Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted 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 3rd Reading May 6, 2024 HOUSE Amended 2nd Reading May 5, 2024 HOUSE SPONSORSHIP Brown and Pugliese, Daugherty, Amabile, Bacon, Duran, Epps, Froelich, Herod, Kipp, Lieder, Lindsay, Lindstedt, Mabrey, McCluskie, McCormick, Parenti, Ricks, Rutinel, Snyder, Soper, Valdez, Vigil, Weissman 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 OR BINDING5 ARBITRATION FOR DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE6 PROFESSIONAL, AS DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE7 INSTITUTION, AS DEFINED IN SECTION 13-64-202 (3), in which damages8 for noneconomic loss or injury may be awarded, the total of such9 damages shall not exceed the sum of two hundred fifty thousand dollars10 unless the court finds justification by clear and convincing evidence11 therefor. In no case shall the amount of noneconomic loss or injury12 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, 2025, OTHER THAN ANY CIVIL ACTION OR17 BINDING ARBITRATION 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), 20 OR WRONGFUL DEATH ACTION , IN WHICH DAMAGES FOR DERIVATIVE OR21 DIRECT NONECONOMIC LOSS OR INJURY MAY BE AWARDED , THE TOTAL22 AMOUNT OF SUCH DAMAGES THAT MAY BE AWARDED MUST NOT EXCEED23 THE SUM OF ONE MILLION FIVE HUNDRED THOUSAND DOLLARS .24 (III) The damages for noneconomic loss or injury in a medical25 malpractice action, ANY CIVIL ACTION OR BINDING ARBITRATION FOR26 DAMAGES IN TORT BROUGHT AGAINST A HEALTH -CARE PROFESSIONAL, AS27 1472 -3- DEFINED IN SECTION 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS1 DEFINED IN SECTION 13-64-202 (3), shall not exceed the limitations on2 noneconomic loss or injury specified in BE GOVERNED BY section3 13-64-302.4 (IV) T HE DAMAGES FOR NONECONOMIC LOSS OR INJURY IN A5 WRONGFUL DEATH ACTION SHALL BE GOVERNED BY SECTION 13-21-203.6 (b) In any civil action, no damages for derivative noneconomic7 loss or injury may be awarded unless the court finds justification by clear8 and convincing evidence therefor. In no case shall the amount of such 9 damages exceed two hundred fifty thousand dollars.10 (c) (I) (A) The limitations on damages set forth in subsections11 (3)(a) and (3)(b) SUBSECTION (3)(a)(I) of this section must be adjusted for12 inflation as of January 1, 1998, January 1, 2008, January 1, 2020, and13 each ON January 1 every two years thereafter UNTIL JANUARY 1, 2024.14 The adjustments made on January 1, 1998, January 1, 2008, January 1,15 2020, and each ON January 1 every two years thereafter UNTIL JANUARY16 1, 2024, must be based on the cumulative annual adjustment for inflation17 for each year since the effective date of the damages limitations in18 subsections (3)(a) and (3)(b) SUBSECTION (3)(a)(I) of this section.19 (B) T HE LIMITATIONS ON DAMAGES SET FORTH IN SUBSECTION20 (3)(a)(II) OF THIS SECTION MUST BE ADJUSTED FOR INFLATION ON21 J ANUARY 1, 2028, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER .22 T HE ADJUSTMENTS MADE ON JANUARY 1, 2028, AND ON JANUARY 1 EVERY23 TWO YEARS THEREAFTER MUST BE BASED ON THE CUMULATIVE ANNUAL24 ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE THE EFFECTIVE DATE25 OF THE DAMAGES LIMITATIONS IN SUBSECTION (3)(a)(II) OF THIS SECTION.26 (C) The INFLATION adjustments made pursuant to this subsection27 