Colorado 2024 Regular Session

Colorado House Bill HB1153 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. 24-0286.01 Brita Darling x2241
1	8		HOUSE BILL 24-1153
2		-	~~BY REPRESENTATIVE(S) Garcia and Willford, Bacon, Brown, Jodeh,~~
3		-	~~Joseph, Mabrey,~~ ~~Parenti, Story,~~ ~~deGruy Kennedy,~~ ~~Duran, Epps, Hernandez,~~
4		-	~~Kipp, Lindsay, Ortiz, Ricks, Velasco, Vigil;~~
5		-	~~also SENATOR(S) Cutter and Jaquez Lewis, Buckner, Fields, Hansen,~~
6		-	~~Marchman, Priola.~~
	9	+	House Committees Senate Committees
	10	+	Health & Human Services Health & Human Services
	11	+	Finance Finance
	12	+	Appropriations Appropriations
	13	+	A BILL FOR AN ACT
7	14		C
8		-	ONCERNING CONTINUING EDUCATION REQUIREMENTS FOR PHYSICIANS .
9		-
10		-	Be it enacted by the General Assembly of the State of Colorado:
11		-	SECTION 1. In Colorado Revised Statutes, 12-240-130, amend (1)
12		-	and (2)(a); repeal (3); and add (5) and (6) as follows:
13		-	12-240-130. Renewal, reinstatement, reactivation - delinquency
14		-	- fees - questionnaire. (1) All licenses issued pursuant to this article 240
15		-	are subject to the renewal, expiration, reinstatement, and delinquency fee
16		-	provisions specified in section 12-20-202 (1) and (2). The director shall
17		-	increase renewal fees consistent with section 12-30-105 (4) to fund COVER
18		-	the division's costs in administering and staffing the nurse-physician advisory task force for Colorado health care created in section 12-30-105 (1)
19		-	AND ANY ADDITIONAL COSTS ASSOCIATED WITH IMPLEMENTING
20		-	CONTINUING EDUCATION REQUIREMENTS FOR PHYSICIANS PURSUANT TO
21		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
22		-	officers and the Governor. To determine whether the Governor has signed the bill
23		-	or taken other action on it, please consult the legislative status sheet, the legislative
24		-	history, or the Session Laws.
25		-	________
26		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
27		-	through words or numbers indicate deletions from existing law and such material is not part of
28		-	the act. SECTION 12-240-130.5. A person whose license has expired shall be IS
29		-	subject to the penalties provided in this article 240 or section 12-20-202 (1).
30		-	(2) (a) The board shall design a questionnaire to accompany the
31		-	renewal form for the purpose of determining whether a licensee has acted
32		-	in violation of this article 240, or has been disciplined for any action that
33		-	might be considered a violation of this article 240 or that might make the
34		-	licensee unfit to practice medicine with reasonable care and safety. The
35		-	board shall include on the questionnaire a question regarding whether:
36		-	(I) The licensee has complied with section 12-30-111; and
37		-	(II) The licensee is in compliance with section 12-280-403 (2)(a)
38		-	and is aware of the penalties for failing to comply with that section;
	15	+	ONCERNING CONTINUING EDUCATION REQUIREMENTS FOR101
	16	+	PHYSICIANS.102
	17	+	Bill Summary
	18	+	(Note: This summary applies to this bill as introduced and does
	19	+	not reflect any amendments that may be subsequently adopted. If this bill
	20	+	passes third reading in the house of introduction, a bill summary that
	21	+	applies to the reengrossed version of this bill will be available at
	22	+	http://leg.colorado.gov
	23	+	.)
	24	+	The bill establishes a continuing medical education requirement
	25	+	(CME) for physicians licensed in this state.
	26	+	To meet the CME requirement, a physician must complete 40
	27	+	credit hours of CME (CME credit hours) in the 24 months preceding the
	28	+	renewal, reinstatement, or reactivation of the physician's medical license
	29	+	in topics selected by the physician and also in topics specified in the bill.
	30	+	SENATE
	31	+	3rd Reading Unamended
	32	+	May 7, 2024
	33	+	SENATE
	34	+	2nd Reading Unamended
	35	+	May 6, 2024
	36	+	HOUSE
	37	+	3rd Reading Unamended
	38	+	April 25, 2024
	39	+	HOUSE
	40	+	Amended 2nd Reading
	41	+	April 24, 2024
	42	+	HOUSE SPONSORSHIP
	43	+	Garcia and Willford, Bacon, Brown, Jodeh, Joseph, Mabrey, Parenti, Story, deGruy
	44	+	Kennedy, Duran, Epps, Hernandez, Kipp, Lindsay, Ortiz, Ricks, Velasco, Vigil
	45	+	SENATE SPONSORSHIP
	46	+	Cutter and Jaquez Lewis, Buckner, Fields, Hansen, Marchman, Priola
	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. The Colorado medical board (board) shall approve the type and sponsors
	50	+	of programs or activities that qualify for CME credit hours pursuant to
	51	+	criteria specified in the bill.
	52	+	To verify compliance with the CME requirement, the physician
	53	+	shall affirm on the license renewal form submitted to the board that the
	54	+	physician has complied with the CME requirement. The board is also
	55	+	authorized to audit up to 5% of physician renewals annually and to
	56	+	require that the physician submit proof of the CME programs completed
	57	+	and the CME credit hours awarded. A physician's failure to comply with
	58	+	the CME requirement or to submit proof to the board during a board audit
	59	+	constitutes unprofessional conduct. If the physician fails to comply with
	60	+	the CME requirement, the physician's license is inactive until reinstated
	61	+	by the board.
	62	+	The board may adopt rules to implement the CME requirement.
	63	+	The director of the division of professions and occupations in the
	64	+	department of regulatory agencies shall increase existing fees on
	65	+	physician licensure renewals to cover any additional costs associated with
	66	+	implementing the CME requirement.
	67	+	Be it enacted by the General Assembly of the State of Colorado:1
	68	+	SECTION 1. In Colorado Revised Statutes, 12-240-130, amend2
	69	+	(1) and (2)(a); repeal (3); and add (5) and (6) as follows:3
	70	+	12-240-130. Renewal, reinstatement, reactivation -4
	71	+	delinquency - fees - questionnaire. (1) All licenses issued pursuant to5
	72	+	this article 240 are subject to the renewal, expiration, reinstatement, and6
	73	+	delinquency fee provisions specified in section 12-20-202 (1) and (2).7
	74	+	The director shall increase renewal fees consistent with section 12-30-1058
	75	+	(4) to fund
	76	+	COVER the division's costs in administering and staffing the9
	77	+	nurse-physician advisory task force for Colorado health care created in10
	78	+	section 12-30-105 (1)
	79	+	AND ANY ADDITIONAL COSTS ASSOCIATED WITH11
	80	+	IMPLEMENTING CONTINUING EDUCATION REQUIREMENTS FOR PHYSICIANS12
	81	+	PURSUANT TO SECTION 12-240-130.5. A person whose license has expired13
	82	+	shall be
	83	+	IS subject to the penalties provided in this article 240 or section14
	84	+	12-20-202 (1).15
	85	+	1153-2- (2) (a) The board shall design a questionnaire to accompany the1
	86	+	renewal form for the purpose of determining whether a licensee has acted2
	87	+	in violation of this article 240, or has been disciplined for any action that3
	88	+	might be considered a violation of this article 240 or that might make the4
	89	+	licensee unfit to practice medicine with reasonable care and safety. The5
	90	+	board shall include on the questionnaire a question regarding whether:6
	91	+	(I) The licensee has complied with section 12-30-111; and7
	92	+	(II) The licensee is in compliance with section 12-280-403 (2)(a)8
	93	+	and is aware of the penalties for failing to comply with that section;9
39	94		(III) T
40		-	HE LICENSEE IS IN COMPLIANCE WITH SECTION 12-30-114; AND
41		-	(IV) THE LICENSEE IS IN COMPLIANCE WITH SECTION 12-240-130.5
42		-	RELATING TO REQUIRED CONTINUING MEDICAL EDUCATION AND IS AWARE OF
43		-	THE PENALTIES FOR FAILING TO COMPLY WITH THAT SECTION
44		-	.
