Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-1166.01 Yelana Love x2295 HOUSE BILL 24-1459 House Committees Senate Committees Judiciary A BILL FOR AN ACT C ONCERNING PROTECTIONS FOR BIRTHING PERSONS .101 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 .) Current law prohibits the use of restraints on a pregnant person in custody with certain exceptions. The bill prohibits the use of restraints on an inmate during labor, delivery of the child, postpartum recovery while in a medical facility, or transport to or from a medical facility for childbirth, without any exceptions. The bill also requires a correctional facility or private contract prison to develop administrative policies, including a system for milk storage, to ensure a newborn can receive the milk that the newborn's HOUSE SPONSORSHIP Herod, SENATE SPONSORSHIP Buckner, 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. postpartum parent has pumped for the newborn's nourishment. The bill requires each health-care facility that provides labor and delivery services to establish a policy creating a process for the facility to receive individuals who are pregnant, undergoing physiologic birth, or in the physiologic postpartum process from locations other than licensed facilities. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 17-1-113.7, amend2 (1) and (2)(a) as follows:3 17-1-113.7. Prohibition against the use of restraints on4 pregnant inmates in the custody of correctional facilities and private5 contract prisons - report - definition. (1) The staff of a correctional6 facility or private contract prison, when restraining a female inmate, shall7 use the least restrictive restraints necessary to ensure safety if the staff of8 the correctional facility or private contract prison have actual knowledge 9 or a reasonable belief that the inmate is pregnant. The requirement that10 staff use the least restrictive restraints necessary to ensure safety shall11 continue during postpartum recovery and transport to or from a12 correctional facility and private contract prison, EXCEPT AS PROVIDED IN13 SUBSECTION (2)(a) OF THIS SECTION.14 (2) (a) (I) Staff of a correctional facility, private contract prison,15 or medical facility shall not use restraints of any kind on a pregnant 16 inmate during labor and delivery of the child; except that staff may use17 restraints if: AN INMATE DURING LABOR , DELIVERY OF THE CHILD ,18 POSTPARTUM RECOVERY WHILE IN A MEDICAL FACILITY , OR TRANSPORT TO19 OR FROM A MEDICAL FACILITY FOR CHILDBIRTH .20 (A) The medical staff determine that restraints are medically21 necessary for safe childbirth;22 HB24-1459-2- (B) The prison staff or medical staff determine that the inmate1 presents an immediate and serious risk of harm to herself, to other2 patients, or to medical staff; or3 (C) The warden or his or her designee determines that the inmate4 poses a substantial risk of escape that cannot reasonably be reduced by5 the use of other existing means.6 (II) Notwithstanding any provision of subparagraph (I) of this7 paragraph (a) to the contrary, under no circumstances shall staff use leg8 shackles or waist restraints on an inmate during labor and delivery of the9 child, postpartum recovery while in a medical facility, or transport to or10 from a medical facility for childbirth.11 (II) A S USED IN THIS SUBSECTION (2)(a), "LABOR" INCLUDES12 CONTRACTIONS, OFTEN EXPERIENCED AS LABOR PAINS , WHICH CAN13 PRECEDE BIRTH BY HOURS OR DAYS . "LABOR" DOES NOT REQUIRE A14 MEDICAL DIAGNOSIS.15 SECTION 2. In Colorado Revised Statutes, 17-26-104.7, amend16 (1) and (2)(a) as follows:17 17-26-104.7. Prohibition against the use of restraints on18 pregnant persons in custody - definition. (1) The staff of a county jail,19 in restraining a woman who is committed, detained, or confined to the20 county jail, shall use the least restrictive restraints necessary to ensure21 safety if the staff of the county jail have actual knowledge or a reasonable22 belief that the woman is pregnant. The requirement that staff use the least23 restrictive restraints necessary to ensure safety shall continue during24 postpartum recovery and transport to or from the county jail, EXCEPT AS25 PROVIDED IN SUBSECTION (2)(a) OF THIS SECTION.26 (2) (a) (I) The County jail staff or medical facility staff shall not27 HB24-1459 -3- use restraints of any