1472 -4- (3)(c)(I) must be rounded upward or downward to the nearest ten-dollar1 increment.2 (II) As used in this paragraph (c), "inflation" means the annual3 percentage change in the United States department of labor, bureau of4 labor statistics, consumer price index for Denver-Boulder, all items, all5 urban consumers, or its successor index.6 (III) The secretary of state shall certify the adjusted limitation on7 damages within fourteen days after the appropriate information is8 available, and, FOR PURPOSES OF THE LIMITATION ON DAMAGES SPECIFIED9 IN SUBSECTIONS (3)(a)(I) AND (3)(b) OF THIS SECTION:10 (III.5) F OR PURPOSES OF THE LIMITATION ON DAMAGES SPECIFIED11 IN SUBSECTION (3)(a)(II) OF THIS SECTION, THE SECRETARY OF STATE12 SHALL CERTIFY THE ADJUSTED LIMITATION ON DAMAGES WITHIN13 FOURTEEN DAYS AFTER THE APPROPRIATE INFORMATION IS AVAILABLE .14 T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1, 2028, AND AS15 OF EACH JANUARY 1 EVERY TWO YEARS THEREAFTER , IS APPLICABLE TO16 ALL CLAIMS FOR RELIEF THAT ACCRUE ON OR AFTER THE SPECIFIED17 J ANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.18 SECTION 3. In Colorado Revised Statutes, 13-21-201, amend19 (1)(a)(III), (1)(a)(IV), (1)(b)(I)(C), and (1)(b)(I)(D); and add (1)(a)(V)20 and (1)(b)(I)(E) as follows:21 13-21-201. Damages for death. (1) When any person dies from22 any injury resulting from or occasioned by the negligence, unskillfulness,23 or criminal intent of any officer, agent, servant, or employee while24 running, conducting, or managing any locomotive, car, or train of cars, or25 of any driver of any coach or other conveyance operated for the purpose26 of carrying either freight or passengers for hire while in charge of the27 1472 -5- same as a driver, and when any passenger dies from an injury resulting1 from or occasioned by any defect or insufficiency in any railroad or any2 part thereof, or in any locomotive or car, or other conveyance operated for3 the purpose of carrying either freight or passengers for hire, the4 corporation or individuals in whose employ any such officer, agent,5 servant, employee, master, pilot, engineer, or driver is at the time such6 injury is committed, or who owns any such railroad, locomotive, car, or7 other conveyance operated for the purpose of carrying either freight or8 passengers for hire at the time any such injury is received, and resulting9 from or occasioned by the defect or insufficiency above described shall10 forfeit and pay for every person and passenger so injured the sum of not11 exceeding ten thousand dollars and not less than three thousand dollars,12 which may be sued for and recovered:13 (a) In the first year after such death:14 (III) Upon the written election of the spouse, by the heir or heirs15 of the deceased; or16 (IV) If there is no spouse, by the heir or heirs of the deceased or17 the designated beneficiary, if there is one designated pursuant to article18 22 of title 15, C.R.S., with the right to bring an action pursuant to this19 section, and if there is no designated beneficiary, by the heir or heirs of20 the deceased; OR21 (V) I F, AT THE TIME OF DEATH, THERE IS NO SPOUSE, NO HEIR OR22 HEIRS, AND NO DESIGNATED BENEFICIARY , OR, IF THE DECEASED WAS AN23 UNMARRIED MINOR WITHOUT DESCENDANTS OR AN UNMARRIED ADULT24 WITHOUT DESCENDANTS , AND THERE IS NO MOTHER AND NO FATHER