	95	+	HE LICENSEE IS IN COMPLIANCE WITH SECTION 12-30-114;10
	96	+	AND11
	97	+	(IV) T
	98	+	HE LICENSEE IS IN COMPLIANCE WITH SECTION 12-240-130.512
	99	+	RELATING TO REQUIRED CONTINUING MEDICAL EDUCATION AND IS AWARE13
	100	+	OF THE PENALTIES FOR FAILING TO COMPLY WITH THAT SECTION .14
45	101		(3) Applicants for relicensure shall not be required to attend and
46		-	~~complete continuing medical education programs, except as directed by the~~
47		-	~~board to correct deficiencies of training or~~ education as directed ~~under~~
48		-	~~section 12-240-125 (5)(c)(III)(B).~~
49		-	(5) ~~ON AND AFTER OCTOBER 1, 2022, AS A CONDITION OF RENEWAL,~~
50		-	~~REINSTATEMENT, OR REACTIVATION OF A LICENSE , EACH LICENSEE OR~~
51		-	~~APPLICANT SHALL ATTEST THAT THE LICENSEE OR APPLICANT IS IN~~
52		-	~~COMPLIANCE WITH SECTION~~
53		-	~~12-30-114 AND~~ THAT THE LICENSEE OR
54		-	~~APPLICANT~~ IS ~~AWARE OF~~ THE ~~PENALTIES FOR NONCOMPLIANCE WITH THAT~~
55		-	~~SECTION~~
56		-	.
	102	+	15
	103	+	complete continuing medical education programs, except as directed by16
	104	+	the board to correct deficiencies of training or education as directed under17
	105	+	section 12-240-125 (5)(c)(III)(B).18
	106	+	(5) O
	107	+	N AND AFTER OCTOBER 1, 2022, AS A CONDITION OF19
	108	+	RENEWAL, REINSTATEMENT, OR REACTIVATION OF A LICENSE , EACH20
	109	+	LICENSEE OR APPLICANT SHALL ATTEST THAT THE LICENSEE OR APPLICANT21
	110	+	IS IN COMPLIANCE WITH SECTION 12-30-114 AND THAT THE LICENSEE OR22
	111	+	APPLICANT IS AWARE OF THE PENALTIES FOR NONCOMPLIANCE WITH THAT23
	112	+	SECTION.24
57	113		(6) O
58		-	N AND AFTER JANUARY 1, 2026, AS A CONDITION OF RENEWAL,
59		-	REINSTATEMENT, OR REACTIVATION OF A LICENSE , EACH LICENSEE OR
60		-	APPLICANT SHALL ATTEST THAT THE LICENSEE OR APPLICANT IS IN
61		-	COMPLIANCE WITH SECTION
62		-	12-240-130.5 AND THAT THE LICENSEE OR
63		-	APPLICANT IS AWARE OF THE PENALTIES FOR NONCOMPLIANCE WITH THAT
64		-	SECTION
65		-	.
66		-	PAGE 2-HOUSE BILL 24-1153 SECTION 2. In Colorado Revised Statutes, 12-240-106, amend
67		-	(1)(b) and (1)(c); and add (1)(d) as follows:
68		-	12-240-106. Powers and duties of board - limitation on authority
69		-	- rules. (1) In addition to all other powers and duties conferred and
70		-	imposed upon the board by this article 240, the board has the following
71		-	powers and duties to:
72		-	(b) Make investigations, hold hearings, and take evidence in
73		-	accordance with section 12-20-403 in all matters relating to the exercise and
74		-	performance of the powers and duties vested in the board; and
75		-	(c) Aid law enforcement in the enforcement of this article 240 and
76		-	in the prosecution of all persons, firms, associations, or corporations
	114	+	N AND AFTER JANUARY 1, 2026, AS A CONDITION OF25
	115	+	RENEWAL, REINSTATEMENT, OR REACTIVATION OF A LICENSE , EACH26
	116	+	LICENSEE OR APPLICANT SHALL ATTEST THAT THE LICENSEE OR APPLICANT27
	117	+	1153
	118	+	-3- IS IN COMPLIANCE WITH SECTION 12-240-130.5 AND THAT THE LICENSEE1
	119	+	OR APPLICANT IS AWARE OF THE PENALTIES FOR NONCOMPLIANCE WITH2
	120	+	THAT SECTION.3
	121	+	SECTION 2. In Colorado Revised Statutes, 12-240-106, amend4
	122	+	(1)(b) and (1)(c); and add (1)(d) as follows:5
	123	+	12-240-106. Powers and duties of board - limitation on6
	124	+	authority - rules. (1) In addition to all other powers and duties conferred7
	125	+	and imposed upon the board by this article 240, the board has the8
	126	+	following powers and duties to:9
	127	+	(b) Make investigations, hold hearings, and take evidence in10
	128	+	accordance with section 12-20-403 in all matters relating to the exercise11
	129	+	and performance of the powers and duties vested in the board; and12
	130	+	(c) Aid law enforcement in the enforcement of this article 240 and13
	131	+	in the prosecution of all persons, firms, associations, or corporations14
77	132		charged with the violation of any of its provisions;
78		-	AND
79		-	(d) ADOPT RULES AS NECESSARY IN ACCORDANCE WITH SECTION
80		-	12-240-130.5 TO IMPLEMENT THE REQUIREMENT FOR CONTINUING MEDICAL
81		-	EDUCATION FOR PHYSICIANS
82		-	.
83		-	SECTION 3. In Colorado Revised Statutes, 12-240-121, add (1)(ii)
84		-	as follows:
85		-	12-240-121. Unprofessional conduct - definitions.
