Colorado 2024 Regular Session

Colorado House Bill HB1262 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. 24-0285.01 Yelana Love x2295
1	8		HOUSE BILL 24-1262
2		-	BY REPRESENTATIVE(S) Garcia and Jodeh, Bacon, Boesenecker,
3		-	Brown, Duran, Epps, Froelich, Hamrick, Herod, Kipp, Lieder, Lindstedt,
4		-	Mabrey, Marvin, McCormick, McLachlan, Ortiz, Parenti, Rutinel, Sirota,
5		-	Story, Titone, Velasco, Willford, Young, Amabile, Lindsay, Lukens, Ricks,
6		-	Valdez, Vigil, Weissman, McCluskie;
7		-	also SENATOR(S) Buckner and Michaelson Jenet, Bridges, Coleman,
8		-	Danielson, Exum, Ginal, Gonzales, Hansen, Hinrichsen, Jaquez Lewis,
9		-	Kolker, Marchman, Priola, Roberts, Sullivan, Zenzinger.
	9	+	House Committees Senate Committees
	10	+	Health & Human Services Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
10	13		C
11		-	ONCERNING MATERNAL HEALTH , AND, IN CONNECTION THEREWITH ,
12		-	MAKING AN APPROPRIATION.
13		-
14		-	Be it enacted by the General Assembly of the State of Colorado:
15		-	SECTION 1. Legislative declaration. (1) The general assembly
16		-	finds and declares that:
17		-	(a) With the increased demand for reproductive health-care services
18		-	in the state, it is important to support the full infrastructure of reproductive
19		-	health-care providers. This includes:
20		-	(I) Integrating the services and expertise of direct-entry midwives;
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. (II) Assessing and maintaining the level of reproductive health-care
29		-	services needed in a community in a way that is accessible to the
30		-	community;
31		-	(III) Understanding the assets and the gaps in services at the county
32		-	level; and
33		-	(IV) Understanding and implementing best practices for when
34		-	services are discontinued in a community, including providing notice and
35		-	a transition plan to the state in order to recognize and monitor the ongoing
36		-	impact to the community.
37		-	(b) Demand for community birth options jumped 30% from 2019 to
38		-	2020, with the majority of demand coming from Black and Latinx birthing
39		-	people;
40		-	(c) People are choosing community birth care because they find it
41		-	supportive of not just their health needs but their social, spiritual, and
42		-	community values and needs; however, community birth facilities and
43		-	providers face barriers to providing care;
44		-	(d) Patients should have the ability to choose the provider that is
45		-	right for them, regardless of the setting. Especially for underserved Black,
46		-	Indigenous, Asian, rural, refugee, or immigrant communities or someone
47		-	dealing with a substance use or mental health condition, the ability to
48		-	choose a provider that can meet their needs isn't just important, it could be
49		-	lifesaving.
50		-	(e) Facility and practice closures leave communities scrambling
51		-	when they close suddenly and without guidance to patients. When closures
52		-	occur, the state must ensure that vulnerable communities are protected.
53		-	(f) The preventable maternal mortality crisis is only growing worse
54		-	in our state, disproportionately harming Black and Indigenous people; and
55		-	(g) The maternal mortality review committee has made several
56		-	recommendations to combat this crisis, including:
57		-	(I) Increased access to a variety of health-care professionals, such
58		-	PAGE 2-HOUSE BILL 24-1262 as direct-entry midwives;
59		-	(II) Addressing critical maternal health workforce shortages, such
60		-	as ensuring that direct-entry midwives can provide care at their full scope
61		-	and preventing perinatal facility and practice closures as much as possible;
62		-	(III) Examining unintended consequences of policies and
63		-	procedures, such as exploring the impact of facility and practice closures on
64		-	Black, Indigenous, Latinx, Asian, rural, and immigrant and refugee
65		-	communities; and
66		-	(IV) The Colorado department of public health and environment
67		-	recommends that health-care providers be trained and prepared to provide
68		-	a type of care that direct-entry midwives already specialize in. The
69		-	midwifery model of care exemplifies certain recommendations such as dyad
70		-	care, trauma-informed care, shared decision-making, and expertise in safe
71		-	transitions, care navigation, and wraparound services.
72		-	SECTION 2. In Colorado Revised Statutes, amend 12-225-114 as
73		-	follows:
74		-	12-225-114. Repeal of article - subject to review. This article 225
75		-	is repealed, effective September 1, 2028. Before the repeal, the registering
76		-	of direct-entry midwives by the division is scheduled for review in
77		-	accordance with section 24-34-104.
78		-	SECTION 3. In Colorado Revised Statutes, 24-34-305, amend
79		-	(1)(k) as follows:
80		-	24-34-305. Powers and duties of commission. (1) The commission
81		-	has the following powers and duties:
	14	+	ONCERNING MATERNAL
	15	+	HEALTH, AND, IN CONNECTION THEREWITH,101
	16	+	MAKING AN APPROPRIATION .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	+	Current law requires "direct-entry midwives" to register with the
	25	+	division of professions and occupations in the department of regulatory
	26	+	agencies before practicing. Sections 2 through 12 of the bill make
	27	+	changes within the direct-entry midwives practice act to update the title
	28	+	of these professionals to "certified professional midwives" and change the
	29	+	regulation from registration to licensure. Sections 21 through 31 make
	30	+	SENATE
	31	+	3rd Reading Unamended
	32	+	May 4, 2024
	33	+	SENATE
	34	+	Amended 2nd Reading
	35	+	May 3, 2024
	36	+	HOUSE
	37	+	3rd Reading Unamended
	38	+	April 17, 2024
	39	+	HOUSE
	40	+	Amended 2nd Reading
	41	+	April 16, 2024
	42	+	HOUSE SPONSORSHIP
	43	+	Garcia and Jodeh, Bacon, Boesenecker, Brown, Duran, Epps, Froelich, Hamrick, Herod,
	44	+	Kipp, Lieder, Lindstedt, Mabrey, Marvin, McCormick, McLachlan, Ortiz, Parenti, Rutinel,
	45	+	Sirota, Story, Titone, Velasco, Willford, Young
	46	+	SENATE SPONSORSHIP
	47	+	Buckner and Michaelson Jenet, Bridges, Coleman, Danielson, Exum, Ginal, Gonzales,
	48	+	Hansen, Hinrichsen, Jaquez Lewis, Kolker, Marchman, Priola, Roberts, Sullivan, Zenzinger
	49	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	50	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	51	+	Dashes through the words or numbers indicate deletions from existing law. the same updates to current law in other statutes outside of the practice
	52	+	act.
	53	+	Current law allows the state board for community colleges and
	54	+	occupational education to use unexpended resources from the in-demand
	55	+	short-term health-care credentials program (program) to expand the
	56	+	eligible programs that may receive support through the program. Section
	57	+	13 allows the board to expand the eligible programs to include certified
	58	+	professional midwives.