OF25 THE DECEASED, THEN BY THE SIBLING OR SIBLINGS OF THE DECEASED OR26 THE HEIR OR HEIRS OF THE SIBLING OR SIBLINGS OF THE DECEASED .27 1472 -6- (b) (I) In the second year after such death:1 (C) By the spouse and the heir or heirs of the deceased; or2 (D) By the designated beneficiary of the deceased, if there is one3 designated pursuant to article 22 of title 15, C.R.S., with the right to bring4 an action pursuant to this section, and the heir or heirs of the deceased; OR5 (E) B Y THE SIBLING OR SIBLINGS OF THE DECEASED OR THE HEIR OR6 HEIRS OF THE SIBLING OR SIBLINGS OF THE DECEASED, BUT ONLY IF, AT THE7 TIME OF DEATH, THE DECEASED HAD NO SURVIVING SPOUSE , NO HEIR OR8 HEIRS, AND NO DESIGNATED BENEFICIARY , OR, IF THE DECEASED WAS AN9 UNMARRIED MINOR WITHOUT DESCENDANTS OR AN UNMARRIED ADULT10 WITHOUT DESCENDANTS , AND HAD NO MOTHER AND NO FATHER .11 SECTION 4. In Colorado Revised Statutes, 13-21-203, amend12 (1) as follows:13 13-21-203. Limitation on damages. (1) (a) All damages14 accruing under section 13-21-202 shall be sued for and recovered by the15 same parties and in the same manner as provided in section 13-21-201,16 and in every such action the jury may give such damages as they may17 deem fair and just, with reference to the necessary injury resulting from18 such death, including damages for noneconomic loss or injury as defined19 in section 13-21-102.5 and subject to the limitations of this section and20 including within noneconomic loss or injury damages for grief, loss of21 companionship, pain and suffering, and emotional stress, to the surviving22 parties who may be entitled to sue; and also having regard to the23 mitigating or aggravating circumstances attending any such wrongful act,24 neglect, or default; except that, if the decedent left neither a widow, a25 widower, minor children, nor a dependent father or mother, the damages26 recoverable in any such action shall not exceed the limitations for 27 1472 -7- noneconomic loss or injury set forth in section 13-21-102.5 THE SUM OF1 TWO MILLION ONE HUNDRED TWENTY -FIVE THOUSAND DOLLARS IN ANY2 WRONGFUL DEATH ACTION OR BINDING ARBITRATION FILED ON OR AFTER3 JANUARY 1, 2025, AND BEFORE JANUARY 1, 2026, OR ANY WRONGFUL4 DEATH CLAIM THAT ACCRUES ON OR AFTER JANUARY 1, 2025, IN WHICH5 DAMAGES FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR INJURY6 MAY BE AWARDED, unless the wrongful act, neglect, or default causing7 death constitutes a felonious killing, as defined in section 15-11-8038 (1)(b), C.R.S., and as determined in the manner described in section9 15-11-803 (7), C.R.S., in which case there shall be no limitation on the10 damages for noneconomic loss or injury recoverable in such action. No11 action shall be brought and no recovery shall be had under both section12 13-21-201 and section 13-21-202, and in all cases the plaintiff is required13 to elect under which section he or she will proceed. There shall be only14 one civil action under this part 2 for recovery of damages for the15 wrongful death of any one decedent. Notwithstanding anything in this16 section or in section 13-21-102.5 to the contrary, there shall be no17 recovery under this part 2 for noneconomic loss or injury in excess of two18 hundred fifty thousand dollars TWO MILLION ONE HUNDRED TWENTY -FIVE19 THOUSAND DOLLARS IN ANY WRONGFUL DEATH ACTION OR BINDING20 