86		-	(1) "Unprofessional conduct" as used in this article 240 means:
	133	+	AND15
	134	+	(d) A
	135	+	DOPT RULES AS NECESSARY IN ACCORDANCE WITH SECTION16
	136	+	12-240-130.5
	137	+	TO IMPLEMENT THE REQUIREMENT FOR CONTINUING17
	138	+	MEDICAL EDUCATION FOR PHYSICIANS .18
	139	+	SECTION 3. In Colorado Revised Statutes, 12-240-121, add19
	140	+	(1)(ii) as follows:20
	141	+	12-240-121. Unprofessional conduct - definitions.21
	142	+	(1) "Unprofessional conduct" as used in this article 241 means:22
	143	+	(ii)
	144	+	FAILING, WITHOUT REASONABLE CAUSE, TO COMPLY WITH THE23
	145	+	CONTINUING MEDICAL EDUCATION REQUIREMENT ESTABLISHED IN SECTION24
	146	+	12-240-130.5
	147	+	OR TO PROVIDE THE REQUIRED EVIDENCE OF COMPLETION OF25
	148	+	CONTINUING MEDICAL EDUCATION CREDIT HOURS IN RESPONSE TO AN26
	149	+	AUDIT BY THE BOARD PURSUANT TO SECTION 12-240-130.5 (8).27
	150	+	1153
	151	+	-4- SECTION 4. In Colorado Revised Statutes, add 12-240-130.5 as1
	152	+	follows:2
	153	+	12-240-130.5. Continuing medical education - requirement -3
	154	+	compliance - legislative declaration - rules - definitions. (1) (a) T
	155	+	HE4
	156	+	GENERAL ASSEMBLY FINDS AND DECLARES THAT :5
	157	+	(I) M
	158	+	EDICAL KNOWLEDGE , METHODS OF DIAGNOSIS , AND6
	159	+	TREATMENT OPTIONS HAVE EXPANDED EXPONENTIALLY SINCE THE7
	160	+	BEGINNING OF THE TWENTY-FIRST CENTURY, WITH EXCITING RESEARCH8
	161	+	AND DISCOVERIES, INCLUDING THE DEVELOPMENT OF NEW MEDICATIONS9
	162	+	AND TOOLS FOR MORE ACCURATE AND EFFECTIVE DI AGNOSIS , TREATMENT,10
	163	+	AND PREVENTION OF DISEASE;11
	164	+	(II) W
	165	+	HILE THERE ARE PROMISING ADVANCES IN MEDICINE ,12
	166	+	C
	167	+	OLORADO FACES CHALLENGES THAT AFFECT THE HEALTH AND13
	168	+	WELL-BEING OF ITS RESIDENTS, INCLUDING AN AGING POPULATION ;14
	169	+	NATIONAL AND INTERNATIONAL PUBLIC HEALTH ISSUES , INCLUDING15
	170	+	EPIDEMICS AND PANDEMICS ; NONNATIVE DISEASES AND CONDITIONS ;16
	171	+	CHANGING ENVIRONMENTAL C ONDITIONS AND NEW CONTAMINANTS IN17
	172	+	WATER, AIR, AND FOOD THAT ARE DANGEROUS TO HUMAN HEALTH ;18
	173	+	CHANGES IN STATE AND FEDERAL LAW IMPACTING ACCESS TO19
	174	+	REPRODUCTIVE, SEXUAL, AND GENDER-BASED HEALTH CARE; AND THE20
	175	+	INCREASING NEED FOR BEHAVIORAL HEALTH CARE AND PHYSICAL AND21
	176	+	MENTAL HEALTH-CARE INTEGRATION;22
	177	+	(III) S
	178	+	TATE AND NATIONAL MEDICAL ASSOCIATIONS RECOGNIZE23
	179	+	THE PRACTICAL AND ETHICAL DUTIES PHYSICIANS HAVE TO THEIR24
	180	+	PATIENTS AND TO THE PROFESSION TO MAINTAIN COMPETENCY IN THE25
	181	+	RAPIDLY CHANGING MEDICAL FIELD AND THE WORLD ; AND26
	182	+	(IV) T
	183	+	O MEET THESE CHALLENGES AND DUTIES , THERE IS A NEED27
	184	+	1153
	185	+	-5- FOR MANDATED CONTINUING PROFESSIONAL EDUCATION FOR PHYSICIANS .1
	186	+	(b) T
	187	+	HEREFORE, THE GENERAL ASSEMBLY FURTHER FINDS AND2
	188	+	DECLARES THAT:3
	189	+	(I) A
	190	+	LICENSE TO PRACTICE MEDICINE IN THIS STATE IS GRANTED4
	191	+	TO INDIVIDUALS WHO DEMONSTRATE COMPETENCY IN THE PROFESSION ;5
	192	+	AND6
	193	+	(II) A
	194	+	S A CONDITION OF THE PERIODIC RENEWAL OF A PHYSICIAN 'S7
	195	+	LICENSE OR THE REINSTATEMENT OR REACTIVATION OF A MEDICAL8
	196	+	LICENSE, IT IS APPROPRIATE AND NECESSARY THAT COLORADO REQUIRE9
	197	+	A PHYSICIAN TO COMPLETE CONTINUING MEDICAL EDUCATION TO ENSURE10
	198	+	CONTINUING COMPETENCY IN THE PROFESSION AND TO PREPARE FOR THE11
	199	+	PATIENTS AND HEALTH ISSUES OF THE FUTURE .12
	200	+	(2) A
	201	+	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE13
	202	+	REQUIRES:14
	203	+	(a) "AMA
	204	+	PRA CATEGORY 1 CREDIT™" MEANS CREDIT FOR HOURS15
	205	+	AWARDED FOR CONTINUING MEDICAL EDUCATION THAT APPLY TOWARD16
	206	+	THE AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN'S RECOGNITION17
	207	+	AWARD.18
	208	+	19
	209	+	(b) "CME CREDIT HOUR" MEANS ONE HOUR OF CME CREDIT20
	210	+	AWARDED FOR ONE CLOCK HOUR OF CONTINUING MEDICAL EDUCATION .21
	211	+	(c) "COMPLIANCE PERIOD" MEANS THE TWENTY -FOUR-MONTH22
	212	+	PERIOD IMMEDIATELY PRECEDING THE RENEWAL , REINSTATEMENT, OR23
	213	+	REACTIVATION OF A PHYSICIAN'S LICENSE.24
	214	+	(d) "CONTINUING MEDICAL EDUCATION" OR "CME" MEANS A25
	215	+	PROGRAM OF CONTINUING MEDICAL EDUCATION THAT IS ACCREDITED BY26
	216	+	AN ORGANIZATION SPECIFIED IN SUBSECTION (3)(d) OF THIS SECTION.27
	217	+	1153
	218	+	-6- (e) "NATIONAL BOARD CERTIFICATION" MEANS A CERTIFICATION1
	219	+	PROGRAM THAT MEETS ACCEPTED STANDARDS FOR CERTIFICATION AND2
	220	+	INCLUDES BOTH:3
	221	+	(I) A PROCESS FOR DEFINING SPECIALTY-SPECIFIC STANDARDS FOR4
	222	+	KNOWLEDGE AND SKILLS; AND5
	223	+	(II) AN INDEPENDENT, EXTERNAL, PSYCHOMETRICALLY VALID6
	224	+	ASSESSMENT OF KNOWLEDGE AND SKILLS FOR BOTH INITIAL7
	225	+	CERTIFICATION AND RECERTIFICATION OR CONTINUOUS CERTIFICATION BY8
	226	+	THE CERTIFYING BODY THAT GRANTED THE INITIAL CERTIFICATION IN THE9
	227	+	MEDICAL SPECIALTY.10
	228	+	(3) (a) N
	229	+	OTWITHSTANDING ANY PROVISION OF THIS TITLE 12 TO11
	230	+	THE CONTRARY, COMMENCING WITH LICENSE RENEWAL , REINSTATEMENT,12
	231	+	OR REACTIVATION OCCURRING ON OR AFTER JANUARY 1, 2026, EXCEPT AS13
	232	+	PROVIDED IN SUBSECTIONS (3)(c), (4), AND (5) OF THIS SECTION, THE14
	233	+	BOARD SHALL NOT RENEW , REINSTATE, OR REACTIVATE A LICENSE OF A15
	234	+	PHYSICIAN UNLESS THE PHYSICIAN PRESENTS EVIDENCE THAT THE16
	235	+	PHYSICIAN HAS COMPLETED
	236	+	THIRTY CME CREDIT HOURS WITHIN THE17
	237	+	COMPLIANCE PERIOD.18
	238	+	(b) U
	239	+	NLESS CHOSEN TO PARTICIPATE IN A BOARD AUDIT OF CME19
	240	+	COMPLIANCE PURSUANT TO SUBSECTION (8) OF THIS SECTION, A PHYSICIAN20
	241	+	SHALL PROVIDE EVIDENCE OF COMPLIANCE WITH THIS SECTION BY :21
	242	+	(I) A
	243	+	NSWERING AFFIRMATIVELY, UNDER PENALTY OF PERJURY, A22
	244	+	QUESTION REGARDING COMPLIANCE WITH THE CME REQUIREMENT THAT23
	245	+	IS INCLUDED ON THE QUESTIONNAIRE THAT ACCOMPANIES THE LICENSE24
	246	+	RENEWAL FORM DESCRIBED IN SECTION 12-240-130 (2); OR25
87	247		(II) F
88		-	AILING, WITHOUT REASONABLE CAUSE , TO COMPLY WITH THE
89		-	CONTINUING MEDICAL EDUCATION REQUIREMENT ESTABLISHED IN SECTION
90		-	12-240-130.5 OR TO PROVIDE THE REQUIRED EVIDENCE OF COMPLETION OF
91		-	CONTINUING MEDICAL EDUCATION CREDIT HOURS IN RESPONSE TO AN AUDIT
92		-	BY THE BOARD PURSUANT TO SECTION
93		-	12-240-130.5 (8).
