10 | | - | ONCERNING PROTECTIONS FOR BIRTHING PERSONS . |
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11 | | - | Be it enacted by the General Assembly of the State of Colorado: |
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12 | | - | SECTION 1. In Colorado Revised Statutes, 17-1-113.7, amend (1); |
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13 | | - | and repeal (2)(a) as follows: |
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14 | | - | 17-1-113.7. Prohibition against the use of restraints on pregnant |
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15 | | - | inmates in the custody of correctional facilities and private contract |
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16 | | - | prisons - report - definition. (1) The staff of a correctional facility or |
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17 | | - | private contract prison, when restraining a female inmate, shall use the least |
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18 | | - | restrictive restraints necessary to ensure safety if the staff of the correctional |
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19 | | - | facility or private contract prison have actual knowledge or |
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20 | | - | a reasonable |
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21 | | - | belief that the inmate is pregnant. The requirement that staff use the least |
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22 | | - | NOTE: This bill has been prepared for the signatures of the appropriate legislative |
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23 | | - | officers and the Governor. To determine whether the Governor has signed the bill |
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24 | | - | or taken other action on it, please consult the legislative status sheet, the legislative |
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25 | | - | history, or the Session Laws. |
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26 | | - | ________ |
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27 | | - | Capital letters or bold & italic numbers indicate new material added to existing law; dashes |
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28 | | - | through words or numbers indicate deletions from existing law and such material is not part of |
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29 | | - | the act. restrictive restraints necessary to ensure safety shall continue during |
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30 | | - | postpartum recovery and transport to or from a correctional facility and |
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31 | | - | private contract prison FOR THE USE OF RESTRAINTS DURING LABOR , |
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32 | | - | DELIVERY, AND POSTPARTUM RECOVERY , THE STAFF SHALL COMPLY WITH |
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33 | | - | THE |
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34 | | - | "PROTECTION OF INDIVIDUALS FROM RESTRAINT AND SECLUSION ACT", |
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35 | | - | ARTICLE 20 OF TITLE 26. |
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36 | | - | (2) (a) (I) Staff of a correctional facility, private contract prison, ormedical facility shall not use restraints of any kind on a pregnant inmate |
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37 | | - | during labor and delivery of the child; except that staff may use restraints |
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38 | | - | if: |
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39 | | - | (A) The medical staff determine that restraints are medically |
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40 | | - | necessary for safe childbirth; |
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41 | | - | (B) The prison staff or medical staff determine that the inmate |
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42 | | - | presents an immediate and serious risk of harm to herself, to other patients, |
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43 | | - | or to medical staff; or |
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44 | | - | (C) The warden or his or her designee determines that the inmate |
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45 | | - | poses a substantial risk of escape that cannot reasonably be reduced by the |
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46 | | - | use of other existing means. |
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47 | | - | (II) Notwithstanding any provision of subparagraph (I) of this |
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48 | | - | paragraph (a) to the contrary, under no circumstances shall staff use leg |
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49 | | - | shackles or waist restraints on an inmate during labor and delivery of the |
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50 | | - | child, postpartum recovery while in a medical facility, or transport to or |
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51 | | - | from a medical facility for childbirth. |
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52 | | - | SECTION 2. In Colorado Revised Statutes, 17-26-104.7, amend |
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53 | | - | (1); and repeal (2)(a) as follows: |
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54 | | - | 17-26-104.7. Prohibition against the use of restraints on |
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55 | | - | pregnant persons in custody - definition. (1) The staff of a county jail, |
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56 | | - | in restraining a woman who is committed, detained, or confined to the |
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57 | | - | county jail, shall use the least restrictive restraints necessary to ensure safety |
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58 | | - | if the staff of the county jail have actual knowledge or |
