECTION 1. In Colorado Revised Statutes, add 24-31-907 as |
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16 | | - | follows: |
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17 | | - | 24-31-907. Prohibited use of "excited delirium" - definition. |
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| 13 | + | ONCERNING PROHIBITIONS ON THE OFFICIAL USE OF THE TERM101 |
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| 14 | + | " |
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| 15 | + | EXCITED DELIRIUM".102 |
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| 16 | + | Bill Summary |
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| 17 | + | (Note: This summary applies to this bill as introduced and does |
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| 18 | + | not reflect any amendments that may be subsequently adopted. If this bill |
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| 19 | + | passes third reading in the house of introduction, a bill summary that |
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| 20 | + | applies to the reengrossed version of this bill will be available at |
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| 21 | + | http://leg.colorado.gov |
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| 22 | + | .) |
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| 23 | + | The bill prohibits training for law enforcement personnel, |
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| 24 | + | emergency medical service providers, or other first responders from |
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| 25 | + | including the term "excited delirium". A peace officer is prohibited from |
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| 26 | + | using the term "excited delirium" to describe a person in an incident |
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| 27 | + | report. A coroner or other person authorized to determine a cause of death |
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| 28 | + | shall not register "excited delirium" as the cause of death on a death |
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| 29 | + | SENATE |
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| 30 | + | 3rd Reading Unamended |
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| 31 | + | March 18, 2024 |
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| 32 | + | SENATE |
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| 33 | + | 2nd Reading Unamended |
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| 34 | + | March 15, 2024 |
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| 35 | + | HOUSE |
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| 36 | + | 3rd Reading Unamended |
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| 37 | + | February 13, 2024 |
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| 38 | + | HOUSE |
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| 39 | + | Amended 2nd Reading |
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| 40 | + | February 12, 2024 |
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| 41 | + | HOUSE SPONSORSHIP |
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| 42 | + | Amabile and Herod, Bacon, Boesenecker, Brown, deGruy Kennedy, Froelich, Garcia, |
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| 43 | + | Hernandez, Jodeh, Kipp, Lieder, Lindsay, Lindstedt, Mabrey, McCluskie, McCormick, |
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| 44 | + | Rutinel, Sirota, Story, Velasco, Weissman, Woodrow |
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| 45 | + | SENATE SPONSORSHIP |
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| 46 | + | Gonzales and Buckner, Bridges, Coleman, Cutter, Exum, Fields, Ginal, Hansen, |
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| 47 | + | Hinrichsen, Jaquez Lewis, Kolker, Marchman, Michaelson Jenet, Priola, Sullivan, Winter F. |
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| 48 | + | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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| 49 | + | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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| 50 | + | Dashes through the words or numbers indicate deletions from existing law. certificate. |
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| 51 | + | Be it enacted by the General Assembly of the State of Colorado:1 |
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| 52 | + | SECTION 1. In Colorado Revised Statutes, add 24-31-907 as2 |
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| 53 | + | follows:3 |
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| 54 | + | 24-31-907. Prohibited use of "excited delirium" - definition.4 |
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19 | | - | PERSON OR ENTITY CONDUCTING A TRAINING PROGRAM FOR PEACE |
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20 | | - | OFFICERS |
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21 | | - | , AS DESCRIBED IN SECTION 16-2.5-101 (1), OR OTHER FIRST |
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22 | | - | RESPONDERS SHALL NOT INCLUDE ANY TRAINING ON OR REFERENCE TO THE |
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23 | | - | TERM |
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24 | | - | "EXCITED DELIRIUM" IN ANY TRAINING PROGRAM. A PEACE OFFICER, |
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25 | | - | AS DESCRIBED IN SECTION 16-2.5-101 (1), LAW ENFORCEMENT AGENCY , OR |
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26 | | - | NOTE: This bill has been prepared for the signatures of the appropriate legislative |
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27 | | - | officers and the Governor. To determine whether the Governor has signed the bill |
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28 | | - | or taken other action on it, please consult the legislative status sheet, the legislative |
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29 | | - | history, or the Session Laws. |
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30 | | - | ________ |