94		-	SECTION 4. In Colorado Revised Statutes, add 12-240-130.5 as
95		-	follows:
96		-	12-240-130.5. Continuing medical education - requirement -
97		-	compliance - legislative declaration - rules - definitions. (1) (a) T
98		-	HE
99		-	GENERAL ASSEMBLY FINDS AND DECLARES THAT
100		-	:
101		-	(I) M
102		-	EDICAL KNOWLEDGE, METHODS OF DIAGNOSIS, AND TREATMENT
103		-	PAGE 3-HOUSE BILL 24-1153 OPTIONS HAVE EXPANDED EXPONENTIALLY SINCE THE BEGINNING OF THE
104		-	TWENTY
105		-	-FIRST CENTURY, WITH EXCITING RESEARCH AND DISCOVERIES ,
106		-	INCLUDING THE DEVELOPMENT OF NEW MEDICATIONS AND TOOLS FOR MORE
107		-	ACCURATE AND EFFECTIVE DIAGNOSIS
108		-	, TREATMENT, AND PREVENTION OF
109		-	DISEASE
110		-	;
111		-	(II) W
112		-	HILE THERE ARE PROMISING ADVANCES IN MEDICINE ,
113		-	C
114		-	OLORADO FACES CHALLENGES THAT AFFECT THE HEALTH AND WELL -BEING
115		-	OF ITS RESIDENTS
116		-	, INCLUDING AN AGING POPULATION ; NATIONAL AND
117		-	INTERNATIONAL PUBLIC HEALTH ISSUES
118		-	, INCLUDING EPIDEMICS AND
119		-	PANDEMICS
120		-	; NONNATIVE DISEASES AND CONDITIONS ; CHANGING
121		-	ENVIRONMENTAL CONDITIONS AND NEW CONTAMINANTS IN WATER
122		-	, AIR, AND
123		-	FOOD THAT ARE DANGEROUS TO HUMAN HEALTH
124		-	; CHANGES IN STATE AND
125		-	FEDERAL LAW IMPACTING ACCESS TO REPRODUCTIVE
126		-	, SEXUAL, AND
127		-	GENDER
128		-	-BASED HEALTH CARE; AND THE INCREASING NEED FOR BEHAVIORAL
129		-	HEALTH CARE AND PHYSICAL AND MENTAL HEALTH
130		-	-CARE INTEGRATION;
131		-	(III) S
132		-	TATE AND NATIONAL MEDICAL ASSOCIATIONS RECOGNIZE THE
133		-	PRACTICAL AND ETHICAL DUTIES PHYSICIANS HAVE TO THEIR PATIENTS AND
134		-	TO THE PROFESSION TO MAINTAIN COMPETENCY IN THE RAPIDLY CHANGING
135		-	MEDICAL FIELD AND THE WORLD
136		-	; AND
137		-	(IV) TO MEET THESE CHALLENGES AND DUTIES , THERE IS A NEED FOR
138		-	MANDATED CONTINUING PROFESSIONAL EDUCATION FOR PHYSICIANS
139		-	.
140		-	(b) T
141		-	HEREFORE, THE GENERAL ASSEMBLY FURTHER FINDS AND
142		-	DECLARES THAT
143		-	:
144		-	(I) A
145		-	LICENSE TO PRACTICE MEDICINE IN THIS STATE IS GRANTED TO
146		-	INDIVIDUALS WHO DEMONSTRATE COMPETENCY IN THE PROFESSION
147		-	; AND
148		-	(II) AS A CONDITION OF THE PERIODIC RENEWAL OF A PHYSICIAN 'S
149		-	LICENSE OR THE REINSTATEMENT OR REACTIVATION OF A MEDICAL LICENSE
150		-	,
151		-	IT IS APPROPRIATE AND NECESSARY THAT COLORADO REQUIRE A PHYSICIAN
152		-	TO COMPLETE CONTINUING MEDICAL EDUCATION TO ENSURE CONTINUING
153		-	COMPETENCY IN THE PROFESSION AND TO PREPARE FOR THE PATIENTS AND
154		-	HEALTH ISSUES OF THE FUTURE
155		-	.
156		-	(2) A
157		-	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE
158		-	REQUIRES
159		-	:
160		-	PAGE 4-HOUSE BILL 24-1153 (a) "AMA PRA CATEGORY 1 CREDIT™" MEANS CREDIT FOR HOURS
161		-	AWARDED FOR CONTINUING MEDICAL EDUCATION THAT APPLY TOWARD THE
162		-	AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN'S RECOGNITION AWARD.
163		-	(b) "CME
164		-	CREDIT HOUR" MEANS ONE HOUR OF CME CREDIT
165		-	AWARDED FOR ONE CLOCK HOUR OF CONTINUING MEDICAL EDUCATION
166		-	.
167		-	(c) "C
168		-	OMPLIANCE PERIOD" MEANS THE TWENTY -FOUR-MONTH
169		-	PERIOD IMMEDIATELY PRECEDING THE RENEWAL
170		-	, REINSTATEMENT, OR
171		-	REACTIVATION OF A PHYSICIAN
172		-	'S LICENSE.
173		-	(d) "C
174		-	ONTINUING MEDICAL EDUCATION " OR "CME" MEANS A
175		-	PROGRAM OF CONTINUING MEDICAL EDUC ATION THAT IS ACCREDITED BY AN
176		-	ORGANIZATION SPECIFIED IN SUBSECTION
177		-	(3)(d) OF THIS SECTION.