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59 | | - | a reasonable belief |
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60 | | - | that the woman is pregnant. The requirement that staff use the least |
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61 | | - | restrictive restraints necessary to ensure safety shall continue during |
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62 | | - | postpartum recovery and transport to or from the county jail FOR THE USE |
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63 | | - | PAGE 2-HOUSE BILL 24-1459 OF RESTRAINTS DURING LABOR , DELIVERY, AND POSTPARTUM RECOVERY , |
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64 | | - | THE STAFF SHALL COMPLY WITH THE "PROTECTION OF INDIVIDUALS FROM |
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65 | | - | RESTRAINT AND SECLUSION ACT", ARTICLE 20 OF TITLE 26. |
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66 | | - | (2) (a) (I) The county jail staff or medical facility staff shall not use |
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67 | | - | restraints of any kind on the woman during labor and delivery of the child; |
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68 | | - | except that staff may use restraints if: |
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69 | | - | (A) The medical staff determine that restraints are medically |
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70 | | - | necessary for safe childbirth; |
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71 | | - | (B) The county jail staff or medical staff determine that the woman |
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72 | | - | presents an immediate and serious risk of harm to herself, to other patients, |
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73 | | - | or to medical staff; or |
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74 | | - | (C) The sheriff or his or her designee determines that the woman |
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75 | | - | poses a substantial risk of escape that cannot reasonably be reduced by the |
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76 | | - | use of other existing means. |
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77 | | - | (II) Notwithstanding any provision of subparagraph (I) of this |
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78 | | - | paragraph (a) to the contrary, under no circumstances shall staff use leg |
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79 | | - | shackles or waist restraints on a woman during labor and delivery of the |
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80 | | - | child, postpartum recovery while in a medical facility, or transport to or |
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81 | | - | from a medical facility for childbirth. |
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82 | | - | SECTION 3. In Colorado Revised Statutes, 17-1-114.5, add |
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83 | | - | (1)(f.5) as follows: |
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84 | | - | 17-1-114.5. Incarceration of a person in custody with the |
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85 | | - | capacity for pregnancy - report. (1) A correctional facility or private |
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86 | | - | contract prison incarcerating a person who is capable of pregnancy shall: |
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| 13 | + | ONCERNING PROTECTIONS FOR BIRTHING PERSONS .101 |
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| 14 | + | Bill Summary |
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| 15 | + | (Note: This summary applies to this bill as introduced and does |
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| 16 | + | not reflect any amendments that may be subsequently adopted. If this bill |
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| 17 | + | passes third reading in the house of introduction, a bill summary that |
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| 18 | + | applies to the reengrossed version of this bill will be available at |
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| 19 | + | http://leg.colorado.gov |
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| 20 | + | .) |
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| 21 | + | Current law prohibits the use of restraints on a pregnant person in |
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| 22 | + | custody with certain exceptions. The bill prohibits the use of restraints on |
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| 23 | + | an inmate during labor, delivery of the child, postpartum recovery while |
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| 24 | + | in a medical facility, or transport to or from a medical facility for |
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| 25 | + | childbirth, without any exceptions. |
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| 26 | + | The bill also requires a correctional facility or private contract |
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| 27 | + | prison to develop administrative policies, including a system for milk |
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| 28 | + | storage, to ensure a newborn can receive the milk that the newborn's |
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| 29 | + | SENATE |
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| 30 | + | 3rd Reading Unamended |
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| 31 | + | May 7, 2024 |
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| 32 | + | SENATE |
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| 33 | + | 2nd Reading Unamended |
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| 34 | + | May 6, 2024 |
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| 35 | + | HOUSE |
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| 36 | + | 3rd Reading Unamended |