ARBITRATION FILED ON OR AFTER JANUARY 1, 2025, AND BEFORE21 JANUARY 1, 2026, OR ANY WRONGFUL DEATH CLAIM THAT ACCRUES ON OR22 AFTER JANUARY 1, 2025, IN WHICH DAMAGES FOR DERIVATIVE OR DIRECT23 NONECONOMIC LOSS OR INJURY MAY BE AWARDED, unless the wrongful24 act, neglect, or default causing death constitutes a felonious killing, as25 defined in section 15-11-803 (1)(b), C.R.S., and as determined in the26 manner described in section 15-11-803 (7). C.R.S. DAMAGES ARISING27 1472 -8- FROM CLAIMS BROUGHT AGAINST A PUBLIC ENTITY OR PUBLIC EMPLOYEE,1 AS DEFINED IN SECTION 24-10-103, SHALL BE CONTROLLED BY THE2 DAMAGE LIMITATIONS SET FORTH IN SECTION 24-10-114.3 (b) The damages recoverable for noneconomic loss or injury in4 any medical malpractice action shall not exceed the limitations on5 noneconomic loss or injury set forth in section 13-64-302.6 N OTWITHSTANDING THE LIMITATION SET FORTH IN SUBSECTION (1)(a) OF7 THIS SECTION OR IN SECTION 13-64-302 (1):8 (I) E FFECTIVE JANUARY 1, 2025, THE TOTAL AMOUNT9 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR10 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY11 CIVIL ACTION OR BINDING ARBITRATION FOR DAMAGES IN TORT BROUGHT12 AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION13 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION14 13-64-202 (3), BASED ON A CLAIM OF WRONGFUL DEATH OF A PATIENT15 SHALL NOT EXCEED FIVE HUNDRED FIFTY -FIVE THOUSAND DOLLARS ,16 WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON OR AFTER17 J ANUARY 1, 2025, BUT BEFORE JANUARY 1, 2026.18 (II) E FFECTIVE JANUARY 1, 2026, THE TOTAL AMOUNT19 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR20 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY21 CIVIL ACTION OR BINDING ARBITRATION FOR DAMAGES IN TORT BROUGHT22 AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION23 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION24 13-64-202 (3), BASED ON A CLAIM OF WRONGFUL DEATH OF A PATIENT25 SHALL NOT EXCEED EIGHT HUNDRED TEN THOUSAND DOLLARS , WHICH26 AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON OR AFTER27 1472 -9- JANUARY 1, 2026, BUT BEFORE JANUARY 1, 2027.1 (III) E FFECTIVE JANUARY 1, 2027, THE TOTAL AMOUNT2 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR3 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY4 CIVIL ACTION OR BINDING ARBITRATION FOR DAMAGES IN TORT BROUGHT5 AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION6 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION7 13-64-202 (3), BASED ON A CLAIM OF WRONGFUL DEATH OF A PATIENT8 SHALL NOT EXCEED ONE MILLION SIXTY-FIVE THOUSAND DOLLARS, WHICH9 AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON OR AFTER10 J ANUARY 1, 2027, BUT BEFORE JANUARY 1, 2028.11 (IV) E FFECTIVE JANUARY 1, 2028, 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 OR BINDING ARBITRATION FOR DAMAGES IN TORT BROUGHT15 AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION16 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION17 13-64-202 (3), BASED ON A CLAIM OF WRONGFUL DEATH OF A PATIENT18 SHALL NOT EXCEED ONE MILLION THREE HUNDRED TWENTY THOUSAND19 DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON20 OR AFTER JANUARY 1, 2028, BUT BEFORE JANUARY 1, 2029.21 (V) E FFECTIVE JANUARY 1, 2029, THE TOTAL AMOUNT22 RECOVERABLE FOR DERIVATIVE OR DIRECT NONECONOMIC LOSS OR23 INJURY, AS