178		-	(e) "N
179		-	ATIONAL BOARD CERTIFICATION " MEANS A CERTIFICATION
180		-	PROGRAM THAT MEETS ACCEPTED STANDARDS FOR CERTIFICATION AND
181		-	INCLUDES BOTH
182		-	:
183		-	(I) A
184		-	PROCESS FOR DEFINING SPECIALTY-SPECIFIC STANDARDS FOR
185		-	KNOWLEDGE AND SKILLS
186		-	; AND
187		-	(II) AN INDEPENDENT, EXTERNAL, PSYCHOMETRICALLY VALID
188		-	ASSESSMENT OF KNOWLEDGE AND SKILLS FOR BOTH INITIAL CERTIFICATION
189		-	AND RECERTIFICATION OR CONTINUOUS CERTIFICATION BY THE CERTIFYING
190		-	BODY THAT GRANTED THE INITIAL CERTIFICATION IN THE MEDICAL
191		-	SPECIALTY
192		-	.
193		-	(3) (a) N
194		-	OTWITHSTANDING ANY PROVISION OF THIS TITLE 12 TO THE
195		-	CONTRARY
196		-	, COMMENCING WITH LICENSE RENEWAL , REINSTATEMENT, OR
197		-	REACTIVATION OCCURRING ON OR AFTER
198		-	JANUARY 1, 2026, EXCEPT AS
199		-	PROVIDED IN SUBSECTIONS
200		-	(3)(c), (4), AND (5) OF THIS SECTION, THE BOARD
201		-	SHALL NOT RENEW
202		-	, REINSTATE, OR REACTIVATE A LICENSE OF A PHYSICIAN
203		-	UNLESS THE PHYSICIAN PRESENTS EVIDENCE THAT THE PHYSICIAN HAS
204		-	COMPLETED THIRTY
205		-	CME CREDIT HOURS WITHIN THE COMPLIANCE PERIOD .
206		-	(b) U
207		-	NLESS CHOSEN TO PARTICIPATE IN A BOARD AUDIT OF CME
208		-	COMPLIANCE PURSUANT TO SUBSECTION (8) OF THIS SECTION, A PHYSICIAN
209		-	SHALL PROVIDE EVIDENCE OF COMPLIANCE WITH THIS SECTION BY
210		-	:
211		-	PAGE 5-HOUSE BILL 24-1153 (I) ANSWERING AFFIRMATIVELY , UNDER PENALTY OF PERJURY , A
212		-	QUESTION REGARDING COMPLIANCE WITH THE
213		-	CME REQUIREMENT THAT IS
214		-	INCLUDED ON THE QUESTIONNAIRE THAT ACCOMPANIES THE LICENSE
215		-	RENEWAL FORM DESCRIBED IN SECTION
216		-	12-240-130 (2); OR
217		-	(II) FOR AN APPLICANT FOR REINSTATEMENT OR REACTIVATION , BY
218		-	ATTESTING TO THAT FACT ON THE APPLICATION
219		-	.
220		-	(c) I
221		-	F NECESSARY, THE BOARD SHALL ADJUST PROPORTIONATELY THE
222		-	NUMBER OF
223		-	CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION (3)(a)
224		-	OF THIS SECTION TO ENSURE THAT , DUE TO THE DATE OF THE LICENSE
225		-	RENEWAL
226		-	, REINSTATEMENT, OR REACTIVATION, A PHYSICIAN IS NOT
227		-	REQUIRED TO OBTAIN THIRTY
228		-	CME CREDIT HOURS IN FEWER THAN
229		-	TWENTY
230		-	-FOUR MONTHS.
	248	+	OR AN APPLICANT FOR REINSTATEMENT OR REACTIVATION , BY26
	249	+	ATTESTING TO THAT FACT ON THE APPLICATION .27
	250	+	1153
	251	+	-7- (c) IF NECESSARY, THE BOARD SHALL ADJUST PROPORTIONATELY1
	252	+	THE NUMBER OF CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION2
	253	+	(3)(a)
	254	+	OF THIS SECTION TO ENSURE THAT , DUE TO THE DATE OF THE3
	255	+	LICENSE RENEWAL, REINSTATEMENT, OR REACTIVATION, A PHYSICIAN IS4
	256	+	NOT REQUIRED TO OBTAIN
	257	+	THIRTY CME CREDIT HOURS IN FEWER THAN5
	258	+	TWENTY-FOUR MONTHS.6
231	259		(d) T
232		-	O QUALIFY FOR CME CREDIT HOURS, A PROGRAM MUST:
233		-	(I) B
234		-	E ACCREDITED BY THE ACCREDITATION COUNCIL FOR
235		-	CONTINUING MEDICAL EDUCATION AND QUALIFY FOR AMA PRA CATEGORY
236		-	1 CREDIT™;
237		-	(II) Q
238		-	UALIFY FOR PRESCRIBED CREDIT FROM THE AMERICAN
239		-	ACADEMY OF FAMILY PHYSICIANS;
240		-	(III) B
241		-	E AN APPROVED PROGRAM OF THE AMERICAN OSTEOPATHIC
242		-	ASSOCIATION; OR
243		-	(IV) BE A PROGRAM REQUIRED IN ORDER TO MAINTAIN NATIONAL
244		-	BOARD CERTIFICATION
245		-	, NOT INCLUDING A PROGRAM SELF -CLAIMED OR
246		-	SELF
247		-	-DOCUMENTED BY THE PHYSICIAN .
	260	+	O QUALIFY FOR CME CREDIT HOURS, A PROGRAM
	261	+	MUST:7
	262	+	(I) BE ACCREDITED BY THE ACCREDITATION COUNCIL FOR8
	263	+	CONTINUING MEDICAL EDUCATION AND QUALIFY FOR AMA PRA9
	264	+	CATEGORY 1 CREDIT™;10
	265	+	(II) QUALIFY FOR PRESCRIBED CREDIT FROM THE AMERICAN11
	266	+	ACADEMY OF FAMILY PHYSICIANS;12
	267	+	(III) BE AN APPROVED PROGRAM OF THE AMERICAN OSTEOPATHIC13
	268	+	ASSOCIATION; OR14
	269	+	(IV) BE A PROGRAM REQUIRED IN ORDER TO MAINTAIN NATIONAL15
	270	+	BOARD CERTIFICATION, NOT INCLUDING A PROGRAM SELF-CLAIMED OR16
	271	+	SELF-DOCUMENTED BY THE PHYSICIAN .17
248	272		(e) A
249		-	S PART OF THE ~~THIRTY CME CREDIT HOURS REQUIRED~~
250		-	~~PURSUANT TO SUBSECTION~~
251		-	(3)(a) OF THIS SECTION, OR THE ~~ADJUSTED~~
252		-	NUMBER OF
253		-	~~CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION~~ (3)(c)
254		-	OF THIS SECTION, A PHYSICIAN SHALL COMPLETE CME ~~CREDIT HOURS IN~~
255		-	TOPICS SPECIFIED PURSUANT TO SUBSECTION
256		-	~~(6) OF THIS~~ SECTION.
	273	+	S PART OF THE
	274	+	THIRTY CME CREDIT HOURS REQUIRED18
	275	+	PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION, OR THE ADJUSTED19
	276	+	NUMBER OF CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION20
	277	+	(3)(c)
	278	+	OF THIS SECTION, A PHYSICIAN SHALL COMPLETE CME CREDIT21
	279	+	HOURS IN TOPICS SPECIFIED PURSUANT TO SUBSECTION (6) OF THIS22
	280	+	SECTION.23
257	281		(4) (a) T
258		-	HE BOARD MAY RENEW THE LICENSE OF A PHYSICIAN WHO
259		-	PRESENTS ACCEPTABLE EVIDENCE TO THE BOARD THAT THE PHYSICIAN WAS
260		-	UNABLE TO COMPLY WITH THE
261		-	CME CREDIT HOURS REQUIRED PURSUANT TO
262		-	PAGE 6-HOUSE BILL 24-1153 SUBSECTION (3)(a) OF THIS SECTION.