	59	+	Section 14 requires the civil rights commission to establish certain
	60	+	parameters when receiving reports for maternity care. Section 15 adds
	61	+	pregnancy as a protected class for purposes of discrimination in places of
	62	+	public accommodation.
	63	+	The bill adds a midwife to the environmental justice advisory
	64	+	board (section 16) and the governor's expert emergency epidemic
	65	+	response committee (section 20).
	66	+	Section 17 requires a health facility that provides maternal health
	67	+	services to notify certain individuals before eliminating or reducing the
	68	+	services.
	69	+	Section 18 adds midwifery as a preferred area of expertise for
	70	+	members of the health equity commission.
	71	+	Section 19 requires the maternal mortality review committee to:
	72	+	! Study closures related to perinatal health-care practices and
	73	+	facilities and perinatal health-care deserts and assets related
	74	+	to perinatal health and health-care services across the state,
	75	+	not limited to obstetric providers;
	76	+	! Identify major outcome categories that the department of
	77	+	public health and environment should track over time and
	78	+	identify risks and opportunities;
	79	+	! Explore the effects of practice and facility closures
	80	+	(closures) on maternal and infant health outcomes and
	81	+	experiences;
	82	+	! Identify recommendations during closures and resultant
	83	+	transfers of care;
	84	+	! Identify best practice guidelines during closures and
	85	+	resultant transfers of care; and
	86	+	! Create a maternal health desert and asset map.
	87	+	Be it enacted by the General Assembly of the State of Colorado:1
	88	+	SECTION 1. Legislative declaration. (1) The general assembly2
	89	+	finds and declares that:3
	90	+	(a) With the increased demand for reproductive health-care4
	91	+	1262-2- services in the state, it is important to support the full infrastructure of1
	92	+	reproductive health-care providers. This includes:2
	93	+	(I) Integrating the services and expertise of direct-entry midwives;3
	94	+	(II) Assessing and maintaining the level of reproductive4
	95	+	health-care services needed in a community in a way that is accessible to5
	96	+	the community;6
	97	+	(III) Understanding the assets and the gaps in services at the7
	98	+	county level; and8
	99	+	(IV) Understanding and implementing best practices for when9
	100	+	services are discontinued in a community, including providing notice10
	101	+	and a transition plan to the state in order to recognize and monitor the11
	102	+	ongoing impact to the community.12
	103	+	(b) Demand for community birth options jumped 30% from 201913
	104	+	to 2020, with the majority of demand coming from Black and Latinx14
	105	+	birthing people;15
	106	+	(c) People are choosing community birth care because they find16
	107	+	it supportive of not just their health needs but their social, spiritual, and17
	108	+	community values and needs; however, community birth facilities and18
	109	+	providers face barriers to providing care; 19
	110	+	20
	111	+	(d) Patients should have the ability to choose the provider that is21
	112	+	right for them, regardless of the setting. Especially for underserved Black,22
	113	+	Indigenous, Asian, rural, refugee, or immigrant communities or someone23
	114	+	dealing with a substance use or mental health condition, the ability to24
	115	+	choose a provider that can meet their needs isn't just important, it could25
	116	+	be lifesaving.26
	117	+	(e) Facility and practice closures leave communities scrambling27
	118	+	1262
	119	+	-3- when they close suddenly and without guidance to patients. When1
	120	+	closures occur, the state must ensure that vulnerable communities are2
	121	+	protected.3
	122	+	(f) The preventable maternal mortality crisis is only growing4
	123	+	worse in our state, disproportionately harming Black and Indigenous5
	124	+	people; and6
	125	+	(g) The maternal mortality review committee has made several7
	126	+	recommendations to combat this crisis, including:8
	127	+	(I) Increased access to a variety of health-care professionals, such9
	128	+	as direct-entry midwives;10
	129	+	(II) Addressing critical maternal health workforce shortages, such11
	130	+	as ensuring that direct-entry midwives can provide care at their full scope12
	131	+	and preventing perinatal facility and practice closures as much as13
	132	+	possible;14
	133	+	(III) Examining unintended consequences of policies and15
	134	+	procedures, such as exploring the impact of facility and practice closures16
	135	+	on Black, Indigenous, Latinx, Asian, rural, and immigrant and refugee17
	136	+	communities; and18
	137	+	(IV) The Colorado department of public health and environment19
	138	+	recommends that health-care providers be trained and prepared to provide20
	139	+	a type of care that direct-entry midwives already specialize in. The21
	140	+	midwifery model of care exemplifies certain recommendations such as22
	141	+	dyad care, trauma-informed care, shared decision-making, and expertise23
	142	+	in safe transitions, care navigation, and wraparound services.24
	143	+	25
	144	+	SECTION 2. In Colorado Revised Statutes, amend 12-225-11426
	145	+	as follows:27
	146	+	1262
	147	+	-4- 12-225-114. Repeal of article - subject to review. This article1
	148	+	225 is repealed, effective September 1, 2028. Before the repeal, the2
	149	+	registering of direct-entry midwives by the division is scheduled for3
	150	+	review in accordance with section 24-34-104.4
	151	+	5
	152	+	SECTION 3. In Colorado Revised Statutes, 24-34-305, amend6
	153	+	(1)(k) as follows:7
	154	+	24-34-305. Powers and duties of commission. (1) The8
	155	+	commission has the following powers and duties:9
82	156		(k) (I) To receive reports from people alleging
83		-	MISTREATMENT IN
84		-	THE CONTEXT OF
85		-	maternity care, INCLUDING CARE that is not organized for,
86		-	and provided to, a person who is pregnant or in the postpartum period
87		-	AS
88		-	DEFINED IN SECTION
89		-	12-225-103, in a manner that is culturally congruent;
90		-	maintains
91		-	THAT FAILS TO MAINTAIN the person's dignity, privacy, and
92		-	confidentiality; ensures THAT FAILS TO ENSURE freedom from harm and
93		-	mistreatment; and enables THAT FAILS TO ENABLE informed choices and
94		-	continuous support.
