Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO. 24-1197.01 Michael Dohr x4347 HOUSE BILL 24-1472 House Committees Senate Committees Judiciary A BILL FOR AN ACT C ONCERNING MATTERS RELATED TO CERTAIN TORT ACTIONS , AND, IN101 CONNECTION THEREWITH , INCREASING THE CAP ON102 NONECONOMIC DAMAGES , ALLOWING SIBLINGS TO BRING A103 WRONGFUL DEATH ACTION IN CERTAIN CIRCUMSTANCES ,104 INCREASING A WRONGFUL DEATH DAMAGES CAP , INCREASING105 THE MEDICAL MALPRACTICE WRONGFUL DEATH DAMAGES CAP ,106 AND INCREASING THE MEDICAL MALPRACTICE NONECONOMIC107 DAMAGES CAP.108 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 HOUSE Amended 2nd Reading May 5, 2024 HOUSE SPONSORSHIP Brown and Pugliese, Daugherty SENATE SPONSORSHIP Mullica and Gardner, 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. http://leg.colorado.gov.) For civil actions filed on or after January 1, 2025, the bill increases the cap on damages for noneconomic loss or injury from $250,000 to $1.5 million, and starting January 1, 2028, and every 2 years thereafter, adjusts the damages cap based on inflation. Current law specifies who may sue for wrongful death. The bill adds a sibling of the deceased as a party who may bring a wrongful death action in certain circumstances. The bill imposes a wrongful death damages cap of $2.125 million, and starting January 1, 2028, and every 2 years thereafter, adjusts the damages cap based on inflation. Beginning January 1, 2025, the bill incrementally increases the medical malpractice wrongful death damages limitation to $1.575 million over the course of 5 years. Thereafter, the cap is adjusted biennially for inflation. Existing law limits the amount recoverable for noneconomic damages in medical malpractice actions to $300,000. Beginning January 1, 2025, the bill incrementally increases the noneconomic damages limitation to $875,000 over the course of 5 years. Thereafter, the cap is adjusted biennially for inflation. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. Legislative declaration. The general assembly2 finds and declares that updating the monetary limitations on damages for3 direct or derivative noneconomic loss or injury serves the purpose and4 intent of the "Health Care Availability Act", the "Wrongful Death Act",5 and the statutory limitations on damages for noneconomic loss or injury6 in civil actions.7 SECTION 2. In Colorado Revised Statutes, 13-21-102.5, amend8 (3)(a), (3)(b), (3)(c)(I), and (3)(c)(III) introductory portion; repeal9 (3)(c)(II); and add (2)(a.5) and (3)(c)(III.5) as follows:10 13-21-102.5. Limitations on damages for noneconomic loss or11 injury - definitions. (2) As used in this section:12 (a.5) "I NFLATION" MEANS THE ANNUAL PERCENTAGE CHANGE IN13 1472-2- THE UNITED STATES DEPARTMENT OF LABOR 'S BUREAU OF LABOR1 STATISTICS CONSUMER PRICE INDEX FOR DENVER-AURORA-LAKEWOOD2 FOR ALL ITEMS PAID BY ALL URBAN CONSUMERS, OR ITS SUCCESSOR INDEX.3 (3) (a) (I) In any civil action FILED BEFORE JANUARY 1, 2025, other4 than medical malpractice actions, ANY CIVIL ACTION FOR DAMAGES IN5 TORT BROUGHT AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN6 SECTION 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN7 SECTION 13-64-202 (3), OR AS A RESULT OF BINDING ARBITRATION, in8 which damages for noneconomic loss or injury may be awarded, the total9 of such damages shall not exceed the sum of two hundred fifty thousand10 dollars unless the court finds justification by clear and convincing11 evidence therefor. In no case shall the amount of noneconomic loss or12 injury damages IN AN ACTION FILED BEFORE JANUARY 1, 2025, exceed five13 hundred thousand dollars.14 (II) I N ANY CIVIL ACTION FILED ON OR AFTER JANUARY 1, 2025,15 AND BEFORE JANUARY 1, 2026, OR ANY CLAIM FOR RELIEF THAT ACCRUES16 ON OR AFTER JANUARY 1, 2026, OTHER THAN A MALPRACTICE ACTION , 17 ANY CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A18 HEALTH-CARE PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR19 A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR20 AS A RESULT OF BINDING ARBITRATION, OR WRONGFUL DEATH ACTION, IN21 WHICH DAMAGES FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR22 INJURY MAY BE AWARDED, THE TOTAL AMOUNT OF SUCH DAMAGES THAT23 MAY BE AWARDED MUST NOT EXCEED THE SUM OF ONE MILLION FIVE24 HUNDRED THOUSAND DOLLARS .25 (III) The damages for noneconomic loss or injury in a medical26 malpractice action, ANY CIVIL ACTION FOR DAMAGES IN TORT BROUGHT27 1472 -3- AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION1 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION2 13-64-202 (3), OR AS A RESULT OF BINDING ARBITRATION, shall not exceed3 the limitations on noneconomic loss or injury specified in BE GOVERNED4 BY section 13-64-302.5 (IV) T HE DAMAGES FOR NONEC ONOMIC LOSS OR INJURY IN A6 WRONGFUL DEATH ACTION SHALL BE GOVERNED BY SECTION 13-21-203.7 (b) In any civil action, no damages for derivative noneconomic8 loss or injury may be awarded unless the court finds justification by clear9 and convincing evidence therefor. In no case shall the amount of such 10 damages exceed two hundred fifty thousand dollars.11 (c) (I) (A) The limitations on damages set forth in subsections12 (3)(a) and (3)(b) SUBSECTION (3)(a)(I) of this section must be adjusted for13 inflation as of January 1, 1998, January 1, 2008, January 1, 2020, and14 each ON January 1 every two years thereafter UNTIL JANUARY 1, 2024.15 The adjustments made on January 1, 1998, January 1, 2008, January 1,16 2020, and each ON January 1 every two years thereafter UNTIL JANUARY17 1, 2024, must be based on the cumulative annual adjustment for inflation18 for each year since the effective date of the damages limitations in19 subsections (3)(a) and (3)(b) SUBSECTION (3)(a)(I) of this section.20 (B) T HE LIMITATIONS ON DAMAGES SET FORTH IN SUBSECTION21 (3)(a)(II) OF THIS SECTION MUST BE ADJUSTED FOR INFLATION ON22 J ANUARY 1, 2028, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER .23 T HE ADJUSTMENTS MADE ON JANUARY 1, 2028, AND ON JANUARY 1 EVERY24 TWO YEARS THEREAFTER MUST BE BASED ON THE CUMULATIVE ANNUAL25 ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE THE EFFECTIVE DATE26 OF THE DAMAGES LIMITATIONS IN SUBSECTION (3)(a)(II) OF THIS SECTION.27 1472 -4- (C) The INFLATION adjustments made pursuant to this subsection1 (3)(c)(I) must be rounded upward or downward to the nearest ten-dollar2 increment.3 (II) As used in this paragraph (c), "inflation" means the annual4 percentage change in the United States department of labor, bureau of5 labor statistics, consumer price index for Denver-Boulder, all items, all6 urban consumers, or its successor index.7 (III) The secretary of state shall certify the adjusted limitation on8 damages within fourteen days after the appropriate information is9 available, and, FOR PURPOSES OF THE LIMITATION ON DAMAGES SPECIFIED10 IN SUBSECTIONS (3)(a)(I) AND (3)(b) OF THIS SECTION:11 (III.5) F OR PURPOSES OF THE LIMITATION ON DAMAGES SPECIFIED12 IN SUBSECTION (3)(a)(II) OF THIS SECTION, THE SECRETARY OF STATE13 SHALL CERTIFY THE ADJUSTED LIMITATION ON DAMAGES WITHIN14 FOURTEEN DAYS AFTER THE APPROPRIATE INFORMATION IS AVAILABLE .15 T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1, 2028, AND AS16 OF EACH JANUARY 1 EVERY TWO YEARS THEREAFTER , IS APPLICABLE TO17 ALL CLAIMS FOR RELIEF THAT ACCRUE ON OR AFTER THE SPECIFIED18 J ANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.19 SECTION 3. In Colorado Revised Statutes, 13-21-201, amend20 (1)(a)(III), (1)(a)(IV), (1)(b)(I)(C), and (1)(b)(I)(D); and add (1)(a)(V)21 and (1)(b)(I)(E) as follows:22 13-21-201. Damages for death. (1) When any person dies from23 any injury resulting from or occasioned by the negligence, unskillfulness,24 or criminal intent of any officer, agent, servant, or employee while25 running, conducting, or managing any locomotive, car, or train of cars, or26 of any driver of any coach or other conveyance operated for the purpose27 1472 -5- of carrying either freight or passengers for hire while in charge of the1 same as a driver, and when any passenger dies from an injury resulting2 from or occasioned by any defect or insufficiency in any railroad or any3 part thereof, or in any locomotive or car, or other conveyance operated for4 the purpose of carrying either freight or passengers for hire, the5 corporation or individuals in whose employ any such officer, agent,6 servant, employee, master, pilot, engineer, or driver is at the time such7 injury is committed, or who owns any such railroad, locomotive, car, or8 other conveyance operated for the purpose of carrying either freight or9 passengers for hire at the time any such injury is received, and resulting10 from or occasioned by the defect or insufficiency above described shall11 forfeit and pay for every person and passenger so injured the sum of not12 exceeding ten thousand dollars and not less than three thousand dollars,13 which may be sued for and recovered:14 (a) In the first year after such death:15 (III) Upon the written election of the spouse, by the heir or heirs16 of the deceased; or17 (IV) If there is no spouse, by the heir or heirs of the deceased or18 the designated beneficiary, if there is one designated pursuant to article19 22 of title 15, C.R.S., with the right to bring an action pursuant to this20 section, and if there is no designated beneficiary, by the heir or heirs of21 the deceased; OR22 (V) I F, AT THE TIME OF DEATH, THERE IS NO SPOUSE, NO HEIR OR23 HEIRS, AND NO DESIGNATED BENEFICIARY , OR, IF THE DECEASED WAS AN24 UNMARRIED MINOR WITHOUT DESCENDANTS OR AN UNMARRIED ADULT25 WITHOUT DESCENDANTS , AND THERE IS NO MOTHER AND NO FATHER OF26 THE DECEASED, THEN BY THE SIBLING OR SIBLINGS OF THE DECEASED OR27 1472 -6- THE HEIR OR HEIRS OF THE SIBLING OR SIBLINGS OF THE DECEASED .1 (b) (I) In the second year after such death:2 (C) By the spouse and the heir or heirs of the deceased; or3 (D) By the designated beneficiary of the deceased, if there is one4 designated pursuant to article 22 of title 15, C.R.S., with the right to bring5 an action pursuant to this section, and the heir or heirs of the deceased; OR6 (E) B Y THE SIBLING OR SIBLINGS OF THE DECEASED OR THE HEIR OR7 HEIRS OF THE SIBLING OR SIBLINGS OF THE DECEASED, BUT ONLY IF, AT THE8 TIME OF DEATH, THE DECEASED HAD NO SURVIVING SPOUSE , NO HEIR OR9 HEIRS, AND NO DESIGNATED BENEFICIARY , OR, IF THE DECEASED WAS AN10 UNMARRIED MINOR WITHOUT DESCENDANTS OR AN UNMARRIED ADULT11 WITHOUT DESCENDANTS , AND HAD NO MOTHER AND NO FATHER .12 SECTION 4. In Colorado Revised Statutes, 13-21-203, amend13 (1) as follows:14 13-21-203. Limitation on damages. (1) (a) All damages15 accruing under section 13-21-202 shall be sued for and recovered by the16 same parties and in the same manner as provided in section 13-21-201,17 and in every such action the jury may give such damages as they may18 deem fair and just, with reference to the necessary