263		-	(b) T
264		-	HE BOARD MAY GRANT A SIX -MONTH EXTENSION OF THE
265		-	COMPLIANCE PERIOD TO A PHYSICIAN WHO IS UNABLE TO COMPLY WITH THE
266		-	CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION (3)(a) OF THIS
267		-	SECTION
268		-	.
	282	+	HE BOARD MAY RENEW THE LICENSE OF A PHYSICIAN WHO24
	283	+	PRESENTS ACCEPTABLE EVIDENCE TO THE BOARD THAT THE PHYSICIAN25
	284	+	WAS UNABLE TO COMPLY WITH THE CME CREDIT HOURS REQUIRED26
	285	+	PURSUANT TO SUBSECTION (3)(a) OF THIS SECTION.27
	286	+	1153
	287	+	-8- (b) THE BOARD MAY GRANT A SIX -MONTH EXTENSION OF THE1
	288	+	COMPLIANCE PERIOD TO A PHYSICIAN WHO IS UNABLE TO COMPLY WITH2
	289	+	THE CME CREDIT HOURS REQUIRED PURSUANT TO SUBSECTION (3)(a) OF3
	290	+	THIS SECTION.4
269	291		(5) T
270		-	HE BOARD MAY WAIVE THE CME REQUIREMENT FOR A
271		-	PHYSICIAN
272		-	'S FIRST RENEWAL PERIOD IF THE PHYSICIAN WAS INITIALLY
273		-	LICENSED WITHIN TWELVE MONTHS AFTER COMPLETING A BOARD
274		-	-APPROVED
275		-	INTERNSHIP OR POSTGRADUATE TRAINING
276		-	.
	292	+	HE BOARD MAY WAIVE THE CME REQUIREMENT FOR A5
	293	+	PHYSICIAN'S FIRST RENEWAL PERIOD IF THE PHYSICIAN WAS INITIALLY6
	294	+	LICENSED WITHIN TWELVE MONTHS AFTER COMPLETING A7
	295	+	BOARD-APPROVED INTERNSHIP OR POSTGRADUATE TRAINING .8
277	296		(6) A
278		-	S PART OF THE CME REQUIREMENT ESTABLISHED ~~PURSUANT TO~~
279		-	THIS SECTION
280		-	~~, IN ADDITION TO~~ CME PROGRAMS COVERING ~~TOPICS SELECTED~~
281		-	BY THE PHYSICIAN
282		-	~~, A PHYSICIAN'S CME CREDIT HOURS MUST~~ INCLUDE:
	297	+	S PART OF THE CME REQUIREMENT ESTABLISHED PURSUANT9
	298	+	TO THIS SECTION, IN ADDITION TO
	299	+	CME PROGRAMS COVERING TOPICS10
	300	+	SELECTED BY THE PHYSICIAN, A PHYSICIAN'S CME CREDIT HOURS MUST11
	301	+	INCLUDE:12
283	302		(a) CME
284		-	CREDIT HOURS THAT COMPLY WITH SECTION 12-30-~~114 AND~~
285		-	RELATED BOARD RULES
286		-	~~; AND~~
287		-	~~(b) CME CREDIT HOURS COVERING A TOPIC SPECIFIED BY THE BOARD~~
288		-	BY ~~RULE PURSUANT TO SUBSECTION~~
289		-	(7)(b) OF THIS SECTION.
	303	+	CREDIT HOURS THAT COMPLY WITH SECTION 12-30-11413
	304	+	AND RELATED BOARD RULES ;
	305	+	AND14
	306	+	15
	307	+	(b) CME CREDIT HOURS COVERING A TOPIC SPECIFIED BY THE16
	308	+	BOARD BY RULE PURSUANT TO SUBSECTION (7)(b) OF THIS SECTION.17
290	309		(7) T
291		-	HE BOARD SHALL PROMULGATE RULES NECESSARY TO
292		-	IMPLEMENT A PHYSICIAN
293		-	CME REQUIREMENT IN ACCORDANCE WITH THIS
294		-	SECTION
295		-	. IN ADDITION TO ANY OTHER RULES , THE BOARD SHALL ADOPT
296		-	RULES
297		-	:
298		-	(a) R
299		-	EQUIRING THAT A PHYSICIAN MAINTAIN A TRANSCRIPT OR
300		-	CERTIFICATE OF ATTENDANCE AT THE
301		-	CME PROGRAM THAT INCLUDES A
302		-	STATEMENT OF THE CREDIT HOURS EARNED
303		-	;
304		-	(b) (I) R
305		-	ELATING TO ANY CME CREDIT HOURS IN A SPECIFIC TOPIC,
306		-	IF THE BOARD APPROVES THE TOPIC , INCLUDING THE NUMBER OF CREDIT
307		-	HOURS
308		-	, THE FREQUENCY OF THE REQUIREMENT , AND WHICH PHYSICIANS ARE
309		-	SUBJECT TO THE REQUIREMENT
310		-	. NOTHING IN THIS SUBSECTION (7)(b)(I)
311		-	ALLOWS THE BOARD TO INCREASE THE NUMBER OF REQUIRED CME CREDIT
312		-	HOURS SPECIFIED IN SUBSECTION
313		-	(3)(a) OF THIS SECTION.