95		-	PAGE 3-HOUSE BILL 24-1262 (II) REPORTS SHALL BE COLLECTED IN A WAY TO ENSURE THAT :
	157	+	MISTREATMENT IN10
	158	+	THE CONTEXT OF maternity care, INCLUDING CARE that is not organized11
	159	+	for, and provided to, a person who is pregnant or in the postpartum period12
	160	+	AS DEFINED IN SECTION 12-225-103, in a manner that is culturally13
	161	+	congruent; maintains
	162	+	THAT FAILS TO MAINTAIN the person's dignity,14
	163	+	privacy, and confidentiality; ensures THAT FAILS TO ENSURE freedom from15
	164	+	harm and mistreatment; and enables THAT FAILS TO ENABLE informed16
	165	+	choices and continuous support.17
	166	+	(II) R
	167	+	EPORTS SHALL BE COLLECTED IN A WAY TO ENSURE THAT :18
96	168		(A) C
97		-	ONFIDENTIAL INFORMATION CAN BE DE -IDENTIFIED;
	169	+	ONFIDENTIAL INFORMATION CAN BE DE -IDENTIFIED;19
98	170		(B) I
99		-	NDIVIDUALS CAN IDENTIFY MISTREATMENT THEY EXPERIENCED
100		-	BASED ON THE FOLLOWING MISTREATMENT INDEX CATEGORIES
101		-	: PHYSICAL
102		-	ABUSE
103		-	, SEXUAL ABUSE, VERBAL ABUSE, STIGMA AND DISCRIMINATION ,
104		-	FAILURE TO MEET PROFESSIONAL STANDARDS OF CARE , OR POOR RAPPORT
105		-	BETWEEN PATIENTS OR CLIENTS AND PROVIDERS
106		-	; POOR CONDITIONS AND
107		-	CONSTRAINTS PRESENTED BY THE HEALTH
108		-	-CARE SYSTEM; AND OBSTETRIC
109		-	RACISM
110		-	;
	171	+	NDIVIDUALS CAN IDENTIFY MISTREATMENT THEY20
	172	+	EXPERIENCED BASED ON THE FOLLOWING MISTREATMENT INDEX21
	173	+	CATEGORIES: PHYSICAL ABUSE, SEXUAL ABUSE, VERBAL ABUSE, STIGMA22
	174	+	AND DISCRIMINATION, FAILURE TO MEET PROFESSIONAL STANDARDS OF23
	175	+	CARE, OR POOR RAPPORT BETWEEN PATIENTS OR CLIENTS AND PROVIDERS ;24
	176	+	POOR CONDITIONS AND CONSTRAINTS PRESENTED BY THE HEALTH -CARE25
	177	+	SYSTEM; AND OBSTETRIC RACISM;26
111	178		(C) N
112		-	UMBERS OF REPORTS BASED ON TYPOLOGY CAN BE GENERATED
113		-	AND SHARED WITH THE PUBLIC AND OTHER AGENCIES
114		-	;
	179	+	UMBERS OF REPORTS BASED ON
	180	+	TYPOLOGY CAN BE27
	181	+	1262
	182	+	-5- GENERATED AND SHARED WITH THE PUBLIC AND OTHER AGENCIES ;1
115	183		(D) A
116		-	N INDIVIDUAL MAY IDENTIFY ANY PROTECTED CLASS THE
117		-	INDIVIDUAL MAY BE PART OF AND THAT MAY HAVE FACTORED INTO THE
118		-	INDIVIDUAL
119		-	'S MISTREATMENT;
	184	+	N INDIVIDUAL MAY IDENTIFY ANY PROTECTED CLASS THE2
	185	+	INDIVIDUAL MAY BE PART OF AND THAT MAY HAVE FACTORED INTO THE3
	186	+	INDIVIDUAL'S MISTREATMENT;4
120	187		(E) A
121		-	N INDIVIDUAL MAY INDICATE WHAT MIGHT HAVE BEEN DONE
122		-	DIFFERENTLY TO IMPROVE THE INDIVIDUAL
123		-	'S SITUATION;
	188	+	N INDIVIDUAL MAY INDICATE WHAT MIGHT HAVE BEEN DONE5
	189	+	DIFFERENTLY TO IMPROVE THE INDIVIDUAL 'S SITUATION;6
124	190		(F) A
125		-	N INDIVIDUAL MAY ENTER NARRATIVE INFORMATION IN THE
126		-	INDIVIDUAL
127		-	'S OWN WORDS; AND
128		-	(G) AN INDIVIDUAL MAY VOLUNTARILY SHARE THE INDIVIDUAL 'S
129		-	CONTACT INFORMATION AND INDICATE WHETHER THE INDIVIDUAL CONSENTS
130		-	TO BEING CONTACTED BY THE DEPARTMENT OF REGULATORY AGENCIES OR
131		-	THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
132		-	.
	191	+	N INDIVIDUAL MAY ENTER NARRATIVE INFORMATION IN THE7
	192	+	INDIVIDUAL'S OWN WORDS; AND8
	193	+	(G) A
	194	+	N INDIVIDUAL MAY VOLUNTARILY SHARE THE INDIVIDUAL 'S9
	195	+	CONTACT INFORMATION AND INDICATE WHETHER THE INDIVIDUAL10
	196	+	CONSENTS TO BEING CONTACTED BY THE DEPARTMENT OF REGULATORY11
	197	+	AGENCIES OR THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT . 12
133	198		(III) T
134		-	HE COMMISSION SHALL GENERATE DE -IDENTIFIED COMPOSITE
135		-	INFORMATION BASED ON REPORTS SUBMITTED PURSUANT TO THIS
136		-	SUBSECTION
137		-	(1)(k). NOTWITHSTANDING SECTION 24-1-136 (11)(a)(I), NO
138		-	LATER THAN
139		-	JULY 1, 2025, AND NO LATER THAN JULY 1 EVERY THREE YEARS
140		-	THEREAFTER
141		-	, THE COMMISSION SHALL SHARE THE GENERATED
142		-	DE
143		-	-IDENTIFIED COMPOSITE INFORMATION WITH :
	199	+	HE COMMISSION SHALL GENERATE DE -IDENTIFIED13
	200	+	COMPOSITE INFORMATION BASED ON REPORTS SUBMITTED PURSUANT TO14
	201	+	THIS SUBSECTION (1)(k). NOTWITHSTANDING SECTION 24-1-136 (11)(a)(I),15
	202	+	NO LATER THAN JULY 1, 2025, AND NO LATER THAN JULY 1 EVERY THREE16
	203	+	YEARS THEREAFTER, THE COMMISSION SHALL SHARE THE GENERATED17
	204	+	DE-IDENTIFIED COMPOSITE INFORMATION WITH :18
144	205		(A) T
145		-	HE COLORADO MATERNAL MORTALITY REVIEW ~~COMMITTEE~~
146		-	CREATED IN SECTION
147		-	~~25-52-104 (1);~~
148		-	~~PAGE 4-HOUSE BILL 24-1262 (B) THE~~ HOUSE OF REPRESENTATIVES HEALTH AND ~~HUMAN SERVICES~~
149		-	COMMITTEE AND THE SENATE HEALTH AND HUMAN ~~SERVICES COMMITTEE~~
150		-	,
151		-	~~OR THEIR SUCCESSOR COMMITTEES ; AND~~
152		-	~~(C) THE~~ MATERNITY ADVISORY COMMITTEE DEFINED IN ~~SECTION~~
153		-	25.5-4-506 (1)(b).
	206	+	HE COLORADO MATERNAL MORTALITY REVIEW COMMITTEE19
	207	+	CREATED IN SECTION 25-52-104 (1);20
	208	+	(B) T
	209	+	HE HOUSE OF REPRESENTATIVES HEALTH AND HUMAN21
	210	+	SERVICES COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES22
	211	+	COMMITTEE, OR THEIR SUCCESSOR COMMITTEES ; AND23
	212	+	(C) T
	213	+	HE MATERNITY ADVISORY COMMITTEE DEFINED IN SECTION24
	214	+	25.5-4-506 (1)(b).25
154	215		(IV) R
155		-	EPORTS MAY BE SHARED INTERNALLY WITH STAFF FOR STUDY ,
156		-	INVESTIGATION, REPORTS, PUBLICATIONS, OR HEARINGS.
