Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-0328.01 Conrad Imel x2313 HOUSE BILL 24-1126 House Committees Senate Committees Judiciary A BILL FOR AN ACT C ONCERNING REQUIRING PARTICIPATION IN A TREATMENT PLAN FOR101 A SUBSTANCE USE DISORDER AS A CONDITION OF BOND .102 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill permits a court to order a person to complete a medical evaluation if the court suspects a substance use disorder contributed to the behavior giving rise to an offense for which the person was charged. The medical evaluation must determine if the person would benefit from a medically guided treatment plan for a substance use disorder (treatment plan). If the court receives a recommendation following the medical HOUSE SPONSORSHIP Lynch, SENATE SPONSORSHIP Pelton B., Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. evaluation that the person would benefit from a treatment plan, the court may order the person to participate in a treatment plan as a condition of bond. The person's treatment provider shall submit a report to the court within 2 business days after each scheduled appointment that is part of the person's treatment plan to indicate whether the person is in compliance with the treatment plan. The bill requires a person ordered to participate in a treatment plan to waive any patient privilege necessary for a doctor or treatment provider to report to the court. The bill prohibits the court from ordering a person required to participate in a treatment plan as a condition of bond to submit to drug or alcohol monitoring other than monitoring required by the treatment plan unless the monitoring is expressly required or permitted pursuant to any other state law. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 16-4-105, add (7.5)2 as follows:3 16-4-105. Conditions of release on bond. (7.5) I F THE COURT4 SUSPECTS THAT A SUBSTANCE USE DISORDER HAS CONTRIBUTED TO THE5 BEHAVIOR GIVING RISE TO AN OFFENSE FOR WHICH A PERSON HAS BEEN6 CHARGED, AND FOLLOWING A MEDICAL EVALUATION AND DETERMINATION7 THAT THE PERSON WOULD BENEFIT FROM A MEDICALLY GUIDED8 TREATMENT PLAN PURSUANT TO SECTION 16-4-118 (2), THE COURT MAY9 ORDER THAT THE PERSON PARTICIPATE IN A MEDICALLY GUIDED10 TREATMENT PLAN AS A CONDITION OF BOND AS DESCRIBED IN SECTION11 16-4-118.12 SECTION 2. In Colorado Revised Statutes, add 16-4-118 as13 follows:14 16-4-118. Medically guided treatment as condition of bond -15 evaluation required - definitions. (1) A S USED IN THIS SECTION, UNLESS16 THE CONTEXT OTHERWISE REQUIRES :17 HB24-1126-2- (a) "ADDICTION MEDICINE SPECIALIST" MEANS A MEDICAL DOCTOR1 WHO IS CERTIFIED AS AN ADDICTION MEDICINE SPECIALIST BY A2 NATIONALLY RECOGNIZED ORGANIZATION .3 (b) "M EDICAL DOCTOR" MEANS A DOCTOR LICENSED TO PRACTICE4 MEDICINE PURSUANT TO ARTICLE 240 OF TITLE 12.5 (c) "M EDICALLY GUIDED TREATMENT PLAN " OR "TREATMENT6 PLAN" MEANS A TREATMENT PLAN FOR A SUBSTANCE USE DISORDER7 DESCRIBED IN THIS SECTION THAT A COURT ORDERS A PERSON TO8 PARTICIPATE IN PURSUANT TO