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31 | | - | Capital letters or bold & italic numbers indicate new material added to existing law; dashes |
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32 | | - | through words or numbers indicate deletions from existing law and such material is not part of |
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33 | | - | the act. OTHER ORGANIZATION SHALL NOT REPORT TO THE P.O.S.T. BOARD, CREATED |
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34 | | - | IN SECTION |
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35 | | - | 24-31-302, A COURSE THAT CONTAINS THE CONCEPT OF EXCITED |
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36 | | - | DELIRIUM FOR CREDIT TOWARD ANY TRAINING REQUIRED BY SECTIONS |
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37 | | - | 24-31-303 (1), 24-31-315, OR ANY RULE PROMULGATED BY THE P.O.S.T. |
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38 | | - | BOARD. NOTHING IN THIS SECTION PROHIBITS THE INSTRUCTION OF , OR |
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39 | | - | REPORTING TO THE |
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40 | | - | P.O.S.T. BOARD FOR TRAINING CREDIT, COURSES THAT |
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41 | | - | INCLUDE THE SAFE AND EFFECTIVE INTERACTION WITH INDIVIDUALS |
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42 | | - | EXHIBITING AN ALTERED MENTAL STATE |
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43 | | - | , INCLUDING SYMPTOMATOLOGY OF |
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44 | | - | A STATE OF AGITATION |
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45 | | - | , EXCITABILITY, PARANOIA, EXTREME AGGRESSION, |
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46 | | - | PHYSICAL VIOLENCE, AND APPARENT IMMUNITY FROM PAIN . |
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| 56 | + | PERSON OR ENTITY CONDUCTING A TRAINING PROGRAM FOR5 |
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| 57 | + | PEACE OFFICERS, AS DESCRIBED IN SECTION 16-2.5-101 (1), OR OTHER6 |
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| 58 | + | FIRST RESPONDERS SHALL NOT INCLUDE ANY TRAINING ON OR REFERENCE7 |
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| 59 | + | TO THE TERM "EXCITED DELIRIUM" IN ANY TRAINING PROGRAM. A PEACE8 |
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| 60 | + | OFFICER, AS DESCRIBED IN SECTION 16-2.5-101 (1), LAW ENFORCEMENT9 |
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| 61 | + | AGENCY, OR OTHER ORGANIZATION SHALL NOT REPORT TO THE P.O.S.T.10 |
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| 62 | + | BOARD, CREATED IN SECTION 24-31-302, A COURSE THAT CONTAINS THE11 |
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| 63 | + | CONCEPT OF EXCITED DELIRIUM FOR CREDIT TOWARD ANY TRAINING12 |
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| 64 | + | REQUIRED BY SECTIONS 24-31-303 (1), 24-31-315, OR ANY RULE13 |
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| 65 | + | PROMULGATED BY THE P.O.S.T. BOARD. NOTHING IN THIS SECTION14 |
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| 66 | + | PROHIBITS THE INSTRUCTION OF, OR REPORTING TO THE P.O.S.T. BOARD15 |
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| 67 | + | FOR TRAINING CREDIT, COURSES THAT INCLUDE THE SAFE AND EFFECTIVE16 |
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| 68 | + | INTERACTION WITH INDIVIDUALS EXHIBITING AN ALTERED MENTAL STATE ,17 |
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| 69 | + | INCLUDING |
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| 70 | + | SYMPTOMATOLOGY OF A STATE OF AGITATION , EXCITABILITY,18 |
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| 71 | + | PARANOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT19 |
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| 72 | + | IMMUNITY FROM PAIN.20 |
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59 | | - | OR PURPOSES OF THIS SECTION, "EXCITED DELIRIUM" MEANS A |
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60 | | - | TERM USED TO DESCRIBE A PERSON |
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61 | | - | 'S STATE OF AGITATION, EXCITABILITY, |
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62 | | - | PARANOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT |
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63 | | - | IMMUNITY TO PAIN THAT IS NOT LISTED IN THE MOST RECENT VERSION OF |
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64 | | - | THE |
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65 | | - | DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS. |
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66 | | - | "E |
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67 | | - | XCITED DELIRIUM" ALSO INCLUDES EXCITED DELIRIUM SYNDROME , |
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68 | | - | HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND EXHAUSTIVE MANIA. |
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69 | | - | SECTION 2. In Colorado Revised Statutes, 25-2-110, amend (5) |
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70 | | - | as follows: |
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71 | | - | 25-2-110. Certificates of death - definition. (5) (a) When inquiry |
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72 | | - | is required by section 30-10-606, the coroner shall determine the cause of |
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73 | | - | death and shall complete and sign the medical certification within |
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74 | | - | forty-eight hours after receipt of the electronic death registration request, |
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75 | | - | except as permitted by subsection (5.5) of this section. If an autopsy is |
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76 | | - | performed, the certification shall |
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77 | | - | MUST indicate whether the decedent was |
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78 | | - | pregnant at the time of death, and said THE information shall MUST be |