157		-	SECTION 4. In Colorado Revised Statutes, 25-1-134, amend
158		-	(2)(c)(IV) as follows:
159		-	25-1-134. Environmental justice - ombudsperson - advisory
160		-	board - grant program - definitions - repeal. (2) Environmental justice
161		-	advisory board. (c) The advisory board consists of the following twelve
162		-	members who, to the extent practicable, must reside in different geographic
163		-	areas of the state, reflect the racial and ethnic diversity of the state, and have
164		-	experience with a range of environmental issues, including air pollution,
165		-	water contamination, and public health impacts:
166		-	(IV) Four voting members appointed by the executive director of the
167		-	department,
168		-	AT LEAST ONE OF WHOM MUST BE A MIDWIFE WHO IS
169		-	PRACTICING IN A FREESTANDING BIRTH CENTER
170		-	, IN A RURAL AREA, OR AS A
171		-	HOME BIRTH PROVIDER
172		-	.
173		-	SECTION 5. In Colorado Revised Statutes, add 25-3-131 as
174		-	follows:
175		-	25-3-131. Maternal health-care services - discontinuation -
176		-	required notifications - definition - repeal. (1) E
177		-	XCEPT AS PROVIDED IN
178		-	SUBSECTION
179		-	(3) OF THIS SECTION, AT LEAST NINETY DAYS BEFORE A
180		-	HOSPITAL PROVIDING MATERNAL HEALTH
181		-	-CARE SERVICES OR A BIRTH
182		-	CENTER MAY DISCONTINUE SUCH SERVICES
183		-	, THE FACILITY SHALL PROVIDE
184		-	NOTICE TO
185		-	:
	216	+	EPORTS MAY BE SHARED INTERNALLY WITH STAFF FOR26
	217	+	STUDY, INVESTIGATION, REPORTS, PUBLICATIONS, OR HEARINGS.27
	218	+	1262
	219	+	-6- 1
	220	+	SECTION 4. In Colorado Revised Statutes, 25-1-134, amend2
	221	+	(2)(c)(IV) as follows:3
	222	+	25-1-134. Environmental justice - ombudsperson - advisory4
	223	+	board - grant program - definitions - repeal. (2) Environmental5
	224	+	justice advisory board. (c) The advisory board consists of the following6
	225	+	twelve members who, to the extent practicable, must reside in different7
	226	+	geographic areas of the state, reflect the racial and ethnic diversity of the8
	227	+	state, and have experience with a range of environmental issues, including9
	228	+	air pollution, water contamination, and public health impacts:10
	229	+	(IV) Four voting members appointed by the executive director of11
	230	+	the department,
	231	+	AT LEAST ONE OF WHOM MUST BE A MIDWIFE WHO IS12
	232	+	PRACTICING IN A FREESTANDING BIRTH CENTER , IN A RURAL AREA, OR AS13
	233	+	A HOME BIRTH PROVIDER.14
	234	+	SECTION 5.
	235	+	In Colorado Revised Statutes, add 25-3-131 as15
	236	+	follows:16
	237	+	25-3-131. Maternal health-care services - discontinuation17
	238	+	- required notifications - definition - repeal. (1) EXCEPT AS PROVIDED18
	239	+	IN SUBSECTION (3) OF THIS SECTION, AT LEAST NINETY DAYS BEFORE A19
	240	+	HOSPITAL PROVIDING MATERNAL HEALTH-CARE SERVICES OR A BIRTH20
	241	+	CENTER MAY DISCONTINUE SUCH SERVICES, THE FACILITY SHALL PROVIDE21
	242	+	NOTICE TO:22
186	243		(a) T
187		-	HE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
188		-	RESPONSIBLE FOR LICENSING HEALTH FACILITIES PURSUANT TO SECTION
189		-	25-3-101;
190		-	PAGE 5-HOUSE BILL 24-1262 (b) THE PRIMARY CARE OFFICE, CREATED IN SECTION 25-1.5-403;
	244	+	HE
	245	+	DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT23
	246	+	RESPONSIBLE FOR LICENSING HEALTH FACILITIES PURSUANT TO SECTION24
	247	+	25-3-101;25
	248	+	(b) THE PRIMARY CARE OFFICE, CREATED IN SECTION 25-1.5-403;26
191	249		(c) T
192		-	HE GOVERNOR;
193		-	(d) A
194		-	LL PATIENTS RECEIVING MATERNAL HEALTH -CARE SERVICES AT
195		-	THE FACILITY AS OF THE DATE OF THE NOTICE
196		-	;
	250	+	HE GOVERNOR;27
	251	+	1262
	252	+	-7- (d) ALL PATIENTS RECEIVING MATERNAL HEALTH -CARE SERVICES1
	253	+	AT THE FACILITY AS OF THE DATE OF THE NOTICE;2
197	254		(e) A
198		-	LL HEALTH-CARE PROVIDERS THAT PROVIDE ~~MATERNAL~~
199		-	HEALTH
200		-	~~-CARE SERVICES FOR THE FACILITY AS OF THE DATE OF THE NOTICE ;~~
201		-	~~AND~~
202		-	~~(f) THE~~ GENERAL PUBLIC.
	255	+	LL HEALTH-CARE PROVIDERS THAT PROVIDE MATERNAL3
	256	+	HEALTH-CARE SERVICES FOR THE FACILITY AS OF THE DATE OF THE4
	257	+	NOTICE; AND5
	258	+	(f) T
	259	+	HE GENERAL PUBLIC.6
203	260		(2) T
204		-	HE NOTICE REQUIRED IN SUBSECTION (1) OF THIS SECTION MUST
205		-	INCLUDE
206		-	:
	261	+	HE NOTICE REQUIRED IN SUBSECTION (1) OF THIS SECTION7
	262	+	MUST INCLUDE:8
207	263		(a) A
208		-	DESCRIPTION OF THE MATERNAL HEALTH-CARE ~~SERVICES BEING~~
209		-	~~DISCONTINUED~~
210		-	;
	264	+	DESCRIPTION OF THE MATERNAL HEALTH -CARE SERVICES9
	265	+	BEING
	266	+	DISCONTINUED;10
211	267		(b) T
212		-	HE RATE THE MATERNAL HEALTH -CARE SERVICES HAD BEEN
213		-	PROVIDED AT IN THE PREVIOUS YEAR
214		-	;
	268	+	HE RATE THE MATERNAL HEALTH -CARE SERVICES HAD BEEN11
	269	+	PROVIDED AT IN THE PREVIOUS YEAR;12
215	270		(c) T
216		-	HE NUMBER AND TYPE OF HEALTH-CARE PROVIDERS IMPACTED;
	271	+	HE NUMBER AND TYPE OF HEALTH -CARE PROVIDERS13
	272	+	IMPACTED;14
217	273		(d) T
218		-	HE PROPOSED PLAN FOR TRANSITIONING PATIENTS TO NEW
219		-	HEALTH
220		-	-CARE PROVIDERS; AND
221		-	(e) THE PROPOSED PLAN FOR TRANSITIONING THE HEALTH -CARE
222		-	PROVIDERS TO NEW POSITIONS
223		-	.