DEFINED IN SECTION 13-64-302 (1)(a)(I) AND (1)(a)(II), IN ANY24 CIVIL ACTION OR BINDING ARBITRATION FOR DAMAGES IN TORT BROUGHT25 AGAINST A HEALTH -CARE PROFESSIONAL, AS DEFINED IN SECTION26 13-64-202 (4), OR A HEALTH-CARE INSTITUTION, AS DEFINED IN SECTION27 1472 -10- 13-64-202 (3), BASED ON A CLAIM OF WRONGFUL DEATH OF A PATIENT1 SHALL NOT EXCEED ONE MILLION FIVE HUNDRED SEVENTY -FIVE THOUSAND2 DOLLARS, WHICH AMOUNT APPLIES TO ACTS OR OMISSIONS OCCURRING ON3 OR AFTER JANUARY 1, 2029, BUT BEFORE JANUARY 1, 2030.4 (VI) E FFECTIVE JANUARY 1, 2030, THE LIMITATION ON DAMAGES5 SPECIFIED IN SUBSECTION (1)(b)(V) OF THIS SECTION SHALL BE ADJUSTED6 IN ACCORDANCE WITH SECTION 13-21-203.7 (4).7 (VII) THE LIMITATIONS OF SUBSECTION (1)(b)(I) OF THIS SECTION8 ARE NOT APPLICABLE TO A HEALTH-CARE PROFESSIONAL WHO IS A PUBLIC9 EMPLOYEE UNDER THE "COLORADO GOVERNMENTAL IMMUNITY ACT"10 AND ARE NOT APPLICABLE TO A CERTIFIED HEALTH -CARE INSTITUTION11 THAT IS A PUBLIC ENTITY UNDER THE "COLORADO GOVERNMENTAL12 IMMUNITY ACT".13 SECTION 5. In Colorado Revised Statutes, 13-21-203.7, amend14 (1) and (2); and add (1.5) and (4) as follows:15 13-21-203.7. Adjustments of dollar limitations for effects of16 inflation - definition. (1) The limitations on noneconomic damages set17 forth in section 13-21-203 (1)(a) and the amount of the solatium set forth18 in section 13-21-203.5 must be adjusted for inflation as of January 1,19 1998, January 1, 2008, January 1, 2020, and each January 1 every two20 years thereafter UNTIL JANUARY 1, 2024. The adjustments made on21 January 1, 1998, January 1, 2008, January 1, 2020, and each January 122 every two years thereafter must be based on the cumulative annual23 adjustment for inflation for each year since the effective date of the24 damages limitations in sections 13-21-203 (1)(a) and 13-21-203.5. The25 adjustments made pursuant to this subsection (1) must be rounded upward26 or downward to the nearest ten-dollar increment.27 1472 -11- (1.5) AFTER JANUARY 1, 2024, THE LIMITATIONS ON DAMAGES SET1 FORTH IN SECTION 13-21-203 (1)(a) MUST BE ADJUSTED FOR INFLATION2 J ANUARY 1, 2028, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER .3 T HE ADJUSTMENTS MADE ON JANUARY 1, 2028, AND ON JANUARY 1 EVERY4 TWO YEARS THEREAFTER MUST BE BASED ON THE CUMULATIVE ANNUAL5 ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE THE EFFECTIVE DATE6 OF THE DAMAGES LIMITATIONS IN SECTION 13-21-203 (1)(a). THE7 ADJUSTMENTS MADE PURSUANT TO THIS SUBSECTION (1.5) MUST BE8 ROUNDED UPWARD OR DOWNWARD TO THE NEAREST TEN -DOLLAR9 INCREMENT.10 (2) As used in this section, "inflation" means the annual 11 percentage change in the United States department of labor, bureau of12 labor statistics, consumer price index for Denver-Boulder, all items, all13 urban consumers, or its successor index MEANS THE ANNUAL PERCENTAGE14 CHANGE IN THE UNITED STATES DEPARTMENT OF LABOR 'S BUREAU OF15 LABOR STATISTICS CONSUMER PRICE INDEX FOR16 D ENVER-AURORA-LAKEWOOD FOR ALL ITEMS PAID BY ALL URBAN17 CONSUMERS, OR ITS SUCCESSOR INDEX.18 (4) (a) E FFECTIVE JANUARY 1, 2030, THE DAMAGES LIMITATION19 SPECIFIED IN SECTION 13-21-203 (1)(b)(V) MUST BE ADJUSTED FOR20 INFLATION ON JANUARY 1, 2030, AND ON JANUARY 1 EVERY TWO YEARS21 THEREAFTER. THE ADJUSTMENTS MADE ON JANUARY 1, 2030, AND ON22 J ANUARY 1 EVERY TWO YEARS THEREAFTER MUST BE BASED ON