	310	+	HE BOARD SHALL PROMULGATE RULES NECESSARY TO18
	311	+	IMPLEMENT A PHYSICIAN CME REQUIREMENT IN ACCORDANCE WITH THIS19
	312	+	SECTION. IN ADDITION TO ANY OTHER RULES , THE BOARD SHALL ADOPT20
	313	+	RULES:21 22
	314	+	(a) REQUIRING THAT A PHYSICIAN MAINTAIN A TRANSCRIPT OR23
	315	+	CERTIFICATE OF ATTENDANCE AT THE CME PROGRAM THAT INCLUDES24
	316	+	A STATEMENT OF THE CREDIT HOURS EARNED ;25
	317	+	(b) (I) RELATING TO ANY CME CREDIT HOURS IN A SPECIFIC TOPIC,26
	318	+	IF THE BOARD APPROVES THE TOPIC, INCLUDING THE NUMBER OF CREDIT27
	319	+	1153
	320	+	-9- HOURS, THE FREQUENCY OF THE REQUIREMENT, AND WHICH PHYSICIANS1
	321	+	ARE SUBJECT TO THE REQUIREMENT . NOTHING IN THIS SUBSECTION2
	322	+	(7)(b)(I) ALLOWS THE BOARD TO INCREASE THE NUMBER OF REQUIRED3
	323	+	CME CREDIT HOURS SPECIFIED IN SUBSECTION (3)(a) OF THIS SECTION.4
	324	+	(II) THE BOARD SHALL INITIATE A STAKEHOLDER PROCESS TO5
	325	+	CONSIDER REQUIRING, FOR GENERAL PRACTICE AND FOR ALL SPECIALTIES,6
	326	+	SPECIFIC CME CREDIT HOURS RELATING TO HEALTH DISPARITIES AND7
	327	+	OUTCOMES DATA; REPRODUCTIVE, SEXUAL, AND GENDER-BASED HEALTH8
	328	+	CARE; AND EXPLICIT AND IMPLICIT BIAS, INCLUDING THE NUMBER AND9
	329	+	FREQUENCY OF CME CREDIT HOURS.10
	330	+	(c) INDICATING THE CIRCUMSTANCES UNDER WHICH THE BOARD11
	331	+	WOULD WAIVE THE CME REQUIREMENT FOR A PHYSICIAN OR EXTEND THE12
	332	+	PHYSICIAN'S COMPLIANCE PERIOD PURSUANT TO SUBSECTION (4) OF THIS13
	333	+	SECTION;14
	334	+	(d) IMPLEMENTING AN AUDIT OF COMPLIANCE WITH THIS SECTION ,15
	335	+	IF UNDERTAKEN BY THE BOARD PURSUANT TO SUBSECTION (8) OF THIS16
	336	+	SECTION; AND17
	337	+	(e) FOR REINSTATEMENT OF A LICENSE THAT HAS BECOME18
	338	+	INACTIVE PURSUANT TO SUBSECTION (9) OF THIS SECTION.19
	339	+	(8) (a) T
	340	+	HE BOARD MAY ANNUALLY AUDIT UP TO FIVE PERCENT OF20
	341	+	PHYSICIANS, CHOSEN AT
	342	+	RANDOM WITH AN OVERSAMPLING OF21
	343	+	NONBOARD-CERTIFIED PHYSICIANS, FOR COMPLIANCE WITH THIS SECTION.22
	344	+	(b) I
	345	+	F CHOSEN BY THE BOARD FOR AN AUDIT OF COMPLIANCE WITH23
	346	+	THE CME REQUIREMENT ESTABLISHED PURSUANT TO THIS SECTION ,24
	347	+	UNLESS THE BOARD HAS ADJUSTED THE NUMBER OF REQUIRED CREDIT25
	348	+	HOURS PURSUANT TO SUBSECTION (3)(c) OF THIS SECTION OR GRANTED A26
	349	+	WAIVER OR EXTENSION OF THE CME REQUIREMENT DURING THE27
	350	+	1153
	351	+	-10- COMPLIANCE PERIOD PURSUANT TO SUBSECTION (4) OF THIS SECTION, THE1
	352	+	PHYSICIAN SHALL PROVIDE EVIDENCE OF THE COMPLETION OF THIRTY2
	353	+	CREDIT HOURS OF CME PROGRAMS COMPLETED WITHIN THE3
	354	+	TWENTY-FOUR MONTHS PRECEDING THE DATE OF THE PHYSICIAN 'S4
	355	+	RENEWAL, REINSTATEMENT, OR REACTIVATION OF THE LICENSE.5
	356	+	(9) (a) I
	357	+	F A PHYSICIAN FAILS TO COMPLY WITH THE CME6
	358	+	REQUIREMENT ESTABLISHED PURSUANT TO THIS SECTION OR TO PROVIDE7
	359	+	THE REQUIRED EVIDENCE OF COMPLETION OF CME CREDIT HOURS IN8
	360	+	RESPONSE TO AN AUDIT BY THE BOARD PURSUANT TO SUBSECTION (8)(a)9
	361	+	OF THIS SECTION:10
	362	+	(I) T
	363	+	HE PHYSICIAN'S FAILURE
	364	+	TO COMPLY WITHOUT REASONABLE11
	365	+	CAUSE CONSTITUTES UNPROFESSIONAL CONDUCT PURSUANT TO SECTION12
	366	+	12-240-121 (1)(ii); AND13
314	367		(II) T
315		-	HE BOARD SHALL INITIATE A STAKEHOLDER PROCESS TO
316		-	CONSIDER REQUIRING
317		-	, FOR GENERAL PRACTICE AND FOR ALL SPECIALTIES ,
318		-	PAGE 7-HOUSE BILL 24-1153 SPECIFIC CME CREDIT HOURS RELATING TO HEALTH DISPARITIES AND
319		-	OUTCOMES DATA
320		-	; REPRODUCTIVE, SEXUAL, AND GENDER-BASED HEALTH
321		-	CARE
322		-	; AND EXPLICIT AND IMPLICIT BIAS, INCLUDING THE NUMBER AND
323		-	FREQUENCY OF
324		-	CME CREDIT HOURS.
325		-	(c) I
326		-	NDICATING THE CIRCUMSTANCES UNDER WHICH THE BOARD
327		-	WOULD WAIVE THE
328		-	CME REQUIREMENT FOR A PHYSICIAN OR EXTEND THE
329		-	PHYSICIAN
330		-	'S COMPLIANCE PERIOD PURSUANT TO SUBSECTION (4) OF THIS
331		-	SECTION
332		-	;
333		-	(d) I
334		-	MPLEMENTING AN AUDIT OF COMPLIANCE WITH THIS SECTION , IF
335		-	UNDERTAKEN BY THE BOARD PURSUANT TO SUBSECTION
336		-	(8) OF THIS
337		-	SECTION
338		-	; AND
339		-	(e) FOR REINSTATEMENT OF A LICENSE THAT HAS BECOME INACTIVE
340		-	PURSUANT TO SUBSECTION
341		-	(9) OF THIS SECTION.
342		-	(8) (a) T
343		-	HE BOARD MAY ANNUALLY AUDIT UP TO FIVE PERCENT OF
344		-	PHYSICIANS
345		-	, CHOSEN AT RANDOM WITH AN OVERSAMPLING OF
346		-	NONBOARD
347		-	-CERTIFIED PHYSICIANS, FOR COMPLIANCE WITH THIS SECTION.
348		-	(b) I
349		-	F CHOSEN BY THE BOARD FOR AN AUDIT OF COMPLIANCE WITH
350		-	THE
351		-	CME REQUIREMENT ESTABLISHED PURSUANT TO THIS SECTION , UNLESS
352		-	THE BOARD HAS ADJUSTED THE NUMBER OF REQUIRED CREDIT HOURS
353		-	PURSUANT TO SUBSECTION
354		-	(3)(c) OF THIS SECTION OR GRANTED A WAIVER
355		-	OR EXTENSION OF THE
356		-	CME REQUIREMENT DURING THE COMPLIANCE PERIOD
357		-	PURSUANT TO SUBSECTION
358		-	(4) OF THIS SECTION, THE PHYSICIAN SHALL
359		-	PROVIDE EVIDENCE OF THE COMPLETION OF THIRTY CREDIT HOURS OF
360		-	CME
361		-	PROGRAMS COMPLETED WITHIN THE TWENTY -FOUR MONTHS PRECEDING THE
362		-	DATE OF THE PHYSICIAN
363		-	'S RENEWAL, REINSTATEMENT, OR REACTIVATION OF
364		-	THE LICENSE
365		-	.
366		-	(9) (a) I
367		-	F A PHYSICIAN FAILS TO COMPLY WITH THE CME
368		-	REQUIREMENT ESTABLISHED PURSUANT TO THIS SECTION OR TO PROVIDE THE
369		-	REQUIRED EVIDENCE OF COMPLETION OF
370		-	CME CREDIT HOURS IN RESPONSE
371		-	TO AN AUDIT BY THE BOARD PURSUANT TO SUBSECTION
372		-	(8)(a) OF THIS
373		-	SECTION
374		-	:
375		-	(I) T
376		-	HE PHYSICIAN'S FAILURE TO COMPLY WITHOUT REASONABLE
377		-	CAUSE CONSTITUTES UNPROFESSIONAL CONDUCT PURSUANT TO SECTION
378		-	PAGE 8-HOUSE BILL 24-1153 12-240-121 (1)(ii); AND
379		-	(II) THE PHYSICIAN'S LICENSE BECOMES INACTIVE UNTIL REINSTATED
380		-	BY THE BOARD PURSUANT TO BOARD RULE
381		-	.