	274	+	HE PROPOSED PLAN FOR TRANSITIONING PATIENTS TO NEW15
	275	+	HEALTH-CARE PROVIDERS; AND16
	276	+	(e) T
	277	+	HE PROPOSED PLAN FOR TRANSITIONING THE HEALTH -CARE17
	278	+	PROVIDERS TO NEW POSITIONS.18
224	279		(3) (a) I
225		-	N THE EVENT OF AN EMERGENCY, A FACILITY SHALL PROVIDE
226		-	THE NOTICE REQUIRED IN SUBSECTION
227		-	(1) OF THIS SECTION ON THE DAY A
228		-	DEFINITIVE PLAN FOR ALTERNATIVE PATIENT CARE HAS BEEN ARRANGED OR
229		-	WITHIN SEVEN DAYS AFTER THE EMERGENCY HAS BEEN IDENTIFIED
230		-	,
231		-	WHICHEVER IS EARLIER.
	280	+	N THE EVENT OF AN EMERGENCY , A FACILITY SHALL
	281	+	19
	282	+	PROVIDE THE NOTICE REQUIRED IN SUBSECTION (1) OF THIS SECTION ON20
	283	+	THE DAY A DEFINITIVE PLAN FOR ALTERNATIVE PATIENT CARE HAS BEEN21
	284	+	ARRANGED OR WITHIN SEVEN DAYS AFTER THE EMERGENCY HAS BEEN22
	285	+	IDENTIFIED, WHICHEVER IS EARLIER.23
232	286		(b) T
233	287		HIS SUBSECTION (3) DOES NOT APPLY IN THE EVENT OF AN
234		-	EMERGENCY COVERED BY RULES PROMULGATED BY THE DEPARTMENT OF
235		-	PUBLIC HEALTH AND ENVIRONMENT IF SUCH EMERGENCY AFFECTS THE
236		-	PHYSICAL SPACE OF THE FACILITY AND NECESSITATES THE REMOVAL OF
237		-	PAGE 6-HOUSE BILL 24-1262 CLIENTS, EMPLOYEES, OR CONTRACTORS FROM THE FACILITY .
238		-	(4) A
239		-	S USED IN THIS SECTION:
	288	+	24
	289	+	EMERGENCY COVERED BY RULES PROMULGATED BY THE DEPARTMENT OF25
	290	+	PUBLIC HEALTH AND ENVIRONMENT IF SUCH EMERGENCY AFFECTS THE26
	291	+	PHYSICAL SPACE OF THE FACILITY AND NECESSITATES THE REMOVAL OF27
	292	+	1262
	293	+	-8- CLIENTS, EMPLOYEES, OR CONTRACTORS FROM THE FACILITY .1
	294	+	(4) AS USED IN THIS SECTION:2
240	295		(a) "E
241	296		MERGENCY" MEANS A SUDDEN AND UNFORESEEN
242		-	CIRCUMSTANCE OR FINANCIAL IMPEDIMENT THAT WOULD INHIBIT A
243		-	HOSPITAL
244		-	'S ABILITY TO SAFELY AND EFFECTIVELY OPERATE A MATERNAL
245		-	HEALTH
246		-	-CARE SERVICE.
	297	+	3
	298	+	CIRCUMSTANCE OR FINANCIAL IMPEDIMENT THAT WOULD INHIBIT A4
	299	+	HOSPITAL'S ABILITY TO SAFELY AND EFFECTIVELY OPERATE A MATERNAL5
	300	+	HEALTH-CARE SERVICE.6
247	301		(b) "M
248		-	ATERNAL HEALTH-CARE ~~SERVICES" MEANS HEALTH-CARE~~
249		-	SERVICES ~~PROVIDED TO AN INDIVIDUAL REGARDING CARE RELATED TO THE~~
250		-	INDIVIDUAL
251		-	'S PREGNANCY, CHILDBIRTH, AND POSTPARTUM PERIOD.
	302	+	ATERNAL HEALTH-CARE
	303	+	SERVICES" MEANS HEALTH-CARE7
	304	+	SERVICES PROVIDED TO AN INDIVIDUAL REGARDING CARE RELATED TO THE8
	305	+	INDIVIDUAL'S PREGNANCY, CHILDBIRTH, AND POSTPARTUM PERIOD.9
252	306		(5) T
253	307		HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2027.
254		-	SECTION 6. In Colorado Revised Statutes, 25-4-2206, amend
255		-	(2)(a)(III) introductory portion and (2)(a)(III)(J); and add (2)(a)(III)(J.5) as
256		-	follows:
257		-	25-4-2206. Health equity commission - creation - repeal.
258		-	(2) (a) The commission consists of the following twenty-three members,
259		-	who are as follows:
260		-	(III) The executive director of the department shall appoint ten
261		-	members who represent, to the extent practical, Colorado's diverse ethnic,
262		-	racial, sexual orientation, gender identity, gender expression, disability,
263		-	aging population, socioeconomic, and geographic backgrounds. Each
264		-	person
265		-	INDIVIDUAL appointed to the commission must have demonstrated
266		-	expertise in at least one, and preferably two, of the following areas:
267		-	(J) Behavioral health; or
268		-	(J.5) MIDWIFERY; OR
269		-	SECTION 7. In Colorado Revised Statutes, 25-52-104, amend
270		-	(2)(b)(II); and add (5.5) as follows:
271		-	25-52-104. Colorado maternal mortality review committee -
272		-	creation - members - duties - report to the general assembly - repeal.