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79 | | - | reported on the certificate of death as required by subsection (9) of this |
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80 | | - | section. Except as otherwise provided in subsection (4.5) of this section, a |
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81 | | - | coroner, medical examiner, forensic pathologist, or other qualified |
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82 | | - | individual that determines the cause of death and completes the medical |
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83 | | - | PAGE 2-HOUSE BILL 24-1103 certification for a certificate of death in accordance with this subsection (5) |
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84 | | - | must use the electronic death registration system used by the department of |
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85 | | - | public health and environment and the state registrar pursuant to subsection |
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86 | | - | (1)(b)(I) of this section. |
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| 81 | + | OR PURPOSES OF THIS SECTION, "EXCITED DELIRIUM" MEANS2 |
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| 82 | + | A TERM USED TO DESCRIBE A PERSON 'S STATE OF AGITATION ,3 |
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| 83 | + | EXCITABILITY, PARANOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE,4 |
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| 84 | + | AND APPARENT IMMUNITY TO PAIN THAT IS NOT LISTED IN THE MOST5 |
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| 85 | + | RECENT VERSION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF6 |
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| 86 | + | M |
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| 87 | + | ENTAL DISORDERS. "EXCITED DELIRIUM" ALSO INCLUDES EXCITED7 |
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| 88 | + | DELIRIUM SYNDROME, HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND8 |
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| 89 | + | EXHAUSTIVE MANIA.9 |
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| 90 | + | SECTION 2. In Colorado Revised Statutes, 25-2-110, amend (5)10 |
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| 91 | + | as follows:11 |
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| 92 | + | 25-2-110. Certificates of death - definition. (5) (a) When12 |
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| 93 | + | inquiry is required by section 30-10-606, the coroner shall determine the13 |
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| 94 | + | cause of death and shall complete and sign the medical certification14 |
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| 95 | + | within forty-eight hours after receipt of the electronic death registration15 |
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| 96 | + | request, except as permitted by subsection (5.5) of this section. If an16 |
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| 97 | + | autopsy is performed, the certification shall |
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| 98 | + | MUST indicate whether the17 |
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| 99 | + | decedent was pregnant at the time of death, and said THE information18 |
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| 100 | + | shall MUST be reported on the certificate of death as required by19 |
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| 101 | + | subsection (9) of this section. Except as otherwise provided in subsection20 |
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| 102 | + | (4.5) of this section, a coroner, medical examiner, forensic pathologist, or21 |
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| 103 | + | other qualified individual that determines the cause of death and22 |
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| 104 | + | completes the medical certification for a certificate of death in accordance23 |
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| 105 | + | with this subsection (5) must use the electronic death registration system24 |
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| 106 | + | used by the department of public health and environment and the state25 |
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| 107 | + | registrar pursuant to subsection (1)(b)(I) of this section.26 |
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96 | | - | OR PURPOSES OF THIS SUBSECTION (5), "EXCITED DELIRIUM" |
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97 | | - | MEANS A TERM USED TO DESCRIBE A PERSON 'S STATE OF AGITATION, |
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98 | | - | EXCITABILITY, PARANOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND |
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99 | | - | APPARENT IMMUNITY TO PAIN THAT IS NOT LISTED IN THE MOST RECENT |
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100 | | - | VERSION OF THE |
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101 | | - | DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL |
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102 | | - | DISORDERS. "EXCITED DELIRIUM" ALSO INCLUDES EXCITED DELIRIUM |
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103 | | - | SYNDROME |
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104 | | - | , HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND EXHAUSTIVE |
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105 | | - | MANIA |
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106 | | - | . |
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107 | | - | SECTION 3. In Colorado Revised Statutes, 25-3.5-203, amend (2) |
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108 | | - | as follows: |
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109 | | - | 25-3.5-203. Emergency medical service providers - licensure - |
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110 | | - | renewal of license - duties of department - rules - record checks - |