kind on the woman during labor and delivery of the1 child; except that staff may use restraints if: A WOMAN DURING LABOR ,2 DELIVERY OF THE CHILD, POSTPARTUM RECOVERY WHILE IN A MEDICAL3 FACILITY, OR TRANSPORT TO OR FROM A MEDICAL FACILITY FOR4 CHILDBIRTH.5 (A) The medical staff determine that restraints are medically6 necessary for safe childbirth;7 (B) The county jail staff or medical staff determine that the8 woman presents an immediate and serious risk of harm to herself, to other9 patients, or to medical staff; or10 (C) The sheriff or his or her designee determines that the woman11 poses a substantial risk of escape that cannot reasonably be reduced by12 the use of other existing means.13 (II) Notwithstanding any provision of subparagraph (I) of this14 paragraph (a) to the contrary, under no circumstances shall staff use leg15 shackles or waist restraints on a woman during labor and delivery of the16 child, postpartum recovery while in a medical facility, or transport to or17 from a medical facility for childbirth.18 (II) A S USED IN THIS SUBSECTION (2)(a), "LABOR" INCLUDES19 CONTRACTIONS, OFTEN EXPERIENCED AS LABOR PAINS , WHICH CAN20 PRECEDE BIRTH BY HOURS OR DAYS . "LABOR" DOES NOT REQUIRE A21 MEDICAL DIAGNOSIS.22 SECTION 3. In Colorado Revised Statutes, 17-1-114.5, add23 (1)(f.5) as follows:24 17-1-114.5. Incarceration of a person in custody with the25 capacity for pregnancy - report. (1) A correctional facility or private26 contract prison incarcerating a person who is capable of pregnancy shall:27 HB24-1459 -4- (f.5) DEVELOP ADMINISTRATIVE POLICIES, INCLUDING A SYSTEM1 FOR MILK STORAGE, TO ENSURE A NEWBORN CAN RECEIVE THE MILK THAT2 THE NEWBORN'S POSTPARTUM PARENT HAS PUMPED FOR THE NEWBORN 'S3 NOURISHMENT;4 SECTION 4. In Colorado Revised Statutes, 17-26-104.4, add5 (1)(g.5) as follows:6 17-26-104.4. Incarceration of a person with the capacity for7 pregnancy - report - definition. (1) A facility incarcerating a person8 who is capable of pregnancy, whether operated by a governmental entity9 or a private contractor, shall:10 (g.5) D EVELOP ADMINISTRATIVE POLICIES, INCLUDING A SYSTEM11 FOR MILK STORAGE, TO ENSURE A NEWBORN CAN RECEIVE THE MILK THAT12 THE NEWBORN'S POSTPARTUM PARENT HAS PUMPED FOR THE NEWBORN 'S13 NOURISHMENT;14 SECTION 5. In Colorado Revised Statutes, 26-1-136.8, add15 (1)(f.5) as follows:16 26-1-136.8. Custody of a person with the capacity for17 pregnancy. (1) A state department facility that has in its custody a18 person who is capable of pregnancy shall:19 (f.5) D EVELOP ADMINISTRATIVE POLICIES, INCLUDING A SYSTEM20 FOR MILK STORAGE, TO ENSURE A NEWBORN CAN RECEIVE THE MILK THAT21 THE NEWBORN'S POSTPARTUM PARENT HAS PUMPED FOR THE NEWBORN 'S22 NOURISHMENT;23 SECTION 6. In Colorado Revised Statutes, 25-3-126, amend24 (1)(d) and (1)(e); and add (1)(f) as follows:25 25-3-126. Health facilities - requirements related to labor and26 childbirth - rules - definitions. (1) Except as provided in subsection (2)27 HB24-1459 -5- of this section, on and after January 1, 2022, a health facility that provides1 services related to labor and childbirth shall demonstrate to the2 department, in the form and manner determined by the department by3 rule, that the health facility has a policy that:4 (d) Details the facility's process related to receiving a pregnant5 person's patient information from any provider regulated under title 126 who has provided care for the pregnant person; and7 (e) Establishes a process PROCESSES to transfer and receive8 pregnant persons across the facility's levels of care OF LICENSED9 FACILITIES within the facility's capacity and capability; AND10 (f) E STABLISHES A PROCESS TO RECEIVE INDIVIDUALS WHO ARE11 PREGNANT, UNDERGOING PHYSIOLOGIC BIRTH , OR IN THE PHYSIOLOGIC12 POSTPARTUM PROCESS FROM LOCATIONS OTHER THAN LICENSED13 FACILITIES, INCLUDING A PROCESS TO RECEIVE VERBAL AND WRITTEN14 INFORMATION FROM INDIVIDUALS WITH RELEVANT INFORMATION ,15 INCLUDING BUT NOT LIMITED TO FAMILY MEMBERS , DOULAS, OR A16 HEALTH-CARE PROVIDER REGULATED UNDER TITLE 12.17 SECTION 7. Safety clause. The general assembly finds,18 determines, and declares that this act is necessary for the immediate19 preservation of the public peace, health, or safety or for appropriations for20 the support and maintenance of the departments of the state and state21 institutions.22 HB24-1459 -6-