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| 37 | + | April 30, 2024 |
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| 38 | + | HOUSE |
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| 39 | + | Amended 2nd Reading |
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| 40 | + | April 29, 2024 |
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| 41 | + | HOUSE SPONSORSHIP |
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| 42 | + | Herod and Garcia, Amabile, Boesenecker, Brown, Duran, Epps, Froelich, Hamrick, Jodeh, |
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| 43 | + | Kipp, Lindstedt, Mabrey, Marvin, McCormick, Ortiz, Parenti, Rutinel, Sirota, Story, Valdez, |
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| 44 | + | Velasco, Vigil, Weissman, Young |
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| 45 | + | SENATE SPONSORSHIP |
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| 46 | + | Buckner and Gonzales, Bridges, Cutter, Danielson, Exum, Fields, Ginal, Hinrichsen, |
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| 47 | + | Jaquez Lewis, Kolker, Marchman, Michaelson Jenet, Priola, Rodriguez, Sullivan |
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| 48 | + | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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| 49 | + | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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| 50 | + | Dashes through the words or numbers indicate deletions from existing law. postpartum parent has pumped for the newborn's nourishment. |
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| 51 | + | The bill requires each health-care facility that provides labor and |
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| 52 | + | delivery services to establish a policy creating a process for the facility to |
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| 53 | + | receive individuals who are pregnant, undergoing physiologic birth, or in |
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| 54 | + | the physiologic postpartum process from locations other than licensed |
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| 55 | + | facilities. |
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| 56 | + | Be it enacted by the General Assembly of the State of Colorado:1 |
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| 57 | + | SECTION 1. In Colorado Revised Statutes, 17-1-113.7, amend2 |
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| 58 | + | (1); and repeal (2)(a) as follows:3 |
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| 59 | + | 17-1-113.7. Prohibition against the use of restraints on4 |
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| 60 | + | pregnant inmates in the custody of correctional facilities and private5 |
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| 61 | + | contract prisons - report - definition. (1) The staff of a correctional6 |
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| 62 | + | facility or private contract prison, when restraining a female inmate, shall7 |
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| 63 | + | use the least restrictive restraints necessary to ensure safety if the staff of8 |
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| 64 | + | the correctional facility or private contract prison have actual knowledge9 |
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| 65 | + | or a reasonable belief that the inmate is pregnant. The requirement that10 |
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| 66 | + | staff use the least restrictive restraints necessary to ensure safety shall11 |
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| 67 | + | continue during postpartum recovery and transport to or from a12 |
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| 68 | + | correctional facility and private contract prison FOR THE USE OF13 |
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| 69 | + | RESTRAINTS DURING LABOR, DELIVERY, AND POSTPARTUM RECOVERY, THE14 |
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| 70 | + | STAFF SHALL COMPLY WITH THE "PROTECTION OF INDIVIDUALS FROM15 |
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| 71 | + | RESTRAINT AND SECLUSION ACT", ARTICLE 20 OF TITLE 26.16 |
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| 72 | + | (2) (a) (I) Staff of a correctional facility, private contract prison,17 |
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| 73 | + | or medical facility shall not use restraints of any kind on a pregnant18 |
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| 74 | + | inmate during labor and delivery of the child; except that staff may use19 |
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| 75 | + | restraints if:20 |
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| 76 | + | (A) The medical staff determine that restraints are medically21 |
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| 77 | + | necessary for safe childbirth;22 |
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| 78 | + | 1459-2- (B) The prison staff or medical staff determine that the inmate1 |
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| 79 | + | presents an immediate and serious risk of harm to herself, to other2 |
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| 80 | + | patients, or to medical staff; or3 |
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| 81 | + | (C) The warden or his or her designee determines that the inmate4 |
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| 82 | + | poses a substantial risk of escape that cannot reasonably be reduced by5 |
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| 83 | + | the use of other existing means.6 |
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| 84 | + | (II) Notwithstanding any provision of subparagraph (I) of this7 |
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| 85 | + | paragraph (a) to the contrary, under no circumstances shall staff use leg8 |