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111 | | - | definitions. (2) (a) The council shall advise the department and the board |
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112 | | - | in establishing the training requirements for certificate or license renewal, |
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113 | | - | which training requirements must include a classroom component requiring |
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114 | | - | at least thirty-six and not more than fifty classroom hours. |
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115 | | - | (b) W |
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116 | | - | ITH THE EXCEPTION OF USING THE TERM "EXCITED DELIRIUM" |
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117 | | - | IN THE TEACHING OF THE HISTORY OF THE TERM , A PERSON OR ENTITY |
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118 | | - | CONDUCTING A TRAINING PROGRAM FOR EMERGENCY MEDICAL SERVICE |
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119 | | - | PROVIDERS SHALL NOT INCLUDE ANY TRAINING ON OR REFERENCE TO THE |
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120 | | - | TERM |
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121 | | - | "EXCITED DELIRIUM" IN ANY TRAINING PROGRAM. NOTHING IN THIS |
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122 | | - | SECTION PROHIBITS THE INSTRUCTION OF EMERGENCY MEDICAL SERVICE |
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123 | | - | COURSES THAT INCLUDE THE SAFE AND EFFECTIVE MEDICAL INTERACTION |
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124 | | - | WITH INDIVIDUALS EXHIBITING AN ALTERED MENTAL STATE |
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125 | | - | , INCLUDING |
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126 | | - | SYMPTOMATOLOGY OF A STATE OF AGITATION |
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127 | | - | , EXCITABILITY, PARANOIA, |
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128 | | - | EXTREME AGGRESSION , PHYSICAL VIOLENCE, AND APPARENT IMMUNITY |
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129 | | - | PAGE 3-HOUSE BILL 24-1103 FROM PAIN. |
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| 116 | + | OR PURPOSES OF THIS SUBSECTION (5), "EXCITED DELIRIUM"5 |
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| 117 | + | MEANS A TERM USED TO DESCRIBE A PERSON 'S STATE OF AGITATION,6 |
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| 118 | + | EXCITABILITY, PARANOIA, EXTREME AGGRESSION, PHYSICAL VIOLENCE,7 |
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| 119 | + | AND APPARENT IMMUNITY TO PAIN THAT IS NOT LISTED IN THE MOST8 |
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| 120 | + | RECENT VERSION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF9 |
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| 121 | + | M |
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| 122 | + | ENTAL DISORDERS. "EXCITED DELIRIUM" ALSO INCLUDES EXCITED10 |
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| 123 | + | DELIRIUM SYNDROME, HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND11 |
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| 124 | + | EXHAUSTIVE MANIA.12 |
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| 125 | + | SECTION 3. In Colorado Revised Statutes, 25-3.5-203, amend13 |
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| 126 | + | (2) as follows:14 |
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| 127 | + | 25-3.5-203. Emergency medical service providers - licensure15 |
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| 128 | + | - renewal of license - duties of department - rules - record checks -16 |
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| 129 | + | definitions. (2) (a) The council shall advise the department and the board17 |
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| 130 | + | in establishing the training requirements for certificate or license renewal,18 |
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| 131 | + | which training requirements must include a classroom component19 |
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| 132 | + | requiring at least thirty-six and not more than fifty classroom hours.20 |
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| 133 | + | (b) |
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| 134 | + | WITH THE EXCEPTION OF USING THE TERM "EXCITED DELIRIUM"21 |
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| 135 | + | IN THE TEACHING OF THE HISTORY OF THE TERM, A PERSON OR ENTITY22 |
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| 136 | + | CONDUCTING A TRAINING PROGRAM FOR EMERGENCY MEDICAL SERVICE23 |
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| 137 | + | PROVIDERS SHALL NOT INCLUDE ANY TRAINING ON OR REFERENCE TO THE24 |
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| 138 | + | TERM "EXCITED DELIRIUM" IN ANY TRAINING PROGRAM. NOTHING IN THIS25 |
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| 139 | + | SECTION PROHIBITS THE INSTRUCTION OF EMERGENCY MEDICAL SERVICE26 |
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| 140 | + | COURSES THAT INCLUDE THE SAFE AND EFFECTIVE MEDICAL INTERACTION27 |
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| 141 | + | 1103 |
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| 142 | + | -4- WITH INDIVIDUALS EXHIBITING AN ALTERED MENTAL STATE, INCLUDING1 |
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| 143 | + | SYMPTOMATOLOGY OF A STATE OF AGITATION, EXCITABILITY, PARANOIA,2 |
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| 144 | + | EXTREME AGGRESSION, PHYSICAL VIOLENCE, AND APPARENT IMMUNITY3 |
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| 145 | + | FROM PAIN.4 |
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131 | | - | OR PURPOSES OF SUBSECTION (2)(b) OF THIS SECTION, "EXCITED |
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132 | | - | DELIRIUM |
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133 | | - | " MEANS A TERM USED TO DESCRIBE A PERSON 'S STATE OF |
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134 | | - | AGITATION |