273		-	(2) (b) In appointing members to the committee, the executive director
274		-	PAGE 7-HOUSE BILL 24-1262 shall:
275		-	(II) Ensure that committee members represent diverse communities
276		-	and a variety of clinical, forensic, and psychosocial specializations and
277		-	community perspectives,
278		-	INCLUDING COMMUNITY -BASED MIDWIFERY; and
279		-	(5.5) T
280		-	HE DEPARTMENT MAY CONTRACT WITH AN INDEPENDENT
281		-	THIRD
282		-	-PARTY EVALUATOR TO:
283		-	(a) S
284		-	TUDY CLOSURES, CONSOLIDATIONS, AND ACQUISITIONS RELATED
285		-	TO PERINATAL HEALTH
286		-	-CARE PRACTICES AND FACILITIES AND PERINATAL
287		-	STATE
288		-	-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS , AS DEFINED
289		-	IN SECTION
290		-	25-1.5-402 (11), AND ASSETS AND DEFICITS RELATED TO
291		-	PERINATAL HEALTH AND HEALTH
292		-	-CARE SERVICES ACROSS THE STATE, NOT
293		-	LIMITED TO OBSTETRIC PROVIDERS
294		-	;
295		-	(b) I
296		-	DENTIFY MAJOR OUTCOME CATEGORIES AT THE CLINICAL ,
297		-	FAMILY, COMMUNITY, AND PROVIDER LEVELS THAT THE DEPARTMENT
298		-	SHOULD TRACK OVER TIME AND IDENTIFY RISKS AND OPPORTUNITIES
299		-	RELATED TO CLOSURES
300		-	, CONSOLIDATIONS, AND ACQUISITIONS OF PERINATAL
301		-	HEALTH
302		-	-CARE PRACTICES AND FACILITIES;
303		-	(c) E
304		-	XPLORE THE EFFECTS OF PRACTICE AND FACILITY CLOSURES ON
305		-	MATERNAL AND INFANT HEALTH OUTCOMES AND EXPERIENCES
306		-	, TO
307		-	ILLUSTRATE STRUCTURAL NEEDS AROUND CLOSURES
308		-	, WHEN APPLICABLE;
309		-	(d) I
310		-	DENTIFY RECOMMENDATIONS DURING PRACTICE AND FACILITY
311		-	CLOSURES AND RESULTANT TRANSFERS OF CARE
312		-	. THE DEPARTMENT OR
313		-	THIRD PARTY EVALUATOR MAY USE BOTH PRIMARY AND SECONDARY DATA
314		-	IN MAKING THE RECOMMENDATIONS
315		-	. THE DEPARTMENT OR THIRD PARTY
316		-	EVALUATOR SHALL USE THE MAP CREATED PURSUANT TO SUBSECTION
317		-	(5.5)(f) OF THIS SECTION IN DEVELOPING THE RECOMMENDATIONS . THE
318		-	RECOMMENDATIONS MUST
319		-	:
320		-	(I) I
321		-	NCLUDE SOLUTIONS AT THE FACILITY LEVEL , THE PRACTICE
322		-	LEVEL
323		-	, THE WORKFORCE LEVEL, THE COMMUNITY LEVEL, AND THE PATIENT
324		-	LEVEL
325		-	;
326		-	(II) I
327		-	NCLUDE MINIMUM REQUIREMENTS FOR REPORTING ON
328		-	CLOSURES
329		-	, INCLUDING METRICS ON TIMELINES AND GEOGRAPHIC AREA ,
330		-	PAGE 8-HOUSE BILL 24-1262 INCLUDING WHETHER THE TIMELINE CREATED IN SECTION 25-3-131 IS
331		-	APPROPRIATE
332		-	;
333		-	(III) D
334		-	EVELOP RECOMMENDATIONS ON PRIMARY AND SECONDARY
335		-	DATA COLLECTION RELATED TO CLOSURES AND RESULTANT TRANSFERS OF
336		-	CARE
337		-	.
338		-	(e) I
339		-	DENTIFY BEST PRACTICE GUIDELINES DURING PRACTICE AND
340		-	FACILITY CLOSURES AND RESULTANT TRANSFERS OF CARE
341		-	. THE THIRD PARTY
342		-	EVALUATOR MAY USE BOTH PRIMARY AND SECONDARY DATA IN IDENTIFYING
343		-	THE BEST PRACTICE GUIDELINES
344		-	. THE THIRD PARTY EVALUATOR SHALL USE
345		-	THE MAP CREATED PURSUANT TO SUBSECTION
346		-	(5.5)(f) OF THIS SECTION IN
347		-	DEVELOPING THE GUIDELINES
348		-	. THE GUIDELINES MUST CONSIDER THE
349		-	FOLLOWING AREAS
350		-	: RISKS AND OPPORTUNITIES; TRANSFERS OF CARE;
351		-	COMMUNITY NOTICE NEEDS AND OPPORTUNITIES ; NOTIFICATION TO THE
352		-	DEPARTMENT
353		-	; CLOSURE TIMELINE; AND RESOURCES NEEDED BY FACILITIES,
354		-	PROVIDERS, AND FAMILIES.
355		-	(f) C
356		-	REATE A HEALTH PROFESSIONAL SHORTAGE AREA AND
357		-	PERINATAL HEALTH SERVICES ASSETS AND DEFICITS ASSET MAP THAT
358		-	IDENTIFIES BY PERINATAL SERVICE AREA
359		-	:
360		-	(I) P
361		-	RIMARY HEALTH-CARE PROVIDERS, INCLUDING PHYSICIANS AND
362		-	MIDWIVES OF ALL CREDENTIAL TYPES WHO PROVIDE OR COULD BE PROVIDING
363		-	PERINATAL HEALTH CARE
364		-	;
365		-	(II) T
366		-	HE TYPE AND LOCATION OF PERINATAL HEALTH CARE OFFERED
367		-	BY THE PROVIDERS LISTED PURSUANT TO SUBSECTION
368		-	(5.5)(f)(I) OF THIS
369		-	SECTION
370		-	;
371		-	(III) C
372		-	OMMUNITY-BASED PERINATAL HEALTH-CARE WORKERS, SUCH
373		-	AS DOULAS
374		-	, CHILDBIRTH EDUCATORS , AND LACTATION SUPPORT
375		-	CONSULTANTS
376		-	; AND
377		-	(IV) RESOURCES SUCH AS COMMUNITY ADVOCATES , GATHERING
378		-	PLACES
379		-	, AND EDUCATIONAL HUBS;
380		-	(g) B
381		-	Y JULY 1, 2026, DELIVER THE BEST PRACTICES AND
382		-	RECOMMENDATIONS CREATED PURSUANT TO THIS SUBSECTION
383		-	(5.5) TO THE
384		-	HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES COMMITTEE
385		-	PAGE 9-HOUSE BILL 24-1262 AND THE SENATE HEALTH AND HUMAN SERVICES COMMITTEE , OR THEIR
386		-	SUCCESSOR COMMITTEES
387		-	.
388		-	SECTION 8. In Colorado Revised Statutes, 24-33.5-704.5, amend
389		-	(1)(b)(II)(G) and (1)(b)(II)(H); and add (1)(b)(II)(I) as follows:
390		-	24-33.5-704.5. Governor's expert emergency epidemic response
391		-	committee - creation. (1) (b) (II) In addition to the state members of the
392		-	committee, the governor shall appoint to the committee an individual from
393		-	each of the following categories:
394		-	(G) A wildlife disease specialist with the division of wildlife; and
395		-	(H) A pharmacist member of the state board of pharmacy; AND
396		-	(I) A MIDWIFE WITH EXPERIENCE IN OUT-OF-HOSPITAL BIRTHS.