SECTION 16-4-105 (7.5).9 (d) "S UBSTANCE USE DOCTOR" MEANS A MEDICAL DOCTOR WHO IS10 AN ADDICTION MEDICINE SPECIALIST OR WHO RENDERS SERVICES AT A11 SUBSTANCE USE DISORDER TREATMENT FACILITY FOR THE DIAGNOSIS ,12 TREATMENT, OR PREVENTION OF SUBSTANCE USE DISORDERS .13 (e) "T REATMENT PROVIDER" MEANS AN ENTITY THAT PROVIDES14 SUBSTANCE USE DISORDER TREATMENT BY A SUBSTANCE USE DOCTOR .15 (2) (a) I F THE COURT SUSPECTS THAT A SUBSTANCE USE DISORDER16 HAS CONTRIBUTED TO THE BEHAVIOR GIVING RISE TO AN OFFENSE FOR17 WHICH A PERSON HAS BEEN CHARGED , THE COURT MAY ORDER THE PERSON18 TO COMPLETE A MEDICAL EVALUATION WITH A SUBSTANCE USE DOCTOR19 ASSOCIATED WITH A TREATMENT PROVIDER TO DETERMINE IF THE PERSON20 WOULD BENEFIT FROM A MEDICALLY GUIDED TREATMENT PLAN FOR A21 SUBSTANCE USE DISORDER.22 (b) I F A PERSON IS ORDERED BY THE COURT TO COMPLETE A23 MEDICAL EVALUATION PURSUANT TO SUBSECTION (2)(a) OF THIS SECTION,24 THE PERSON'S APPOINTMENT WITH THE DOCTOR WHO PERFORMS THE25 EVALUATION IS CONFIDENTIAL AND PRIVILEGED; EXCEPT THAT THE PERSON26 SHALL PERMIT THE TREATMENT PROVIDER ASSOCIATED WITH THE27 HB24-1126 -3- EVALUATING DOCTOR , IN WRITING, TO ADVISE THE COURT, DISTRICT1 ATTORNEY, AND THE PERSON'S ATTORNEY, IF THE PERSON HAS AN2 ATTORNEY, WHETHER THE PERSON WOULD BENEFIT FROM A MEDICALLY3 GUIDED TREATMENT PLAN FOR A SUBSTANCE USE DISORDER AND HOW THE4 COST OF THE PERSON'S TREATMENT PLAN WILL BE PAID.5 (3) (a) A COURT MAY, PURSUANT TO SECTION 16-4-105 (7.5),6 ORDER A PERSON TO PARTICIPATE IN A TREATMENT PLAN AS A CONDITION7 OF BOND IF:8 (I) T HE COURT RECEIVED A RECOMMENDATION FROM THE9 SUBSTANCE USE DOCTOR WHO CONDUCTED AN EVALUATION PURS UANT TO10 SUBSECTION (2) OF THIS SECTION THAT A PERSON WOULD BENEFIT FROM11 A MEDICALLY GUIDED TREATMENT PLAN DEVELOPED BY A SUBSTANCE USE12 DOCTOR; AND13 (II) THE TREATMENT PROVIDER AND THE PERSON HAVE14 DETERMINED HOW THE COST OF COMPLIANCE WITH THE TREATMENT PLAN15 WILL BE ACCOMPLISHED AND THE COURT HAS CONSIDERED HOW THE COST16 OF COMPLIANCE WILL BE ACCOMPLISHED .17 (b) I F THE COURT ORDERS PARTICIPATION IN A TREATMENT PLAN18 AS A CONDITION OF BOND PURSUANT TO SUBSECTION (3)(a) OF THIS19 SECTION, THE COURT AND TREATMENT PROVIDER SHALL DETERMINE A20 PROCESS FOR THE TREATMENT PROVIDER TO SUBMIT TO THE COURT A21 REPORT SIGNED BY A MEDICAL DOCTOR OR CARE PROVIDER OF THE22 TREATMENT FACILITY ADMINISTERING THE TREATMENT PLAN THAT23 INDICATES WHETHER THE PERSON IS IN COMPLIANCE WITH THE TREATMENT24 PLAN. THE TREATMENT PROVIDER SHALL SUBMIT A REPORT TO THE COURT25 WITHIN TWO BUSINESS DAYS AFTER EACH SCHEDULED APPOINTMENT THAT26 IS PART OF THE PERSON'S TREATMENT PLAN, REGARDLESS OF WHETHER27 HB24-1126 -4- THE PERSON ATTENDS . THE REPORT MUST SPECIFICALLY INDICATE1 WHETHER THE PERSON IS IN COMPLIANCE WITH THE REQUIREMENTS OF THE2 TREATMENT PLAN AND MAY INCLUDE THE FOLLOWING INFORMATION3 RELATED TO THE TREATMENT PLAN :4 (I) W HETHER THE PERSON ATTENDED THE APPOINTMENT ;5 (II) W HETHER THE PERSON IS TAKING MEDICATIONS AS6 PRESCRIBED AND COMPLYING WITH ANY MEDICATION -MONITORING7 REQUIREMENTS;8 (III) W HETHER THE PERSON IS ATTENDING THERAPY THAT HAS9 BEEN PLANNED AND SCHEDULED , OR OTHER BEHAVIORAL INSTRUCTION10 NECESSARY FOR SUCCESSFUL TREATMENT ;11 (IV) I NFORMATION THE TREATMENT PROVIDER DETERMINES IS12 BENEFICIAL FOR THE COURT REGARDING THE PERSON 'S PROGRESS TOWARD13 GOALS OF TREATMENT AS DETERMI NED IN THE TREATMENT PLAN ; AND14 (V) A NY OTHER REQUIREMENTS OF TREATMENT CONSIDERED15 ESSENTIAL BY THE TREATMENT PROVIDER TO DETERMINE PROGRESS16 TOWARD HARM REDUCTION AND SUCCESSFUL TREATMENT .17 (4) T HE PERSON'S PRESCRIPTIONS AND TEST RESULTS, AND DETAILS18 OF THE PERSON'S APPOINTMENTS WITH A TREATMENT PROVIDER ,19 THERAPIST, OR BEHAVIORAL INSTRUCTION PROVIDER ARE CONFIDENTIAL20 AND SUBJECT TO ANY APPLICABLE PATIENT PRIVILEGE. NOTWITHSTANDING21 ANY PRIVILEGE, THE PERSON SHALL PERMIT THE TREATMENT PROVIDER , IN22 WRITING, TO RELEASE INFORMATION ABOUT THE PERSON AND THE23 PERSON'S TREATMENT FOR THE LIMITED PURPOSE OF MAKING THE REPORT24 DESCRIBED IN SUBSECTION (3)(b) OF THIS SECTION.25 (5) A PERSON REQUIRED TO PARTICIPATE IN A TREATMENT PLAN AS26 A CONDITION OF BOND PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION27 HB24-1126 -5- SHALL BE REQUIRED TO SUBMIT TO SUBSTANCE USE MONITORING ONLY IF1 IT IS REQUIRED AS PART OF THE TREATMENT PLAN . UNLESS DRUG OR2 ALCOHOL MONITORING IS EXPRESSL Y REQUIRED OR PERMITTED PURSUANT3 TO ANY OTHER STATE LAW, INCLUDING MONITORING ORDERED PURSUANT4 TO SECTION 16-4-105 (6) FOLLOWING AN ARREST FOR DRIVING UNDER THE5 INFLUENCE OR DRIVING WHILE ABILITY IMPAIRED , THE COURT SHALL NOT6 REQUIRE THE PERSON TO SUBMIT TO DRUG OR ALCOHOL MONITORING7 OUTSIDE THE REQUIREMENTS OF THE TREATMENT PLAN .8 SECTION 3. In Colorado Revised Statutes, 16-4-109, add (4.5)9 as follows:10 16-4-109. Reduction or increase of monetary conditions of11 bond - change in type of bond or conditions of bond - definitions.12 (4.5) W HEN A PERSON IS ORDERED TO PARTICIPATE IN A MEDICALLY13 GUIDED TREATMENT PLAN FOR A SUBSTANCE USE DISORDER PURSUANT TO14 SECTION 16-4-105 (7.5), AND THE COURT FINDS, FOLLOWING RECEIPT OF15 A REPORT PURSUANT TO SECTION 16-4-118 (3)(b), THAT THE PERSON IS16 SUBSTANTIALLY OUT OF COMPLIANCE WITH THE MEDICALLY GUIDED17 TREATMENT PLAN OR IS ENGAGING IN OTHER BEHAVIOR RELATED TO A18 SUBSTANCE USE DISORDER THAT PLACES THE PERSON IN DANGER OF19 INJURY OR DEATH, THE COURT MAY ISSUE A WARRANT COMMANDING A20 PEACE OFFICER TO BRING THE DEFENDANT BEFORE THE COURT WITHOUT21 UNNECESSARY DELAY FOR A HEARING TO DETERMINE THE STEPS22 NECESSARY TO ENSURE THE PERSON 'S SAFETY AND THAT THE PERSON23 COMPLIES WITH THE MEDICALLY GUIDED TREATMENT PLAN .24 SECTION 4. Effective date. This act takes effect July 1, 2024.25 SECTION 5. Safety clause. The general assembly finds,26 determines, and declares that this act is necessary for the immediate27 HB24-1126 -6- preservation of the public peace, health, or safety or for appropriations for1 the support and maintenance of the departments of the state and state2 institutions.3 HB24-1126 -7-