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| 86 | + | shackles or waist restraints on an inmate during labor and delivery of the9 |
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| 87 | + | child, postpartum recovery while in a medical facility, or transport to or10 |
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| 88 | + | from a medical facility for childbirth.11 |
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| 89 | + | 12 |
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| 90 | + | SECTION 2. In Colorado Revised Statutes, 17-26-104.7, amend13 |
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| 91 | + | (1); and repeal (2)(a) as follows:14 |
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| 92 | + | 17-26-104.7. Prohibition against the use of restraints on15 |
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| 93 | + | pregnant persons in custody - definition. (1) The staff of a county jail,16 |
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| 94 | + | in restraining a woman who is committed, detained, or confined to the17 |
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| 95 | + | county jail, shall use the least restrictive restraints necessary to ensure18 |
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| 96 | + | safety if the staff of the county jail have actual knowledge or a reasonable19 |
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| 97 | + | belief that the woman is pregnant. The requirement that staff use the20 |
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| 98 | + | least restrictive restraints necessary to ensure safety shall continue during21 |
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| 99 | + | postpartum recovery and transport to or from the county jail FOR THE USE22 |
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| 100 | + | OF RESTRAINTS DURING LABOR, DELIVERY, AND POSTPARTUM RECOVERY,23 |
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| 101 | + | THE STAFF SHALL COMPLY WITH THE "PROTECTION OF INDIVIDUALS FROM24 |
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| 102 | + | RESTRAINT AND SECLUSION ACT", ARTICLE 20 OF TITLE 26.25 |
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| 103 | + | (2) (a) (I) The county jail staff or medical facility staff shall not26 |
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| 104 | + | use restraints of any kind on the woman during labor and delivery of the27 |
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| 105 | + | 1459 |
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| 106 | + | -3- child; except that staff may use restraints if:1 |
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| 107 | + | (A) The medical staff determine that restraints are medically2 |
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| 108 | + | necessary for safe childbirth;3 |
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| 109 | + | (B) The county jail staff or medical staff determine that the4 |
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| 110 | + | woman presents an immediate and serious risk of harm to herself, to other5 |
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| 111 | + | patients, or to medical staff; or6 |
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| 112 | + | (C) The sheriff or his or her designee determines that the woman7 |
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| 113 | + | poses a substantial risk of escape that cannot reasonably be reduced by8 |
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| 114 | + | the use of other existing means.9 |
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| 115 | + | (II) Notwithstanding any provision of subparagraph (I) of this10 |
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| 116 | + | paragraph (a) to the contrary, under no circumstances shall staff use leg11 |
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| 117 | + | shackles or waist restraints on a woman during labor and delivery of the12 |
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| 118 | + | child, postpartum recovery while in a medical facility, or transport to or13 |
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| 119 | + | from a medical facility for childbirth.14 |
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| 120 | + | 15 |
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| 121 | + | SECTION 3. In Colorado Revised Statutes, 17-1-114.5, add16 |
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| 122 | + | (1)(f.5) as follows:17 |
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| 123 | + | 17-1-114.5. Incarceration of a person in custody with the18 |
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| 124 | + | capacity for pregnancy - report. (1) A correctional facility or private19 |
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| 125 | + | contract prison incarcerating a person who is capable of pregnancy shall:20 |
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115 | | - | EVELOP ADMINISTRATIVE POLICIES, INCLUDING A SYSTEM FOR |
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116 | | - | HUMAN MILK STORAGE |
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117 | | - | , TO ENSURE A NEWBORN CAN RECEIVE THE HUMAN |
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118 | | - | MILK THAT THE NEWBORN |
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119 | | - | 'S POSTPARTUM PARENT HAS PUMPED FOR THE |
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120 | | - | NEWBORN |
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121 | | - | 'S NOURISHMENT; |
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122 | | - | SECTION 6. In Colorado Revised Statutes, 25-3-126, amend |
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123 | | - | (1)(d) and (1)(e); and add (1)(f) as follows: |
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124 | | - | 25-3-126. Health facilities - requirements related to labor and |
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125 | | - | childbirth - rules - definitions. (1) Except as provided in subsection (2) |