	368	+	HE PHYSICIAN'S LICENSE BECOMES INACTIVE UNTIL14
	369	+	REINSTATED BY THE BOARD PURSUANT TO BOARD RULE .15
382	370		(b) A
383		-	PHYSICIAN WITH AN INACTIVE LICENSE IS NOT REQUIRED TO
384		-	COMPLY WITH THIS SECTION BUT SHALL MEET THE
385		-	CME REQUIREMENT
386		-	PURSUANT TO THIS SECTION BEFORE THE BOARD REACTIVATES THE LICENSE
387		-	.
388		-	SECTION 5. In Colorado Revised Statutes, 12-240-120, amend
389		-	(1)(c) and (1)(d); and add (1)(e) as follows:
390		-	12-240-120. Refusal of license - issuance subject to probation.
391		-	(1) The board may refrain from issuing a license or may grant a license
392		-	subject to terms of probation if the board determines that an applicant for
393		-	a license:
394		-	(c) Has been disciplined in another state or foreign jurisdiction with
395		-	respect to his or her
396		-	THE APPLICANT'S license to practice medicine, license
397		-	to practice as a physician assistant, or license to practice as an
398		-	anesthesiologist assistant; or
399		-	(d) Has not actively practiced medicine, practiced as a physician
400		-	assistant, or practiced as an anesthesiologist assistant for the two-year
401		-	period immediately preceding the filing of an application, or otherwise
402		-	maintained continued competency during that period, as determined by the
403		-	board;
404		-	OR
405		-	(e) HAS NOT COMPLETED REQUIRED CONTINUING MEDICAL
406		-	EDUCATION PURSUANT TO SECTION
407		-	12-240-130.5.
408		-	SECTION 6. In Colorado Revised Statutes, 12-240-141, amend (5)
409		-	as follows:
410		-	12-240-141. Inactive license. (5) Any person licensed under this
411		-	section who wishes to resume the practice of medicine or to resume practice
412		-	as a physician assistant shall file an application in the form and manner the
413		-	board shall designate,
414		-	MEET THE REQUIRED APPLICABLE CONTINUING
415		-	MEDICAL EDUCATION REQUIREMENTS PURSUANT TO SECTION
416		-	12-240-130.5,
417		-	pay the license fee promulgated by the board pursuant to section
418		-	PAGE 9-HOUSE BILL 24-1153 12-240-130, and meet the financial responsibility requirements promulgated
419		-	by the board pursuant to section 13-64-301 (1). The board may approve the
420		-	application and issue a license or may deny the application as set forth in
421		-	section 12-240-120.
422		-	SECTION 7. Act subject to petition - effective date. This act
423		-	takes effect at 12:01 a.m. on the day following the expiration of the
424		-	ninety-day period after final adjournment of the general assembly; except
425		-	that, if a referendum petition is filed pursuant to section 1 (3) of article V
426		-	of the state constitution against this act or an item, section, or part of this act
427		-	within such period, then the act, item, section, or part will not take effect
428		-	unless approved by the people at the general election to be held in
429		-	PAGE 10-HOUSE BILL 24-1153 November 2024 and, in such case, will take effect on the date of the official
430		-	declaration of the vote thereon by the governor.
431		-	____________________________ ____________________________
432		-	Julie McCluskie Steve Fenberg
433		-	SPEAKER OF THE HOUSE PRESIDENT OF
434		-	OF REPRESENTATIVES THE SENATE
435		-	____________________________ ____________________________
436		-	Robin Jones Cindi L. Markwell
437		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
438		-	OF REPRESENTATIVES THE SENATE
439		-	APPROVED________________________________________
440		-	(Date and Time)
441		-	_________________________________________
442		-	Jared S. Polis
443		-	GOVERNOR OF THE STATE OF COLORADO
444		-	PAGE 11-HOUSE BILL 24-1153
	371	+	PHYSICIAN WITH AN INACTIVE LICENSE IS NOT REQUIRED TO16
	372	+	COMPLY WITH THIS SECTION BUT SHALL MEET THE CME REQUIREMENT17
	373	+	PURSUANT TO THIS SECTION BEFORE THE BOARD REACTIVATES THE18
	374	+	LICENSE.19
	375	+	SECTION 5. In Colorado Revised Statutes, 12-240-120, amend20
	376	+	(1)(c) and (1)(d); and add (1)(e) as follows:21
	377	+	12-240-120. Refusal of license - issuance subject to probation.22
	378	+	(1) The board may refrain from issuing a license or may grant a license23
	379	+	subject to terms of probation if the board determines that an applicant for24
	380	+	a license:25
	381	+	(c) Has been disciplined in another state or foreign jurisdiction26
	382	+	with respect to his or her
	383	+	THE APPLICANT'S license to practice medicine,27
	384	+	1153
	385	+	-11- license to practice as a physician assistant, or license to practice as an1
	386	+	anesthesiologist assistant; or2
	387	+	(d) Has not actively practiced medicine, practiced as a physician3
	388	+	assistant, or practiced as an anesthesiologist assistant for the two-year4
	389	+	period immediately preceding the filing of an application, or otherwise5
	390	+	maintained continued competency during that period, as determined by6
	391	+	the board;
	392	+	OR7
	393	+	(e) H
	394	+	AS NOT COMPLETED REQUIRED CONTINUING MEDICAL8
	395	+	EDUCATION PURSUANT TO SECTION 12-240-130.5.9
	396	+	SECTION 6. In Colorado Revised Statutes, 12-240-141, amend10
	397	+	(5) as follows:11
	398	+	12-240-141. Inactive license. (5) Any person licensed under this12
	399	+	section who wishes to resume the practice of medicine or to resume13
	400	+	practice as a physician assistant shall file an application in the form and14
	401	+	manner the board shall designate,
	402	+	MEET THE REQUIRED APPLICABLE15
	403	+	CONTINUING MEDICAL EDUCATION REQUIREMENTS PURSUANT TO SECTION16
	404	+	12-240-130.5, pay the license fee promulgated by the board pursuant to17
	405	+	section 12-240-130, and meet the financial responsibility requirements18
	406	+	promulgated by the board pursuant to section 13-64-301 (1). The board19
	407	+	may approve the application and issue a license or may deny the20
	408	+	application as set forth in section 12-240-120.21
	409	+	SECTION 7. Act subject to petition - effective date. This act22
	410	+	takes effect at 12:01 a.m. on the day following the expiration of the23
	411	+	ninety-day period after final adjournment of the general assembly; except24
	412	+	that, if a referendum petition is filed pursuant to section 1 (3) of article V25
	413	+	of the state constitution against this act or an item, section, or part of this26
	414	+	act within such period, then the act, item, section, or part will not take27
	415	+	1153
	416	+	-12- effect unless approved by the people at the general election to be held in1
	417	+	November 2024 and, in such case, will take effect on the date of the2
	418	+	official declaration of the vote thereon by the governor.3
	419	+	1153
	420	+	-13-