injury resulting from19 such death, including damages for noneconomic loss or injury as defined20 in section 13-21-102.5 and subject to the limitations of this section and21 including within noneconomic loss or injury damages for grief, loss of22 companionship, pain and suffering, and emotional stress, to the surviving23 parties who may be entitled to sue; and also having regard to the24 mitigating or aggravating circumstances attending any such wrongful act,25 neglect, or default; except that, if the decedent left neither a widow, a26 widower, minor children, nor a dependent father or mother, the damages27 1472 -7- recoverable in any such action shall not exceed the limitations for1 noneconomic loss or injury set forth in section 13-21-102.5 THE SUM OF2 TWO MILLION ONE HUNDRED TWENTY -FIVE THOUSAND DOLLARS, unless3 the wrongful act, neglect, or default causing death constitutes a felonious4 killing, as defined in section 15-11-803 (1)(b), C.R.S., and as determined5 in the manner described in section 15-11-803 (7), C.R.S., in which case6 there shall be no limitation on the damages for noneconomic loss or7 injury recoverable in such action. No action shall be brought and no8 recovery shall be had under both section 13-21-201 and section9 13-21-202, and in all cases the plaintiff is required to elect under which10 section he or she will proceed. There shall be only one civil action under11 this part 2 for recovery of damages for the wrongful death of any one12 decedent. Notwithstanding anything in this section or in section13 13-21-102.5 to the contrary, there shall be no recovery under this part 214 for noneconomic loss or injury in excess of two hundred fifty thousand15 dollars TWO MILLION ONE HUNDRED TWENTY -FIVE THOUSAND DOLLARS,16 unless the wrongful act, neglect, or default causing death constitutes a17 felonious killing, as defined in section 15-11-803 (1)(b), C.R.S., and as18 determined in the manner described in section 15-11-803 (7). C.R.S.19 (b) The damages recoverable for noneconomic loss or injury in20 any medical malpractice action shall not exceed the limitations on21 noneconomic loss or injury set forth in section 13-64-302.22 N OTWITHSTANDING THE LIMITATION SET FORTH IN SUBSECTION (1)(a) OF23 THIS SECTION OR IN SECTION 13-64-302 (1):24 (I) E FFECTIVE JANUARY 1, 2025, THE TOTAL AMOUNT25 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR26 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY27 1472 -8- CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE1 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE2 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR AS A RESULT OF3 BINDING ARBITRATION, BASED ON A CLAIM OF WRONGFUL DEATH OF A4 PATIENT SHALL NOT EXCEED FIVE HUNDRED FIFTY -FIVE THOUSAND5 DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON6 OR AFTER JANUARY 1, 2025, BUT BEFORE JANUARY 1, 2026.7 (II) E FFECTIVE JANUARY 1, 2026, THE TOTAL AMOUNT8 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR9 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY10 CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE11 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE12 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR AS A RESULT OF13 BINDING ARBITRATION, BASED ON A CLAIM OF WRONGFUL DEATH OF A14 PATIENT SHALL NOT EXCEED EIGHT HUNDRED TEN THOUSAND DOLLARS ,15 WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON OR AFTER16 J ANUARY 1, 2026, BUT BEFORE JANUARY 1, 2027.17 (III) E FFECTIVE JANUARY 1, 2027, THE TOTAL AMOUNT18 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR19 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY20 CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE21 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE22 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR AS A RESULT OF23 BINDING ARBITRATION, BASED ON A CLAIM OF WRONGFUL DEATH OF A24 PATIENT SHALL NOT EXCEED ONE MILLION SIXTY -FIVE THOUSAND25 DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON26 OR AFTER JANUARY 1, 2027, BUT BEFORE JANUARY 1, 2028.27 1472 -9- (IV) EFFECTIVE JANUARY 1, 2028, THE TOTAL AMOUNT1 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR2 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY3 CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE4 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE5 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR AS A RESULT OF6 BINDING ARBITRATION, BASED ON A CLAIM OF WRONGFUL DEATH OF A7 PATIENT SHALL NOT EXCEED ONE MILLION THREE HUNDRED TWENTY8 THOUSAND DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS9 OCCURRING ON OR AFTER JANUARY 1, 2028, BUT BEFORE JANUARY 1,10 2029.11 (V) E FFECTIVE JANUARY 1, 2029, THE TOTAL AMOUNT12 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR13 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY14 CIVIL ACTION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE15 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE16 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), OR AS A RESULT OF17 BINDING ARBITRATION, BASED ON A CLAIM OF WRONGFUL DEATH OF A18 PATIENT SHALL NOT EXCEED ONE MILLION FIVE HUNDRED SEVENTY -FIVE19 THOUSAND DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS20 OCCURRING ON OR AFTER JANUARY 1, 2029, BUT BEFORE JANUARY 1,21 2030.22 (VI) E FFECTIVE JANUARY 1, 2030, THE LIMITATION ON DAMAGES23 SPECIFIED IN SUBSECTION (1)(b)(V) OF THIS SECTION SHALL BE ADJUSTED24 IN ACCORDANCE WITH SECTION 13-21-203.7 (4).25 SECTION 5. In Colorado Revised Statutes, 13-21-203.7, amend26 (1) and (2); and add (1.5) and (4) as follows:27 1472 -10- 13-21-203.7. Adjustments of dollar limitations for effects of1 inflation - definition. (1) The limitations on noneconomic damages set2 forth in section 13-21-203 (1)(a) and the amount of the solatium set forth3 in section 13-21-203.5 must be adjusted for inflation as of January 1,4 1998, January 1, 2008, January 1, 2020, and each January 1 every two5 years thereafter UNTIL JANUARY 1, 2024. The adjustments made on6 January 1, 1998, January 1, 2008, January 1, 2020, and each January 17 every two years thereafter must be based on the cumulative annual8 adjustment for inflation for each year since the effective date of the9 damages limitations in sections 13-21-203 (1)(a) and 13-21-203.5. The10 adjustments made pursuant to this subsection (1) must be rounded upward11 or downward to the nearest ten-dollar increment.12 (1.5) A FTER JANUARY 1, 2024, THE LIMITATIONS ON DAMAGES SET13 FORTH IN SECTION 13-21-203 (1)(a) MUST BE ADJUSTED FOR INFLATION14 J ANUARY 1, 2028, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER .15 T HE ADJUSTMENTS MADE ON JANUARY 1, 2028, AND ON JANUARY 1 EVERY16 TWO YEARS THEREAFTER MUST BE BASED ON THE CUMULATIVE ANNUAL17 ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE THE EFFECTIVE DATE18 OF THE DAMAGES LIMITATIONS IN SECTION 13-21-203 (1)(a). THE19 ADJUSTMENTS MADE PURSUANT TO THIS SUBSECTION (1.5) MUST BE20 ROUNDED UPWARD OR DOWNWARD TO THE NEAREST TEN -DOLLAR21 INCREMENT.22 (2) As used in this section, "inflation" means the annual 23 percentage change in the United States department of labor, bureau of24 labor statistics, consumer price index for Denver-Boulder, all items, all25 urban consumers, or its successor index MEANS