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126 | | - | of this section, on and after January 1, 2022, a health facility that provides |
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127 | | - | services related to labor and childbirth shall demonstrate to the department, |
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128 | | - | in the form and manner determined by the department by rule, that the |
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129 | | - | health facility has a policy that: |
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130 | | - | (d) Details the facility's process related to receiving a pregnant |
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131 | | - | person's patient information from any provider regulated under title 12 who |
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132 | | - | has provided care for the pregnant person; and |
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133 | | - | (e) Establishes a process PROCESSES to transfer and receive pregnant |
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134 | | - | persons across the facility's levels of care OF LICENSED FACILITIES within the |
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135 | | - | facility's capacity and capability; |
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136 | | - | AND |
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137 | | - | PAGE 4-HOUSE BILL 24-1459 (f) ESTABLISHES A PROCESS TO RECEIVE INDIVIDUALS WHO ARE |
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138 | | - | PREGNANT |
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139 | | - | , UNDERGOING PHYSIOLOGIC BIRTH , OR IN THE PHYSIOLOGIC |
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140 | | - | POSTPARTUM PROCESS FROM LOCATIONS OTHER THAN LICENSED FACILITIES |
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141 | | - | , |
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142 | | - | INCLUDING A PROCESS TO RECEIVE VERBAL AND WRITTEN INFORMATION |
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143 | | - | FROM INDIVIDUALS WITH RELEVANT INFORMATION |
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144 | | - | , INCLUDING BUT NOT |
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145 | | - | LIMITED TO FAMILY MEMBERS |
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146 | | - | , DOULAS, OR A HEALTH-CARE PROVIDER |
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147 | | - | REGULATED UNDER TITLE |
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148 | | - | 12. |
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149 | | - | SECTION 7. In Colorado Revised Statutes, 26-20-102, amend |
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150 | | - | (1)(b)(I); and add (1)(a)(VII) as follows: |
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151 | | - | 26-20-102. Definitions. As used in this article 20, unless the context |
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152 | | - | otherwise requires: |
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153 | | - | (1) (a) "Agency" means: |
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154 | | - | (VII) A |
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155 | | - | COUNTY JAIL, AS DESCRIBED IN SECTION 17-26-101, FOR |
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156 | | - | RESTRAINTS ON A PREGNANT PERSON IN LABOR |
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157 | | - | , DELIVERY, OR POSTPARTUM |
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158 | | - | RECOVERY |
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159 | | - | . |
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160 | | - | (b) "Agency" does not include: |
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161 | | - | (I) The department of corrections or any public or private entity that |
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162 | | - | has entered into a contract for services with such department, |
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163 | | - | EXCEPT FOR |
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164 | | - | RESTRAINTS ON A PREGNANT PERSON IN LABOR |
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165 | | - | , DELIVERY, OR POSTPARTUM |
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166 | | - | RECOVERY |
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167 | | - | ; |
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168 | | - | SECTION 8. Safety clause. The general assembly finds, |
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169 | | - | determines, and declares that this act is necessary for the immediate |
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170 | | - | preservation of the public peace, health, or safety or for appropriations for |
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171 | | - | PAGE 5-HOUSE BILL 24-1459 the support and maintenance of the departments of the state and state |
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172 | | - | institutions. |
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173 | | - | ____________________________ ____________________________ |
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174 | | - | Julie McCluskie Steve Fenberg |
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175 | | - | SPEAKER OF THE HOUSE PRESIDENT OF |
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176 | | - | OF REPRESENTATIVES THE SENATE |
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177 | | - | ____________________________ ____________________________ |
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178 | | - | Robin Jones Cindi L. Markwell |
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179 | | - | CHIEF CLERK OF THE HOUSE SECRETARY OF |
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180 | | - | OF REPRESENTATIVES THE SENATE |
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181 | | - | APPROVED________________________________________ |
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182 | | - | (Date and Time) |