THE23 CUMULATIVE ANNUAL ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE24 THE EFFECTIVE DATE OF THE DAMAGES LIMITATION SPECIFIED IN SECTION25 13-21-203 (1)(b)(V). T HE ADJUSTMENTS MADE PURSUANT TO THIS26 SUBSECTION (4) MUST BE ROUNDED UPWARD OR DOWNWARD TO THE27 1472 -12- NEAREST TEN-DOLLAR INCREMENT.1 (b) T HE SECRETARY OF STATE SHALL CERTIFY THE ADJUSTED2 LIMITATION ON DAMAGES WITHIN FOURTEEN DAYS AFTER THE3 APPROPRIATE INFORMATION IS AVAILABLE AND SHALL PUBLISH THE4 ADJUSTED AMOUNT ON THE SECRETARY OF STATE 'S WEBSITE.5 (c) T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1,6 2030, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER IS APPLICABLE7 TO ALL CLAIMS FOR RELIEF THAT ACCRUE ON AND AFTER THE SPECIFIED8 J ANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.9 SECTION 6. In Colorado Revised Statutes, 13-64-302, amend10 (1)(b) and (1)(c) as follows:11 13-64-302. Limitation of liability - interest on damages -12 definition. (1) (b) The total amount recoverable for all damages for a13 course of care for all defendants in any civil action for damages in tort14 brought against a health-care professional, as defined in section15 13-64-202, or a health-care institution, as defined in section 13-64-202,16 or as a result of binding arbitration, whether past damages, future17 damages, or a combination of both, shall not exceed THE GREATER OF one18 million dollars, present value per patient, OR ONE HUNDRED TWENTY-FIVE19 PERCENT OF THE NONECONOMIC DAMAGES LIMITATIONS SET FORTH IN20 SECTION 13-21-203 (1)(b) IN EFFECT AT THE TIME THE ACTS OR OMISSIONS21 OCCURRED, PRESENT VALUE PER PATIENT , including any claim for22 derivative noneconomic loss or injury, of which not more than two23 hundred fifty thousand dollars, present value per patient, including any24 derivative claim, shall be attributable to direct or derivative noneconomic25 loss or injury; except that, if, upon good cause shown, the court26 determines that the present value of past and future economic damages27 1472 -13- would exceed such limitation and that the application of such limitation1 would be unfair, the court may award in excess of the limitation the2 present value of additional past and future economic damages only. The3 limitations of this section are not applicable to a health-care professional4 who is a public employee under the "Colorado Governmental Immunity5 Act" and are not applicable to a certified health-care institution which is6 a public entity under the "Colorado Governmental Immunity Act". For7 purposes of this section, "present value" has the same meaning as that set8 forth in section 13-64-202 (7). The existence of the limitations and9 exceptions thereto provided in this section shall not be disclosed to a jury.10 (c) (I) (A) Effective July 1, 2003, the damages limitation of two11 hundred fifty thousand dollars described in paragraph (b) of this12 subsection (1) SUBSECTION (1)(b) OF THIS SECTION shall be increased to13 three hundred thousand dollars, which increased amount shall apply to14 acts or omissions occurring on or after said date. It is the intent of the15 general assembly that the increase reflect an adjustment for inflation to16 the damages limitation.17 (B) E FFECTIVE JANUARY 1, 2025,IN AN ACTION FILED ON OR AFTER18 THAT DATE THAT ACCRUED ON OR AFTER JANUARY 1, 2024, BUT BEFORE19 J ANUARY 1, 