397		-	SECTION 9. Appropriation. (1) For the 2024-25 state fiscal year,
398		-	$328,946 is appropriated to the department of public health and
399		-	environment for use by the prevention services division. This appropriation
400		-	is from the general fund. To implement this act, the division may use this
401		-	appropriation for maternal and child health related to community health,
402		-	which amount is based on an assumption that the division will require an
403		-	additional 0.8 FTE.
404		-	(2) For the 2024-25 state fiscal year, $111,072 is appropriated to the
405		-	department of regulatory agencies. This appropriation is from the general
406		-	fund. To implement this act, the department may use this appropriation as
407		-	follows:
408		-	(a) $54,717 from general fund for use by the civil rights division for
409		-	personal services, which amount is based on an assumption that the division
410		-	will require an additional 1.0 FTE;
411		-	(b) $7,950 from general fund for use by the civil rights division for
412		-	operating expenses;
413		-	(c) $32,005 from general fund for the purchase of legal services; and
414		-	(d) $16,400 from general fund for the purchase of information
415		-	PAGE 10-HOUSE BILL 24-1262 technology services.
416		-	(3) For the 2024-25 state fiscal year, $32,005 is appropriated to the
417		-	department of law. This appropriation is from reappropriated funds received
418		-	from the department of regulatory agencies under subsection (2)(c) of this
419		-	section and is based on an assumption that the department of law will
420		-	require an additional 0.1 FTE. To implement this act, the department of law
421		-	may use this appropriation to provide legal services for the department of
422		-	regulatory agencies.
423		-	(4) For the 2024-25 state fiscal year, $16,400 is appropriated to the
424		-	office of the governor for use by the office of information technology. This
425		-	appropriation is from reappropriated funds received from the department of
426		-	regulatory agencies under subsection (2)(d) of this section. To implement
427		-	this act, the office may use this appropriation to provide information
428		-	technology services for the department of regulatory agencies.
429		-	SECTION 10. Safety clause. The general assembly finds,
430		-	determines, and declares that this act is necessary for the immediate
431		-	preservation of the public peace, health, or safety or for appropriations for
432		-	PAGE 11-HOUSE BILL 24-1262 the support and maintenance of the departments of the state and state
433		-	institutions.
434		-	____________________________ ____________________________
435		-	Julie McCluskie Steve Fenberg
436		-	SPEAKER OF THE HOUSE PRESIDENT OF
437		-	OF REPRESENTATIVES THE SENATE
438		-	____________________________ ____________________________
439		-	Robin Jones Cindi L. Markwell
440		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
441		-	OF REPRESENTATIVES THE SENATE
442		-	APPROVED________________________________________
443		-	(Date and Time)
444		-	_________________________________________
445		-	Jared S. Polis
446		-	GOVERNOR OF THE STATE OF COLORADO
447		-	PAGE 12-HOUSE BILL 24-1262
	308	+	10
	309	+	SECTION 6. In Colorado Revised Statutes, 25-4-2206, amend11
	310	+	(2)(a)(III) introductory portion and (2)(a)(III)(J); and add (2)(a)(III)(J.5)12
	311	+	as follows:13
	312	+	25-4-2206. Health equity commission - creation - repeal.14
	313	+	(2) (a) The commission consists of the following twenty-three members,15
	314	+	who are as follows:16
	315	+	(III) The executive director of the department shall appoint ten17
	316	+	members who represent, to the extent practical, Colorado's diverse ethnic,18
	317	+	racial, sexual orientation, gender identity, gender expression, disability,19
	318	+	aging population, socioeconomic, and geographic backgrounds. Each20
	319	+	person INDIVIDUAL appointed to the commission must have demonstrated21
	320	+	expertise in at least one, and preferably two, of the following areas: 22
	321	+	(J) Behavioral health; or23
	322	+	(J.5) M
	323	+	IDWIFERY; OR24
	324	+	SECTION 7.
	325	+	In Colorado Revised Statutes, 25-52-104, amend25
	326	+	(2)(b)(II); and add (5.5) as follows:26
	327	+	25-52-104. Colorado maternal mortality review committee -27
	328	+	1262
	329	+	-9- creation - members - duties - report to the general assembly - repeal.1
	330	+	(2) (b) In appointing members to the committee, the executive director2
	331	+	shall:3
	332	+	(II) Ensure that committee members represent diverse4
	333	+	communities and a variety of clinical, forensic, and psychosocial5
	334	+	specializations and community perspectives,
	335	+	INCLUDING6
	336	+	COMMUNITY-BASED MIDWIFERY; and7
	337	+	(5.5) THE DEPARTMENT MAY CONTRACT WITH AN INDEPENDENT8
	338	+	THIRD-PARTY EVALUATOR TO:9
	339	+	(a) STUDY CLOSURES, CONSOLIDATIONS, AND ACQUISITIONS10
	340	+	RELATED TO PERINATAL HEALTH -CARE PRACTICES AND FACILITIES AND11
	341	+	PERINATAL STATE-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS ,12
	342	+	AS DEFINED IN SECTION 25-1.5-402 (11), AND ASSETS AND DEFICITS13
	343	+	RELATED TO PERINATAL HEALTH AND HEALTH -CARE SERVICES ACROSS THE14
	344	+	STATE, NOT LIMITED TO OBSTETRIC PROVIDERS;15
	345	+	(b) IDENTIFY MAJOR OUTCOME CATEGORIES AT THE CLINICAL ,16
	346	+	FAMILY, COMMUNITY, AND PROVIDER LEVELS THAT THE DEPARTMENT17
	347	+	SHOULD TRACK OVER TIME AND IDENTIFY RISKS AND OPPORTUNITIES18
	348	+	RELATED TO CLOSURES, CONSOLIDATIONS, AND ACQUISITIONS OF19
	349	+	PERINATAL HEALTH-CARE PRACTICES AND FACILITIES;20
	350	+	(c) EXPLORE THE EFFECTS OF PRACTICE AND FACILITY CLOSURES21
	351	+	ON MATERNAL AND INFANT HEALTH OUTCOMES AND EXPERIENCES , TO22
	352	+	ILLUSTRATE STRUCTURAL NEEDS AROUND CLOSURES, WHEN APPLICABLE;23
	353	+	(d) IDENTIFY RECOMMENDATIONS DURING PRACTICE AND FACILITY24
	354	+	CLOSURES AND RESULTANT TRANSFERS OF CARE . THE DEPARTMENT OR25
	355	+	THIRD PARTY EVALUATOR MAY USE BOTH PRIMARY AND SECONDARY DATA26