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135 | | - | , EXCITABILITY, PARANOIA, EXTREME AGGRESSION, PHYSICAL |
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136 | | - | VIOLENCE |
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137 | | - | , AND APPARENT IMMUNITY TO PAIN THAT IS NOT LISTED IN THE |
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138 | | - | MOST RECENT VERSION OF THE |
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139 | | - | DIAGNOSTIC AND STATISTICAL MANUAL OF |
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140 | | - | MENTAL DISORDERS. "EXCITED DELIRIUM" ALSO INCLUDES EXCITED |
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141 | | - | DELIRIUM SYNDROME |
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142 | | - | , HYPERACTIVE DELIRIUM, AGITATED DELIRIUM, AND |
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143 | | - | EXHAUSTIVE MANIA |
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144 | | - | . |
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145 | | - | SECTION 4. Act subject to petition - effective date. This act |
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146 | | - | takes effect at 12:01 a.m. on the day following the expiration of the |
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147 | | - | ninety-day period after final adjournment of the general assembly; except |
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148 | | - | that, if a referendum petition is filed pursuant to section 1 (3) of article V |
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149 | | - | of the state constitution against this act or an item, section, or part of this act |
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150 | | - | within such period, then the act, item, section, or part will not take effect |
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151 | | - | unless approved by the people at the general election to be held in |
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152 | | - | PAGE 4-HOUSE BILL 24-1103 November 2024 and, in such case, will take effect on the date of the official |
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153 | | - | declaration of the vote thereon by the governor. |
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154 | | - | ____________________________ ____________________________ |
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155 | | - | Julie McCluskie Steve Fenberg |
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156 | | - | SPEAKER OF THE HOUSE PRESIDENT OF |
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157 | | - | OF REPRESENTATIVES THE SENATE |
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158 | | - | ____________________________ ____________________________ |
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159 | | - | Robin Jones Cindi L. Markwell |
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160 | | - | CHIEF CLERK OF THE HOUSE SECRETARY OF |
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161 | | - | OF REPRESENTATIVES THE SENATE |
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162 | | - | APPROVED________________________________________ |
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163 | | - | (Date and Time) |
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164 | | - | _________________________________________ |
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165 | | - | Jared S. Polis |
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166 | | - | GOVERNOR OF THE STATE OF COLORADO |
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167 | | - | PAGE 5-HOUSE BILL 24-1103 |
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| 147 | + | OR PURPOSES OF SUBSECTION (2)(b) OF THIS SECTION,5 |
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| 148 | + | " |
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| 149 | + | EXCITED DELIRIUM" MEANS A TERM USED TO DESCRIBE A PERSON'S STATE6 |
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| 150 | + | OF AGITATION, EXCITABILITY, PARANOIA, EXTREME AGGRESSION ,7 |
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| 151 | + | PHYSICAL VIOLENCE, AND APPARENT IMMUNITY TO PAIN THAT IS NOT8 |
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| 152 | + | LISTED IN THE MOST RECENT VERSION OF THE DIAGNOSTIC AND9 |
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| 153 | + | S |
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| 154 | + | TATISTICAL MANUAL OF MENTAL DISORDERS. "EXCITED DELIRIUM"10 |
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| 155 | + | ALSO INCLUDES EXCITED DELIRIUM SYNDROME , HYPERACTIVE DELIRIUM,11 |
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| 156 | + | AGITATED DELIRIUM, AND EXHAUSTIVE MANIA.12 |
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| 157 | + | SECTION 4. Act subject to petition - effective date. This act13 |
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| 158 | + | takes effect at 12:01 a.m. on the day following the expiration of the14 |
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| 159 | + | ninety-day period after final adjournment of the general assembly; except15 |
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| 160 | + | that, if a referendum petition is filed pursuant to section 1 (3) of article V16 |
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| 161 | + | of the state constitution against this act or an item, section, or part of this17 |
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| 162 | + | act within such period, then the act, item, section, or part will not take18 |
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| 163 | + | effect unless approved by the people at the general election to be held in19 |
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| 164 | + | November 2024 and, in such case, will take effect on the date of the20 |
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| 165 | + | official declaration of the vote thereon by the governor.21 |
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| 166 | + | 1103 |
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| 167 | + | -5- |
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