2026, THE DAMAGES LIMITATION OF THREE HUNDRED20 THOUSAND DOLLARS DESCRIBED IN SUBSECTION (I)(c)(I)(A) OF THIS21 SECTION FOR DIRECT OR DERIVATIVE NONECONOMIC LOSS OR INJURY IS22 INCREASED TO FOUR HUNDRED FIFTEEN THOUSAND DOLLARS .23 (C) E FFECTIVE JANUARY 1, 2026, THE DAMAGES LIMITATION OF24 FOUR HUNDRED FIFTEEN THOUSAND DOLLARS DESCRIBED IN SUBSECTION25 (1)(c)(I)(B) OF THIS SECTION IS INCREASED TO FIVE HUNDRED THIRTY26 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR27 1472 -14- OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2026, BUT BEFORE1 J ANUARY 1, 2027.2 (D) E FFECTIVE JANUARY 1, 2027, THE DAMAGES LIMITATION OF3 FIVE HUNDRED THIRTY THOUSAND DOLLARS DESCRIBED IN SUBSECTION4 (1)(c)(I)(C) OF THIS SECTION IS INCREASED TO SIX HUNDRED FORTY -FIVE5 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR6 OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2027, BUT BEFORE7 J ANUARY 1, 2028.8 (E) E FFECTIVE JANUARY 1, 2028, THE DAMAGES LIMITATION OF SIX9 HUNDRED FORTY-FIVE THOUSAND DOLLARS DESCRIBED IN SUBSECTION10 (1)(c)(I)(D) OF THIS SECTION IS INCREASED TO SEVEN HUNDRED SIXTY11 THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES TO ACTS OR12 OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2028, BUT BEFORE13 J ANUARY 1, 2029.14 (F) E FFECTIVE JANUARY 1, 2029, THE DAMAGES LIMITATION OF15 SEVEN HUNDRED SIXTY THOUSAND DOLLARS DESCRIBED IN SUBSECTION16 (1)(c)(I)(E) OF THIS SECTION IS INCREASED TO EIGHT HUNDRED17 SEVENTY-FIVE THOUSAND DOLLARS, WHICH INCREASED AMOUNT APPLIES18 TO ACTS OR OMISSIONS OCCURRING ON OR AFTER JANUARY 1, 2029, BUT19 BEFORE JANUARY 1, 2030.20 (G) E FFECTIVE JANUARY 1, 2030, THE DAMAGES LIMITATIONS IN21 SUBSECTION (1)(c)(I)(F) OF THIS SECTION MUST BE ADJUSTED FOR22 INFLATION AS OF JANUARY 1, 2030, AND ON JANUARY 1 EVERY TWO YEARS23 THEREAFTER. THE ADJUSTMENTS MADE ON JANUARY 1, 2030, AND ON24 J ANUARY 1 EVERY TWO YEARS THEREAFTER MUST BE BASED ON THE25 CUMULATIVE ANNUAL ADJUSTMENT FOR INFLATION FOR EACH YEAR SINCE26 THE EFFECTIVE DATE OF THE DAMAGES LIMITATION SPECIFIED IN27 1472 -15- SUBSECTION (1)(c)(I)(F) OF THIS SECTION. THE ADJUSTMENTS MADE1 PURSUANT TO THIS SUBSECTION (1)(c)(I)(G) MUST BE ROUNDED UPWARD2 OR DOWNWARD TO THE NEAREST TEN -DOLLAR INCREMENT. AS USED IN3 THIS SUBSECTION (1)(c), "INFLATION" MEANS THE ANNUAL PERCENTAGE4 CHANGE IN THE UNITED STATES DEPARTMENT OF LABOR 'S BUREAU OF5 LABOR STATISTICS CONSUMER PRICE INDEX FOR6 D ENVER-AURORA-LAKEWOOD FOR ALL ITEMS PAID BY ALL URBAN7 CONSUMERS, OR ITS SUCCESSOR INDEX.8 (II) T HE SECRETARY OF STATE SHALL CERTIFY THE ADJUSTED9 LIMITATION ON DAMAGES WITHIN FOURTEEN DAYS AFTER THE10 APPROPRIATE INFORMATION IS AVAILABLE AND SHALL PUBLISH THE11 ADJUSTED AMOUNT ON THE SECRETARY OF STATE 'S WEBSITE.12 (III) T HE ADJUSTED LIMITATION ON DAMAGES AS OF JANUARY 1,13 2030, AND ON JANUARY 1 EVERY TWO YEARS THEREAFTER IS APPLICABLE14 TO ACTS OR OMISSIONS OCCURRING ON AND AFTER THE SPECIFIED15 J ANUARY 1 AND BEFORE THE JANUARY 1 TWO YEARS THEREAFTER.16 SECTION 7. Effective date. This act takes effect January 1,17 2025.18 SECTION 8. Safety clause. The general assembly finds,19 determines, and declares that this act is necessary for the immediate20 preservation of the public peace, health, or safety or for appropriations for21 the support and maintenance of the departments of the state and state22 institutions.23 1472 -16-