	356	+	IN MAKING THE RECOMMENDATIONS . THE DEPARTMENT OR THIRD PARTY27
	357	+	1262
	358	+	-10- EVALUATOR SHALL USE THE MAP CREATED PURSUANT TO SUBSECTION1
	359	+	(5.5)(f) OF THIS SECTION IN DEVELOPING THE RECOMMENDATIONS . THE2
	360	+	RECOMMENDATIONS MUST :3
	361	+	(I) INCLUDE SOLUTIONS AT THE FACILITY LEVEL , THE PRACTICE4
	362	+	LEVEL, THE WORKFORCE LEVEL , THE COMMUNITY LEVEL , AND THE5
	363	+	PATIENT LEVEL;6
	364	+	(II) INCLUDE MINIMUM REQUIREMENTS FOR REPORTING ON7
	365	+	CLOSURES, INCLUDING METRICS ON TIMELINES AND GEOGRAPHIC AREA,8
	366	+	INCLUDING WHETHER THE TIMELINE CREATED IN SECTION 25-3-131 IS9
	367	+	APPROPRIATE;10
	368	+	(III) DEVELOP RECOMMENDATIONS ON PRIMARY AND SECONDARY11
	369	+	DATA COLLECTION RELATED TO CLOSURES AND RESULTANT TRANSFERS OF12
	370	+	CARE.13
	371	+	(e) IDENTIFY BEST PRACTICE GUIDELINES DURING PRACTICE AND14
	372	+	FACILITY CLOSURES AND RESULTANT TRANSFERS OF CARE . THE THIRD15
	373	+	PARTY EVALUATOR MAY USE BOTH PRIMARY AND SECONDARY DATA IN16
	374	+	IDENTIFYING THE BEST PRACTICE GUIDELINES . THE THIRD PARTY17
	375	+	EVALUATOR SHALL USE THE MAP CREATED PURSUANT TO SUBSECTION18
	376	+	(5.5)(f) OF THIS SECTION IN DEVELOPING THE GUIDELINES. THE GUIDELINES19
	377	+	MUST CONSIDER THE FOLLOWING AREAS : RISKS AND OPPORTUNITIES;20
	378	+	TRANSFERS OF CARE; COMMUNITY NOTICE NEEDS AND OPPORTUNITIES ;21
	379	+	NOTIFICATION TO THE DEPARTMENT; CLOSURE TIMELINE; AND RESOURCES22
	380	+	NEEDED BY FACILITIES, PROVIDERS, AND FAMILIES.23
	381	+	(f) CREATE A HEALTH PROFESSIONAL SHORTAGE AREA AND24
	382	+	PERINATAL HEALTH SERVICES ASSETS AND DEFICITS ASSET MAP THAT25
	383	+	IDENTIFIES BY PERINATAL SERVICE AREA:26
	384	+	(I) PRIMARY HEALTH-CARE PROVIDERS, INCLUDING PHYSICIANS27
	385	+	1262
	386	+	-11- AND MIDWIVES OF ALL CREDENTIAL TYPES WHO PROVIDE OR COULD BE1
	387	+	PROVIDING PERINATAL HEALTH CARE ;2
	388	+	(II) THE TYPE AND LOCATION OF PERINATAL HEALTH CARE3
	389	+	OFFERED BY THE PROVIDERS LISTED PURSUANT TO SUBSECTION (5.5)(f)(I)4
	390	+	OF THIS SECTION;5
	391	+	(III) COMMUNITY-BASED PERINATAL HEALTH -CARE WORKERS,6
	392	+	SUCH AS DOULAS, CHILDBIRTH EDUCATORS, AND LACTATION SUPPORT7
	393	+	CONSULTANTS; AND8
	394	+	(IV) RESOURCES SUCH AS COMMUNITY ADVOCATES , GATHERING9
	395	+	PLACES, AND EDUCATIONAL HUBS;10
	396	+	(g) BY JULY 1, 2026, DELIVER THE BEST PRACTICES AND11
	397	+	RECOMMENDATIONS CREATED PURSUANT TO THIS SUBSECTION (5.5) TO12
	398	+	THE HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES13
	399	+	COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES COMMI TTEE ,14
	400	+	OR THEIR SUCCESSOR COMMITTEES .15
	401	+	SECTION 8. In Colorado Revised Statutes, 24-33.5-704.5,16
	402	+	amend (1)(b)(II)(G) and (1)(b)(II)(H); and add (1)(b)(II)(I) as follows:17
	403	+	24-33.5-704.5. Governor's expert emergency epidemic18
	404	+	response committee - creation. (1) (b) (II) In addition to the state19
	405	+	members of the committee, the governor shall appoint to the committee20
	406	+	an individual from each of the following categories:21
	407	+	(G) A wildlife disease specialist with the division of wildlife; and22
	408	+	(H) A pharmacist member of the state board of pharmacy;
	409	+	AND23
	410	+	(I) A
	411	+	MIDWIFE WITH EXPERIENCE IN OUT-OF-HOSPITAL BIRTHS.24
	412	+
	413	+	25
	414	+	SECTION 9. Appropriation. (1) For the 2024-25 state fiscal26
	415	+	year, $328,946 is appropriated to the department of public health and27
	416	+	1262
	417	+	-12- environment for use by the prevention services division. This1
	418	+	appropriation is from the general fund. To implement this act, the division2
	419	+	may use this appropriation for maternal and child health related to3
	420	+	community health, which amount is based on an assumption that the4
	421	+	division will require an additional 0.8 FTE.5
	422	+	(2) For the 2024-25 state fiscal year, $111,072 is appropriated to6
	423	+	the department of regulatory agencies. This appropriation is from the7
	424	+	general fund. To implement this act, the department may use this8
	425	+	appropriation as follows:9
	426	+	(a) $54,717 from general fund for use by the civil rights division10
	427	+	for personal services, which amount is based on an assumption that the11
	428	+	division will require an additional 1.0 FTE;12
	429	+	(b) $7,950 from general fund for use by the civil rights division13
	430	+	for operating expenses; 14
	431	+	15
	432	+	(c) $32,005 from general fund for the purchase of legal services;16
	433	+	and17
	434	+	(d) $16,400 from general fund for the purchase of information18
	435	+	technology services. 19
	436	+	(3) For the 2024-25 state fiscal year, $32,005 is appropriated to20
	437	+	the department of law. This appropriation is from reappropriated funds21
	438	+	received from the department of regulatory agencies under subsection22
	439	+	(2)(c) of this section and is based on an assumption that the department23
	440	+	of law will require an additional 0.1 FTE. To implement this act, the24
	441	+	department of law may use this appropriation to provide legal services for25
	442	+	the department of regulatory agencies.26
	443	+	(4) For the 2024-25 state fiscal year, $16,400 is appropriated to27
	444	+	1262
	445	+	-13- the office of the governor for use by the office of information technology.1
	446	+	This appropriation is from reappropriated funds received from the2
	447	+	department of regulatory agencies under subsection (2)(d) of this section.3
	448	+	To implement this act, the office may use this appropriation to provide4
	449	+	information technology services for the department of regulatory5
	450	+	agencies.6
	451	+	SECTION 10. Safety clause. The general assembly finds,7
	452	+	determines, and declares that this act is necessary for the immediate8
	453	+	preservation of the public peace, health, or safety or for appropriations for9
	454	+	the support and maintenance of the departments of the state and state10
	455	+	institutions.11
	456	+	1262
	457	+	-14-