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183 | | - | _________________________________________ |
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184 | | - | Jared S. Polis |
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185 | | - | GOVERNOR OF THE STATE OF COLORADO |
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186 | | - | PAGE 6-HOUSE BILL 24-1459 |
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| 151 | + | EVELOP ADMINISTRATIVE POLICIES, INCLUDING A SYSTEM13 |
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| 152 | + | FOR |
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| 153 | + | HUMAN MILK STORAGE , TO ENSURE A NEWBORN CAN RECEIVE THE14 |
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| 154 | + | HUMAN MILK THAT THE NEWBORN 'S POSTPARTUM PARENT HAS PUMPED15 |
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| 155 | + | FOR THE NEWBORN'S NOURISHMENT;16 |
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| 156 | + | SECTION 6. In Colorado Revised Statutes, 25-3-126, amend17 |
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| 157 | + | (1)(d) and (1)(e); and add (1)(f) as follows:18 |
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| 158 | + | 25-3-126. Health facilities - requirements related to labor and19 |
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| 159 | + | childbirth - rules - definitions. (1) Except as provided in subsection (2)20 |
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| 160 | + | of this section, on and after January 1, 2022, a health facility that provides21 |
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| 161 | + | services related to labor and childbirth shall demonstrate to the22 |
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| 162 | + | department, in the form and manner determined by the department by23 |
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| 163 | + | rule, that the health facility has a policy that:24 |
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| 164 | + | (d) Details the facility's process related to receiving a pregnant25 |
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| 165 | + | person's patient information from any provider regulated under title 1226 |
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| 166 | + | who has provided care for the pregnant person; and27 |
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| 167 | + | 1459 |
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| 168 | + | -5- (e) Establishes a process PROCESSES to transfer and receive1 |
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| 169 | + | pregnant persons across the facility's levels of care OF LICENSED2 |
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| 170 | + | FACILITIES within the facility's capacity and capability; AND3 |
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| 171 | + | (f) E |
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| 172 | + | STABLISHES A PROCESS TO RECEIVE INDIVIDUALS WHO ARE4 |
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| 173 | + | PREGNANT, UNDERGOING PHYSIOLOGIC BIRTH , OR IN THE PHYSIOLOGIC5 |
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| 174 | + | POSTPARTUM PROCESS FROM LOCATIONS OTHER THAN LICENSED6 |
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| 175 | + | FACILITIES, INCLUDING A PROCESS TO RECEIVE VERBAL AND WRITTEN7 |
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| 176 | + | INFORMATION FROM INDIVIDUALS WITH RELEVANT INFORMATION ,8 |
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| 177 | + | INCLUDING BUT NOT LIMITED TO FAMILY MEMBERS , DOULAS, OR A9 |
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| 178 | + | HEALTH-CARE PROVIDER REGULATED UNDER TITLE 12.10 SECTION 7. In Colorado Revised Statutes, 26-20-102, amend11 |
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| 179 | + | (1)(b)(I); and add (1)(a)(VII) as follows:12 |
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| 180 | + | 26-20-102. Definitions. As used in this article 20, unless the13 |
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| 181 | + | context otherwise requires:14 |
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| 182 | + | (1) (a) "Agency" means:15 |
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| 183 | + | (VII) A COUNTY JAIL, AS DESCRIBED IN SECTION 17-26-101, FOR16 |
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| 184 | + | RESTRAINTS ON A PREGNANT PERSON IN LABOR , DELIVERY, OR17 |
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| 185 | + | POSTPARTUM RECOVERY .18 |
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| 186 | + | (b) "Agency" does not include:19 |
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| 187 | + | (I) The department of corrections or any public or private entity20 |
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| 188 | + | that has entered into a contract for services with such department, EXCEPT21 |
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| 189 | + | FOR RESTRAINTS ON A PREGNANT PERSON IN LABOR , DELIVERY, OR22 |
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| 190 | + | POSTPARTUM RECOVERY ;23 |
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| 191 | + | SECTION 8. Safety clause. The general assembly finds,24 |
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| 192 | + | determines, and declares that this act is necessary for the immediate25 |
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| 193 | + | preservation of the public peace, health, or safety or for appropriations for26 |
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| 194 | + | 1459 |
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| 195 | + | -6- the support and maintenance of the departments of the state and state1 |
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| 196 | + | institutions.2 |
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| 197 | + | 1459 |
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| 198 | + | -7- |
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