THE ANNUAL PERCENTAGE26 CHANGE IN THE UNITED STATES DEPARTMENT OF LABOR 'S BUREAU OF27 1472 -11- LABOR STATISTICS CONSUMER PRICE INDEX FOR1 D ENVER-AURORA-LAKEWOOD FOR ALL ITEMS PAID BY ALL URBAN2 CONSUMERS, OR ITS SUCCESSOR INDEX.3 (4) (a) E FFECTIVE JANUARY 1, 2030, THE DAMAGES LIMITATION4 SPECIFIED IN SECTION 13-21-203 (1)(b)(V) MUST BE ADJUSTED FOR5 INFLATION ON JANUARY 1, 2030, AND ON JANUARY 1 EVERY TWO YEARS6 THEREAFTER. THE ADJUSTMENTS MADE ON JANUARY 1, 2030, AND ON7 J ANUARY 1 EVERY TWO YEARS THEREAFTER MUST BE BASED ON THE8 CUMULATIVE ANNUAL ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE9 THE EFFECTIVE DATE OF THE DAMAGES LIMITATION SPECIFIED IN SECTION10 13-21-203 (1)(b)(V). T HE ADJUSTMENTS MADE PURSUANT TO THIS11 SUBSECTION (4) MUST BE ROUNDED UPWARD OR DOWNWARD TO THE12 NEAREST TEN-DOLLAR INCREMENT.13 (b) T HE SECRETARY OF STATE SHALL CERTIFY THE ADJUSTED14 LIMITATION ON DAMAGES WITHIN FOURTEEN DAYS AFTER THE15 APPROPRIATE INFORMATION IS AVAILABLE AND SHALL PUBLISH THE16 ADJUSTED AMOUNT ON THE SECRETARY OF STATE 'S WEBSITE.17 (c) T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1,18 2030, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER IS APPLICABLE19 TO ALL CLAIMS FOR RELIEF THAT ACCRUE ON AND AFTER THE SPECIFIED20 J ANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.21 SECTION 6. In Colorado Revised Statutes, 13-64-302, amend22 (1)(b) and (1)(c) as follows:23 13-64-302. Limitation of liability - interest on damages -24 definition. (1) (b) The total amount recoverable for all damages for a25 course of care for all defendants in any civil action for damages in tort26 brought against a health-care professional, as defined in section27 1472 -12- 13-64-202, or a health-care institution, as defined in section 13-64-202,1 or as a result of binding arbitration, whether past damages, future2 damages, or a combination of both, shall not exceed THE GREATER OF one3 million dollars, present value per patient, OR ONE HUNDRED TWENTY-FIVE4 PERCENT OF THE NONECONOMIC DAMAGES LIMITATIONS SET FORTH IN5 SECTION 13-21-203 (1)(b) IN EFFECT AT THE TIME THE ACTS OR OMISSIONS6 OCCURRED, PRESENT VALUE PER PATIENT , including any claim for7 derivative noneconomic loss or injury, of which not more than two8 hundred fifty thousand dollars, present value per patient, including any9 derivative claim, shall be attributable to direct or derivative noneconomic10 loss or injury; except that, if, upon good cause shown, the court11 determines that the present value of past and future economic damages12 would exceed such limitation and that the application of such limitation13 would be unfair, the court may award in excess of the limitation the14 present value of additional past and future economic damages only. The15 limitations of this section are not applicable to a health-care professional16 who is a public employee under the "Colorado Governmental Immunity17 Act" and are not applicable to a certified health-care institution which is18 a public entity under the "Colorado Governmental Immunity Act". For19 purposes of this section, "present value" has the same meaning as that set20 forth in section 13-64-202 (7). The existence of the limitations and21 exceptions thereto provided in this section shall not be disclosed to a jury.22 (c) (I) (A) Effective July 1, 2003, the damages limitation of two23 hundred fifty thousand dollars described in paragraph (b) of this 24 subsection (1) SUBSECTION (1)(b) OF THIS SECTION shall be increased to25 three hundred thousand dollars, which increased amount shall apply to26 acts or omissions occurring on or after said date. It is the intent of the27 1472 -13- general assembly that the increase reflect an adjustment for inflation to1 the damages limitation.2 (B) E FFECTIVE JANUARY 1, 2025,IN AN ACTION FILED ON OR AFTER3 THAT DATE THAT ACCRUED ON OR AFTER JANUARY 1, 2024, BUT BEFORE4 J ANUARY 1, 2026, THE DAMAGES LIMITATION OF THREE HUNDRED5 THOUSAND DOLLARS DESCRIBED IN SUBSECTION (I)(c)(I)(A) OF THIS6 SECTION FOR DIRECT OR DERIVATIVE NONECONOMIC LOSS OR INJURY IS7 INCREASED TO FOUR HUNDRED FIFTEEN THOUSAND DOLLARS .8 (C) E FFECTIVE JANUARY 1, 2026, THE DAMAGES LIMITATION OF9 FOUR HUNDRED FIFTEEN THOUSAND DOLLARS DESCRIBED IN SUBSECTION10 (1)(c)(I)(B) OF THIS SECTION IS INCREASED TO FIVE HUNDRED THIRTY11 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR12 OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2026, BUT BEFORE13 J ANUARY 1, 2027.14 (D) E FFECTIVE JANUARY 1, 2027, THE DAMAGES LIMITATION OF15 FIVE HUNDRED THIRTY THOUSAND DOLLARS DESCRIBED IN SUBSECTION16 (1)(c)(I)(C) OF THIS SECTION IS INCREASED TO SIX HUNDRED FORTY -FIVE17 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR18 OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2027, BUT BEFORE19 J ANUARY 1, 2028.20 (E) E FFECTIVE JANUARY 1, 2028, THE DAMAGES LIMITATION OF SIX21 HUNDRED FORTY-FIVE THOUSAND DOLLARS DESCRIBED IN SUBSECTION22 (1)(c)(I)(D) OF THIS SECTION IS INCREASED TO SEVEN HUNDRED SIXTY23 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR24 OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2028, BUT BEFORE25 J ANUARY 1, 2029.26 (F) E FFECTIVE JANUARY 1, 2029, THE DAMAGES LIMITATION OF27 1472 -14- SEVEN HUNDRED SIXTY THOUSAND DOLLARS DESCRIBED IN SUBSECTION1 (1)(c)(I)(E) OF THIS SECTION IS INCREASED TO EIGHT HUNDRED2 SEVENTY-FIVE THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES3 TO ACTS OR OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2029, BUT4 BEFORE JANUARY 1, 2030.5 (G) E FFECTIVE JANUARY 1, 2030, THE DAMAGES LIMITATIONS IN6 SUBSECTION (1)(c)(I)(F) OF THIS SECTION MUST BE ADJUSTED FOR7 INFLATION AS OF JANUARY 1, 2030, AND ON JANUARY 1 EVERY TWO YEARS8 THEREAFTER. THE ADJUSTMENTS MADE ON JANUARY 1, 2030, AND ON9 J ANUARY 1 EVERY TWO YEARS THEREAFTER MUST BE BASED ON THE10 CUMULATIVE ANNUAL ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE11 THE EFFECTIVE DATE OF THE DAMAGES LIMITATION SPECIFIED IN12 SUBSECTION (1)(c)(I)(F) OF THIS SECTION. THE ADJUSTMENTS MADE13 PURSUANT TO THIS SUBSECTION (1)(c)(I)(G) MUST BE ROUNDED UPWARD14 OR DOWNWARD TO THE NEAREST TEN -DOLLAR INCREMENT. AS USED IN15 THIS SUBSECTION (1)(c), "INFLATION" MEANS THE ANNUAL PERCENTAGE16 CHANGE IN THE UNITED STATES DEPARTMENT OF LABOR 'S BUREAU OF17 LABOR STATISTICS CONSUMER PRICE INDEX FOR18 D ENVER-AURORA-LAKEWOOD FOR ALL ITEMS PAID BY ALL URBAN19 CONSUMERS, OR ITS SUCCESSOR INDEX.20 (II) T HE SECRETARY OF STATE SHALL CERTIFY THE ADJUSTED21 LIMITATION ON DAMAGES WITHIN FOURTEEN DAYS AFTER THE22 APPROPRIATE INFORMATION IS AVAILABLE AND SHALL PUBLISH THE23 ADJUSTED AMOUNT ON THE SECRETARY OF STATE 'S WEBSITE.24 (III) T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1,25 2030, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER IS APPLICABLE26 TO ACTS OR OMISSIONS OCCURRING ON AND AFTER THE SPECIFIED27 1472 -15- JANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.1 SECTION 7. Effective date. This act takes effect January 1,2 2025.3 SECTION 8. Safety clause. The general assembly finds,4 determines, and declares that this act is necessary for the immediate5 preservation of the public peace, health, or safety or for appropriations for6 the support and maintenance of the departments of the state and state7 institutions.8 1472 -16-